Efficacy of a Modified Active Physical Therapy Program on Pain, Muscle Strength, and Function in Adolescent Football Players with Osteitis Pubis

Is to examine the efficacy of a modified active physical therapy (MAPT) program on pain, hip and trunk muscle strength, and function in young athletes with osteitis pubis .

The study was designed as a randomized clinical trial, parallel-group design, of two interventions.

All assessments and interventions will be carried out at the outpatient clinic of Health and Rehabilitation Sciences Department, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj City, Saudi Arabia

The athletes will be included if they have 1) unilateral or bilateral groin pain that increases with movement as sprinting, cutting, and sit-ups and disappear by rest, 2) positive squeeze test, 3) positive symphysis pubis stress tests 4) pubic bone and pubic symphysis joint tenderness with palpation. Exclusion criteria will be; all other differential diagnosis leading to groin pain (e.g. inguinal or femoral hernia, prostatitis or urinary tract disorders), a history of lower limb surgery and/or trauma to the back or hip.

- Two groups: MAPT group and traditional physical therapy (TPT) group. - The MAPT in this study consisted of four stages. Each stage lasted for three weeks. *1st stage: Pain control & lumbopelvic stability exercise *2nd stage: Strengthening and core stability exercises *3rd stage: Closed kinetic chain exercises and balance training *4th stage: Plyometrics and sport specific training - The TPT group used basic physiotherapy methods including hot packs, Transcutaneous electrical nerve, transverse friction massage, stretching exercise for hip flexors, hip adductors, and hamstring muscles, and Laser therapy.

- athletes pain, - hip and trunk muscle strengths - lower limb function,

- A researcher who was not involved in the study performed the randomization using enclosed envelopes. - The researcher prepared the enclosed envelopes, each envelope with a labeled card as either a modified active physical therapy (MAPT) or traditional physical therapy (TPT) group. - Each patient was requested to choose an enclosed envelope, 1:1 simple randomization, that determined whether he was allocated randomly to the MAPT group or TPT group.

The examining researcher was not included in the randomization process and still unaware of the group allocation. During their assessment, patients were asked not to report their treatment allocation to the examiner.

Patient information sheet , raw data , results

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