The cross-sectional study evaluates the incidence, localization, treatment, and influencing factors of back pain (BP) in Germany’s elite athletes.
An online questionnaire was sent out to 3564 top athletes. We used the VAS to identify the intensity of BP and SPSS for statistical analyses.
929 athletes responded. 514 (55.3 %) had BP within the last 12 months, mainly located in the lumbar spine (n = 293, 56.1 %). The average pain intensity was 5.75/10. Back-affecting exercise and additional burdens (e.g. at their place of work) did not increase the intensity of BP. When dividing the athletes into two groups according to the BP intensity, BP did not correlate with gender, age or BMI.
At least every tenth athlete suffers temporarily from low BP at a level at which spine surgery could be the only option to relieve the pain. BP occurs independently of back-affecting training and additional stress. Further evaluation is needed to identify factors for avoiding severe BP in top athletes.
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Becker JA, Stumbo JR (2013) Back pain in adults. Prim Care 40(2):271–88. doi:10.1016/j.pop.2013.02.002
Calvo-Munoz I, Gómez-Conesa A, Sánchez-Meca J (2012) Prevalence of low back pain during childhood and adolescence: a systematic review. Rev Esp Salud Publica. doi:10.4321/S1135-57272012000400003
Hasler CC (2013) Back pain during growth. Swiss Med Wkly. doi:10.4414/smw.2013.13714
Trainor TJ, Wiesel SW (2002) Epidemiology of back pain in the athlete. Clin Sports Med 21(1):93–103 (PMID:11877875)
Balagué F, Nordin M, Skovron ML, Dutoit G, Yee A, Waldburger M (1994) Non-specific low-back pain among schoolchildren: a field survey with analysis of some associated factors. J Spinal Disord (PMID:7819636)
Balagué F, Troussier B, Salminen JJ (1999) Non-specific low back pain in children and adolescents: risk factors. Eur Spine J 8:429–438 (PMID:10664299)
Baranto A, Hellström M, Cederlund CG, Nyman R, Swärd L (2009) Back pain and MRI changes in the thoraco-lumbar spine of top athletes in four different sports: a 15-years follow-up-study. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-009-0767-3
Harreby M, Nygaard B, Jessen T, Larson E, Storr-Paulsen A, Lindahl A, Fisker I, Laegaard E (1999) Risk factors for low back pain in a cohort of 1389 Danish school children: an epidemiologic study. Eur Spine J 8(6):444–450 (PMID:10664301)
Jackson D, Wiltse L, Cirincione R (1976) Spondylolysis in the female gymnast. Clin, Orthop
Korovessis P, Koureas G, Papazisis Z (2004) Correlation between backpack weight and way of carrying, sagittal and frontal spinal curvatures, athletic activity, and dorsal and low back pain in schoolchildren and adolescents. J Spinal Disord Tech 17(1):33–40 (PMID:14734974)
Kujala U, Taimela S, Erkintalo M, Salminen J, Karrio J (1996) Low back pain in adolescent athletes. Med Sci Sports Exerc 28(2):165–670 (PMID:8775149)
Skoffer B, Foldspang A (2008) Physical activity and low-back pain in schoolchildren. Eur Spine J. doi:10.1007/s00586-007-0583-8
Harreby M, Neergaard K, Hesselsoe G, Kjer J (1995) Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults. Spine 20(21):2298–302 (PMID:8553117)
Jeffries LJ, Milanese SF, Grimmer-Somers KA (2007) Epidemiology of adolescent spinal pain: a systematic overview of the research literature. Spine 32(23):2630–7 (PMID:17978666)
Mattila VM, Sahi T, Jormanainen V, Pihlajamäli H (2008) Low back pain and its risk indicators: a survey of 7.040 Finnish mal conscripts. Eur Spine J 17(1):64–69 (PMID:17874146)
Kedra A, Czaprowski D (2013) Epidemiology of back pain in children and youth aged 10–19 from the area of the Southeast of Poland. Biomed Res Int. doi:10.1155/2013/506823
Davis RJ, Kim KD, Hisey MS, Hoffman GA, Bae HW, Gaede SE, Rashbaum RF, Nunley PD, Peterson DL, Stokes JK (2013) Cervical total disc replacement with the Mobi-C cervical artificial disc compared with anterior discectomy and fusion for treatment of 2-level symptomatic degenerative disc disease: a prospective, randomized, controlled multicenter clinical trial: clinical article. J Neurosurg Spine. doi:10.3171/2013.6.SPINE12527
Leboeuf-Yde C, Kyvik KO (1998) At what age does low back pain become a common problem? A study of 29,424 individuals aged 12–41 years. Spine 23(2):228–234 (PMID:9474731)
Briggs AM, Smith AJ, Straker LM, Bragge P (2009) Thoracic spine pain in the general population: prevalence, incidence and associated factors in children, adolescents and adults. A systematic review. BMC Musculoskelet Disord. doi:10.1186/1471-2474-10-77
Wedderkopp N, Leboeuf-Yde C, Andersen LB, Froberg K, Hansen HS (2001) Back pain reporting pattern in a Danish population-based sample of children and adolescents. Spine 26(17):1879–83 (PMID:11568698)
Fanucchi GL, Stewart A, Jordaan R, Becker P (2009) Exercise reduces the intensity and prevalence of low back pain in 12–13 year old children: a randomised trial. Aust J Physiother 55(2):97–104 (PMID:19463080)
Calvo Munoz I, Gomez-Conesa A, Sanchez-Meca J (2013) Physical therapy treatments for low back pain in children and adolescent: a meta-analysis. BMC Muscoskelet Disord. doi:10.1186/1471-2474-14-55
Campello M, Nordin M, Weiser S (1996) Physical exercise and low back pain. Scand J Med Sci Sports 6(2):63–72 (PMID:8809923)
Brokelman RB, Haverkamp D, van Loon C, Hol A, van Kampen A, Veth R (2012) The validation of the visual analogue scale for patient satisfaction after total hip arthroplasty. Eur Orthop Traumatol 3(2):101–105 (PMID:22798966)
Bijur PE, Silver W, Gallagher EJ (2001) Reliability of the Visual Analog Scale for Measurement of Acute Pain. Acad Emerg Med 8(12):1153–57 (PMID:11733293)
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Schulz, S.S., Lenz, K. & Büttner-Janz, K. Severe back pain in elite athletes: a cross-sectional study on 929 top athletes of Germany. Eur Spine J 25, 1204–1210 (2016). https://doi.org/10.1007/s00586-015-4210-9
- Back pain
- Elite athletes