Back pain prevalence in adolescent athletes

Müller, Juliane; Müller, Steffen; Stoll, Josefine; Fröhlich, Katja; Otto, Christoph; Mayer, Frank

doi:10.1111/sms.12664

Cited by 47 publications

(55 citation statements)

References 30 publications

(60 reference statements)

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“…We also found a relationship between age and back pain in elite athletes, findings that chime with those of Müller et al . [19], but we did not observe this relationship in the physically active control group. This finding could be explained by the relatively small age range of our control group respondents.…”

Section: Discussioncontrasting

confidence: 79%

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Back pain in elite sports: A cross-sectional study on 1114 athletes

2017

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ObjectivesTo establish the prevalence of back pain in German elite athletes; examine the influence of age, sex, sports discipline and training volume; and compare elite athletes with a physically active control group.MethodsA standardized and validated online back pain questionnaire was sent by the German Olympic Sports Confederation to approximately 4,000 German national and international elite athletes, and a control group of 253 physically active but non-elite sports students.ResultsWe received responses from 1,114 elite athletes (46.5% male and 53.1% female, mean age 20.9 years ± 4.8 years, mean height 176.5 ± 11.5 cm, mean weight 71.0 ± 10.3 kg) and 166 physically active sports students (74.7% male and 24.1 female, mean age 21.2 ± 2.0 years, mean height 180.0 ± 8.0 cm, mean weight 74.0 ± 14.5 kg). In elite athletes, the lifetime prevalence of back pain was 88.5%, the 12-month prevalence was 81.1%, the 3-month prevalence was 68.3% and the point prevalence was 49.0%, compared with 80.7%, 69.9%, 59.0% and 42.8%, respectively in the control group. The lifetime, 12-month and 3-month prevalences in elite athletes were significantly higher than in the control group. Regarding the individual sports disciplines, the prevalence of back pain was significantly higher in elite rowers, dancers, fencers, gymnasts, track and field athletes, figure skaters and marksmen, and those who play underwater rugby, water polo, basketball, hockey and ice hockey compared with the control group. The prevalence of back pain was significantly lower in elite triathletes.ConclusionsBack pain is a common complaint in German elite athletes. Low back pain seems to be a problem in both elite athletes and physically active controls. A high training volume in elite athletes and a low training volume in physically active individuals might increase prevalence rates. Our findings indicate the necessity for specific prevention programs, especially in high-risk sports. Further research should investigate the optimal dose-effect relationship of sporting activity for the general population to prevent back pain.

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Section: Discussioncontrasting

confidence: 79%

“…Müller et al . [19] reported a mean point prevalence of back pain of 8% in a large cohort of young elite athletes (n = 2,116, mean age 13.3 years). However, the prevalence of back pain in adult athletes was not addressed.…”

Section: Introductionmentioning

confidence: 99%

Back pain in elite sports: A cross-sectional study on 1114 athletes

2017

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“…weightlifting, wrestling, soccer, baseball, tennis, gymnastics) are considered risk factors [1][2][3][4]. The incidence of low back pain (LBP) in young athletes has been reported in several articles [2][3][4][5], and spondylolysis is a very common cause of LBP in young athletes [6]. One study reported that 47% of young athletes with LBP had spondylolysis [7].…”

