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운동과 관련된 근육힘줄, 인대, 서혜부통증의 치료를 위한 보존중재

Appendices

Appendix 1. Search strategies

Cochrane Central Register of Controlled Trials (Wiley Online Library)

#1 MeSH descriptor Groin, this term only  (81)
#2 MeSH descriptor Pubic Symphysis, this term only  (10)
#3 MeSH descriptor Pubic Bone, this term only  (6)
#4 (groin):ti,ab,kw   (378)
#5 (pubic bone*):ti,ab,kw  (22)
#6 (#1 OR #2 OR #3 OR #4 OR #5)   (404)
#7 MeSH descriptor Pain, this term only   (8804)
#8 MeSH descriptor Abdominal Pain, this term only   (506)
#9 MeSH descriptor Pelvic Pain, this term only   (243)
#10 MeSH descriptor Tendon Injuries explode all trees   (322)
#11 MeSH descriptor Osteitis, this term only  (23)
#12 MeSH descriptor Athletic Injuries, this term only  (405)
#13 MeSH descriptor Soccer, this term only  (199)
#14 (tend?nopath* or tend?nitis or pain):ti,ab,kw  (53373)
#15 (#7 OR #8 OR #9 OR #10 OR #11 OR #12 OR #13 OR #14)  (53906)
#16 (#6 AND #15)  (150)
#17 (symphysis syndrome):ti,ab,kw (1)
#18 (osteitis pubis):ti,ab,kw  (1)
#19 (pubalgia):ti,ab,kw  (1)    
#20 (adductor tend?nopath*):ti,ab,kw  (0)
#21 (adductor tend?nitis):ti,ab,kw  (0)  
#22 (adductor strain):ti,ab,kw  (2)     
#23 (gracilis syndrome):ti,ab,kw   (0)
#24 (sport* hernia):ti,ab,kw   (5)
#25 (#17 OR #18 OR #19 OR #20 OR #21 OR #22 OR #23 OR #24) (10)
#26 (#16 OR #25) (142)

MEDLINE (Ovid web)

1     Groin/ (2773)
2     Pubic Symphysis/ or Pubic Bone/ (2623)
3     groin.tw. (6861)
4     "pubic bone*".tw. (606)
5     or/1‐4 (11076)
6     Pain/ or Abdominal Pain/ or Pelvic Pain/ (120886)
7     exp Tendon Injuries/ (12307)
8     Osteitis/ (2440)
9     Athletic Injuries/ (18407)
10     Soccer/ (3264)
11     (tend#nopath* or tend#nitis or pain).tw. (341832)
12     or/6‐11 (408910)
13     and/5,12 (2110)
14     symphysis syndrome.tw. (3)
15     osteitis pubis.tw. (213)
16     pubalgia.tw. (32)
17     adductor tend#nopathy.tw. (5)
18     adductor tend#nitis.tw. (8)
19     adductor strain.tw. (10)
20     gracilis syndrome.tw. (5)
21     "sport* hernia".tw. (59)
22     or/14‐21 (299)
23     or/13,22 (2187)
24     Randomized controlled trial.pt. (323396)
25     Controlled clinical trial.pt. (84105)
26     randomized.ab. (239614)
27     placebo.ab. (135172)
28     Drug therapy.fs. (1521264)
29     randomly.ab. (175370)
30     trial.ab. (248379)
31     groups.ab. (1150633)
32     or/24‐31 (2907256)
33     exp Animals/ not Humans.sh. (3724073)
34     32 not 33 (2480665)
35     and/23,34 (405)

EMBASE (Ovid web)

