Incidence and factors associated with low back pain in adolescents: A prospective study

Vitta, Alberto De; Bento, Thiago Paulo Frascareli; Cornelio, G; Perrucini, Priscila Daniele de Oliveira; Felippe, Lilian Assunção; Conti, Marta Helena Souza De

doi:10.1016/j.bjpt.2021.10.002

Cited by 12 publications

(5 citation statements)

References 31 publications

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“…However, the studies included in our review investigated adults without low back pain who reported a new episode of low back pain. Hence, our findings may not be generalized to children and adolescents, who may show a different result (Vitta et al, 2021), as well as to those developing persistent pain. Nevertheless, strategies to prevent low back pain should focus on promoting an active lifestyle, which has shown to be effective in a previous systematic review (Steffens et al, 2016).…”

Section: Implications For Further Research and Clinical Practicementioning

confidence: 81%

Does sedentary behaviour contribute to the development of a new episode of low back pain? A systematic review of prospective cohort studies

Damato

Christófaro

Pinheiro

et al. 2022

European Journal of Pain

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Objective To investigate whether the sedentary behaviour contributes to the development of new episodes of low back pain in adults. Methods Searches were performed in five electronic databases from their inception to March 2022. Prospective cohort studies with people without low back pain at baseline investigating the effect of sedentary behaviour on the development of new episodes of low back pain at follow‐up were considered eligible. Two independent authors screened, extracted the data and assessed the risk of bias of included studies. An adapted version of the Quality In Prognosis Studies (QUIPS) tool was used to assess the risk of bias. Meta‐analyses were performed using random effect models to obtain a pooled risk ratio (RR) and 95% confidence intervals (CIs). Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess the overall certainty of the evidence. Results Ten studies were included in this review, with a total sample ranging from 107 to 57,504 participants and mean age ranging from 21.7 to 53.6 years. Most studies (n = 9) assessed sedentary behaviour using self‐reported methods, including validated questionnaires or single questions, except for one study that used video recording. The overall risk of bias of the included studies was low. Pooled analysis showed that people classified as sedentary or spending more time in sedentary activities were not likely to develop a new episode of low back pain (RR 1.01, 95% CI 0.98–1.04, I2 = 9%, n = 9 studies, moderate evidence). Conclusion Sedentary behaviour probably does not contribute to the development of new episodes of low back pain in an adult population. Significance Sedentary behaviour does not appear to increase the chances of developing a new episode of low back pain. This might imply that health lifestyle contributors seem to be more related to the amount and type of physical activity, but not the amount of sedentary time. However, studies evaluating the relationship of the sedentary and physical activity with the development of a new episode of low back pain are still needed.

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Section: Implications For Further Research and Clinical Practicementioning

confidence: 81%

Does sedentary behaviour contribute to the development of a new episode of low back pain? A systematic review of prospective cohort studies

Damato

Christófaro

Pinheiro

et al. 2022

European Journal of Pain

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“…These include the type of sport practiced [29], differences in sagittal spine disposition and pelvic tilt [9], hamstring extensibility [9], anthropometric variables [9,18], or specific sedentary leisure activities. For the latter, the daily time spent on electronic devices such as computers, cell phone, and tablets [30,31] has shown different values depending on gender [9,[29][30][31]. Lastly, other factors such as a reported family history of LBP [32], age [9], and pubertal development [18] could also be modulating factors in the difference between genders in the incidence of SP.…”

Section: Discussionmentioning

confidence: 99%

Gender Mediation in Adolescents’ Back Pain and Physical Fitness: A Cross-Sectional Study

et al. 2022

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There is a lack of studies that analyze the interaction between risk variables as predictors of back pain (BP) in adolescents. The objectives of this study were to examine the relationship between BP and several risk variables, and to analyze the effect of the mediation of gender in this association. This cross-sectional study included n = 617 adolescents (mean age: 14.10 ± 1.18 years old) who completed the BP Adolescent Survey and who performed the bench trunk curl (BTC) and Sorensen (SOR) tests. Males showed a significantly lower prevalence (OR: 0.67) and frequency (contingency coefficient: 1.73) of BP than females, less participation in leisure-time sedentary behaviors (LRSBs) per day of more than 2 h (Cramer’s V: 0.110), a higher sufficient Physical Activity (PA) (Cramer’s V: 0.323) and a higher score in the BTC test (Contingency coefficient: 0.346). A high BTC score indicated significantly lower risk of BP than mid (OR: 1.74; p = 0.025) or low (OR: 1.62; p = 0.022) BTC. The mediation analysis showed a significant indirect effect with a significant value for the Sobel test (z = 7.45 ± 0.111). When the BTC test value was included in the equations, the connection between gender and BP was no longer significant. There was a difference in the prevalence between gender in BP and LRSB and PA. BP was associated with the SOR test. The association between BP and gender was mediated by SOR results.

