Back Pain in Youth – Occurrence and Risk Factors
Research shows that a majority of people will experience back pain (BP) during their lifetime. Low back pain (LBP) in youth has a tendency of increasing the odds for LBP in adulthood, and it is commonly concurrent with other musculoskeletal (MSK) complaints, but also other factors such as sleep problems, reduction of physical activity and school absenteeism. Some studies have suggested that youth taking part in sports are at increased risk for LBP. Therefore, the main objective of this thesis was to investigate the prevalence of BP in youth and explore the association between LBP incidence and plausible risk factors in youth basketball and floorball players.
The prevalence of back pain (BP) was first investigated in youth based on their participation in organized sports club activities. Twenty-four percent of boys and 35% of girls reported BP. BP was associated with other musculoskeletal complaints. In boys, being a sports club member the odds for LBP were increased compared to non-members. On the other hand, frequent neck and shoulder pain (NSP) was less common among sports club members than it was among non-members.
In addition, BP prevalence, incidence and risk factors for LBP were investigated in youth basketball and floorball players using a prospective design. At the beginning of every study year, the players participated in baseline tests that measured muscle strength and flexibility, general joint hypermobility, ground reaction force (GRF) during vertical drop jump and movement control during movement tests. During the follow-up of one to three years, individual training and game hours and back pain resulting in at least 24-hour time-loss were recorded.
We found that, LBP was common among young team sport players: 45% and 64% of basketball and floorball players reported having experienced LBP, respectively. The onset of the symptoms seemed to be mostly gradual without any identifiable trauma and LBP was most prevalent during the playing season. The longitudinal analysis revealed that 13% of the players reported time-loss LBP during the follow-up with median time-loss of 14 days. The incidence of BP was 0.4 per 1,000 hours of training and games. In the risk factor analyses, we found an association between hip-pelvic control during single-leg vertical drop landing and LBP. We did not observe a similar association in standing knee lift test and hip-pelvic control. No associations were found between LBP and impact force of landing, lower extremity maximal strength nor flexibility or hypermobility.
LBP is a common complaint among youth and youth athletes and is concomitant with other MSK complaints. LBP hampers sports participation in youth athletes. Decreased hip-pelvic control in single-leg landing task was associated with increased risk for LBP incidence in youth floorball and basketball players. In the future, the association between movement and position control and LBP incidence in youth athletes should be investigated further using prospective and intervention designs.
...
Publisher
Jyväskylän yliopistoISBN
978-951-39-8184-6ISSN Search the Publication Forum
2489-9003Contains publications
- Artikkeli I: Rossi M, Pasanen K, Kokko S, Alanko L, Heinonen OJ, Korpelainen R, Savonen K, Selänne H, Vasankari T, Kannas L, Kujala U, Villberg J, Parkkari J. (2016). Low back and neck and shoulder pain in members and non-members of adolescents’ sports clubs: the Finnish Health Promoting Sports Club (FHPSC) study. BMC Musculoskeletal Disorders 17:263 DOI: 10.1186/s12891-016-1114-8
- Artikkeli II: Pasanen, K., Rossi, M., Parkkari, J., Kannus, P., Heinonen, A., Tokola, K., & Myklebust, G. (2016). Low Back Pain in Young Basketball and Floorball Players. Clinical Journal of Sport Medicine, 26 (5), 376-380. DOI: 10.1097/JSM.0000000000000263
- Artikkeli III: Rossi, M., Pasanen, K., Heinonen, A., Myklebust, G., Kannus, P., Kujala, U., . . . , & Parkkari, J. (2018). Incidence and risk factors for back pain in young floorball and basketball players : A prospective study. Scandinavian Journal of Medicine and Science in Sports, 28 (11), 2407-2415. DOI: 10.1111/sms.13237
- Artikkeli IV: Rossi MK, Pasanen K, Heinonen A, Äyrämö S, Räisänen AM, Leppänen M, Myklebust G, Vasankari T, Kannus P, Parkkari J. (2020). Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players. BMC Musculoskeletal Disorders 21: 350. DOI: 10.1186/s12891-020-03376-1
- Artikkeli V: Rossi MK, Pasanen K, Heinonen A, Äyrämö S, Leppänen M, Mykle-bust G, Vasankari T, Kannus P, Parkkari J. Standing knee lift test is not a useful screening tool for time-loss LBP in youth basketball and floorball players. Submitted.
Keywords
selkä kipu riskitekijät esiintyvyys nuoret koripallo salibandy urheilijat tuki- ja liikuntaelinten taudit selkäsairaudet urheiluvammat epidemiologia liikuntaharrastus urheilu koordinaatio (motoriikka) liikuntafysiologia alaselkä spinal diseases back pain youth athlete sports injury epidemiology risk factors sports participation young athletes nuoret urheilijat back pain sports injuries young people
Metadata
Show full item recordCollections
- JYU Dissertations [844]
- Väitöskirjat [3559]
License
Related items
Showing items with similar title or keywords.
-
Prevention of injuries among youth team sports : the role of decreased movement control as a risk factor
Leppänen, Mari (University of Jyväskylä, 2017)Good movement control is essential in team sports that require fast-paced running, pivoting, jumping and landing. Alterations in dynamic neuromuscular control may cause significant stress on the musculoskeletal system, ... -
New Machine Learning Approach for Detection of Injury Risk Factors in Young Team Sport Athletes
Jauhiainen, Susanne; Kauppi, Jukka-Pekka; Leppänen, Mari; Pasanen, Kati; Parkkari, Jari; Vasankari, Tommi; Kannus, Pekka; Äyrämö, Sami (Georg Thieme Verlag KG, 2021)The purpose of this article is to present how predictive machine learning methods can be utilized for detecting sport injury risk factors in a data-driven manner. The approach can be used for finding new hypotheses for ... -
Injury History and Perceived Knee Function as Risk Factors for Knee Injury in Youth Team-Sports Athletes
Hietamo, Jussi; Rantala, Anni; Parkkari, Jari; Leppänen, Mari; Rossi, Marko; Heinonen, Ari; Steffen, Kathrin; Kannus, Pekka; Mattila, Ville; Pasanen, Kati (SAGE Publications, 2023)Background: The identification of risk factors for sports injuries is essential before injury prevention strategies can be planned. Hypothesis: Previous acute knee injury and lower perceived knee function measured by ... -
Frontaalitason polven liikehallinnan yhteys äkillisiin alaraajavammoihin nuorilla urheilijoilla
Vesanto, Johanna (2019)Salibandy ja koripallo ovat suomalaisen nuorison keskuudessa suosittuja joukkuepalloilulajeja, joissa usein vaihtuvat pelitilanteet edellyttävät pelaajilta hyvää liikehallintaa. Puutteet polven liikehallinnassa voivat ... -
Incidence and risk factors for back pain in young floorball and basketball players : A prospective study
Rossi, Marleena; Pasanen, Kati; Heinonen, Ari; Myklebust, Grethe; Kannus, Pekka; Kujala, Urho; Tokola, Kari; Parkkari, Jari (Wiley-Blackwell Publishing Ltd., 2018)The aim of this study was to investigate the incidence of back pain in young basketball and floorball players under 21 years of age. The secondary aim was to examine risk factors especially for low back pain (LBP). Nine ...