93795
document
Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes : randomised trial . BACKGROUND Groin pain is common among athletes . A major cause of long-standing problems is adductor-related groin pain . The purpose of this randomised clinical trial was to compare an active training programme ( AT ) with a physiotherapy treatment without active training ( PT ) in the treatment of adductor-related groin pain in athletes . METHODS 68 athletes with long-standing ( median 40 weeks ) adductor-related groin pain -- after examination according to a standardised protocol -- were randomly assigned to AT or PT . The treatment period was 8-12 weeks . 4 months after the end of treatment a standardised examination was done . The examining physician was unaware of the treatment allocation . The ultimate outcome measure was full return to sports at the same level without groin pain . Analyses were by intention to treat . FINDINGS 23 patients in the AT group and four in the PT group returned to sports without groin pain ( odds ratio , multiple-logistic-regression analysis , 12.7 [ 95 % CI 3.4-47.2 ] ) . The subjective global assessments of the effect of the treatments showed a significant ( p=0.006 ) linear trend towards a better effect in the AT group . A per-protocol analysis did not show appreciably different results . INTERPRETATION AT with a programme aimed at improving strength and coordination of the muscles acting on the pelvis , in particular the adductor muscles , is very effective in the treatment of athletes with long-standing adductor-related groin pain . The potential preventive value of a short programme based upon the principles of AT should be assessed in future , randomised , clinical trials .
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Intervention_Physical
active physical training
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Intervention_Physical
active training programme ( AT )
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Intervention_Physical
physiotherapy treatment without active training ( PT )
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Intervention_Physical
AT
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Intervention_Physical
PT
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Outcome_Pain
full return to sports at the same level without groin pain
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Outcome_Pain
groin pain
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Participant_Condition
adductor-related groin pain
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Participant_Condition
athletes
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Participant_Condition
adductor-related groin pain
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Participant_Condition
adductor-related groin pain
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Participant_Condition
athletes
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Participant_Sample-size
68
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Participant_Condition
adductor-related groin pain