1
|
Dos Santos Soares F, de Souza Pinto M, Kruger A, Coracini CA, Bertolini GRF. Photobiomodulation therapy on skeletal muscles exposed to diabetes mellitus: a systematic review of animal studies. Lasers Med Sci 2023; 38:185. [PMID: 37580518 DOI: 10.1007/s10103-023-03853-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 08/08/2023] [Indexed: 08/16/2023]
Abstract
Diabetes-related muscle damage has been overlooked despite its known association with increased morbidity and mortality in DM individuals. PBMT is a recognized alternative to improve skeletal muscle health in other populations, but its effectiveness in DM is still unclear. To address this issue, we reviewed preclinical studies, available in any language and period, in ten sources of information. The methods were previously registered at PROSPERO (CRD42021271041), based on PRISMA recommendations. Studies in murine models of T1DM or T2DM that reported quantitative analyses of skeletal muscles treated with low-level light therapy could be included after a blind selection process. Most of the seven included studies focus on decompensated T1DM rats with acute muscle injury (cryoinjury or contusion). In these five studies, PBMT improved muscle regeneration, by reducing inflammation and stimulating factors pro-angiogenesis and pro-myogenesis. Some positive effects could also be observed in two studies on muscles without acute injury: control of oxidative stress (T1DM) and reduction of myosteatosis (T2DM). Although infrared laser applied locally appears to be a promising approach, optimal parameters are undefined due to the heterogeneity of outcomes and high risk of bias, which prevented a quantitative synthesis. Several aspects of this growing field have yet to be investigated, particularly regarding the DM model (e.g., aged animals, T2DM), intervention (e.g., comparison with LED), and outcomes (e.g., muscle mass, strength, and function). Future research should aim to improve the internal validity by following guidelines for animal studies and enhance the translatability to clinical trials by using animal models that closely mimic patients with DM in rehabilitation settings.
Collapse
Affiliation(s)
- Francyelle Dos Santos Soares
- Department of Physical Therapy, Center of Biological and Health Sciences, State University of Western Paraná, Universitaria St. 2069, Cascavel, Paraná, 85819-110, Brazil
| | - Milena de Souza Pinto
- Department of Physical Therapy, Center of Biological and Health Sciences, State University of Western Paraná, Universitaria St. 2069, Cascavel, Paraná, 85819-110, Brazil
| | - Alana Kruger
- Department of Physical Therapy, Center of Biological and Health Sciences, State University of Western Paraná, Universitaria St. 2069, Cascavel, Paraná, 85819-110, Brazil
| | - Camila Amaral Coracini
- Department of Physical Therapy, Center of Biological and Health Sciences, State University of Western Paraná, Universitaria St. 2069, Cascavel, Paraná, 85819-110, Brazil
| | - Gladson Ricardo Flor Bertolini
- Department of Physical Therapy, Center of Biological and Health Sciences, State University of Western Paraná, Universitaria St. 2069, Cascavel, Paraná, 85819-110, Brazil.
| |
Collapse
|
2
|
Butler LS, Janosky JJ, Sugimoto D. Pediatric and Adolescent Knee Injuries. Clin Sports Med 2022; 41:799-820. [DOI: 10.1016/j.csm.2022.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
3
|
Karchynskaya V, Kopcakova J, Madarasova Geckova A, Bakalár P, de Winter AF, Reijneveld SA. Are adolescents' physical activity and body-related factors associated with medically attended injuries? Front Pediatr 2022; 10:901011. [PMID: 36389351 PMCID: PMC9663458 DOI: 10.3389/fped.2022.901011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 10/11/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Injuries are the major cause of disability and death during adolescence, representing a significant public health burden among youth. Body-related factors such as body composition and cardiovascular fitness (CVF) may affect adolescents' vulnerability to injuries. As evidence is lacking, we aimed to explore the associations of medically attended injuries with adolescents' physical activity (PA) and body-related factors, and whether these associations are modified by age, gender and family affluence. METHODS We used data on 888 11- to 15-year-old adolescents (mean age = 13.5, 56% boys) from the Health Behaviour in School-aged Children study conducted in 2018 in Slovakia. We used binary logistic regression analysis to assess the association of medically attended injuries with adolescents' PA and body-related factors (body composition, CVF), considering age, gender and family affluence. RESULTS Adolescents were more likely to report medically attended injuries if they were physically very active (odds ratio/confidence interval OR/CI:2.76/1.83-4.15) or active (OR/CI:1.91/1.27-2.87) rather than inactive. Body-related factors were not associated with medically attended injuries among adolescents. Moreover, age, gender and family affluence did not modify the association of medically attended injuries with adolescents' PA and body-related factors. The only exception was the modifying effect of gender: the association of medically attended injuries with being very active was stronger in boys (OR/CI: 3.04/1.32-6.99). CONCLUSION Very physically active adolescent boys are the most vulnerable group of adolescents in terms of injuries. PA promotion programmes should further consider gender-specific strategies aimed at preventing injuries.
