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Published in: BMC Musculoskeletal Disorders 1/2003

Open Access 01-12-2003 | Research article

The postural effects of load carriage on young people – a systematic review

Authors: Emily Steele, Andrea Bialocerkowski, Karen Grimmer

Published in: BMC Musculoskeletal Disorders | Issue 1/2003

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Abstract

Background

Spinal pain in young people is a significant source of morbidity in industrialised countries. The carriage of posterior loads by young people has been linked with spinal pain, and the amount of postural change produced by load carriage has been used as a measure of the potential to cause tissue damage. The purpose of this review was to identify, appraise and collate the research evidence regarding load-carriage related postural changes in young people.

Methods

A systematic literature review sought published literature on the postural effects of load carriage in young people. Sixteen databases were searched, which covered the domains of allied health, childcare, engineering, health, health-research, health-science, medicine and medical sciences. Two independent reviewers graded the papers according to Lloyd-Smith's hierarchy of evidence scale. Papers graded between 1a (meta-analysis of randomised controlled trials) and 2b (well-designed quasi-experimental study) were eligible for inclusion in this review. These papers were quality appraised using a modified Crombie tool. The results informed the collation of research evidence from the papers sourced.

Results

Seven papers were identified for inclusion in this review. Methodological differences limited our ability to collate evidence.

