A1 Journal article (refereed)
Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players (2020)


Rossi, M. K.; Pasanen, K.; Heinonen, A.; Äyrämö, S.; Räisänen, A. M.; Leppänen, M.; Myklebust, G.; Vasankari, T.; Kannus, P.; Parkkari, J. (2020). Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players. BMC Musculoskeletal Disorders, 21, 350. DOI: 10.1186/s12891-020-03376-1


JYU authors or editors


Publication details

All authors or editors: Rossi, M. K.; Pasanen, K.; Heinonen, A.; Äyrämö, S.; Räisänen, A. M.; Leppänen, M.; Myklebust, G.; Vasankari, T.; Kannus, P.; Parkkari, J.

Journal or series: BMC Musculoskeletal Disorders

eISSN: 1471-2474

Publication year: 2020

Volume: 21

Article number: 350

Publisher: Biomed Central

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1186/s12891-020-03376-1

Open Access: Publication published in an open access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/70022

Publication is parallel published: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275454/


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.


Keywords: back; spine; pain; risk factors; biomechanics; athletes; team sports; young people

Free keywords: low back pain; lumbar spine; risk factors; team sports; youth athletes.


Contributing organizations


Ministry reporting: Yes

Reporting Year: 2020


Last updated on 2020-18-08 at 13:02