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Prevalence and risk factors for back pain in sports: a systematic review with meta-analysis

Citation

Wilson, F and Ardern, CL and Hartvigsen, J and Dane, K and Trompeter, K and Trease, L and Vinther, A and Gissane, C and McDonnell, S-J and Caneiro, JP and Newlands, C and Wilkie, K and Mockler, D and Thornton, JS, Prevalence and risk factors for back pain in sports: a systematic review with meta-analysis, British Journal of Sports Medicine Article online ahead of print. ISSN 0306-3674 (2020) [Refereed Article]

Copyright Statement

Copyright 2020 Author(s) (or their employer(s))

DOI: doi:10.1136/bjsports-2020-102537

Abstract

Objectives: We aimed to determine the prevalence of low back pain (LBP) in sport, and what risk factors were associated with LBP in athletes.

Design: Systematic review with meta-analysis.

Data sources: Literature 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 criteria: Studies evaluating prevalence of LBP in adult athletes across all sports.

Results: Eighty-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.

Conclusion: LBP 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.

Item Details

Item Type:Refereed Article
Keywords:athlete, epidemiology, lower back, lumbar spine, sport
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Sports medicine
Objective Division:Health
Objective Group:Clinical health
Objective Field:Diagnosis of human diseases and conditions
UTAS Author:Trease, L (Dr Larissa Trease)
ID Code:141775
Year Published:2020
Deposited By:Medicine
Deposited On:2020-11-18
Last Modified:2020-12-15
Downloads:0

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