Prevalence and proposed mechanisms of chronic low back pain in baseball: part i

Wasser, Joseph G.; Zaremski, Jason L.; Herman, Daniel C.; Vincent, Heather K.

doi:10.1080/15438627.2017.1282361

Cited by 23 publications

(30 citation statements)

References 52 publications

(79 reference statements)

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“…74 Failure to address the trunk and core may place the athlete at risk for decreased performance and increased shear forces through the glenohumeral joint (eg, capsule and labrum) and rotator cuff. 75 Training and rehabilitation programs should focus on addressing transverse-plane strengthening. Suitable exercises include land-mine rotations, diagonal D2 flexion-extension exercises, proprioceptive neuromuscular facilitation single-legged deadlifts, and acceleration-deceleration medicine ball catches.…”

Section: Trunk and Lumbar Spinementioning

confidence: 99%

Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review

Zaremski

Zeppieri

Tripp

2019

Journal of Athletic Training

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A significant number of adolescent athletes throughout the world participate in various throwing-dominant sports, including but not limited to baseball, cricket, handball, softball, track and field throwing events, and water polo. Due to the unique stresses placed on the throwing arm and entire body in these sports, a robust volume of literature has highlighted concerns about sport specialization in these athletes and an associated increased risk of injury, particularly to the dominant shoulder and elbow, with sport specialization. This review will highlight the evidence-based literature for this athletic niche, focusing on risk factors for injury, national and international organizations' recommendations for limiting overuse injuries, principles of conditioning and rehabilitative programs, and potential future areas of research to curb the growing incidence of throwing-related injuries among adolescent throwing athletes.

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Section: Trunk and Lumbar Spinementioning

confidence: 99%

Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review

Zaremski

Zeppieri

Tripp

2019

Journal of Athletic Training

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“…Twenty-one papers included a detailed description of the physical examination performed for specific stress fractures [ 8 , 14 , 46 , 52 , 56 , 65 , 68 , 77 , 78 , 83 , 85 , 87 , 91 , 98 , 101 , 107 , 118 , 119 , 120 , 126 , 217 ]. They recall the highly suggesting role of the patient’s history and symptom description, and the confirmatory role of physical examination.…”

Section: Resultsmentioning

confidence: 99%

Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques

Bustos

Belluscio

Camomilla

et al. 2021

Sensors

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Overuse-related musculoskeletal injuries mostly affect athletes, especially if involved in preseason conditioning, and military populations; they may also occur, however, when pathological or biological conditions render the musculoskeletal system inadequate to cope with a mechanical load, even if moderate. Within the MOVIDA (Motor function and Vitamin D: toolkit for risk Assessment and prediction) Project, funded by the Italian Ministry of Defence, a systematic review of the literature was conducted to support the development of a transportable toolkit (instrumentation, protocols and reference/risk thresholds) to help characterize the risk of overuse-related musculoskeletal injury. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach was used to analyze Review papers indexed in PubMed and published in the period 2010 to 2020. The search focused on stress (overuse) fracture or injuries, and muscle fatigue in the lower limbs in association with functional (biomechanical) or biological biomarkers. A total of 225 Review papers were retrieved: 115 were found eligible for full text analysis and led to another 141 research papers derived from a second-level search. A total of 183 papers were finally chosen for analysis: 74 were classified as introductory to the topics, 109 were analyzed in depth. Qualitative and, wherever possible, quantitative syntheses were carried out with respect to the literature review process and quality, injury epidemiology (type and location of injuries, and investigated populations), risk factors, assessment techniques and assessment protocols.

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“…8,9,12,22 On the other hand, even in adolescents, low back pain is the musculoskeletal pain that has been linked to psychological stress factors for the longest period of time. 11,29 Psychological stress responses from low back pain might thus affect baseball performance, 27,28 and both directions of causal relationship between low back pain and psychological stress responses might exist. That is, psychological stress can cause attentional changes, distraction, and increased self-consciousness, all of which can interfere with performance and predispose the athlete to injury.…”

Section: Discussionmentioning

confidence: 99%

Association Between Musculoskeletal Pain and Psychological Stress Responses in High School Baseball Players: A Cross-sectional Study

Kato

Otoshi

Tominaga

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Musculoskeletal pain could represent a psychological stressor in adolescent athletes. However, few epidemiological studies have investigated this association. Purpose: To assess the relationship between musculoskeletal pain (shoulder, elbow, wrist, and low back) and psychological stress responses in high school baseball players. Study Design: Cross-sectional study. Methods: Participants comprised male Japanese high school baseball players who had completed a questionnaire as part of their annual medical evaluation in 2016. Experiences of shoulder, elbow, wrist, and low back pain during the previous season were investigated. Pain severity was graded as 1 (mild, playing without interference), 2 (moderate, playing with interference), or 3 (severe, could not play because of pain). The Stress Response Scale–18 was used to measure stress response: low, medium, rather high, and high. Prevalence rates of shoulder, elbow, wrist, and low back pain and their association with psychological stress responses were investigated using univariate and multivariable analyses. Results: A total of 944 players (223 pitchers and 721 fielders) were included in this study. Their mean age was 16.1 ± 0.6 years, and 66% were high school juniors, while 33.6% were seniors. In pitchers, the prevalence rates during the previous year of severe (grade 3) interference with playing because of elbow, shoulder, wrist, and low back pain were 21.5% (n = 48), 19.3% (n = 43), 3.6% (n = 8), and 18.4% (n = 41), respectively, whereas in fielders, the respective prevalence rates were 17.1% (n = 123), 17.9% (n = 129), 6.7% (n = 48), and 19.3% (n = 139). After adjusting for confounding factors (playing on a top-performing team, high school grade level, and all other sites of musculoskeletal pain), the authors found significant associations in pitchers between severe experiences of elbow pain and low back pain and medium to high psychological stress responses (odds ratio, 2.64 [95% CI, 1.32-5.39], P = .006 and odds ratio, 2.32 [95% CI, 1.12-4.89], P = .024, respectively). No significant associations were seen between musculoskeletal pain and psychological stress responses in fielders. Conclusion: In the current study, elbow and low back pain were associated with stronger psychological stress responses compared with other musculoskeletal pain in high school baseball pitchers.

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Prevalence and proposed mechanisms of chronic low back pain in baseball: part i

Cited by 23 publications

References 52 publications

Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review

Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review

Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques

Association Between Musculoskeletal Pain and Psychological Stress Responses in High School Baseball Players: A Cross-sectional Study

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