Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2017

Open Access 01-12-2017 | Research article

Is being a regular player with fewer teammates associated with musculoskeletal pain in youth team sports? A cross-sectional study

Authors: Takafumi Abe, Masamitsu Kamada, Jun Kitayuguchi, Shinpei Okada, Yoshiteru Mutoh, Yuji Uchio

Published in: BMC Musculoskeletal Disorders | Issue 1/2017

Login to get access

Abstract

Background

Musculoskeletal pain (MSP) is a commonly reported symptom in youth sports players. Some sports-related risk factors have been reported, but previous studies on extrinsic risk factors did not focus on management of team members (e.g., regular or non-regular players, number of players) for reducing sports-related MSP. This study aimed to examine the association of playing status (regular or non-regular players) and team status (fewer or more teammates) with MSP in youth team sports.

Methods

A total of 632 team sports players (age: 12–18 years) in public schools in Unnan, Japan completed a self-administered questionnaire to determine MSP (overall, upper limbs, lower back, and lower limbs) and playing status (regular or non-regular players). Team status was calculated as follows: teammate quantity index (TQI) = [number of teammates in their grade]/[required number of players for the sport]. Associations between the prevalence of pain and joint categories of playing and team status were examined by multivariable-adjusted Poisson regression.

Results

A total of 272 (44.3%) participants had MSP at least several times a week in at least one part of the body. When divided by playing or team status, 140 (47.0%) regular and 130 (41.7%) non-regular players had MSP, whereas 142 (47.0%) players with fewer teammates (lower TQI) and 127 (41.8%) players with more teammates (higher TQI) had MSP. When analyzed jointly, regular players with fewer teammates had a higher prevalence of lower back pain compared with non-regular players with more teammates (21.3% vs 8.3%; prevalence ratio = 2.08 [95% confidence interval 1.07–4.02]). The prevalence of MSP was highest in regular players with fewer teammates for all other pain outcomes, but this was not significant.

