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Conservative interventions for treating exercise-related musculotendinous, ligamentous and osseous groin pain

  1. Matheus O Almeida1,*,
  2. Brenda NG Silva1,
  3. Régis B Andriolo2,
  4. Álvaro N Atallah1,
  5. Maria S Peccin3

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 6 JUN 2013

Assessed as up-to-date: 12 MAR 2012

DOI: 10.1002/14651858.CD009565.pub2

How to Cite

Almeida MO, Silva BNG, Andriolo RB, Atallah ÁN, Peccin MS. Conservative interventions for treating exercise-related musculotendinous, ligamentous and osseous groin pain. Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD009565. DOI: 10.1002/14651858.CD009565.pub2.

Author Information

  1. 1

    Centro de Estudos de Medicina Baseada em Evidências e Avaliação Tecnológica em Saúde, Brazilian Cochrane Centre, São Paulo, São Paulo, Brazil

  2. 2

    Universidade do Estado do Pará, Department of Public Health, Belém, Pará, Brazil

  3. 3

    Universidade Federal de São Paulo, Department of Human Movement Sciences, Santos, São Paulo, Brazil

*Matheus O Almeida, Brazilian Cochrane Centre, Centro de Estudos de Medicina Baseada em Evidências e Avaliação Tecnológica em Saúde, R Borges Lagoa, 564 cj 63, Vila Clementino, São Paulo, São Paulo, 04038000, Brazil. mathewsalmeida@hotmail.com.

Publication History

  1. Publication Status: New
  2. Published Online: 6 JUN 2013

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Hölmich 1999 {published data only}
  • Holmich P, Nyvold P, Larsen K. Continued significant effect of physical training as treatment for overuse injury: 8- to 12-yearoutcome of a randomized clinical trial.. American Journal of Sports Medicine 2011;39(11):2447-51. [PUBMED: 21813441]
  • Hölmich P. Personal correspondence (email to Matheus Almeida concerning missing data) April 16 2012.
  • Hölmich P, Uhrskou P, Ulnits L, Kanstrup I, Nielsen MB, Krogsgaard K. Active physical training is an effective treatment of adductor related groin pain in athletes - results of a randomised clinical trial of two interventions. Acta Orthopaedica Scandinavica 1998;69(Suppl 280):44.
  • Hölmich P, Uhrskou P, Ulnits L, Kanstrup IL, Nielsen MB, Bjerg AM, et al. Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial. Lancet 1999;353(9151):439-43. [PUBMED: 9989713]
Weir 2011 {published data only}
  • Weir A. Personal correspondence (email to Matheus Almeida concerning missing data) April 17 2012.
  • Weir A, Jansen JA, van de Port IG, van de Sande HB, Tol JL, Backx FJ. Manual or exercise therapy for long-standing adductor-related groin pain: a randomised controlled clinical trial. Manual Therapy 2011;16(2):148-54. [PUBMED: 20952244]

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Ekstrand 2001 {published data only}
  • Ekstrand J, Ringborg S. Surgery versus conservative treatment in soccer players with chronic groin pain: A prospective randomised study in soccer players. European Journal of Sports Traumatology and Related Research 2001;23(4):141-5.
Paajanen 2011 {published data only}
  • Paajanen H, Brinck T, Hermunen H, Airo I. Laparoscopic surgery for chronic groin pain in athletes is more effective than nonoperative treatment: a randomized clinical trial with magnetic resonance imaging of 60 patients with sportsman's hernia (athletic pubalgia). Surgery 2011;150(1):99-107. [PUBMED: 21549403]

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Backx 2009 {published and unpublished data}
  • Backx FG. Personal communication (email to Matheus Almeida concerning the status of the trial) February 11 2013.
  • Backx FJ. Longlasting adduction-related groin injuries in athletes; regular care or a novel treatment approach. http://www.controlled-trials.com/ISRCTN65462262 (accessed 11/03/2013).

