Low Back Pain Factors Research Articles

Determinant Factors of Low Back Pain in Paving Block Workers

Paving block workers are included in the informal sector and have a risk of lower back pain. Documenting the workers’ health status in the informal sector has not been done well so that workers do not get protection from the government. Heavy physical work puts pressure on the spine associated with repeated body twisting. This study aims to determine work attitude, length of employment, and exercise habits related to low back pain in Pontianak paving block workers in 2018. This type of research is observational with a cross-sectional approach. Sampling uses total sampling. The research sample of 56 paving block workers in the city of Pontianak, West Kalimantan. Data is processed with a computer program. Data analysis was performed univariate and bivariate and tested using the Chi-square test, with α = 5%. The results showed that there was a significant relationship between the length of the work (p = 0.013), work attitude (p-value = 0.038), and exercise habits (p = 0.003) with low back pain.

Prevalence/Incidence of Low Back Pain and Associated Risk Factors Among Nursing and Medical Students: A Systematic Review and Meta-Analysis.

To summarize evidence regarding the prevalence and incidence of low back pain and associated risk factors in nursing and medical students. TYPE: Systematic review and meta-analysis. The protocol was registered with PROSPERO (CRD42015029729). Its reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Seven databases were searched until August 2020 to identify relevant studies. Two independent reviewers screened, extracted, and evaluated the risk of bias of the selected studies. Meta-analyses were used to estimate 12-month prevalence/incidence rates of low back pain and associated risk factors in these students. Levels of evidence for risk factors were determined by the updated Guidelines for Systematic Reviews in the Cochrane Collaboration Back Review Group. Sixteen studies involving 7072 students were included. The pooled 12-month prevalence rates of low back pain for nursing and medical students were 44% (95% confidence interval [95% CI]: 27%-61%) and 53% (95% CI: 44%-62%), respectively. The 12-month incidence of low back pain in nursing students ranged from 29% to 67%. No incidence rate was reported in medical students. Strong/moderate-quality evidence supported that final year of study (pooled odds ratio [OR] from five studies, 1.96, 95% CI: 1.13-3.40), anxiety (OR ranging from 3.12 to 4.61), or high mental pressure or psychological distress (OR ranging from 1.37 to 4.52) was associated with a higher 12-month low back pain prevalence in both student groups. Moderate-quality evidence suggested that prior history of low back pain (pooled OR from two studies: 3.46, 95% CI: 1.88-6.36) was associated with a higher 12-month low back pain incidence in nursing students. Similarly, moderate-quality evidence suggested that female medical students (pooled OR from two studies: 1.77, 95% CI: 1.09-2.86) demonstrated a higher 12-month low back pain prevalence than male counterparts. Although it is impossible to alter nonmodifiable risk factors for low back pain, universities may develop and implement proper strategies to mitigate modifiable risk factors in these students.

Influences of limited flexibility of the lower extremities and occurrence of low back pain in adolescent baseball players: A prospective cohort study

BackgroundLimited flexibility of the lower extremities, such as hamstring tightness, has long been suggested as a physical risk factor for low back pain among adolescent athletes. However, few prospective cohort studies have examined the direction of causality for this relationship. This prospective cohort study investigated the relationship between limited flexibility of the lower extremities and the occurrence of low back pain among high school baseball players. MethodsParticipants comprised 335 high school baseball players from 43 high school baseball teams who had undergone baseline medical evaluations (a self-completed questionnaire and physical examination). Occurrence of low back pain during a 1-year follow up, and associations with measurements of flexibility of the lower extremities such as straight-leg-raising angle (hamstring tightness), Thomas test (iliopsoas tightness), heel-buttock-distance (quadriceps tightness), and passive range of motion of the hip were investigated. ResultsIn total, 296 players (88.4%) participated in the 1-year follow-up survey, with 147 of the 296 players (49.7%) reporting the occurrence of low back pain during follow-up. The number of players with low back pain during follow-up peaked in November, then decreased and was lowest in June. After adjusting for factors associated with low back pain using logistic regression modeling, a significant association between hamstring tightness on the non-throwing arm side and low back pain (odds ratio 2.86, 95% confidence interval 1.17–6.94; P = 0.018) was found. ConclusionsHamstring tightness on the non-throwing arm side was identified as a potential risk factor for low back pain in high school baseball players. These results may provide guidance in the development of future prevention programs.

