1. Definition and prevalence
Pubalgia is the generic denomination of a series of injuries that affect the different muscle groups in the inguinal zone. It is a pathology that causes a pain located in the pubis area, with irradiation towards the groin or lower area of the abdomen. The most common pubalgia is that of the athlete, is produced by an imbalance between the abdominal musculature (larger abdomen, major oblique of the abdomen ...) and the thigh (adductor) causing a tendinitis of the muscles involved. (Elattar, et al., 2016). The prevalence is greater in men than in women due to the differences at the structural level at the pelvic waist, lower limb and muscle activation ratios (Elattar, et al., 2016). Depending on the seriousness of the injury, we can find surgical or conservative treatments. This conservative treatment will be performed through physical therapies or rehabilitation programs (Kachingwe and Grech, 2008).
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2. Pubalgia Indicative Test
There are different valuation tests in relation to pubalgia. Among them we find the 5 signs of pubalgia (E Llsworth, Zoland and Tyler, 2014):
- Pain and/or discomfort in deep inguinal zone and/or lower area of the abdomen.
- The pain/discomfort is aggravated by the increase in efforts such as running, jumping, sitting/getting up, and is reduced with rest.
- Palpation sensitivity of the pubic branch in the insertion of the abdominal rectum and/or adductor longus and graceful.
- Pain in the hip adduction force in 45 degrees of flexion and/OA 90 degrees of hip flexion.
- Pain when opposing manual resistance in “curl up” exercise (crunch).
The assessment proposal that we leave below was born from the adaptation of the tests mentioned above with emphasis on the assessment of strength and muscle function in order to detect existing asymmetries and force deficits without remaining only with the provocation or not pain.
References:
- Elattar, O., Choi HR, Dills VD and Busoni, B. (2016). Groin Injuries (Athletic Pubalgia) and return to play. Sports Health, 8 (4): 313–323.
- Ellsworth, AA, Zoland, MP and, and Tyler, TF (2014). Athletic Pubalgia and Associated Rehabilitation. Int J Sports Phys The., 9 (6): 774–784.
- Faries, M., & Greenwood, M (2007). Core Training: Stabiling the confusion. Strength and conditioning Journal, 29 (2), 10-25.
- Kachingwe, Af., Grech, s. (2008). Propose Algorithm for the Management of Athletes Withletic Pubalgia (Sports Hernia): A Case Series. J Orthop Sports Phys The., 38 (12): 768-81.
- Ross, Jr., Stone, Rm., Larson, CM (2015). Core Muscle Injury/Sports Hernia/Athletic Pubalgia, and femoroacetabular Impingement. Sports Med Arthrosc Rev., 23 (4): 213-20.
- Sahrmann, S (2002). Diagnosis and Treatment of Movement Unpaid Syndrome. St.Louis: Mosby.