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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
Low back pain in adolescent female rowers: a multi-dimensional intervention study
Debra Perich1, Angus Burnett, Peter O'Sullivan
1School of Exercise, Biomedical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia. dperich@yahoo.com.au
Summary
A multi-dimensional intervention effectively reduced low back pain (LBP) incidence, pain, and disability in schoolgirl rowers. The program improved physical fitness and posture, demonstrating its value for young athletes.
Area of Science:
- Sports Medicine
- Rehabilitation Science
- Adolescent Health
Background:
- Low back pain (LBP) is prevalent in adolescent athletes, particularly rowers.
- Identifying effective interventions to mitigate LBP in this demographic is crucial.
Purpose of the Study:
- To evaluate the efficacy of a multi-dimensional intervention program in reducing LBP incidence, pain, and disability among schoolgirl rowers.
- To assess the impact of the intervention on physical fitness, posture, and behavioral changes.
Main Methods:
- A non-randomized controlled trial comparing an intervention (INT) group (n=90) with a control (CTRL) group (n=131).
- The INT group received individualized exercise, LBP education, and off-water conditioning.
- Primary outcomes (LBP incidence, pain, disability) were measured at multiple time points; secondary bio-psycho-social outcomes were assessed in the INT group.
Main Results:
- The INT group exhibited a lower incidence of LBP at mid- and end-season compared to the CTRL group.
- Significantly improved outcomes in pain and disability levels were observed in the INT group.
- The intervention led to enhanced physical fitness, improved seated posture (reduced pelvic tilt and lumbar kyphosis), and positive behavioral changes.
Conclusions:
- A multi-dimensional intervention program is effective in reducing LBP, pain, and disability in schoolgirl rowers.
- The program positively impacts key secondary outcomes including physical fitness, seated posture, and behavior, highlighting a holistic approach to athlete well-being.