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The strength of the adductor muscles in a population of federated athletes will be measured using two tests: First, the maximum strength test, utilizing handheld dynamometry. Subsequently, endurance strength will be measured with the Adductor Fatigue Test (Brazilian Adductor Performance Test), in order to evaluate a possible correlation between the two tests.
The strength of the adductor muscles in a population of federated athletes will be measured using two tests: First, the maximum strength test, utilizing dynamometry, where the subject will perform a maximal isometric contraction against the resistance provided by the investigator. Subsequently, endurance strength will be measured with the Adductor Fatigue Test (Brazilian Adductor Performance Test), the participant must perform an adductor exercise as many repetitions as possible until exhaution. In order to evaluate a possible correlation between the two tests and thus, by performing one of them, obtain the results of the other variable.
Apart from the strength measurements, democraphic caracteristics will be recorded to assess possible correlations between studied variables.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy athletes | Competitive athletes without any groin injury. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No intervention group. | Other | There is no intervention group. |
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| Measure | Description | Time Frame |
|---|---|---|
| Maximal adductor strength | Measuring the maximum strength of the adductor musculature, performed manually by a physiotherapist using a dynamometer over a brief working period. To begin the test, the subject should lie in a supine position on a flat surface. Their hip should be positioned at a 0Āŗ angle in our case. Ideally, at least three measurements should be taken, including a brief rest (~30 seconds) between each repetition to minimize muscle fatigue. The dynamometer should be placed between both ankles of the patient, with the forearm of the analyzing physiotherapist positioned in the middle as resistance. The patient should exert as much pressure as possible against the dynamometer, which is held by the physiotherapist, and against the physiotherapist's elbow, as if trying to close their legs like scissors, using their adductor muscles and maintaining the contraction for 5 seconds. | September to December (2024) |
| Adductor fatigue strength test | The individual will begin by assuming a side plank position, supported by the elbow, bent, and the forearm (lower arm) on the ground. The hand of the supporting arm is placed on the waist of the side of the lower limb that is to be evaluated (the highest). The evaluated limb is supported by a 0.5-meter high bench at the ankle region, while the opposite limb does not touch the ground, remaining in a semi-flexed position. The subject must control the descent of the pelvis by performing a hip abduction until the pelvis lightly touches the ground, and then return to the initial position by raising the pelvis again. The score is defined as the maximum number of repetitions completed before reaching muscle failure. During the test, participants are instructed to keep both legs parallel and to ensure that the knee of the non-evaluated leg remains in a semi-flexed position. Maintaining the correct alignment of the trunk throughout the exercise is crucial. | September to December (2024) |
| Measure | Description | Time Frame |
|---|---|---|
| Weight | Weight (kg) | September to December (2024) |
| Hip and groin outcome score (HAGOS) | A questionnaire will be given to every participant to obtain information on groin pain symptoms in the last week. Minimum: 0; Maximum: 100. Higher scores mean better hip and groin health. |
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Inclusion Criteria:
Exclusion Criteria:
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Competitive athletes without groin injury in the last 3 months.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Escuela Profesional de Medicina de la Educación Fisica y el Deporte | Oviedo | Principality of Asturias | 33007 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37080542 | Background | de Queiroz JHM, Frota JP, Dos Reis FA, de Oliveira RR. Development and Predictive Validation of the Brazilian Adductor Performance Test for Estimating the Chance of Hip Adductor Injuries in Elite Soccer Athletes. Int J Sports Physiol Perform. 2023 Apr 20;18(6):653-659. doi: 10.1123/ijspp.2022-0306. Print 2023 Jun 1. | |
| 37573852 |
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| September to December (2024) |
| Age | Age (in years) | September to December (2024) |
| Sex | Biological sex | September to December (2024) |
| Leg length | Leg length (in cm from the anterior superior iliac spine to the medial malleoulus) | September to December (2024) |
| Height | Height (in cm) | September to December (2024) |
| Previous groin injury. | Previous groin injury (in the last 3 months) | September to December (2024) |
| Robaina BQ, Medeiros DM, Roberti LS, Franke RA, Baroni BM. The Single Leg Bridge Test does not replace handheld dynamometer hamstring tests in a clinical setting. Phys Ther Sport. 2023 Sep;63:126-131. doi: 10.1016/j.ptsp.2023.08.001. Epub 2023 Aug 6. |
| 42384830 | Derived | Quintana-Cepedal M, Bailen-Garcia T, Riestra-Cendan S, Crespo I, Olmedillas H. Sex Differences in Maximal and Endurance Adductor Strength: Implications for Athlete Screening and Return to Play. J Strength Cond Res. 2026 Jul 1. doi: 10.1519/JSC.0000000000005577. Online ahead of print. |