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Published in: Chiropractic & Manual Therapies 1/2015

Open Access 01-12-2015 | Systematic review

Is back pain during childhood or adolescence associated with muscle strength, muscle endurance or aerobic capacity: three systematic literature reviews with one meta-analysis

Authors: Arnaud Lardon, Charlotte Leboeuf-Yde, Christine Le Scanff

Published in: Chiropractic & Manual Therapies | Issue 1/2015

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Abstract

Background

Back pain is a common condition during childhood and adolescence. The causes of back pain are largely unknown but it seems plausible that some physical factors such as back muscle strength, back muscle endurance and aerobic capacity may play a role in its development, in particular in the early years.

Objectives

The objectives of this review were to investigate in childhood and adolescence 1) if muscular strength in trunk extension is associated with back pain, 2) if muscular endurance in trunk extension is associated with back pain and 3) if aerobic capacity is associated with back pain.

Design

Three systematic critical literature reviews with one meta-analysis.

Methods

Systematic searches were made in June 2014 in PubMed, Embase and SportDiscus including longitudinal, retrospective or cross-sectional studies on back pain for subjects <20 years. Articles were accepted if they were written in French or English. The review process followed the AMSTAR recommendations. The possibility of conducting a meta-analysis was assessed for each research question.

Results

Four articles were included for the first objective, four for the second and three for the last. None of the included articles found an association between back muscle strength in extension and back pain. For the second objective, a protective association between back muscle endurance in extension and back pain was found, later confirmed in a meta-analysis (OR = 0.75, 95 % CI 0.58-0.98). The association between aerobic capacity and back pain is not clear.

Conclusions

High back muscle endurance in extension appears protective of back pain in youngsters, but the roles of high back muscle strength in extension and aerobic capacity are less clear.
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Metadata
Title
Is back pain during childhood or adolescence associated with muscle strength, muscle endurance or aerobic capacity: three systematic literature reviews with one meta-analysis
Authors
Arnaud Lardon
Charlotte Leboeuf-Yde
Christine Le Scanff
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Chiropractic & Manual Therapies / Issue 1/2015
Electronic ISSN: 2045-709X
DOI
https://doi.org/10.1186/s12998-015-0065-8

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