title: Low back pain in young female gymnasts and the effect of specific segmental muscle control exercises of the lumbar spine: a prospective controlled intervention study.
abstract: Prospective controlled intervention study. To evaluate a specific segmental muscle training program of the lumbar spine in order to prevent and reduce low back pain in young female teamgym gymnasts. Teamgym is a team sport comprising three events: trampette, tumbling and floor programme. In a recent study, it was found that teamgym gymnasts practice and compete despite suffering from back pain. Specific muscle control exercises of the lumbar spine have shown good results in reducing pain intensity and functional disability levels in patients with low back pain. To our knowledge, this type of training has not been studied in an adolescent athletic population before. Fifty-one gymnasts, with and without LBP, 11-16 years old, from three top-level gymnastics team participated in the study comprising 12 weeks. Every day the gymnasts answered a questionnaire regarding low back pain. After baseline (4 weeks) the intervention group performed a specific segmental muscle training program. Twenty-four gymnasts (47%) reported low back pain during baseline. Nine gymnasts failed to answer the questionnaire every day and the following results are based on 42 gymnasts (intervention group, n = 30, and control group, n=12). Gymnasts in the intervention group reported significantly less number of days with low back pain at completion compared to baseline (P=0.02). Gymnasts in the control group showed no difference in terms of days with low back pain or intensity of low back pain between baseline and completion. Eight gymnasts (out of 15) with LBP in the intervention group became pain free. Specific segmental muscle control exercises of the lumbar spine may be of value in preventing and reducing low back pain in young teamgym gymnasts.
authors.affiliation: Department of Molecular Medicine and Surgery, Section of Orthopaedics and Sports Medicine, Karolinska Institutet, Forskningscentrum M3:00, 171 76, Stockholm, Sweden. marita.harringe@ki.se
authors.forename: M L
authors.initials: ML
authors.lastname: Harringe
authors.forename: J S
authors.initials: JS
authors.lastname: Nordgren
authors.forename: I
authors.initials: I
authors.lastname: Arvidsson
authors.forename: S
authors.initials: S
authors.lastname: Werner
mesh_terms: D000293:Adolescent; D002648:Child; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006173:Gymnastics / Q000502:physiology*; D006801:Humans; D017116:Low Back Pain / Q000503:physiopathology / Q000517:prevention & control / Q000534:rehabilitation*; D008159:Lumbar Vertebrae / Q000503:physiopathology*; D018482:Muscle, Skeletal / Q000503:physiopathology*; D011446:Prospective Studies