Incidence and Risk Factors of Low Back Pain in Marathon Runners.

Purpose The occurrence of low back pain (LBP) in marathon runners has been poorly understood. This study aimed to describe the risk factors and identify whether these factors can cause LBP in these athletes. Methods A self-developed questionnaire was randomly distributed to 850 runners of running a half or a full marathon. Participants responded with the questionnaire focusing on previous training and running conditions after their competitions. Results On the basis of the remaining 800 valid questionnaires, the incidence of LBP was 4.50% (n = 36). A total of 572 (71.5%) males and 228 (28.5%) females, with an average age range of 33.9 ± 9.0 years, came from different occupations with different physical activity characteristics. However, no significant associations between occupation and runners with LBP (p > 0.05) were found. In the final models, risk factors, including warm-up activities (p=0.012, OR = 2.617), fatigue (p = 0.008, OR = 2.680), running gait posture (p=0.041, OR = 2.273), and environmental temperature (p=0.020, OR = 6.584), were significantly associated with LBP in marathoners. Conclusion Although LBP was uncommon in marathoners, it was linked to the factors such as insufficient warm-up activities, fatigue, poor running gait posture, and uncomfortable environmental temperature. Future studies need to validate these results. Nevertheless, these findings could still be useful for protecting the lower back area of runners clinically.

ISSLS PRIZE IN CLINICAL SCIENCE 2021: What are the risk factors for low back pain flares and does this depend on how flare is defined?

Although risk factors for new low back pain (LBP) episodes and acute-to-chronic transition have been identified, risk factors for flares of LBP remain largely unknown. This case-crossover study aimed to identify: (1) risk factors LBP flares and (2) whether risk factors differed when flare is defined by pain increase (pain-defined flare: PDF) or identified by participants according to a broader flare definition that considered emotions and coping (self-reported flare: SRF). One hundred and twenty-six participants with LBP for > 3months were included. Candidate risk factors and flares (PDF/SRF) were assessed daily using a smartphone application for 28days. Data on exposure to risk factors one, two and three days preceding PDF/SRF were compared to control periods. Conditional logistic regression estimated associations between risk factors and PDF/SRF. Odds of PDF and SRF were increased by poor sleep quality and morning pain. Good sleep quality reduced odds of flare. Odds for increased pain (PDF), but not SRF, were increased after days with higher afternoon and evening pain, fatigue, fear of physical activity and leisure physical activity. LBP flare has been largely ignored but is more reflective of the LBP experience than conventional definitions of acute, sub-acute and chronic LBP. This study highlights risk factors for flare and that these differ depending on whether flare is defined by pain alone (PDF) or a broad multidimensional definition (SRF). Potential targets to reduce the intensity/frequency of LBP flares are identified, with strong indication for the potential role of sleep intervention to mitigate LBP flare risk.

Prevalence and Associated Factors of Low Back Pain Among Bank Workers in Gondar City, Northwest Ethiopia.