Collapse
Affiliation(s)
- Viktoryia Karchynskaya
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, Kosice, Slovakia.,Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Jaroslava Kopcakova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, Kosice, Slovakia.,Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Andrea Madarasova Geckova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, Kosice, Slovakia.,Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.,Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
| | - Peter Bakalár
- Department of Sports Educology and Humanistics, Faculty of Sports, University of Presov, Presov, Slovakia
| | - Andrea F de Winter
- Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Sijmen A Reijneveld
- Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| |
Collapse
|
4
|
Weil N, Hemke R, Reurink G, Maas M. Imaging of Pediatric Lower Limb Sports Injuries. Semin Musculoskelet Radiol 2021; 25:123-136. [PMID: 34020473 DOI: 10.1055/s-0041-1725076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The importance of physical activity during childhood and adolescence has come to light, with an increase in sports-related acute traumatic and overuse injuries as a major disadvantage. A solid understanding of the physiology of the growing skeleton, together with knowledge about age- and sex-related differences in the occurrence of acute traumatic and overuse injuries is necessary. Every musculoskeletal radiologist should also be familiar with the appearances of these injuries on different imaging modalities. This review focuses on all these aspects concerning acute traumatic and overuse injuries among children and adolescents.
Collapse
Affiliation(s)
- Nikki Weil
- Department of Radiology and Nuclear Medicine, Amsterdam UMC location AMC, Amsterdam, Netherlands
| | - Robert Hemke
- Department of Radiology and Nuclear Medicine, Amsterdam UMC location AMC, Amsterdam, Netherlands
| | - Guus Reurink
- Department of Orthopedic Surgery, Amsterdam UMC location AMC, Amsterdam, Netherlands
| | - Mario Maas
- Department of Radiology and Nuclear Medicine, Amsterdam UMC location AMC, Amsterdam, Netherlands
| |
Collapse
|
5
|
Fuglkjær S, Vach W, Hartvigsen J, Dissing KB, Junge T, Hestbæk L. Musculoskeletal pain distribution in 1,000 Danish schoolchildren aged 8-16 years. Chiropr Man Therap 2020; 28:45. [PMID: 32746872 PMCID: PMC7401207 DOI: 10.1186/s12998-020-00330-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Accepted: 06/09/2020] [Indexed: 11/23/2022] Open
Abstract
Background Knowledge about the occurrence and distribution of musculoskeletal problems in early life is needed. The objectives were to group children aged 8 to 16 according to their distribution of pain in the spine, lower- and upper extremity, determine the proportion of children in each subgroup, and describe these in relation to sex, age, number- and length of episodes with pain. Method Data on musculoskeletal pain from about 1,000 Danish schoolchildren was collected over 3 school years (2011 to 2014) using weekly mobile phone text message responses from parents, indicating whether their child had pain in the spine, lower extremity and/or upper extremity. Result are presented for each school year individually. Results When pain was defined as at least 1 week with pain during a school year, Danish schoolchildren could be divided into three almost equally large groups for all three school years: Around 30% reporting no pain, around 40% reporting pain in one region, and around 30% reporting pain in two or three regions. Most commonly children experienced pain from the lower extremities (~ 60%), followed by the spine (~ 30%) and the upper extremities (~ 23%). Twice as many girls reported pain in all three sites compared to boys (10% vs. 5%) with no other statistically significant sex or age differences observed. When pain was defined as at least 3 weeks with pain during a schoolyear, 40% reported pain with similar patterns to those for the more lenient pain definition of 1 week. Conclusion Danish schoolchildren often experienced pain at more than one pain site during a schoolyear, and a significantly larger proportion of girls than boys reported pain in all three regions. This could indicate that, at least in some instances, the musculoskeletal system should be regarded as one entity, both for clinical and research purposes.