Section: Introductionmentioning

confidence: 99%

Comparison of symptomatic spondylolysis in young soccer and baseball players

Yokoe

Tajima

Shinmoto

et al. 2020

Preprint

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Background: Spondylolysis is a main cause of low back pain (LBP) in young athletes. There are few studies analyzing the difference of spondylolysis among young athletes with different sports activity. The purpose of this study was to compare the clinical factors and distribution of the lesions of spondylolysis on magnetic resonance imaging (MRI) scans in young soccer and baseball players with symptomatic spondylolysis.Methods: The medical records of 267 young athletes aged 7 to 18 years old who underwent MRI to evaluate the cause of LBP between 2017 to 2020 were retrospectively reviewed to identify patients with spondylolysis. Of the young athletes with symptomatic spondylolysis, clinical factors and MRI findings in soccer and baseball players were retrospectively evaluated. The clinical factors were age, sex, interval from onset of LBP to MRI, and side of the dominant leg in the sports field. MRI findings included number, lumbar level, and side of the lesions. Results: A total of 33 soccer players (mean age, 15.4 ± 1.4 years) and 49 baseball players (mean age, 15.4 ± 1.6 years) with symptomatic spondylolysis were enrolled. All patients were male. No significant differences were noted in age and the interval from onset of LBP to MRI between the groups. Soccer players had greater numbers of multiple (p < 0.001) and bilateral (p < 0.001) lesions than baseball players. The dominant side of the hand for pitching or batting was correlated with the contralateral-side lesions in baseball players (p = 0.001).Conclusions: The distribution of the lesions of spondylolysis differed in young soccer and baseball players. Pitching or batting with the dominant-side hand would be associated with contralateral-side lesions in baseball players. Sports-specific movements and the side of the dominant leg should be considered when treating young athletes with symptomatic spondylolysis.

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“…Back pain (point) prevalence in adolescent athletes is reported at a rate of 8–20%, with a relevant increase beginning around age 14 and featuring sport-specific differences (Schmidt et al, 2014; Müller et al, 2017). Consequently, back pain can be considered a relevant risk factor in the careers of young elite athletes.…”

Section: Introductionmentioning

confidence: 99%

Trunk Muscle Activity during Drop Jump Performance in Adolescent Athletes with Back Pain

et al. 2017

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In the context of back pain, great emphasis has been placed on the importance of trunk stability, especially in situations requiring compensation of repetitive, intense loading induced during high-performance activities, e.g., jumping or landing. This study aims to evaluate trunk muscle activity during drop jump in adolescent athletes with back pain (BP) compared to athletes without back pain (NBP). Eleven adolescent athletes suffering back pain (BP: m/f: n = 4/7; 15.9 ± 1.3 y; 176 ± 11 cm; 68 ± 11 kg; 12.4 ± 10.5 h/we training) and 11 matched athletes without back pain (NBP: m/f: n = 4/7; 15.5 ± 1.3 y; 174 ± 7 cm; 67 ± 8 kg; 14.9 ± 9.5 h/we training) were evaluated. Subjects conducted 3 drop jumps onto a force plate (ground reaction force). Bilateral 12-lead SEMG (surface Electromyography) was applied to assess trunk muscle activity. Ground contact time [ms], maximum vertical jump force [N], jump time [ms] and the jump performance index [m/s] were calculated for drop jumps. SEMG amplitudes (RMS: root mean square [%]) for all 12 single muscles were normalized to MIVC (maximum isometric voluntary contraction) and analyzed in 4 time windows (100 ms pre- and 200 ms post-initial ground contact, 100 ms pre- and 200 ms post-landing) as outcome variables. In addition, muscles were grouped and analyzed in ventral and dorsal muscles, as well as straight and transverse trunk muscles. Drop jump ground reaction force variables did not differ between NBP and BP (p > 0.05). Mm obliquus externus and internus abdominis presented higher SEMG amplitudes (1.3–1.9-fold) for BP (p < 0.05). Mm rectus abdominis, erector spinae thoracic/lumbar and latissimus dorsi did not differ (p > 0.05). The muscle group analysis over the whole jumping cycle showed statistically significantly higher SEMG amplitudes for BP in the ventral (p = 0.031) and transverse muscles (p = 0.020) compared to NBP. Higher activity of transverse, but not straight, trunk muscles might indicate a specific compensation strategy to support trunk stability in athletes with back pain during drop jumps. Therefore, exercises favoring the transverse trunk muscles could be recommended for back pain treatment.

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Back pain prevalence in adolescent athletes

Cited by 47 publications

References 30 publications

Back pain in elite sports: A cross-sectional study on 1114 athletes

Back pain in elite sports: A cross-sectional study on 1114 athletes

Comparison of symptomatic spondylolysis in young soccer and baseball players

Trunk Muscle Activity during Drop Jump Performance in Adolescent Athletes with Back Pain

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