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Phys Ther Sport. 2013 Feb;14(1):3-16. doi: 10.1016/j.ptsp.2012.04.002. Epub 2012 May 8.

A suggested model for physical examination and conservative treatment of athletic pubalgia.

Author information

1
High Point University, School of Health Sciences, Department of Physical Therapy, 833 Montlieu Ave., High Point, NC 27262, USA. ehegedus@highpoint.edu

Abstract

BACKGROUND:

Athletic pubalgia (AP) is a chronic debilitating syndrome that affects many athletes. As a syndrome, AP is difficult to diagnose both with clinical examination and imaging. AP is also a challenge for conservative intervention with randomized controlled trials showing mixed success rates. In other syndromes where clinical diagnosis and conservative treatment have been less than clear, a paradigm has been suggested as a framework for clinical decision making.

OBJECTIVES:

To propose a new clinical diagnostic and treatment paradigm for the conservative management of AP.

DESIGN:

Relevant studies were viewed with regard to diagnosis and intervention and where a gap in evidence existed, clinical expertise was used to fill that gap and duly noted.

RESULTS:

A new paradigm is proposed to assist with clinical diagnosis and non-surgical intervention in patients suffering with AP. The level of evidence supporting this paradigm, according to the SORT taxonomy, is primarily level 2B.

CONCLUSIONS:

Further testing is warranted but following the suggested paradigm should lead to a clearer diagnosis of AP and allow more meaningful research into homogeneous patient populations within the AP diagnostic cluster. Strength-of-Recommendation Taxonomy (SORT): 2B.

PMID:
23312727
DOI:
10.1016/j.ptsp.2012.04.002
[Indexed for MEDLINE]

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