Back Pain In Adolescents Research Articles

Associations between mental health and cervical, thoracic, and lumbar back pain in adolescents: A cross-sectional study.

Low back pain is a significant emergent health disorder in adolescence. It is predicted that around 843 million subjects worldwide will present this condition in 2050. We investigated whether symptoms of anxiety, depression, and suicidal behavior are associated with back pain in adolescents. This is a cross-sectional school-based study including 4514 student participants aged 14-19years. Data were collected using the WHO's "Global School-Based Student Health Survey". Anxiety symptoms were assessed with the Social Anxiety Scale for Adolescents. The Depression Scale of the Center for Epidemiologic Studies was used to estimate depressive symptomatology. Suicidal behaviors were assessed with two questions about thoughts and plans for suicide. The presence (yes, no) of each of cervical, thoracic, and lumbar back pain were assessed with the use of a drawing of the human body with spine areas delimited. Multivariable logistic regression analyses were used to study the presence of three outcomes of back pain (cervical, thoracic, and lumbar) and associated factors. Adolescents with cervical pain were more likely to report social anxiety (OR=1.0, CI: 1.00-1.02). Depression symptomatology was associated with pain in the tree segments of the spine: cervical (OR=1.01, CI: 1.00-1.02), thoracic (OR=1.02, CI: 1.01-1.02), and lumbar (OR=1.02, CI: 1.01-1.02). No association was observed between suicidal behavior and cervical (OR=0.86 CI: 0.743-1.017), thoracic (OR=0.92, CI: 0.79-1.08), and lumbar back pain (OR=0.86, CI: 0.73-1.01). It is not possible to affirm causality in the interpretation of findings. Social anxiety and depression symptomatology were associated with back pain in adolescents.

The Effect of Ultrasound and Core Stability Exercise on Increasing Lower Back Functionality in Adolescents

Background: Myogenic low back pain is a disorder characterized by pain in the lower back. Low back pain can have an impact on impaired functional ability. Some of the factors causing functional disorders are physiological factors, poor body posture, and unergonomic work postures. Adolescents are a group that is vulnerable to experiencing functional decline in the lower back due to pain in the lower back as a result of the demands of activity during the learning process, by spending most time sitting, and having busy learning schedules, which make physical activity tend to be low, which can result in decreased lower back functionality. The aim of the study is to determine the effect of ultrasound and core stability exercise on functional abilities in sufferers of myogenic low back pain in adolescents. Methods: The research design was pre-experimental with a one-group pre-and post-test design. From a total population of around 100, after simple random sampling, 57 subjects were obtained with measurements using the Oswestry Disability Index (ODI). Results: The results of the normality test data analysis using the Kolmogorov-Smirnov test, ODI pre-test 0.072, and ODI post-test 0.157, and for hypothesis testing using the paired sample t-test P 0.000, so that there is a significant difference. Conclusion: The clinical implications could be the influence of providing ultrasound and core stability exercises on improving lower back function in adolescents. So the hypothesis is accepted.

The Oswestry Disability Index is not a good measure for low back pain in adolescents: A Rasch analysis of data from 200 people

Objective To evaluate the psychometric properties of the modified Oswestry Disability Index in adolescents with low back pain through Rasch analysis. Design This is a psychometric study. Setting Physical therapy clinics of a large pediatric hospital in Columbus, Ohio (United States). Subjects Two hundred adolescent patients with low back pain (112 female, 15.4 ± 1.9 years old). Main measure The modified Oswestry Disability Index. Results The mean modified Oswestry Disability Index score was 17.1 ± 12.1, with scores ranging from 0 to 56 on the 100-point scale. The Rasch person reliability for the Oswestry Disability Index was 0.70, representing minimal acceptable person reliability. The Oswestry Disability Index demonstrated poor item spacing, hierarchy, and targeting of the adolescents’ disability level (>1 logit between person mean and item mean). A significant misfit was observed in three of 10 items. There were significant issues with the functioning of responses on all items of the Oswestry Disability Index. Principal component analysis of residuals revealed a ratio of 5.3:1, demonstrating acceptable unidimensionality. Conclusion Due to multiple psychometric issues, the Oswestry Disability should not be used to assess disability in adolescents with low back pain. The Oswestry Disability Index significantly mistargets adolescent ability and only provides an acceptable assessment of the most disabled adolescents.

