Back to Search
Start Over
Clinical and biomechanical outcomes of rehabilitation targeting intersegmental control in athletic groin pain: prospective cohort of 205 patients
- Source :
- British Journal of Sports Medicine
- Publication Year :
- 2018
- Publisher :
- BMJ, 2018.
-
Abstract
- BackgroundClinical assessments and rehabilitation in athletic groin pain (AGP) have focused on specific anatomical structures and uniplanar impairments rather than whole body movement.ObjectiveTo examine the effectiveness of rehabilitation that targeted intersegmental control in patients with AGP and to investigate post rehabilitation changes in cutting biomechanics.MethodsTwo hundred and five patients with AGP were rehabilitated focusing on clinical assessment of intersegmental control, linear running and change of direction mechanics in this prospective case series. Hip and Groin Outcome Score (HAGOS) was the primary outcome measure. Secondary measures included pain-free return to play rates and times, pain provocation on squeeze tests and three-dimensional (3D) biomechanical analysis during a 110° cutting manoeuvre.ResultsFollowing rehabilitation, patients demonstrated clinically relevant improvements in HAGOS scores (effect size (ES): 0.6–1.7). 73% of patients returned to play pain-free at a mean of 9.9 weeks (±3.5). Squeeze test values also improved (ES: 0.49–0.68). Repeat 3D analysis of the cutting movement demonstrated reductions in ipsilateral trunk side flexion (ES: 0.79) and increased pelvic rotation in the direction of travel (ES: 0.76). Changes to variables associated with improved cutting performance: greater centre of mass translation in the direction of travel relative to centre of pressure (ES: 0.4), reduced knee flexion angle (ES: 0.3) and increased ankle plantar flexor moment (ES: 0.48) were also noted.ConclusionsRehabilitation focused on intersegmental control was associated with improved HAGOS scores, high rates of pain-free return to sporting participation and biomechanical changes associated with improved cutting performance across a range of anatomical diagnoses seen in AGP.
- Subjects :
- Adult
Male
medicine.medical_specialty
injury
Movement
medicine.medical_treatment
Provocation test
Biomechanical analysis
Physical Therapy, Sports Therapy and Rehabilitation
Groin
Pelvic Pain
biomechanics
Running
rehabilitation
Young Adult
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
medicine
Humans
Knee
Orthopedics and Sports Medicine
In patient
Prospective Studies
Range of Motion, Articular
Prospective cohort study
030222 orthopedics
Rehabilitation
business.industry
Biomechanics
030229 sport sciences
General Medicine
Trunk
Biomechanical Phenomena
Return to Sport
medicine.anatomical_structure
Athletic Injuries
Original Article
Ankle
Hagos
business
performance
Subjects
Details
- ISSN :
- 14730480 and 03063674
- Volume :
- 52
- Database :
- OpenAIRE
- Journal :
- British Journal of Sports Medicine
- Accession number :
- edsair.doi.dedup.....776a10efcb472449759820fb7bd7b610