Conclusions

Evidence based recommendations for load carriage in young people could not be made based on the results of this systematic review, therefore constraining the use of published literature to inform good load carriage practice for young people.
Appendix
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Literature
1.
go back to reference Lanes T, Gauron E, Spratt K, Wernimont T, Found E, Weinstein J: Long-term follow-up of patients with low back pain treated in a multidisciplinary rehabilitation program. Spine. 1995, 20: 801-806.CrossRefPubMed Lanes T, Gauron E, Spratt K, Wernimont T, Found E, Weinstein J: Long-term follow-up of patients with low back pain treated in a multidisciplinary rehabilitation program. Spine. 1995, 20: 801-806.CrossRefPubMed
2.
go back to reference Tulder M, Koes B, Bouter L: A cost- of – illness study of back pain in The Netherlands. Pain. 1995, 62: 233-240.CrossRefPubMed Tulder M, Koes B, Bouter L: A cost- of – illness study of back pain in The Netherlands. Pain. 1995, 62: 233-240.CrossRefPubMed
3.
go back to reference Tulder M, Koes B, Bouter L: Conservative treatment of acute and chronic nonspecific low back pain. Spine. 1997, 22: 2128-2156.CrossRefPubMed Tulder M, Koes B, Bouter L: Conservative treatment of acute and chronic nonspecific low back pain. Spine. 1997, 22: 2128-2156.CrossRefPubMed
5.
go back to reference Kelsey JL, Mundt DJ, Golden AL: Epidemiology of low back pain. In The Lumbar Spine and Back Pain. Edited by: Jayson M. 1992, Edinburgh: Churchill Livingstone, 357-546. Kelsey JL, Mundt DJ, Golden AL: Epidemiology of low back pain. In The Lumbar Spine and Back Pain. Edited by: Jayson M. 1992, Edinburgh: Churchill Livingstone, 357-546.
6.
go back to reference Nachemson A, Waddell G, Norlund A: Epidemiology of neck and back pain. In Neck and back pain: The scientific evidence of causes, diagnosis, and treatment. Edited by: Nachemson A, Jonsson E. 2000, Philadelphia: Lippincott Williams & Wilkins, 165-188. Nachemson A, Waddell G, Norlund A: Epidemiology of neck and back pain. In Neck and back pain: The scientific evidence of causes, diagnosis, and treatment. Edited by: Nachemson A, Jonsson E. 2000, Philadelphia: Lippincott Williams & Wilkins, 165-188.
7.
go back to reference Mathers C, Penn R: Health system costs of injury, poisoning and musculo-skeletal disorders in Australia 1993–94. Canberra: Australian Institute of Health and Welfare, AIHW Catalogue No. HWE 12 (Health and Welfare Expenditure Series No. 6). 1999 Mathers C, Penn R: Health system costs of injury, poisoning and musculo-skeletal disorders in Australia 1993–94. Canberra: Australian Institute of Health and Welfare, AIHW Catalogue No. HWE 12 (Health and Welfare Expenditure Series No. 6). 1999
8.
go back to reference Balague F, Dutoit G, Waldburger M: Low back pain in schoolchildren. Scandinavian Journal of Rehabilitation Medicine. 1988, 20: 175-179.PubMed Balague F, Dutoit G, Waldburger M: Low back pain in schoolchildren. Scandinavian Journal of Rehabilitation Medicine. 1988, 20: 175-179.PubMed
9.
go back to reference Ebrall P: Some anthropometric dimensions of male adolescents with idiopathic low back pain. Journal of Manipulative and Physiological Therapeutics. 1994, 17: 296-301.PubMed Ebrall P: Some anthropometric dimensions of male adolescents with idiopathic low back pain. Journal of Manipulative and Physiological Therapeutics. 1994, 17: 296-301.PubMed
10.
go back to reference Erkintalo M, Salminen J, Alanen A, Paajanen H, Kormano M: Development of degenerative changes in the lumbar vertebral disk: results of a prospective MR imaging study in adolescents with and without low-back pain. Radiology. 1995, 196: 529-533.CrossRefPubMed Erkintalo M, Salminen J, Alanen A, Paajanen H, Kormano M: Development of degenerative changes in the lumbar vertebral disk: results of a prospective MR imaging study in adolescents with and without low-back pain. Radiology. 1995, 196: 529-533.CrossRefPubMed
11.
go back to reference Nissinen M, Heliovaara M, Seitsamo MS, Alaranta H, Poussa M: Anthropometric measurement and the incidence of low back pain in a cohort of pubertal children. Spine. 1994, 19: 1367-1370.CrossRefPubMed Nissinen M, Heliovaara M, Seitsamo MS, Alaranta H, Poussa M: Anthropometric measurement and the incidence of low back pain in a cohort of pubertal children. Spine. 1994, 19: 1367-1370.CrossRefPubMed
12.
