Prevalence of abdominal injuries among team sports athletesa narrative review

  1. Alonso Sal, Alexandra 1
  2. Alonso-Perez , José Luis 1
  3. Andrea Battaglino 1
  4. Juan Montaño-Ocaña 1
  5. Vicente-De-Frutos, Gonzalo 1
  6. Pierluigi Sinatti 1
  7. Jorge Hugo Villafañe 1
  1. 1 Universidad Europea de Madrid
    info

    Universidad Europea de Madrid

    Madrid, España

    ROR https://ror.org/04dp46240

Journal:
Retos: nuevas tendencias en educación física, deporte y recreación

ISSN: 1579-1726 1988-2041

Year of publication: 2024

Issue: 58

Pages: 394-402

Type: Article

More publications in: Retos: nuevas tendencias en educación física, deporte y recreación

Abstract

Introduction: Injuries to the core musculature or abdominal musculature, characterized by dysfunction or disruption of the musculoskeletal system between the chest and mid-muscle region, are prevalent in athletic populations. Recognizing the pivotal role of core stability in mitigating such injuries and facilitating coordinated limb movements, core stability training has gained popularity among athletes. Recent research has shed light on the correlation between hip pathology and abdominal muscle injuries, particularly groin injuries, emphasizing the imperative for comprehensive management and prevention strategies. Thus, the aim of this literature review was to investigate the prevalence and impact of abdominal injuries among team sports athletes. Methods: The narrative review was conducted on MEDLINE, CINAHL and Embase using the following keywords, adapted and combined using Boolean operators to build the search string: “Athletes”, “athletic injuries”, “abdominal muscles”, “Sprains and Strains”, and “epidemiology”. After inclusion and exclusion criteria were applied, the articles were independently screened by two authors reading the titles and abstracts or full articles. The quality assessment was conducted using the PEDro scale, the NIH Quality Assessment Tool for observational cohort and cross-sectional studies and MethodologicaAl STandards for Epidemiological Research (MASTER). Results: Through databases research 1303 articles were founded. After the screening process, 10 studies were included for qualitative analysis. Quality scores of the selected observational/cross-sectional studies ranged from “fair” to “good” for NIH tool, with 23 points for MASTER score and a PEDro 7 for the included RCT. Conclusion: Abdominal injuries, which are highly prevalent in kinetic-intensive sports such as football, baseball, soccer and hockey, respond with good clinical results, particularly in terms of the intensity of pain reported by the patient, to a multimodal approach given by a combination of passive and active therapies.

