{"id":10259,"date":"2022-10-24T06:00:35","date_gmt":"2022-10-24T05:00:35","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=10259"},"modified":"2022-10-14T12:06:39","modified_gmt":"2022-10-14T11:06:39","slug":"incidence-prevalence-and-risk-factors-for-low-back-pain-in-adolescent-athletes-a-systematic-review-and-meta-analysis","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2022\/10\/24\/incidence-prevalence-and-risk-factors-for-low-back-pain-in-adolescent-athletes-a-systematic-review-and-meta-analysis\/","title":{"rendered":"Incidence, prevalence, and risk factors for low back pain in adolescent athletes: a systematic review and meta-analysis."},"content":{"rendered":"<p><span style=\"font-weight: 400\">Key words: low back pain, adolescents, athletes.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In this blog, we will explain the results of our recent systematic review published in BJSM. We conducted a systematic review and meta-analysis of studies examining the incidence, prevalence, risk factors, and morphological presentations of low back pain (LBP) in adolescent athletes (aged 10-19 years) to synthesise existing evidence (1).<\/span><\/p>\n<p><b>Why is this study important?<\/b><\/p>\n<p><span style=\"font-weight: 400\">Low back pain is common and is a leading cause of disability worldwide. It is prevalent in adolescents (age range 10-19 years), and while it usually resolves quickly, for some it has the potential to affect them into adulthood. This is significant, as a previous episode of LBP is a risk factor for a future episode. For some adolescent athletes, LBP can disrupt participation in sport, which can interrupt the development of a lifetime habit of exercise. It is important to understand LBP in adolescent athletes to prevent the potential negative consequences of LBP, such as reduced physical activity or sport participation and potential continued LBP later in life. A starting point to a good understanding of this condition is the epidemiology, specifically prevalence and associated risk factors. This study is important since it is the first synthesis of evidence on the incidence and prevalence of LBP in adolescent athletes.\u00a0<\/span><\/p>\n<p><b>How did the study go about this?<\/b><\/p>\n<p><span style=\"font-weight: 400\">We searched five databases for studies that investigated the incidence or prevalence of LBP in adolescent athletes. There were 80 studies included. We determined the incidence and prevalence reported in each study, and where possible, combined studies that examined the same time period using weighted means. Studies with more participants carried a greater weight. We also examined factors which could impact the incidence or prevalence reported and determined how much these factors affected the results using meta-regression.\u00a0<\/span><\/p>\n<p><b>What did the study find?<\/b><\/p>\n<p><span style=\"font-weight: 400\">We found that LBP was common in adolescent athletes. The incidence and prevalence had a wide range, which was mainly due to differences in the way LBP was defined in the studies, and the quality of the study methods for assessing LBP. In fact, in many studies, LBP was defined poorly or unclearly. Factors that could potentially increase risk of LBP in adolescent athletes were:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">sport participation<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">sport volume\/intensity<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">concurrent lower extremity pain<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">overweight\/high BMI<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">older adolescent age<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">female sex<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">family history of LBP<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Spondylolysis was the most commonly reported morphology among thirteen studies that reported on specific morphologies associated with LBP.\u00a0\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-10261\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2022\/10\/JW-LBP-infographic-1-120x300.jpg\" alt=\"\" width=\"407\" height=\"1018\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2022\/10\/JW-LBP-infographic-1-120x300.jpg 120w, https:\/\/blogs.bmj.com\/bjsm\/files\/2022\/10\/JW-LBP-infographic-1.jpg 600w\" sizes=\"auto, (max-width: 407px) 100vw, 407px\" \/><\/p>\n<p><b>What are the key take-home points?<\/b><\/p>\n<p><span style=\"font-weight: 400\">LBP is common among adolescent athletes, although our understanding is still limited by the lack of high-quality prospective studies with a standardised and clear LBP definition.