Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players
Abstract Background Prospective studies investigating risk factors for low back pain (LBP) in youth athletes are limited. The aim of this prospective study was to investigate the association between hip-pelvic kinematics and vertical ground reaction force (vGRF) during landing tasks and LBP in youth...
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doaj-0238bb2f8f2a41deac4e442a44306f562020-11-25T03:54:31ZengBMCBMC Musculoskeletal Disorders1471-24742020-06-0121111010.1186/s12891-020-03376-1Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball playersM. K. Rossi0K. Pasanen1A. Heinonen2S. Äyrämö3A. M. Räisänen4M. Leppänen5G. Myklebust6T. Vasankari7P. Kannus8J. Parkkari9Tampere Research Center of Sports Medicine, UKK InstituteTampere Research Center of Sports Medicine, UKK InstituteFaculty of Sport and Health Sciences, University of JyväskyläFaculty of Information Technology, University of JyväskyläSport Injury Prevention Research Centre, Faculty of Kinesiology, University of CalgaryTampere Research Center of Sports Medicine, UKK InstituteOslo Sports Trauma Research Center, Department of Sports Sciences, Norwegian School of Sport SciencesTampere Research Center of Sports Medicine, UKK InstituteTampere Research Center of Sports Medicine, UKK InstituteTampere Research Center of Sports Medicine, UKK InstituteAbstract Background Prospective studies investigating risk factors for low back pain (LBP) in youth athletes are limited. The aim of this prospective study was to investigate the association between hip-pelvic kinematics and vertical ground reaction force (vGRF) during landing tasks and LBP in youth floorball and basketball players. Methods Three-hundred-and-eighty-three Finnish youth female and male floorball and basketball players (mean age 15.7 ± 1.8) participated and were followed up on for 3 years. At the beginning of every study year the players were tested with a single-leg vertical drop jump (SLVDJ) and a vertical drop jump (VDJ). Hip-pelvic kinematics, measured as femur-pelvic angle (FPA) during SLVDJ landing, and peak vGRF and side-to-side asymmetry of vGRF during VDJ landing were the investigated risk factors. Individual exposure time and LBP resulting in time-loss were recorded during the follow-up. Cox’s proportional hazard models with mixed effects and time-varying risk factors were used for analysis. Results We found an increase in the risk for LBP in players with decreased FPA during SLVDJ landing. There was a small increase in risk for LBP with a one-degree decrease in right leg FPA during SLVDJ landing (HR 1.09, 95% CI 1.02 to 1.17, per one-degree decrease of FPA). Our results showed no significant relationship between risk for LBP and left leg FPA (HR 1.04, 95% CI 0.97 to 1.11, per one-degree decrease of FPA), vGRF (HR 1.83, 95% CI 0.95 to 3.51) or vGRF side-to-side difference (HR 1.22, 95% CI 0.65 to 2.27) during landing tasks. Conclusions Our results suggest that there is an association between hip-pelvic kinematics and future LBP. However, we did not find an association between LBP and vGRF. In the future, the association between hip-pelvic kinematics and LBP occurrence should be investigated further with cohort and intervention studies to verify the results from this investigation. Level of evidence Prognosis, level 1b.http://link.springer.com/article/10.1186/s12891-020-03376-1Low back painLumbar spineTeam sportsYouth athletesRisk factors |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
M. K. Rossi K. Pasanen A. Heinonen S. Äyrämö A. M. Räisänen M. Leppänen G. Myklebust T. Vasankari P. Kannus J. Parkkari |
spellingShingle |
M. K. Rossi K. Pasanen A. Heinonen S. Äyrämö A. M. Räisänen M. Leppänen G. Myklebust T. Vasankari P. Kannus J. Parkkari Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players BMC Musculoskeletal Disorders Low back pain Lumbar spine Team sports Youth athletes Risk factors |
author_facet |
M. K. Rossi K. Pasanen A. Heinonen S. Äyrämö A. M. Räisänen M. Leppänen G. Myklebust T. Vasankari P. Kannus J. Parkkari |
author_sort |
M. K. Rossi |
title |
Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players |
title_short |
Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players |
title_full |
Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players |
title_fullStr |
Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players |
title_full_unstemmed |
Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players |
title_sort |
performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players |
publisher |
BMC |
series |
BMC Musculoskeletal Disorders |
issn |
1471-2474 |
publishDate |
2020-06-01 |
description |
Abstract Background Prospective studies investigating risk factors for low back pain (LBP) in youth athletes are limited. The aim of this prospective study was to investigate the association between hip-pelvic kinematics and vertical ground reaction force (vGRF) during landing tasks and LBP in youth floorball and basketball players. Methods Three-hundred-and-eighty-three Finnish youth female and male floorball and basketball players (mean age 15.7 ± 1.8) participated and were followed up on for 3 years. At the beginning of every study year the players were tested with a single-leg vertical drop jump (SLVDJ) and a vertical drop jump (VDJ). Hip-pelvic kinematics, measured as femur-pelvic angle (FPA) during SLVDJ landing, and peak vGRF and side-to-side asymmetry of vGRF during VDJ landing were the investigated risk factors. Individual exposure time and LBP resulting in time-loss were recorded during the follow-up. Cox’s proportional hazard models with mixed effects and time-varying risk factors were used for analysis. Results We found an increase in the risk for LBP in players with decreased FPA during SLVDJ landing. There was a small increase in risk for LBP with a one-degree decrease in right leg FPA during SLVDJ landing (HR 1.09, 95% CI 1.02 to 1.17, per one-degree decrease of FPA). Our results showed no significant relationship between risk for LBP and left leg FPA (HR 1.04, 95% CI 0.97 to 1.11, per one-degree decrease of FPA), vGRF (HR 1.83, 95% CI 0.95 to 3.51) or vGRF side-to-side difference (HR 1.22, 95% CI 0.65 to 2.27) during landing tasks. Conclusions Our results suggest that there is an association between hip-pelvic kinematics and future LBP. However, we did not find an association between LBP and vGRF. In the future, the association between hip-pelvic kinematics and LBP occurrence should be investigated further with cohort and intervention studies to verify the results from this investigation. Level of evidence Prognosis, level 1b. |
topic |
Low back pain Lumbar spine Team sports Youth athletes Risk factors |
url |
http://link.springer.com/article/10.1186/s12891-020-03376-1 |
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