Hip Strength Testing of Soccer Players With Long-Standing Hip and Groin Pain: What are the Clinical Implications of Pain During Testing?

TY - JOUR

T1 - Hip Strength Testing of Soccer Players With Long-Standing Hip and Groin Pain

T2 - What are the Clinical Implications of Pain During Testing?

AU - Rafn, Bolette S

AU - Tang, Lars

AU - Nielsen, Peter Martin

AU - Branci, Sonia

AU - Hölmich, Per

AU - Thorborg, Kristian

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Objective: To investigate whether self-reported pain during hip strength testing correlates to a large degree with hip muscle strength in soccer players with long-standing unilateral hip and groin pain. Design: Cross-sectional study. Setting: Clinical assessments at Sports Orthopaedic Research Center-Copenhagen (SORC-C), Arthroscopic Centre Amager, Copenhagen University Hospital, Denmark. Participants: Twenty-four male soccer players with unilateral long-standing hip and groin pain. Interventions: The soccer players performed 5 reliable hip muscle strength tests (isometric hip flexion, adduction, abduction, isometric hip flexion-modified Thomas test, and eccentric hip adduction). Main Outcome Measures: Muscle strength was measured with a hand-held dynamometer, and the players rated the pain during testing on a numerical rating scale (0-10). Results: In 4 tests (isometric hip adduction, abduction, flexion, and eccentric adduction), no significant correlations were found between pain during testing and hip muscle strength (Spearman rho =-0.28 to 0.06, P =0.09-0.39). Isometric hip flexion (modified Thomas test position) showed a moderate negative correlation between pain and hip muscle strength (Spearman rho =-0.44, P 0.016). Conclusions: Self-reported pain during testing does not seem to correlate with the majority of hip muscle strength tests used in soccer players with long-standing hip and groin pain.

AB - Objective: To investigate whether self-reported pain during hip strength testing correlates to a large degree with hip muscle strength in soccer players with long-standing unilateral hip and groin pain. Design: Cross-sectional study. Setting: Clinical assessments at Sports Orthopaedic Research Center-Copenhagen (SORC-C), Arthroscopic Centre Amager, Copenhagen University Hospital, Denmark. Participants: Twenty-four male soccer players with unilateral long-standing hip and groin pain. Interventions: The soccer players performed 5 reliable hip muscle strength tests (isometric hip flexion, adduction, abduction, isometric hip flexion-modified Thomas test, and eccentric hip adduction). Main Outcome Measures: Muscle strength was measured with a hand-held dynamometer, and the players rated the pain during testing on a numerical rating scale (0-10). Results: In 4 tests (isometric hip adduction, abduction, flexion, and eccentric adduction), no significant correlations were found between pain during testing and hip muscle strength (Spearman rho =-0.28 to 0.06, P =0.09-0.39). Isometric hip flexion (modified Thomas test position) showed a moderate negative correlation between pain and hip muscle strength (Spearman rho =-0.44, P 0.016). Conclusions: Self-reported pain during testing does not seem to correlate with the majority of hip muscle strength tests used in soccer players with long-standing hip and groin pain.

U2 - 10.1097/JSM.0000000000000227

DO - 10.1097/JSM.0000000000000227

M3 - Journal article

C2 - 26204042

SN - 1050-642X

VL - 26

SP - 210

EP - 205

JO - Clinical Journal of Sport Medicine

JF - Clinical Journal of Sport Medicine

IS - 3

ER -