IntroductionLow back pain is a very common health problem that most people experience at some point in their working life. It results in sick leave, disability, producing significant restrictions on usual activity and participation among many office workers. The working style of bank workers is sedentary mostly and the alignment of their chairs, table, and computers is not designed based on their health aspects which exposes them to low back pain.ObjectiveThis study aimed to assess the prevalence and associated factors of low back pain among bank workers in Gondar city.MethodsInstitution-based cross-sectional study was conducted from 20th October to 10th November 2020 at banks in Gondar city. A simple random sampling technique was employed to select 296 bank workers. A structured pretested self-administered questionnaire was used to collect data. Data were entered in epi-info version 7, analyzed using SPSS version 21, and presented by frequencies, percentages, and tables. Bivariable and multivariable analyses were employed using a binary logistic regression model. Variables with a p-value < 0.05 were considered as factors significantly associated and the odds ratio with a 95% CI was used to determine the strength of association.ResultsThe prevalence of low back pain among bank workers in the last 12 months was 55.4%. Being female, work-related stress, lack of physical activity, using a fixed chair and a chair without an armrest, and lifting heavy objects increases the risk of developing low back pain.ConclusionThe prevalence of low back pain among bank workers in Gondar city was high. It is better to establish a health screening team, avail a movable chair and a chair with an armrest, and give special attention to female workers and bank workers with stress, and do physical activity to reduce the risk of developing low back pain.

Internal Risk Factors for Low Back Pain in Pole Vaulters and Decathletes: A Prospective Study.

Background:Pole vaulters and decathletes frequently experience several types of injuries to their lower back, often resulting in mechanical low back pain (LBP). However, the risk factors for the occurrence of LBP in these athletes have not been defined.Purpose:To determine the physical factors that relate to LBP occurrence for collegiate pole vaulters and decathletes.Study Design:Cohort study; Level of evidence, 2.Methods:We observed 31 pole vaulters and decathletes for 1 year. At the start of the observation period, isokinetic flexion and extension muscle strength of the knee and hip joints were recorded along with active and passive range of motion (ROM) and muscle tightness. Participants were then divided into 2 groups using the median value of each measurement: those below the median (low group) and those above the median (high group). The log-rank test was used to compare LBP occurrence between the low group and high group for all measurements. Multivariate regression analyses were thereafter applied using the Cox proportional hazards regression.Results:Log-rank tests revealed a statistically significant change in the survival curve for the occurrence of LBP in the participants with chronic LBP (P = .037), the low group for hip flexion peak torque per body weight on the non-takeoff leg (P = .047), and the low group for passive hip flexion angle on both legs (takeoff leg: P = .034; non-takeoff leg: P = .023). In addition, log-rank tests revealed a statistically significant change in the survival curve for the occurrence of LBP in the low group for passive hip extension angle on the takeoff leg only for the participants without chronic LBP (P = .014).Conclusion:It may be necessary to acquire sufficient ROM and hip flexion to prevent LBP occurrence in pole vaulters and decathletes.

The prevalence and risk factors of low back pain among the nurses at Sardjito Hospital, Yogyakarta, Indonesia

Background: The study aimed to identify the prevalence and risk factors of LBP among the nurses at Sardjito Hospital.&#x0D; Method: A cross-sectional study was conducted in Sardjito Hospital Yogyakarta. LBP was measured in nurses who had work for one year using the Keele Start Back Screening Tool (KSBT) and Orebro Musculoskeletal Pain Questionnaire (OMPQ). A simple and multiple logistic regression was used for analysis.&#x0D; Results: Of 800 valid subjects, 324 (40.5%) have the history of LBP complaint, 88.9% were suffering the pain during the data collection. The most significant variables are the history of previous spinal complaints (p = 0.00), slide board use for lateral transfer (p=0.010), gender (p=0.026) and current work place (p=0.019). Nine of the 288 patients of LBP have high risk in line with the KSBT stratification, while 22 of 288 patients have High Estimated Risk of Future Work Disability that agrees with the stratification of performance prognosis using OMPQ.&#x0D; Conclusion: The prevalence of LBP among the nurses at Sardjito Hospital reaches 40.5%, with 88.9% of whom still suffer from pain during the data collection. The risk factors of LBP among the nurses are previous spinal complaint, tools for lateral transfer, work place and gender.&#x0D; Key words: Risk factor; Lower back pain; Nurses; Pain; Prevalence&#x0D; Citation: Mahmud, Sri R, Iqbal MR, Lukman WA, Sri HN. The prevalence and risk factors of low back pain among the nurses at Sardjito Hospital, Yogyakarta, Indonesia. Anaesth. pain intensive care 2021;25(1):19–26;&#x0D; DOI 10.35975/apic.v25i1.1432&#x0D; Received: 13 November 2020, Reviewed: 18 November 2020, Accepted: 16 December 2020

Multiscale Regulation of the Intervertebral Disc: Achievements in Experimental, In Silico, and Regenerative Research.

