Dolor de espalda en adolescentes: factores asociados desde un enfoque multifactorial (Back pain in adolescents: associated factors with a multifactorial approach)

El objetivo de la presente investigación fue analizar la prevalencia del dolor de espalda en adolescentes y hallar la relación entre el dolor de espalda y algunos factores asociados. La muestra estuvo constituida por 57 escolares con una edad media de 14,11±0,43 años. Se tomaron los datos relativos al peso y la talla, con los que se calculó el IMC; se administró la encuesta sobre el dolor de espalda en adolescentes para conocer los hábitos sobre práctica deportiva, sedentarismo, forma de llevar la mochila y dolor de espalda; y se midió la fuerza flexora y extensora del tronco y la flexibilidad de la musculatura isquiosural. Se encontró que el 43,86% de los sujetos habían sufrido dolor de espalda en algún momento de sus vidas, siendo el dolor lumbar el más habitual (36,84%). Entre un 15 y 25% aproximadamente de los adolescentes habían visitado al médico de cabecera o al fisioterapeuta a causa del dolor de espalda a lo largo de su vida. Se encontró cierta tendencia, sin que hubiera diferencias significativas, a que la presencia de dolor de espalda fuera mayor entre los practicantes de deporte (r=0,250; p=0,059), especialmente entre los que practicaban menos horas a la semana (r=0,348; p=0,076). Los escolares que presentaron dolor de espalda tenían tendencia a presentar menos fuerza flexora y extensora del tronco y una menor extensibilidad de la musculatura isquiosural, sin que hubiera diferencias significativas entre grupos (p>0,05). El sexo, el tiempo en actividades sedentarias, la forma de llevar la mochila y el IMC tampoco se relacionaron con el dolor de espalda (p>0,05). En conclusión, la práctica de deporte, la fuerza del tronco y la extensibilidad isquiosural son variables que podrían afectar a la incidencia de dolor de espalda en adolescentes. Abstract. The objective of the current study was to analyze the prevalence of spine pain in adolescents and to show the relationship between back pain and some associated factors. The sample consisted of 57 schoolchildren, mean age 14.11±0.43 years-old. Body mass and height were measured to calculate BMI; the survey about back pain in adolescents was completed to register the prevalence of PA, sedentary lifestyle, way of carrying a backpack and spine pain; and the strength of the flexor and extensor muscles and hamstring extensibility was evaluated. It was found that a 43.86% of the subjects had spine pain, with low back pain as the most common (36.84%). Approximately 15 to 25% of the adolescents had visited the family doctor or physiotherapist because of spine pain throughout their lives. A tendency, with no significant differences, was found for a greater presence of spine pain in sport practitioners (r=0.250; p=0.059), especially among those who practiced fewer hours a week (r=0.348; p=0.076). The schoolchildren who presented spine pain tended to have less flexor and extensor strength of the trunk and less hamstring extensibility, with no significant differences between groups (p>0.05). Sex, time spent in sedentary activities, way of carrying a backpack and BMI were not related to spine pain (p>0.05). In conclusion, the sport practice, trunk strength and hamstring extensibility are variables that could affect the incidence of spine pain in adolescents.

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Investigation of the Relationship Between Sagittal Curvature and Lumbar Extensor Muscle Volume in Patients with Lower Back Pain

10.21203/rs.3.rs-81499/v1 ◽

2020 ◽

Author(s):

Isil Yurdaisik ◽

Süleyman Hilmi Aksoy

Keyword(s):

Back Pain ◽

Lower Back Pain ◽

Wedge Angle ◽

Extensor Muscle ◽

Muscle Volume ◽

Lower Back ◽

Extensor Muscles ◽

The Mean ◽

The Right ◽

The Relationship

Abstract Objective: The objective of this study was to investigate the relationship between spinal curvature and extensor muscle volume in patients who presented to our hospital with lower back pain and were referred to our radiology clinic for imaging investigations.Methods: A total of 150 patients with 87 being female and 63 male who presented to our hospital with the complaint of lower back pain and were referred to our radiology clinic were included in this study. Lumbar angle, lumbosacral angle, wedge angle, sacral horizontal angle, the volume of the right and left PSOAS muscles and the volume of the right and left extensor muscles were calculated and analyzed. Results: A total of 150 patients with lower back pain were included in the study. The mean lumbar angle was found as 44.2±10.6 degrees, and the mean lumbosacral angle as 56.7±10.9 degrees. The mean wedge angle of all patients included in the study was measured as 9.3±3.7 degrees. The mean sacral horizontal angle was found as 33.6±7.1 degrees. The mean right lumbar extensor muscle volume was measured as 2169.6±489.6 mm3, while the mean left lumbar extensor volume was calculated as 2286.5±1452.8 mm3. Conclusion: Our findings indicate a significant positive correlation between the volume of extensor muscles in the lower half of the lumbar spine and sagittal curvature in the same region. Clarifying the relationship between sagittal curvature and lower lumbar muscle size will provide contribution to the management of patients with lower back pain and will be helpful in determining whether these patients would benefit from intensive treatment.