The Increase in Early Menarche is Associated With the Increase in Chronic Back Pain in Female Adolescents: The Health Behavior in School-aged Children Study 2002-2014.

Research has shown that there has been an increase in the prevalence of chronic back pain (CBP) in adolescents, especially in female adolescents. The purpose of the current study was to test the hypothesis that the observed increase in the prevalence of early menarche in female adolescents is contributing to the increase in the prevalence of CBP over time in this population. Cross-sectional data from 251,390 female adolescents from 27 countries/regions were drawn from the Health Behaviour in School-aged Children questionnaire-based surveys conducted in 2002, 2006, 2010, and 2014. The Karlson-Holm-Breen method was used to examine the explanatory role of the increase in the prevalence of early menarche on the increase in the prevalence of CBP while controlling for socioeconomic status, physical activity, body mass index, and psychological symptoms. The increase in the prevalence of early menarche between 2002 and 2014 was associated with the increase in the prevalence of CBP ( P < 0.001). The percent of CBP prevalence increase accounted for by the increase in early menarche was 2.2%. The increase in the prevalence of CBP in female adolescents observed over the last decade may be explained, in part, by the decrease in the age of menarche. This finding, coupled with research showing a decline in early menarche worldwide, highlights the need to delve deeper into the underlying mechanisms of the association between early menarche and pain-particularly CBP-in female adolescents.

Schroth and Asymmetric Spinal Stabilization Exercises' Effectiveness on Back Pain and Trunk Muscle Endurance in Adolescents' Idiopathic Scoliosis: A Randomized Controlled Trial.

Millions of people worldwide suffer from back pain and muscle weakness due to adolescent idiopathic scoliosis (AIS). It has been found that Schroth exercises (SE) are the most effective treatment for AIS. However, it is still not clear how combining SE with asymmetric spinal stabilization exercises (ASSE) can impact back pain and trunk extensor muscle endurance (TE). This study aims to compare the effects of SE with and without ASSE on back pain and TE in AIS. A randomized controlled trial was conducted with 40 boys aged 10 to 18 years who had AIS. They were divided into three groups: SE+ASSE (n = 15), SE only (n = 15), and a waitlist control (n = 10). The participants underwent exercise training for 50-70 minutes three times a week for up to 12 weeks. The study evaluated two variables, namely, back pain (measured with a Visual Analog Scale or VAS) and TE (measured with the Biering-Sorensen test), before and after the interventions. For statistical analysis, a post-hoc Bonferroni test following analysis of covariance (ANCOVA) was used at α = 0.05. According to a study, patients who underwent a combination of SE and ASSE experienced a significant reduction in back pain (VAS score = 2.9±0.8 to 0.1±0.4) as compared to those who only underwent SE (VAS = 2.7±0.9 to 1.5±1.2) and the control group. No significant difference was found between the SE group and the control group in terms of back pain reduction. Furthermore, there was no significant difference in TE among the three groups. However, the combined exercises showed a numerical improvement (75.6±52.5 sec to 119.2±62.6 sec) compared to the other groups (P = 0.311). The combination of SE and ASSE is more effective in reducing back pain in AIS than SE alone or control. Although there was no significant difference between the three groups in terms of improving the TE, the SE and ASSE groups showed better results numerically.

DAVID SPINE CONCEPT AND MEDICAL OUTCOMES STUDY QUESTIONNAIRES TO ASSESS ADOLESCENT PATIENTS HAVING BACK PAIN

The objective of this study was to investigate the effectiveness of DAVID Spine exercises program on the overall health of the selected patients using a specific survey. The World Health Organization describes adolescence as “young people between the ages of 10 and 19 years” [1] Adolescent back pain has been reported to be as common as that of adult populations [2][3][4] and has been attributed to several factors such as gender, age, sitting for long periods, working at computers, school seating and psychological factors [5-10]. Based on this premise, 11 female participants (n=11), aged between 12 and 17 years, who have frequently experience back pain and have no previous experience in physical training, were included in this study. The research began with the hypothesis that implementing personalized physical exercises program using DAVID Spine Concept devices [11] it can enhance strength of the muscle responsible for supporting the spine, improve joint mobility, it reduces the back pain and overall enhance quality of life. To validate the principles set in the purpose and tasks of this study, we used a Visual Analog Scale (VAS) for pain and a standard medical outcomes questionnaire (Short Form-36), provided by DAVID-EVE software library.