Intervertebral disc (IVD) degeneration is a major risk factor of low back pain. It is defined by a progressive loss of the IVD structure and functionality, leading to severe impairments with restricted treatment options due to the highly demanding mechanical exposure of the IVD. Degenerative changes in the IVD usually increase with age but at an accelerated rate in some individuals. To understand the initiation and progression of this disease, it is crucial to identify key top-down and bottom-up regulations’ processes, across the cell, tissue, and organ levels, in health and disease. Owing to unremitting investigation of experimental research, the comprehension of detailed cell signaling pathways and their effect on matrix turnover significantly rose. Likewise, in silico research substantially contributed to a holistic understanding of spatiotemporal effects and complex, multifactorial interactions within the IVD. Together with important achievements in the research of biomaterials, manifold promising approaches for regenerative treatment options were presented over the last years. This review provides an integrative analysis of the current knowledge about (1) the multiscale function and regulation of the IVD in health and disease, (2) the possible regenerative strategies, and (3) the in silico models that shall eventually support the development of advanced therapies.

Chronic pain: It is time to act….

Chronic pain: It is time to act….

Prevalence and risk factors for low back pain during pregnancy among women in Abakaliki, Nigeria.

Introductionlow back pain (LBP) during pregnancy is an important health concern among women globally. The prevalence and risk factors for LBP in pregnancy vary from and within sub-regions and have implications in preventive and treatment strategies. In West African sub-region, there is scanty data on LBP during pregnancy. This study aimed to determine the prevalence and predisposing factors for LBP during pregnancy in this environment.Methodsthis was a cross-sectional study carried out among pregnant women admitted into the Labour Ward of Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria over a period of 8 months. They were interviewed within 2 to 7 days postpartum with a questionnaire. Sociodemographic and obstetrics characteristics as well as LBP intensity, features and associated factors were evaluated. Significant factors for LBP that emerged from the univariable analysis were entered into multivariable regression analysis to evaluate the risk of each factor when adjusted to other factors.Resultsof the 478 women interviewed, 138 (28.9%) of them (95% CI 25.1-33.1) reported LBP in the index pregnancy. The onset of pain was predominantly in the third trimester and the mean pain intensity was 4.3 ± 1.36. In the univariable analysis, six factors were significantly associated with LBP. Logistic regression analysis identified LBP in previous pregnancy (aOR: 24.76, (95% CI 6.88-89.11); p< 0.001), macrosomia (aOR: 4.15(95% CI 2.05-8.42); p< 0.001) and absence of domestic help (aOR: 0.50(95% CI 0.31-0.82); p=0.006) as independent risk factors for LBP during pregnancy among the women.Conclusionin this study, LBP during pregnancy is within worldwide range and predominantly mild to moderate in intensity. The independent risk factors identified call for high priorities accorded to women with these factors in measures aimed at addressing LBP during pregnancy.

Caring-Related Chronic Low Back Pain and Associated Factors among Mothers of Children with Cerebral Palsy.

