Return to Play in Long-Standing Adductor-Related Groin Pain: A Delphi Study Among Experts

Vergani, Luca; Cuniberti, Marco; Zanovello, Massimo; Maffei, Daniele; Farooq, Abdulaziz; Eirale, Cristiano

doi:10.1186/s40798-021-00400-z

Sports Medicine - Open

Table 2 Expert panel answers in round 1

From: Return to Play in Long-Standing Adductor-Related Groin Pain: A Delphi Study Among Experts

Section	Item	Consensus	Percentage (%)
Palpation	Use of palpation in RTP process	+	78.1
	Presence of pain in palpation	+	92.0
	Allow RTP with pain in palpation	NC	56.5
	Other parameters considered^a	Answered by 25 experts
	Pain parameters^b	7 Respondents
	Localization^b	5 Respondents
	Tightness^b	4 Respondents
	Type of tissue^b	4 Respondents
Flexibility	Flexibility analysis in RTP process	NC	62.5
Strength	Strength analysis in RTP process	+	96.9
	Hip muscle groups (type of strength)
	Adductors (Ecc/Iso/Con)	+Ecc; +Iso	87.1/74.2/38.7
	Abductors (Ecc/Iso/Con)	NC	51.6/51.6/12.9
	Extensors (Ecc/Iso/Con)	NC	38.7/9.7/16.1
	Flexors (Ecc/Iso/Con)	NC	54.8/32.3/29.0
	Internal rotators (Ecc/Iso/Con)	NC	38.7/9.7/22.6
	External rotators (Ecc/Iso/Con)	NC	38.7/6.5/19.4
	Strength assessment of other muscle groups	+	71.0
	Which other areas?^a	Answered by 22 experts
	Trunk group^b	18 Respondents
	Knee group^b	9 Respondents
	Calf complex group^b	7 Respondents
	Presence of pain in strength tests	+	96.8
	Allow RTP with pain in strength tests	−	70.0
	Other parameters considered^a	Answered by 31 experts
	Pain parameters (location, grading)^b	10 Respondents
	Side-to-side comparison^b	8 Respondents
	Ratios^b	8 Respondents
	Baseline data^b	7 Respondents
PROMs	Use of PROMs in RTP process	+	71.9
	Which PROMs?^a	Answered by 23 experts
	Hip and Groin Outcome Score (HAGOS)^b	21 Respondents
	Visual Analog Scale (VAS)^b	2 Respondents
	Internal PROMs^b	2 Respondents
Imaging	Use of imaging in RTP process	−	75.0
Intersegmental control (IC)	IC tasks analysis in RTP process	+	71.9
	Which IC tasks?^a	Answered by 23 experts
	Single leg squat^b	18 Respondents
	Squat^b	15 Respondents
	Lunge^b	13 Respondents
	Presence of pain in IC tasks	+	82.6
	Allow RTP with pain in IC tasks	−	84.2
	Other parameters considered^a	Answered by 23 experts
	Quality of movement^b	10 Respondents
	Side-to-side symmetry^b	3 Respondents
	Pain parameters (location, grading)^b	2 Respondents
Performance tests	Performance tests analysis in RTP process	+	78.1
	Which performance tests?^a	Answered by 25 experts
	Planned/unplanned COD (45-90-180)^b	18 Respondents
	T-test^b	17 Respondents
	Illinois test ^b	13 Respondents
	Presence of pain in performance tests	+	100
	Allow RTP with pain in performance tests	−	80.0
	Other parameters considered^a	Answered by 25 experts
	Performance/intensity^b	8 Respondents
	Grading of pain^b	6 Respondents
	Movement control^b	4 Respondents
Sport-specific skills	Sport-specific skills analysis in RTP process	+	87.5
	Presence of pain in sport-specific skills	+	89.3
	Allow RTP with pain in sport-specific skills	−	84.0
	Other parameters considered^a	Answered by 28 experts
	Pain parameters (location, grading)^b	7 Respondents
	Performance/intensity^b	5 Respondents
	Specific tests^b	3 Respondents
	Quality of movement^b	3 Respondents
	Athlete feedback^b	3 Respondents
Training load	Internal load monitoring in RTP process	NC	56.3
	External load monitoring in RTP process	NC	59.4

+ , positive consensus; − , negative consensus; NC, no consensus; Ecc, eccentric; Iso, isometric; Conc, concentric; PROMs, patient reported outcome measures; CoD, changes of direction
^aOpen-ended question
^bTop 3 ranked preferences for open-ended question coded independently by 2 researchers

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