The burden oflow back pain in adolescents and young adults.

Low back pain is highly prevalent and the main cause of years lived with disability, but data on the burden and trends of low back pain (LBP) in adolescents and young adults (AYAs) are sparse. To assess trends in the burden of LBP among AYAs aged 15-39years at the global, regional and national levels from 1990 to 2019. Data from the Global Burden of Disease (GBD) 2019 were used to analyze incidence, prevalence and Disability-adjusted life year (DALY) due to LBP at global, regional, and national levels. Joinpoint regression analysis calculated the average annual percentage changes (AAPC). Then analyse the association between incidence, prevalence and DALYs and socioeconomic development using the GBD Socio-demographic Index (SDI). Finally, projections were made until 2030 and calculated in Nordpred. The incidence, prevalence and DALYs rates (95%UI) were 2252.78 (1809.47-2784.79), 5473.43 (4488.62-6528.15) and 627.66 (419.71-866.97) in 2019, respectively. From 1990 to 2019, the incidence, prevalence, and DALYs rates AAPC (95%CI) were -0.49 (-0.56 to -0.42), -0.58 (-0.65 to -0.51) and -0.57 (-0.64 to -0.5), respectively. Incidence, prevalence, and DALYs rates in South Asia, East Asia, High-income North America, Western Europe, and Australasia decreased with SDI. Incidence, prevalence, and DALYs rates in Central Asia, Central Europe, and Eastern Europe decreased and then increased with SDI. At the national level, the incidence, prevalence, and DALYs rates are high in the United States and low in India and China. From the 2020 to 2030, most regions is predicted to decline. LBP in AYAs is a major global public problem with a high burden. There are large differences in incidence, prevalence and DALYs across SDIs, regions and countries. there is still a need to focus on LBP in AYAs and tailor interventions to reduce the future burden of this condition.

A trans-generation conundrum with implications in rehabilitation programs – what factors influence non-specific back pain in children?

Back pain in children and adolescents is one of the most frequent reasons for seeing a medical specialist worldwide. Many factors have been incriminated when it comes to influencing the appearance of non-specific back pain in children as well as in adults. For the younger population, some of the culprits seem to be sitting for long periods, us-ing harmful postural patterns, a forward head posture determined by incorrect positioning during prolonged studying hours, and carrying a too-heavy backpack, but do they really influence non-specific back pain in children? These ques-tions are valid for all generations and countries. This paper aimed to review the published literature to determine whether the factors mentioned above, sitting in mismatched school furniture, carrying heavy backpacks, and forward head posture, influence the incidence of non-specific back pain in children and whether there are any data or differences between the general population and Roma-nian students. For this purpose, we conducted database research using the keywords “non-specific back pain in chil-dren, sitting, school furniture, forward head posture, backpack carrying” and various combinations of these terms, which returned 37 eligible articles for this paper in PubMed - Center for Biotechnology Information (NCBI) and Sci-enceDirect. There was no time limit on the researched articles, and they had to refer to the pediatric population, be open-access and in extenso articles, and be written in English, French, or Spanish. After analyzing the results from these articles, the conclusion is that there is no evident or spe-cific connection between non-specific back pain in pediatric populations and harmful posture patterns while sitting or carrying a backpack. Also, more multicentered research using fewer variables and more objective measurement instruments is needed. Keywords: non-specific back pain in children, sitting, bad posture, school furniture, forward head posture, back-pack carrying

Assessment of the Effects of Physiotherapy on Back Care and Prevention of Non-Specific Low Back Pain in Children and Adolescents: A Systematic Review and Meta-Analysis.