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Backx 2013
  • Backx FGV. Personal communication (email to Matheus Almeida concerning the status of the trial) February 11 2013.
Biedert 2003
  • Biedert RM, Warnke K, Meyer S. Symphysis syndrome in athletes: surgical treatment for chronic lower abdominal, groin, and adductor pain in athletes. Clinical Journal of Sport Medicine 2003;13(5):278-84. [PUBMED: 14501310]
Carnes 2010
  • Carnes D, Mars TS, Mullinger B, Froud R, Underwood M. Adverse events and manual therapy: a systematic review. Manual Therapy 2010;15(4):355-63. [PUBMED: 20097115]
Cowan 2004
  • Cowan SM, Scache AG, Brukner P, Bennell KL, Hodges PW, Coburn P, et al. Delayed onset of transversus abdominus in long-standing groin pain. Medicine & Science in Sports and Exercise 2004;36(12):2040-5. [PUBMED: 15570137]
Ekberg 1988
Ekstrand 1999
  • Ekstrand J, Hilding J. The incidence and differential diagnosis of acute groin injuries in male soccer players. Scandinavian Journal of Medicine & Science in Sports 1999;9(2):98-103. [PUBMED: 10220844]
Emery 1999
Engebretsen 2010
  • Engebretsen AH, Myklebust G, Holme I, Engebretsen L, Bahr R. Intrinsic risk factors for groin injuries among male soccer players: a prospective cohort study. American Journal of Sports Medicine 2010;38(10):2051-7. [PUBMED: 20699426]
Hawkins 2001
  • Hawkins RD, Hulse MA, Wilkinson C, Hodson A, Gibson M. The association football medical research programme: an audit of injuries in professional football. British Journal of Sports Medicine 2001;35(1):43-7. [PUBMED: 11157461]
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Hölmich 2004
  • Hölmich P, Hölmich LR, Bjerg AM. Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study. British Journal of Sports Medicine 2004;38(4):446-51. [PUBMED: 15273182]
Hölmich 2007
  • Hölmich P. Long-standing groin pain in sports people falls into three primary patterns, a "clinical entity" approach: a prospective study of 207 patients. British Journal of Sports Medicine 2007 Apr;41(4):247-52. [PUBMED: 17261557]
Hölmich 2011
  • Hölmich P,  Nyvold P,  Larsen K. Continued significant effect of physical training as treatment for overuse injury: 8 to 12 year outcome of a randomized clinical trial. American Journal of Sports Medicine 2011;39(11):2447-51. [PUBMED: 21813441]
Hölmich 2012
  • Hölmich P. Personal correspondence (email to Matheus Almeida concerning missing data) April 16 2012.
Jansen 2008a
Jansen 2008b
Lefebvre 2011
  • Lefebvre C, Manheimer E, Glanville J. Chapter 6: Searching for studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Lloyd-Smith 1985
  • Lloyd-Smith R, Clement DB, McKenzie DC. A survey of overuse and traumatic hip and pelvic injuries in athletes. Physician and Sportsmedicine 1985;13(10):131–41. [EMBASE: 1986011045]
Lynch 1999
Machotka 2009
  • Machotka Z, Kumar S, Perraton LG. A systematic review of the literature on the effectiveness of exercise therapy for groin pain in athletes. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology 2009;1(5):1-10. [DOI: 10.1186/1758-2555-1-5; PUBMED: 19331695]
Maffey 2007
  • Maffey L, Emery C. What are the risk factors for groin strain injury in sport? A systematic review of the literature. Sports Medicine 2007;37(10):881-94. [PUBMED: 17887812]
Neumann 2010
Orchard 2000
  • Orchard J, Read JW, Verrall GM, Slavotinek JP. Pathophysiology of chronic groin pain in the athlete. International SportMed Journal 2000;1(1):1-16.
Paajanen 2011a
  • Paajanen H, Ristolainen L, Turunen H, Kujala UM. Prevalence and etiological factors of sport-related groin injuries in top-level soccer compared to non-contact sports. Archives of Orthopaedic and Trauma Surgery 2011;131(2):261-6. [PUBMED: 20714902]
Pizzari 2008
  • Pizzari T, Coburn PT, Crow JF. Prevention and management of osteitis pubis in the Australian Football League: a qualitative analysis. Physical Therapy in Sport 2008;9(3):117-25. [PUBMED: 19083712]
Rabe 2010
  • Rabe SB, Oliver GD. Athletic pubalgia: recognition, treatment, and prevention. Athletic Training & Sports Health Care 2010;2(1):25-30.
Thorborg 2011
  • Thorborg K, Hölmich P, Christensen R, Petersen J, Roos EM. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according tothe COSMIN checklist. British Journal of Sports Medicine 2011;45:478-91.
Topol 2005
  • Topol GA, Reeves KD, Hassanein KM. Efficacy of dextrose prolotherapy in elite male kicking-sport athletes with chronic groin pain. Archives of Physical Medicine and Rehabilitation 2005;86(4):697-702. [PUBMED: 15827920]
Verrall 2005a
  • Verrall GM, Hamilton IA, Slavotinek JP, Oakeshott RD, Spriggins AJ, Barnes PG, et al. Hip joint range of motion reduction in sports-related chronic groin injury diagnosed as pubic bone stress injury. Journal of Science and Medicine in Sport 2005;8(1):77-84. [PUBMED: 15887904]
Verrall 2005b
  • Verrall GM, Slavotinek JP, Barnes PG, Fon GT. Description of pain provocation tests used for the diagnosis of sports-related chronic groin pain: relationship of tests to defined clinical (pain and tenderness) and MRI (pubic bone marrow oedema) criteria. Scandinavian Journal of Medicine & Science in Sports 2005;15(1):36-42. [PUBMED: 15679570]
Verrall 2007a
  • Verrall GM, Slavotinek JP, Barnes PG, Esterman A, Oakeshott RD, Spriggins AJ. Hip joint range of motion restriction precedes athletic chronic groin injury. Journal of Science & Medicine in Sport 2007;10(6):463-6. [PUBMED: 17336153]
Verrall 2007b
  • Verrall GM, Slavotinek JP, Fon GT, Barnes PG. Outcome of conservative management of athletic chronic groin injury diagnosed as pubic bone stress injury. American Journal of Sports Medicine 2007;35(3):467-74. [PUBMED: 17267768]
Vitanzo 2001
  • Vitanzo PC Jr, McShane JM. Osteitis pubis: solving a perplexing problem. Physician and Sportsmedicine 2001;29(7):33-38+48. [PUBMED: 20086580]
Weir 2010
  • Weir A, Jansen J, van Keulen J, Mens J, Backx F, Stam H. Short and mid-term results of a comprehensive treatment program for longstanding adductor-related groin pain in athletes: a case series. Physical Therapy in Sport 2010;11(3):99-103. [PUBMED: 20673858]
Weir 2012
  • Weir A. Personal correspondence (email to Matheus Almeida concerning missing data) April 17 2012.
Williams 2000
  • Williams PR, Thomas DP, Downes EM. Osteitis pubis and instability of the pubic symphysis. When nonoperative measures fail. American Journal of Sports Medicine 2000;28(3):350-5. [PUBMED: 10843126]

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Almeida 2012
  • Almeida MO, Gomes Silva BN, Andriolo RB, Atallah ÁN, Peccin MS. Conservative interventions for treating exercise-related musculotendinous, ligamentous and osseous groin pain. Cochrane Database of Systematic Reviews 2012, Issue 1. [DOI: 10.1002/14651858.CD009565]