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Low back pain in athletes

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https://www.readbyqxmd.com/read/27904799/a-clinical-guide-to-the-assessment-and-treatment-of-breathing-pattern-disorders-in-the-physically-active-part-2-a-case-series
#1
Jena Hansen-Honeycutt, Erin B Chapman, Alan Nasypany, Russell T Baker, Jim May
INTRODUCTION: Breathing pattern disorders (BPDs) are characterized by persistent, suboptimal breathing strategies that may result in additional musculoskeletal pain and/or dysfunction. The purpose of this case series was to examine the effects of Primal Reflex Release Technique (PRRT) and breathing exercise interventions in physically active individuals that presented with a primary complaint of musculoskeletal pain, a BPD, and startle reflexes. SUBJECTS: The assessment techniques described in Part 1 of this series were used to identify three student athletes (aged 16-22) who presented with musculoskeletal pain of the low back, mid back, and knee, BPDs, and startle reflexes...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27883987/changes-in-lumbopelvic-rhythm-during-trunk-extension-in-adolescent-soccer-players
#2
Michio Tojima, Suguru Torii
Many adolescent athletes experience low back pain (LBP). Its causative factors include lower limb muscle tightness and hip-spine incoordination. Hip-spine coordination [or lumbopelvic rhythm, LPR] can be used to assess lower-limb and spine functions. We assessed the presence/absence of LBP in adolescent soccer players before and after a six-month period and divided them into four groups: no LBP both before and after the period (NBP group); LBP before but not after (PN group); LBP after but not before (NP group); and LBP both before and after (LBP group)...
November 15, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27875493/acute-lumbar-paraspinal-myonecrosis-in-football-players-with-sickle-cell-trait-a-case-series
#3
E Randy Eichner, Brock Schnebel, Scott Anderson, James R Clugston, Heath Hale, Charlie Michaudet, John M Small
We report 6 cases of a novel syndrome of acute, exertional low back pain (LBP) in football players, 5 in college and one in the National Football League (NFL). All 6 are African-Americans with sickle cell trait (SCT). The acute LBP is severe and can be disabling, and the condition can be confused with muscle strain, discogenic pain, stress fracture, or other problems in athletes. Our evidence shows that this syndrome is caused by lumbar paraspinal myonecrosis (LPSMN), which likely often contributes to the lumbar paraspinal compartment syndrome...
November 21, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27852318/sacral-stress-fracture-in-an-amateur-rugby-player-a-case-report
#4
Yasuhiro Takahashi, Takashi Kobayashi, Naohisa Miyakoshi, Eiji Abe, Toshiki Abe, Kazuma Kikuchi, Yoichi Shimada
BACKGROUND: Sacral stress fracture is an uncommon cause of back pain. The majority of previously reported cases have been in runners. The purpose of this case report was to describe a case of sacral stress fracture in an amateur rugby player. CASE PRESENTATION: A healthy 18-year-old Japanese boy who was a rugby player presented with a 3-week history of lumbago. Sagittal and axial magnetic resonance imaging failed to reveal any reason for lumbago in his lumbar region...
November 16, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27825292/long-term-clinical-outcomes-and-factors-that-predict-poor-prognosis-in-athletes-after-a-diagnosis-of-acute-spondylolysis-a-retrospective-review-with-telephone-follow-up
#5
Mitchell Selhorst, Anastasia Fischer, Kristine Graft, Reno Ravindran, Eric Peters, Richard Rodenberg, James MacDonald
Study Design Retrospective review with telephone follow-up. Background Acute spondylolytic injuries have a dramatic impact on the young athlete. Excellent short-term clinical outcomes have been observed, but not enough is known about long-term clinical outcomes. Objectives (1) To report long-term clinical outcomes for patients diagnosed with acute spondylolysis, and (2) to assess the prognostic ability of retrospective variables for long-term outcomes. Methods Patients from 2010 through 2013 were retrospectively reviewed to identify patients and to obtain demographic, baseline, and short-term outcomes...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27771737/youth-baseball-players-with-elbow-and-shoulder-pain-have-both-low-back-and-knee-pain-a-cross-sectional-study
#6
Takuya Sekiguchi, Yoshihiro Hagiwara, Haruki Momma, Masahiro Tsuchiya, Kaoru Kuroki, Kenji Kanazawa, Yutaka Yabe, Masashi Koide, Nobuyuki Itaya, Eiji Itoi, Ryoichi Nagatomi
PURPOSE: Serious arm injuries in youth baseball players have been increasing. Though a breakage in the kinetic chain could affect arm injuries, an association between arm injuries and insufficient support of the trunk and lower extremities is not well understood. The purpose of this study was to investigate the association of low back and knee pain with elbow and/or shoulder complaints among youth baseball players. METHODS: A self-administered questionnaire and document informed consent were mailed to youth athletes belonging to the Miyagi Amateur Sports Association...