Conclusion

Regular players with fewer teammates have a higher risk of lower back pain. Future longitudinal investigations are required.
Appendix
Available only for authorised users
Literature
1.
go back to reference King S, Chambers CT, Huguet A, MacNevin RC, McGrath PJ, Parker L, MacDonald AJ. The epidemiology of chronic pain in children and adolescents revisited: a systematic review. Pain. 2011;152(12):2729–38.CrossRefPubMed King S, Chambers CT, Huguet A, MacNevin RC, McGrath PJ, Parker L, MacDonald AJ. The epidemiology of chronic pain in children and adolescents revisited: a systematic review. Pain. 2011;152(12):2729–38.CrossRefPubMed
2.
go back to reference Sato T, Ito T, Hirano T, Morita O, Kikuchi R, Endo N, Tanabe N. Low back pain in childhood and adolescence: a cross-sectional study in Niigata City. Eur Spine J. 2008;17(11):1441–7.CrossRefPubMedPubMedCentral Sato T, Ito T, Hirano T, Morita O, Kikuchi R, Endo N, Tanabe N. Low back pain in childhood and adolescence: a cross-sectional study in Niigata City. Eur Spine J. 2008;17(11):1441–7.CrossRefPubMedPubMedCentral
3.
go back to reference Guite JW, Logan DE, Sherry DD, Rose JB. Adolescent self-perception: associations with chronic musculoskeletal pain and functional disability. J Pain. 2007;8(5):379–86.CrossRefPubMed Guite JW, Logan DE, Sherry DD, Rose JB. Adolescent self-perception: associations with chronic musculoskeletal pain and functional disability. J Pain. 2007;8(5):379–86.CrossRefPubMed
4.
go back to reference Balague F, Ferrer M, Rajmil L, Pont Acuna A, Pellise F, Cedraschi C. Assessing the association between low back pain, quality of life, and life events as reported by schoolchildren in a population-based study. Eur J Pediatr. 2012;171(3):507–14.CrossRefPubMed Balague F, Ferrer M, Rajmil L, Pont Acuna A, Pellise F, Cedraschi C. Assessing the association between low back pain, quality of life, and life events as reported by schoolchildren in a population-based study. Eur J Pediatr. 2012;171(3):507–14.CrossRefPubMed
5.
go back to reference Harreby M, Neergaard K, Hesselsoe G, Kjer J. Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? A 25-year prospective cohort study of 640 school children. Spine (Phila Pa 1976). 1995;20(21):2298–302.CrossRef Harreby M, Neergaard K, Hesselsoe G, Kjer J. Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? A 25-year prospective cohort study of 640 school children. Spine (Phila Pa 1976). 1995;20(21):2298–302.CrossRef
6.
go back to reference Eime RM, Young JA, Harvey JT, Charity MJ, Payne WR. A systematic review of the psychological and social benefits of participation in sport for adults: informing development of a conceptual model of health through sport. Int J Behav Nutr Phys Act. 2013;10:135.CrossRefPubMedPubMedCentral Eime RM, Young JA, Harvey JT, Charity MJ, Payne WR. A systematic review of the psychological and social benefits of participation in sport for adults: informing development of a conceptual model of health through sport. Int J Behav Nutr Phys Act. 2013;10:135.CrossRefPubMedPubMedCentral
7.
go back to reference Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.CrossRefPubMedPubMedCentral Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.CrossRefPubMedPubMedCentral
10.
go back to reference DiFiori JP, Benjamin HJ, Brenner JS, Gregory A, Jayanthi N, Landry GL, Luke A. Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine. Br J Sports Med. 2014;48(4):287–8.CrossRefPubMed DiFiori JP, Benjamin HJ, Brenner JS, Gregory A, Jayanthi N, Landry GL, Luke A. Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine. Br J Sports Med. 2014;48(4):287–8.CrossRefPubMed
11.
go back to reference Valovich McLeod TC, Decoster LC, Loud KJ, Micheli LJ, Parker JT, Sandrey MA, White C. National Athletic Trainers’ Association position statement: prevention of pediatric overuse injuries. J Athl Train. 2011;46(2):206–20.CrossRefPubMedPubMedCentral Valovich McLeod TC, Decoster LC, Loud KJ, Micheli LJ, Parker JT, Sandrey MA, White C. National Athletic Trainers’ Association position statement: prevention of pediatric overuse injuries. J Athl Train. 2011;46(2):206–20.CrossRefPubMedPubMedCentral
12.
go back to reference Emery CA. Risk factors for injury in child and adolescent sport: a systematic review of the literature. Clin J Sport Med. 2003;13(4):256–68.CrossRefPubMed Emery CA. Risk factors for injury in child and adolescent sport: a systematic review of the literature. Clin J Sport Med. 2003;13(4):256–68.CrossRefPubMed
