AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN
Yıl: 2021 Cilt: 32 Sayı: 2 Sayfa Aralığı: 162 - 168 Metin Dili: İngilizce DOI: 10.21653/tjpr.801950 İndeks Tarihi: 27-10-2022
AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN
Öz: Purpose: Adductor-related groin pain (ARGP) are the most common groin problem in athletes. Thepresent study aimed to compare adductor squeeze strength and functional levels of adolescentathletes having ARGP with asymptomatic controls.Methods: A total of 52 adolescent athletes (26 in the ARGP group; 26 in the healthy control group)were included in the study. Visual Analog Scale was used for pain intensity. Stabilizer (pressurebiofeedback unit) was used to evaluate the adductor squeeze strength. The Hip Outcome Score(HOS) was used to determine functional levels.Results: Demographic characteristics were similar between groups (p>0.05). Adductor squeezestrength was lower in the ARGP group when compared to controls (p<0.001). The HOS activity ofdaily living and sport subscales were lower in the ARGP group than the control group (p<0.001).Conclusion: Athletes with ARGP demonstrated lower muscle strength and functional levels thanhealthy controls. Determining the muscle strength and functional levels of adolescent athletes iscritical to identify the athletes at risk to prevent the re-injury of the adductor muscles.
Anahtar Kelime: ADDUKTOR KASLAR İLE İLİŞKİLİ KASIK AĞRISI OLAN ADOLESAN SPORCULARDA ADDUKTOR SIKIŞTIRMA KUVVETİ VE FONKSİYONEL SEVİYENİN İNCELENMESİ
Öz: Amaç: Adduktor kaslarla ilişkili kasık ağrısı (AKİKA) sporcularda en sık görülen kasık problemidir. Çalışmamızın amacı, adduktor kaslarla ilişkili kasık ağrısı (AKİKA) olan adolesan sporcuların adduktor sıkıştırma kuvveti ve fonksiyonel seviyelerini asemptomatik kontrolleri ile karşılaştırmaktır. Yöntem: Çalışmaya toplamda 52 adolesan sporcu (26 AKİKA grubu, 26 sağlıklı kontrol grubu) dahil edildi. Ağrı seviyesi için Görsel Analog Skala kullanıldı. Adduktor sıkıştırma kuvvetini değerlendirmek için stabilizer (basınç biofeedback ünitesi) kullanıldı. Fonksiyonel seviyeyi belirlemek için Kalça Değerlendirme Skoru (HOS) kullanıldı. Sonuçlar: Demografik özellikler gruplar arasında benzerdi (p>0,05). Sağlıklı kontrolleri ile karşılaştırıldığında adduktor sıkıştırma kuvveti AKİKA grubunda daha düşüktü (p<0,001). HOS günlük yaşam aktiviteleri ve spor alt bölümleri AKİKA grubunda kontrol grubuna göre daha düşüktü (p<0,001). Tartışma: AKİKA olan sporcular sağlıklı kontrolleri ile karşılaştırıldığında daha düşük kas kuvveti ve fonksiyonel seviyeye sahiptir. Adolesan sporcuların sezon öncesi dönemde kas kuvveti ve fonksiyonel seviyelerinin belirlenmesi, adduktor kasların yeniden yaralanmasını önlemek ve risk altındaki sporcuları tespit etmek için kritik öneme sahiptir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Thorborg K, Rathleff MS, Petersen P, Branci S, Hölmich P. Prevalence and severity of hip and groin pain in subelite male football: a crosssectional cohort study of 695 players. Scand J Med Sci Sports. 2017;27(1):107-14.
- 2. Waldén M, Hägglund M, Ekstrand J. The epidemiology of groin injury in senior football: a systematic review of prospective studies. Br J Sports Med. 2015;49(12):792-7.
- 3. Hölmich P, Thorborg K, Dehlendorff C, Krogsgaard K, Gluud C. Incidence and clinical presentation of groin injuries in sub-elite male soccer. Br J Sports Med. 2014;48(16):1245-50.
- 4. Mosler AB, Weir A, Eirale C, Farooq A, Thorborg K, Whiteley RJ, et al. Epidemiology of time loss groin injuries in a men’s professional football league: a 2-year prospective study of 17 clubs and 606 players. Br J Sports Med. 2018;52(5):292-7.
