RT info:eu-repo/semantics/article
T1 The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis
A1 Lahuerta-Martín, Silvia
A1 Robles-Pérez, Román
A1 Hernando-Garijo, Ignacio
A1 Jiménez-del-Barrio, Sandra
A1 Hernández-Lázaro, Héctor
A1 Mingo-Gómez, María Teresa
A1 Ceballos-Laita, Luis
K1 Groin pain
K1 Manual therapy
K1 Pain
K1 Range of motion
AB 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 chosenfirstly before surgery. The aim of this systematic review and meta-analysis was: (i) to qualitative review the effects ofeach non-surgical intervention; (ii) to quantitative compare the effects of PPTs plus ET intervention to ET in isolation inpain intensity, and hip ROM in athletes with groin pain.Methods: A systematic review and meta-analysis was conducted. Pubmed, PEDro, Web of science, Scopus andCochrane library were searched. Randomized controlled trials comparing PPT plus ET to ET interventions wereincluded. The methodological quality and risk of bias of the included studies, were assessed with the PEDro scale andthe Cochrane risk-of-bias tool. To assess the certainty of evidence the GRADEpro GDT was used. Meta-analyses wereconducted 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 rangedfrom poor to high. ET compared to PPT plus ET provided statistically significant improvements in pain intensity in theshort-term (MD = 2.45; 95% CI 1.11, 3.79; I2 :65%). No statistically significant differences between interventions wereobtained 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 intensityand hip ROM. The quantitative analysis found very low certainty of evidence proposing a positive effect in painintensity for ET interventions based on hip muscles stretching, compared to PPT combined with ET, in the short-term.
PB BMC
YR 2023
FD 2023-07-10
LK https://uvadoc.uva.es/handle/10324/77080
UL https://uvadoc.uva.es/handle/10324/77080
LA eng
NO BMC Sports Science, Medicine and Rehabilitation, Julio 2023, vol. 15, n. 1, p. 81
NO Producción Científica
DS UVaDOC
RD 23-ago-2025