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Adduction-related groin injuries in athletes; regular care and a novel treatment approach.

Projectomschrijving

Dit project beschrijft de reguliere behandeling: deze bestaat uit frictie massage, mobiliserende technieken gericht op de heup, rekken van de heup adductoren en -flexoren, spierversterkende oefeningen gericht op de heup ab- en adductoren,  buikspieren en quadriceps, verbeteren van de neuromusculaire controle en sportspecifieke oefeningen.
De huidige behandelmethoden van fysiotherapeuten in de regio Utrecht voldoet voor een groot deel aan de “state of the art” zoals die verondersteld wordt te zijn. Echter, de specifieke bekkenstabiliserende oefeningen worden door minder dan 60% van de therapeuten uitgevoerd. Of specifieke implementatie van deze oefeningen zinvol is, lijkt op basis van de resultaten uit de studie naar  doelstelling 2 twijfelachtig. Er dient echter in acht te worden genomen dat er op de korte termijn geen verschillende resultaten gevonden werden, maar dat dit mogelijk op de lange termijn wel een effect kan hebben. De ASLR test, het uitvragen van rugklachten en duur van de klachten zijn elementen die bij het in kaart brengen van de patiënt niet mogen ontbreken. 

Verslagen


Samenvatting van de aanvraag

Sports physicians are often confronted with overuse injuries, which can vary from local to more systemic overload. A relatively high risk of local overuse injuries in athletes exists after a period of high intensity training or when activities are resumed after a period of relatively rest. In this research project we focus on overuse injuries in the groin, occurring in high-performance athletes such as professional soccer players. These athletes experience groin pain during and after sports activity. The pain can be exacerbated by walking, running, climbing stairs, coughing, sneezing, kicking, pivoting on one leg, and specific exercises. In fact, a multicausal aetiology always plays an important role. According to literature, treatment consists of rest, medication (NSAIDs), exercises and stretching of the hip muscles; in stubborn cases surgery has been tried. In general, strategies for diagnostics and treatment of overuse injuries are experience-based with a lack of scientific evidence. Moreover, the effects of several treatments are very disappointing, leading to high rates of relapse. Chronic problems of athletes with adduction-related groin pain have some similarities with pregnant women suffering from pain in the groin region caused by pelvic instability. Underlying mechanisms focus on the weakest link being the stabilizing function of the main pelvic muscle groups. In this study we will investigate the usual care in physical therapy and the additional benefits of a specific muscular stabilising exercise program on longstanding adductor-related complaints in the groin region in athletes. Two main research questions will be addressed: 1) What is the regular care of physical therapists nowadays in cases of adduction-related groin pain? 2) What is the effectiveness of a specific exercise training program focused on the main pelvic muscle groups, compared with regular care, in athletes with adduction-related groin pain? For sports medical practice this innovating clinical research program aims at specific groups of athletes, whereas the outcomes of this project may contribute to an evidence-based non-surgical treatment of one of the most prevalent types of overuse injuries in the lower extremity.

Onderwerpen

Kenmerken

Projectnummer:
75020005
Looptijd: 100%
Looptijd: 100 %
2005
2009
Onderdeel van programma:
Projectleider en penvoerder:
Prof. dr. F.J.G. Backx
Verantwoordelijke organisatie:
Universitair Medisch Centrum Utrecht