Relationship between spinal morphology and function and adolescent non-specific back pain: A cross-sectional study.
Qiang Feng1, Chongmin Jiang1, Yu Zhou2
1China Institute of Sport Science, Beijing, China.
Journal of Back and Musculoskeletal Rehabilitation
|February 25, 2017
Summary
Adolescent back pain is linked to spinal abnormalities. Excessive thoracic kyphosis angle and limited lumbar range of motion are identified as potential risk factors for non-specific back pain in teenagers.
Area of Science:
- Orthopedics
- Adolescent Health
- Biomechanical Analysis
Background:
- Non-specific back pain is a significant public health concern impacting adolescent well-being.
- Prevalence of spinal abnormalities in adolescents requires further investigation regarding its association with back pain.
Purpose of the Study:
- To investigate the correlation between spinal morphological abnormalities and non-specific back pain in adolescents.
- To identify specific spinal parameters associated with increased risk of back pain in this demographic.
Main Methods:
- Cross-sectional study involving junior and senior high school students.
- Utilized the SpinalMouse® device to measure spinal angles (thoracic kyphosis, lumbar lordosis) and range of motion (ROM).
- Screened participants for back pain using questionnaires, excluding those with acute injuries or diagnosed conditions.
Main Results:
- High incidences of abnormal thoracic kyphosis angle (TKA) and lumbar lordosis angle (LLA) were observed in both junior and senior high school students.
- An excessive TKA (odds ratio = 1.236) and limited lumbar ROM (odds ratio = 0.975) were significantly correlated with the presence of back pain.
- Significant gender-based differences in LLA abnormalities were noted among junior high school students.
Conclusions:
- Abnormalities in TKA and LLA are prevalent in Chinese adolescents.
- Excessive TKA and limited total lumbar ROM are identified as potential risk factors for non-specific back pain in adolescents.
- Findings highlight the importance of spinal morphology assessment in adolescent back pain management.
Related Concept Videos
01:16Vertebral Column: Regions and Curvature
11.3K
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
11.3K
01:30General Structure of a Vertebra
7.6K
A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous...
7.6K
01:09Changes in the Appendicular Skeleton with Age
3.9K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
3.9K
01:27Muscles of the Vertebral Column
3.5K
The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
3.5K
01:16Spinal Cord: Cross-sectional Anatomy
5.8K
The cross-sectional anatomy of the spinal cord offers a detailed view of its complex structure and function within the central nervous system. At the core of the spinal cord lies the gray matter, characterized by its butterfly or "H"-shaped appearance in cross-section. This central region is enveloped by white matter, with the overall structure divided into symmetrical halves by the dorsal median sulcus and the ventral median fissure.
Gray Matter and its Components
Central to the gray matter is...
Gray Matter and its Components
Central to the gray matter is...
5.8K