The Effect of Mulligan's Mobilization with Movement Versus Dry Needling on Pain,Function,and Range of Motion Among Athletes with Hip Adductor Related Groin Pain and Dysfunction

The Effect of Mulligan's Mobilization with Movement Versus Dry Needling on Pain, Function, and Range of Motion Among Athletes with Hip Adductor Related Groin Pain and Dysfunction

This study aims to highlight and investigate the effectiveness of two common management practices in physiotherapy, dry needling intervention as a soft tissue technique and Mulligan mobilization with movements MWM as a joint technique, on pain, function, and range of motion among athletes with hip adductor-related groin pain and dysfunction.

Background:

Injuries are considered a common challenge in the sports field, 31% of the injuries are muscular, especially in the lower extremities. Injuries in the groin area are a major and serious problem because they are common, lead to prolonged symptoms, and had a high recurrence rate.

Study objective:

This study aims to highlight and investigate the effectiveness of two common management practices in physiotherapy, dry needling DN intervention as a soft tissue technique and Mulligan mobilization with movements MWM as a joint technique.

Methods:

A convenience sampling of thirty football players who were diagnosed with hip adductor-related groin pain and dysfunction were recruited from different cities in the west bank who participated in this randomized clinical trial, the participants were randomly divided into two groups, the dry needling group (15), and dry needling combined with Mulligan mobilization MWM (15).

Numiric Pain Rating Scale (NPRS), Five-Second Copenhagen Squeeze test, Hip Abduction Range of Motion, Adductor Squeeze Test, Flexion Abduction External Rotation Test (FABER), Y Balance Test, and The Copenhagen Hip and Groin Outcome Score (HAGOS) were used as outcome measures (NPRS and 5-second squeeze test performed each session for the two groups).

Inclusion Criteria:

1. Athletes suffered from unilateral adductor-related groin pain, grades 1 and 2.
2. Acute, subacute, or chronic athletes with hip adductor-related groin pain and dysfunction.
3. Groin pain during or after activities.
4. Pain at palpation of the adductors and their origin.
5. Pain on resistance against adduction.
6. Aged 15- 35 years old.

Exclusion criteria:

Patients with other causes of groin pain such as:

1. Lymphadenitis.
2. Prostatitis, Urinary infections, Malignancy.
3. Spinal pathology.
4. Hip joint osteoarthritis.
5. Inguinal-related or Iliopsoas-related groin pain.
6. Femoral or Inguinal hernia.
7. Referral pain and adductor strain grade 3.
8. Current use of medication.