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Citation
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Langhout R, Tak I, van Beijsterveldt AM, Ricken M, Weir A, Barendrecht M, Kerkhoffs G, Stubbe J. J. Orthop. Sports Phys. Ther. 2018; 48(9): 704-712. |
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Abstract
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Study Design Cohort study with prospective and retrospective elements. Background Groin injury and symptoms are common in soccer players. Their relationship with reduced hip range of motion (ROM) and previous injury is unclear.
OBJECTIVEs To conduct a retrospective assessment of associations between previous injury and pre-season hip ROM and pre-season prevalence of severe groin symptoms; and prospective identification of risk factors for within-season groin injury.
METHODS During 2015-2016, 190 players from 9 Dutch professional soccer clubs participated. Univariate and multivariate logistic regression were used to predict pre-season severe groin symptoms, identified using the Copenhagen Hip And Groin Outcome Score, from a history of previous groin injury, general injury (minimum 1 week duration) in previous season, and hip ROM. Cox regression was used to predict within-season groin injury.
RESULTS Point-prevalence of severe groin symptoms was 24% and within-season incidence of groin injury 11%. Total/training/match groin injury incidence was 0.5/0.2/2.6 injuries/1000 playing hours. A history of more than 1 previous groin injury was associated with current severe groin symptoms (Odds Ratio=3.0; 95% CI=1.0, 8.3; P=.038). General injury sustained in the previous season (ankle, knee, thigh, shoulder; median 9 weeks time-loss) was a risk factor for groin injury (Hazard Ratio=5.1; 95% CI=1.1, 14.6; P=.003).
CONCLUSION Severe injuries in the previous season to locations other than the groin increase the risk of groin injury the next season. A history of groin injury is associated with current severe groin symptoms. Pre-season hip ROM does not identify players at risk for groin injury. Level of Evidence Prevention, level 2b. J Orthop Sports Phys Ther, Epub 23 May 2018. doi:10.2519/jospt.2018.7990.
Language: en |