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Incidence of back pain in adolescent athletes: a prospective study

BACKGROUND: Recently, the incidence rate of back pain (BP) in adolescents has been reported at 21%. However, the development of BP in adolescent athletes is unclear. Hence, the purpose of this study was to examine the incidence of BP in young elite athletes in relation to gender and type of sport pr...

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Autores principales: Mueller, Steffen, Mueller, Juliane, Stoll, Josefine, Prieske, Olaf, Cassel, Michael, Mayer, Frank
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5142377/
https://www.ncbi.nlm.nih.gov/pubmed/27980790
http://dx.doi.org/10.1186/s13102-016-0064-7
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author Mueller, Steffen
Mueller, Juliane
Stoll, Josefine
Prieske, Olaf
Cassel, Michael
Mayer, Frank
author_facet Mueller, Steffen
Mueller, Juliane
Stoll, Josefine
Prieske, Olaf
Cassel, Michael
Mayer, Frank
author_sort Mueller, Steffen
collection PubMed
description BACKGROUND: Recently, the incidence rate of back pain (BP) in adolescents has been reported at 21%. However, the development of BP in adolescent athletes is unclear. Hence, the purpose of this study was to examine the incidence of BP in young elite athletes in relation to gender and type of sport practiced. METHODS: Subjective BP was assessed in 321 elite adolescent athletes (m/f 57%/43%; 13.2 ± 1.4 years; 163.4 ± 11.4 cm; 52.6 ± 12.6 kg; 5.0 ± 2.6 training yrs; 7.6 ± 5.3 training h/week). Initially, all athletes were free of pain. The main outcome criterion was the incidence of back pain [%] analyzed in terms of pain development from the first measurement day (M1) to the second measurement day (M2) after 2.0 ± 1.0 year. Participants were classified into athletes who developed back pain (BPD) and athletes who did not develop back pain (nBPD). BP (acute or within the last 7 days) was assessed with a 5-step face scale (face 1–2 = no pain; face 3–5 = pain). BPD included all athletes who reported faces 1 and 2 at M1 and faces 3 to 5 at M2. nBPD were all athletes who reported face 1 or 2 at both M1 and M2. Data was analyzed descriptively. Additionally, a Chi(2) test was used to analyze gender- and sport-specific differences (p = 0.05). RESULTS: Thirty-two athletes were categorized as BPD (10%). The gender difference was 5% (m/f: 12%/7%) but did not show statistical significance (p = 0.15). The incidence of BP ranged between 6 and 15% for the different sport categories. Game sports (15%) showed the highest, and explosive strength sports (6%) the lowest incidence. Anthropometrics or training characteristics did not significantly influence BPD (p = 0.14 gender to p = 0.90 sports; r(2) = 0.0825). CONCLUSIONS: BP incidence was lower in adolescent athletes compared to young non-athletes and even to the general adult population. Consequently, it can be concluded that high-performance sports do not lead to an additional increase in back pain incidence during early adolescence. Nevertheless, back pain prevention programs should be implemented into daily training routines for sport categories identified as showing high incidence rates.
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spelling pubmed-51423772016-12-15 Incidence of back pain in adolescent athletes: a prospective study Mueller, Steffen Mueller, Juliane Stoll, Josefine Prieske, Olaf Cassel, Michael Mayer, Frank BMC Sports Sci Med Rehabil Research Article BACKGROUND: Recently, the incidence rate of back pain (BP) in adolescents has been reported at 21%. However, the development of BP in adolescent athletes is unclear. Hence, the purpose of this study was to examine the incidence of BP in young elite athletes in relation to gender and type of sport practiced. METHODS: Subjective BP was assessed in 321 elite adolescent athletes (m/f 57%/43%; 13.2 ± 1.4 years; 163.4 ± 11.4 cm; 52.6 ± 12.6 kg; 5.0 ± 2.6 training yrs; 7.6 ± 5.3 training h/week). Initially, all athletes were free of pain. The main outcome criterion was the incidence of back pain [%] analyzed in terms of pain development from the first measurement day (M1) to the second measurement day (M2) after 2.0 ± 1.0 year. Participants were classified into athletes who developed back pain (BPD) and athletes who did not develop back pain (nBPD). BP (acute or within the last 7 days) was assessed with a 5-step face scale (face 1–2 = no pain; face 3–5 = pain). BPD included all athletes who reported faces 1 and 2 at M1 and faces 3 to 5 at M2. nBPD were all athletes who reported face 1 or 2 at both M1 and M2. Data was analyzed descriptively. Additionally, a Chi(2) test was used to analyze gender- and sport-specific differences (p = 0.05). RESULTS: Thirty-two athletes were categorized as BPD (10%). The gender difference was 5% (m/f: 12%/7%) but did not show statistical significance (p = 0.15). The incidence of BP ranged between 6 and 15% for the different sport categories. Game sports (15%) showed the highest, and explosive strength sports (6%) the lowest incidence. Anthropometrics or training characteristics did not significantly influence BPD (p = 0.14 gender to p = 0.90 sports; r(2) = 0.0825). CONCLUSIONS: BP incidence was lower in adolescent athletes compared to young non-athletes and even to the general adult population. Consequently, it can be concluded that high-performance sports do not lead to an additional increase in back pain incidence during early adolescence. Nevertheless, back pain prevention programs should be implemented into daily training routines for sport categories identified as showing high incidence rates. BioMed Central 2016-12-07 /pmc/articles/PMC5142377/ /pubmed/27980790 http://dx.doi.org/10.1186/s13102-016-0064-7 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Mueller, Steffen
Mueller, Juliane
Stoll, Josefine
Prieske, Olaf
Cassel, Michael
Mayer, Frank
Incidence of back pain in adolescent athletes: a prospective study
title Incidence of back pain in adolescent athletes: a prospective study
title_full Incidence of back pain in adolescent athletes: a prospective study
title_fullStr Incidence of back pain in adolescent athletes: a prospective study
title_full_unstemmed Incidence of back pain in adolescent athletes: a prospective study
title_short Incidence of back pain in adolescent athletes: a prospective study
title_sort incidence of back pain in adolescent athletes: a prospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5142377/
https://www.ncbi.nlm.nih.gov/pubmed/27980790
http://dx.doi.org/10.1186/s13102-016-0064-7
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