High Prevalence of Seasonal and Current Groin Problems in Rink Hockey Players

Abstract

Groin problems are common in multidirectional sports. The aim of the present study is to assess seasonal, current, and trends for groin problems in rink hockey players, irrespective of their playing position, age, or gender. Rink hockey players from three countries [n=446 (162 female, 284 male)] were invited to participate in an online questionnaire. This form evaluated the prevalence of groin problems (time-loss and non-time-loss) for the 2022–2023 season, as well as monthly prevalence of groin problems (time-loss and non-time-loss). All groin problems were compared between playing position, gender, and age to assess between-group differences. Senior males reported the highest time-loss (25%) and non-time-loss (51%) for seasonal prevalence; while U-17 males reported the lowest in both categories of groin problems (time-loss 9%, non-time-loss 27%). No significant differences between playing position or gender were found for any of the groin problems analyzed. In-season prevalence (9–15.7%) of groin problems was significantly higher than pre-season (7.4%) prevalence (p<0.01). Seasonal prevalence of groin problems is common in rink hockey, regardless of gender, playing position, or age. Preventive efforts should be directed towards all players, regardless of their individual characteristics.

Keywords

HAGOS - rink hockey - female athletes - groin pain

Publikationsverlauf

Eingereicht: 19. Dezember 2023

Angenommen: 04. Februar 2024

Accepted Manuscript online:
12. Februar 2024

Artikel online veröffentlicht:
02. April 2024

• References

• 1 Wörner T, Thorborg K, Clarsen B. et al. Incidence, prevalence, severity, and risk factors for hip and groin problems in Swedish male ice hockey – A one-season prospective cohort study. J Athl Train 2021; 57: 72-78
• 2 de Pablo B, Sugimoto D, Arboix-Alio J. et al. Analysis of injuries during the 2019 Rink Hockey World Championship. The Physician and Sportsmedicine 2023; 51: 442-448
• 3 Weir A, Brukner P, Delahunt E. et al. Doha agreement meeting on terminology and definitions in groin pain in athletes. Br J Sports Med 2015; 49: 768-774
• 4 Pons M, Ferrer H. Lesiones traumatológicas en el hockey sobre patines. Apunts Sports Medicine 1991; 23: 35-44
• 5 Fernández D, Moya D, Cadefau JA. et al. Integrating External and Internal Load for Monitoring Fitness and Fatigue Status in Standard Microcycles in Elite Rink Hockey. Front Physiol 2021; 12: 698463
• 6 Wörner T, Clarsen B, Thorborg K. et al. Elite Ice Hockey Goalkeepers Have a High Prevalence of Hip and Groin Problems Associated With Decreased Sporting Function: A Single-Season Prospective Cohort Study. Orthop J Sports Med 2019; 7: 232596711989258
• 7 de Pablo B, Trabal G, Yanguas J. et al. Injury epidemiology in the men’s and women’s Spanish rollerhockey league: A descriptive study. Arch Med Deporte 2022; 39: 334-340
• 8 van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. A review of concepts. Sports Med 1992; 14: 82-99
• 9 Bahr R, Clarsen B, Derman W. et al. International Olympic Committee consensus statement: Methods for recording and reporting of epidemiological data on injury and illness in sport 2020 (including STROBE Extension for Sport Injury and Illness Surveillance (STROBE-SIIS)). Br J Sports Med 2020; 54: 372-389
• 10 Harøy J, Andersen TE, Bahr R. Groin Problems in Male Soccer Players Are More Common Than Previously Reported: Response. Am J Sports Med 2017; 45: NP32-NP33
• 11 Esteve E, Clausen MB, Rathleff MS. et al. Prevalence and severity of groin problems in Spanish football: A prospective study beyond the time-loss approach. Scand J Med Sci Sports 2020; 30: 914-921
• 12 Wörner T, Thorborg K, Eek F. High prevalence of hip and groin problems in professional ice hockey players, regardless of playing position. Knee Surg Sports Traumatol Arthrosc 2020; 28: 2302-2308
• 13 Wörner T, Thorborg K, Eek F. Hip and groin problems in the previous season are associated with impaired function in the beginning of the new season among professional female ice hockey players—a cross sectional study. Intl J Sports Phys Ther 2020; 15: 763-769
