Self-reported prevalence, pain intensity and risk factors of low back pain in adolescent rowers.

OBJECTIVES The primary objective of this study was to determine the lifetime and point prevalence of low back pain, the related pain intensity and the rowing-related aggravating factors for low back pain in adolescent rowers who participated in school-level competitions. The secondary objective was to determine whether between-gender differences existed in these data. DESIGN Retrospective cross-sectional survey METHODS 130 adolescent male and 235 adolescent female rowers aged between 14 and 16 years were recruited in this study. Participants completed a questionnaire to determine their lifetime and point prevalence of low back pain, their pain intensity and rowing-related factors that aggravated their low back pain. RESULTS A high lifetime and point prevalence of low back pain were found in both adolescent male (93.8% and 64.6%, respectively) and female (77.9% and 52.8%, respectively) rowers. A significant between-gender difference was reported for both statistics (p<0.001). A significantly lower (p=0.003) level of pain intensity via a visual analog scale was found for males (4.1/10) when compared to females (5.0/10). Similar rowing-related aggravating factors were reported by males and females although fewer males reported that lifting the rowing shell aggravated their low back pain. CONCLUSIONS A high lifetime and point prevalence of low back pain was reported by the adolescent rowers recruited in this study. While a greater proportion of adolescent male rowers reported low back pain, they reported a lower intensity of pain when compared to their female counterparts. Coaches, clinicians and rowers should be made aware of these findings such that future research and development can focus on promoting pain management strategies in this sport.

[1]  A. Mannion,et al.  Muscle fibre size and type distribution in thoracic and lumbar regions of erector spinae in healthy subjects without low back pain: normal values and sex differences , 1997, Journal of anatomy.

[2]  P. O'Sullivan,et al.  Gender differences in trunk and pelvic kinematics during prolonged ergometer rowing in adolescents. , 2013, Journal of applied biomechanics.

[3]  P. O'Sullivan,et al.  SPINO-PELVIC KINEMATICS AND TRUNK MUSCLE ACTIVATION IN PROLONGED ERGOMETER ROWING: MECHANICAL ETIOLOGY OF NON-SPECIFIC LOW BACK PAIN IN ADOLESCENT ROWERS , 2008 .

[4]  C. Simms,et al.  Sagittal plane motion of the lumbar spine during ergometer and single scull rowing , 2013, Sports biomechanics.

[5]  Bonnie K. Lind,et al.  Back Pain in Intercollegiate Rowers * , 2002, The American journal of sports medicine.

[6]  L. Straker,et al.  The relationship between back muscle endurance and physical, lifestyle, and psychological factors in adolescents. , 2010, The Journal of orthopaedic and sports physical therapy.

[7]  A. Thorpe Assessing the efficacy of a specific physiotherapy intervention for the prevention of low back pain in female adolescent rowers : A field study , 2009 .

[8]  L. Straker,et al.  Low back pain in 17 year olds has substantial impact and represents an important public health disorder: a cross-sectional study , 2012, BMC Public Health.

[9]  K. Kyvik,et al.  Consequences of spinal pain: Do age and gender matter? A Danish cross-sectional population-based study of 34,902 individuals 20-71 years of age , 2011, BMC musculoskeletal disorders.

[10]  Darko Hren,et al.  Traumatic and Overuse Injuries Among International Elite Junior Rowers , 2009, The American journal of sports medicine.

[11]  B. Jonsson,et al.  Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. , 1987, Applied ergonomics.

[12]  Martin Krismer,et al.  Chronic low back pain measurement with visual analogue scales in different settings , 1996, Pain.

[13]  K Grimmer,et al.  Gender-age environmental associates of adolescent low back pain. , 2000, Applied ergonomics.

[14]  Karen Grimmer-Somers,et al.  What is adolescent low back pain? Current definitions used to define the adolescent with low back pain , 2010, Journal of pain research.

[15]  J. Sánchez-Meca,et al.  Prevalence of low back pain in children and adolescents: a meta-analysis , 2013, BMC Pediatrics.

[16]  P J McNair,et al.  Leaders Factors contributing to low back pain in rowers , 2000 .

[17]  D. Perich Low back pain in schoolgirl rowers: Prevalence, bio-psycho-social factors and prevention , 2010 .

[18]  L. Arendt-Nielsen,et al.  Studying sex and gender differences in pain and analgesia: A consensus report , 2007, PAIN.

[19]  Peter J McNair,et al.  The effects of repetitive motion on lumbar flexion and erector spinae muscle activity in rowers. , 2003, Clinical biomechanics.

[20]  R. Fillingim Sex, gender, and pain: Women and men really are different , 2000, Current review of pain.

[21]  C. Pollock,et al.  Changes in kinematics and trunk electromyography during a 2000 m race simulation in elite female rowers , 2012, Scandinavian journal of medicine & science in sports.

[22]  Angus Burnett,et al.  Low back pain in adolescent female rowers: a multi-dimensional intervention study , 2010, Knee Surgery, Sports Traumatology, Arthroscopy.

[23]  H. McQuay,et al.  The visual analogue pain intensity scale: what is moderate pain in millimetres? , 1997, PAIN.

[24]  C Simms,et al.  A 12-month prospective cohort study of injury in international rowers , 2008, British Journal of Sports Medicine.

[25]  L. Straker,et al.  Fitness, motor competence, and body composition are weakly associated with adolescent back pain. , 2009, The Journal of orthopaedic and sports physical therapy.

[26]  G. Waddell Modern management of spinal disorders. , 1995, Journal of manipulative and physiological therapeutics.

[27]  J. Keating,et al.  A systematic review of the incidence and prevalence of low back pain in children , 2009 .

[28]  A. Mcgregor,et al.  Do men and women row differently? a spinal kinematic and force perspective , 2008 .

[29]  Charlotte Leboeuf-Yde,et al.  The Course of Low Back Pain From Adolescence to Adulthood: Eight-Year Follow-up of 9600 Twins , 2006, Spine.