| A suggested model for physical examination and conservative treatment of athletic pubalgia. | |
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MedLine Citation:
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PMID: 23312727 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Eric J Hegedus; Ben Stern; Michael P Reiman; Dan Tarara; Alexis A Wright |
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Publication Detail:
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Type: Journal Article Date: 2012-05-08 |
Journal Detail:
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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:
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Created Date: 2013-01-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100940513 Medline TA: Phys Ther Sport Country: England |
Other Details:
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Languages: eng Pagination: 3-16 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Elsevier Ltd. All rights reserved. |
Affiliation:
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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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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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