• 14 Quintana-Cepedal M, la Calle O, Medina-Sánchez M. et al. Characterising groin pain in rink hockey: Function and five-second squeeze in Spanish players. Phys Ther Sport 2022; 58: 100-105
• 15 Sailly M, Whiteley R, Read JW. et al. Pubic apophysitis: A previously undescribed clinical entity of groin pain in athletes. Br J Sports Med 2015; 49: 828-834
• 16 Orchard JW. Men at higher risk of groin injuries in elite team sports: a systematic review. Br J Sports Med 2015; 49: 798-802
• 17 Vandenbroucke JP, Von Elm E, Altman DG. et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration. Epidemiology 2007; 18: 805-835
• 18 Thorborg K, Branci S, Stensbirk F. et al. Copenhagen hip and groin outcome score (HAGOS) in male soccer: Reference values for hip and groin injury-free players. Br J Sports Med 2014; 48: 557-559
• 19 Wollin M, Thorborg K, Welvaert M. et al. In-season monitoring of hip and groin strength, health and function in elite youth soccer: Implementing an early detection and management strategy over two consecutive seasons. J Sci Med Sport 2018; 21: 988-993
• 20 Wörner T, Thorborg K, Eek F. Five-Second Squeeze Testing in 333 Professional and Semiprofessional Male Ice Hockey Players: How Are Hip and Groin Symptoms, Strength, and Sporting Function Related?. Orthop J Sports Med 2019; 7: 232596711982585
• 21 Naing L, Nordin RB, Abdul Rahman H. et al. Sample size calculation for prevalence studies using Scalex and ScalaR calculators. BMC Med Res Methodol 2022; 22: 209
• 22 Mercurio M, Corona K, Galasso O. et al. Soccer players show the highest seasonal groin pain prevalence and the longest time loss from sport among 500 athletes from major team sports. Knee Surg Sports Traumatol Arthrosc 2022; 30: 2149-2157
• 23 Quintana-Cepedal M, Rodríguez MÁ, Crespo I. et al. Epidemiology of Rink Hockey-Related Injuries. J Sport Rehabil 2023; 32: 70-75
• 24 Anderson N, Robinson DG, Verhagen E. et al. Under-representation of women is alive and well in sport and exercise medicine: What it looks like and what we can do about it. BMJ Open Sport Exerc Med 2023; 9: e001606
• 25 Light N, Johnson A, Williams S. et al. Injuries in youth football and the relationship to player maturation: An analysis of time-loss injuries during four seasons in an English elite male football academy. Scand J Med Sci Sports 2021; 31: 1324-1334
• 26 Materne O, Chamari K, Farooq A. et al. Injury incidence and burden in a youth elite football academy: A four-season prospective study of 551 players aged from under 9 to under 19 years. Br J Sports Med 2021; 55: 493-500
• 27 Philippon MJ, Ho CP, Briggs KK. et al. Prevalence of Increased Alpha Angles as a Measure of Cam-Type Femoroacetabular Impingement in Youth Ice Hockey Players. Am J Sports Med 2013; 41: 1357-1362
• 28 Esteve E, Rathleff MS, Hölmich P. et al. Groin problems from pre- to in-season: a prospective study on 386 male Spanish footballers. Res Sports Med 2021; 29: 498-504
• 29 Emery CA, Meeuwisse WH. Risk factors for groin injuries in hockey. Med Sci Sports Exerc 2001; 33: 1423-1433
• 30 Bengtsson H, Ekstrand J, Hägglund M. Muscle injury rates in professional football increase with fixture congestion: An 11-year follow-up of the UEFA Champions League injury study. Br J Sports Med 2013; 47: 743-747
• 31 Werner J, Hagglund M, Walden M. et al. UEFA injury study: A prospective study of hip and groin injuries in professional football over seven consecutive seasons. Br J Sports Med 2009; 43: 1036-1040
• 32 Esteve E, Casals M, Saez M. et al. Past-season, pre-season and in-season risk assessment of groin problems in male football players: A prospective full-season study. Br J Sports Med 2022; 56: 484-489
• 33 Ishøi L, Thorborg K. Copenhagen adduction exercise can increase eccentric strength and mitigate the risk of groin problems: But how much is enough!. Br J Sports Med 2021; 55: 1066-1067
• 34 Casassas MDV, Hernández-González V, Jové-Deltell C. et al. The importance of a multidisciplinary team and the conditioning services in elite clubs of roller hockey. J Phys Ther Sci 2018; 30: 785-789