Athletic groin pain patients and healthy athletes demonstrate consistency in their movement strategy selection when performing multiple repetitions of a change of direction test

Adrian Rodriguez Rivadulla, Shane Gore, Ezio Preatoni, Chris Richter

Research output: Contribution to journalArticle

Abstract

Introduction: Previous research on athletic groin pain (AGP) has identified three movement strategies that patients use when performing a 110º change of direction test. The assessment of movement strategies in AGP rehabilitation could aid clinicians to design more individualised interventions, potentially increasing rehabilitation success. However, it is unknown whether patients use the same strategy over multiple repetitions and how they compare to healthy athletes.Objectives: To report the consistency in movement strategy selection in AGP athletes and to assess whether there are differences in consistency between AGP and healthy athletes.Design: Cross sectional exploratory study.Method: Twenty AGP and 21 healthy athletes performed 15 repetitions of 110º change of direction. A correlation-to-mean algorithm was used to allocate each trial to a movement strategy using kinematic and kinetic features. Mann-Whitney U tests were used to compare the frequency of the most selected strategy (i.e. consistency) and fuzziness between AGP and healthy athletes.Results: There were no differences between groups in consistency in movement strategy selection (>80%). AGP tended to select a knee dominant movement strategy whereas healthy athletes preferred an ankle dominant movement strategy.Conclusions: The consistency observed in AGP athletes supports the implementation of movement strategy assessment to inform AGP rehabilitation programmes tailored to athletes’ deficiencies. Such assessments could help enhance the success of AGP rehabilitation. Differences in movement strategy selection might not be associated with injury state since there were no differences between AGP and healthy athletes.
Original languageEnglish
JournalJournal of Science and Medicine in Sport
Early online date17 Dec 2019
DOIs
Publication statusE-pub ahead of print - 17 Dec 2019

Keywords

  • kinematics
  • kinetics
  • cutting
  • rehabilitation
  • movement classification

Cite this

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title = "Athletic groin pain patients and healthy athletes demonstrate consistency in their movement strategy selection when performing multiple repetitions of a change of direction test",
abstract = "Introduction: Previous research on athletic groin pain (AGP) has identified three movement strategies that patients use when performing a 110º change of direction test. The assessment of movement strategies in AGP rehabilitation could aid clinicians to design more individualised interventions, potentially increasing rehabilitation success. However, it is unknown whether patients use the same strategy over multiple repetitions and how they compare to healthy athletes.Objectives: To report the consistency in movement strategy selection in AGP athletes and to assess whether there are differences in consistency between AGP and healthy athletes.Design: Cross sectional exploratory study.Method: Twenty AGP and 21 healthy athletes performed 15 repetitions of 110º change of direction. A correlation-to-mean algorithm was used to allocate each trial to a movement strategy using kinematic and kinetic features. Mann-Whitney U tests were used to compare the frequency of the most selected strategy (i.e. consistency) and fuzziness between AGP and healthy athletes.Results: There were no differences between groups in consistency in movement strategy selection (>80{\%}). AGP tended to select a knee dominant movement strategy whereas healthy athletes preferred an ankle dominant movement strategy.Conclusions: The consistency observed in AGP athletes supports the implementation of movement strategy assessment to inform AGP rehabilitation programmes tailored to athletes’ deficiencies. Such assessments could help enhance the success of AGP rehabilitation. Differences in movement strategy selection might not be associated with injury state since there were no differences between AGP and healthy athletes.",
keywords = "kinematics, kinetics, cutting, rehabilitation, movement classification",
author = "{Rodriguez Rivadulla}, Adrian and Shane Gore and Ezio Preatoni and Chris Richter",
year = "2019",
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language = "English",
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AB - Introduction: Previous research on athletic groin pain (AGP) has identified three movement strategies that patients use when performing a 110º change of direction test. The assessment of movement strategies in AGP rehabilitation could aid clinicians to design more individualised interventions, potentially increasing rehabilitation success. However, it is unknown whether patients use the same strategy over multiple repetitions and how they compare to healthy athletes.Objectives: To report the consistency in movement strategy selection in AGP athletes and to assess whether there are differences in consistency between AGP and healthy athletes.Design: Cross sectional exploratory study.Method: Twenty AGP and 21 healthy athletes performed 15 repetitions of 110º change of direction. A correlation-to-mean algorithm was used to allocate each trial to a movement strategy using kinematic and kinetic features. Mann-Whitney U tests were used to compare the frequency of the most selected strategy (i.e. consistency) and fuzziness between AGP and healthy athletes.Results: There were no differences between groups in consistency in movement strategy selection (>80%). AGP tended to select a knee dominant movement strategy whereas healthy athletes preferred an ankle dominant movement strategy.Conclusions: The consistency observed in AGP athletes supports the implementation of movement strategy assessment to inform AGP rehabilitation programmes tailored to athletes’ deficiencies. Such assessments could help enhance the success of AGP rehabilitation. Differences in movement strategy selection might not be associated with injury state since there were no differences between AGP and healthy athletes.

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