Physical activity and low back pain in children and adolescents: a systematic review

Kędra, Agnieszka; Plandowska, Magdalena; Kędra, Przemysław; Czaprowski, Dariusz

doi:10.1007/s00586-020-06575-5

Cited by 24 publications

(21 citation statements)

References 41 publications

(117 reference statements)

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“…With the advent of aging society, the prevalence and number of patients with LBP continue to increase globally; meanwhile, the incidence of LBP also displays a gradual increased trend in young people. It is reported that about 40% children aged from 9 to 18 years suffer from LBP ( Calvo-Muñoz et al, 2013 ; Kędra et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

New Progress in Basic Research of Macrophages in the Pathogenesis and Treatment of Low Back Pain

Yan

Song

Kou

et al. 2022

Front. Cell Dev. Biol.

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Low back pain (LBP) is quite common in clinical practice, which can lead to long-term bed rest or even disability. It is a worldwide health problem remains to be solved. LBP can be induced or exacerbated by abnormal structure and function of spinal tissue such as intervertebral disc (IVD), dorsal root ganglion (DRG) and muscle; IVD degeneration (IVDD) is considered as the most important among all the pathogenic factors. Inflammation, immune response, mechanical load, and hypoxia etc., can induce LBP by affecting the spinal tissue, among which inflammation and immune response are the key link. Inflammation and immune response play a double-edged sword role in LBP. As the main phagocytic cells in the body, macrophages are closely related to body homeostasis and various diseases. Recent studies have shown that macrophages are the only inflammatory cells that can penetrate the closed nucleus pulposus, expressed in various structures of the IVD, and the number is positively correlated with the degree of IVDD. Moreover, macrophages play a phagocytosis role or regulate the metabolism of DRG and muscle tissues through neuro-immune mechanism, while the imbalance of macrophages polarization will lead to more inflammatory factors to chemotaxis and aggregation, forming an “inflammatory waterfall” effect similar to “positive feedback,” which greatly aggravates LBP. Regulation of macrophages migration and polarization, inhibition of inflammation and continuous activation of immune response by molecular biological technology can markedly improve the inflammatory microenvironment, and thus effectively prevent and treat LBP. Studies on macrophages and LBP were mainly focused in the last 3–5 years, attracting more and more scholars’ attention. This paper summarizes the new research progress of macrophages in the pathogenesis and treatment of LBP, aiming to provide an important clinical prevention and treatment strategy for LBP.

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Section: Introductionmentioning

confidence: 99%

New Progress in Basic Research of Macrophages in the Pathogenesis and Treatment of Low Back Pain

Yan

Song

Kou

et al. 2022

Front. Cell Dev. Biol.

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“…Misclassifications and loss of in-depth information may also have occurred through dichotomisation of the variables. For example, both high and low physical activity levels have been associated with low back pain in previous research (Kędra et al, 2021). Through dichotomisation, a potential u-shaped relationship was not taken into account (Heneweer et al, 2009).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Sleep problems might increase the risk of pain in some body regions and subgroups, but not for musculoskeletal pain in general (Andreucci et al, 2017). For physical activity level, results from a systematic review of longitudinal and cross‐sectional studies indicated that both very high and very low activity levels were associated with low back pain in children and adolescents (Kędra et al, 2021). For alcohol consumption and future low back pain, the results from longitudinal studies are inconsistent (Hestbaek et al, 2006a; Smith et al, 2017), while there are few studies examining the association between other lifestyle behaviours in adolescence, such as diet and illicit drug use, and future musculoskeletal pain.…”

Section: Introductionmentioning

confidence: 99%

Lifestyle behaviour in adolescence and musculoskeletal pain 11 years later: The Trøndelag Health Study