Background Literature indicated some risk factors for low back pain; however, there is insufficient knowledge on the effect of caring-related physical activities and individual characteristics on Chronic Low Back Pain (CLBP) in mothers of children with Cerebral Palsy (CP). Objective The main aim of the current study was to determine the association between caring-related physical activities, Body Mass Index (BMI), education level, and CLBP in mothers of children with CP. Design Case-control observational study. Setting. Pediatric rehabilitation clinics. Participants. Mothers of children with CP. Main Outcome Measures. Measures is comprised of a self-administered questionnaire that included the demographic characteristics items, pain visual analog scale, and three items of the job-related physical demands questionnaire. The logistic regression model served to assess the association. Results The control group included 81 healthy mothers, with a mean (SD) age of 39 (8.45) years, and the case group contained 90 mothers who suffered from CLBP, with a mean (SD) age of 37 (8.64) years. Performing lifting movements (OR 13.73, β = 2.62, p < .001), BMI (OR 11.85, β = 2.47, p = .011), repetitive bending (OR 7.67, β = 2.04, p = .010), forward-flexion (OR 6.71, β = 1.91, p = .033), and level of education (OR .21, β = −1.53, p = .020), in descending order of odds ratios, were found to be significant predictors of the CLBP in mothers of children with CP. Conclusion Avoiding caring-related harmful physical activities, maintaining body weight within a healthy range, and increasing knowledge for accurate lifting/handling techniques can be helpful to prevent the CLBP in mothers of children with CP.

Prevalence and influencing factors of low back pain among nurses in China: a systematic review and meta-analysis

Abstract Background Low back pain (LBP) is one of the most common occupational injuries that nurses experience in their daily work, which ultimately causes disability or difficulty in performing heavy physical activity. There is scarce information that presents a direct figure about the prevalence of LBP in Chinese nurses. Objective To systematically review and analyze the prevalence and influencing factors of LBP among nurses in China. Methods Related literature extracted from PubMed, Web of Science, Scopus, China National Knowledge Infrastructure databases were selected and reviewed based on the PRISMA guideline. Random effects models were used for data analysis, where heterogeneity was tested through I2. Egger's test was used to analyze the literature publication bias. Results The combined data indicated that the prevalence of LBP among nurses in China was 78% [95% confidence interval (CI) = 0.72–0.83]. The prevalence of LBP among nurses in China has declined in the past decade. Nurses presented a high risk of LBP in terms of female (OR = 2.38, 95% CI = 1.23–3.44, P &lt; 0.0001), married (OR = 2.79, 95% CI = 1.57–3.86, P &lt; 0.0001), 24 ≤ BMI &lt; 28 (OR = 2.03, 95% CI = 1.18–3.08, P &lt; 0.0001), and working for more than ten &gt;10 years (OR = 2.54, 95% CI = 2.03–3.32, P &lt; 0.0001). Conclusions There is a high prevalence of LBP among nurses in China. Interventions that include healthy dietary habits and physical activity mainly focusing on female married nurses who are working for at least 10 years should be implemented. Furthermore, nurses ought to apply ergonomic principles for personal protection at the workplace.

Survey of One-handed Lifting in Manufacturing Industry: A Cross-sectional Study of the BackWorks Study Cohort

Low back pain (LBP) is a common health problem and a major cause of lost productivity in workplaces. Manual materials handling (MMH) jobs have traditionally been regarded as risk factor for LBP. Compared to two-handed lifting, one-handed lifting has received little attention in both epidemiological and biomechanical research. In addition, one frequent complaint of the revised NIOSH lifting equation (RNLE) has been the lack of capability to directly evaluate one-handed lifting. Modifications have been proposed by the European Union, however their efficacy and influence have not yet been evaluated. This cross-sectional study provided objective survey of the MMH jobs, especially the one-handed lifting performed in manufacturing industry and investigated the outcomes of three proposed methods to address one-handed lifting using RNLE approach. Preliminary results suggest that workers with some one-handed lifting are associated with higher physical exposure. However, the increase was more significant among those who perform primarily one-handed lifting.