Bibliographic References

  • Abouelnaga, W. A., & Aboelnour, N. H. (2019). Effectiveness of Active Rehabilitation Program on Sports Hernia: Randomized Control Trial. Annals of Rehabilitation Medicine, 43(3), 305–313. doi: 10.5535/arm.2019.43.3.305
  • Araujo, A. O., Cancela, J. M., Bezerra, P., Chaves, C., & Rodrigues, L. P. (2021). Age-related influences on somatic and physical fitness of elite police agents (Influencias de la edad en la aptitud física y somática de los agentes de policía de élite). Retos, 40, 281–288. doi: 10.47197/retos.v1i40.82910
  • Balius, R., Pedret, C., Pacheco, L., Gutierrez, J. A., Vives, J., & Escoda, J. (2011). Rectus abdominis muscle injuries in elite handball players: Management and rehabilitation. Open Access Journal of Sports Medicine, 2, 69–73. doi: 10.2147/OAJSM.S17504
  • Camp, C. L., Spiker, A. M., Zajac, J. M., Pearson, D., Sinatro, A. M., Dines, J. S., … Coleman, S. H. (2018a). De-creased Hip Internal Rotation Increases the Risk of Back and Abdominal Muscle Injuries in Professional Baseball Play-ers: Analysis of 258 Player-seasons. The Journal of the American Academy of Orthopaedic Surgeons, 26(9), e198–e206. doi: 10.5435/JAAOS-D-17-00223
  • Castaldo, M., Ge, H.-Y., Chiarotto, A., Villafane, J. H., & Arendt-Nielsen, L. (2014). Myofascial trigger points in patients with whiplash-associated disorders and mechanical neck pain. Pain Med, 15(5), 842–849. doi: 10.1111/pme.12429
  • Conte, S. A., Thompson, M. M., Marks, M. A., & Dines, J. S. (2012). Abdominal muscle strains in professional baseball: 1991-2010. The American Journal of Sports Medicine, 40(3), 650–656. doi: 10.1177/0363546511433030
  • Cruz, M. G., Pereira, L. G., Navarro, J. R. S., Mera, S. H. R., Yapo, J. L. C., & Ruiz, H. R. M. (2023). La condición física y las habilidades militares en el proceso de formación de los Grumetes. Retos, (49), 214–224. doi: 10.47197/retos.v49.96020
  • Delic, J. A., Ross, A. B., Blankenbaker, D. G., & Woo, K. (2019). Incidence and implications of fracture in core muscle injury. Skeletal Radiology, 48(12), 1991–1997. doi: 10.1007/s00256-019-03249-2
  • Ellsworth, A. A., Zoland, M. P., & Tyler, T. F. (2014). ATHLETIC PUBALGIA AND ASSOCIATED REHABILITATION. International Journal of Sports Physical Therapy, 9(6), 774–784.
  • Emery, C. A., & Meeuwisse, W. H. (2001). Risk factors for groin injuries in hockey. Medicine and Science in Sports and Exercise, 33(9), 1423–1433. doi: 10.1097/00005768-200109000-00002
  • Engebretsen, A. H., Myklebust, G., Holme, I., Engebretsen, L., & Bahr, R. (2010). Intrinsic risk factors for groin inju-ries among male soccer players: A prospective cohort study. The American Journal of Sports Medicine, 38(10), 2051–2057. doi: 10.1177/0363546510375544
  • Firmansyah, A., Kusuma, D. A., Budijono, A. P., Wahyudi, H., Rusdiawan, A., Solikah, N. L., & Putro, A. B. (2024). Validity Test of Hamstring Muscle Strength Test for Handball Athletes. Retos, (51), 610–614. doi: 10.47197/retos.v51.101287
  • Garrett, W. E. (1996). Muscle strain injuries. The American Journal of Sports Medicine, 24(6 Suppl), S2-8.
  • Gill, T. K., Mittinty, M. M., March, L. M., Steinmetz, J. D., Culbreth, G. T., Cross, M., … Hagins, H. (2023). Global, regional, and national burden of other musculoskeletal disorders, 1990–2020, and projections to 2050: A systematic analysis of the Global Burden of Disease Study 2021. The Lancet Rheumatology, 5(11), e670–e682. doi: 10.1016/S2665-9913(23)00232-1.
  • Hölmich, P., Thorborg, K., Dehlendorff, C., Krogsgaard, K., & Gluud, C. (2014). Incidence and clinical presentation of groin injuries in sub-elite male soccer. British Journal of Sports Medicine, 48(16), 1245–1250. doi: 10.1136/bjsports-2013-092627
  • Juhan, T., Bolia, I. K., Kang, H. P., Homere, A., Romano, R., Tibone, J. E., … Weber, A. E. (2021). Injury Epidemi-ology and Time Lost From Participation in Women’s NCAA Division I Indoor Versus Beach Volleyball Players. Or-thopaedic Journal of Sports Medicine, 9(4), 23259671211004546. doi: 10.1177/23259671211004546
  • Kibler, W. B., Press, J., & Sciascia, A. (2006). The role of core stability in athletic function. Sports medicine, 36(3), 189–198. doi: 10.2165/00007256-200636030-00001.
  • Kopscik, M., Crisman, J. L., Lomasney, L., Smith, S., & Jadidi, S. (s.d.). Sports Hernias: A Comprehensive Review for Clinicians. Cureus, 15(8), e43283. doi: 10.7759/cureus.43283
