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Br J Sports Med. 2014 Jul;48(14):1089-96. doi: 10.1136/bjsports-2013-092263. Epub 2014 May 2.

Risk factors for groin/hip injuries in field-based sports: a systematic review.

Author information

1
Department of Physiotherapy, University Hospital Galway, Galway, Ireland.
2
Department of Clinical Therapies, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.

Abstract

BACKGROUND:

Groin/hip injuries are common in the athletic population, particularly in sports requiring kicking, twisting, turning and rapid acceleration and deceleration. Chronic hip, buttock and groin pain account for 10% of all attendances to sports medicine centres. Understanding risk factors for field-based sports (FBS) players is important in developing preventive measures for injury.

OBJECTIVE:

This systematic review aims to identify and examine the evidence for groin/hip injury risk factors in FBS.

METHODS:

14 electronic databases were searched using keywords. Studies were included if they met the inclusion criteria and investigated one or more risk factors with relation to the incidence of groin/hip injuries in FBS. Studies were accumulated and independently analysed by two reviewers under a 12-point quality assessment scale (modified CASP (for cohort study design) assessment scale). Owing to the heterogeneity of studies and measures used, a meta-analysis could not be conducted. As a result risk factors were pooled for analysis and discussion.

RESULTS:

Of the 5842 potentially relevant studies, 7 high-quality studies were included in this review. Results demonstrated that previous groin/hip injury was the most prominent risk factor, identified across four studies (OR range from 2.6 (95% CI 1.1 to 6.11) to 7.3, (p=0.001)), followed by older age (OR 0.9, p=0.05) and weak adductor muscles (OR 4.28, 95% CI 1.31 to 14.0, p=0.02) each identified in two studies. Eight other significant risk factors were identified once across the included studies.

CONCLUSIONS:

11 significant risk factors for groin/hip injury for FBS players were identified. The most prominent risk factor identified was previous groin/hip injury. Future research should include a prospective study of a group of FBS players to confirm a relationship between the risk factors identified and development of groin/hip injuries.

KEYWORDS:

Groin Injuries; Hip Disorder; Injury Prevention; Sporting Injuries

PMID:
24795341
DOI:
10.1136/bjsports-2013-092263
[Indexed for MEDLINE]

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