RT Journal Article
SR Electronic
T1 Is lower hip range of motion a risk factor for groin pain in athletes? A systematic review with clinical applications
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 1611
OP 1621
DO 10.1136/bjsports-2016-096619
VO 51
IS 22
A1 Igor Tak
A1 Leonie Engelaar
A1 Vincent Gouttebarge
A1 Maarten Barendrecht
A1 Sylvia Van den Heuvel
A1 Gino Kerkhoffs
A1 Rob Langhout
A1 Janine Stubbe
A1 Adam Weir
YR 2017
UL http://bjsm.bmj.com/content/51/22/1611.abstract
AB Background Whether hip range of motion (ROM) is a risk factor for groin pain in athletes is not known.Objectives To systematically review the relationship between hip ROM and groin pain in athletes in cross-sectional/case–control and prospective studies.Study design Systematic review, prospectively registered (PROSPERO) according to PRISMA guidelines.Methods Pubmed, Embase, CINAHL and SPORTDiscus were systematically searched up to December 2015. Two authors performed study selection, data extraction/analysis, quality assessment (Critical Appraisal Skills Programme) and strength of evidence synthesis.Results We identified seven prospective and four case–control studies. The total quality score ranged from 29% to 92%. Heterogeneity in groin pain classification, injury definitions and physical assessment precluded data pooling. There was strong evidence that total rotation of both hips below 85° measured at the pre-season screening was a risk factor for groin pain development. Strong evidence suggested that internal rotation, abduction and extension were not associated with the risk or presence of groin pain.Conclusion Total hip ROM is the factor most consistently related to groin pain in athletes. Screening for hip ROM is unlikely to correctly identify an athlete at risk of developing groin pain because of the small ROM differences found and poor ROM measurement properties.