Football players with long standing hip and groin pain display deficits in functional task performance |
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| Institution: | 1. Department of Physical Therapy, School of Health Sciences, High Point University, High Point, NC, USA;2. Division of Physical Therapy, School of Health and Rehabilitation Sciences, Ohio State University, Columbus, OH, USA;3. Sports Health & Performance Institute, Ohio State University Sports Medicine, The Ohio State University, Columbus, OH, USA;4. Department of Physiology and Cell Biology, Family Medicine and School of Rehabilitation Sciences, Ohio State University, Columbus, OH, USA;5. Department of Orthopaedic Surgery, Family Medicine and School of Rehabilitation Sciences, Ohio State University, Columbus, OH, USA;6. Department of Biomedical Engineering, Family Medicine and School of Rehabilitation Sciences, Ohio State University, Columbus, OH, USA;7. Department of Orthopaedic Surgery, Physiology and Biomedical Engineering, Sports Medicine, Mayo Clinic, Rochester, MN, USA;8. Department of Physical Medicine and Rehabilitation, Sports Medicine, Mayo Clinic, Rochester, MN, USA;9. Division of Occupational Therapy and Physical Therapy, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA;10. Department of Pediatrics, Division of Sports Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA |
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| Abstract: | Objectivesi) Compare functional task performance between football players with and without hip/groin pain. ii) Explore the relationship, and sex-specific effects, between functional tasks and the Copenhagen Hip and Groin Outcome Score (HAGOS) in players with hip/groin pain.DesignCross-sectional.SettingLaboratory.Participants183 (38 women) football players with a self-reported history of >6months of non-time-loss hip/groin pain and a positive flexion-adduction-internal rotation test, and 61 (14 women) asymptomatic players.Main outcomeParticipants completed the hop-for-distance (HFD), one leg rise (OLR), side bridge (SB) endurance, and HAGOS. Study aims were assessed using linear models, controlling for body mass index and age, incorporating sex-specific interaction terms.ResultsPlayers with hip/groin pain could not hop as far (adjusted mean difference: -9 cm, 95% CI: -15 cm to -2cm, P=0.012) and completed fewer OLR repetitions (adjusted mean difference −7, 95% confidence interval −11 to −3 repetitions, P=0.001) compared to asymptomatic players. Symptomatic women, but not symptomatic men, with worse HAGOS scores had lower SB endurance. Independent of sex, football players with worse HAGOS scores could not hop as far and completed fewer OLR repetitions.ConclusionFootball players with hip/groin pain demonstrated deficits in HFD and OLR with the performance of these tasks associated with their HAGOS results. The study identifies potential impairments that can be targeted as a component of rehabilitation programs for football players with hip/groin pain. |
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| Keywords: | Rehabilitation Hip pain Groin pain Football |
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