PMID- 28774219
OWN - NLM
STAT- MEDLINE
DCOM- 20180220
LR  - 20180220
IS  - 1938-1344 (Electronic)
IS  - 0190-6011 (Linking)
VI  - 47
IP  - 9
DP  - 2017 Sep
TI  - Nonoperative Management, Rehabilitation, and Functional and Clinical Progression 
      of Osteitis Pubis/Pubic Bone Stress in Professional Soccer Players: A Case 
      Series.
PG  - 683-690
LID - 10.2519/jospt.2017.7314 [doi]
AB  - Study Design Case series. Background Pubic bone stress (PBS) is a common acute or 
      chronic response of the pelvis in sports where sprinting, kicking, twisting, and 
      cutting are the dominant movements. There are few nonoperative rehabilitation 
      strategies for the condition reported in the literature, and the outcome of 
      conservative treatment has not been documented. Case Description Five 
      professional and academy soccer players complaining of pubic symphysis pain, 
      confirmed as PBS on magnetic resonance imaging and objective assessment, were 
      treated with a nonoperative rehabilitation program that featured functional and 
      clinical objective markers as progression criteria. Interventions in the acute 
      phase included pharmacological and physical therapeutic modalities to reduce pain 
      initially. Rehabilitation management focused on improving range of motion at the 
      hips and thorax, adductor strengthening, trunk and lumbopelvic stability, 
      gym-based strength training, and field-based rehabilitation and conditioning. 
      Clinical follow-up was performed at least 8 months following return to play. 
      Outcomes All players demonstrated reduced or resolved pain, increased adductor 
      squeeze strength, and return to pain-free training and match play. 
      Return-to-training time averaged 40.6 days (range, 30-60 days) and return to play 
      averaged 49.4 days (range, 38-72 days) within the 5 players. At final follow-up 
      (mean, 29.6 months; range, 16-33 months), there had been no recurrences. 
      Discussion This report of 5 cases suggests that a nonoperative protocol, using 
      clinical and functional progression criteria, may be successful in rehabilitating 
      athletes with PBS for return to sport within 11 weeks. Level of Evidence Therapy, 
      level 4. J Orthop Sports Phys Ther 2017;47(9):683-690. Epub 3 Aug 2017. 
      doi:10.2519/jospt.2017.7314.
FAU - McAleer, Stephen S
AU  - McAleer SS
FAU - Lippie, Ed
AU  - Lippie E
FAU - Norman, Darcy
AU  - Norman D
FAU - Riepenhof, Helge
AU  - Riepenhof H
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170803
PL  - United States
TA  - J Orthop Sports Phys Ther
JT  - The Journal of orthopaedic and sports physical therapy
JID - 7908150
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Humans
MH  - Osteitis/drug therapy/rehabilitation/*therapy
MH  - Pain Management
MH  - *Physical Therapy Modalities
MH  - *Pubic Bone
MH  - Pubic Symphysis
MH  - Return to Sport
MH  - Soccer/*injuries
MH  - Time Factors
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - osteitis pubis
OT  - professional soccer
OT  - pubalgia
OT  - pubic bone stress
OT  - symphysitis
EDAT- 2017/08/05 06:00
MHDA- 2018/02/21 06:00
CRDT- 2017/08/05 06:00
PHST- 2017/08/05 06:00 [pubmed]
PHST- 2018/02/21 06:00 [medline]
PHST- 2017/08/05 06:00 [entrez]
AID - 10.2519/jospt.2017.7314 [doi]
PST - ppublish
SO  - J Orthop Sports Phys Ther. 2017 Sep;47(9):683-690. doi: 10.2519/jospt.2017.7314. 
      Epub 2017 Aug 3.