Prevalence and risk factors for back pain in sports: a systematic review with meta-analysis
Autor: | David Mockler, Sarah Jane McDonnell, Fiona Wilson, J. P. Caneiro, Craig Newlands, Conor Gissane, Jane S Thornton, Katharina Trompeter, Larissa Trease, Anders Vinther, Kathryn Dane, Kellie Wilkie, Clare L Ardern, Jan Hartvigsen |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
MEDLINE Prevalence Physical Therapy Sports Therapy and Rehabilitation CINAHL 03 medical and health sciences 0302 clinical medicine Epidemiology Back pain Medicine Orthopedics and Sports Medicine 030222 orthopedics biology business.industry Athletes lumbar spine 030229 sport sciences General Medicine biology.organism_classification Low back pain lower back Meta-analysis epidemiology athlete medicine.symptom sport business Demography |
Zdroj: | Wilson, F, Ardern, C L, Hartvigsen, J, Dane, K, Trompeter, K, Trease, L, Vinther, A, Gissane, C, McDonnell, S J, Caneiro, J P, Newlands, C, Wilkie, K, Mockler, D & Thornton, J S 2021, ' Prevalence and risk factors for back pain in sports : A systematic review with meta-analysis ', British Journal of Sports Medicine, vol. 55, no. 11, pp. 601-607 . https://doi.org/10.1136/bjsports-2020-102537 |
ISSN: | 1473-0480 0306-3674 |
DOI: | 10.1136/bjsports-2020-102537 |
Popis: | ObjectivesWe aimed to determine the prevalence of low back pain (LBP) in sport, and what risk factors were associated with LBP in athletes.DesignSystematic review with meta-analysis.Data sourcesLiterature searches from database inception to June 2019 in Medline, Embase, Cumulated Index to Nursing and Allied Health Literature (CINAHL), Web of Science and Scopus, supplemented by grey literature searching.Eligibility criteriaStudies evaluating prevalence of LBP in adult athletes across all sports.ResultsEighty-six studies were included (30 732, range 20–5958, participants), of which 45 were of ‘high’ quality. Definitions of LBP varied widely, and in 17 studies, no definition was provided. High-quality studies were pooled and the mean point prevalence across six studies was 42%; range 18%–80% (95% CI 27% to 58%, I2=97%). Lifetime prevalence across 13 studies was 63%; range 36%–88% (95% CI 51% to 74%, I2=99%). Twelve-month LBP prevalence from 22 studies was 51%; range 12%–94% (95% CI 41% to 61%, I2=98%). Comparison across sports was limited by participant numbers, study quality and methodologies, and varying LBP definitions. Risk factors for LBP included history of a previous episode with a pooled OR of 3.5; range 1.6–4.0 (95% CI 1.9 to 6.4). Statistically significant associations were reported for high training volume, periods of load increase and years of exposure to the sport.ConclusionLBP in sport is common but estimates vary. Current evidence is insufficient to identify which sports are at highest risk. A previous episode of LBP, high training volume, periods of load increase and years of exposure are common risk factors. |
Databáze: | OpenAIRE |
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