Collapse
Affiliation(s)
- Signe Fuglkjær
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
| | - Werner Vach
- Department of Orthopaedics and Traumatoloy, University Hospital Basel, Spitalstr 21, CH-4031, Basel, Switzerland.,Institute for Medical Biometry and Statistics, Medical Faculty and Medical Center, University of Freiburg, Freiburg, Germany
| | - Jan Hartvigsen
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, 5230, Odense M, Denmark
| | - Kristina Boe Dissing
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Tina Junge
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Health Sciences Research Centre, University College Lillebaelt, Niels Bohrs allé 1, 5230, Odense M, Denmark
| | - Lise Hestbæk
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, 5230, Odense M, Denmark
| |
Collapse
|
6
|
Iwame T, Matsuura T, Suzue N, Iwase J, Uemura H, Sairyo K. Factors Associated With Knee Pain and Heel Pain in Youth Soccer Players Aged 8 to 12 Years. Orthop J Sports Med 2019; 7:2325967119883370. [PMID: 31799330 PMCID: PMC6868579 DOI: 10.1177/2325967119883370] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Background: Soccer is played by many children younger than 12 years. Despite its health benefits, soccer has also been linked to a high number of sport-related injuries. Purpose: To investigate the relationship between clinical factors and knee or heel pain in youth soccer players. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Study participants included 602 soccer players aged 8 to 12 years who were asked whether they had experienced episodes of knee or heel pain. Data were collected on age, body mass index, years of playing soccer, playing position, and training hours per week. Associations of clinical factors with the prevalence of knee or heel pain were examined by univariate and multivariate logistic regression analyses. Results: Episodes of knee and heel pain were reported by 29.4% and 31.1% of players, respectively. Multivariate analyses revealed that older age and more years of playing soccer were significantly and positively associated with the prevalence of knee pain (P = .037 and P = .015 for trend, respectively) but did not identify any significant associations for heel pain. Conclusion: In this study of youth soccer players, knee pain was associated with older age and more years of play, but heel pain was not significantly associated with any factor.
Collapse
Affiliation(s)
- Toshiyuki Iwame
- Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan
| | - Tetsuya Matsuura
- Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan
| | - Naoto Suzue
- Department of Orthopaedic Surgery, Tokushima Red Cross Hospital, Komatsushima, Japan
| | - Joji Iwase
- Department of Orthopaedic Surgery, Tokushima Prefectural Central Hospital, Tokushima, Japan
| | - Hirokazu Uemura
- Department of Preventive Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan
| | - Koichi Sairyo
- Department of Orthopaedic Surgery, Tokushima Red Cross Hospital, Komatsushima, Japan
| |
Collapse
|
7
|
Are active children and young people at increased risk of injuries resulting in hospital admission or accident and emergency department attendance? Analysis of linked cohort and electronic hospital records in Wales and Scotland. PLoS One 2019; 14:e0213435. [PMID: 30969971 PMCID: PMC6457613 DOI: 10.1371/journal.pone.0213435] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Accepted: 02/21/2019] [Indexed: 12/21/2022] Open
Abstract
Introduction Children and young people (CYP) are encouraged to increase time spent being physically active, especially in moderate and vigorous intensity pursuits. However, there is limited evidence on the prospective association of activity levels with injuries resulting in use of hospital services. We examined the relationship between objectively-measured physical activity (PA) and subsequent injuries resulting in hospital admissions or accident and emergency department (A&E) attendances, using linked electronic hospital records (EHR) from a nationally representative prospective cohort of CYP in Wales and Scotland. Methods We analysed accelerometer-based estimates of moderate to vigorous (MVPA) and vigorous PA (VPA) from 1,585 (777 [46%] boys) seven-year-old Millennium Cohort Study members, living in Wales or Scotland, whose parents consented to linkage of cohort records to EHRs up until their 14th birthday. Negative binomial regression models adjusted by potential individual, household and area-level confounders, were fitted to estimate associations between average daily minutes of MVPA, and VPA (in 10-minute increments), and number of injury-related hospital admissions and/or A&E attendances from age nine to 14 years. Results CYP spent a median of 59.5 and 18.1 minutes in MVPA and VPA/day respectively, with boys significantly more active than girls; 47.3% of children experienced at least one injury-related admission or A&E attendance during the study period. Rates of injury-related hospital admission and/or A&E attendance were positively associated with MVPA and VPA in boys but not in girls: respective adjusted incidence rate ratios (95% CI) for boys: 1.09 (1.01, 1.17) and 1.16 (1.00, 1.34), and for girls: 0.94 (0.86, 1.03) and 0.85 (0.69, 1.04). Conclusion Boys but not girls who engage in more intense PA at age seven years are at higher risk of injury-related hospital admission or A&E attendance when aged nine to 14 years than their less active peers. This may reflect gender differences in the type and associated risks of activities undertaken. EHRs can make a useful contribution to injury surveillance and prevention if routinely augmented with information on context and setting of the injuries sustained. Injury prevention initiatives should not discourage engagement in PA and outdoor play given their over-riding health and social benefits.
