Perceptions of low back pain in elite gymnastics: a multi-disciplinary qualitative focus group

Purpose: Low Back Pain (LBP) incidence in the athletic gymnastic population is high; resulting from extreme ranges of movement, training loads and performance requirements. In particular, repeated hyper-extension and rotational forces predispose gymnasts to spondylolysis (16.64%), with a rate of progression to spondylolisthesis of 47.5%. LBP contributes to high losses from training and performance, but if detected early higher healing rates are seen. A multi-disciplinary team (MDT) informs identification and assessment of LBP in gymnasts to inform training and precision rehabilitation.
Source: Physiotherapy - Category: Physiotherapy Authors: Tags: O0049 Source Type: research

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Conclusion: We report the first case of robot-assisted direct intralaminar screw fixation for spondylolysis using the TiRobot system. Robotic guidance for direct repair of spondylolysis could be feasible.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Study Design. A cross-sectional, retrospective cohort study. Objective. To examine the prevalence of the pedicle stress injury, spondylolysis in children and adolescents with low back pain. And secondly, to test the hypothesis that these pathologies are associated with lumbar lordosis angle. Summary of Background Data. The prevalence of the pedicle stress injury has not been investigated in children with low back pain. In recent studies, lumbar lordosis angle was associated with spondylolysis, on the other hand the pedicle stress injury was not investigated yet. Methods. In this retrospective study, 789 consecut...
Source: Spine - Category: Orthopaedics Tags: DIAGNOSTICS Source Type: research
Authors: Campos M, Vial R, Castro J, Urrutia J Abstract High-intensity zone is an area of high-intensity signal within the posterior annulus fibrosus observed in magnetic resonance imaging; initially described in painful discs, recent studies have described similar prevalence in symptomatic and asymptomatic subjects. Since its' prevalence in the general population has not been established, we used a screening tool independent of spinal symptoms to determine high-intensity zone prevalence. We studied 217 patients evaluated with abdominal-pelvic magnetic resonance imaging; we looked for high-intensity zone, disc dege...
Source: Acta Orthopaedica Belgica - Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research
Authors: Abstract OBJECTIVEThe aim of this study was to investigate the relationship between lumbar spondylolysis and payload weight between different combat units of Turkish land forces (TLF).METHODThe authors reviewed clinical and radiological data of the military personnel with low-back pain (LBP) admitted to their clinic between July 2017 and July 2018. Age, BMI, average payload weight, and military service unit were recorded. CT scans were evaluated for pars interarticularis fractures and spondylolisthesis, whereas MRI studies were evaluated for spondylolisthesis, Modic-type endplate changes, or signal loss ...
Source: Neurosurgical Focus - Category: Neurosurgery Tags: Neurosurg Focus Source Type: research
ConclusionsThe interdependence of positional parameters, such as sacral slope, with anatomic parameters, such as pelvic incidence, can affect lumbar lordosis and therefore upright positioning and loading of the spine. Sacral slope may be an important variable for clinicians to consider when caring for young athletes with low back pain, particularly when the index of suspicion for spondylolysis is high.Level of EvidenceIV
Source: PMandR - Category: Rehabilitation Source Type: research
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Paul Gagnet, Kent Kern, Kyle Andrews, Hossein Elgafy, Nabil EbraheimAbstractSpondylolysis is a common diagnosis with a high prevalence in children and adolescents complaining of low back pain. It may be caused by either a defect or fracture of the pars interarticularis due to mechanical stress. Depending on the severity of the spondylolysis and symptoms associated it may be treated either conservatively or surgically, both of which have shown significant success. Conservative treatments such as bracing and decreased activity have been ...
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
ConclusionsThe interdependence of positional parameters, such as sacral slope, with anatomic parameters, such as pelvic incidence, can affect lumbar lordosis and therefore upright positioning and loading of the spine. Sacral slope may be an important variable for clinicians to consider when caring for young athletes with low back pain, particularly when the index of suspicion for spondylolysis is high.Level of EvidenceIV
Source: PMandR - Category: Rehabilitation Source Type: research
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Paul Gagnet, Kent Kern, Kyle Andrews, Hossein Elgafy, Nabil EbraheimAbstractSpondylolysis is a common diagnosis with a high prevalence in children and adolescents complaining of low back pain. It may be caused by either a defect or fracture of the pars interarticularis due to mechanical stress. Depending on the severity of the spondylolysis and symptoms associated it may be treated either conservatively or surgically, both of which have shown significant success. Conservative treatments such as bracing and decreased activity have been ...
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
Publication date: Available online 17 March 2018 Source:Journal of Orthopaedics Author(s): Nabil Ebraheim, Hossein Elgafy, Paul Gagnet, Kyle Andrews, Kent Kern Spondylolysis is a common diagnosis with a high prevalence in children and adolescents complaining of low back pain. It may be caused by either a defect or fracture of the pars interarticularis due to mechanical stress. Depending on the severity of the spondylolysis and symptoms associated it may be treated either conservatively or surgically, both of which have shown significant success. Conservative treatments such as bracing and decreased activity have been show...
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
Conclusions The interdependence of positional parameters, such as sacral slope, with anatomic parameters, such as pelvic incidence, can affect lumbar lordosis and therefore upright positioning and loading of the spine. Sacral slope may be an important variable for clinicians to consider when caring for young athletes with low back pain, particularly when the index of suspicion for spondylolysis is high. Level of Evidence To be determined.
Source: PMandR - Category: Rehabilitation Source Type: research
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