scholarly journals Relationship between Nonspecific Low Back Pain and Physical Function among Japanese High School Long-distance Runners

2021 ◽  
Vol 6 (2) ◽  
pp. p1
Author(s):  
K. Nakagawa ◽  
A. Mitomo ◽  
Y. Takahashi

Background: For long-distance runners, low back pain as well as lower extremity disorders are becoming more common. This study analyzed the relationship between regular physical assessment results and nonspecific low back pain among long-distance runners. Methods: Subjects included 105 high school long-distance runners, who were divided into the low back pain group (n = 20; LP) and non-pain group (n = 85; NP). All subjects underwent regular chronic pain and physical assessments every six months. Differences in each measurement between both groups were analyzed using an unpaired t-test for comparison.Results: The LP had a shorter history of athletics (LP=3.2 years, NP=4.6 years, 95% confidence interval (95%CI): -2.55, -0.28, r=0.45), a greater hip extension angle (LP=32.7°, NP=28.4°, 95% CI: 2.85, 5.61, r=0.67), a lower hip extension muscle strength (LP=3.1 kgf/kg, NP=4.0 kgf/kg, 95% CI; 0.19, 0.61, r=0.45), and a greater number of times during the stand-up test (LP=11.1, NP=8.1, 95% CI; 0.40, 5.56, r=0.45) than the NP.Conclusion: An excessive hip extension angle and insufficient hip extension muscle strength were considered as risk factors. It is possible that the excessive movement of the hip joint and the biarticular muscles may have caused the low back pain in the inexperienced runners.

2019 ◽  
Vol 32 (4) ◽  
pp. 629-638 ◽  
Author(s):  
V. Moreno-Pérez ◽  
A. López-Valenciano ◽  
F. Ayala ◽  
J. Fernandez-Fernandez ◽  
F.J. Vera-Garcia

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Nicholas Tataryn ◽  
Vini Simas ◽  
Tailah Catterall ◽  
James Furness ◽  
Justin W. L. Keogh

Abstract Background While chronic exercise training has been demonstrated to be an effective non-pharmacological treatment for chronic low back pain (CLBP), there has been a relative lack of evidence or clinical guidelines for whether a posterior chain resistance training programme provides any benefits over general exercise (GE). Objectives To determine if chronic posterior chain resistance training (PCRT), defined as exercise programmes of ≥6 weeks duration focused on the thoracic, lumbar and hip extensor musculature, is more effective than GE in improving pain, level of disability, muscular strength and the number of adverse events in recreationally active and sedentary individuals with CLBP. Methods Four electronic databases were systematically searched from 25 September 2019 until 30 August 2020. Using the Joanna Briggs Institute (JBI) Critical Appraisal Tools checklist for randomized controlled trials (RCTs), articles were critically appraised and compared against the inclusion/exclusion criteria. Standardized mean difference (SMD), risk difference (RD) and confidence interval (CI) were calculated using Review Manager 5.3. Results Eight articles were included, with a total of 408 participants (203 PCRT, 205 GE). Both PCRT and GE were effective in improving a number of CLBP-related outcomes, but these effects were often significantly greater in PCRT than GE, especially with greater training durations (i.e. 12–16 weeks compared to 6–8 weeks). Specifically, when compared to GE, PCRT demonstrated a greater reduction in pain (SMD = − 0.61 (95% CI − 1.21 to 0.00), p = 0.05; I2 = 74%) and level of disability (SMD = − 0.53 (95% CI − 0.97 to − 0.09), p = 0.02; I2 = 52%), as well as a greater increase in muscle strength (SMD = 0.67 (95% CI 0.21 to 1.13), p = 0.004; I2 = 0%). No differences in the number of adverse events were reported between PCRT and GE (RD = − 0.02 (95% CI − 0.10 to 0.05), p = 0.57; I2 = 72%). Conclusion Results of the meta-analysis indicated that 12–16 weeks of PCRT had a statistically significantly greater effect than GE on pain, level of disability and muscular strength, with no significant difference in the number of adverse events for recreationally active and sedentary patients with CLBP. Clinicians should strongly consider utilizing PCRT interventions for 12–16 weeks with patients with CLBP to maximize their improvements in pain, disability and muscle strength. Future research should focus on comparing the efficacy and adverse events associated with specific PCRT exercise training and movement patterns (i.e. deadlift, hip lift) in treating this population. Trial registration PROSPERO CRD42020155700.


2019 ◽  
Vol 22 (11) ◽  
pp. 1206-1212 ◽  
Author(s):  
Eduardo Martinez-Valdes ◽  
Fiona Wilson ◽  
Neil Fleming ◽  
Sarah-Jane McDonnell ◽  
Alex Horgan ◽  
...  

2017 ◽  
Vol 20 (01) ◽  
pp. 1750005 ◽  
Author(s):  
Ghorbanali Mohammadi

Low back pain (LBP) is one of the most frequent occupational health problems and accounts for a large number of losses in working days and disability for workers in modern industrialized countries. The aim of this paper was to investigate the prevalence of lower back problem and to associate risk factors among high school teachers. A cross-sectional study was conducted among high school teachers using self-administered questionnaires, which were distributed to randomly selected school teachers of 7 boys’ and 10 girls’ high schools across the city of Kerman and collected between October and November 2010. A total of 296 teachers returned completed questionnaires, yielding a response rate of 78.9%. The 12-month prevalence of LBP was 68.8%, which reporting with moderate disability. The results of multiple logistic regression analysis revealed that females [odds ratio (OR): 1.85, 95% confidence interval (CI): 1.51–2.00] were positively correlated to LBP. Awkward arm posture (OR: 1.81, 95% CI: 1.24–2.62) and awkward body posture (OR: 1.23, 95% CI: 0.87–1.49) were significantly associated with LBP. Psychosocial job demands and job dissatisfaction were also significantly associated with LBP. Smoking cigarette was three times more likely to develop lower back pain when compared with non-smokers. The prevalence of LBP was high among high school teachers. A wide variety of LBP risk factors were identified in the current study. The present study indicates that the high prevalence of lower back pain may lose difficulty to teachers in getting to work and “performing” the work required of them, resulting in work absenteeism, which may decrease work productivity.


Spine ◽  
2008 ◽  
Vol 33 (13) ◽  
pp. E435-E441 ◽  
Author(s):  
Niko Paalanne ◽  
Raija Korpelainen ◽  
Simo Taimela ◽  
Jouko Remes ◽  
Pertti Mutanen ◽  
...  

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