临床情况：影响腹股沟区域的损伤是足球运动员中最常见的损伤之一。为了预防这种情况，研究的重点是加强内收肌、髋屈肌或腹部肌肉。最近的研究使用了偏心偏向运动（哥本哈根内收运动 [CAE]），该运动可促进肌肉组织的功能和结构适应，但其对降低受伤风险的影响尚不清楚。临床问题：哥本哈根内收练习可以预防足球运动员腹股沟受伤吗？主要发现摘要：检索文献以查找研究 CAE 潜在降低腹股沟损伤风险效果的研究。 (1) 3项研究符合纳入标准并用于本次评价； (2) 一项研究观察到，使用 CAE 程序的组损伤率显着降低； (3) 2 项研究发现干预组的损伤率相似或更高，不支持将 CAE 作为预防工具。临床底线：有相互矛盾的证据表明，在减轻腹股沟持续损伤的风险方面，使用 CAE 优于不进行内收肌强化练习。鉴于支持这些发现的证据，建议在考虑将 CAE 纳入旨在预防腹股沟损伤的训练方案中时谨慎行事。建议强度：有 B 级证据表明纳入 CAE 可能与降低受伤率无关。

"点击查看英文标题和摘要"

Can the Copenhagen Adduction Exercise Prevent Groin Injuries in Soccer Players? A Critically Appraised Topic

Clinical Scenario: Injuries that affect the groin region are among the most common in football players. To prevent this condition, studies have focused on strengthening the adductors, hip flexors, or abdominal muscles. Recent investigations have used an eccentric-biased exercise (Copenhagen Adduction Exercise [CAE]) that promotes functional and architectural adaptations in the muscle tissue, though its effect on injury risk reduction is unknown. Clinical Question: Can the Copenhagen Adduction Exercise prevent groin injuries in soccer players? Summary of Key Findings: The literature was searched for studies investigating the potential groin injury risk reduction effect of the CAE. (1) Three studies met the inclusion criteria and were used for this appraisal; (2) one study observed a significantly lower injury rate ratio favoring the group that used the CAE program; and (3) 2 studies found similar or higher injury rates in the intervention groups, not supporting the inclusion of the CAE as a preventative tool. Clinical Bottom Line: There is conflicting evidence that usage of the CAE is superior to not performing adductor strengthening exercises in mitigating the risk of sustaining groin injuries. Given the evidence supporting these findings, it is advisable to exercise caution when contemplating the incorporation of the CAE into training regimens aimed at preventing groin injuries. Strength of Recommendation: There is Grade B evidence to suggest that inclusion of the CAE may not be associated with reduced injury rates.