Smedbråten

Grotle

Jahre

et al. 2022

European Journal of Pain

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Background There is limited knowledge on the association between lifestyle behaviour in adolescence and musculoskeletal pain in young adulthood. This study aimed to investigate whether an accumulation of adverse lifestyle behaviours in adolescents with and without musculoskeletal pain at baseline, was associated with persistent musculoskeletal pain (pain duration ≥3 consecutive months the last year) 11 years later. Methods Longitudinal data from the Trøndelag Health Study in Norway including 1824 adolescents (13–19 years old) was analysed. The outcome was persistent musculoskeletal pain (≥3 months). The number of adverse lifestyle behaviours (low physical activity level, sleep problems, insufficient fruit/vegetables consumption, smoking, frequent alcohol intoxication [drunkenness] and/or illicit drug use) were summed up to comprise an ordinal variable and analysed with 0 or 1 adverse behaviours as the reference. Multiple logistic regression analyses, stratified by individuals with and without baseline musculoskeletal pain, were conducted. The results were expressed as odds ratios (ORs) with 95% confidence intervals (CIs). Results In adolescents with musculoskeletal pain at baseline, reporting ≥ four adverse lifestyle behaviours increased the odds of persistent musculoskeletal pain (OR 2.23, 95% CI 1.36, 3.66) 11 years later. Two and three adverse behaviours were not associated with future persistent musculoskeletal pain. In adolescents without musculoskeletal pain at baseline, an accumulation of adverse lifestyle behaviours was not associated with future persistent musculoskeletal pain. Conclusion An accumulation of adverse lifestyle behaviours in adolescents with musculoskeletal pain at baseline was associated with persistent musculoskeletal pain 11 years later, but not in adolescents without musculoskeletal pain at baseline. Significance An accumulation of four or more adverse lifestyle behaviours in adolescents with musculoskeletal pain was associated with persistent musculoskeletal pain in young adulthood. In future health care of adolescents with musculoskeletal pain, lifestyle behaviours should be assessed, with emphasis on accumulation of multiple adverse lifestyle behaviours. Focusing on an accumulation of multiple adverse lifestyle behaviours, rather than each individual behaviour, might provide a potential area for future research and interventions targeting musculoskeletal pain in youth.

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“…Although this increment is low, it is significant. There have been several studies addressing back pain and the lumbar lordosis, particularly low back pain [49][50][51], but the association with thoracic spine postural angle as a predictor of back pain has been little studied, except in more severe clinical conditions such as Scheuermann's disease [52,53].…”

Section: Back Pain and Balance Parametersmentioning

confidence: 99%

Balance and Posture in Children and Adolescents: A Cross-Sectional Study

Azevedo

Ribeiro

Machado

2022

Sensors

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Balance and posture are two topics that have been extensively studied, although with some conflicting findings. Therefore, the aim of this work is to analyze the relationship between the postural angles of the spine in the sagittal plane and the stable static balance. A cross-sectional study was conducted with children and adolescents from schools in northern Portugal in 2019. An online questionnaire was used to characterize the sample and analyze back pain. Spinal postural angle assessment (pelvic, lumbar, and thoracic) was performed using the Spinal Mouse®, while stabilometry assessment was performed using Namrol® Podoprint®. Statistical significance was set as α = 0.05. The results showed that girls have better balance variables. There is a weak correlation between the anthropometric variables with stabilometry variables and the postural angles. This correlation is mostly negative, except for the thoracic spine with anthropometric variables and the lumbar spine with BMI. The results showed that postural angles of the spine are poor predictors of the stabilometric variables. Concerning back pain, increasing the postural angle of the thoracic spine increases the odds ratio of manifestation of back pain by 3%.

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Physical activity and low back pain in children and adolescents: a systematic review

Cited by 24 publications

References 41 publications

New Progress in Basic Research of Macrophages in the Pathogenesis and Treatment of Low Back Pain

New Progress in Basic Research of Macrophages in the Pathogenesis and Treatment of Low Back Pain

Lifestyle behaviour in adolescence and musculoskeletal pain 11 years later: The Trøndelag Health Study

Balance and Posture in Children and Adolescents: A Cross-Sectional Study

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