Physical Therapy Treatment of Back Complaints on Children and Adolescents

Ahlqwist, Anna; Hagman, Monica; Kjellby-Wendt, Gunilla; Beckung, Eva

doi:10.1097/brs.0b013e318182c347

Cited by 45 publications

(70 citation statements)

References 30 publications

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“…6,8,9 Three randomized control trials by Jones et al, 6 Ahlqwist et al, 7 and Fanucchi et al 8 explored the effectiveness of an exercise intervention for LBP in adolescents without spinal deformity. Jones et al 6 and Fanucchi et al 8 found significant between-group differences in pain intensity reduction, but Ahlqwist et al 7 did not.…”

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Spinal Stabilization Exercise Effectiveness for Low Back Pain in Adolescent Idiopathic Scoliosis

Zapata

Wang-Price

Sucato

et al. 2015

Pediatric Physical Therapy

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Section: Introductionmentioning

confidence: 98%

“…5 Furthermore, adolescents with a previous history of LBP are at risk for developing LBP in the future. 6 Researchers have advocated properly treating LBP during adolescence to prevent recurrent episodes into adulthood, 7 but clinical practice guidelines for adolescents have not yet been developed.…”

Section: Introductionmentioning

confidence: 99%

Spinal Stabilization Exercise Effectiveness for Low Back Pain in Adolescent Idiopathic Scoliosis

Zapata

Wang-Price

Sucato

et al. 2015

Pediatric Physical Therapy

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“…Particularly, children with an adequate hamstring extensibility seem to have a lower risk of pelvic/spinal postural disorders (de Lemos, dos Santos & Gaya, 2012;López-Miñarro & Alacid, 2010; Muyor, Alacid, Rodríguez-García, & López-Miñarro, 2012), current low back pain (Jones, Stratton, Reilly, & Unnithan, 2005;Roy, Shaw, & Beattie, 2015) and neck tension (Mikkelsson, et al, 2006), as well as a lower risk of low back pain later during adulthood (Hestbaek, Leboeuf-Yde, Kyvik, & Manniche, 2006). Additionally, in children with low back pain an improvement in their hamstring extensibility levels has also been associated to a reduction of their pain levels (Ahlqwist, Hagman, Kjellby-Wendt, & Beckung, 2008;Jones, Stratton, Reilly, & Unnithan, 2007).…”

Section: Introductionmentioning

confidence: 99%

Effect of a one-session-per-week physical education-based stretching program on hamstring extensibility in schoolchildren

Vega

Merino-Marbán

Redondo-Martín

et al. 2017

Kinesiology (Zagreb, Online)

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Abstract:The purpose of this study was to examine the effects of a one-session-per-week stretching program on hamstring extensibility among schoolchildren in the physical education (PE) setting. Thirty seven 9-year-old schoolchildren from two classes were clustered and randomly assigned to an experimental group (n=19) or a control group (n=18). During PE classes, the experimental students performed a 3-minute stretching program once a week throughout academic year (a total of 32 calendar weeks, but 28 weeks of intervention after excluding holidays). Hamstring extensibility (estimated by the classic sit-and-reach test) was assessed at the beginning (week 0), in the middle (week 18) and at the end (week 34) of the stretching intervention program. The results of the two-way analysis of variance showed that the PE-based stretching program improved statistically significantly the students' sit-and-reach scores in the middle and at the end of the intervention (p<.01). Since in PE many curricular contents need to be developed each academic year and the subject is also restricted by its limited curriculum time allocation, teachers could improve students' hamstring extensibility by only a one-session-per-week stretching program. Therefore, in addition to the improvement of students' flexibility levels, this intervention program might permit regular development of other PE curricular contents. This knowledge could help and guide teachers to design programs that guarantee a feasible and effective development of flexibility in the PE setting.

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“…2). The most common criterion was 'motor, sensory or Toda et al 23 Ahlqwist et al 24 Childs et al 26 Katz et al 27 Brinkhaus et al 25 3. LBP and any leg pain but excluded those with motor, sensory or reflex changes…”

Section: Resultsmentioning

confidence: 99%

“…radicular pain, positive straight leg raise, with or without exclusion of those with motor, sensory or reflex changes). [23][24][25][26][27] Some studies only excluded patients when motor, reflex or sensory deficits were present. [28][29][30][31][32][33] Other studies did not appear to Figure 2 Criteria for exclusion of nerve root involvement (n550).…”

mentioning

confidence: 99%

A literature review reveals that trials evaluating treatment of non-specific low back pain use inconsistent criteria to identify serious pathologies and nerve root involvement

Williams

Hancock

Ferreira

et al. 2012

Journal of Manual & Manipulative Therapy

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Objectives:The broad aim of this study was to assess the homogeneity of patients included in trials of nonspecific low back pain (NSLBP). To do this, we investigated the consistency and clarity of criteria used to identify and exclude participants with serious pathologies and nerve root compromise in randomized controlled trials, investigating interventions for NSLBP. Methods: We searched Medline database for randomized controlled trials of low back pain (LBP). published between 2000 and 2009. We then randomly selected and screened trials for inclusion until we had 50 eligible trials. Data were extracted on the criteria used to identify cases of serious conditions (e.g. cancer, fracture) and nerve root involvement. Results: The majority of papers (35/50) explicitly excluded patients with serious pathology. However, the terminology used and examples given were highly variable. Nerve root involvement was an exclusion criterion in the majority but not all studies. The criteria used for excluding patients with nerve root involvement varied greatly between studies. The most common criteria were 'motor, sensory or reflex changes' (nine studies), followed by 'pain radiating below the knee' (five studies) and 'reduced straight leg raise which reproduces leg pain' (five studies). In half of the included studies, the criteria used, while alluding to nerve root involvement, were not explained adequately for us to determine the types of patients included or excluded. Discussion: The inconsistent and unclear criteria used to identify cases of serious pathology and nerve root compromise means that published trials of LBP likely include heterogeneous patient populations. This trait limits our ability to make comparisons across trials or pool studies. Standardization and consensus is important for future research.

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Physical Therapy Treatment of Back Complaints on Children and Adolescents

Cited by 45 publications

References 30 publications

Spinal Stabilization Exercise Effectiveness for Low Back Pain in Adolescent Idiopathic Scoliosis

Spinal Stabilization Exercise Effectiveness for Low Back Pain in Adolescent Idiopathic Scoliosis

Effect of a one-session-per-week physical education-based stretching program on hamstring extensibility in schoolchildren

A literature review reveals that trials evaluating treatment of non-specific low back pain use inconsistent criteria to identify serious pathologies and nerve root involvement

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