Study quality on groin injury management remains low
It is estimated that 5-18% of all sports injuries are groin-related. With a high prevalence, numerous different treatment options have been proposed. Despite the wide variety of options available, the efficacy of such treatments remains unknown. The following study systematically reviewed the literature on the efficacy of treatments for groin pain in athletes.
Out of the 72 studies included for quality analysis, only four studies were deemed high quality. For adductor-related groin pain, there is moderate evidence that active exercises were better than passive treatments; that multimodal treatment combined with manual therapy results in a faster return to sport compared with active exercise; and adductor tenotomy is successful long-term. Regarding sportsman’s hernia, there is moderate evidence to suggest surgery over conservative treatment.
Despite these findings, the fact that only 6% of the studies are of high quality. Furthermore, there was a significant correlation between lower study quality and higher treatment success.
> From: Serner et al., Br J Sports Med (2015) (Epub ahead of print). All rights reserved to BMJ Publishing Group Ltd. Click here for the Pubmed summary.