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“…Entre los predictores de dolores asociados a la mala postura, se encuentra el sexo, el tiempo en determinada postura y el uso de dispositivos electrónicos y el estado de la salud mental (Fitzgibbon et al, 2021;Vitta et al, 2021). Al analizar la evidencia científica, se demuestra que los adultos mayores pasan más de 8 horas al día en conductas sedentarias, que afecta incluso la salud ósea, pero al analizar nuestros resultados podemos afirmar que los resultados en la capacidad aeróbica y de la postura de anteposición de cabeza y cuello va a depender del contexto ambiental, laboral y emocional en que se encuentre el usuario (Hidalgo et al, 2021;McMichan et al, 2021;Troutman et al, 2021).…”

Section: Discussionunclassified

Efectos del tratamiento de fuerza y flexibilidad para la anteposición de cabeza y cuello en adultos mayores sobre la capacidad aeróbica submáxima según nivel socioeconómico (Effects of strength and flexibility treatment for forward head posture positioning in older adults on submaximal aerobic capacity according to socioeconomic level)

Verdugo

Silva

Araya

et al. 2022

Retos

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Objetivo: El propósito del estudio fue comparar la distancia recorrida a través de la prueba de 6 minutos en adultos mayores que tuvieron tratamiento de fuerza y flexibilidad para la anteposición de cabeza y cuello con diferentes niveles socioeconómicos. Materiales y métodos: La investigación presenta un diseño experimental de dos grupos independientes no aleatorizado, basado en la evaluación de la prueba de 6 minutos posterior a 4 meses de tratamiento de fuerza y flexibilidad para la anteposición de cabeza y cuello en adultos mayores. A un establecimiento asistían participantes catalogados como bajo nivel socioeconómico y en el otro establecimiento asistían participantes con un nivel socioeconómico alto. Los criterios de inclusión y exclusión: adultos mayores > 60 años, nivel bajo y alto socioeconómico, ángulo craneovertebral <50 grados. Los criterios de exclusión: sin patologías neurológicas, sistémicas, infecciosas y traumáticas. Resultados: El nivel socioeconómico no es una determinante en el efecto del tratamiento de fuerza de flexibilidad para la anteposición de cabeza y cuello en adultos mayores en relación con la capacidad submáxima (p < 0.05). Conclusión: La condición previa de los participantes y la edad son determinantes más influyentes en el efecto del tratamiento de fuerza y flexibilidad para la anteposición de cabeza y cuello en adultos mayores sobre la capacidad aeróbica submáxima. Además, la condición previa y la edad explican el 86.3 % de la variabilidad post tratamiento. Palabras claves: postura, actividad motora, rehabilitación, terapia por ejercicio, medicina física y rehabilitación. Abstract. Objective: The purpose of the study was to compare the distance traveled through the 6-minute test in older adults who had strength and flexibility treatment for the forward head posture positioning with different socioeconomic levels. Materials and methods: This investigation presents a non-randomized experimental design of two independent groups, based on the evaluation of the 6-minute test after 4 months of strength and flexibility treatment for forward head posture positioning in older adults. One establishment was attended by participants classified as low socioeconomic level and the other establishment was attended by participants with a high socioeconomic level. Inclusion and exclusion criteria: older adults > 60 years, low and high socioeconomic status, craniovertebral angle < 50 degrees. Exclusion criteria: without neurological, systemic, infectious and traumatic pathologies. Results: The socioeconomic level is not a determinant in the effect of the flexibility strength treatment for forward head posture positioning in older adults in relation to submaximal capacity (p < 0.05). Conclusion: The previous condition of the participants and age are the most influential determinants in the effect of the strength and flexibility treatment for forward head posture positioning in older adults on submaximal aerobic capacity. In addition, the previous condition and age explain 86.3% of the post-treatment variability. Keywords: posture, motor activity, rehabilitation, exercise therapy, physical and rehabilitation medicine.

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Incidence and factors associated with low back pain in adolescents: A prospective study

Cited by 12 publications

References 31 publications

Does sedentary behaviour contribute to the development of a new episode of low back pain? A systematic review of prospective cohort studies

Does sedentary behaviour contribute to the development of a new episode of low back pain? A systematic review of prospective cohort studies

Gender Mediation in Adolescents’ Back Pain and Physical Fitness: A Cross-Sectional Study

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