2026-04-14T17:26:58Zhttps://uvadoc.uva.es/oai/request

oai:uvadoc.uva.es:10324/770802025-09-03T09:32:18Zcom_10324_1138com_10324_931com_10324_894col_10324_1226

The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis Lahuerta Martín, Silvia Robles Pérez, Román Hernando Garijo, Ignacio Jiménez del Barrio, Sandra Hernández Lazaro, Héctor Mingo Gómez, María Teresa Ceballos Laita, Luis Producción Científica Background: Groin pain is a common pathology among athletes, presenting pain and a reduced range of motion (ROM) as clinical characteristics. Passive physical therapy (PPT) and exercise therapy (ET) interventions are chosen firstly before surgery. The aim of this systematic review and meta-analysis was: (i) to qualitative review the effects of each non-surgical intervention; (ii) to quantitative compare the effects of PPTs plus ET intervention to ET in isolation in pain intensity, and hip ROM in athletes with groin pain. Methods: A systematic review and meta-analysis was conducted. Pubmed, PEDro, Web of science, Scopus and Cochrane library were searched. Randomized controlled trials comparing PPT plus ET to ET interventions were included. The methodological quality and risk of bias of the included studies, were assessed with the PEDro scale and the Cochrane risk-of-bias tool. To assess the certainty of evidence the GRADEpro GDT was used. Meta-analyses were conducted using RevMan 5.4 using mean difference analysis to assess the variables pain intensity and hip ROM. Results: A total of 175 studies was identified from the consulted databases. Five studies were included for systematicreview, from which three studies were meta-analyzed. The methodological quality of the included studies ranged from poor to high. ET compared to PPT plus ET provided statistically significant improvements in pain intensity in the short-term (MD = 2.45; 95% CI 1.11, 3.79; I2 :65%). No statistically significant differences between interventions were obtained for hip ROM in the short-term. Conclusions: The qualitative review showed that PPTs plus ET and ET seem to have positive effects on pain intensity and hip ROM. The quantitative analysis found very low certainty of evidence proposing a positive effect in pain intensity for ET interventions based on hip muscles stretching, compared to PPT combined with ET, in the short-term. 2025-08-21T15:53:05Z 2025-08-21T15:53:05Z 2023 info:eu-repo/semantics/article BMC Sports Science, Medicine and Rehabilitation, Julio 2023, vol. 15, n. 1, p. 81 https://uvadoc.uva.es/handle/10324/77080 10.1186/s13102-023-00684-6 1 BMC Sports Science, Medicine and Rehabilitation 15 2052-1847 eng info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by-nc-nd/4.0/ Attribution-NonCommercial-NoDerivatives 4.0 Internacional BMC SI