- 5. Hägglund M, Waldén M, Ekstrand J. Risk factors for lower extremity muscle injury in professional soccer: the UEFA Injury Study. Am J Sports Med. 2013;41(2):327-35.
- 6. Tyler TF, Nicholas SJ, Campbell RJ, McHugh MP. The association of hip strength and flexibility with the incidence of adductor muscle strains in professional ice hockey players. Am J Sports Med. 2001;29(2):124-8.
- 7. Whittaker JL, Small C, Maffey L, Emery CA. Risk factors for groin injury in sport: an updated systematic review. Br J Sports Med. 2015;49(12):803-9.
- 8. Tak I, Engelaar L, Gouttebarge V, Barendrecht M, Van den Heuvel S, Kerkhoffs G, et al. Is lower hip range of motion a risk factor for groin pain in athletes? A systematic review with clinical applications. Br J Sports Med. 2017;51(22):1611-21.
- 9. Ryan J, DeBurca N, Mc Creesh K. Risk factors for groin/hip injuries in field-based sports: a systematic review. Br J Sports Med. 2014;48(14):1089-96.
- 10. Nevin F, Delahunt E. Adductor squeeze test values and hip joint range of motion in Gaelic football athletes with longstanding groin pain. J Sci Med Sport. 2014;17(2):155-9.
- 11. Malliaras P, Hogan A, Nawrocki A, Crossley K, Schache A. Hip flexibility and strength measures: reliability and association with athletic groin pain. Br J Sports Med. 2009; 43(10): 739-44.
- 12. Crow JF, Pearce AJ, Veale JP, VanderWesthuizen D, Coburn PT, Pizzari T. Hip adductor muscle strength is reduced preceding and during the onset of groin pain in elite junior Australian football players. J Sci Med Sport. 2010;13(2):202-4.
- 13. Thorborg K, Branci S, Nielsen MP, Tang L, Nielsen MB, Hölmich P. Eccentric and isometric hip adduction strength in male soccer players with and without adductor-related groin pain: an assessor-blinded comparison. Orthop J Sports Med. 2014;2(2):2325967114521778.
- 14. Light N, Thorborg K. The precision and torque production of common hip adductor squeeze tests used in elite football. J Sci Med Sport. 2016;19(11):888-92.
- 15. Engebretsen AH, Myklebust G, Holme I, Engebretsen L, Bahr R. Intrinsic risk factors for hamstring injuries among male soccer players: a prospective cohort study. Am J Sports Med. 2010;38(6):1147-53.
- 16. Belhaj K, Meftah S, Mahir L, Lmidmani F, Elfatimi A. Isokinetic imbalance of adductor–abductor hip muscles in professional soccer players with chronic adductor-related groin pain. Eur J Sport Sci. 2016;16(8):1226-31.
- 17. Delahunt E, Kennelly C, McEntee BL, Coughlan GF, Green BS. The thigh adductor squeeze test: 45 of hip flexion as the optimal test position for eliciting adductor muscle activity and maximum pressure values. Man Ther. 2011;16(5):476-80.
- 18. Coughlan GF, Delahunt E, Caulfield BM, Forde C, Green BS. Normative adductor squeeze test values in elite junior rugby union players. Clin J Sport Med. 2014;24(4):315-9.
- 19. Delahunt E, Fitzpatrick H, Blake C. Pre-season adductor squeeze test and HAGOS function sport and recreation subscale scores predict groin injury in Gaelic football players. Phys Ther Sport. 2017;23:1-6.
- 20. Weir A, Jansen JA, Van de Port IG, Van de Sande HB, Tol JL, Backx FJ. Manual or exercise therapy for long-standing adductor-related groin pain: a randomised controlled clinical trial. Man. Ther. 2011;16(2):148-54.
- 21. Polat G, Çelik D, Çil H, Erdil M, Aşık M. Evidence for reliability, validity and responsiveness of Turkish version of Hip Outcome Score. Acta Orthop Traumatol Turc. 2017;51(4):319-24.
- 22. Martin RL, Kelly BT, Philippon MJ. Evidence of validity for the hip outcome score. Arthroscopy. 2006;22(12):1304-11.
- 23. Hinman RS, Dobson F, Takla A, O’Donnell J, Bennell KL. Which is the most useful patient-reported outcome in femoroacetabular impingement? Test–retest reliability of six questionnaires. Br J Sports Med. 2014;48(6):458-63.
