Long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play

Abstract Background Despite being a common overuse entity in youth soccer, scientific data on risk factors, rehabilitation and return to play for long-standing pubic-related groin pain is still rare. The current prospective cohort study aims to evaluate potential risk-factors, propose a criteria-bas...

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Autores principales:	Helge Eberbach, David Fürst-Meroth, Ferdinand Kloos, Magnus Leible, Valentin Bohsung, Lisa Bode, Markus Wenning, Schmal Hagen, Gerrit Bode
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Pubic-related groin-pain Risk factors Rehabilitation RTP RTS Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/c4dbd0f2825f4e1280d3c9ddab2fd5ff
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spelling	oai:doaj.org-article:c4dbd0f2825f4e1280d3c9ddab2fd5ff2021-11-21T12:27:53ZLong-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play10.1186/s12891-021-04837-x1471-2474https://doaj.org/article/c4dbd0f2825f4e1280d3c9ddab2fd5ff2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04837-xhttps://doaj.org/toc/1471-2474Abstract Background Despite being a common overuse entity in youth soccer, scientific data on risk factors, rehabilitation and return to play for long-standing pubic-related groin pain is still rare. The current prospective cohort study aims to evaluate potential risk-factors, propose a criteria-based conservative rehabilitation protocol and assess return-to-play outcomes among professional youth soccer players suffering from long-standing pubic-related groin pain. Methods Male soccer players with long-standing (> 6 weeks) pubic-related groin pain from a professional soccer club’s youth academy were analyzed for possible risk factors such as age, team (U12 - U23), younger/older age group within the team, position and preinjury Functional movement score. All injured players received a conservative, standardized, supervised, criteria-based, 6-level rehabilitation program. Outcome measures included time to return to play, recurrent groin pain in the follow-up period and clinical results at final follow-up two years after their return to play. Results A total of 14 out of 189 players developed long-standing pubic-related groin pain in the 2017/2018 season (incidence 7.4%). The average age of the players at the time of the injury was 16.1 ± 1.9 years. Risk factor analysis revealed a significant influence of the age group within the team (p = .007). Only players in the younger age group were affected by long-standing pubic-related groin pain, mainly in the first part of the season. Injured players successfully returned to play after an average period of 135.3 ± 83.9 days. Only one player experienced a recurrence of nonspecific symptoms (7.1%) within the follow-up period. The outcome at the 24-month follow-up was excellent for all 14 players. Conclusions Long-standing pubic-related groin pain is an overuse entity with a markedly high prevalence in youth soccer players, resulting in a relevant loss of time in training and match play. In particular, the youngest players in each team are at an elevated risk. Applying a criteria-based rehabilitation protocol resulted in an excellent return-to-play rate, with a very low probability of recurrence. Trial registration The trial was retrospectively registered under DRKS00016510 in the German Clinical Trials Register on 19.04.2021.Helge EberbachDavid Fürst-MerothFerdinand KloosMagnus LeibleValentin BohsungLisa BodeMarkus WenningSchmal HagenGerrit BodeBMCarticlePubic-related groin-painRisk factorsRehabilitationRTPRTSDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pubic-related groin-pain Risk factors Rehabilitation RTP RTS Diseases of the musculoskeletal system RC925-935
spellingShingle	Pubic-related groin-pain Risk factors Rehabilitation RTP RTS Diseases of the musculoskeletal system RC925-935 Helge Eberbach David Fürst-Meroth Ferdinand Kloos Magnus Leible Valentin Bohsung Lisa Bode Markus Wenning Schmal Hagen Gerrit Bode Long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play
description	Abstract Background Despite being a common overuse entity in youth soccer, scientific data on risk factors, rehabilitation and return to play for long-standing pubic-related groin pain is still rare. The current prospective cohort study aims to evaluate potential risk-factors, propose a criteria-based conservative rehabilitation protocol and assess return-to-play outcomes among professional youth soccer players suffering from long-standing pubic-related groin pain. Methods Male soccer players with long-standing (> 6 weeks) pubic-related groin pain from a professional soccer club’s youth academy were analyzed for possible risk factors such as age, team (U12 - U23), younger/older age group within the team, position and preinjury Functional movement score. All injured players received a conservative, standardized, supervised, criteria-based, 6-level rehabilitation program. Outcome measures included time to return to play, recurrent groin pain in the follow-up period and clinical results at final follow-up two years after their return to play. Results A total of 14 out of 189 players developed long-standing pubic-related groin pain in the 2017/2018 season (incidence 7.4%). The average age of the players at the time of the injury was 16.1 ± 1.9 years. Risk factor analysis revealed a significant influence of the age group within the team (p = .007). Only players in the younger age group were affected by long-standing pubic-related groin pain, mainly in the first part of the season. Injured players successfully returned to play after an average period of 135.3 ± 83.9 days. Only one player experienced a recurrence of nonspecific symptoms (7.1%) within the follow-up period. The outcome at the 24-month follow-up was excellent for all 14 players. Conclusions Long-standing pubic-related groin pain is an overuse entity with a markedly high prevalence in youth soccer players, resulting in a relevant loss of time in training and match play. In particular, the youngest players in each team are at an elevated risk. Applying a criteria-based rehabilitation protocol resulted in an excellent return-to-play rate, with a very low probability of recurrence. Trial registration The trial was retrospectively registered under DRKS00016510 in the German Clinical Trials Register on 19.04.2021.
format	article
author	Helge Eberbach David Fürst-Meroth Ferdinand Kloos Magnus Leible Valentin Bohsung Lisa Bode Markus Wenning Schmal Hagen Gerrit Bode
author_facet	Helge Eberbach David Fürst-Meroth Ferdinand Kloos Magnus Leible Valentin Bohsung Lisa Bode Markus Wenning Schmal Hagen Gerrit Bode
author_sort	Helge Eberbach
title	Long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play
title_short	Long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play
title_full	Long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play
title_fullStr	Long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play
title_full_unstemmed	Long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play
title_sort	long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play
publisher	BMC
publishDate	2021
url	https://doaj.org/article/c4dbd0f2825f4e1280d3c9ddab2fd5ff
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Long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play

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