\u00a0 While participation in sport and exercise is generally protective for LBP, in this population, participation in sport appeared to increase risk in some cases. We do not know how much participation is protective or increases risk. Some sports seem to be associated with higher LBP prevalence. High imaging rates in adolescents may be associated with spondylolysis being the most reported morphology. Further research into methods of diagnosis and treatment in this population may be warranted.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Authors names and affiliations:<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Julia Wall (1)<\/span><\/p>\n<p><span style=\"font-weight: 400\">William P. Meehan III (<\/span><span style=\"font-weight: 400\">2)<\/span><\/p>\n<p><span style=\"font-weight: 400\">Katharina Trompeter (<\/span><span style=\"font-weight: 400\">3,4)<\/span><\/p>\n<p><span style=\"font-weight: 400\">Conor Gissane (<\/span><span style=\"font-weight: 400\">1)<\/span><\/p>\n<p><span style=\"font-weight: 400\">David Mockler (<\/span><span style=\"font-weight: 400\">5)<\/span><\/p>\n<p><span style=\"font-weight: 400\">Nicol van Dyk (<\/span><span style=\"font-weight: 400\">6,7)<\/span><\/p>\n<p><span style=\"font-weight: 400\">Fiona Wilson (<\/span><span style=\"font-weight: 400\">1)<\/span><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">1. <\/span><span style=\"font-weight: 400\">Discipline of Physiotherapy, School of Medicine, Trinity College Dublin, Dublin, Ireland.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">2. <\/span><span style=\"font-weight: 400\">The Micheli Center for Sports Injury Prevention, Division of Sports Medicine, Boston Children\u2019s Hospital, Harvard Medical School, 9 Hope Avenue-Suite 100, Waltham, MA 02453, USA.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">3. <\/span><span style=\"font-weight: 400\">Department of Applied Health Sciences, Division of Physiotherapy, Hochschule f<\/span><span style=\"font-weight: 400\">\u00fc<\/span><span style=\"font-weight: 400\">r Gesundheit (University of Applied Sciences), Bochum, Germany.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">4. <\/span><span style=\"font-weight: 400\">Department of Sports Medicine and Sports Nutrition Ruhr-University Bochum, Bochum, Germany<\/span><\/p>\n<p><span style=\"font-weight: 400\">5. <\/span><span style=\"font-weight: 400\">John Stearne Library, Trinity College Dublin, Dublin, Ireland.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">6. <\/span><span style=\"font-weight: 400\">High Performance Unit, Irish Rugby Football Union, Dublin, Ireland<\/span><\/p>\n<p><span style=\"font-weight: 400\">7. <\/span><span style=\"font-weight: 400\">Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa<\/span><\/p>\n<p><span style=\"font-weight: 400\"><strong>References<\/strong>:<\/span><\/p>\n<p><span style=\"font-weight: 400\">(1) Wall J, Meehan, WP, Trompeter K, et al Incidence, prevalence and risk <\/span><span style=\"font-weight: 400\">factors for low back pain in adolescent athletes: a systematic review and <\/span><span style=\"font-weight: 400\">meta-analysis British Journal of Sports Medicine Published Online First: 23 <\/span><span style=\"font-weight: 400\">September 2022. doi: 10.1136\/bjsports-2021-104749<\/span><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Key words: low back pain, adolescents, athletes. In this blog, we will explain the results of our recent systematic review published in BJSM. We conducted a systematic review and meta-analysis of studies examining the incidence, prevalence, risk factors, and morphological presentations of low back pain (LBP) in adolescent athletes (aged 10-19 years) to synthesise existing [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2022\/10\/24\/incidence-prevalence-and-risk-factors-for-low-back-pain-in-adolescent-athletes-a-systematic-review-and-meta-analysis\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":463,"featured_media":10261,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16068],"class_list":["post-10259","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-featured"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Incidence, prevalence, and risk factors for low back pain in adolescent athletes: a systematic review and meta-analysis. - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/?p=10259\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Incidence, prevalence, and risk factors for low back pain in adolescent athletes: a systematic review and meta-analysis. - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"Key words: low back pain, adolescents, athletes. 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