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Effect of cupping therapy on the level of pain and neuromuscular variables in women with low back pain

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2020.18.1120 ◽

2020 ◽

Vol 18 ◽

pp. 1-8

Author(s):

Deborah Hebling Spinoso ◽

Leticia Carvalho Pereira

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Cupping Therapy ◽

Low Back ◽

Lower Back ◽

Extensor Muscles ◽

Common Technique ◽

Trunk Extensor ◽

Trunk Strength ◽

Therapy Treatment

Background: Cupping therapy is a common technique in the field of traditional Chinese medicine, which through sucking on the skinmainly results in pain relief. Objectives: To analyze the effect of cupping therapy on pain intensity, muscle co-contraction and trunkextensor muscle strength in women with low back pain. Methods: 26 women participated, divided into: LBPgroup (n = 13), and controlgroup (n = 13). The level of pain, isometric strength of trunk extensor muscles and co-contraction of superficial and deep trunk muscleswere evaluated. The cupping therapy treatment consisted of 10 sessions, and after the volunteers were reevaluated. Anova RepeatedMeasures were used. Results: There was a 40.1% reduction in pain level, a 13.6% increase in trunk extensor strength, and a decreasein contraction between rectus abdominis and iliocostalis for GDL after treatment. Conclusion: 10 sessions of cupping therapy assistin reducing pain and improving trunk strength in young people with lower back pain.

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Diagnostic Approaches to a Patient with the Problem of Acute Low Back Pain at the Family Doctor’s Practice (According the Experience of Croatia and Slovenia)

Family Medicine ◽

10.30841/2307-5112.2-3.2021.240760 ◽

2021 ◽

pp. 24-27

Author(s):

Liliia Babynets ◽

Iryna Halabitska

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Family Doctor ◽

Diagnostic Process ◽

Low Back ◽

Permanent Disability ◽

Acute Low Back Pain ◽

Number Of Patients ◽

The Family

Acute low back pain is one of the most common health problems in family medicine. This pain is experienced at least once in the life of 60–80 % of people. The aim is to study the European (Croatian and Slovenian) experience of the diagnostic approach to the management of a patient with the problem of acute low back pain in the practice of a family doctor. Acute low back pain is the reason for frequent visits to the family doctor. Most patients are diagnosed with uncomplicated low back pain, which does not require additional diagnostic tests, and a course of treatment and a short hospital stay (up to two weeks) is prescribed by a family doctor. Back pain is not a definitive diagnosis. This may be a reason to visit or as a working syndrome diagnosis. To determine the cause of pain, it is necessary to determine the source of pain in order to select the appropriate treatment for the patient. To identify the cause it is necessary to collect history and conduct clinical examinations for the following factors: uncomplicated low back pain, radicular back pain, severe pathology of the lumbosacral region, pain from related structures, psychosocial factors (somatization, exacerbation). A small number of patients with acute low back pain develop chronic low back pain, which is established as a diagnosis after clinical symptoms persist for six months. It is important to immediately diagnose patients who may initially develop chronic low back pain, which requires referral for additional diagnostic examination, physical therapy, and to assess for temporary or permanent disability. Carrying out the diagnostic process according to the above algorithm allows to determine the causative factor of acute low back pain, which will prescribe an effective and rational scheme of such a patient to correct the clinical condition, relieve pain and prevent chronic low back pain.