Prevalence and associated factors of low back pain in an urban Nigerian community

INTRODUCTION: Low Back Pain (LBP) constitutes a public health problem as almost every individual is expected to experience LBP at least once during their lifetime. OBJECTIVE: This study is done to determine the prevalence of LBP and associated factors in an urban Nigerian community. METHODS AND MATERIALS: This cross-sectional household survey randomly selected 741 subjects using a 4-stage sampling technique. Data were obtained through a self-administered semi-structured questionnaire. Association between categorical variables and LBP was analyzed using the Chi-square test and multiple logistic regression model (?=0.05). RESULTS: Mean age of participants was 41.32 ± 15.24 years. The point, annual, and lifetime prevalence of LBP were 31.2%, 61.1%, and 70.6% respectively. Aged 40 years and above (p=0.006), being an artisan (p=0.005) or trader (p=0.007) compared to being an office worker (p=0.071), and continuously sitting more than 3 to 4 hours (p&lt;0.001) are factors significantly associated with LBP. Others are transport duration to/from work more than or equal to 30 minutes (p&lt;0.001), computer use (p&lt;0.001), trauma history (p=0.045), never attending a health talk on back care (p&lt;0.001), tobacco smoking history (p=0.006) and having an occasional (p=0.002) or no exercise routine (p&lt;0.001). CONCLUSION: LBP is common among individuals in the study area with a point, annual, and lifetime prevalence of 31.2%, 61.1%, and 70.6% respectively. Interventions on LBP prevention should target correction of identified modifiable associated factors such as poor posture, physical inactivity and lack of information on LBP.

An Investigation of the Relationship between Anthropometry (Height, Weight, and Body Mass Index) and Incidence of Low Back Pain Following Spinal Anesthesia in Elective and Emergency Surgical Procedures

Background: The incidence of low back pain in adults after spinal anesthesia is rather similar to that of general anesthesia. The pain is often mild with an increased incidence of low back pain that rarely spreads to the lower extremities but persists for several days after surgery. Fear of complications of back pain after neuraxial injection is one the main reason for patient’s refusal of neuraxial anesthesia. Some studies repoted obesity and BMI above 32 as risk factors for low back pain after surgery. In this study, we aimed to investigate the relationship between selected parameters of body composition, including the amount of total body fat and muscular tissue, and the incidence of low back pain after spinal anesthesia. Methods: A cross-sectional study was carried out on 100 patients who were candidates for elective or emergency surgery under spinal anesthesia. At first demographic data, a history of back pain and assessment and anthropometric assessment was asked. The history of back pain and intensity of pain were asked after one day, one month and 4 months after surgery. Then the relationship between pain intensity and anthropometric data were assessed. Results: The mean pain intensity in the normal weight group was 1.3 ± 0.63. In the overweight group, the mean pain intensity was 1.1 ± 0.41. In the obese group, the mean pain intensity was 2.2± 1.2. Regarding the relationship between mean pain intensity and weight, BMI, and anthropometry, the incidence of pain was not related to patients' anthropometry; the mean pain intensity of these groups were compared; and the incidence of pain was not dependent on weight, BMI, and anthropometry (p-value= 0.4). Conclusion: Based on the obtained results, it can be concluded that no correlation exists between the incidence of low back pain and mean severity of pain and anthropometric indicators such as BMI, however, low back pain lasted longer in obese patients, which requires further study to investigate the exact nature of such a relationship.

Hubungan Paparan Whole Body Vibration Dengan Low Back Pain Pada Pengemudi Ojek Online

Pendahuluan: Low back pain adalah keadaan yang memiliki karakteristik berupa rasa nyeri dan kaku di daerah lumbosacral pada punggung. Whole body vibration didefinisikan sebagai getaran mekanik yang ditransimisikan ke seluruh tubuh. Whole body vibration meningkatkan risiko low back pain. Tujuannya yaitu mengetahui hubungan Whole body vibration dengan Low back pain.Metode: Penelitian ini adalah cross sectional pada 27 pengendara ojek online di daerah Jakarta. Responden mengisi kuesioner The Nordic Musculoskeletal Questionnaire (NMQ). Getaran sepeda motor diukur dengan aplikasi smartphone.Hasil: Terdapat tujuh responden dengan LBP dan melebihi ELV, empat responden dengan LBP dan tidak melebihi ELV, empat responden tanpa LBP dan melebihi ELV dan 12 responden tanpa LBP dan tidak melebihi ELV.Kesimpulan: Terdapat hubungan antara whole body vibration dengan low back pain secara statistik.

