Is lower hip range of motion a risk factor for groin pain in athletes? A systematic review with clinical applications

BackgroundWhether hip range of motion (ROM) is a risk factor for groin pain in athletes is not known.ObjectivesTo systematically review the relationship between hip ROM and groin pain in athletes in cross-sectional/case–control and prospective studies.Study designSystematic review, prospectively registered (PROSPERO) according to PRISMA guidelines.MethodsPubmed, Embase, CINAHL and SPORTDiscus were systematically searched up to December 2015. Two authors performed study selection, data extraction/analysis, quality assessment (Critical Appraisal Skills Programme) and strength of evidence synthesis.ResultsWe identified seven prospective and four case–control studies. The total quality score ranged from 29% to 92%. Heterogeneity in groin pain classification, injury definitions and physical assessment precluded data pooling. There was strong evidence that total rotation of both hips below 85° measured at the pre-season screening was a risk factor for groin pain development. Strong evidence suggested that internal rotation, abduction and extension were not associated with the risk or presence of groin pain.ConclusionTotal hip ROM is the factor most consistently related to groin pain in athletes. Screening for hip ROM is unlikely to correctly identify an athlete at risk of developing groin pain because of the small ROM differences found and poor ROM measurement properties.

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Infographic. Is lower hip range of motion a risk factor for groin pain in athletes? A systematic review with clinical applications

British Journal of Sports Medicine ◽

10.1136/bjsports-2017-098535 ◽

2018 ◽

Vol 52 (16) ◽

pp. 1022-1023

Author(s):

Igor Tak ◽

David Pope ◽

Leonie Engelaar ◽

Vincent Gouttebarge ◽

Maarten Barendrecht ◽

...

Keyword(s):

Systematic Review ◽

Risk Factor ◽

Range Of Motion ◽

Groin Pain ◽

Clinical Applications ◽

Hip Range Of Motion

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Topical glyceryl trinitrate for the treatment of tendinopathies: a systematic review

British Journal of Sports Medicine ◽

10.1136/bjsports-2018-099552 ◽

2018 ◽

Vol 53 (4) ◽

pp. 251-262 ◽

Cited By ~ 9

Author(s):

Dimitris Challoumas ◽

Paul D Kirwan ◽

Dmytro Borysov ◽

Christopher Clifford ◽

Michael McLean ◽

...

Keyword(s):

Systematic Review ◽

Glyceryl Trinitrate ◽

Strong Evidence ◽

Evidence Synthesis ◽

Clinical Effects ◽

Range Of Movement ◽

Level Of Evidence ◽

Moderate Evidence ◽

Best Evidence Synthesis ◽

Topical Glyceryl Trinitrate

ObjectiveTo produce a best evidence synthesis of the clinical effects of topical glyceryl trinitrate (GTN) in the treatment of tendinopathies.DesignA systematic review of published randomised controlled trials (RCTs) of the use of GTN in patients with tendinopathy.Data sourcesMEDLINE, Embase, Scopus and CINAHL from database inception to January 2018.MethodsWe examined RCTs comparing the effects of topical GTN with either placebo or other treatments on tendinopathy. Overall quality of each eligible study was determined based on a combined assessment of internal validity, external validity and precision. The level of evidence for each assessed parameter was rated based on the system by van Tulderet al.ResultsA total of 10 eligible RCTs were identified including patients with tendinopathy of the rotator cuff (n=4), wrist extensors (n=3), Achilles (n=2) and patellar (n=1) tendons. For all tendinopathies, improvements in pain were significant when comparing GTN versus placebo in the short term (<8 weeks; poor evidence). Significant improvements in midterm outcomes for treatment with GTN versus placebo included the following: patient satisfaction (strong evidence); chances of being asymptomatic with activities of daily living (strong evidence); range of movement (moderate evidence); strength (moderate evidence); pain (at night and with activity; poor evidence) and local tenderness (poor evidence). Patients treated with topical GTN reported a higher incidence of headaches than those who received placebo (moderate evidence).Conclusions and relevanceTreatment of tendinopathies with topical GTN for up to 6 months appears to be superior to placebo and may therefore be a useful adjunct to the treating healthcare professions.