Non-specific low back pain (NSLBP) in children and adolescents has increased in recent years, and the evidence of the physiotherapy interventions in back care needs to be updated. Our main goal was to quantify the effects of preventive physiotherapy interventions on improving behavior and knowledge related to back care and prevention of NSLBP in children and adolescents. Based on two previous meta-analyses, Cochrane Library, MEDLINE, PEDro, Web of Science, LILACS, IBECS, PsycINFO, and IME databases and several journals were searched. Two researchers independently extracted data and assessed the risk of bias in the studies using the RoB2 tool. Data were described according to PRISMA guidelines. A total of 24 studies (28 reports) were included. In the posttest, the behavior variable obtained an overall effect size of d+ = 1.48 (95%CI: 0.40 to 2.56), and the knowledge variable obtained an effect size of d+ = 1.41 (95%CI: 1.05 to 1.76). Physiotherapy has demonstrated beneficial impacts on behavior and knowledge concerning back care and to prevent NSLBP in children and adolescents. Interventions focusing on postural hygiene and exercise should be preferred, especially those that are shorter in number of weeks, more intense, and incorporate as many intervention hours as possible.

Credibility, readability and content analysis of treatment recommendations for adolescents with nonspecific back pain published on consumer websites.

Parents may seek out health information online when their adolescent has nonspecific back pain to better understand treatment options. Such information directed towards consumers has not been previously analysed. A descriptive cross-sectional content analysis was performed to describe the treatments recommended on consumer websites for nonspecific back pain in adolescents. The credibility and readability of the websites were also assessed. Systematic Google searches were completed in five countries, and relevant content from eligible web pages was analysed. An a priori codebook with 34 treatment-related codes was developed. Nine additional codes were inductively created during analysis. Credibility was assessed using the JAMA benchmark. Readability was assessed via the Flesch Kincaid Grade Level. Of 245 web pages, 48 were deemed eligible and analysed. Of 43 treatment codes, 37 were present in at least one web page. The five most frequently identified codes were See the doctor/get a diagnosis (found on 85% of web pages), Ergonomics/posture/biomechanics (52%), Reassurance (48%), Physiotherapy (48%) and Non-prescription pharmaceuticals/supplements (46%). Only 21% of the web pages met all four JAMA benchmark criteria, and 15% cited at least one recent or high-quality source. The median Flesch Kincaid Grade Level score was 9.0 (range 3.5-12.9). Parents of adolescents with nonspecific back pain may find that treatment recommendations published online are numerous and varied, with visits to the doctor encouraged. The credibility scores of these web pages are generally low, while the median reading level may be too high for the general population. This analysis reveals that public-facing websites with recommendations for treating adolescent nonspecific back pain do not cite the most recent, high-quality research. Although web pages correctly encourage physical activity and exercise over surgery and prescription medications, they do not reflect the psychologically informed or interdisciplinary care emphasized in recently published treatment recommendations. Clinicians must be aware that caregivers of their adolescent patients with nonspecific back pain may be exposed to online messages that encourage them to keep seeking a diagnosis.

Back Pain in Adolescents and Young Adults with Idiopathic Scoliosis-Identifying Factors Associated with Significant Pain-A Multivariate Logistic Regression Analysis.

(1) Background: Previous data show that patients with idiopathic scoliosis (IS) can be classified into two groups according to pain intensity. This paper aims to determine which factors can independently predict the likelihood of belonging to a high-level pain group. (2) Methods: The study used a prospective, multicenter, cross-sectional design. Two-hundred and seventy-two patients with IS (mean age 18.1 years) (females 83.5%) were included. The sample was divided into two groups. The PAIN group comprised 101 patients (37.1%) with an average NRS of 5.3. The NO-PAIN group consisted of 171 patients (62.9%) with an average NRS of 1.1. Data on various factors such as comorbidities, family history, curve magnitude, type of treatment, absenteeism, anxiety, depression, kinesiophobia, family environment, and social relationships were collected. Statistical analysis consisted of multivariate logistic regression analysis to identify independent predictors of high-level pain. (3) Results: In the final model, including modifiable and non-modifiable predictors, age (OR 1.07 (1.02-1.11)); Absenteeism (OR 3.87 (1.52-9.87)), HAD anxiety (OR 1.18 (1.09-1.29)) and an indication for surgery (OR 2.87 (1.28-6.43)) were associated with an increased risk of pain. The overall model is significant at p = 0.0001 level and correctly predicts 72.6% of the responses. (4) Conclusions: Age, an indication for surgery, anxiety, and work/school absenteeism are the variables that independently determine the risk of belonging to the high-level pain group (NRS > 3).