Collapse
|
8
|
Midtiby SL, Wedderkopp N, Larsen RT, Carlsen AMF, Mavridis D, Shrier I. Effectiveness of interventions for treating apophysitis in children and adolescents: protocol for a systematic review and network meta-analysis. Chiropr Man Therap 2018; 26:41. [PMID: 30386556 PMCID: PMC6198434 DOI: 10.1186/s12998-018-0209-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Accepted: 08/13/2018] [Indexed: 12/01/2022] Open
Abstract
Background Overuse injuries are reported to be more common than acute trauma in children and adolescents, causing pain and reduced function. The most common is apophysitis - a traction injury to the apophysis in growing individuals. The duration of symptoms reported in the literature is between 6 weeks to 6 months or more. The objective of this systematic review and network meta-analysis is to compare the effectiveness and safety of all available treatments for any type of apophysitis in children and adolescents. Methods/Design We will conduct a systematic review to retrieve all relevant studies applying a comparative design. Searches will be made in the Cochrane CENTRAL, MEDLINE, EMBASE, CINAHL and SportDiscus databases and via reference searching. The efficacy of treatments will be compared with respect to the outcomes 1) time to pain-free activity and 2) risk of subsequent injury. Risk of bias assessment will be made using revised tool for assessing risk of bias in randomized trials for Randomized trials and Robins-I tool for non-randomized trials. We will explore if different treatment comparisons are sufficiently similar in terms of effect modifiers (transitivity assumption) with the aim to conduct network meta-analyses for randomized and non-randomized studies separately. A treatment hierarchy will be obtained using the surface under the cumulative ranking curve (SUCRA) and mean ranks, visualized using rankograms. We will use the CINeMA software to apply the modified version of Grades of Recommendation, Assessment, Development and Evaluation (GRADE), developed specifically to evaluate the quality of evidence in network meta-analysis. Discussion To date the comparative effects of interventions for apophysitis seem to rely mainly on expert opinion. We aim to identify all comparative treatment designs described in the literature and synthesize data when possible. We will use the estimated treatment effects between injury locations to provide guidance in managing apophysitis. Trial registration PROSPERO ID number: CRD42018083746. Electronic supplementary material The online version of this article (10.1186/s12998-018-0209-8) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Stig L Midtiby
- 1Department of Physiotherapy, University College Lillebaelt, Niels Bohrs Allé 1, 5230 Odense, SE Denmark
| | - Niels Wedderkopp
- Department of Regional Health Research, University of Southern, Copenhagen, Denmark.,Orthopedic department, Hospital of South Western Denmark, Esbjerg, Denmark
| | - Rasmus T Larsen
- 3Copenrehab, Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Anne-Marie Fiala Carlsen
- 1Department of Physiotherapy, University College Lillebaelt, Niels Bohrs Allé 1, 5230 Odense, SE Denmark
| | - Dimitris Mavridis
- 4Department of Primary Education, University of Ioannina, Ioannina, Greece
| | - Ian Shrier
- 5Centre for Clinical Epidemiology, Jewish General Hospital, McGill University, Ottawa, Canada
| |
Collapse
|
9
|
Räisänen AM, Kokko S, Pasanen K, Leppänen M, Rimpelä A, Villberg J, Parkkari J. Prevalence of adolescent physical activity-related injuries in sports, leisure time, and school: the National Physical Activity Behaviour Study for children and Adolescents. BMC Musculoskelet Disord 2018; 19:58. [PMID: 29448928 PMCID: PMC5815200 DOI: 10.1186/s12891-018-1969-y] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Accepted: 02/08/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The purpose of this study was to investigate the prevalence of adolescent physical activity-related injuries in sports club activities, leisure time physical activity and school-based physical activity. The secondary aim was to investigate the differences in the prevalence of physical activity -related injuries between years 2014 and 2016. In