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Is there an association between hip range of motion and nonspecific low back pain? A systematic review

Musculoskeletal Science and Practice ◽

10.1016/j.msksp.2019.03.002 ◽

2019 ◽

Vol 42 ◽

pp. 38-51 ◽

Cited By ~ 1

Author(s):

Maya Abady Avman ◽

Peter G. Osmotherly ◽

Suzanne Snodgrass ◽

Darren A. Rivett

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

Low Back ◽

Hip Range Of Motion

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A Systematic Review of Workplace Interventions to Rehabilitate Musculoskeletal Disorders Among Employees with Physical Demanding Work

Journal of Occupational Rehabilitation ◽

10.1007/s10926-020-09879-x ◽

2020 ◽

Vol 30 (4) ◽

pp. 588-612 ◽

Cited By ~ 8

Author(s):

Emil Sundstrup ◽

Karina Glies Vincents Seeberg ◽

Elizabeth Bengtsen ◽

Lars Louis Andersen

Keyword(s):

Systematic Review ◽

Musculoskeletal Disorders ◽

Strong Evidence ◽

Scientific Literature ◽

Evidence Synthesis ◽

Participatory Ergonomics ◽

Workplace Interventions ◽

Pain Symptoms ◽

Positive Effect ◽

Physically Demanding Work

AbstractPurpose This systematic review investigates the effectiveness of workplace interventions to rehabilitate musculoskeletal disorders (MSDs) among employees with physically demanding work. Methods A systematic search was conducted in bibliographic databases including PubMed and Web of Science Core Collection for English articles published from 1998 to 2018. The PICO strategy guided the assessment of study relevance and the bibliographical search for randomized controlled trials (RCTs) and non-RCTs in which (1) participants were adult workers with physically demanding work and MSD (including specific and non-specific MSD and musculoskeletal pain, symptoms, and discomfort), (2) interventions were initiated and/or carried out at the workplace, (3) a comparison group was included, and (4) a measure of MSD was reported (including musculoskeletal pain, symptoms, prevalence or discomfort). The quality assessment and evidence synthesis adhered to the guidelines developed by the Institute for Work & Health (Toronto, Canada) focusing on developing practical recommendations for stakeholders. Relevant stakeholders were engaged in the review process. Results Level of evidence from 54 high and medium quality studies showed moderate evidence of a positive effect of physical exercise. Within this domain, there was strong evidence of a positive effect of workplace strength training. There was limited evidence for ergonomics and strong evidence for no benefit of participatory ergonomics, multifaceted interventions, and stress management. No intervention domains were associated with “negative effects”. Conclusions The evidence synthesis recommends that implementing strength training at the workplace can reduce MSD among workers with physically demanding work. In regard to workplace ergonomics, there was not enough evidence from the scientific literature to guide current practices. Based on the scientific literature, participatory ergonomics and multifaceted workplace interventions seem to have no beneficial effect on reducing MSD among this group of workers. As these interventional domains were very heterogeneous, it should also be recognized that general conclusions about their effectiveness should be done with care.Systematic review registration PROSPERO CRD42018116752 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=116752).

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The Six-Minute Walk Test in Chronic Pediatric Conditions: A Systematic Review of Measurement Properties

Physical Therapy ◽

10.2522/ptj.20120210 ◽

2013 ◽

Vol 93 (4) ◽

pp. 529-541 ◽

Cited By ~ 82

Author(s):

Bart Bartels ◽

Janke F. de Groot ◽

Caroline B. Terwee

Keyword(s):

Systematic Review ◽

Strong Evidence ◽

Methodological Quality ◽

Measurement Properties ◽

Walk Test ◽

Test Procedures ◽

Six Minute Walk Test ◽

Patient Groups ◽

Minute Walk

Background The Six-Minute Walk Test (6MWT) is increasingly being used as a functional outcome measure for chronic pediatric conditions. Knowledge about its measurement properties is needed to determine whether it is an appropriate test to use. Purpose The purpose of this study was to systematically review all published clinimetric studies on the 6MWT in chronic pediatric conditions. Data Sources The databases MEDLINE, EMBASE, CINAHL, PEDro, and SPORTDiscus were searched up to February 2012. Study Selection Studies designed to evaluate measurement properties of the 6MWT in a chronic pediatric condition were included in the systematic review. Data Extraction The methodological quality of the included studies and the measurement properties of the 6MWT were examined. Data Synthesis A best evidence synthesis was performed on 15 studies, including 9 different chronic pediatric conditions. Limited evidence to strong evidence was found for reliability in various chronic conditions. Strong evidence was found for positive criterion validity of the 6MWT with peak oxygen uptake in some populations, but negative criterion validity was found in other populations. Construct validity remained unclear in most patient groups because of methodological flaws. Little evidence was available for responsiveness and measurement error. Studies showed large variability in test procedures despite existing guidelines for the performance of the 6MWT. Limitations Unavailability of a specific checklist to evaluate the methodological quality of clinimetric studies on performance measures was a limitation of the study. Conclusions Evidence for measurement properties of the 6MWT varies largely among chronic pediatric conditions. Further research is needed in all patient groups to explore the ability of the 6MWT to measure significant and clinically important changes. Until then, changes measured with the 6MWT should be interpreted with caution. Future studies or consensus regarding modified test procedures in the pediatric population is recommended.

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