Severe back pain in elite athletes: a cross-sectional study on 929 top athletes of Germany

Schulz, Saskia Sarah; Lenz, Klaus; Büttner-Janz, Karin

doi:10.1007/s00586-015-4210-9

Cited by 39 publications

(59 citation statements)

References 24 publications

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“…Athletes with back pain may have been more likely respond to our survey, so our findings should be interpreted with caution. The response rate of athletes in our survey was in line with previous studies in German elite athletes [13], but was low compared with many international studies on back pain in athletes on different competition levels [12, 21, 25–27, 43, 45, 55–57]. Additionally, many studies reporting on prevalence of back pain in athletes do not mention response rates [16, 47, 53, 58–66].…”

Section: Discussionsupporting

confidence: 82%

“…In the literature, low back pain also seems to be the most frequent physical complaint for athletes and the general population [13, 18, 23–27]. The thoracolumbar spine is particularly predisposed to injury due to biomechanical factors related to the physiological curves of the spine.…”

Section: Discussionmentioning

confidence: 99%

“…The extent to which this (often daily) strain predisposes elite athletes to back pain is not known. It has been proposed that this physical stress leads to a higher prevalence of back pain in athletes compared with the general population [10, 13, 14]. …”

Section: Introductionmentioning

confidence: 99%

“…Schulz et al . [13] investigated the incidence of low back pain in a cohort of older elite athletes (n = 929, mean age 21.4 years) and found a value of 55%. Unfortunately, their study used a self-developed and unvalidated instrument, which contributed to the aforementioned methodological problems [15].…”

Section: Introductionmentioning

confidence: 99%

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Back pain in elite sports: A cross-sectional study on 1114 athletes

2017

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ObjectivesTo establish the prevalence of back pain in German elite athletes; examine the influence of age, sex, sports discipline and training volume; and compare elite athletes with a physically active control group.MethodsA standardized and validated online back pain questionnaire was sent by the German Olympic Sports Confederation to approximately 4,000 German national and international elite athletes, and a control group of 253 physically active but non-elite sports students.ResultsWe received responses from 1,114 elite athletes (46.5% male and 53.1% female, mean age 20.9 years ± 4.8 years, mean height 176.5 ± 11.5 cm, mean weight 71.0 ± 10.3 kg) and 166 physically active sports students (74.7% male and 24.1 female, mean age 21.2 ± 2.0 years, mean height 180.0 ± 8.0 cm, mean weight 74.0 ± 14.5 kg). In elite athletes, the lifetime prevalence of back pain was 88.5%, the 12-month prevalence was 81.1%, the 3-month prevalence was 68.3% and the point prevalence was 49.0%, compared with 80.7%, 69.9%, 59.0% and 42.8%, respectively in the control group. The lifetime, 12-month and 3-month prevalences in elite athletes were significantly higher than in the control group. Regarding the individual sports disciplines, the prevalence of back pain was significantly higher in elite rowers, dancers, fencers, gymnasts, track and field athletes, figure skaters and marksmen, and those who play underwater rugby, water polo, basketball, hockey and ice hockey compared with the control group. The prevalence of back pain was significantly lower in elite triathletes.ConclusionsBack pain is a common complaint in German elite athletes. Low back pain seems to be a problem in both elite athletes and physically active controls. A high training volume in elite athletes and a low training volume in physically active individuals might increase prevalence rates. Our findings indicate the necessity for specific prevention programs, especially in high-risk sports. Further research should investigate the optimal dose-effect relationship of sporting activity for the general population to prevent back pain.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Back pain in elite sports: A cross-sectional study on 1114 athletes

2017

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“…A Dor Lombar Crônica (DLC) afeta não só indivíduos da população em geral, mas também subgrupos específicos como atletas de elite. Estudos epidemiológicos relatam alta prevalência ao longo da vida, dependendo da disciplina esportiva (Schulz et al, 2016). Em termos biomecânicos, dependendo do tipo de esporte, atletas frequentemente tendem a absorver carga repetitiva de baixa magnitude ou impactos únicos de alta magnitude com maior frequência do que indivíduos ativos não atletas.…”

Section: Introductionunclassified

Análise Dinamométrica E Eletromiográfica Da Musculatura Do Core Em Atletas De Mma Com Lombalgia

