Effects of a Groin Pain Prevention Program in Male High School Soccer Players: A Cluster-Randomized Controlled Trial
# Background Groin pain is frequently reported by soccer players. A prevention program incorporating the Copenhagen adduction exercise (CAE) has been shown effective in decreasing adductor muscle injury in semi-professional soccer players. However, the effect of such programs on groin pain in high...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2022-08-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.36631 |
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| _version_ | 1825197054622695424 |
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| author | Kazuki Fujisaki Kiyokazu Akasaka Takahiro Otsudo Hiroshi Hattori Yuki Hasebe Toby Hall |
| author_facet | Kazuki Fujisaki Kiyokazu Akasaka Takahiro Otsudo Hiroshi Hattori Yuki Hasebe Toby Hall |
| author_sort | Kazuki Fujisaki |
| collection | DOAJ |
| description | # Background
Groin pain is frequently reported by soccer players. A prevention program incorporating the Copenhagen adduction exercise (CAE) has been shown effective in decreasing adductor muscle injury in semi-professional soccer players. However, the effect of such programs on groin pain in high school soccer players is unknown. No reports have examined the effects of combining the CAE with other targeted exercises such as the Nordic hamstrings exercise (NHE).
# Purpose
To evaluate the preventative effects of exercise on groin pain in high school soccer players in three groups comprising NHE alone, combined NHE and CAE, and a control group.
# Design
Randomized Controlled Clinical Trial.
# Methods
A cluster randomized controlled trial spanning 16 weeks was conducted on 202 high school soccer players from seven high schools in a Japanese under 18 Soccer League. Players were allocated to either group A (three schools, 66 players) receiving the CAE alone, or group B (two schools, 73 players) receiving the CAE and NHE, or control group C (two schools, 63 players) who performed their usual training. This study compared the number of injuries, injury rate, and severity of the injury of groin pain in these three groups.
# Results
The number of players injured was less in group B (4 players) compared to C (18 players), and time-lost to soccer was less in groups A (6 players) and B (3 players) compared to group C (16 players). Injury rates were significantly lower in groups A and B, with the relative risk of injury compared to group C of 0.42 (95% CI 0.19% to 0.90%) in group A and 0.19 (95% CI 0.07 to 0.54) in group B.
# Conclusion
A 16-week program incorporating the CAE in training sessions in high school soccer players reduced the incidence of groin pain and which may be related to injury severity according to time -lost to soccer, however the combination of both the CAE and NHE may be more effective than the CAE alone.
# Level of Evidence
2b |
| format | Article |
| id | doaj-art-eaeccdeaf57d443982b2849700457444 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-eaeccdeaf57d443982b28497004574442025-02-11T20:27:53ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962022-08-01175Effects of a Groin Pain Prevention Program in Male High School Soccer Players: A Cluster-Randomized Controlled TrialKazuki FujisakiKiyokazu AkasakaTakahiro OtsudoHiroshi HattoriYuki HasebeToby Hall# Background Groin pain is frequently reported by soccer players. A prevention program incorporating the Copenhagen adduction exercise (CAE) has been shown effective in decreasing adductor muscle injury in semi-professional soccer players. However, the effect of such programs on groin pain in high school soccer players is unknown. No reports have examined the effects of combining the CAE with other targeted exercises such as the Nordic hamstrings exercise (NHE). # Purpose To evaluate the preventative effects of exercise on groin pain in high school soccer players in three groups comprising NHE alone, combined NHE and CAE, and a control group. # Design Randomized Controlled Clinical Trial. # Methods A cluster randomized controlled trial spanning 16 weeks was conducted on 202 high school soccer players from seven high schools in a Japanese under 18 Soccer League. Players were allocated to either group A (three schools, 66 players) receiving the CAE alone, or group B (two schools, 73 players) receiving the CAE and NHE, or control group C (two schools, 63 players) who performed their usual training. This study compared the number of injuries, injury rate, and severity of the injury of groin pain in these three groups. # Results The number of players injured was less in group B (4 players) compared to C (18 players), and time-lost to soccer was less in groups A (6 players) and B (3 players) compared to group C (16 players). Injury rates were significantly lower in groups A and B, with the relative risk of injury compared to group C of 0.42 (95% CI 0.19% to 0.90%) in group A and 0.19 (95% CI 0.07 to 0.54) in group B. # Conclusion A 16-week program incorporating the CAE in training sessions in high school soccer players reduced the incidence of groin pain and which may be related to injury severity according to time -lost to soccer, however the combination of both the CAE and NHE may be more effective than the CAE alone. # Level of Evidence 2bhttps://doi.org/10.26603/001c.36631 |
| spellingShingle | Kazuki Fujisaki Kiyokazu Akasaka Takahiro Otsudo Hiroshi Hattori Yuki Hasebe Toby Hall Effects of a Groin Pain Prevention Program in Male High School Soccer Players: A Cluster-Randomized Controlled Trial International Journal of Sports Physical Therapy |
| title | Effects of a Groin Pain Prevention Program in Male High School Soccer Players: A Cluster-Randomized Controlled Trial |
| title_full | Effects of a Groin Pain Prevention Program in Male High School Soccer Players: A Cluster-Randomized Controlled Trial |
| title_fullStr | Effects of a Groin Pain Prevention Program in Male High School Soccer Players: A Cluster-Randomized Controlled Trial |
| title_full_unstemmed | Effects of a Groin Pain Prevention Program in Male High School Soccer Players: A Cluster-Randomized Controlled Trial |
| title_short | Effects of a Groin Pain Prevention Program in Male High School Soccer Players: A Cluster-Randomized Controlled Trial |
| title_sort | effects of a groin pain prevention program in male high school soccer players a cluster randomized controlled trial |
| url | https://doi.org/10.26603/001c.36631 |
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