Groin Pain in Athletes – Clinical Experience

• Authors: Krzysztof Ficek , Remigiusz Rzepka , Tomasz Orawczyk , Zbigniew Żołnierczyk
• Languages of publication: EN

Abstracts

EN

Dysfunction of lumbo-pelvic area is a common problem in many sports. Due to insufficient data supporting variables predisposing to lumbo-pelvic dysfunction, and a lack of standards in thorough assessment, understanding the overall problem continues to provide clinical complications; and unfortunately, the prognosis is less than promising. Most often this type of non-contact injury in the groin area is seen in dynamic sports involving running, sprinting, and sports performed over longer time periods, where fatigue plays an important role (soccer, rugby, hockey). There have been proposals in identifying most probable factors influencing the occurrence of pelvic overload injury. Among those we can list: muscle strength and balance, training regimen (including warm-up), fatigue, flexibility, body mechanics, sports specific activities, movement technique, previous injury, and psychological state. During clinical assessment by the physician and physiotherapist, many of these risks of injury factors are found. Currently more attention is given to neuromuscular factors that can affect risk of this pathology.Our clinical experience suggests that poor neuromuscular control and lack of strength may significantly contribute to injury in the lumbo-pelvic and groin area. Certain objective indexes (e.g., hamstrings to quadriceps strength H/Q, stability deficits) can be important indicators of injury risk, as well as guidelines for motor dysfunction recovery.

Keywords

EN

sports injuries; motor control; neuromuscular training; exercise-related transient abdominal pain (ETAP)

• Publisher: De Gruyter Open
• Journal: Journal of Human Kinetics
• Year: 2008
• Volume: 19
• Pages: 141-148

Dates

published

1 - 1 - 2008

online

24 - 10 - 2008

Contributors

author

Krzysztof Ficek

• Galen Medical Center, Bieruń, Poland

author

Remigiusz Rzepka

• Physioterapy Center Fizjofit, Gliwice, Poland

author

Tomasz Orawczyk

• Physioterapy Center Fizjofit, Gliwice, Poland

author

Zbigniew Żołnierczyk

• State Surgical Hospital, Piekary Slaskie, Poland

References

• Aagaard P., Simonsen E., Magnusson S., Larsson B., Dyhre-Poulsen P. (1998) A new concept for isokinetic hamstring: quadriceps muscle strength ratio. Am J Sports Med; 26: 231-237.[PubMed]
• Brown L. E. (2000) Isokinetics in human performance. Human Kinetics
• Cameron M., Adams R., Maher C. (2003) Motor control and strength as predictor of hamstring injury in elite players of Autralian football. Physical Therapy in Sport 4, 159-166.
• Coombs R., Garbutt G. (2002) Developments in the use of the hamstring/quadriceps ratio for the assessment of the muscle balance. J Sports Csi Med; 1:56-62
• Davies G. J. (1992) A Compendium of isokinetics in clinical usage and rehabilitation techniques. S&S Publishers.
• Dvir Z. (2004) Isokinetics. Muscle testing, interpretation and clinical applications. Churchill Livingstone.
• Eichner R. (2006) Stitch in the side: causes, workup, and solutions. Curr Sports Med Rep. Dec;5(6):289-92[PubMed][Crossref]
• Earle D. B., Mark L. A. (2008) Prosthetic material in inguinal hernia repair, how do I choose? Surg Clin North Am., Feb; 88(1):177 - 201[WoS]
• Ficek K, Gabryś T, Szmatlan - Gabryś U. (2004) Adductor longus muscle attachment release in the treatment of inguinal pain. Load optimation in physical and sports education., Bratysława
• Ficek K, Gabryś T, Tomczak A, Szczygieł J. (2005) The long adductor muscle release in the treatment of groin pain; Chirurgia kolana, Artroskopia, Traumatologia Sportowa, Querterly Vol. 2 Nr 1
• Hiemstra L., Webber S., MacDonald P., Kriellaars D. (2004) Hamstring and quadriceps strength balance in normal and hamstring anterior cruciate ligament-reconstructed subjects. Clin J Sport Med; 14(5): 274-280[Crossref][PubMed]
• Hoskins W., Pollard H., (2005) The management of hamstring injury - Part 1: Issues in diagnosis. Manual Therapy 10, 96-107.[PubMed]
• Kamen G. (2004) Neural issues in the control of muscular strength. Research Quaterly for Exercise and Sport Vol. 75 1, 3-8.
• Kasman G. S., Cram J. R., Wolf S. L. (1998) Clinical applications in surface electromyography. Chronic musculoskeletal pain. Aspen Publication.
• Miguel A. (2002) Groin Pain And Adductor Muscle Release, International Football & Sport Medicine Conference, Los Angeles, 165-168
• Morton DP, Richards D, Callister R. (2005) Epidemlology of exercise-related transient abdominal pain at the Sydney City to Surf community run; J Sci Med Sport. Jun;8(2):152-62.[PubMed][Crossref]
• Peterson L., Renstrom P. (2001) Sports Injuries. London: Martin Dunitz, 232-247
• Pull M. R., Ranson C. (2007) Eccentric muscle applications: implications for injury prevention and rehabilitation. Physical Therapy in Sport 8, 88-97.[WoS]
• Tsikouris G. (2003) Chronic Groin pain: A new Procedure for its treatment. 7th Olympic World Congress on Sport Sciences, Athens, 59

Identifiers

DOI

10.2478/v10078-008-0011-0