Managing low back pain in active adolescents

O’Sullivan, Kieran; O’Keeffe, Mary; Forster, Bruce B.; Qamar, Sadia; Westhuizen, Andrew Van Der; O’Sullivan, Peter

doi:10.1016/j.berh.2019.02.005

Cited by 24 publications

(32 citation statements)

References 86 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most people have experienced LBP at least once in their lives, especially the nonspecified type defined as any low back pain in the lumbar area, which is not related to a severe pathology and is caused by unknown reasons (Maher et al, 2017; Synnott et al, 2015). If individuals do not take their LBP seriously, the pain may continue, intensify, and may ultimately lead to disability (O’Sullivan et al, 2019). The high prevalence of lumbar-related injuries can have a high impact at the individual level but also a significant impact on healthcare services locally, regionally and nationally (Natour et al, 2015; Richmond et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

The impact of modified exercise and relaxation therapy on chronic lower back pain in office workers: a randomized clinical trial

et al. 2019

View full text Add to dashboard Cite

This study aimed to evaluate the effectiveness of a modified package of exercise therapy combined with relaxation on pain intensity, range of motion (ROM), anxiety, and quality of life (QoL) in office workers with chronic lower back pain. In this clinical trial, 72 office workers aged 20 to 50 years with chronic low back pain were randomized to one of four groups including; group 1, exercise therapy; group 2, psychotherapy (relaxation therapy); group 3, modified protocol (exercise therapy followed by relaxation therapy); group 4, control group (no intervention). Participants exercised 3 times weekly for 6 weeks for 40–45 min of exercise/relaxation. Pain intensity, ROM, anxiety, and QoL were evaluated at baseline, 6 weeks, and 12 weeks after the end of the intervention. Results showed significant decreases in pain intensity and anxiety in the three experimental groups compared to the control group. The three intervention groups indicated a significant decrease in pain intensity and anxiety after 6 and 12 weeks. ROM significantly improved in the exercise therapy and the modified protocol over time (after 6 and 12 weeks). A significant difference in QoL was found between the groups, with the greatest improvement found in the psychotherapy and modified protocol groups. This therapeutic package (including exercise movements and psychological interventions) was found to have a superior effect on pain intensity, ROM, anxiety, and QoL after 6 and 12 weeks compared to other interventions (only exercise and psychotherapy).

show abstract

Section: Introductionmentioning

confidence: 99%

The impact of modified exercise and relaxation therapy on chronic lower back pain in office workers: a randomized clinical trial

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In general, there is no justification for generally advising children and adolescents with isthmic SPL to limit or avoid competitive sports [ 135 , 136 ]. On the contrary, with proper treatment, excellent outcomes occur [ 2 , 4 ].…”

Section: Management and Treatmentmentioning

confidence: 99%

“…Isthmic SPL is the consequence of a spondylolysis, which is a congenital defect or post-traumatic break in the pars interarticularis. Spondylolysis is the most common “specific” pathology within the adolescent population complaining of low back pain (LBP) [ 2 , 3 ]. Frequency of spondylolysis is higher among athletes who perform movements involving repeated spinal flexion and extension [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Lumbar spondylolisthesis: STATE of the art on assessment and conservative treatment

et al. 2021

View full text Add to dashboard Cite

Introduction There is weak relationship between the presence of lumbar spondylolisthesis [SPL] and low back pain that is not always associated with instability, either at the involved lumbar segment or at different spinal levels. Therefore patients with lumbar symptomatic SPL can be divided into stable and unstable, based on the level of mobility during flexion and extension movements as general classifications for diagnostic and therapeutic purposes. Different opinions persist about best treatment (conservative vs. surgical) and among conservative treatments, on the type, dosage, and progression of physical therapy procedures. Purpose and importance to practice The aim of this Masterclass is to provide clinicians evidence-based indications for assessment and conservative treatment of SPL, taking into consideration some subgroups related to specific clinical presentations. Clinical implications This Masterclass addresses the different phases of the assessment of a patient with SPL, including history, imaging, physical exam, and questionnaires on disability and cognitive-behavioral components. Regarding conservative treatment, self- management approaches and graded supervised training, including therapeutic relationships, information and education, are explained. Primary therapeutic procedures for pain control, recovery of the function and the mobility through therapeutic exercise, passive mobilization and antalgic techniques are suggested. Moreover, some guidance is provided on conservative treatment in specific clinical presentations (lumbar SPL with radiating pain and/or lumbar stenosis, SPL complicated by other factors, and SPL in adolescents) and the number/duration of sessions. Future research priorities Some steps to improve the diagnostic-therapeutic approach in SPL are to identify the best cluster of clinical tests, define different lumbar SPL subgroups, and investigate the effects of treatments based on that classification, similarly to the approach already proposed for non-specific LBP.

show abstract

“…However, until now, most studies that have performed vibration intervention in LBP patients have only suggested the effect on pain and motor dysfunction. Moreover, despite the large number of adolescent patients complaining of LBP, they are not receiving attention in the social or scientific literature [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Trunk Stabilization Exercise Combined with Vibration for Adolescent Patients with Nonspecific Low Back Pain

Jung

et al. 2020

IJERPH

View full text Add to dashboard Cite

There are many adolescent patients complaining of low back pain, but research on it is lacking. The purpose of this study was to investigate the effects of trunk stabilization exercise combined with vibration on the pain, proprioception, and kinematics of the lumbar spine (LS) during sit to stand (STS) in adolescent patients with nonspecific low back pain (LBP). Fifty LBP patients were recruited and were randomly divided into two groups: Vibration group (n = 25) and placebo group (n = 25). All participants underwent 36-sessions of training consisting of six exercises. The Vibration group provided vibration stimulation during exercise, but the placebo group did not. The Numeric Pain Rating Scale (NPRS) and digital dual inclinometer were used to measure pain intensity and proprioception. The kinematics of the lumbar spine during STS were measured by motion capture system. After training, the pain and proprioception in the vibration group improved significantly greater than the placebo group (p < 0.05). The mobility of LS (maximum range of motion, angular velocity, lumbar to hip movement ratios) and lumbar-hip coordination during STS in the vibration group were significantly improved compared to the placebo group (p < 0.05). Thus, trunk stabilization exercise combined with vibration may be used to improve the pain, proprioception, and kinematic of the lumbar spine during sit to stand in adolescent patients with LBP.

show abstract

Managing low back pain in active adolescents

Cited by 24 publications

References 86 publications

The impact of modified exercise and relaxation therapy on chronic lower back pain in office workers: a randomized clinical trial

The impact of modified exercise and relaxation therapy on chronic lower back pain in office workers: a randomized clinical trial

Lumbar spondylolisthesis: STATE of the art on assessment and conservative treatment

The Effectiveness of Trunk Stabilization Exercise Combined with Vibration for Adolescent Patients with Nonspecific Low Back Pain

Contact Info

Product

Resources

About