#pubalgia #groininjuries
Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25730819?dopt=Abstract
http://bjsm.bmj.com/content/early/2015/02/24/bjsports-2014-094162.long
http://www.anatomia-fisioterapia.es/27-systems/musculoskeletal/lower-extremity/hip/1115-prevencion-de-pubalgia-en-el-deporte
De:
Esteve E1, Rathleff MS2, Bagur-Calafat C1, Urrútia G3, Thorborg K4.
Br J Sports Med. 2015 Feb 24. pii: bjsports-2014-094162. doi: 10.1136/bjsports-2014-094162. [Epub ahead of print]
Todos los derechos reservados para:
Copyright © 2015 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine
Abstract
BACKGROUND/AIM:
Groin injuries are common in football and ice hockey, and previous groin injury is a strong risk factor for future groin injuries, which calls for primary prevention. The aim of this systematic review was to evaluate the effect of specific groin-injury prevention programmes in sports.
METHODS:
A comprehensive search was performed in May 2014 yielding 1747 potentially relevant references. Two independent assessors evaluated randomised controlled trials for inclusion, extracted data and performed quality assessments using Cochrane's risk of bias tool. Quantitative analyses were performed in Review Manager 5.3.
RESULTS:
Seven trials were included: six on football players (four male and two female populations) and one on male handball players. In total there were 4191 participants with a total of 157 injuries. The primary analysis, including all participants, did not show a significant reduction in the number of groin injuries after completing a groin injury prevention programme (relative risk (RR) 0.81; 95% CI 0.60 to 1.09). Subgroup analysis based on type of sports, gender and type of prevention programme showed similar non-significant estimates with RR ranging from 0.48 to 0.81.
CONCLUSION:
Meta-analysis revealed a potential clinically meaningful groin injury reduction of 19%, even though no statistical significant reduction in sport-related groin injuries could be documented.
TRIAL REGISTRATION:
PROSPERO registration ID CRD42014009614.
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
- PMID:
- 25730819
- [PubMed - as supplied by publisher]
Prevención de pubalgia en el deporte
Como en muchas lesiones musculoesqueléticas, la lesión previa es un factor de riesgo importante para futuras lesiones de pubis. Prevenir la pubalgia en deportes como el fútbol y el hockey hielo es de gran importancia, debido a que esta lesión genera gran discapacidad, pérdida de tiempo de juego, costes relacionados, y un riesgo elevado de relesión y cronicidad. El objetivo de esta revisión sistemática fue evaluar el efecto de los programas de prevención específicos de pubis en el deporte.
Siete estudios fueron incluidos – seis en fútbol y uno en balonmano masculino. El análisis primario no mostró una reducción significativa en el número de lesiones de pubis después de completar un programa de prevención específico de pubalgia. El análisis por subgrupos basado en factores como el deporte específico, género y tipo de programa preventivo mostró similares efectos no significativos.
A pesar del hecho de que no se pudo documentar una reducción significativa estadísticamente en las pubalgias relacionadas con el deporte, estimaciones puntuales sugieren que dichos programas pueden ser de relevancia clínica de conformidad a lo encontrado en los estudios actuales.
