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Minerva Orthopedics 2022 October;73(5):473-80

DOI: 10.23736/S2784-8469.21.04113-8


language: English

Preventive treatment of adductor injury

Daniele FORTUNA 1, Roberta MOLLICA 2, Anna BERARDI 3, Donatella VALENTE 3, Giovanni GALEOTO 3

1 Sapienza University, Rome, Italy; 2 Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University, Rome, Italy; 3 Department of Human Neurosciences, Sapienza University, Rome, Italy

INTRODUCTION: Lower limbs’ muscle injuries are very common complications in sports involving explosive-strength actions such as high-speed running, jumping, changing direction and shooting the scope of this study is to make a scientific evaluation of preventive programs that aim at reducing Adductor’s lesions in soccer players through a systematic review and meta-analysis.
EVIDENCE ACQUISITION: The systematic review and meta-analysis were conducted according to PRISMA guidelines. Data and literature have been retrieved from the PubMed, Scopus, WOS and PEDro databases. A study must have the following minimal requirements in order to be included in this review: 1) randomized control trials; 2) published in any language; 3) healthy people. The study was evaluated through the Jadad Scale.
EVIDENCE SYNTHESIS: We have identified 416 articles. We have read title, abstract and full text, before including the study in this review. Finally, we have taken under the analysis of this review five randomized control trial (RCTs), which mostly describes therapeutic exercises.
CONCLUSIONS: Training programs that include exercises for prevention of the adductor’s lesion can reduce by 31% the adductor’s injuries, during the championship season (P=0.002). Furthermore, the use of eccentric exercise as the Copenhagen adduction (CA) or the use of elastic bands (Therabands), into experimental groups, have demonstrated to increase the Eccentric Hip Adduction Strength (EHAD) by 42%, within a 95% CI: 0.25-.059 (Z=4.79; P<0.00001), with respect to the control groups.

KEY WORDS: Muscles; Injuries; Football; Muscle strength; Prevention and control

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