13.
go back to reference McGuine T. Sports injuries in high school athletes: a review of injury-risk and injury-prevention research. Clin J Sport Med. 2006;16(6):488–99.CrossRefPubMed McGuine T. Sports injuries in high school athletes: a review of injury-risk and injury-prevention research. Clin J Sport Med. 2006;16(6):488–99.CrossRefPubMed
14.
go back to reference Kamada M, Abe T, Kitayuguchi J, Imamura F, Lee IM, Kadowaki M, Sawada SS, Miyachi M, Matsui Y, Uchio Y. Dose-response relationship between sports activity and musculoskeletal pain in adolescents. Pain. 2016;157(6):1339–45.CrossRefPubMedPubMedCentral Kamada M, Abe T, Kitayuguchi J, Imamura F, Lee IM, Kadowaki M, Sawada SS, Miyachi M, Matsui Y, Uchio Y. Dose-response relationship between sports activity and musculoskeletal pain in adolescents. Pain. 2016;157(6):1339–45.CrossRefPubMedPubMedCentral
15.
go back to reference Ronglan LT, Raastad T, Borgesen A. Neuromuscular fatigue and recovery in elite female handball players. Scand J Med Sci Sports. 2006;16(4):267–73.CrossRefPubMed Ronglan LT, Raastad T, Borgesen A. Neuromuscular fatigue and recovery in elite female handball players. Scand J Med Sci Sports. 2006;16(4):267–73.CrossRefPubMed
16.
go back to reference Orchard J. More research is needed into the effects on injury of substitute and interchange rules in team sports. Br J Sports Med. 2012;46(10):694–5.CrossRefPubMed Orchard J. More research is needed into the effects on injury of substitute and interchange rules in team sports. Br J Sports Med. 2012;46(10):694–5.CrossRefPubMed
17.
go back to reference von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, Initiative ftS. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies. Epidemiology. 2007;18(6):800–4.CrossRef von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, Initiative ftS. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies. Epidemiology. 2007;18(6):800–4.CrossRef
18.
go back to reference Spiegelman D, Hertzmark E. Easy SAS calculations for risk or prevalence ratios and differences. Am J Epidemiol. 2005;162(3):199–200.CrossRefPubMed Spiegelman D, Hertzmark E. Easy SAS calculations for risk or prevalence ratios and differences. Am J Epidemiol. 2005;162(3):199–200.CrossRefPubMed
19.
go back to reference Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3(1):21.CrossRefPubMedPubMedCentral Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3(1):21.CrossRefPubMedPubMedCentral
20.
go back to reference Brumback BA, Dailey AB, Brumback LC, Livingston MD, He Z. Adjusting for confounding by cluster using generalized linear mixed models. Statistics & Probability Letters. 2010;80(21–22):1650–4.CrossRef Brumback BA, Dailey AB, Brumback LC, Livingston MD, He Z. Adjusting for confounding by cluster using generalized linear mixed models. Statistics & Probability Letters. 2010;80(21–22):1650–4.CrossRef
21.
go back to reference Barnard J, Meng XL. Applications of multiple imputation in medical studies: from AIDS to NHANES. Stat Methods Med Res. 1999;8(1):17–36.CrossRefPubMed Barnard J, Meng XL. Applications of multiple imputation in medical studies: from AIDS to NHANES. Stat Methods Med Res. 1999;8(1):17–36.CrossRefPubMed
22.
go back to reference Vandenbroucke JP, Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, Poole C, Schlesselman JJ, Egger M. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration. Ann Intern Med. 2007;147(8):W–163.CrossRef Vandenbroucke JP, Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, Poole C, Schlesselman JJ, Egger M. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration. Ann Intern Med. 2007;147(8):W–163.CrossRef
23.
go back to reference Theisen D, Frisch A, Malisoux L, Urhausen A, Croisier JL, Seil R. Injury risk is different in team and individual youth sport. J Sci Med Sport. 2013;16(3):200–4.CrossRefPubMed Theisen D, Frisch A, Malisoux L, Urhausen A, Croisier JL, Seil R. Injury risk is different in team and individual youth sport. J Sci Med Sport. 2013;16(3):200–4.CrossRefPubMed
24.
go back to reference Luke A, Lazaro RM, Bergeron MF, Keyser L, Benjamin H, Brenner J, d’Hemecourt P, Grady M, Philpott J, Smith A. Sports-related injuries in youth athletes: is overscheduling a risk factor? Clin J Sport Med. 2011;21(4):307–14.CrossRefPubMed Luke A, Lazaro RM, Bergeron MF, Keyser L, Benjamin H, Brenner J, d’Hemecourt P, Grady M, Philpott J, Smith A. Sports-related injuries in youth athletes: is overscheduling a risk factor? Clin J Sport Med. 2011;21(4):307–14.CrossRefPubMed
