Physical fitness, rather than self-reported physical activities, is more strongly associated with low back pain: evidence from a working population

Heneweer, Hans; Picavet, H. Susan J.; Staes, Filip; Kiers, Henri; Vanhees, Luc

doi:10.1007/s00586-011-2097-7

Cited by 73 publications

(61 citation statements)

References 40 publications

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“…In addition, the total volume of LTPA did not predict hospitalization due to back disorders in the current study cohort [6]. A recent cross-sectional study among police employees [9] found differences between the associations of the volume and intensity of physical activity with LBP. Persons with high metabolic equivalent hours of high intensity physical activity had a lower risk (albeit statistically non-significantly) for functionally limiting LBP compared to those with some metabolic equivalent hours, although the overall volume of activity increased the risk.…”

Section: Discussioncontrasting

confidence: 63%

Does strenuous leisure time physical activity prevent severe back disorders leading to hospitalization?

et al. 2013

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Study design Prospective cohort study. Objective To study the associations between strenuous leisure time physical activity (LTPA) and subsequent hospitalization due to back disorders. Summary of background data Socioeconomic and lifestyle factors are associated with back-related hospitalization, but the significance of strenuous LTPA in the working population is unclear. Methods The cohort (n = 902) was drawn from among employees in the metal industry (n = 2,653). Data were collected by a questionnaire and a structured interview on LTPA. Activity regarding strenuous ([500 kcal/h) LTPA was categorized as none, some, and high. Information from national registers on hospitalizations and deaths during 28 years of follow-up was linked to the data. Cox proportional hazards regression was used. Results Subjects with a high level of strenuous LTPA had a decreased risk of hospitalization due to back disorders (hazard ratio 0.40; 95 % CI 0.21-0.79) compared with persons with no strenuous activity, after adjustment for age and gender. The association persisted (0.48; 0.24-0.96) when further adjusted for occupational class, self-reported back diseases, smoking, and body mass index at baseline.Conclusion Strenuous LTPA decreased the risk of inpatient hospital care for back disorders among industrial employees.

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Section: Discussioncontrasting

confidence: 63%

Does strenuous leisure time physical activity prevent severe back disorders leading to hospitalization?

et al. 2013

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“…Physical activity has also been recommended as a form of rehabilitation for and in the prevention of low back pain [9]. Other studies determined that a high level of physical fitness is related to a decreased incidence of spine-related pain [10].…”

Section: Discussionmentioning

confidence: 99%

Body posture in young women involved in regular aerobic exercise

Drzał–Grabiec¹,

Truszczyńska²

2018

Hum Mov.

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Purpose. The aim of the study was an assessment of posture in women who regularly perform aerobic exercise. Methods. The study group consisted of 50 women actively participating in aerobics classes (mean: age 28.64 ± 5.3 years, body mass 59.83 ± 6.7 kg, height 167.75 ± 4.9 cm, bMI 21.24 ± 3.6 m/kg 2 ) and a control group of 50 women not involved in any regular physical activity (mean: age 28.55 ± 5.05 years, body mass 62.47 ± 10.5 kg, height 167.74 ± 4.8 cm, bMI 22.26 ± 4.8 m/kg 2 ). All participants were subjected to a photogrammetric assessment of posture. Results. statistically significant differences in posture were identified between the two groups for lumbarosacral and thoracolumbar spinal curvatures. Conclusions. Women who regularly perform aerobic exercise present greater thoracic kyphosis and shoulder asymmetry than women not involved in aerobics.

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“…This could be due to the fact that different individual spine curves require different individual stabilizing musculature [49][50][51][52][53][54].…”

Section: Compensationmentioning

confidence: 95%

A conceptual model of compensation/decompensation in lumbar segmental instability

Barz¹,

Melloh²,

Lord³

et al. 2014

Medical Hypotheses

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Lumbar spinal instability (LSI) is a common spinal disorder and can be associated with substantial disability. The concept of defining clinically relevant classifications of disease or 'target condition' is used in diagnostic research. Applying this concept to LSI we hypothesize that a set of clinical and radiological criteria can be developed to identify patients with this target condition who are at high risk of 'irreversible' decompensated LSI for whom surgery becomes the treatment of choice. In LSI, structural deterioration of the lumbar disc initiates a degenerative cascade of segmental instability. Over time, radiographic signs become visible: traction spurs, facet joint degeneration, misalignment, stenosis, olisthesis and de novo scoliosis. Ligaments, joint capsules, local and distant musculature are the functional elements of the lumbar motion segment. Influenced by non-functional factors, these functional elements allow a compensation of degeneration of the motion segment. Compensation may happen on each step of the degenerative cascade but cannot reverse it. However, compensation of LSI may lead to an alleviation or resolution of clinical symptoms. In return, the target condition of decompensation of LSI may cause the new occurrence of symptoms and pain. Functional compensation and decompensation are subject to numerous factors that can change which makes estimation of an individual's long-term prognosis difficult. Compensation and decompensation may influence radiographic signs of degeneration, e.g. the degree of misalignment and segmental angulation caused by LSI is influenced by the tonus of the local musculature. This conceptual model of compensation/decompensation may help solve the debate on functional and psychosocial factors that influence low back pain and to establish a new definition of non-specific low back pain. Individual differences of identical structural disorders could be explained by compensated or decompensated LSI leading to changes in clinical symptoms and pain. Future spine surgery will have to carefully define and measure functional aspects of LSI, e.g. to identify a point of no return where multidisciplinary interventions do not allow a re-compensation and surgery becomes the treatment of choice.

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Physical fitness, rather than self-reported physical activities, is more strongly associated with low back pain: evidence from a working population

Cited by 73 publications

References 40 publications

Does strenuous leisure time physical activity prevent severe back disorders leading to hospitalization?

Does strenuous leisure time physical activity prevent severe back disorders leading to hospitalization?

Body posture in young women involved in regular aerobic exercise

A conceptual model of compensation/decompensation in lumbar segmental instability

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