@article{ref1,
title="Risk factors for groin injury in sport: an updated systematic review",
journal="British journal of sports medicine",
year="2015",
author="Whittaker, Jackie L. and Small, Claire and Maffey, Lorrie and Emery, Carolyn A.",
volume="49",
number="12",
pages="803-809",
abstract="BACKGROUND: The identification of risk factors for groin injury in sport is important to develop and implement injury prevention strategies. <br><br>OBJECTIVE: To identify and evaluate the evidence examining risk factors for groin injury in sport. MATERIAL AND METHODS: Nine electronic databases were systematically searched to June 2014. Studies selected met the following criteria: original data; analytic design; investigated a risk factor(s); included outcomes for groin injury sustained during sport participation. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were followed and two independent authors assessed the quality and level of evidence with the Downs and Black (DB) criteria and Oxford Centre of Evidence-Based Medicine model, respectively. <br><br>RESULTS: Of 2521 potentially relevant studies, 29 were included and scored. Heterogeneity in methodology and injury definition precluded meta-analyses. The most common risk factors investigated included age, hip range of motion, hip adductor strength and height. The median DB score across studies was 11/33 (range 6-20). The majority of studies represented level 2 evidence (cohort studies) however few considered the inter-relationships between risk factors. There is level 1 and 2 evidence that previous groin injury, higher-level of play, reduced hip adductor (absolute and relative to the hip abductors) strength and lower levels of sport-specific training are associated with increased risk of groin injury in sport. <br><br>CONCLUSIONS: We recommended that investigators focus on developing and evaluating preparticipation screening and groin injury prevention programmes through high-quality randomised controlled trials targeting athletes at greater risk of injury.<p /> <p>Language: en</p>",
language="en",
issn="0306-3674",
doi="10.1136/bjsports-2014-094287",
url="http://dx.doi.org/10.1136/bjsports-2014-094287"
}