Lumbar Mechanics in Tennis Groundstrokes: Differences in Elite Adolescent Players With and Without Low Back Pain

Adolescent tennis players are at risk for low back pain (LBP). Recent research has demonstrated a potential mechanical etiology during serves; however, groundstrokes have also been suggested to load this region. Therefore, this study compared lumbar mechanics between players with and without a history of LBP during open and square stance tennis forehands and backhands. Nineteen elite, adolescent, male tennis players participated, 7 with a history of recurrent disabling LBP and 12 without. Differences in three-dimensional lumbar kinetics and kinematics were compared between pain/no pain groups and groundstrokes using linear mixed models (P < .01). There were no significant differences between pain/no pain groups. Relative to a right-handed player, groundstroke comparisons revealed that forehands had greater racquet velocity, greater lumbar right lateral flexion force, as well as upper lumbar extension/rightward rotation and lower lumbar right rotation/lateral flexion movements that were closer to or further beyond end of range than backhands. Backhands required upper lumbar leftward rotation that was beyond end range, while forehands did not. Given that players typically rotated near to their end of range during the backswing of both forehands and backhands, independent of pain, groundstrokes may contribute to the cumulative strain linked to LBP in tennis players.

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Three-Dimensional Trunk Kinematics and Low Back Pain in Elite Female Fast Bowlers

Journal of Applied Biomechanics ◽

10.1123/jab.26.1.52 ◽

2010 ◽

Vol 26 (1) ◽

pp. 52-61 ◽

Cited By ~ 26

Author(s):

Max C. Stuelcken ◽

René E.D. Ferdinands ◽

Peter J. Sinclair

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Three Dimensional ◽

Support Staff ◽

Low Back ◽

Lateral Flexion ◽

Kinematic Data ◽

History Of ◽

Mixed Action ◽

Analysis System

This study aimed to investigate the bowling techniques of female fast bowlers and identify any association between a history of low back pain (LBP) and the movement patterns of the thorax relative to the pelvis during the delivery stride of the bowling action. Three-dimensional kinematic data were collected from 26 elite Australian female fast bowlers using an eight-camera Vicon motion analysis system. Nineteen bowlers used a mixed action, 6 bowlers used a semiopen action, and 1 bowler used a side-on action. Fourteen bowlers had a history of LBP. Eight of these 14 bowlers used a mixed action, and bowlers with more shoulder counterrotation were no more likely to have a history of LBP. Bowlers with a history of LBP positioned the thorax in more left lateral flexion relative to the pelvis between 73–79% of the delivery stride, and moved the thorax through a significantly greater range of lateral flexion relative to the pelvis during the delivery stride compared with bowlers with no history of LBP. This information will give coaches and support staff a better understanding of female bowling technique and may facilitate better screening practices for elite female cricketers.

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Comparison of hip extension and rotation ranges of motion in young elite tennis players with and without history of low back pain

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-181296 ◽

2019 ◽

Vol 32 (4) ◽

pp. 629-638 ◽

Cited By ~ 3

Author(s):

V. Moreno-Pérez ◽

A. López-Valenciano ◽

F. Ayala ◽

J. Fernandez-Fernandez ◽

F.J. Vera-Garcia

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Tennis Players ◽

History Of ◽

Hip Extension

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Three-dimensional evaluation of pelvic posture in adolescents with and without a history of low back pain*

TURKISH JOURNAL OF MEDICAL SCIENCES ◽

10.3906/sag-1607-12 ◽

2017 ◽

Vol 47 ◽

pp. 1885-1893 ◽

Cited By ~ 1

Author(s):

Seher ÖZYÜREK ◽

Arzu GENÇ ◽

Hayriye KUL KARAALİ ◽

Zeliha Candan ALGUN

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Three Dimensional ◽

Low Back ◽

History Of ◽

Pelvic Posture

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FRI0586-HPR Three Dimensional Evaluation of Pelvic Posture in Adolescents with A History of Low Back Pain

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2014-eular.3007 ◽

2014 ◽

Vol 73 (Suppl 2) ◽

pp. 1207.1-1207

Author(s):

