Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis

Mosler, Andrea B., Agricola, Rintje, Weir, Adam, Holmich, Per and Crossley Kay M. (2015) Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis. British Journal of Sports Medicine, 49 12: 1-12. doi:10.1136/bjsports-2015-094602


Author Mosler, Andrea B.
Agricola, Rintje
Weir, Adam
Holmich, Per
Crossley Kay M.
Title Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis
Journal name British Journal of Sports Medicine   Check publisher's open access policy
ISSN 1473-0480
0306-3674
Publication date 2015-06
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1136/bjsports-2015-094602
Open Access Status DOI
Volume 49
Issue 12
Start page 1
End page 12
Total pages 12
Place of publication Tavistock Sq, London, United Kingdom
Publisher BMJ Publishing Group
Collection year 2016
Language eng
Formatted abstract
Background:  Hip and groin injuries are common in many sports. Understanding the factors differentiating athletes with hip/groin pain from those without these injuries could facilitate management and prevention.

Objective:  Conduct a systematic review and meta-analysis of the literature on factors differentiating athletes with and without hip/groin pain.

Methods:  The review was registered as PROSPERO CRD42014007416 and a comprehensive, systematic search was conducted in June 2014. Inclusion criteria were: cross-sectional, cohort or case–control study designs of n>10 that examined outcome measures differentiating athletes with and without hip/groin pain. Two authors independently screened search results, assessed study quality, and performed data extraction. Methodological heterogeneity was determined and data pooled for meta-analysis when appropriate. A best evidence synthesis was performed on the remaining outcome measures.

Results:  Of 2251 titles identified, 17 articles were included of which 10 were high quality. Sixty two different outcome measures were examined, 8 underwent meta-analysis. Pooled data showed strong evidence that athletes with hip/groin pain demonstrated: pain and lower strength on the adductor squeeze test, reduced range of motion in hip internal rotation and bent knee fall out; however, hip external rotation range was equivalent to controls. Strong evidence was found that lower patient-reported outcome (PRO) scores, altered trunk muscle function, and moderate evidence of bone oedema and secondary cleft sign were associated with hip/groin pain.

Conclusions:  PROs, pain and reduced strength on the adductor squeeze test, reduced range of motion in internal rotation and bent knee fall out are the outcome measures that best differentiate athletes with hip/groin pain from those without this pain.
Keyword Sport injury
Hip injuries
Groin injuries
Injury prevention
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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