Unconventional seats for students returning to school during the worldwide COVID-19 pandemic: has Italy taken the right direction?

International Journal of Therapy and RehabilitationVol. 27, No. 11 EditorialUnconventional seats for students returning to school during the worldwide COVID-19 pandemic: has Italy taken the right direction?Massimiliano Polastri, Julie SwannMassimiliano PolastriCorresponding author: Massimiliano Polastri; E-mail Address: [email protected]Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation, St Orsola University Hospital, Bologna, ItalySearch for more papers by this author, Julie SwannIndependent Occupational Therapist, Staffordshire, UKSearch for more papers by this authorMassimiliano Polastri; Julie SwannPublished Online:10 Dec 2020https://doi.org/10.12968/ijtr.2020.0128AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Clemes SA, Bingham DD, Pearson N et al.. Stand out in class: restructuring the classroom environment to reduce sitting time – findings from a pilot cluster randomised controlled trial. Int J Behav Nutr Phys Act. 2020;17(1):55. https://doi.org/10.1186/s12966-020-00958-z Crossref, Google ScholarDepartment for Education. Update on face covering in schools. London: Department for Education; 2020a. https://www.gov.uk/government/news/update-on-face-coverings-in-schools (accessed 19 November 2020) Google ScholarDepartment for Education. Safe working in education, childcare and children's social care. 2020b. https://www.gov.uk/government/publications/safe-working-in-education-childcare-and-childrens-social-care (accessed 19 November 2020) Google ScholarEuropean Centre for Disease Prevention and Control. COVID-19 in children and the role of school setting in COVID-19 transmission. 2020. https://www.ecdc.europa.eu/en/publications-data/children-and-school-settings-covid-19-transmission (accessed 19 November 2020) Google ScholarGodin M. Children across Europe are going back to school. Here's how 3 countries are managing it. 2020. https://time.com/5885554/europe-schools-reopening-germany-scotland-norway/ (accessed 19 November 2020) Google ScholarGoverno Italiano Presidenza del Consiglio dei Ministri. Call notice of extremely urgentsimplified open procedure for the purchase and distribution of equipped school desks and chairs throughout all of Italy. 2020a. http://www.governo.it/sites/new.governo.it/files/documenti/documenti/Presidenza/CS-Covid19/BandiGara/avviso_banchi/CALL_NOTICE_20200720.pdf (accessed 19 November 2020) Google ScholarGoverno Italiano Presidenza del Consiglio dei Ministri. Call notice of extremely urgent simplified open procedure for the purchase and distribution of equipped school desks and chairs throughout all of Italy. Annex 2-Technical specifications. 2020b. http://www.governo.it/sites/new.governo.it/files/documenti/documenti/Presidenza/CS-Covid19/BandiGara/avviso_banchi/ANNEX_2.pdf (accessed 19 November 2020) Google ScholarLee B, Raszka WV Jr. COVID-19 transmission and children: the child is not to blame. Pediatrics. 2020;146(2):e2020004879. https://doi.org/10.1542/peds.2020-004879 Crossref, Google ScholarRezapur-Shahkolai F, Gheysvandi E, Tapak L et al.. Risk factors for low back pain among the elementary school students, using penalized logistic regression, Iran. Epidemiol Health. 2020:e2020039. Epub ahead of print. https://doi.org/10.4178/epih.e2020039 Crossref, Google ScholarSudholz B, Contardo Ayala AM et al.. The impact of height-adjustable desks and classroom prompts on classroom sitting time, social, and motivational factors among adolescents. J Sport Health Sci. 2020;(20):30061–2. https://doi.org/10.1016/j.jshs.2020.05.002 Google Scholar FiguresReferencesRelatedDetailsCited byCOVID-19 bubbles inside wards: a viable option?Massimiliano Polastri27 July 2022 | International Journal of Therapy and Rehabilitation, Vol. 29, No. 7Observational studies of rehabilitation during the COVID-19 pandemicMassimiliano Polastri, Stefania Costi28 May 2021 | International Journal of Therapy and Rehabilitation, Vol. 28, No. 5Respiratory rate-OXygenation index: enhancing decision-making and predicting rehabilitative outcomes in critical respiratory settingsGiulia Panzuti, Maria Laura Vega, Massimiliano Polastri28 April 2021 | International Journal of Therapy and Rehabilitation, Vol. 28, No. 4COVID-19: emerging challenges in maintaining physical function in patients who have had haematopoietic cell transplantsJaleel Mohammed, Anne Gonzales, Hadeel R Bakhsh, Jayanti Rai, Nnenna Chigbo, Shahrukh K Hashmi2 October 2020 | International Journal of Therapy and Rehabilitation, Vol. 27, No. 9Developing patient information and clinician education resources for venous thromboembolism in a physiotherapy department in response to the COVID-19 pandemicChris Drake, Nicola Hicks, Leanne Atkin2 October 2020 | International Journal of Therapy and Rehabilitation, Vol. 27, No. 9A new way forwardVicki Williams2 October 2020 | International Journal of Therapy and Rehabilitation, Vol. 27, No. 9 2 November 2020Volume 27Issue 11ISSN (online): 1759-779X Metrics History Published online 10 December 2020 Published in print 2 November 2020 Information© MA Healthcare LimitedPDF download

