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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2017 April;176(4):171-9

DOI: 10.23736/S0393-3660.16.03336-2


language: English

Investigation of onset factors of groin pain in male soccer players

Tomonari SUGANO 1, Hiroichi MIAKI 2, Pleiades T. INAOKA 2, Hideaki HORI 1

1 Department of Rehabilitation Physical Therapy, Fukui College of Health Sciences, Fukui, Japan; 2 Division of Rehabilitation Science, Department of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan


BACKGROUNDː Soccer players’ groin pain (GP) is an extremely difficult problem to solve. The aim of this study was conducted to elucidate the onset factors of GP in male soccer players by verifying their physical characteristics and osteomorphological features.
METHODSː Sixteen male, amateur soccer players (32 hip joints) were classified into a history of groin pain (HGP) group and a non-HGP group. The two groups underwent physical function measurements. The following were measured to calculate maximum muscle strength and muscle strength ratios. Osteomorphological testing was conducted using Craig’s test (Craig T), the hip impingement test (HIT), and the FABER test (FT). HIT was used to compare each variable between the two groups. In addition, for variables with significant differences, factors strongly correlated with GP onset were analyzed using logistic regression analysis.
RESULTSː Univariate analysis indicated significantly higher values in the HGP group than the non-HGP group for hip abduction muscle strength (180°/s, P=0.0097), hip internal rotation muscle strength (180°/s, P=0.019) and Craig T (P=0.0011). Multiple logistic regression analysis revealed that Craig T scores were significantly related to GP onset (odds ratio: 1.69, 95% CI = 1.00–2.82). AUC was high at 81.7% and the cut-off value was calculated as 12.0° for the Craig T (sensitivity: 10%, specificity: 75%).
CONCLUSIONSː The results of the present study suggest that femoral neck anteversion (FNA) measurement is an important index for predicting GP onset.

KEY WORDS: Groin - Pain - Soccer - Athletes - Risk factors

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