October 22, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27676870/aerobic-metabolism-response-in-paraspinal-muscles-of-chronic-low-back-pain-patients-and-judo-athletes-during-an-isokinetic-trunk-extension-exercise
#7
Agathe Anthierens, Nicolas Olivier, Patrick Mucci, André Thevenon
OBJECTIVE: Low back pain is a pathology associated to a trunk extensors muscles weakness. Studies suggested that it could be associated with an inadequacy between oxygen demand and oxygen utilization by paraspinal muscles (Kell and Bhambhani, 2006). In contrast to chronic low back pain (CLBP) patients, judo athletes are characterized by a great trunk extensors muscles endurance, due to their intensive solicitation within sport practice. Our purpose was to compare aerobic metabolism in those muscles of CLBP patients with judo athletes...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676856/an-injury-prevention-program-is-able-to-reduce-the-number-of-injury-complaints-at-medium-term-in-athletics
#8
Pascal Edouard, Emmanuelle Cugy, Romain Dolin, Nicolas Morel, Kathrin Steffen
OBJECTIVE: The incidence of injuries in athletics is important, with consequences at short and long terms in sport, health, social and professional levels. It is therefore important to define strategies to reduce the incidence and severity of injuries in athletics. The objective of this study was to determine whether an injury prevention program (IPP) can reduce the occurrence and/or severity of injuries related to the practice of athletics. MATERIAL AND METHODS: The IPP has been developed, based on current scientific knowledge, targeting exercises on the most common injuries in athletics (hamstring muscle injury, Achilles and patellar tendinopathy, low back pain, ankle sprain) and selecting exercises known to treat and/or prevent these injuries (care stability, hamstrings and leg eccentric muscle strengthening, pelvis balance and stabilizing work)...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27542388/a-pain-in-the-psoas-groin-injury-in-a-collegiate-football-athlete
#9
Charlotte M H Moriarty, Robert J Baker
General medical conditions are an important part of the differential diagnosis in athletes presenting with pain or injury. A psoas abscess is a collection of pus in the iliopsoas muscle compartment and is a rare cause of hip, low back, or groin pain. Psoas abscesses may have significant morbidity and mortality, as 20% progress to septic shock. Presenting symptoms are generally nonspecific and the onset may be subacute. Clinical presentation may have features suggestive of other diagnoses, including septic hip arthritis, iliopsoas bursitis, and retrocecal appendicitis...
August 19, 2016: Sports Health
https://www.readbyqxmd.com/read/27525182/using-the-selective-functional-movement-assessment-and-regional-interdependence-theory-to-guide-treatment-of-an-athlete-with-back-pain-a-case-report
#10
Gabriella R Goshtigian, Brian T Swanson
BACKGROUND: Despite the multidirectional quality of human movement, common measurement procedures used in physical therapy examination are often uni-planar and lack the ability to assess functional complexities involved in daily activities. Currently, there is no widely accepted, validated standard to assess movement quality. The Selective Functional Movement Assessment (SFMA) is one possible system to objectively assess complex functional movements. The purpose of this case report is to illustrate the application of the SFMA as a guide to the examination, evaluation, and management of a patient with non-specific low back pain (LBP)...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27504465/kinematics-of-shooting-in-high-school-and-collegiate-lacrosse-players-with-and-without-low-back-pain
#11
Joseph G Wasser, Cong Chen, Heather K Vincent
BACKGROUND: Low back pain (LBP) and motion alterations can occur in athletes who engage in high-speed throwing motions. The relationship between LBP and shooting motion in lacrosse players is not yet known. PURPOSE: To quantify the effects of LBP on key kinematic parameters of the lacrosse shot and determine the contribution of the severity of LBP on specific kinematic parameters of the shooting motion. STUDY DESIGN: Controlled laboratory study...
July 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27428532/parameters-of-low-back-pain-chronicity-among-athletes-associations-with-physical-and-mental-stress
#12
Jahan Heidari, Tobias Mierswa, Jens Kleinert, Ida Ott, Claudia Levenig, Monika Hasenbring, Michael Kellmann
OBJECTIVE: In the general population, physical and mental stress factors are linked to chronic low back pain (LBP). The aim of the present study was to examine this association among athletes. DESIGN: Longitudinal study with a six-month interval between measurements. SETTING: Questionnaires were filled out at home, either in paper-pencil version or online. PARTICIPANTS: Eighty-two male and 57 female athletes (N = 139, MAge = 32...
September 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27387155/spect-ct-bone-scintigraphy-to-evaluate-low-back-pain-in-young-athletes-common-and-uncommon-etiologies
#13
REVIEW
M Matesan, F Behnia, M Bermo, H Vesselle
Low back pain of various etiologies is a common clinical presentation in young athletes. In this article, we discuss the utility of SPECT/CT bone scintigraphy for the evaluation of low back pain in young athletes. The spectrum of lower spine lesions caused by sports injuries and identifiable on bone scan is presented along with strategies to avoid unnecessary irradiation of young patients. Also covered are pitfalls in diagnosis due to referred-pain phenomenon and normal skeletal variants specific to this age group...
