Manual or exercise therapy for long-standing adductor-related groin pain: A randomised controlled clinical trial

Weir, Adam; Jansen, Jaap; Port, Ingrid G. L. van de; Sande, Heidi; Tol, Johannes L.; Backx, Frank

doi:10.1016/j.math.2010.09.001

Cited by 85 publications

(94 citation statements)

References 17 publications

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“…Forty-seven athletes (80%) participated in the follow-up evaluation, in which the distribution of outcomes showed a significant difference in favor of the AT treatment, in terms of pain reduction and return to sport participation at preinjury level. Weir et al 28 in a single-blind, prospective, RCT compared two groups of 54 patients with diagnosis of adductor tendinopathy; one group was treated with the same exercise protocol of Hölmich et al 27 (ET, n=22), while the other group with a multi modal treatment (MMT, n=26). Multi-modal treatment program (MMT) consisted in using heat, Van Den Akker manual therapy method, stretching and returning to running program.…”

Section: Adductor Tendinopathymentioning

confidence: 99%

Conservative management of tendinopathies around hip

Frizziero

Vittadini

Pignataro

et al. 2016

MLTJ

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SummaryBackground: The anatomy of hip is widely complex and several anatomical structures interact and contribute to its functioning. For position and role, hip and the surrounding tendons, which have their insertion around, are overstressed and often overloaded, especially in athletes. This could lead to the developing of several tendinopathies, among which the differential diagnosis is often complicated. Many conservative treatments are used in clinical practice, while actually, no defined conservative protocol is recommended. Methods: This is a review article. The aim of this manuscript is to evaluate the current evidences about the effectiveness of conservative management in hip tendinopathies. Conclusion: Conservative treatment is effective in the management of hip tendinopathies and may be considered the first-line approach for patients affected. However, there is lack of evidences about which is the most effective treatment. Exercise therapy seems to provide long-term pain relief, but the literature is still lacking about the correct type, dose, posology, intensity of exercise prescribed. Further studies about different local approaches, as PRP or hyaluronic acid injections, may be encouraged. Level of evidence: I.

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Section: Adductor Tendinopathymentioning

confidence: 99%

Conservative management of tendinopathies around hip

Frizziero

Vittadini

Pignataro

et al. 2016

MLTJ

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“…Идеальный метод двойного «слепого» анализа, когда терапевт и пациент не знают, какая мето- дика применяется при лечении (МТ или ФДМ), по понятным причинам невозможен, также как и замещение терапии плацебо. Постановка в равные условия и «слепой» метод анализа, про-водившийся сотрудником, не участвовавшим в терапевтическом процессе, -единственная объ-ективная методика, которая наилучшим обра-зом представляет результаты настоящей работы [31,34,35]. Возможное влияние терапевта или взаимоотношений терапевт-пациент в данном случае было исключено, т.к.…”

Section: Discussionunclassified

Efficacy of a manual method according to the fascial distortion model in the treatment of contracted («frozen») shoulder

Маттиас

Йорг

Хартмут³

et al. 2014

Traumatology and Orthopedics of Russia

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«Frozen shoulder» is a common problem and difficult to treat. The present prospective randomised single-blind controlled trial evaluates the efficacy of the fascial distortion model according to Typaldos as a remedy for the «frozen shoulder». Material and methods. A total of 60 patients were randomised to receive either the FDM-guided treatment (FDM, n = 30) or a «conventional» manual therapy (MT, n=30). The primary endpoint for the treatment effect was the shoulder mobility, and secondary endpoints were pain (measured on a VAS), raw force and function as expressed by the Constant-Murley and DASH scores. Results. Before therapy groups were well comparable in terms of all outcome parameters. All endpoints showed a substantial and significant improvement in both treatment groups. Improvement was significantly more marked in the FDM group as compared to the MT group, and the effect occurred significantly faster. During posttreatment observation, there was no further improvement and the achieved benefit in mobility in the FDM group decreased. However, the abduction ability of 15,2±37,2° continued to be substantially better than in control patients (124.1±38.6°, p

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“…39 The use of adjunct treatments, such as manual adductor manipulation or shockwave therapy, in addition to exercises seems to result in a faster return to play, 80,106 but not higher overall treatment success, than a supervised active physical training program alone. 39 Around 50% to 75% of athletes with adductor-related groin pain will return to their previous pain-free level of activity using a general exercise approach.…”

Section: Athletes With Adductor-and Pubic-related Groin Painmentioning

confidence: 99%

“…39 Around 50% to 75% of athletes with adductor-related groin pain will return to their previous pain-free level of activity using a general exercise approach. 39,106 Monitoring of impairment, function, and performance can help individualize the plan of care. For athletes with adductorand pubic-related groin pain, hip adductor and abductor muscle strength, as well as abdominal muscle strength, is important to monitor for optimal loading in the rehabilitation program.…”

Section: Athletes With Adductor-and Pubic-related Groin Painmentioning

confidence: 99%

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Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

Thorborg¹,

Reiman²,

Weir³

et al. 2018

Journal of Orthopaedic & Sports Physical Therapy

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[ clinical commentary ] U U SYNOPSIS: Groin pain is common in athletes who participate in multidirectional sports and has traditionally been considered a difficult problem to understand, diagnose, and manage. This may be due to sparse historical focus on this complex region in sports medicine. Until recently, there has been little agreement regarding terminology, definitions, and classification of groin pain in athletes. This has made clear communication between clinicians difficult, and the results of research difficult to interpret and implement into practice. However, during the past decade, the field has evolved rapidly, and an evidence-based understanding is now emerging. This clinical commentary discusses the clinical examination (subjective history, screening, physical examination); imaging; testing of impairments, function, and performance; and management of athletes with groin pain in an evidence-based framework.

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Manual or exercise therapy for long-standing adductor-related groin pain: A randomised controlled clinical trial

Cited by 85 publications

References 17 publications

Conservative management of tendinopathies around hip

Conservative management of tendinopathies around hip

Efficacy of a manual method according to the fascial distortion model in the treatment of contracted («frozen») shoulder

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

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