1     Inguinal Region/ (5380)
2     Pubic Bone/ or Pubis Symphysis/ (3429)
3     groin.tw. (7962)
4     "pubic bone*".tw. (699)
5     or/1‐4 (14399)
6     Abdominal Pain/ or Lower Abdominal Pain/ or Pain/ or Inguinal Pain/ (212286)
7     Tendon Injury/ or Tendinitis/ (10901)
8     Osteitis/ (2879)
9     Sport Injury/ (21112)
10     Football/ or Athlete/ (26141)
11     (tend#nopath* or tend#nitis or pain).tw. (419742)
12     or/6‐11 (552961)
13     and/5,12 (2923)
14     symphysis syndrome.tw. (2)
15     Osteitis Pubis/ (40)
16     osteitis pubis.tw. (231)
17     Pubalgia/ (11)
18     pubalgia.tw. (60)
19     adductor tend#nopathy.tw. (4)
20     adductor tend#nitis.tw. (8)
21     adductor strain.tw. (11)
22     gracilis syndrome.tw. (5)
23     Sportmen Groin/ (1)
24     "sport* hernia".tw. (67)
25     Pubic Bone Stress Injury/ (3)
26     or/14‐25 (351)
27     or/13,26 (3031)
28     Randomized Controlled Trial/ (293827)
29     Clinical Trial/ (821915)
30     Controlled Clinical Trial/ (173310)
31     Randomization/ (55111)
32     Single Blind Procedure/ (14524)
33     Double Blind Procedure/ (101992)
34     Crossover Procedure/ (31323)
35     Placebo/ (188741)
36     Prospective Study/ (177986)
37     ((clinical or controlled or comparative or placebo or prospective$ or randomi#ed) adj3 (trial or study)).tw. (574290)
38     (random$ adj7 (allocat$ or allot$ or assign$ or basis$ or divid$ or order$)).tw. (139798)
39     ((singl$ or doubl$ or trebl$ or tripl$) adj7 (blind$ or mask$)).tw. (134349)
40     (cross?over$ or (cross adj1 over$)).tw. (57449)
41     ((allocat$ or allot$ or assign$ or divid$) adj3 (condition$ or experiment$ or intervention$ or treatment$ or therap$ or control$ or group$)).tw. (174957)
42     RCT.tw. (8137)
43     or/28‐42 (1557082)
44     Case Study/ or Abstract Report/ or Letter/ (815439)
45     43 not 44 (1523124)
46     and/27,45 (466)

LILACS (Bireme)

(Mh Groin or Tw Groin OR Tw Ingle OR Tw Virilha OR Mh Pubic Bone OR Tw Pubic Bone OR Tw Hueso Púbico OR Tw Osso Púbico OR Mh Pubic Symphysis OR Tw Pubic Symphysis OR Tw Sínfisis Pubiana OR Tw Sínfise Pubiana) [Words] (168) 

and 

(Mh Pain OR Tw Pain OR Tw Dolor OR Dor OR Mh Abdominal Pain OR Tw Abdominal Pain OR Tw Dolor Abdominal OR Tw Dor Abdominal OR Mh Tendon Injuries OR Tw Tendon Injur$ OR Tw Traumatismos de los Tendones OR Tw Traumatismos dos Tendões OR Mh Tendinopathy OR Tw Tendinopathy OR Tw Tendonopathy OR Tw Tendinitis OR Tw Tendonitis OR Tw Tendinopatía OR Tw Tendinopatia Mh Osteitis OR Tw Osteitis Tw Osteítis OR Tw Osteíte OR Mh Athletic Injuries OR Tw Athletic Injur$ Tw Traumatismos en Atletas OR Tw Traumatismos em Atletas OR Tw pubalgia) [Words] (20178) 

and 

((Pt randomized controlled trial OR Pt controlled clinical trial OR Mh randomized controlled trials OR Mh random allocation OR Mh double‐blind method OR Mh single‐blind method) AND NOT (Ct animals AND NOT (Ct human and Ct animal)) OR (Pt clinical trial OR Ex E05.318.760.535$ OR (Tw clin$ AND (Tw trial$ OR Tw ensa$ OR Tw estud$ OR Tw experim$ OR Tw investiga$)) OR ((Tw singl$ OR Tw simple$ OR Tw doubl$ OR Tw doble$ OR Tw duplo$ OR Tw trebl$ OR Tw trip$) AND (Tw blind$ OR Tw cego$ OR Tw ciego$ OR Tw mask$ OR Tw mascar$)) OR Mh placebos OR Tw placebo$ OR (Tw random$ OR Tw randon$ OR Tw casual$ OR Tw acaso$ OR Tw azar OR Tw aleator$) OR Mh research design) AND NOT (Ct animals AND NOT (Ct human and Ct animals)) OR (Ct comparative study OR Ex E05.337$ OR Mh follow‐up studies OR Mh prospective studies OR Tw control$ OR Tw prospectiv$ OR Tw volunt$ OR Tw volunteer$) AND NOT (Ct animals AND NOT (Ct human and Ct animals))) [Words] (174402)

SPORTDiscus (EBSCO)

