The Long-Term Effects of Physical Loading and Exercise Lifestyles on Back-Related Symptoms, Disability, and Spinal Pathology Among Men

Videman, Tapio; Sarna, Seppo; Battié, Michele C.; Koskinen, Seppo; Gill, Kevin; Paananen, Heli; Gibbons, Laura E.

doi:10.1097/00007632-199503150-00011

Cited by 246 publications

(171 citation statements)

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“…Published rates of low back pain (LBP) in athletes have been reported to range from 1 to 30% depending on gender, type, frequency, intensity of athletic activity and technique during athletic performance [2,21,23,50,55].…”

Section: Discussionmentioning

confidence: 99%

Total lumbar disc replacement in athletes: clinical results, return to sport and athletic performance

Siepe¹,

Wiechert²,

Khattab

et al. 2007

Eur Spine J

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Despite the increasing popularity of total lumbar disc replacement (TDR) in predominantly young and active patients, no previous study has addressed possibilities, limitations and potential risks regarding athletic performance following TDR. Mechanical concerns remain and the implant's resilience as regards its load-bearing capacity during sporting activities is unknown. Thirty-nine athletic patients fulfilled the inclusion criteria for this study. These patients participated in a large variety of different types of sport. Significant and lasting pain-relief was attained following TDR with a mean follow-up of 26.3 months (range 9-50.7 months; FU rate 97.4%). Sporting activity was resumed within the first 3 months (38.5%) to 6 months (30.7%) with peak performance being reached after 5.2 months. Thirty-seven patients (94.9%) achieved resumption of sporting activity. Athletic performance improved significantly in 33 patients (84.6%). Minor subsidence was observed in 13 patients (30%) within the first 3 months with no further implant migration thereafter in 12 patients. Participation in all types of sport recorded in this study was accessible for a high rate of patients up to the level of professional athletes as well as those participating in extreme sports. Preoperative participation in sport proved to be a strong positive predictor for highly satisfactory postoperative outcome following TDR. In a selected group of patients, however, preoperative inability to participate in sporting activities did not impair postoperative physical activity. Due to the young age of the patients and significant load increase exerted during athletic activities, persisting concerns regarding the future behaviour of the implant remain and will require longer follow-up, modified investigation techniques and larger patient cohorts.

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Section: Discussionmentioning

confidence: 99%

Total lumbar disc replacement in athletes: clinical results, return to sport and athletic performance

Siepe¹,

Wiechert²,

Khattab

et al. 2007

Eur Spine J

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“…Experience (unpublished observations; R. Sovelius) has been that applicants who are weightlifters or ice-hockey players typically perform better on these tests. Weightlifters typically show more degenerative IVD changes [47]. It could be that persons selected for astronaut training, due to Fig.…”

Section: Cumulative Injury To the Ivd Prior To Spaceflightmentioning

confidence: 99%

Disc herniations in astronauts: What causes them, and what does it tell us about herniation on earth?

et al. 2015

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Purpose Recent work showed an increased risk of cervical and lumbar intervertebral disc (IVD) herniations in astronauts. The European Space Agency asked the authors to advise on the underlying pathophysiology of this increased risk, to identify predisposing factors and possible interventions and to suggest research priorities. Methods The authors performed a narrative literature review of the possible mechanisms, and conducted a survey within the team to prioritize research and prevention approaches.Results and conclusions Based on literature review the most likely cause for lumbar IVD herniations was concluded to be swelling of the IVD in the unloaded condition during spaceflight. For the cervical IVDs, the knowledge base is too limited to postulate a likely mechanism or recommend approaches for prevention. Basic research on the impact of (un)loading on the cervical IVD and translational research is needed. The highest priority prevention approach for the lumbar spine was post-flight care avoiding activities involving spinal flexion, followed by passive

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“…Twenty-seven studies met the inclusion criteria . On the basis of a screening of the references of the articles on these studies and recent reviews (9, l l ) , an additional 9 studies were included (94)(95)(96)(97)(98)(99)(100)(101)(102)(103)(104). The selection of studies for inclusion, from a random sample (N=100) of the papers identified in Medline by the second reviewer, led to an initial 2% disagreement.…”

Section: Selectionmentioning

confidence: 99%

“…Four studies determined the effect of participation in specific sports, namely, golf (49), cycling (96) and athletic training (55,103). No evidence was found that any of these were risk factors because either there was only 1 study available (49,96) or the findings were inconsistent (55,103).…”

Section: Specific Sports and Physical Activities During Leisure Timementioning

confidence: 99%

See 1 more Smart Citation

Physical load during work and leisure time as risk factors for back pain

Hoogendoorn

Poppel²,

Bongers³

et al. 1999

Scand J Work Environ Health

473

268

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This systematic review assessed aspects of physical load during work and leisure time as risk factors for back pain. Several reviews on this topic are available, but this one is based on a strict systematic approach to identify and summarize the evidence, comparable with that applied in the clinical literature on the efficacy of intervention for back pain. A computerized bibliographical search was made of several data bases for studies with a cohort or casereferent design. Cross-sectional studies were excluded. A rating system was used to assess the strength of the evidence, based on the methodological quality of 28 cohort and 3 case-referent studies and the consistency of the findings. Strong evidence exists for manual materials handling, bending and twisting, and whole-body vibration as risk factors for back pain. The evidence was moderate for patient handling and heavy physical work, and no evidence was found for standing or walking, sitting, sports, and total leisure-time physical activity.

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The Long-Term Effects of Physical Loading and Exercise Lifestyles on Back-Related Symptoms, Disability, and Spinal Pathology Among Men

Cited by 246 publications

References 0 publications

Total lumbar disc replacement in athletes: clinical results, return to sport and athletic performance

Total lumbar disc replacement in athletes: clinical results, return to sport and athletic performance

Disc herniations in astronauts: What causes them, and what does it tell us about herniation on earth?

Physical load during work and leisure time as risk factors for back pain

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