83.
The Copenhagen groin-pain test
Kristian Thorborg, Bente Andersen, Mads Langelund, Michael Madsen, Lasse
Lundquist, Per Hölmich
Arthroscopic Centre Amager Hvidovre Hospital; Metropol, University College
Copenhagen; Metropol, University College Copenhagen; Metropol, University
College Copenhagen; Metropol, University College Copenhagen; Arthroscopic
Centre Amager, Hvidovre Hospital
Background:
Groin pain is one of the most frequent complaints in sport,
especially in soccer, leading to reduced sporting function and frustration
among athletes.
Purpose / Aim of Study:
To investigate whether a simple groin- pain test is
related to self-reported hip- and groin-related sporting function in soccer
players.
Materials and Methods:
668
male soccer players,from 40 clubs (Division 1-
5),
in Eastern Denmark, mean age (SD) 23.4(4), training soccer 3.4(1) per
week, were included in the study. All players answered the HAGOS, and
underwent the Copenhagen groin-pain test, a standardized5-second isometric
hip adduction contraction with extended legs in the supine position.The players
were asked to rate groin-pain intensity associated with this procedure on a
numerical rating scale (NRS) ranging from 0-10. HAGOS and the groin-pain
test were conducted following standardized, valid and reliable procedures.
Findings / Results:
Groin-pain intensity during maximal hip- adduction
contraction correlated significantly with lesser HAGOS score (Sports-scale)
(
r= -0.61, P<0.01). Age and playing level was not related to sporting function.
Furthermore, large clinically-relevant between-group differences (¡Ý 20
points) existed for HAGOS (Sport-scale) scores presented as median (25th &
75
th percentiles), for players reporting groin-pain intensity at the three
different pain-levels proposed by Thomee (1997): NRS(0-2), HAGOS (Sports-
scale) 97(86-100), compared to players reporting NRS (3-5), HAGOS (Sports-
scale) 69(56-84), again compared to players reporting NRS(6- 10), HAGOS
(
Sport-scale), median 47 (31-61) (p < 0.0001).
Conclusions:
The Copenhagen groin-pain test is strongly related to hip- and
groin-related sporting function. When minimal groin- pain intensity is
experienced by a soccer-player during this test, optimal hip- and groin-related
sporting function exists.
