Risk Factors for Low Back Pain in Youth Inline Hockey Players During the Season—A Prospective Cohort Research
Background: Low back pain is one of the most common musculoskeletal complaints in team sports. A screening test can help understand why injuries occur and predict who is at risk for non-contact low back pain. The objectives of the research were (1) to create models using logistic regression analysis...
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MDPI AG
2024-12-01
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| Series: | Children |
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| author | Antonio Cejudo Víctor Jesús Moreno-Alcaraz Pilar Sainz de Baranda |
| author_facet | Antonio Cejudo Víctor Jesús Moreno-Alcaraz Pilar Sainz de Baranda |
| author_sort | Antonio Cejudo |
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| description | Background: Low back pain is one of the most common musculoskeletal complaints in team sports. A screening test can help understand why injuries occur and predict who is at risk for non-contact low back pain. The objectives of the research were (1) to create models using logistic regression analysis of limited lower-extremity ranges of motion to prospectively identify potential factors for in-season non-contact non-contact low back pain and (2) to determine a training threshold (cut-off) for the identified factors in inline hockey players. Methods: A prospective cohort research was performed with 49 male inline hockey players aged 8 to 15 years. Data were collected regarding age, body composition, sports antecedents, competition level, and lower-limb ranges of motion (ROM-SPORT battery, <i>n</i> = 11 tests). A prospective measurement of non-contact low back pain was performed after 1 year (outcome) by asking the players supervised by the medical staff team (questionnaire). Results: Sixteen players (32.7%) experienced non-contact low back pain during the 1-year surveillance period. The model showed a significant relationship (χ<sup>2</sup>(39) = 43.939; <i>p</i> < 0.001) between the low back pain and the predictor variable hip flexion with the knee extended range of motion (OR = 3.850 [large]; 95% CI = 1.293 to 11.463; <i>p</i> = 0.015). The Bayesian Information Criteria and the Akaike Information Criteria for model fit were 56.885 and 37.967, respectively. The training threshold for hip flexion with the knee extended of ≤67° was set, which has an acceptable (area under the curve ≥ 94.1%) discriminatory ability for the development of non-contact low back pain for the screening test. Conclusions: Hamstring extensibility at 67° or less, as determined by hip flexion with knee extension, is a predictor of non-contact low back pain in youth inline hockey players. |
| format | Article |
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| institution | Kabale University |
| issn | 2227-9067 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Children |
| spelling | doaj-art-eea63ba1ca364f859cb04b9f1fcdc9232024-12-27T14:17:57ZengMDPI AGChildren2227-90672024-12-011112151710.3390/children11121517Risk Factors for Low Back Pain in Youth Inline Hockey Players During the Season—A Prospective Cohort ResearchAntonio Cejudo0Víctor Jesús Moreno-Alcaraz1Pilar Sainz de Baranda2Department of Physical Activity and Sport, Faculty of Sport Sciences, CEIR Campus Mare Nostrum (CMN), University of Murcia, 30720 Murcia, SpainDepartment of Physical Activity and Sport, Faculty of Sport Sciences, CEIR Campus Mare Nostrum (CMN), University of Murcia, 30720 Murcia, SpainDepartment of Physical Activity and Sport, Faculty of Sport Sciences, CEIR Campus Mare Nostrum (CMN), University of Murcia, 30720 Murcia, SpainBackground: Low back pain is one of the most common musculoskeletal complaints in team sports. A screening test can help understand why injuries occur and predict who is at risk for non-contact low back pain. The objectives of the research were (1) to create models using logistic regression analysis of limited lower-extremity ranges of motion to prospectively identify potential factors for in-season non-contact non-contact low back pain and (2) to determine a training threshold (cut-off) for the identified factors in inline hockey players. Methods: A prospective cohort research was performed with 49 male inline hockey players aged 8 to 15 years. Data were collected regarding age, body composition, sports antecedents, competition level, and lower-limb ranges of motion (ROM-SPORT battery, <i>n</i> = 11 tests). A prospective measurement of non-contact low back pain was performed after 1 year (outcome) by asking the players supervised by the medical staff team (questionnaire). Results: Sixteen players (32.7%) experienced non-contact low back pain during the 1-year surveillance period. The model showed a significant relationship (χ<sup>2</sup>(39) = 43.939; <i>p</i> < 0.001) between the low back pain and the predictor variable hip flexion with the knee extended range of motion (OR = 3.850 [large]; 95% CI = 1.293 to 11.463; <i>p</i> = 0.015). The Bayesian Information Criteria and the Akaike Information Criteria for model fit were 56.885 and 37.967, respectively. The training threshold for hip flexion with the knee extended of ≤67° was set, which has an acceptable (area under the curve ≥ 94.1%) discriminatory ability for the development of non-contact low back pain for the screening test. Conclusions: Hamstring extensibility at 67° or less, as determined by hip flexion with knee extension, is a predictor of non-contact low back pain in youth inline hockey players.https://www.mdpi.com/2227-9067/11/12/1517hockeyinjury preventionback painrisk factorsROM-SPORT batterymuscle extensibility |
| spellingShingle | Antonio Cejudo Víctor Jesús Moreno-Alcaraz Pilar Sainz de Baranda Risk Factors for Low Back Pain in Youth Inline Hockey Players During the Season—A Prospective Cohort Research Children hockey injury prevention back pain risk factors ROM-SPORT battery muscle extensibility |
| title | Risk Factors for Low Back Pain in Youth Inline Hockey Players During the Season—A Prospective Cohort Research |
| title_full | Risk Factors for Low Back Pain in Youth Inline Hockey Players During the Season—A Prospective Cohort Research |
| title_fullStr | Risk Factors for Low Back Pain in Youth Inline Hockey Players During the Season—A Prospective Cohort Research |
| title_full_unstemmed | Risk Factors for Low Back Pain in Youth Inline Hockey Players During the Season—A Prospective Cohort Research |
| title_short | Risk Factors for Low Back Pain in Youth Inline Hockey Players During the Season—A Prospective Cohort Research |
| title_sort | risk factors for low back pain in youth inline hockey players during the season a prospective cohort research |
| topic | hockey injury prevention back pain risk factors ROM-SPORT battery muscle extensibility |
| url | https://www.mdpi.com/2227-9067/11/12/1517 |
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