Back pain in adolescents and young adults with idiopathic scoliosis. Identifying factors associated with severe pain. A multivariate logistic regression analysis

Back pain in adolescents and young adults with idiopathic scoliosis. Identifying factors associated with severe pain. A multivariate logistic regression analysis

Clinical examination and imaging resources in children and adolescent back pain.

Back pain is a relatively common complaint in children and adolescents. The pediatric patient presenting with back pain can often be challenging, and there are many well-known organic diagnoses that should not be missed. In younger children, an organic cause of back pain can often be found. However, back pain in older children and adolescents is often "non-specific." The differential diagnosis of back pain in children includes neoplasms, developmental, and inflammatory conditions. Basic steps should include an in-depth anamnesis, a systematic physical examination, and standard spine radiographs (anteroposterior and lateral). Nevertheless, advanced diagnostic imaging and laboratory studies should be included when indicated to avoid missing or delaying a serious diagnosis. If other types of imaging tests are necessary (magnetic resonance imaging, computed tomography, bone scan, or single photon emission computed tomography), they should be guided by diagnostic suspicion.

Vertebrogenic Pain Syndrome in Adolescents with Orthopedic Pathology, Aspects of Therapy

Relevance. Pain in the cervical, thoracic and lumbar spine is relevant not only for adults, but also for children and adolescents. Scoliosis is a predisposing factor for the development of pain syndrome in the back. Osteopathic techniques allow to expand the arsenal of methods in order to increase the effectiveness of treatment of patients with back pain.The aim of the study was to evaluate vertebrogenic pain syndrome in adolescents undergoing outpatient treatment with the diagnosis of dorsalgia. Materials and Methods: An observational study was conducted to analyze 157 case histories of adolescents (95 (60.5%) girls and 62 (39.5%) boys) undergoing outpatient treatment for dorsalgia diagnosed between the ages of 8 and 17 years. The reliability of differences between the studied groups was assessed by frequency analysis, using Pearson's Chi-squared criterion. All obtained differences were considered at a significance level not lower than p?0.05. Results. Among the 157 patients studied, orthopedic pathology (scoliosis of the spine, cervical instability, rotational subluxation of C1-C3, wedge deformity of the thoracic spine, L5 antelisthesis, Spina bifida S1) was diagnosed in 76 (48.4%) patients. Thoracic scoliosis of the 2nd degree was significantly more common in girls (p=0.043). L5 antelisthesis was significantly more common in boys (p=0.019). Lumbar scoliosis of the 2nd degree was significantly more frequent in the group of patients with moderate pain syndrome (VAS 4-6 points) (p=0,001). The cause of low back pain syndrome in 61 (38.9%) adolescents was benign musculoskeletal pain without orthopedic pathology. Conclusion: Vertebrogenic pain syndrome is one of the most frequent reasons for seeking outpatient medical care in adolescents. Detection of orthopedic pathology (scoliosis, instability, wedge deformity of vertebrae) against the background of pain syndrome requires examination by a neurologist, orthopedist and osteopath. The basis of therapy and prevention of back pain in adolescents is non-medication therapy, including osteopathic correction. Osteopathic correction is indicated in the detection of somatic dysfunctions.

Increases in Sleep Difficulties and Psychological Symptoms are Associated With the Increase of Chronic Back Pain in Adolescents: The HBSC Study 2002 to 2018

Cross-national research using data from the Health Behavior in School-aged Children (HBSC) survey showed an increase in the prevalence of chronic back pain from 2002 to 2014. However, it is unknown if this trend has persisted beyond 2014. The aims of this study were to 1) determine if the prevalence of chronic back pain in girls and boys aged 11, 13, and 15 continued to increase from 2014 to 2018 and if this was the case, 2) examine whether this increase in the prevalence of chronic back pain between 2002 and 2018 was explained indirectly by increases in sleep difficulties and psychological symptoms. Data from 7,89,596 adolescents retrieved from 5 waves of the HBSC survey conducted in 2002, 2006, 2010, 2014, and 2018 in 32 countries/regions were used. Logistic regressions and path analyses were conducted. Results showed an overall increase of .5% in the prevalence of chronic back pain between 2014 and 2018, ranging from .4% for 15-year-old girls to 1.3% for 11-year-old boys, indicating a continued overall increase in chronic back pain in adolescents beyond 2014. For 13-year-old girls and for 15-year-old girls and boys, the increase in the prevalence of chronic back pain between 2002 and 2018 was partially mediated by increases in sleep difficulties, which in turn were associated with increases in psychological symptoms. The findings provide important information that may aid stakeholders in enhancing public health initiatives to prevent or reduce the increasing trend in the prevalence of chronic back pain in adolescents. PerspectiveThis study shows that chronic back pain prevalence continues to increase among adolescents, with sleep difficulties and psychological symptoms contributing significantly to this trend. The findings provide insights that may inform strategies to prevent or reduce the increasing trend of chronic back pain in adolescents.