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The Relationship Between Submaximal Activity of the Lumbar Extensor Muscles and Lumbar Posteroanterior Stiffnesss

Physical Therapy ◽

10.1093/ptj/79.3.278 ◽

1999 ◽

Vol 79 (3) ◽

pp. 278-285 ◽

Cited By ~ 30

Author(s):

Debra Shirley ◽

Michael Lee ◽

Elizabeth Ellis

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Activity ◽

Repeated Measures ◽

Spinous Process ◽

Voluntary Contraction ◽

Low Back ◽

Extensor Muscles ◽

The Relationship ◽

Increased Activity

Abstract Background and Purpose. Some patients with low back pain are thought to have increased lumbar posteroanterior (PA) stiffness. Increased activity of the lumbar extensors could contribute to this stiffness. This activity may be seen when a PA force is applied and is thought to represent much less force than occurs with a maximal voluntary contraction (MVC). Although MVCs of the lumbar extensors are known to increase lumbar PA stiffness, the effect of small amounts of voluntary contraction is not known. In this study, the effect of varying amounts of voluntary isometric muscle activity of the lumbar extensors on lumbar PA stiffness was examined. Subjects. Twenty subjects without low back pain, aged 26 to 45 years (X̄=34, SD=5.6), participated in the study. Methods. Subjects were asked to perform an isometric MVC of their lumbar extensor muscles with their pelvis fixed by exerting a force against a steel plate located over their T4 spinous process. They were then asked to perform contractions generating force equivalent to 0%, 10%, 30%, 50%, and 100% of that obtained with an MVC. Posteroanterior stiffness at L4 was measured during these contractions. Results. A Friedman one-way analysis of variance for repeated measures demonstrated a difference in PA stiffness among all levels of muscle activity. Conclusion and Discussion. Voluntary contraction of the lumbar extensor muscles will result in an increase in lumbar PA stiffness even at low levels of activity.

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Intergenerational Family Relations in Luxembourg

European Psychologist ◽

10.1027/1016-9040/a000125 ◽

2013 ◽

Vol 18 (1) ◽

pp. 59-69 ◽

Cited By ~ 13

Author(s):

Isabelle Albert ◽

Dieter Ferring ◽

Tom Michels

Keyword(s):

Family Relations ◽

Family Values ◽

Generation Gap ◽

Intergenerational Solidarity ◽

Acculturation Gap ◽

Family Obligations ◽

Mothers And Daughters ◽

The Family ◽

The Relationship ◽

Model Family

According to the intergenerational solidarity model, family members who share similar values about family obligations should have a closer relationship and support each other more than families with a lower value consensus. The present study first describes similarities and differences between two family generations (mothers and daughters) with respect to their adherence to family values and, second, examines patterns of relations between intergenerational consensus on family values, affectual solidarity, and functional solidarity in a sample of 51 mother-daughter dyads comprising N = 102 participants from Luxembourgish and Portuguese immigrant families living in the Grand Duchy of Luxembourg. Results showed a small generation gap in values of hierarchical gender roles, but an acculturation gap was found in Portuguese mother-daughter dyads regarding obligations toward the family. A higher mother-daughter value consensus was related to higher affectual solidarity of daughters toward their mothers but not vice versa. Whereas affection and value consensus both predicted support provided by daughters to their mothers, affection mediated the relationship between consensual solidarity and received maternal support. With regard to mothers, only affection predicted provided support for daughters, whereas mothers’ perception of received support from their daughters was predicted by value consensus and, in the case of Luxembourgish mothers, by affection toward daughters.

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Enhancing Spatial Ability Through Sport Practice

Journal of Individual Differences ◽

10.1027/1614-0001/a000075 ◽

2012 ◽

Vol 33 (2) ◽

pp. 83-88 ◽

Cited By ~ 58

Author(s):

David Moreau ◽

Jérome Clerc ◽

Annie Mansy-Dannay ◽

Alain Guerrien

Keyword(s):

Mental Rotation ◽

Spatial Representations ◽

Mental Rotation Test ◽

Sport Training ◽

Sport Practice ◽

Undergraduate University Students ◽

Before And After ◽

Cognitive Plasticity ◽

Reported Data ◽

The Relationship

This experiment investigated the relationship between mental rotation and sport training. Undergraduate university students (n = 62) completed the Mental Rotation Test ( Vandenberg & Kuse, 1978 ), before and after a 10-month training in two different sports, which either involved extensive mental rotation ability (wrestling group) or did not (running group). Both groups showed comparable results in the pretest, but the wrestling group outperformed the running group in the posttest. As expected from previous studies, males outperformed women in the pretest and the posttest. Besides, self-reported data gathered after both sessions indicated an increase in adaptive strategies following training in wrestling, but not subsequent to training in running. These findings demonstrate the significant effect of training in particular sports on mental rotation performance, thus showing consistency with the notion of cognitive plasticity induced from motor training involving manipulation of spatial representations. They are discussed within an embodied cognition framework.

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