addition, we set out to study the associations between age, sex and the frequency of physical activity and injury prevalence. METHODS This cross-sectional study is based on the National Physical Activity Behaviour Study for Children and Adolescents (LIITU in Finnish) conducted in years 2014 and 2016. The subjects completed an online questionnaire in the classroom during school hours. A total of 8406 subjects participated in the current study. Out of these, 49% were boys and 51% were girls. The proportions of 11-, 13-, and 15-year-olds were 35%, 34% and 31%, respectively. RESULTS In the combined data for 2014 and 2016, injury prevalence was higher in sports club activities (46%, 95% CI 44.8-47.8) than in leisure time PA (30%, 95% CI, 28.5-30.5) or school-based PA (18%, 95% CI, 17.4-19.1). In leisure time PA, the injury prevalence was higher than in school-based PA. In all the three settings, injury prevalence was higher in 2016 than in 2014. Frequency of PA was associated with a higher risk for PA-related injuries in sports clubs and leisure time. CONCLUSIONS With half of the subjects reporting at least one PA-related injury during the past year, results indicate that adolescent PA-related injuries are a large-scale problem. There is a worrisome rise in injury prevalence in recent years. From a public health standpoint, there is an urgent need to invest in injury prevention to reverse this trend.
Collapse
Affiliation(s)
- Anu M Räisänen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland.
| | - Sami Kokko
- Research Center for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Kati Pasanen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland.,Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
| | - Mari Leppänen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland
| | - Arja Rimpelä
- Faculty of Social Sciences, Health Sciences and PERLA (Tampere Centre for Childhood, Youth and Family Research), University of Tampere, Tampere, Finland.,Department of Adolescent Psychiatry, Tampere University Hospital, Tampere, Finland
| | - Jari Villberg
- Research Center for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Jari Parkkari
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland
| |
Collapse
|
10
|
Fuglkjær S, Vach W, Hartvigsen J, Wedderkopp N, Junge T, Hestbæk L. Does lower extremity pain precede spinal pain? A longitudinal study. Eur J Pediatr 2018; 177:1803-1810. [PMID: 30232592 PMCID: PMC6244689 DOI: 10.1007/s00431-018-3235-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Revised: 08/23/2018] [Accepted: 08/24/2018] [Indexed: 12/26/2022]
Abstract
The main objective was to investigate whether children aged 9-15 years at baseline were more likely to experience an incident event of spinal pain after experiencing lower extremity pain. Children's musculoskeletal pain was monitored by weekly mobile phone text message responses from parents, indicating whether the child had spinal pain, lower extremity pain, or upper extremity pain the preceding week. Data were analyzed using mixed effect logistic regression models and cox regression models. The association between an incident event of spinal pain and LE pain the preceding weeks increased with increasing observation period and was statistically significant for 12 and 20 weeks (OR = 1.34 (95% CI 1.05 to 1.70) and OR = 1.39 (95% CI 1.11 to 1.75), respectively). We found that the likelihood increased in children with more frequent or longer duration of lower extremity pain. The reversed relationship was investigated as well, and we also found a positive association between spinal pain and a subsequent incidence event of lower extremity pain, but less pronounced.Conclusion: Children were more likely to experience an incident event of spinal pain after experiencing lower extremity pain. The likelihood increased in children with more frequent or longer duration of lower extremity pain. What is Known: • Both spinal pain and lower extremity pain often start early in life and is common already in adolescence. What is New: • Children were more likely to experience an incident event of spinal pain after experiencing LE pain. • The likelihood increased in children with more frequent or longer duration of LE pain.