go back to reference Olsen TL, Anderson RL, Dearwater SR, Krista AM, Cauley JA, Aaron DJ, LaPorte RE: The epidemiology of low back pain in an adolescent population. American Journal of Public Health. 1992, 82: 606-608.CrossRefPubMedPubMedCentral Olsen TL, Anderson RL, Dearwater SR, Krista AM, Cauley JA, Aaron DJ, LaPorte RE: The epidemiology of low back pain in an adolescent population. American Journal of Public Health. 1992, 82: 606-608.CrossRefPubMedPubMedCentral
13.
go back to reference Salminen JJ, Erkintalo M, Laine M, Pentti J: Low back pain in the young: A prospective three-year follow up study of subjects with and without low back pain. Spine. 1995, 20: 2101-2108.CrossRefPubMed Salminen JJ, Erkintalo M, Laine M, Pentti J: Low back pain in the young: A prospective three-year follow up study of subjects with and without low back pain. Spine. 1995, 20: 2101-2108.CrossRefPubMed
14.
go back to reference Troussier B, Davoine P, de Gaudemaris R, Fauconnier J, Phelip X: Back pain in school children; A study among 1178 pupils. Scandinavian Journal Of Rehabilitation Medicine. 1994, 26: 143-146.PubMed Troussier B, Davoine P, de Gaudemaris R, Fauconnier J, Phelip X: Back pain in school children; A study among 1178 pupils. Scandinavian Journal Of Rehabilitation Medicine. 1994, 26: 143-146.PubMed
15.
go back to reference Adams MA, Mannion AF, Dolan P: Personal risk factors for first time low back pain. Spine. 1999, 24 (23): 2497-2505.CrossRefPubMed Adams MA, Mannion AF, Dolan P: Personal risk factors for first time low back pain. Spine. 1999, 24 (23): 2497-2505.CrossRefPubMed
16.
go back to reference Salminen JJ, Erkintalo MO, Pentti J, Oksanen A, Kormano MJ: Recurrent low back pain and early disc degeneration in the young. Spine. 1999, 24 (13): 1316-1321.CrossRefPubMed Salminen JJ, Erkintalo MO, Pentti J, Oksanen A, Kormano MJ: Recurrent low back pain and early disc degeneration in the young. Spine. 1999, 24 (13): 1316-1321.CrossRefPubMed
17.
go back to reference Grimmer K, Williams M: Gender-age environmental associates of adolescent low back pain. Applied Ergonomics. 2000, 31: 343-360.CrossRefPubMed Grimmer K, Williams M: Gender-age environmental associates of adolescent low back pain. Applied Ergonomics. 2000, 31: 343-360.CrossRefPubMed
18.
go back to reference Johnson RF, Knapik JJ: Symptoms during load carrying: effects of mass and load distributions during a 20-km road march. Perceptual and Motor Skills. 1995, 81: 331-338.CrossRefPubMed Johnson RF, Knapik JJ: Symptoms during load carrying: effects of mass and load distributions during a 20-km road march. Perceptual and Motor Skills. 1995, 81: 331-338.CrossRefPubMed
19.
go back to reference Hong Y, Cheung CK: Gait and posture responses to backpack load during level walking in children. Gait and Posture. 2003, 17 (1): 28-33.CrossRefPubMed Hong Y, Cheung CK: Gait and posture responses to backpack load during level walking in children. Gait and Posture. 2003, 17 (1): 28-33.CrossRefPubMed
20.
go back to reference Kennedy L, Lawlor F, O'Connor A, Dockrell S, Gormley J: An investigation of the effects of schoolbag carriage on trunk angle. Physiotherapy Ireland. 1999, 20 (1): 2-8. Kennedy L, Lawlor F, O'Connor A, Dockrell S, Gormley J: An investigation of the effects of schoolbag carriage on trunk angle. Physiotherapy Ireland. 1999, 20 (1): 2-8.
21.
go back to reference Pascoe DD, Pascoe DE, Wang YT, Shim DM, Kim CK: Influence of carrying book bags on gait cycle and posture of youths. Ergonomics. 1997, 40 (6): 631-641.CrossRefPubMed Pascoe DD, Pascoe DE, Wang YT, Shim DM, Kim CK: Influence of carrying book bags on gait cycle and posture of youths. Ergonomics. 1997, 40 (6): 631-641.CrossRefPubMed
22.
go back to reference Chansirinukor W, Wilson D, Grimmer K, Dansie B: Effects of backpacks on students: measurement of cervical and shoulder posture. Australian Journal of Physiotherapy. 2001, 47 (2): 110-116.CrossRefPubMed Chansirinukor W, Wilson D, Grimmer K, Dansie B: Effects of backpacks on students: measurement of cervical and shoulder posture. Australian Journal of Physiotherapy. 2001, 47 (2): 110-116.CrossRefPubMed
23.
go back to reference Grimmer K, Dansie B, Milanese S, Pirunson P, Trott P: Adolescent standing postural response to backpack loads: a randomised controlled experimental study. BMC Musculoskeletal Disorders. 2002, 3 (10): http://www.biomedcentral.com/1471-2474/3/10 Grimmer K, Dansie B, Milanese S, Pirunson P, Trott P: Adolescent standing postural response to backpack loads: a randomised controlled experimental study. BMC Musculoskeletal Disorders. 2002, 3 (10): http://​www.​biomedcentral.​com/​1471-2474/​3/​10