(Groin OR pubic bone OR pubic symphysis) (1104)

and

(pain OR abdominal pain OR osteitis OR tendon injuries OR tendinopathy) (34501)

CINAHL (EBSCO)

((MH "Groin") OR (MH "Pubic Symphysis") OR (MH "Pubic Bone")) (603)

AND

((MH "Pain") OR (MH "Abdominal Pain") OR (MH "Pelvic Pain") OR (MH "Tendon Injuries") OR (MH "Osteitis") OR (MH "Athletic Injuries") OR (MH "Soccer Injuries")) OR ("adductor strain" OR "adductor tendinopathy" OR "adductor tendinitis" OR "pubalgia" OR "gracilis syndrome" OR "sport hernia" OR "osteitis pubis" OR "symphysis syndrome" )) (15)

AND

(Randomized Controlled Trial OR Controlled Clinical Trial OR randomized OR placebo OR Drug Therapy OR randomly OR Trial OR groups) (363692)

PEDro

groin AND pain (9)

OTseeker

groin OR pubic bone OR pubic symphysis (1)

Current Controlled Trial

groin AND pain (87)

Flow diagram showing the reference screening and study selection.
Figuras y tablas -
Figure 1

Flow diagram showing the reference screening and study selection.

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Figuras y tablas -
Figure 2

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.

Comparison 1 Exercise therapy versus conventional physiotherapy, Outcome 1 'Successful treatment'.
Figuras y tablas -
Analysis 1.1

Comparison 1 Exercise therapy versus conventional physiotherapy, Outcome 1 'Successful treatment'.

Comparison 1 Exercise therapy versus conventional physiotherapy, Outcome 2 Patients' subjective global assessment (better or much better).
Figuras y tablas -
Analysis 1.2

Comparison 1 Exercise therapy versus conventional physiotherapy, Outcome 2 Patients' subjective global assessment (better or much better).

Comparison 1 Exercise therapy versus conventional physiotherapy, Outcome 3 Return to sports.
Figuras y tablas -
Analysis 1.3

Comparison 1 Exercise therapy versus conventional physiotherapy, Outcome 3 Return to sports.

Comparison 2 Multi‐modal treatment versus exercise therapy, Outcome 1 'Successful treatment'.
Figuras y tablas -
Analysis 2.1

Comparison 2 Multi‐modal treatment versus exercise therapy, Outcome 1 'Successful treatment'.

Comparison 2 Multi‐modal treatment versus exercise therapy, Outcome 2 Maximum pain during sports.
Figuras y tablas -
Analysis 2.2

Comparison 2 Multi‐modal treatment versus exercise therapy, Outcome 2 Maximum pain during sports.

Comparison 2 Multi‐modal treatment versus exercise therapy, Outcome 3 Return to sports.
Figuras y tablas -
Analysis 2.3

Comparison 2 Multi‐modal treatment versus exercise therapy, Outcome 3 Return to sports.

Comparison 2 Multi‐modal treatment versus exercise therapy, Outcome 4 Time to return to sports (weeks).
Figuras y tablas -
Analysis 2.4

Comparison 2 Multi‐modal treatment versus exercise therapy, Outcome 4 Time to return to sports (weeks).

Comparison 1. Exercise therapy versus conventional physiotherapy

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 'Successful treatment' Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 Follow‐up 16 weeks, per‐protocol analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.2 Follow‐up 8 to 12 years, per‐protocol analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.3 Follow‐up 8 to 12 years, intention‐to‐treat analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2 Patients' subjective global assessment (better or much better) Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2.1 Follow‐up 16 weeks, per‐protocol analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.2 Follow‐up 16 weeks, intention‐to‐treat analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.3 Follow‐up 8 to 12 years, per‐protocol analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.4 Follow‐up 8 to 12 years, intention‐to‐treat analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Return to sports Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3.1 Per‐protocol analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.2 Intention‐to‐treat analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 1. Exercise therapy versus conventional physiotherapy
Comparison 2. Multi‐modal treatment versus exercise therapy

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 'Successful treatment' Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 Per‐protocol analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.2 Intention‐to‐treat analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2 Maximum pain during sports Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Totals not selected

3 Return to sports Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3.1 Per protocol analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.2 Intention‐to‐treat analysis

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4 Time to return to sports (weeks) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 2. Multi‐modal treatment versus exercise therapy