Discussion This case series suggests a non-operative pathway, using clinical and functional progression criteria is a successful protocol in rehabilitating athletes with PBS in returning to sport within 11 weeks. At final follow up (mean = 29.6 months, range, 16-33) there had been no recurrences. Return to training time averaged 40.6 days (range, 30-60) and return to play averaged 49.4 days (range, 38-72) within the 5 players.
#Super player 1 side free#
Outcomes All players demonstrated reduced or resolved pain, increased adductor squeeze strength, and return to pain free training and match-play.
Clinical follow-up was performed at least 8 months following return to play. Rehabilitation management focused on improving range of motion ant the hips and thorax, adductor strengthening, trunk and lumbopelvic stability, gym-based strength training and field-based rehabilitation and conditioning. Acute interventions included pharmacological and physical therapeutic modalities to reduce pain initially. All cases followed a non-operative rehabilitation program, featuring functional and clinical objective markers as progression criteria.
#Super player 1 side professional#
Case Description Five professional and aspiring professional soccer players complaining of pubic symphysis pain, confirmed as PBS on magnetic resonance imaging and objective assessment. Little literature exists regarding non-operative rehabilitation strategies for the condition and the outcome of conservative treatment has not been documented. Background Pubic bone stress (PBS) is a common acute or chronic response of the pelvis in sports where sprinting, kicking, twisting and cutting are the dominant movements. However, there are limited studies with low risk of bias, and exercise interventions for the treatment of groin injury are poorly described. There is strong evidence from level 4 studies indicating exercise therapy is beneficial as a treatment for groin injury in athletes in terms of symptom remission, return to sport and recurrence outcomes. There is limited evidence from level 2 and 3 studies indicating exercise therapy may reduce the incidence and hazard risk of sustaining a groin injury in athletes. Reporting standards for exercise intervention scores ranged from 0 to 63%. Ten (71%) studies utilised external load as a component of the exercise intervention. Reporting standards for exercise interventions were assessed using the Consensus for Exercise Reporting Template (CERT).Ī total of 1320 titles were identified with 14 studies satisfying the inclusion criteria, four (29%) of which demonstrated low risk of bias. Two independent authors screened search results, performed data extraction, assessed risk of bias using the modified Downs and Black appraisal tool and determined strength and level of evidence.
This review was registered as PROSPERO CRD42016037752 and a systematic search was conducted with the following inclusion criteria: any study design evaluating exercise interventions for the prevention or treatment of groin pain in athletes. The databases Medline, PubMed, SPORTDiscus, Web of Science, and Cochrane were searched on 18 April 2016. The aim of this review was to describe and evaluate exercise therapy interventions and outcomes for the treatment and prevention of groin injury with specific attention to application of external load. The extent to which exercise interventions incorporating external load are an appropriate option for the treatment and prevention of groin injury in athletes is not yet clear. Groin injury is a common musculoskeletal complaint for athletes competing in a variety of sports. The kinesiotherapeutic plan led to positive effects by reducing the symptomatology recorded at plantar level, and ANOVA tests helped in obtaining a qualitative contribution to the recovery program, as well as a socio-economic benefit for the patient. All data, both initialĪnd final, as well as the data recorded for the 30 healthy football players, were statistically processed and compared. The 5 football players affected by pubalgic syndrome (pubis osteitis) benefited from kinesiotherapy. The study was conducted on a number of 35 subjects, of which 30 healthy subjects and 5 subjects affected by pubalgic syndrome (pubis osteitis). Once this pathology has been established, in addition to pain in the pubic region, a decrease in mobility and muscle strength, it also induces changes in footprintĪnd, implicitly, in the level of plantar pressure. According to pathology description, pubalgic syndrome affects increasingly more people, especially athletes practicing sports such as football, hockey, rugby, etc.