24.
go back to reference Hong Y, Brueggemann G: Changes in gait patterns in 10-year-old boys with increasing loads when walking on a treadmill. Gait and posture. 2000, 11: 254-259.CrossRefPubMed Hong Y, Brueggemann G: Changes in gait patterns in 10-year-old boys with increasing loads when walking on a treadmill. Gait and posture. 2000, 11: 254-259.CrossRefPubMed
25.
go back to reference Wong ASK, Hong Y: Ergonomic analysis on carrying of school bags by primary school students. Hong Kong Journal of Sports Medicine and Sports Science. 1997, 4: 42-48. Wong ASK, Hong Y: Ergonomic analysis on carrying of school bags by primary school students. Hong Kong Journal of Sports Medicine and Sports Science. 1997, 4: 42-48.
26.
go back to reference Lloyd-Smith W: Evidence-based practice and occupational therapy. British Journal of Occupational Therapy. 1997, 60 (11): 474-478.CrossRef Lloyd-Smith W: Evidence-based practice and occupational therapy. British Journal of Occupational Therapy. 1997, 60 (11): 474-478.CrossRef
27.
go back to reference Crombie IK: The pocket guide to critical appraisal. 1996, London: BMJ Publishing Group Crombie IK: The pocket guide to critical appraisal. 1996, London: BMJ Publishing Group
28.
go back to reference Streiner DL, Norman GR: Health measurement scales: a practical guide to their development and use. 1995, New York: Oxford University Press Streiner DL, Norman GR: Health measurement scales: a practical guide to their development and use. 1995, New York: Oxford University Press
29.
go back to reference Geytenbeek J: Evidence for effective hydrotherapy. Physiotherapy. 2002, 88 (9): 514-529.CrossRef Geytenbeek J: Evidence for effective hydrotherapy. Physiotherapy. 2002, 88 (9): 514-529.CrossRef
30.
go back to reference Whittle M: Gait analysis: an introduction. 2002, Boston: Butterworth-Heinemann Whittle M: Gait analysis: an introduction. 2002, Boston: Butterworth-Heinemann
31.
go back to reference Sackett DL, Rosenberg WMC, Muir Gray JA, Hayes BR, Richardson SW: Evidence based medicine: what it is and what it isn't. British Medical Journal. 1996, 312: 71-72.CrossRefPubMedPubMedCentral Sackett DL, Rosenberg WMC, Muir Gray JA, Hayes BR, Richardson SW: Evidence based medicine: what it is and what it isn't. British Medical Journal. 1996, 312: 71-72.CrossRefPubMedPubMedCentral
32.
go back to reference Negrini S, Carabalona R, Sibilla P: Backpacks as a daily load for schoolchildren. Lancet. 1999, 354 (9194): 1974-1978.CrossRefPubMed Negrini S, Carabalona R, Sibilla P: Backpacks as a daily load for schoolchildren. Lancet. 1999, 354 (9194): 1974-1978.CrossRefPubMed
33.
go back to reference Negrini S, Carabalona R: Backpacks on! Schoolchildren's perceptions of load, associations with back pain and factors determining the load. Spine. 2002, 27 (2): 187-195.CrossRefPubMed Negrini S, Carabalona R: Backpacks on! Schoolchildren's perceptions of load, associations with back pain and factors determining the load. Spine. 2002, 27 (2): 187-195.CrossRefPubMed
35.
go back to reference Moher D, Jadad AR, Nichol G, Penman M, Tugwell T, Walsh S: Assessing the quality of randomised controlled trials; an annotated bibliography of scales and checklists. Controlled Clinical Trials. 1995, 16 (1): 62-73.CrossRefPubMed Moher D, Jadad AR, Nichol G, Penman M, Tugwell T, Walsh S: Assessing the quality of randomised controlled trials; an annotated bibliography of scales and checklists. Controlled Clinical Trials. 1995, 16 (1): 62-73.CrossRefPubMed
36.
go back to reference Elwood M: Critical Appraisal of Epidemiological Studies and Clinical Trials. 1998, New York: Oxford University Press Elwood M: Critical Appraisal of Epidemiological Studies and Clinical Trials. 1998, New York: Oxford University Press
37.
go back to reference Lucas G: General Orthopaedics. In Essentials of Musculoskeletal Care. Edited by: Greene W. 2001, USA: American Academy of Orthopedic Surgeons, 2 Lucas G: General Orthopaedics. In Essentials of Musculoskeletal Care. Edited by: Greene W. 2001, USA: American Academy of Orthopedic Surgeons, 2
Metadata
Title
The postural effects of load carriage on young people – a systematic review
Authors
Emily Steele
Andrea Bialocerkowski
Karen Grimmer
Publication date
01-12-2003
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2003
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-4-12

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