25.
go back to reference Dollman J, Norton K, Norton L. Evidence for secular trends in children’s physical activity behaviour. Br J Sports Med. 2005;39(12):892–7. discussion 897.CrossRefPubMedPubMedCentral Dollman J, Norton K, Norton L. Evidence for secular trends in children’s physical activity behaviour. Br J Sports Med. 2005;39(12):892–7. discussion 897.CrossRefPubMedPubMedCentral
26.
go back to reference Martin M, Dollman J, Norton K, Robertson I. A decrease in the association between the physical activity patterns of Australian parents and their children; 1985-1997. J Sci Med Sport. 2005;8(1):71–6.CrossRefPubMed Martin M, Dollman J, Norton K, Robertson I. A decrease in the association between the physical activity patterns of Australian parents and their children; 1985-1997. J Sci Med Sport. 2005;8(1):71–6.CrossRefPubMed
28.
go back to reference Howie EK, McVeigh JA, Smith AJ, Straker LM. Organized Sport Trajectories from Childhood to Adolescence and Health Associations. Med Sci Sports Exerc. 2016;48(7):1331–9.CrossRefPubMed Howie EK, McVeigh JA, Smith AJ, Straker LM. Organized Sport Trajectories from Childhood to Adolescence and Health Associations. Med Sci Sports Exerc. 2016;48(7):1331–9.CrossRefPubMed
29.
go back to reference Vella SA, Cliff DP, Magee CA, Okely AD. Sports participation and parent-reported health-related quality of life in children: longitudinal associations. J Pediatr. 2014;164(6):1469–74.CrossRefPubMed Vella SA, Cliff DP, Magee CA, Okely AD. Sports participation and parent-reported health-related quality of life in children: longitudinal associations. J Pediatr. 2014;164(6):1469–74.CrossRefPubMed
30.
go back to reference Slater A, Tiggemann M. “Uncool to do sport”: A focus group study of adolescent girls’ reasons for withdrawing from physical activity. Psychol Sport Exerc. 2010;11(6):619–26.CrossRef Slater A, Tiggemann M. “Uncool to do sport”: A focus group study of adolescent girls’ reasons for withdrawing from physical activity. Psychol Sport Exerc. 2010;11(6):619–26.CrossRef
31.
go back to reference Sato T, Ito T, Hirano T, Morita O, Kikuchi R, Endo N, Tanabe N. Low back pain in childhood and adolescence: assessment of sports activities. Eur Spine J. 2011;20(1):94–9.CrossRefPubMed Sato T, Ito T, Hirano T, Morita O, Kikuchi R, Endo N, Tanabe N. Low back pain in childhood and adolescence: assessment of sports activities. Eur Spine J. 2011;20(1):94–9.CrossRefPubMed
32.
go back to reference Paananen MV, Taimela SP, Auvinen JP, Tammelin TH, Kantomaa MT, Ebeling HE, Taanila AM, Zitting PJ, Karppinen JI. Risk factors for persistence of multiple musculoskeletal pains in adolescence: a 2-year follow-up study. Eur J Pain. 2010;14(10):1026–32.CrossRefPubMed Paananen MV, Taimela SP, Auvinen JP, Tammelin TH, Kantomaa MT, Ebeling HE, Taanila AM, Zitting PJ, Karppinen JI. Risk factors for persistence of multiple musculoskeletal pains in adolescence: a 2-year follow-up study. Eur J Pain. 2010;14(10):1026–32.CrossRefPubMed
33.
go back to reference Diepenmaat AC, van der Wal MF, de Vet HC, Hirasing RA. Neck/shoulder, low back, and arm pain in relation to computer use, physical activity, stress, and depression among Dutch adolescents. Pediatrics. 2006;117(2):412–6.CrossRefPubMed Diepenmaat AC, van der Wal MF, de Vet HC, Hirasing RA. Neck/shoulder, low back, and arm pain in relation to computer use, physical activity, stress, and depression among Dutch adolescents. Pediatrics. 2006;117(2):412–6.CrossRefPubMed
34.
go back to reference Sabiston CM, O’Loughlin E, Brunet J, Chaiton M, Low NC, Barnett T, O’Loughlin J. Linking depression symptom trajectories in adolescence to physical activity and team sports participation in young adults. Prev Med. 2013;56(2):95–8.CrossRefPubMed Sabiston CM, O’Loughlin E, Brunet J, Chaiton M, Low NC, Barnett T, O’Loughlin J. Linking depression symptom trajectories in adolescence to physical activity and team sports participation in young adults. Prev Med. 2013;56(2):95–8.CrossRefPubMed
Metadata
Title
Is being a regular player with fewer teammates associated with musculoskeletal pain in youth team sports? A cross-sectional study
Authors
Takafumi Abe
Masamitsu Kamada
Jun Kitayuguchi
Shinpei Okada
Yoshiteru Mutoh
Yuji Uchio
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2017
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-017-1470-z

Other articles of this Issue 1/2017

BMC Musculoskeletal Disorders 1/2017 Go to the issue