Prevalence and severity of groin problems in Spanish football: A prospective study beyond the time-loss approach.
football
groin injury
groin pain
groin problems
sporting function
time-loss
Journal
Scandinavian journal of medicine & science in sports
ISSN: 1600-0838
Titre abrégé: Scand J Med Sci Sports
Pays: Denmark
ID NLM: 9111504
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
03
05
2019
revised:
12
11
2019
accepted:
09
12
2019
pubmed:
19
12
2019
medline:
31
7
2020
entrez:
19
12
2019
Statut:
ppublish
Résumé
The time-loss definition of injury is commonly adopted in epidemiological groin-injury studies in football, with a significant risk of underestimating the impact of these injuries. This study investigated the extent of groin problems, beyond the time-loss approach, over a full Spanish football season. Players from 17 amateur male teams were followed over 39 consecutive weeks. Groin-injury time loss and self-reported groin pain, irrespective of time loss, were combined to calculate the average weekly prevalence of all groin problems with or without time loss. A subscale measuring hip- and groin-related sporting function from the Copenhagen Hip and Groin Outcome Score questionnaire (HAGOS, Sport/Rec) was registered every 4 weeks. In total, 407 players participated in the study. The average (range) weekly prevalence of all groin problems was 11.7% (7.2%-20.8%); 1.3% with time loss (0.0%-3.2%) and 10.4% without time loss (6.3%-17.6%). Players with groin problems reported lower scores (mean difference) on the HAGOS, Sport/Rec subscale compared with players without (-19.5 [95% CI: -20.7 to -18.4]), while there was no difference between players reporting groin problems with and without time loss (4.0 [95% CI: -1.1 to 9.1]). The traditional time-loss measure only captured 10% of all groin problems. Hip- and groin-related sporting function was not different between players reporting groin problems with or without time loss, suggesting the reason for continuing to play is not only related to the severity of symptoms. These findings question the judicious use of the time-loss approach in overuse conditions, such as groin pain in footballers.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
914-921Informations de copyright
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Fuller CW, Ekstrand J, Junge A, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med. 2006;40(3):193-201.
Bahr R. No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports. Br J Sports Med. 2009;43(13):966-972.
Clarsen B, Myklebust G, Bahr R. Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire. Br J Sports Med. 2013;47(8):495-502.
Karlsson MK, Dahan R, Magnusson H, Nyquist F, Rosengren BE. Groin pain and soccer players: male versus female occurrence. J Sports Med Phys Fitness. 2014;54(4):487-493.
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):792-797.
Mosler AB, Weir A, Eirale C, 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):292-297.
Werner J, Hägglund M, Ekstrand J, Waldén M. Hip and groin time-loss injuries decreased slightly but injury burden remained constant in men's professional football: the 15-year prospective UEFA Elite Club Injury Study. Br J Sports Med. 2019;53(9):539-546.
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):1245-1250.
Harøy J, Clarsen B, Thorborg K, Hölmich P, Bahr R, Andersen TE. Groin problems in male soccer players are more common than previously reported. Am J Sports Med. 2017;45(6):1304-1308.
Harøy J, Clarsen B, Wiger EG, et al. The Adductor Strengthening Programme prevents groin problems among male football players: a cluster-randomised controlled trial. Br J Sports Med. 2019;53(3):150-157.
Thorborg K, Hölmich P, Christensen R, Petersen J, Roos EM. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist. Br J Sports Med. 2011;45(6):478-491.
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):155-159.
Thorborg K, Rathleff MS, Petersen P, Branci S, Hölmich P. Prevalence and severity of hip and groin pain in sub-elite male football: a cross-sectional cohort study of 695 players. Scand J Med Sci Sports. 2017;27(1):107-114.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet Lond Engl. 2007;370(9596):1453-1457.
Esteve E, Rathleff MS, Vicens-Bordas J, et al. Preseason adductor squeeze strength in 303 Spanish male soccer athletes: a cross-sectional study. Orthop J Sports Med. 2018;6(1):2325967117747275.
Jacqmin-Gadda H, Sibillot S, Proust C, Molina J-M, Thiébaut R. Robustness of the linear mixed model to misspecified error distribution. Comput Stat Data Anal. 2007;51(10):5142-5154.
Allen M, Poggiali D, Whitaker K, Marshall TR, Kievit RA. Raincloud plots: a multi-platform tool for robust data visualization. Wellcome Open Res. 2019;4:63.
Ekstrand J, Waldén M, Hägglund M. Hamstring injuries have increased by 4% annually in men's professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study. Br J Sports Med. 2016;50(12):731-737.
Pinheiro J, Bates D, DebRoy S, Deepayan S, the R Core Team. Nlme: linear and nonlinear mixed effects models. R package version 3.1-96; 2009.
Kuznetsova A, Brockhoff PB, Christensen RHB. lmerTest package: tests in linear mixed effects models. J Stat Softw. 2017;82(1):1-26.
Wickham H. Ggplot2: Elegant Graphics for Data Anlysis. New York, NY: Springer-Verlag; 2016. http://ggplo2.tidyverse.org. Accessed February 14, 2019.
Malone S, Owen A, Newton M, Mendes B, Collins KD, Gabbett TJ. The acute:chonic workload ratio in relation to injury risk in professional soccer. J Sci Med Sport. 2017;20(6):561-565.
Junge A, Dvorak J, Rösch D, Graf-Baumann T, Chomiak J, Peterson L. Psychological and sport-specific characteristics of football players. Am J Sports Med. 2000;28(5 Suppl):S22-S28.
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):803-809.
Roderick M. Adding insult to injury: workplace injury in English professional football. Sociol Health Illn. 2006;28(1):76-97.
Roderick M, Waddington I, Parker G. Playing hurt: managing injuries in English professional football. Int Rev Sociol Sport. 2000;35(2):165-180.
Wollin M, Thorborg K, Welvaert M, Pizzari T. In-season monitoring of hip and groin strength, health and function in elite youth soccer: implementing an early detection and management strategy over two consecutive seasons. J Sci Med Sport. 2018;21(10):988-993.
Hölmich P, Uhrskou P, Ulnits L, et al. Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial. Lancet Lond Engl. 1999;353(9151):439-443.
Bahr R, Clarsen B, Ekstrand J. Why we should focus on the burden of injuries and illnesses, not just their incidence. Br J Sports Med. 2018;52(16):1018-1021.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-3191.
Esteve E, Rathleff MS, Bagur-Calafat C, Urrútia G, Thorborg K. Prevention of groin injuries in sports: a systematic review with meta-analysis of randomised controlled trials. Br J Sports Med. 2015;49(12):785-791.
Bolling C, Delfino Barboza S, van Mechelen W, Pasman HR. How elite athletes, coaches, and physiotherapists perceive a sports injury. Transl Sports Med. 2019;2(1):17-23.
Bolling C, van Mechelen W, Pasman HR, Verhagen E. Context matters: revisiting the first step of the “sequence of prevention” of sports injuries. Sports Med. 2018;48(10):2227-2234.
Verhagen E, Voogt N, Bruinsma A, Finch CF. A knowledge transfer scheme to bridge the gap between science and practice: an integration of existing research frameworks into a tool for practice. Br J Sports Med. 2014;48(8):698-701.