July 7, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27367529/back-pain-and-mri-changes-in-the-thoraco-lumbar-spine-of-young%C3%A2-elite-mogul-skiers
#14
O Thoreson, P Kovac, A Swärd, C Agnvall, C Todd, A Baranto
Athletes have a higher prevalence of LBP and spinal abnormalities on Magnetic Resonance Imaging (MRI) compared to non-athletes. The objective of this study was to investigate the amount of spinal MRI abnormalities and the lifetime prevalence of low back pain (LBP) in 16 young elite Mogul skiers compared to 28 non-athletes in the corresponding age in a cross-sectional design. LBP was assessed by a questionnaire consisting of a part regarding previous or present back pain, the Oswestry disability index, and the EuroQol questionnaire...
July 1, 2016: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/27348449/effects-of-volitional-spine-stabilization-and-lower-extremity-fatigue-on-knee-and-ankle-during-landing-performance-in-a-recurrent-low-back-pain-population
#15
Ram Haddas, Steven F Sawyer, Phillip S Sizer, Toby Brooks, Ming-Chien Chyu, C Roger James
INTRODUCTION: Recurrent LBP (rLBP) and neuromuscular fatigue are independently thought to increase the risk of lower extremity (LE) injury. Volitional preemptive abdominal contraction (VPAC) is thought to improve lumbar spine and pelvis control in individuals with rLBP. The effects of VPAC on fatigued landing performance in individuals with rLBP are unknown. OBJECTIVES: To determine the effects of VPAC and LE fatigue on landing performance in a rLBP population. DESIGN: Cross-sectional pretest-posttest cohort control design...
June 27, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27326963/etiology-of-adult-onset-stress-fracture-in-the-lumbar-spine
#16
Fumitake Tezuka, Koichi Sairyo, Toshinori Sakai, Akira Dezawa
STUDY DESIGN: Case series. OBJECTIVE: The purpose of this paper is to present a case series of fresh stress fractures (spondylolysis) in the lumbar spines of adult athletes. SUMMARY OF BACKGROUND DATA: Lumbar spondylolysis is a stress fracture of the pars interarticularis, which is generally considered a disease of children or adolescence. There is only one case series written in English reporting on adult-onset fresh spondylolysis. METHODS: Eleven patients aged 20-27 years are included in this case series...
June 20, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27317501/diagnostic-utility-of-patient-history-and-physical-examination-data-to-detect-spondylolysis-and-spondylolisthesis-in-athletes-with-low-back-pain-a-systematic-review
#17
REVIEW
Linn Helen J Grødahl, Louise Fawcett, Madeleine Nazareth, Richard Smith, Simon Spencer, Nicola Heneghan, Alison Rushton
BACKGROUND: In adolescent athletes, low back pain has a 1-year prevalence of 57% and causes include spondylolysis and spondylolisthesis. An accurate diagnosis enables healing, prevention of progression and return to sport. OBJECTIVE: To evaluate the diagnostic utility of patient history and physical examination data to identify spondylolysis and/or spondylolisthesis in athletes. DESIGN: Systematic review was undertaken according to published guidelines, and reported in line with PRISMA...
August 2016: Manual Therapy
https://www.readbyqxmd.com/read/27294387/the-role-of-intense-athletic-activity-on-structural-lumbar-abnormalities-in-adolescent-patients-with-symptomatic-low-back-pain
#18
Gregory D Schroeder, Cynthia R LaBella, Marco Mendoza, Erika L Daley, Jason W Savage, Alpesh A Patel, Wellington K Hsu
PURPOSE: To determine if adolescent athletics increases the risk of structural abnormalities in the lumbar spine. METHODS: A retrospective review of patients (ages 10-18) between 2004 and 2012 was performed. Pediatric patients with symptomatic low back pain, a lumbar spine MRI, and reported weekly athletic activity were included. Patients were stratified to an "athlete" and "non-athlete" group. Lumbar magnetic resonance and plain radiographic imaging was randomized, blinded, and evaluated by two authors for a Pfirrmann grade, herniated disc, and/or pars fracture...
September 2016: European Spine Journal
https://www.readbyqxmd.com/read/27274420/association-between-rowing-injuries-and-the-functional-movement-screen%C3%A2-in-female-collegiate-division-i-rowers
#19
Helen Clay, Jamie Mansell, Ryan Tierney
BACKGROUND: 48 percent of rowing injuries are due to overuse and occur more often in females. The Functional Movement Screen™ (FMS) is a screening tool utilized to identify the risk of musculoskeletal injury in field sport athletes based on movement patterns. It has not been used to identify risk of injury in rowing. OBJECTIVES: The purpose of this study was to determine if the scores on the FMS™ are predictors of incidence of all injuries, including low back pain (LBP) in female collegiate rowers during one season of rowing...
June 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27274419/the-relationship-between-core-endurance-and-back-dysfunction-in-collegiate-male-athletes-with-and-without-nonspecific-low-back-pain
#20
Osama Ragaa Abdelraouf, Amr Almaz Abdel-Aziem
BACKGROUND: Physical activity and sports can be associated with low back pain. However, little is known about the relationship between core stability and nonspecific low back pain (LBP) among athletes. PURPOSE: The purpose of this study was to investigate the relationship between core endurance and back dysfunction in collegiate male athletes with and without nonspecific LBP. METHODS: Fifty-five male collegiate athletes from a variety of sports were recruited for this study...
June 2016: International Journal of Sports Physical Therapy
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