Vicente¹,

Lima²,

Machado³

2018

PIC

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O MMA é um esporte em ascensão que vem recrutando cada vez mais adeptos a nívelmundial e foi observado na literatura que em lutadores de MMA as lesões lombares sãomais prevalentes na modalidade e geram maior tempo de afastamento dos atletas quandocomparadas a lesões em outros segmentos corporais. Objetivo: Avaliar o torque e aatividade eletromiográfica superficial das musculaturas flexora e extensora da coluna lombarem atletas com dor lombar crônica e assintomáticos. Métodos: Foram avaliados 11 atletasde combate em um ensaio clínico transversal, divididos em Grupo Dor Lombar Crônica(GDLC) de 6 atletas masculinos (idade média de 41 anos +/- 10,50; peso de 77,33 kg +/-8,68; e altura de 170,33cm +/- 11,72) e Grupo Controle (GC) composto por 5 atletasmasculinos (idade média de anos 31,8+/- 6,76; peso de 86 +/- 7,03; e altura de 176,8cm +/-5,31) selecionados de acordo com critérios de inclusão e exclusão pré-determinados. Todosindivíduos assinaram termo consentimento livre e esclarecido pré-aprovado pelo Comitê deÉtica do Centro Universitário de Brasília (UniCEUB), e inicialmente responderam osquestionários funcionais validados de Oswestry de incapacidade e o questionário de FABQVersão Brasileira, além de uma ficha com dados pessoais. Posteriormente, realizou-se aavaliação dinamométrica e eletromiográfica para flexores (Oblíquos externos einternos/transverso do abdômen; reto abdominais bilaterais) e extensores lombares(Multifídeos bilaterais). Depois de coletados os dados, foi feita a análise utilizando o testeestatístico não paramétrico de Mann-Whitney para amostras independentes. Resultados:Para as variáveis de ativação muscular abdominal, multifídeo esquerdo e o tempo de fadigade flexão abdominal e extensão lombar se aceita a hipótese nula com nível de significânciade 5%, sendo assim os dois grupos não possuem indícios que possuem distribuiçõesdiferentes e para a variável de ativação muscular de multifídeo direito e de força de flexãoabdominal e extensão da coluna, questionários funcionais Oswestry e FABQ e EscalaAnalógica Visual de Dor rejeita a hipótese nula, os dois grupos possuem distribuiçõesdiferentes com um nível de significância de 5%. Conclusão: Conclui-se que a diferençaentre os grupos foi presente nos questionários funcionais e na força muscular, sendo assimvemos que a lombalgia afeta a vida diária dos lutadores e o desempenho na luta peladiminuição de força. É necessário outra pesquisa para avaliar uma amostra maior e assimidentificar se os resultados obtidos podem ser difundidos para a sociedade

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Prevalence and factors associated with low back pain in retired Great Britain’s Olympians: A cross‐sectional study

Cooper

Batt

O'Hanlon

et al. 2021

Translational Sports Med

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This study determined the point prevalence and factors associated with low back pain (LBP) in retired Great Britain's (GB) Olympians. Six hundred and thirteen retired athletes completed a cross‐sectional survey. Prevalence of LBP (pain on most days in the past 4‐weeks) was 32.1%. LBP was associated with a prior significant low back injury [aOR 2.51; 95% CI, 1.60‐ 3.92, P < .001] and a change from a healthy to a high BMI [aOR 2.21; 95% CI, 1.46‐3.34, P < .001]. Fewer cases of LBP were reported in those with a moderate training volume [aOR 0.29; 95% CI, 0.18‐0.48, P < .001] and those aged 75 years and older [aOR 0.51; 95% CI, 0.29‐0.91, P = .022]. Chronic LBP (symptoms past ≥12‐weeks) was associated with a higher pain severity [aOR 1.18; 95% CI, 1.02‐1.37. P = .031], widespread pain [aOR 2.62; 95% CI, 1.15‐5.99, P = .022], anxiety (aOR 2.99; 95% CI, 1.14‐7.80, P = .025), and depression [aOR 2.47; 95% CI, 1.08‐5.63, P = .031]. LBP is common in retired GB Olympians. Chronic symptoms were associated with features of central sensitization and imply that different pain mechanisms are involved in those with persistent symptoms. Strategies to promote health among retired athletes should consider the importance of psychological factors in the management of back pain.

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Severe back pain in elite athletes: a cross-sectional study on 929 top athletes of Germany

Cited by 39 publications

References 24 publications

Back pain in elite sports: A cross-sectional study on 1114 athletes

Back pain in elite sports: A cross-sectional study on 1114 athletes

Análise Dinamométrica E Eletromiográfica Da Musculatura Do Core Em Atletas De Mma Com Lombalgia

Prevalence and factors associated with low back pain in retired Great Britain’s Olympians: A cross‐sectional study

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