Reference : Symptoms associated with lumbar instability in athletes with low back pain

	Document type :	Scientific congresses and symposiums : Poster
	Discipline(s) :	Human health sciences : Orthopedics, rehabilitation & sports medicine
	To cite this reference:	http://hdl.handle.net/2268/136121

Title :	Symptoms associated with lumbar instability in athletes with low back pain
Language :	English
Author, co-author :	GROSDENT, Stéphanie [Centre Hospitalier Universitaire de Liège - CHU > > Médecine de l'appareil locomoteur >]
	Demoulin, Christophe [Université de Liège - ULg > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice >]
	Tomasella, Marco [Université de Liège - ULg > Département des sciences de la motricité > Kinésithérapie (pathologie rachidienne) >]
	Crielaard, Jean-Michel [Université de Liège - ULg > Département des sciences de la motricité > Evaluation et entraînement des aptitudes physiques >]
	Vanderthommen, Marc [Université de Liège - ULg > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice >]
Publication date :	17-Nov-2012
On invitation :	No
Audience :	International
Event name :	6th Congress of Belgian back society
Event date :	17 novembre 2012
Event organizer :	Belgian back society
Event place (city) :	Bruxelles
Event country :	Belgium
Keywords :	[en] Athletes ; Low back pain ; Lumbar instability
Abstract :	[en] Introduction. Low back pain (LBP) is common among athletes and can be challenging for athletic trainers and therapists. Unfortunately, little is known about symptoms associated with functional lumbar segmental instability (FLSI) in athletes with LBP. Purpose. To determine subjective and objective symptoms associated with FLSI in athletes with LBP. Materials and Methods. We included 24 male athletes (12 soccer players and 12 tennis players) with non specific LBP mean (± standard deviation) pain intensity (0-100 Visual Analogue Scale) and disability (0-24 Roland-Disability questionnaire) scores reaching respectively 35 (±20) and 4 (±3). Athletes were submitted to a standardized anamnesis (including subjective identifiers of FLSI) and a clinical assessment conducted by a manual therapist who explored objective identifiers of FLSI. Results. According to the manual therapist, 12 athletes (6 tennis and 6 soccer players) presented a FLSI. The two groups did not differ regarding pain intensity and disability (P>0.05). However, athletes with FLSI appeared significantly younger than non FLSI athletes (P<0.01). Only three subjective identifiers appeared significantly related to FLSI in soccer and tennis players with LBP: “reports frequent episodes of muscle spasms”, “reports feelings of giving way or back giving out” and “Pain increased with sudden, trivial, or mild movements”. Regarding objective identifiers of FLSI, “positive prone instability test”, “aberrant movement during active and passive trunk flexion-extension“ and “poor lumbopelvic control” were significantly related to FLSI in these athletes. Conclusions. In this preliminary study, 50% of the athletes with LBP presented a FLSI. Some subjective and objective symptoms are significantly related to FLSI in soccer and tennis players. Implications. Athletes with LSI should be targeted for retraining to restore normal movement control.
Target :	Researchers ; Professionals ; Students
Permalink :	http://hdl.handle.net/2268/136121

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