通过超声引导富血小板血浆注射和物理疗法对一名足球运动员腹股沟内收肌相关疼痛进行非手术治疗:病例报告。

IF 1.6 Q3 SPORT SCIENCES
International Journal of Sports Physical Therapy Pub Date : 2024-07-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.120209
Giorgio Zeppieri, Micheal S Smith, Ryan P Roach
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引用次数: 0

摘要

简介:与内收肌相关的腹股沟疼痛是指连接腹直肌和长内收肌与耻骨的共同肌腱受伤。它通常发生在需要切入和旋转的运动中,并可能导致大量比赛时间的损失。富血小板血浆(PRP)通常用于治疗肌肉骨骼疾病,可能是内收肌相关腹股沟疼痛患者的另一种治疗方法。本病例报告旨在描述一名竞技足球运动员腹股沟内收肌相关疼痛的非手术治疗方法,即在超声波(US)引导下注射富血小板血浆并进行物理治疗:一名 17 岁的男性竞技足球运动员患有右侧内收肌相关性腹股沟疼痛,他接受了 US 引导的 PRP 治疗,并根据组织愈合情况和患者个体/标准进展情况接受了多阶段理疗。患者在注射 PRP 后的六周内完成了 12 次理疗:治疗结束时,患者的疼痛强度、被动活动范围、力量(手持式测力计、Biodex)、功能测试、社会心理(OSPRO-YF)和患者报告结果(HAGOS、LEFS)均有明显改善。受试者在注射后六周无限制地恢复了运动,在三个月的随访中,受试者称自己的运动水平恢复到了之前的 95%:本病例报告支持将 PRP 作为治疗内收肌相关腹股沟疼痛的替代疗法。将 PRP 作为物理疗法的辅助疗法可改善所有结果,其变化超过了临床意义标准:5.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nonsurgical Management of Adductor-related groin pain with Ultrasound-Guided Platelet-Rich Plasma Injection and Physical Therapy in a Competitive Soccer Player: A Case Report.

Introduction: Adductor-related groin pain involves an injury to the common aponeurosis connecting the rectus abdominus and adductor longus to the pubis. It commonly occurs in sports that require cutting and pivoting and can result in significant loss of playing time. Platelet-Rich Plasma (PRP) is often indicated for treatment of musculoskeletal disorders and may represent an alternative treatment for patients with adductor-related groin pain. The purpose of this case report is to describe the non-surgical management of adductor-related groin pain in a competitive soccer player with a with an ultrasound (US)-guided PRP injection and physical therapy management.

Case description: A 17-year-old male competitive soccer player with right-sided adductor-related groin pain was treated with an US-guided PRP and a multi-phased physical therapy regimen based on tissue healing and individual patient/criteria progression. The patient completed 12 physical therapy sessions over six weeks post PRP injection.

Outcomes: At the end of treatment, clinically meaningful improvements were observed in pain intensity, passive range of motion, strength (handheld dynamometry, Biodex), functional tests, psychosocial (OSPRO-YF) and patient-reported outcomes (HAGOS, LEFS). The subject returned to sport at six weeks post injection without limitation and at three months follow up, the subject reported that he had returned to 95% of his previous level of play.

Discussion: This case report may offer support for PRP as an alternative treatment in the management of adductor-related groin pain. Incorporation of PRP as an adjunct to physical therapy led to improvements on all outcomes that surpassed the clinical significance change criteria.

Level of evidence: 5.

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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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