Management of chronic recurrent osteitis pubis/pubic bone stress in a Premier League footballer: Evaluating the evidence base and application of a nine-point management strategy. Issue 3 (August 2015)

• Record Type: Journal Article
• Authors: McAleer, Stephen S.; Gille, Justus; Bark, Stefan; Riepenhof, Helge
• Is Part Of: Physical therapy in sport. Volume 16:Issue 3(2015)
• Page Start: 285
• Page End: 299
• Publication Date: 2015-08
• Subjects: Sports physical therapy -- Periodicals; Sports injuries -- Patients -- Rehabilitation -- Periodicals; Athletic Injuries -- diagnosis -- Periodicals; Athletic Injuries -- therapy -- Periodicals; Physical Therapy -- Periodicals; Sports Medicine -- Periodicals; 615.82088796
• DOI: 10.1016/j.ptsp.2015.04.003
• Languages: English
• ISSNs: 1466-853X

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015">Background/Aim</title> <p id="abspara0010">The aim of this paper was to use a clinical example to describe a treatment strategy for the management of recurrent chronic groin pain and evaluate the evidence of the interventions.</p> </sec> <sec> <title id="sectitle0020">Methods</title> <p id="abspara0015">A professional footballer presented with chronic recurrent OP/PBS. The injury was managed successfully with a nine-point programme –</p> <p id="abspara0020">1. Acute pharmacological management.</p> <p id="abspara0025">2. Tone reduction of over-active structures.</p> <p id="abspara0030">3. Improved ROM at hips, pelvis and thorax.</p> <p id="abspara0035">4. Adductor strength.</p> <p id="abspara0040">5. Functional movement assessment.</p> <p id="abspara0045">6. Core stability.</p> <p id="abspara0050">7. Lumbo-pelvic control.</p> <p id="abspara0055">8. Gym-based strengthening.</p> <p id="abspara0060">9. Field-based conditioning/rehabilitation.</p> <p id="abspara0065">The evidence for these interventions is reviewed.</p> </sec> <sec> <title id="sectitle0025">Results</title> <p id="abspara0070">The player returned to full training and match play within 41 and 50 days, respectively, and experienced no recurrence of his symptoms in follow up at 13 months.</p> </sec> <sec> <title id="sectitle0030">Conclusion</title> <p id="abspara0075">This case report displays a nine-point conservative management strategy for OP/PBS, with non-time dependent clinical objective markers as the progression criteria in a Premier League football player.</p> </sec> </abstract>