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2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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  1. Prevalence and risk factors for back pain in sports: a systematic review with meta-analysis

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  2. The relationship between rowing-related low back pain and rowing biomechanics: a systematic review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  3. Treating low back pain in athletes: a systematic review with meta-analysis

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  • Fiona Wilson
  • Jane S. Thornton
  • Kellie Wilkie
  • Jan Hartvigsen
  • Anders Vinther
  • Kathryn E. Ackerman
  • J. P. Caneiro
  • Larissa Trease
  • Frank Nugent
  • Conor Gissane
  • Sarah Jane McDonnell
  • Alison McGregor
  • Craig Newlands
  • Clare L. Ardern
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Purpose: To synthesise evidence on low back pain (LBP) in adult rowers and to create a consensus statement to inform clinical practice. Methods: There were four synthesis steps that informed the consensus statement. In step one, seven expert clinicians and researchers established the scope of the consensus statement and conducted a survey of experienced and expert clinicians to explore current practice. In step two, working groups examined current evidence relating to key scope questions and summarised key issues. In step three, we synthesised evidence for each group and used a modified Delphi process to aid in the creation of the overall consensus statements. Finally, in step four, we combined information from step three with the findings of the clinician survey (and with athlete and coach input) to produce recommendations for clinical practice. Results: The scope of the consensus statement included epidemiology; biomechanics; management; the athlete's voice and clinical expertise. Prevention and management of LBP in rowers should include education on risk factors, rowing biomechanics and training load. If treatment is needed, non-invasive management, including early unloading from aggravating activities, effective pain control and exercise therapy should be considered. Fitness should be maintained with load management and progression to full training and competition. The role of surgery is unclear. Management should be athlete focused and a culture of openness within the team encouraged. Conclusion: Recommendations are based on current evidence and consensus and aligned with international LBP guidelines in non-athletic populations, but with advice aimed specifically at rowers. We recommend that research in relation to all aspects of prevention and management of LBP in rowers be intensified.

OriginalsprogEngelsk
Artikelnummerbjsports-2020-103385
TidsskriftBritish Journal of Sports Medicine
Vol/bind55
Udgave nummer16
Sider (fra-til)893-899
Antal sider7
ISSN0306-3674
DOI
StatusUdgivet - aug. 2021

Bibliografisk note

Publisher Copyright:
© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

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