Collapse
Affiliation(s)
- Signe Fuglkjær
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark
| | - Werner Vach
- Department of Orthopaedics and Traumatoloy, University Hospital Basel, Spitalstr 21, CH-4031 Basel, Switzerland
- Institute for Medical Biometry and Statistics, Medical Faculty and Medical Center, University of Freiburg, Freiburg, Germany
| | - Jan Hartvigsen
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark
- Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, 5230 Odense M, Denmark
| | - Niels Wedderkopp
- Institute of Regional Health Services Research, University of Southern Denmark, Winsloewparken 193, 5000 Odense C, Denmark
- Sports Medicine Clinic, Orthopaedic Department, Hospital Lillebaelt, Østre Hougvej 55, 5500 Middelfart, Denmark
| | - Tina Junge
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark
- Health Sciences Research Centre, University College Lillebaelt, Vestre Engvej 51C, 7100 Vejle, Denmark
| | - Lise Hestbæk
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark
- Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, 5230 Odense M, Denmark
| |
Collapse
|
11
|
Fuglkjær S, Hartvigsen J, Wedderkopp N, Boyle E, Jespersen E, Junge T, Larsen LR, Hestbæk L. Musculoskeletal extremity pain in Danish school children - how often and for how long? The CHAMPS study-DK. BMC Musculoskelet Disord 2017; 18:492. [PMID: 29178864 PMCID: PMC5702201 DOI: 10.1186/s12891-017-1859-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Accepted: 11/20/2017] [Indexed: 11/29/2022] Open
Abstract
Background Musculoskeletal pain is common in childhood and adolescence, and may be long-lasting and recurrent. Musculoskeletal problems tend to follow adolescents into adulthood, and therefore it is important to design better prevention strategies and early effective treatment. To this end, we need in-depth knowledge about the epidemiology of musculoskeletal extremity problems in this age group, and therefore, the aim of this study was to determine the prevalence, frequency and course of musculoskeletal pain in the upper and lower extremities in a cohort of Danish school children aged 8–14 years at baseline. Methods This was a prospective 3-year school-based cohort study, with information about musculoskeletal pain collected in two ways. Parents answered weekly mobile phone text messages about the presence or absence of musculoskeletal pain in their children, and a clinical consultation was performed in a subset of the children. Results We found that approximately half the children had lower extremity pain every study year. This pain lasted on average for 8 weeks out of a study year, and the children had on average two and a half episodes per study year. Approximately one quarter of the children had upper extremity pain every study year that lasted on average 3 weeks during a study year, with one and a half episodes being the average. In general, there were more non-traumatic pain episodes compared with traumatic episodes in the lower extremities, whereas the opposite was true in the upper extremities. The most common anatomical pain sites were ‘knee’ and ‘ankle/ft’. Conclusion Lower extremity pain among children and adolescents is common, recurrent and most often of non-traumatic origin. Upper extremity pain is less common, with fewer and shorter episodes, and usually with a traumatic onset. Girls more frequently reported upper extremity pain, whereas there was no sex-related difference in the lower extremities. The most frequently reported locations were ‘knee’ and ‘ankle/ft’. Electronic supplementary material The online version of this article (10.1186/s12891-017-1859-8) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Signe Fuglkjær
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
| | - Jan Hartvigsen
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, 5230, Odense M, Denmark
| | - Niels Wedderkopp
- Institute of Regional Health Services Research, University of Southern Denmark, Winsloewparken 193, 5000, Odense C, Denmark.,Sports Medicine Clinic, Orthopaedic Department, Hospital Lillebaelt, Østre Hougvej 55, 5500, Middelfart, Denmark
| | - Eleanor Boyle
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, ON, M5T 3M7, Canada
| | - Eva Jespersen
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Department of Rehabilitation, Odense University Hospital, Odense, Denmark and National Centre of Rehabilitation and Palliation, University of Southern Denmark, Odense, Denmark
| | - Tina Junge
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Health Sciences Research Centre, University College Lillebaelt, Niels Bohrs Allé 1, 5230, Odense M, Denmark
| | - Lisbeth Runge Larsen
- Research and Innovation Center for Human Movement and Learning, Inter-Faculty Educational Resources, University College Lillebælt, Niels Bohrs Alle 1, 5230, Odense M, Denmark
| | - Lise Hestbæk
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, 5230, Odense M, Denmark
| |
Collapse
|
12
|
