150494 20260217205533.0 doi 10.1136/bjsports-2024-108836 sideral 142617 ART-2024-142617 eng Quintana-Cepedal, Marcos Is hip adductor or abductor strength in healthy athletes associated with future groin pain? A systematic review and meta-analysis 2024 Access copy available to the general public Unrestricted ObjectiveTo systematically review the association between hip adduction and abduction strength, and adduction-to-abduction strength ratio in healthy athletes with the occurrence of future groin pain and time-loss groin injuries.DesignSystematic review with meta-analysis.Data sourcesPubMed, Web of Science, SPORTDiscus, PEDro, Embase, and Scopus.Eligibility criteriaStudies included had to (1) measure hip adductor or abductor strength in healthy athletes, (2) conduct a follow-up period to assess the occurrence of groin pain, (3) present strength data separately for participants who remained uninjured and those who suffered an injury and (4) use a prospective design. Risk of bias was assessed according to the Quality in Prognosis Studies tool. The certainty in the evidence appraised was measured using the Grading of Recommendations Assessment Development and Evaluation approach.ResultsThirteen prospective cohort studies met the inclusion criteria. Overall study risk of bias was rated as low. Players who remained uninjured had stronger adduction strength compared with players who subsequently suffered groin pain (standardised mean differences with 95% CIs (SMD=−0.5, 95% CI −0.92 to −0.09)) and time-loss groin pain (SMD=−0.68, 95% CI −1.31 to −0.06). Trivial effects were observed for abduction strength (groin pain SMD=0.03, 95% CI −0.11 to 0.17; time-loss SMD=−0.07, 95% CI −0.25 to 0.11) and adduction-to-abduction strength ratio (groin pain SMD=−0.02, 95% CI −0.55 to 0.51; time-loss SMD=−0.11, 95% CI −1.11 to 0.89). Age and diagnostic criteria were not significant moderators of the relationship between adductor strength and groin pain (p=0.72 and p=0.12).ConclusionThere is a moderate effect of hip adductor strength on the occurrence of groin pain, while there is no relationship between either abductor strength or the ratio of adductor-to-abductor strength with the occurrence of groin pain.PROSPERO registration numberCRD42024548630. info:eu-repo/semantics/openAccess by-nc https://creativecommons.org/licenses/by-nc/4.0/deed.es 16.3 2024 SPORT SCIENCES 1 / 134 = 0.007 2024 Q1 T1 4.724 2024 Medicine (miscellaneous) 2024 Q1 Sports Science 2024 Q1 Physical Therapy, Sports Therapy and Rehabilitation 2024 Q1 Orthopedics and Sports Medicine 2024 Q1 21.0 2024 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Vicente-Rodríguez, Germán Universidad de Zaragoza (orcid)0000-0002-4303-4097 Crespo, Irene Olmedillas, Hugo 1006 245 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Educación Física y Depor. 59, 7 (2024), 108836 [9 pp.] Br. j. sports med. British Journal of Sports Medicine 0306-3674 3002558 http://zaguan.unizar.es/record/150494/files/texto_completo.pdf Versión publicada 3433017 http://zaguan.unizar.es/record/150494/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:150494 articulos driver 2026-02-17-20:33:11 ARTICLE