  • Lahuerta-Martín, S., Robles-Pérez, R., Hernando-Garijo, I., Jiménez-Del-Barrio, S., Hernández-Lázaro, H., Mingo-Gómez, M. T., & Ceballos-Laita, L. (2023). The effectiveness of non-surgical interventions in athletes with groin pain: A systematic review and meta-analysis. BMC Sports Science, Medicine & Rehabilitation, 15(1), 81. doi: 10.1186/s13102-023-00684-6
  • Larson, C. M. (2014). Sports Hernia/Athletic Pubalgia. Sports Health, 6(2), 139–144. doi: 10.1177/1941738114523557
  • Li, X., Ma, R., Zhou, H., Thompson, M., Dawson, C., Nguyen, J., & Coleman, S. (2015). Evaluation of hip internal and external rotation range of motion as an injury risk factor for hip, abdominal and groin injuries in professional baseball players. Orthopedic reviews, 7(4), 6142. doi: 10.4081/or.2015.6142
  • Maquirriain, J., Ghisi, J. P., & Kokalj, A. M. (2007). Rectus abdominis muscle strains in tennis players. British Journal of Sports Medicine, 41(11), 842–848. doi: 10.1136/bjsm.2007.036129
  • Morelli, V., & Smith, V. (2001). Groin injuries in athletes. American Family Physician, 64(8), 1405–1414.
  • Mullen, S., Hadley, M., Vopat, B., & Wolf, M. (2023). Core Muscle Injury Producing Groin Pain in the Athlete: Diag-nosis and Treatment. JAAOS Journal of the American Academy of Orthopaedic Surgeons, 31(11), 549. doi: 10.5435/JAAOS-D-22-00739
  • Mullens, F. E., Zoga, A. C., Morrison, W. B., & Meyers, W. C. (2012). Review of MRI Technique and imaging findings in athletic pubalgia and the “sports hernia”. European Journal of Radiology, 81(12), 3780–3792. doi: 10.1016/j.ejrad.2011.03.100
  • Mulry, T. J., Rodenhouse, P. E., & Busconi, B. D. (2021). Core Muscle and Adductor Injury. Clinics in Sports Medicine, 40(2), 323–338. doi: 10.1016/j.csm.2020.12.001
  • Negrini, S., Imperio, G., Villafañe, J. H., Negrini, F., & Zaina, F. (2013). Systematic reviews of physical and rehabilitation medicine Cochrane contents. Part 1. Disabilities due to spinal disorders and pain syndromes in adults. European Journal of Physical and Rehabilitation Medicine, 49(4), 597–609.
  • Orchard, J. W. (2015). Men at higher risk of groin injuries in elite team sports: A systematic review. British Journal of Sports Medicine, 49(12), 798–802. doi: 10.1136/bjsports-2014-094272
  • Pillastrini, P., Ferrari, S., Rattin, S., Cupello, A., Villafañe, J. H., & Vanti, C. (2015). Exercise and tropism of the multifidus muscle in low back pain: A short review. J Phys Ther Sci, 27(3), 943–945. doi: 10.1589/jpts.27.943.
  • Poor, A. E., Roedl, J. B., Zoga, A. C., & Meyers, W. C. (2018). Core Muscle Injuries in Athletes. Current Sports Med-icine Reports, 17(2), 54–58. doi: 10.1249/JSR.0000000000000453
  • Preskitt, J. T. (2011). Sports Hernia: The Experience of Baylor University Medical Center at Dallas. Baylor University Medical Center Proceedings, 24(2), 89–91. doi: 10.1080/08998280.2011.11928689
  • Rainoldi, L., Zaina, F., Villafañe, J. H., Donzelli, S., & Negrini, S. (2015). Quality of life in normal and idiopathic scoliosis adolescents before diagnosis: Reference values and discriminative validity of the SRS-22. A cross-sectional study of 1,205 pupils. Spine J, 15(4), 662–667. doi: 10.1016/j.spinee.2014.12.004
  • Rojas, D. A. C., Cañon, B. A., & Romero, D. M. (2023). Aplicabilidad del software Move2perform para identificar riesgo de lesión en deportistas universitarios. Retos, 50, 808–816. doi: 10.47197/retos.v50.94352
  • Sepúlveda, R. Y., de Souza Lima, J., Crichton, J. P. Z., Lopicich, A. P., Jaña, S. H., & Arancibia, J. O. (2022). Relación entre las características antropométricas, composición corporal y capacidad física en estudiantes de la comuna de Quintero, Chile. Retos, (44), 1113–1120. doi: 10.47197/retos.v44i0.86715
  • Sheen, A. J., Stephenson, B. M., Lloyd, D. M., Robinson, P., Fevre, D., Paajanen, H., … Kurzer, M. (2014). ‘Treatment of the Sportsman’s groin’: British Hernia Society’s 2014 position statement based on the Manchester Consensus Conference. British Journal of Sports Medicine, 48(14), 1079–1087. doi: 10.1136/bjsports-2013-092872
  • Villafañe, J. H. (2022). Movilidad social e hidalguía en Castilla y América (1580-1937): In saecula saeculorum. Historia 396, 12(2), 249–276.
  • Villafañe, J. H. (2023). Rehabilitation pre-and post-musculoskeletal surgery: Progress and opportunities. Chirurgia, 36(5), 270–272. doi: 10.23736/S0394-9508.23.05603-6
  • Whittaker, J. L., Small, C., Maffey, L., & Emery, C. A. (2015). Risk factors for groin injury in sport: An updated sys-tematic review. British Journal of Sports Medicine, 49(12), 803–809. doi: 10.1136/bjsports-2014-094287