Review Article

Low Back Pain in Athletes Is Associated with General and Sport Specific Risk Factors: A Comprehensive Review of Longitudinal Studies

Table 1

Study characteristics of included studies.

Author SportFollow-upSample sizeAgeGroupsExamined risk factor Conclusion

1Burdorf et al., 1996 [33]Golf1 yearMale: 19620–60LBP ()
Non-HLB ()
Age (years)
Previous low back pain more than once and lasting >3 months
Involvement in other sports
Absence from work because of previous back pain
Previous back pain was strong predictor

2 Evans et al., 2005 [22] Golf3 yearsMale: 1418–35 yrWith LBP ()
Without LBP ()
Anthropometric variables, flexibility, muscle strength, and muscle enduranceBMI, hip flexor length, and asymmetry on the side bridge endurance test were significantly correlated
No other anthropometric or flexibility test was significantly correlated with reports of LBP

3 Hjelm et al., 2012 [31]Tennis2 yearsTotal: 55
Male: 35
Female: 25
12–18Injured: 39
Uninjured: 16
Single and double play: (>6 versus <6 h/week)
Previous injury of the back
lateral flexion of the neck at the dominant and nondominant side (decreased)
Rack side and length (normal/extra length)
Tennis hours/year
Participating in other sports
>10° difference between dominant and nondominant ROM of (neck, shoulder, and elbow)
Previous injury to the back and playing tennis more than 6 h per week and decreased lateral flexion of the neck at the dominant side were reported as risk factors for back pain

4 Kujala et al., 1994 [21]Soccer
Ice hockey
Gymnastics
Skating
Ballet
1 yearTotal: 119
Male: 52
Female: 67
10.3–13.3With LBP: 24
Without LBP: 95
Lumbar flexion and extension, forward and side bending, hip flexor tightness, hamstring tightness, back and abdominal endurance Decreased lumbar flexion and hip flexor tightness (in male) and high body weight and previous LBP in female were predictor

5 Kujala et al., 1997 [28]Soccer
Ice hockey
Gymnastics
Skating
3 yearsBaseline: 116
Follow-up: 98
Male: 50
Female: 48
10.3–13.3With LBP: 35
Without LBP: 63
Anthropometric variables and lumbar mobility Predictor: low maximum extension of the lumbar

6Nadler et al., 1998 [27]Soccer
Football
Baseball
Track
Tennis
Swimming
Basketball
Volleyball
Softball
1 yearTotal: 257
Male: 170
Female: 87
With LBP: 31
Without LBP: 109
Lower extremity injuries
flexor tightness
Significant difference: in lower extremity injuries and previous LBP

7Renkawitz et al., 2006 [32] TennisTotal: 82
Male: 51
Female: 31
33With LBP: 46
Without LBP: 36
Spinal mobility and muscular flexibility of the lower backNeuromuscular imbalance:
direct relationship between LBP
Isometric voluntary maximum trunk extension strengthMaximum isometric trunk extension strength was not predictor