Inter-examiner Reproducibility of Clinical Examination Tests for Athletes with Longstanding Groin Pain

NCT03842826 | Completed

• 1 other identifier: Aspetar_GPCA001
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study will investigate the reproducibility of clinical palpation, resistance and stretching tests which are currently being used for the diagnosis of longstanding groin pain in male athletes.

Conditions

Groin Injury; Adductor Strains; Iliopsoas Syndrome

Keywords

Clinical examination; Groin; Reproducibility

Outcome Measures

Primary Outcomes (1)

• Cohen's Kappa statistic (κ)

  Inter-examiner reliability

  February 2019 - December 2020

Secondary Outcomes (1)

• Raw agreement

  February 2019 - December 2020

Study Arms (1)

Athlete

Male athletes performing sports ≥ 1x/week Age: 18-40 years

Diagnostic Test: Palpation, resistance and stretch tests

Interventions

Palpation, resistance and stretch tests DIAGNOSTIC_TEST

Palpation, resistance and stretch tests performed by 2 blinded examiners.

Athlete

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Male athletes with sports-related groin pain ≥ 4 weeks

You may qualify if:

• Male athlete (performing sports ≥ 1x/week) with sports-related groin pain ≥ 4 weeks
• Age: 18 - 40 years

You may not qualify if:

• Prior assessment/treatment of one of the two examiners for the same complaint (\<6 months)
• Prior surgery in the hip- and groin area
• Clinical signs of prostatitis or urinary tract infections
• More than 7 days between the two examiners assessment

Sponsors & Collaborators

• Aspetar: lead

Study Sites (1)

Aspetar Orthopaedic and Sports Medicine Hospital

Doha, 29222, Qatar

Location

Related Publications (10)

• Weir A, Brukner P, Delahunt E, Ekstrand J, Griffin D, Khan KM, Lovell G, Meyers WC, Muschaweck U, Orchard J, Paajanen H, Philippon M, Reboul G, Robinson P, Schache AG, Schilders E, Serner A, Silvers H, Thorborg K, Tyler T, Verrall G, de Vos RJ, Vuckovic Z, Holmich P. Doha agreement meeting on terminology and definitions in groin pain in athletes. Br J Sports Med. 2015 Jun;49(12):768-74. doi: 10.1136/bjsports-2015-094869.

  PMID: 26031643 BACKGROUND

• Kottner J, Audige L, Brorson S, Donner A, Gajewski BJ, Hrobjartsson A, Roberts C, Shoukri M, Streiner DL. Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed. Int J Nurs Stud. 2011 Jun;48(6):661-71. doi: 10.1016/j.ijnurstu.2011.01.016. Epub 2011 Apr 23.

  PMID: 21514934 BACKGROUND

• Thorborg K, Holmich P, Christensen R, Petersen J, Roos EM. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist. Br J Sports Med. 2011 May;45(6):478-91. doi: 10.1136/bjsm.2010.080937.

  PMID: 21478502 BACKGROUND

• Holmich P, Holmich LR, Bjerg AM. Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study. Br J Sports Med. 2004 Aug;38(4):446-51. doi: 10.1136/bjsm.2003.004754.

  PMID: 15273182 BACKGROUND

• Clarsen B, Myklebust G, Bahr R. Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire. Br J Sports Med. 2013 May;47(8):495-502. doi: 10.1136/bjsports-2012-091524. Epub 2012 Oct 4.

  PMID: 23038786 BACKGROUND

• Delahunt E, Thorborg K, Khan KM, Robinson P, Holmich P, Weir A. Minimum reporting standards for clinical research on groin pain in athletes. Br J Sports Med. 2015 Jun;49(12):775-81. doi: 10.1136/bjsports-2015-094839.

  PMID: 26031644 BACKGROUND

• Thorborg K, Reiman MP, Weir A, Kemp JL, Serner A, Mosler AB, HOlmich P. Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management. J Orthop Sports Phys Ther. 2018 Apr;48(4):239-249. doi: 10.2519/jospt.2018.7850. Epub 2018 Mar 6.

  PMID: 29510653 BACKGROUND

• Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977 Mar;33(1):159-74.

  PMID: 843571 BACKGROUND

• Taylor R, Vuckovic Z, Mosler A, Agricola R, Otten R, Jacobsen P, Holmich P, Weir A. Multidisciplinary Assessment of 100 Athletes With Groin Pain Using the Doha Agreement: High Prevalence of Adductor-Related Groin Pain in Conjunction With Multiple Causes. Clin J Sport Med. 2018 Jul;28(4):364-369. doi: 10.1097/JSM.0000000000000469.

  PMID: 28654441 BACKGROUND

• Heijboer WMP, Vuckovic Z, Weir A, Tol JL, Holmich P, Serner A. Clinical examination for athletes with inguinal-related groin pain: interexaminer reliability and prevalence of positive tests. BMJ Open Sport Exerc Med. 2023 Jan 11;9(1):e001498. doi: 10.1136/bmjsem-2022-001498. eCollection 2023.

  PMID: 36643406 DERIVED

MeSH Terms

Interventions

Palpation

Intervention Hierarchy (Ancestors)

Physical Examination; Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• Johannes Tol, MD / PhD

  Aspetar Orthopaedic and Sports Medicine Hospital / Academic Medical Center Amsterdam

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 14, 2019
• First Posted: February 15, 2019
• Study Start: March 19, 2019
• Primary Completion: December 1, 2020
• Study Completion: March 31, 2024
• Last Updated: February 11, 2025

Record last verified: 2025-02

Locations

QA (1)