Document Detail


A suggested model for physical examination and conservative treatment of athletic pubalgia.
MedLine Citation:
PMID:  23312727     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Athletic pubalgia (AP) is a chronic debilitating syndrome that affects many athletes. As a syndrome, AP is difficult to diagnose both with clinical examination and imaging. AP is also a challenge for conservative intervention with randomized controlled trials showing mixed success rates. In other syndromes where clinical diagnosis and conservative treatment have been less than clear, a paradigm has been suggested as a framework for clinical decision making.
OBJECTIVES: To propose a new clinical diagnostic and treatment paradigm for the conservative management of AP.
DESIGN: Relevant studies were viewed with regard to diagnosis and intervention and where a gap in evidence existed, clinical expertise was used to fill that gap and duly noted.
RESULTS: A new paradigm is proposed to assist with clinical diagnosis and non-surgical intervention in patients suffering with AP. The level of evidence supporting this paradigm, according to the SORT taxonomy, is primarily level 2B.
CONCLUSIONS: Further testing is warranted but following the suggested paradigm should lead to a clearer diagnosis of AP and allow more meaningful research into homogeneous patient populations within the AP diagnostic cluster. Strength-of-Recommendation Taxonomy (SORT): 2B.
Authors:
Eric J Hegedus; Ben Stern; Michael P Reiman; Dan Tarara; Alexis A Wright
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Publication Detail:
Type:  Journal Article     Date:  2012-05-08
Journal Detail:
Title:  Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine     Volume:  14     ISSN:  1873-1600     ISO Abbreviation:  Phys Ther Sport     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940513     Medline TA:  Phys Ther Sport     Country:  England    
Other Details:
Languages:  eng     Pagination:  3-16     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Affiliation:
High Point University, School of Health Sciences, Department of Physical Therapy, 833 Montlieu Ave., High Point, NC 27262, USA. Electronic address: ehegedus@highpoint.edu.
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