Doha Agreement Groin

There are moderate signs of groin pain associated with long-standing adductors: the group agreed that iliopsoas-related groin pain is more likely when there is pain in the hip flexing resistance and/OR when the hip is lengthened. Results: an agreement was reached unanimously on the following terminology. The classification system has three main positions of groin pain in athletes: 1. Clinical units defined for groin pain: adductor-related pain, iliopsoas, groin and joint pain. 2. hip-related groin pain. 3. Other causes of groin pain in athletes. The definitions are contained in this document. Groin`s pain is widespread among field and court athletes. It is particularly prevalent in football, Gaelic football and the Rugby Union.

The wide variety of possible injuries in many anatomical structures and the high prevalence of ”abnormal imaging outcomes” in asymptomatic athletes contribute to complexity. The heterogeneous taxonomy of groin injuries in athletes exacerbates the confusion. Clinical practice is a challenge with doctors with different terminology of groin pain, where even the same term can have several interpretations. A recent systematic review of the treatment of groin pain in athletes involved 72 studies using 33 different diagnostic terms. The Doha agreement on the terminology and definitions of groin pain in athletes has been convened to try to solve this problem. The Doha agreement on the terminology and definitions of groin pain in athletes reached a consensus on a clinical taxonomy based on three main categories. These definitions and terminology are based on history and physical examination to categorize athletes, so it is simple and suitable for clinical practice and research. 11 Seven tries, including six on football and one on handball, were identified. Two studies implemented an adductor enhancement program, two examined FIFA`s prevention program ”11” and two studied balance training. The final study used a presentation to educate the players. Conclusions The Doha Agreement on the terminology and definitions of groin pain in athletes reached consensus on a clinical taxonomy based on three main categories.

These definitions and terminology are based on history and physical examination to categorize athletes, so it is simple and suitable for clinical practice and research. A new systematic review of the treatment of groin pain in athletes revealed 72 methodological quality studies1. 80% of them were retroactive case series. 25% reported conservative treatment and 75 percent surgical treatment for groin pain. Only four studies were of high quality. The blindness of the participants was not carried out in any study and only two studies blinded the results evaluator or the secret assignment of treatment.