The role of intense athletic activity on structural lumbar abnormalities in adolescent patients with symptomatic low back pain

Schroeder, Gregory D.; LaBella, Cynthia R.; Mendoza, Marco; Daley, Erika; Savage, Jason W.; Patel, Alpesh A.; Hsu, Wellington K.

doi:10.1007/s00586-016-4647-5

Cited by 23 publications

(17 citation statements)

References 31 publications

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“…Furthermore, the older players sustained four to five times as many lower back problems. Low back pain has been reported to be common in other youth team sports as well,44 and in a growing athlete it is related to a high prevalence of structural pathology, such as spondylolysis 45…”

Section: Discussionmentioning

confidence: 99%

Overuse injuries are prevalent in children’s competitive football: a prospective study using the OSTRC Overuse Injury Questionnaire

Leppänen

Pasanen²,

Clarsen

et al. 2018

Br J Sports Med

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Section: Discussionmentioning

confidence: 99%

Overuse injuries are prevalent in children’s competitive football: a prospective study using the OSTRC Overuse Injury Questionnaire

Leppänen

Pasanen²,

Clarsen

et al. 2018

Br J Sports Med

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“…Low back problems in young athletes are a special concern, because during the growth spurt, in particular, the immature skeleton is vulnerable to excessive loading [26]. Young athletes with low back pain have a high prevalence of structural pathology, such as spondylolysis, compared with their non-athletic counterparts [49]. Low back problems, especially those affecting the intervertebral disks, apophyses or end plates, may lead to degenerative changes [4,27,41].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Overuse Injuries in Youth Team Sports: A 3-year Prospective Study

et al. 2017

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Prospective studies on overuse injuries and their impact on athletic training among youth team sports are scarce. The purpose of this study was to investigate the incidence, severity and player related risk factors of overuse injuries among young (12-20 years) basketball and floorball players. A total of 387 players participated in a 3-year prospective study. Each player completed a baseline questionnaire regarding their background information. Overuse injuries that prevented players to fully or partly participate in their regular training were collected. In all, 204 overuse injuries were registered (injury incidence 1.51 injuries/1 000 h of exposure; 95% CI 1.35-1.78). Most of the injuries involved the knee (35%) and lower back (21%), and were classified as severe (44%). Injury incidence was 1.51 (95% CI 1.2-1.82) and 1.61 (95% CI 1.32-1.91) in basketball and floorball, respectively. Incidence was significantly higher among female compared with male players (incidence rate ratio 1.58; 95% CI 1.20-2.09). Previous injury and playing at adult level were the strongest factors associated with occurrence of an overuse injury. In conclusion, overuse injuries of the knee and low back are relatively common in youth basketball and floorball. Effective prevention strategies as well as training load monitoring is needed in youth team sports.

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“…[ 22 , 23 ] Furthermore, a higher prevalence of structural abnormalities was reported in adolescent athletes compared to adolescent non-athletes, whereas an association to disc degeneration was not found. [ 24 ] Disc degeneration grades in our study population were equally distributed in the two investigated groups. On the contrary, Modic changes were less in the sports group.…”

Section: Discussionmentioning

confidence: 99%

Preoperative sport improves the outcome of lumbar disc surgery: a prospective monocentric cohort study

et al. 2017

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A lumbar disc herniation resulting in surgery may be an incisive event in a patient’s everyday life. The patient’s recovery after sequestrectomy may be influenced by several factors. There is evidence that regular physical activity can lower pain perception and improve the outcome after surgery. For this purpose, we hypothesized that patients performing regular sports prior to lumbar disc surgery might have less pain perception and disability thereafter. Fifty-two participants with a single lumbar disc herniation confirmed on MRI treated by a lumbar sequestrectomy were included in the trial. They were categorized into two groups based on their self-reported level of physical activity prior to surgery: group NS, no regular physical activity and group S, with regular physical activity. Further evaluation included a detailed medical history, a physical examination, and various questionnaires: Visual Analog Scale (VAS), Beck-Depression-Inventory (BDI), Oswestry Disability Index (ODI), Core Outcome Measure Index (COMI), and the EuroQoL-5Dimension (EQ- 5D). Surgery had an excellent overall improvement of pain and disability (p < 0.005). The ODI, COMI, and EQ-5D differed 6 months after intervention (p < 0.05) favoring the sports group. Leg and back pain on VAS was also significantly less in group B than in group A, 12 months after surgery (p < 0.05). Preoperative regular physical activity is an important influencing factor for the overall satisfaction and disability after lumbar disc surgery. The importance of sports may have been underestimated for surgical outcomes.

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The role of intense athletic activity on structural lumbar abnormalities in adolescent patients with symptomatic low back pain

Cited by 23 publications

References 31 publications

Overuse injuries are prevalent in children’s competitive football: a prospective study using the OSTRC Overuse Injury Questionnaire

Overuse injuries are prevalent in children’s competitive football: a prospective study using the OSTRC Overuse Injury Questionnaire

Epidemiology of Overuse Injuries in Youth Team Sports: A 3-year Prospective Study

Preoperative sport improves the outcome of lumbar disc surgery: a prospective monocentric cohort study

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