{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T11:06:56Z","timestamp":1784027216381,"version":"3.55.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004242","name":"Princess Nourah Bint Abdulrahman University","doi-asserted-by":"crossref","award":["Researchers Supporting Project number (PNURSP2025R"],"award-info":[{"award-number":["Researchers Supporting Project number (PNURSP2025R"]}],"id":[{"id":"10.13039\/501100004242","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Integrative and Complementary Medicine"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Objectives:<\/jats:title>\n                    <jats:p>Athletic pubalgia, commonly referred to as sports hernia, is a recognized cause of chronic groin pain in athletes. This study aimed to evaluate whether adding Pilates to a rehabilitation program that included low-level laser therapy (LLLT) and low-intensity ultrasound (LIUS) would provide superior outcomes in pain reduction and in functional mobility and hip function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>In this randomized controlled trial, 88 male participants (18\u201345 years) diagnosed with sports hernia were randomly assigned to either an experimental group (Pilates + LLLT + LIUS) or a control group (LLLT + LIUS). Both groups received treatment three times per week for 6 weeks. Pain (primary outcome) was assessed using the Visual Analog Scale (VAS), functional mobility and hip function (secondary outcomes) were evaluated with the Lower Extremity Functional Scale (LEFS) and the Harris Hip Score (HHS), respectively, at baseline, after 6 weeks of intervention, and at a 6-week follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Both groups demonstrated significant improvements across all outcomes over time (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Compared with controls, the experimental group showed greater reductions in pain (VAS mean difference: \u22120.84; 95% CI: \u22121.26 to \u22120.42;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.003); however, this did not exceed the minimal clinically important difference. In contrast, functional mobility (LEFS mean difference: +17.07; 95% CI: 14.88\u201319.26;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and hip function (HHS mean difference: +11.78; 95% CI: 9.10\u201314.46;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) demonstrated both statistical and clinical significance in the experimental group compared with controls.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Incorporating Pilates into rehabilitation programs resulted in modest additional pain relief, yielding clinically meaningful improvements in functional mobility and hip function. Pilates can be considered a valuable complement to conventional modalities in sports hernia rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27683605251411152","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T01:57:06Z","timestamp":1774922226000},"page":"573-582","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Does Adding a Pilates Exercise Program Enhance Recovery Outcomes for Sports Hernia? A Randomized Controlled Trial"],"prefix":"10.1177","volume":"32","author":[{"given":"Hany M.","family":"Elgohary","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Faculty of Applied Medical Sciences, Jerash University, Jerash, Jordan."},{"name":"Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed A.","family":"Abdelrahim","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Applied Medical Sciences, Jerash University, Jerash, Jordan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zizi M. Ibrahim","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olfat Ibrahim","family":"Ali","sequence":"additional","affiliation":[{"name":"Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa A.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Integumentary, Egyptian Chinese University, Cairo, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.43283"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-92042-5_18"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097277"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097796"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.32098\/mltj.02.2018.19"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-094869"},{"key":"e_1_3_4_8_2","first-page":"105","volume-title":"Sports Hip Injuries","author":"Birmingham P","year":"2024","unstructured":"Birmingham P, , O\u2019Sullivan E, , Larson CM. Medial soft tissue injuries of the hip: Adductor strains and athletic Pubalgia\/core muscle injury. In: Sports Hip Injuries. CRC Press; 2024; pp. 105\u2013123."},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211063890"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2022.151959"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.09.022"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2018-000507"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000987"},{"issue":"1","key":"e_1_3_4_14_2","first-page":"8","article-title":"The effect of Pilates exercises on functional movement screening: A systematic review","volume":"5","author":"Sa\u00e7l\u0131 V","year":"2025","unstructured":"Sa\u00e7l\u0131 V, , \u00c7atalba\u015f M. The effect of Pilates exercises on functional movement screening: A systematic review. 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