Abstract
Athletic pelvic and groin injuries are a common yet challenging problem. Pelvic belts have been successfully used to reduce pain and improve function but are not a practical solution for athletes. Therefore, there is scope to explore the use of a more dynamic intervention developed to aid in the management of this type of injury. To undertake a preliminary investigation into the effectiveness of a dynamic elastomeric fabric orthosis (DEFO) in supporting the management of athletic pelvic and groin injury. A case series with an AB design. Daily assessments were undertaken over 15 days; the onset of intervention was randomized with a minimum baseline period of 6 d. Follow-up assessment was undertaken after 1 mo. Community and university. 8 athletes presenting with pelvic or groin injury confirmed through clinical screening. A bespoke DEFO. Force produced on bilateral resisted hip adduction and self-scored pain (using a numerical rating scale of 0-10) at rest and during an active straight-leg raise and a broad jump. In 7 cases a significant improvement was observed on at least 1 measure (2-SD method, celeration line, and/or the point of nonoverlapping data). The remaining case showed minimal symptoms during testing.
Highlights
Athletic pelvic pain is a common problem; sports like football, cricket and ice hockey have notably high rates of groin injury (1)
All athletes reported they would continue to wear the dynamic elastomeric fabric orthosis (DEFO). This DEFO may support the physiotherapeutic management of athletic pelvic pain
Pain affecting the lumbopelvic region has been hypothesised to result from impaired proprioceptive feedback (5) and pelvic belts may have an effect on proprioception ., In people with longstanding adduction pain pelvic belts reduce pain during active hip adduction(the “ squeeze test”) and active straight leg raise (ASLR) in 50% and 25%
Summary
Athletic pelvic pain is a common problem; sports like football, cricket and ice hockey have notably high rates of groin injury (1). Referring pain to the pelvic region, athletic pelvic pain can be a difficult to manage phenomena made harder by the common occurrence of more than one site of injury, and issues with accurate assessment (2). Weakness and/or delayed activation in local core stabilisers, transversus abdominus, has been associated with certain types of pelvic pain(1). Pelvic belts have been used in the management of pelvic pain (3;4). Pelvic belts may act by addressing issues in “force closure”; the stabilisation of joints through active and passive musculo-tendinous and ligamentous actions. Pain affecting the lumbopelvic region has been hypothesised to result from impaired proprioceptive feedback (5) and pelvic belts may have an effect on proprioception ., In people with longstanding adduction pain pelvic belts reduce pain during active hip adduction(the “ squeeze test”) and active straight leg raise (ASLR) in 50% and 25%
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