Trunk Lateral Flexor Endurance and Body Fat: Predictive Risk Factors for Low Back Pain in Child Equestrian Athletes.

Low back pain (LBP) is the most common overuse musculoskeletal injury suffered by child equestrian athletes (CEA). Despite this, little is known about the risk factors related to LBP in these athletes, and very limited research has been conducted on this topic. This study was designed to investigate predictive risk factors for LBP in CEA. The purposes of this research were to determine whether anthropometric, range of motion (ROM), core endurance and sagittal spinal morphotype measures are risk factors for LBP and to establish a diagnostic cutoff value for those factors associated with LBP. Nineteen CEA between the ages of 12 and 17 years were voluntarily recruited. Potential risk factors evaluated included corporal composition, lower limb ROM, core endurance and sagittal spinal measures. Associations and predictions were calculated between these risk factors and the LBP during the last 12 months. Almost half of the CEA have suffered at least one episode of LBP. Two risk factors and cutoff values were identified as predictors of LBP in CEA: having a high body fat higher than 23% (p = 0.01) and trunk lateral flexor endurance lower to 65 s (p = 0.021), body fat being the strongest predictor.

Prevalence and Risk Factors for Low Back Pain in Primiparous Women Visiting Maternity Hospitals During Different Months of Pregnancy

Objectives: Pregnancy is one of the pleasant periods of a woman’s life that turns into a bitter experience by common complications such as low back pain (LBP). Due to prevailing climatic conditions in Iran and the harmful social norms concerning Iranian women, the present study aimed to investigate the prevalence of pregnancy-related LBP and its influencing factors during different months of pregnancy. Materials and Methods: This descriptive cross-sectional study was conducted in 2019 on 550 pregnant women for LBP who were eligible based on the inclusion criteria. The research instruments were a demographic questionnaire, a LBP examination, and the visual analog scale (VAS). The obtained data were analyzed using the chi-square test, the independent t test, and multiple logistic regression in SPSS 20, and a P&lt;0.05 was considered statistically significant. Results: The prevalence of LBP was 67.27%, and the most important factors influencing pregnancy-related LBP were maternal age (OR=950, P&lt;0.008), gestational age (OR=1.023, P=0.015), body mass index (OR=802, P=0.045), duration of sitting (OR=1.812, P=0.036), and the duration of standing (OR=1.625, P=0.042). Conclusions: Overall, there was a high prevalence of pregnancy-related LBP in primiparous women in the present study and its predisposing risk factors included advanced maternal age, obesity, and low level of ability to sit and stand for a long time.