S. Özyürek ◽

A. Genç ◽

H. Kul Karaali ◽

C. Algun

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Three Dimensional ◽

Low Back ◽

History Of ◽

Pelvic Posture

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Jogging Kinematics After Lumbar Paraspinal Muscle Fatigue

Journal of Athletic Training ◽

10.4085/1062-6050-44.5.475 ◽

2009 ◽

Vol 44 (5) ◽

pp. 475-481 ◽

Cited By ~ 22

Author(s):

Joseph M. Hart ◽

D. Casey Kerrigan ◽

Julie M. Fritz ◽

Christopher D. Ingersoll

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Lower Extremity ◽

Healthy Controls ◽

Low Back ◽

Trunk Flexion ◽

History Of ◽

Lumbar Extension ◽

Recurrent Low Back Pain

Abstract Context: Isolated lumbar paraspinal muscle fatigue causes lower extremity and postural control deficits. Objective: To describe the change in body position during gait after fatiguing lumbar extension exercises in persons with recurrent episodes of low back pain compared with healthy controls. Design: Case-control study. Setting: Motion analysis laboratory. Patients or Other Participants: Twenty-five recreationally active participants with a history of recurrent episodes of low back pain, matched by sex, height, and mass with 25 healthy controls. Intervention(s): We measured 3-dimensional lower extremity and trunk kinematics before and after fatiguing isometric lumbar paraspinal exercise. Main Outcome Measure(s): Measurements were taken while participants jogged on a custom-built treadmill surrounded by a 10-camera motion analysis system. Results: Group-by-time interactions were observed for lumbar lordosis and trunk angles (P < .05). A reduced lumbar spine extension angle was noted, reflecting a loss of lordosis and an increase in trunk flexion angle, indicating increased forward trunk lean, in healthy controls after fatiguing lumbar extension exercise. In contrast, persons with a history of recurrent low back pain exhibited a slight increase in spine extension, indicating a slightly more lordotic position of the lumbar spine, and a decrease in trunk flexion angles after fatiguing exercise. Regardless of group, participants experienced, on average, greater peak hip extension after lumbar paraspinal fatigue. Conclusions: Small differences in response may represent a necessary adaptation used by persons with recurrent low back pain to preserve gait function by stabilizing the spine and preventing inappropriate trunk and lumbar spine positioning.

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Comparison of Lumbar Kinematics with a History of Low Back Pain During Baseball Hitting

International Journal of Sports Medicine ◽

10.1055/a-1014-3041 ◽

2020 ◽

Vol 41 (02) ◽

pp. 119-127

Author(s):

Tomoki Oshikawa ◽

Koji Kaneoka ◽

Yasuhiro Morimoto ◽

Hiroshi Akuzawa

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Three Dimensional ◽

Flexion Angle ◽

Control Group ◽

Low Back ◽

Lumbar Flexion ◽

Spine Pain ◽

History Of

AbstractThe purpose of this study was to examine the influence of a history of low back pain (LBP) on pelvic and lumbar kinematics during baseball hitting. Twenty collegiate male baseball players (age, 21±1 years; height, 172.8±4.7 cm; weight, 72.7±6.2 kg; baseball experience, 13±1 years) performed 5 bat swings. Participants were categorized into the LBP group (n=10) or control group (n=10) based on having experienced lumbar spine pain due to bat swing that lasted more than 24 h within the last 12 months. Three-dimensional kinematic data of the pelvis and lumbar spine during bat swing were measured. Two-way ANOVAs were used to compare pelvic and lumbar kinematics throughout the bat swing between groups, and independent t-tests were used to compare the other outcomes between groups. There was a significant main effect between groups in lumbar flexion angle throughout the bat swing (p=0.047). The mean lumbar flexion angle of the LBP group throughout the bat swing was less than that of the control group. Additionally, the peak angular velocity of lumbar flexion of the LBP group was significantly faster than that of control group (p=0.047). These results can be helpful for longitudinal studies that identify the risk factors of LBP due to bat swing.

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