In Professional Male Soccer Players, Time-Loss Groin Injury Is More Associated With the Team Played for Than With Training/Match-Play Duration

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OBJECTIVE: To investigate the relationship between training/match-play duration and time-loss groin injury in professional male soccer players, and to determine whether previously identified intrinsic risk factors influenced this relationship. DESIGN: Prospective cohort study. METHODS: A total of 579 professional male soccer players were prospectively followed from July 2013 to June 2015. Time-loss groin injuries and individual training and match-play duration were recorded using standardized surveillance methods. Acute training/ match-play duration and chronic training/match-play duration were considered as interacting variables. Nonlinear Cox regression analysis (modeled using restricted cubic splines), clustered by player identification number, examined the relationship between training/match-play duration and groin injury. Previously identified intrinsic risk factors of previous groin injury and eccentric adduction strength were included in the multivariable regression analysis. RESULTS: There was no clinically meaningful relationship between training/match-play duration and groin injury risk. Team played for had the strongest influence on groin injury risk (relative log hazard ratio -2.28 to 0.97). Groin injury risk was highest when accumulated chronic and acute training duration was also highest, but large confidence intervals indicate considerable uncertainty around this finding. Previous groin injury and eccentric adduction strength were not associated with groin injury risk when training/match-play duration and team were included in the model. CONCLUSION: In professional male soccer players, there was no clinically meaningful relationship between groin injury risk and training/ match-play duration. Team played for either protected against or increased groin injury risk, indicating that team-related factors not measured in this study had greater effect on groin injury risk than training/match-play duration.

OriginalsprogEngelsk
TidsskriftJournal of Orthopaedic and Sports Physical Therapy
Vol/bind52
Udgave nummer4
Sider (fra-til)217-223
Antal sider7
ISSN0190-6011
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
1La Trobe Sport and Exercise Medicine Research Centre, College of Science, Health and Engineering, La Trobe University, Bundoora, Australia. 2Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar. 3Sports Orthopaedic Research Center-Copenhagen, Department of Orthopaedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark. 4Department of Orthopaedics, Erasmus University Hospital Academic Center for Groin Injuries, Rotterdam, the Netherlands. 5Irish Rugby Football Union, Dublin, Ireland. 6Faculty of Health Sciences, Section Sports Medicine, University of Pretoria, Pretoria, South Africa. 7Gabbett Performance Solutions, Brisbane, Australia. 8Centre for Health Research, University of Southern Queensland, Ipswich, Australia. Ethical approval for this study was obtained from the Shafallah Medical Genetics Center (approval number 2012-017) and the Institutional Review Board of the Anti-Doping Lab Qatar (approval number F2013000003). There was no grant support for the conduct of this study. Dr Mosler is supported by a National Health and Medical Research Council (Australia) fellowship grant (ECF 1156674). Dr Gabbett works as a consultant to several high-performance organizations, including sporting teams, industry, military, and higher education institutions. The other authors certify that they have no affiliations with or financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the article. Address correspondence to Dr Andrea B. Mosler, La Trobe Sport and Exercise Medicine Research Centre, College of Science, Health and Engineering, La Trobe University, Plenty Road and Kingsbury Drive, Bundoora, VIC 3086 Australia. E-mail: abmosler@hotmail.com U Copyright ©2022 JOSPT ®, Inc

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