Lower Back Pain in Adolescents with an Osteopathic Component

Low back pain (LBP) is a common complaint in adolescents and has been increasingly reported in recent years. Affecting roughly 40% of adolescents, it leads to negative overall health, higher incidence of LBP in adulthood, and greater utilization of health care resources over one’s lifetime. LBP in adolescents differs from adult populations due to variations in structural anatomy, which contribute to differing approaches in diagnosis and treatment of this condition. The differential diagnosis of LBP in this population is extremely broad and can be attributed to many underlying etiologic factors. Clinicians must conduct a thorough history and physical examination and consider the appropriate diagnostic testing to accurately diagnose adolescents early on in their conditions to provide the most effectivetreatment. Treatment for this condition ranges from rest and rehabilitation, to oral medications, OMT, bracing, and rarely, surgery. Physicians must also be able to recognize clear risk factors and symptoms for serious underlying pathology that can be causing LBP. This article will focus on diagnosis and treatment of the most common causes of LBP in adolescents.

The Effects of Backpack on Muscle Activity and Back Pain in Adolescents

The purpose of the study: To explore the impact of backpack on adolescent muscle activity, and the relationship between it and adolescent back pain, to provide theoretical basis for domestic scholars in this field of in-depth research. Research methods: Literature related to backpack, muscle activity and back pain were searched, and the research results were analyzed. Results: The studies mainly focused on the effects of backpack type a nd mode on muscle activity, while few reports focused on the location and walking time of backpack. The main muscles studied were the upper trapezius muscle, the erector spinalis muscle and the rectus abdominis muscle, while the other muscles were not studied enough. Conclusion: The type and way of backpack, the weight of backpack, the design of backpack strap, the position of backpack and the time of backpack all have different degrees of influence on the muscle activity of various parts of teenagers, and these effects may lead to back pain, which is one of the factors that cannot be ignored.

Low Back Pain in Adolescents: Associations With Demographics, Physical and Psychosocial Factors, and Magnetic Resonance Imaging Features of the Spine.

van den Heuvel, Marleen M. MD, MSca,b; Chiarotto, Alessandro hDa; Oei, Edwin H.G. MD, PhDc; van Middelkoop, Marienke PhDa Author Information

Back pain in children and adolescents: a cross-sectional study

PurposeBack pain is a growing problem worldwide, not only in adults but also in children. Therefore, it is becoming increasingly important to investigate and understand the factors that influence the early onset of back pain. The aim of this study was to determine the prevalence of back pain in children and adolescents and to identify predisposing risk factors and protective factors.MethodsA cross-sectional study was conducted between October and December 2019 in schools from northern Portugal, evaluating 1463 students aged 9 to 19 years, of both genders. The instruments used were the Spinal Mouse® to assess posture, the Inbody 230® to assess body composition, an online questionnaire to characterize the sample and back pain, and the FITescola® battery test to access physical fitness.ResultsHalf of the subjects experienced back pain at least once in their lifetime. The most frequently mentioned were lumbar spine and thoracic spine, mostly with mild or moderate pain intensities. Age, female gender, percent body fat, prolonged smartphone and computer use, hyperkyphosis, and the lateral global spine tilt to the left side are all factors with higher relative risk of back pain. Practicing physical activity or sports regularly and video games have a protective effect.ConclusionThe prevalence of back pain in children and adolescents is very high: The study enhances the case for protective factors such as physical activity habits or video games while reinforcing risk factors such as percent body fat, prolonged smartphone or computer use, and posture.

Back Pain in Adolescents: Research Has Focused on a Narrow Range of Old-Fashioned Therapies

Back Pain in Adolescents: Research Has Focused on a Narrow Range of Old-Fashioned Therapies