Short and mid-term results of a comprehensive treatment program for longstanding adductor-related groin pain in athletes: a case series

Adam Weir, Jaap Jansen, Joyce van Keulen, Jan Mens, Frank Backx, Henk Stam
Physical Therapy in Sport 2010, 11 (3): 99-103

OBJECTIVE: To evaluate short and mid-term results of active physical therapy in athletes with longstanding groin pain.

DESIGN: Case series.

SETTING: Primary care physical therapy practice.

PARTICIPANTS: A total of 44 athletes suffering longstanding adductor-related groin pain.

INTERVENTION: A combination of passive (joint mobilization) and active (exercises) physical therapy interventions.

MAIN OUTCOME MEASUREMENTS: Return to (the same level of) sports, restriction in sports, and recurrence.

RESULTS: Directly after treatment, return to the same level and type of sport was successful in 38 athletes (86%), and without symptoms in 34 athletes (77%). At 6.5-51 months follow up, 10/38 (26%) of those that returned to sports had experienced a relapse; 22 (50%) athletes were able to participate in sports without any restrictions at the mid-term follow-up.

CONCLUSIONS: For athletes with longstanding groin pain, short term results of physical therapy seem positive, whereas mid-term results are moderately positive. The risk for recurrence is high.

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