Prevention of groin injuries in sports
Due to eccentric forces stressing the muscle-tendinous complex during side-to-side cutting, kicking and powerful skating, the hip adductors are the most commonly injured muscle group in sport-related groin injuries. It has been demonstrated that an exercise program, that includes strengthening and coordination exercises for adductors, is effective in longstanding groin pain.
The aim of this study was to evaluate the effects of specific groin-injury prevention exercises in sports. Data was searched regarding this subject matter - it appears there is limited evidence available; the main focus however, was on football players.
A significant risk factor leading to groin pain is hip adductor weakness. A specific prevention program has shown to lead to a reduction of 19% in injuries in football players. The program includes eccentric and concentric exercises of the adductor muscles, and coordination exercises for the abdominal muscles.There is a sex-specific difference between men and women: the preventative effect in women seems to be greater than in men. Groin pain in women is thought to be related to different anatomical structures than in men, and lower extremity kinematics have shown to vary greatly between sexes.
Although injury prevention programs suggest that a specifically targeted approach may be relevant and worthwhile in football players, this systematic review has found no statistical significant study available regarding sport-related groin injuries. More research is necessary in order to confirm this hypothesis.
> From: Esteve et al., Br J Sports Med 49 (2016) 785-791. All rights reserved to BMJ Publishing Group Ltd.. Click here for the Pubmed summary.