Patient-Reported Outcome (PRO) questionnaires for young to middle-aged adults with hip and groin disability: a systematic review of the clinimetric evidence

Thorborg, Kristian; Tijssen, Marsha; Habets, Bas; Bartels, Else Marie; Roos, Ewa M.; Kemp, Joanne L; Crossley, Kay M; Hölmich, Per

doi:10.1136/bjsports-2014-094224

Cited by 143 publications

(121 citation statements)

References 54 publications

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“…HAGOS is the only patient reported outcome questionnaire aimed at young to middle-aged adults presenting with groin pain [14] and it has been proven to be valid, reliable and responsive for evaluating individuals with hip and/or groin pain, including male soccer players. [6] The HAGOS is designed to identify current symptoms, and this research suggests that previously injured players do still suffer from persistent subjective symptoms that affect the players defined Sports and Recreation and Quality of Life subscales.…”

Section: Discussionmentioning

confidence: 99%

Hip and groin pain in sub-elite South African footballers

Dowson¹

2016

S. Afr. j. sports med.

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Background. Groin injuries are common in football. This can be attributed to the nature of the sport involving rapid accelerations, decelerations, abrupt directional changes and kicking. Groin injuries require lengthy rehabilitation times and predispose players to further injuries. Previous groin injury is a risk factor for future groin injuries, suggesting players are inadequately rehabilitated or the original cause has not been addressed. Objectives. To describe the prevalence, nature and treatment patterns of groin injuries in sub-elite players, and to investigate differences in hip strength and range of motion between players with and without a history of groin injury. Method. Thirty sub-elite, senior university male players were interviewed and questioned regarding groin injuries sustained in the preceding three years. They were assessed using the HAGOS questionnaire, and underwent isokinetic hip flexion/extension strength, adductor squeeze and range of motion tests. Results. Seventeen players (57%) reported having a previous groin injury, with an average score of 83 (16) [mean (SD)] on the HAGOS, compared with 92 (5) for non-injured players. Of the previously injured players, 29% did not seek treatment from a medical professional. Injuries included adductor strain (35%), inguinal-related (18%), iliopsoas-related (12%) and hip joint pathology (6%). The average time off was 25 days. There were no significant differences in isokinetic hip flexion/extension strength, adductor strength and range of motion. Conclusion. The prevalence of groin injuries in this population is relatively high (57%) and requires lengthy rehabilitation time. The HAGOS is a suitable tool to identify groin pain in this population within the sports and recreation and quality of life subscales. Isokinetic hip strength and range of motion testing lacked sensitivity in detecting deficits in players with a previous groin injury. Only two-thirds of injured players consulted a medical practitioner, increasing the likelihood that rehabilitation was inadequate. It is therefore recommended that player/coach education regarding injury management improve in order to reduce subsequent injuries.

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Section: Discussionmentioning

confidence: 99%

Hip and groin pain in sub-elite South African footballers

Dowson¹

2016

S. Afr. j. sports med.

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“…76,93 Both the Copenhagen Hip and Groin Outcome Score (HAGOS) and the international Hip Outcome Tool are reliable, valid, and responsive measures for patients with hip and/or groin pain. 98 Both of these measures have recently been translated and validated in different languages and by different research groups, and reference values have been provided in different subgroups. 98 The HAGOS has been translated into 14 languages and is easily accessible and free of charge (www.koos.nu).…”

Section: Patient-reported Outcome Measuresmentioning

confidence: 99%

“…98 Both of these measures have recently been translated and validated in different languages and by different research groups, and reference values have been provided in different subgroups. 98 The HAGOS has been translated into 14 languages and is easily accessible and free of charge (www.koos.nu). Standard and repeated completion of the HAGOS and/ or the international Hip Outcome Tool can help evaluate progress and guide the treatment plan.…”

Section: Patient-reported Outcome Measuresmentioning

confidence: 99%

“…9,36,58,83,86,92,98 Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management difficult to understand, diagnose, and manage. 33 A lack of detailed scientific understanding concerning the underlying pathology of pain originating from the pubic symphysis, adjacent bone, and many surrounding musculotendinous attachments has caused controversies and disagreements concerning diagnoses and terminology.…”

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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

J Orthop Sports Phys Ther

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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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“…Patient reported outcomes (PROs) are considered the gold standard in the assessment of pain and function, and quality of life (QoL) in musculoskeletal assessment [27] . The Copenhagen Hip and Groin Outcome Score (HAGOS) is a reliable and valid tool and currently the only PRO evaluating both hip and groin pain [25].…”

Section: Introductionmentioning

confidence: 99%

Worse self-reported outcomes but no limitations in performance-based measures in patients with long-standing hip and groin pain compared with healthy controls

Wörner

Sigurðsson

Pålsson

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal MethodsNineteen patients with long-standing hip and groin pain and 19 healthy, activity level-, age-, gender-, and weight-matched controls were assessed with the HAGOS for self-reported outcomes, and a parallel squat (w/kg), single leg triple jump (cm), single leg rise (n), barbell roll-out (% of height), and plank-test (s) for performance-based measures. Independent sample t-test was performed to assess between-group differences. The paired t-test was used to analyze betweenlimb differences in unilateral performance tasks. ResultsThe patients had worse scores than the controls in all HAGOS-subscales (p ≤ 0.001), while no statistically significant differences were observed for any performance measure between groups or between symptomatic and non-symptomatic limbs. ConclusionsDespite significant self-reported functional limitations on the HAGOS, there were no significant differences between groups in performance-based strength or power measures. The results of this study highlight the need to identify performance-based measures, sensitive to functional deficiencies in patients with long-standing hip and groin pain in order to complement the clinical picture obtained by patient-reported outcomes such as the HAGOS.Case-control, Level of evidence III

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Patient-Reported Outcome (PRO) questionnaires for young to middle-aged adults with hip and groin disability: a systematic review of the clinimetric evidence

Abstract: CRD42014009995.

Cited by 143 publications

References 54 publications

Hip and groin pain in sub-elite South African footballers

Hip and groin pain in sub-elite South African footballers

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

Worse self-reported outcomes but no limitations in performance-based measures in patients with long-standing hip and groin pain compared with healthy controls

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