Radiologic Abnormalities and Low Back Pain in Elite Skiers

Ogon, M; Riedl-Huter, Claudia; Sterzinger, Wolfgang; Krismer, Martin; Spratt, Kevin F.; Wimmer, Cornelius

doi:10.1097/00003086-200109000-00018

Cited by 63 publications

(61 citation statements)

References 31 publications

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“…It further follows that the acuity and longevity of pain caused by the Schmorl's node could be related to the location and size of the lesion, or the degree to which it overlaps with or aggravates an innervated region. In support of this hypothesis, Ogon et al (2001) did find that larger and more anteriorly located (non-Schmorl's node) vertebral lesions were significantly correlated with pain. Therefore, the premise of this study is that Schmorl's nodes are capable of causing pain, and it is hypothesised that the degree of pain is related to the number, location and physical characteristics (e.g.…”

Section: Modern Contextmentioning

confidence: 65%

“…Currently, studies in extant populations present reports of both symptomatic (Smith, 1976;Walters et al, 1991;Hamanishi et al, 1994;Takahashi & Takata, 1994;Takahashi et al, 1995;Wagner et al, 2000) and asymptomatic nodes (Hamanishi et al, 1994;Ogon et al, 2001). In general, researchers argue that Schmorl's nodes may be an initial, post-traumatic source of pain, but they hesitate to attribute long-lasting painful effects to the lesions.…”

Section: Modern Contextmentioning

confidence: 99%

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Schmorl's nodes: clinical significance and implications for the bioarchaeological record

Faccia

Williams

2008

Intl J of Osteoarchaeology

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Back pain is one of the major contributors to disability and loss of productivity in modern populations. However, osteological correlates of back pain are often absent or, as yet, unidentified. As bioarchaeologists depend on osteological evidence to interpret quality of life in the past, back pain, with its profound effects on modern populations, is largely overlooked in archaeological samples. This study addresses this shortcoming in bioarchaeological analysis by exploring the relationship between a defined vertebral osteological lesion, the Schmorl's node, and its effect on quality of life in a clinical population. Using patient insight, healthcare practitioner diagnoses and MR imaging analyses, this study investigates:(1) Schmorl's nodes and sociodemographic factors; (2) the number, location and quantitative aspects (e.g. length, depth, area) of Schmorl's nodes, and how these influence the reporting of pain; (3) the dynamic effects of Schmorl's nodes, in combination with other variables, in the reporting of pain; and (4) the perception and impact of pain that patients attribute to Schmorl's nodes with regard to quality-of-life issues. The results of this study indicate that Schmorl's nodes located in the central portion of the vertebral body are significantly associated with patient reporting of pain, and that the presence of osteophytes, in the affected vertebral region, may increase the likelihood that an individual will report pain. This finding provides bioarchaeologists with an osteological correlate to begin interpreting the presence and impact of pain in archaeological populations, with implications for scoring Schmorl's nodes.

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Section: Modern Contextmentioning

confidence: 65%

Section: Modern Contextmentioning

confidence: 99%

Schmorl's nodes: clinical significance and implications for the bioarchaeological record

Faccia

Williams

2008

Intl J of Osteoarchaeology

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“…For this reason, all patients were regarded as demonstrating the natural history of idiopathic scoliosis' (p. 773). Shoe lifts and exercise might have improved the outcome [51,52] and some exercise programmes might have made the problem worse [53,54]. However, in every situation where the authors chose to ignore the potential impact of such therapies, it is impossible to rule out the possibility that divergent outcomes within patient populations were influenced by exercise regimens some individuals used [55,56].…”

mentioning

confidence: 99%

The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

Hawes¹

2003

Pediatric Rehabilitation

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The loss of flexibility in a spinal curvature defines it as a structural spinal deformity; a curvature sufficiently mobile to resolve with a change in posture is a non-structural or 'functional' scoliosis which is within the normal limits of movement for a human spine. It, therefore, seems logical that exercise-based therapies designed to improve and/or maintain flexibility and range of motion of the spine and thorax would be useful in the treatment of scoliosis. Recognition of the importance of maintaining flexibility of the thoracic spinal column to avoid scoliosis-associated pulmonary dysfunction made the use of exercise-based therapies a topic of clinical interest in ancient Greece. In recent years, successful prevention of polio epidemics has resulted in a stable change in patient populations such that most individuals diagnosed with scoliosis do not suffer from irreversible central nervous system compromise. As a result, realistic opportunities to examine the role of exercise in treatment of scoliosis are available for the first time in history. A growing body of evidence from independent sources is consistent with the hypothesis that exercise-based approaches can be used effectively to reverse the signs and symptoms of spinal deformity and to prevent progression in children and adults.

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“…Elle a été remarquée récemment chez des footballeurs adolescents [50], des rugbymen (15,6 %) [51] et les footballeurs américains (11 %) [52]. Le risque de spondylolyse est signalé dans le patinage sur glace [53], et il est faible chez les skieurs chez qui prédominent les dystrophies de croissance à la charnière dorsolombaire [54,55]. Elle est liée à l'âge de début du sport et à la durée de pratique qui évolue de façon parallèle [45].…”

Section: Activité Sportive Spécialisée Exercée Par Des Sportifs D'éliunclassified

Le sport parmi les facteurs de risque de la lombalgie

Goff

2007

Revue du Rhumatisme

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Radiologic Abnormalities and Low Back Pain in Elite Skiers

Cited by 63 publications

References 31 publications

Schmorl's nodes: clinical significance and implications for the bioarchaeological record

Schmorl's nodes: clinical significance and implications for the bioarchaeological record

The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

Le sport parmi les facteurs de risque de la lombalgie

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