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Low back pain in athletes

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
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
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
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
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
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
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...
2016: Journal of Orthopaedic Surgery and Research
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
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
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
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
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
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
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
Omenaa Boakye, Arden Birney, Esther Suter, Leah Adeline Phillips, Victoria Ym Suen
PURPOSE: This study explored which health care providers could be involved in centralized intake for patients with nonspecific low back pain to enhance access, continuity, and appropriateness of care. METHODS: We reviewed the scope of practice regulations for a range of health care providers. We also conducted telephone interviews with 17 individuals representing ten provincial colleges and regulatory bodies to further understand providers' legislated scopes of practice...
2016: Journal of Multidisciplinary Healthcare
Kevin J Lawrence, Tim Elser, Ryan Stromberg
INTRODUCTION: Spondylolysis is a common occurrence for adolescent athletes who have low back pain. The injury involves a defect in the pars interarticularis, occurring as a result of repeated hyperextension and rotation. CLINICAL PRESENTATION: Clinical findings might include tightness of the hip flexors and hamstrings, weakness of the abdominals and gluteals, and an excessive lordotic posture. The validity of several clinical tests were compared alongside magnetic resonance imaging, but were not able to distinguish spondylolysis from other causes of low back pain...
July 2016: Physical Therapy in Sport
Barton E Anderson, Kellie C Huxel Bliven
Research has demonstrated a relationship between poor core stability and back pain, with noted decreases in core muscle activity and spinal stabilization in those suffering from both acute and chronic conditions. This relationship has also led to studies examining differences in breathing patterns between persons with and without low back pain. Several authors have reported altered breathing patterns in persons with chronic, non-specific low back pain, including differences in lung capacity and diaphragm mechanics...
May 2, 2016: Journal of Sport Rehabilitation
Matthew J Goldstein, James Bruffey, Robert K Eastlack
STUDY DESIGN: Case report OBJECTIVE.: To report a case of direct pars osteosynthesis using computed topography (CT) navigation, image guided cortically-placed screws with curvilinear subspinous modular link. SUMMARY OFBACKGROUND DATA: Spondylolysis fracture is commonly encountered in athletes who subject their spines to repetitive hyperextension stress. Initial treatment is non-operative, consisting of rest, activity modification, physical therapy, and/or bracing...
April 19, 2016: Spine
Akihiro Nitta, Toshinori Sakai, Yuichiro Goda, Yoichiro Takata, Kosaku Higashino, Tadanori Sakamaki, Koichi Sairyo
Lumbar spondylolysis, a stress fracture of the pars interarticularis, is prevalent in adolescent athletes. Recent advances in diagnostic tools and techniques enable early diagnosis before these fractures progress to complete fractures through the pars. However, because patients often consult family physicians for primary care of low back pain and these physicians may not have access to diagnostic modalities such as magnetic resonance imaging (MRI) and computed tomography, stress fractures can be missed. This study surveyed the prevalence of symptomatic spondylolysis in pediatric patients who consulted an orthopedic clinic for primary care and investigated whether such acute stress fractures may be overlooked without MRI...
May 1, 2016: Orthopedics
Kazuta Yamashita, Kosaku Higashino, Toshinori Sakai, Yoichiro Takata, Mitsunobu Abe, Masatoshi Morimoto, Akihiro Nagamachi, Koichi Sairyo
Percutaneous endoscopic discectomy (PED) is a minimally invasive spinal technique and has several advantages compared with open surgery. We describe repeat PED surgery for recurrent herniated nucleus pulposus (HNP). The patient was a 33-year-old handball high level player. Previously, he underwent transforaminal PED under local anesthesia for intracanalicular HNP at L4-5 level about 2 years ago. He could return to his original competitive level. Two years later, he felt low back and right leg pain again when he was playing handball...
2016: Journal of Medical Investigation: JMI
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