- 24. Drew MK, Palsson TS, Izumi M, Hirata RP, Lovell G, Chiarelli P, et al. Resisted adduction in hip neutral is a superior provocation test to assess adductor longus pain: an experimental pain study Scand J Med Sci Sports. 2016;26(8):967-74.
- 25. Tucker K, Larsson AK, Oknelid S, Hodges P. Similar alteration of motor unit recruitment strategies during the anticipation and experience of pain. Pain. 2012;153(3):636-43.
- 26. Henriksen M, Graven‐Nielsen T, Aaboe J, Andriacchi TP, Bliddal H. Gait changes in patients with knee osteoarthritis are replicated by experimental knee pain. Arthritis Care Res (Hoboken). 2010;62(4):501-9.
- 27. Hodges PW, Tucker K. Moving differently in pain: a new theory to explain the adaptation to pain. Pain. 2011;152(Suppl 3):S90-S8.
- 28. Nielsen NP, Tucker K, Dorel S, Guével A, Hug F. Motor adaptations to local muscle pain during a bilateral cyclic task. Exp Brain Res. 2017;235(2):607-14.
- 29. Thorborg K, Branci S, Stensbirk F, Jensen J, Hölmich P. Copenhagen hip and groin outcome score (HAGOS) in male soccer: reference values for hip and groin injury-free players. Br J Sports Med. 2014;48(7):557-9.
- 30. Hölmich P, Larsen K, Krogsgaard K, Gluud C. Exercise program for prevention of groin pain in football players: a cluster‐randomized trial. Scand J Med Sci Sports. 2010;20(6):814-21.
| APA | ÜNÜVAR E, AKINOĞLU B, Kocahan T, Guney H (2021). AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. , 162 - 168. 10.21653/tjpr.801950 |
| Chicago | ÜNÜVAR Ezgi,AKINOĞLU BİHTER,Kocahan Tuğba,Guney Hande AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. (2021): 162 - 168. 10.21653/tjpr.801950 |
| MLA | ÜNÜVAR Ezgi,AKINOĞLU BİHTER,Kocahan Tuğba,Guney Hande AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. , 2021, ss.162 - 168. 10.21653/tjpr.801950 |
| AMA | ÜNÜVAR E,AKINOĞLU B,Kocahan T,Guney H AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. . 2021; 162 - 168. 10.21653/tjpr.801950 |
| Vancouver | ÜNÜVAR E,AKINOĞLU B,Kocahan T,Guney H AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. . 2021; 162 - 168. 10.21653/tjpr.801950 |
| IEEE | ÜNÜVAR E,AKINOĞLU B,Kocahan T,Guney H "AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN." , ss.162 - 168, 2021. 10.21653/tjpr.801950 |
| ISNAD | ÜNÜVAR, Ezgi vd. "AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN". (2021), 162-168. https://doi.org/10.21653/tjpr.801950 |
| APA | ÜNÜVAR E, AKINOĞLU B, Kocahan T, Guney H (2021). AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32(2), 162 - 168. 10.21653/tjpr.801950 |
| Chicago | ÜNÜVAR Ezgi,AKINOĞLU BİHTER,Kocahan Tuğba,Guney Hande AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32, no.2 (2021): 162 - 168. 10.21653/tjpr.801950 |
| MLA | ÜNÜVAR Ezgi,AKINOĞLU BİHTER,Kocahan Tuğba,Guney Hande AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.32, no.2, 2021, ss.162 - 168. 10.21653/tjpr.801950 |
| AMA | ÜNÜVAR E,AKINOĞLU B,Kocahan T,Guney H AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(2): 162 - 168. 10.21653/tjpr.801950 |
| Vancouver | ÜNÜVAR E,AKINOĞLU B,Kocahan T,Guney H AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(2): 162 - 168. 10.21653/tjpr.801950 |
| IEEE | ÜNÜVAR E,AKINOĞLU B,Kocahan T,Guney H "AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32, ss.162 - 168, 2021. 10.21653/tjpr.801950 |
| ISNAD | ÜNÜVAR, Ezgi vd. "AN INVESTIGATION OF ADDUCTOR SQUEEZE STRENGTH AND FUNCTIONAL LEVEL IN ADOLESCENT ATHLETES WITH ADDUCTOR RELATED GROIN PAIN". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32/2 (2021), 162-168. https://doi.org/10.21653/tjpr.801950 |