Fuglkjær S, Dissing KB, Hestbæk L. Prevalence and incidence of musculoskeletal extremity complaints in children and adolescents. A systematic review. BMC Musculoskelet Disord 2017; 18:418. [PMID: 29047337 PMCID: PMC5648427 DOI: 10.1186/s12891-017-1771-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2017] [Accepted: 10/03/2017] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND It is difficult to gain an overview of musculoskeletal extremity complaints in childhood although this is essential to develop evidence-based prevention and treatment strategies. The objectives of this systematic review were therefore to describe the prevalence and incidence of musculoskeletal extremity complaints in children and adolescents in both general and clinical populations in relation to age, anatomical site and mode of onset. METHODS MEDLINE and EMBASE were electronically searched; risk of bias was assessed; and data extraction was individually performed by two authors. RESULTS In total, 19 general population studies and three clinical population studies were included with children aged 0-19 years. For most of the analyses, a division between younger children aged 0-12 years, and older children aged 10-19 years was used. Lower extremity complaints were more common than upper extremity complaints regardless of age and type of population, with the most frequent pain site changing from ankle/foot in the youngest to knee in the oldest. There were about twice as many non-traumatic as traumatic complaints in the lower extremities, whereas the opposite relationship was found for the upper extremities in the general population studies. There were relatively more lower extremity complaints in the general population studies than in the clinical population studies. The review showed no pattern of differences in reporting between studies of high and low risk of bias. CONCLUSIONS This review shows that musculoskeletal complaints are more frequent in the lower extremities than in the upper extremities in childhood, and there are indications of a large amount of non-traumatic low intensity complaints in the population that do not reach threshold for consultation. A meta-analysis, or even a simple overall description of prevalence and incidence of musculoskeletal extremity complaints in children and adolescents was not feasible, due to a large variety in the studies, primarily related to outcome measurements.
Collapse
Affiliation(s)
- Signe Fuglkjær
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, DK-5230, Odense M, Denmark.
| | - Kristina Boe Dissing
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, DK-5230, Odense M, Denmark
| | - Lise Hestbæk
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, DK-5230, Odense M, Denmark.,Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, DK-5230, Odense M, Denmark
| |
Collapse
|
13
|
Møller M, Wedderkopp N, Myklebust G, Lind M, Sørensen H, Hebert JJ, Emery CA, Attermann J. Validity of the SMS, Phone, and medical staff Examination sports injury surveillance system for time-loss and medical attention injuries in sports. Scand J Med Sci Sports 2017; 28:252-259. [PMID: 28267868 DOI: 10.1111/sms.12869] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2017] [Indexed: 12/18/2022]
Abstract
The accurate measurement of sport exposure time and injury occurrence is key to effective injury prevention and management. Current measures are limited by their inability to identify all types of sport-related injury, narrow scope of injury information, or lack the perspective of the injured athlete. The aims of the study were to evaluate the proportion of injuries and the agreement between sport exposures reported by the SMS messaging and follow-up telephone part of the SMS, Phone, and medical staff Examination (SPEx) sports injury surveillance system when compared to measures obtained by trained on-field observers and medical staff (comparison method). We followed 24 elite adolescent handball players over 12 consecutive weeks. Eighty-six injury registrations were obtained by the SPEx and comparison methods. Of them, 35 injury registrations (41%) were captured by SPEx only, 10 injury registrations (12%) by the comparison method only, and 41 injury registrations (48%) by both methods. Weekly exposure time differences (95% limits of agreement) between SPEx and the comparison method ranged from -4.2 to 6.3 hours (training) and -1.5 to 1.0 hours (match) with systematic differences being 1.1 hours (95% CI 0.7 to 1.4) and -0.2 (95% CI -0.3 to -0.2), respectively. These results support the ability of the SPEx system to measure training and match exposures and injury occurrence among young athletes. High weekly response proportions (mean 83%) indicate that SMS messaging can be used for player measures of injury consequences beyond time-loss from sport. However, this needs to be further evaluated in large-scale studies.
Collapse
Affiliation(s)
- M Møller
- Department of Public Health, Section of Sport Science, Aarhus University, Aarhus, Denmark
| | - N Wedderkopp
- Sport Medicine Clinic, Orthopaedic Department Hospital of Lillebaelt, Institute of Regional Health Service Research and Centre for Research in Childhood Health, IOB, University of Southern Denmark, Odense, Denmark
| | - G Myklebust
- Oslo Sports Trauma Research Centre, Norwegian School of Sport Sciences, Oslo, Norway
| | - M Lind
- Division of Sportstraumatology, Aarhus University Hospital, Aarhus, Denmark
| | - H Sørensen
- Department of Public Health, Section of Sport Science, Aarhus University, Aarhus, Denmark
| | - J J Hebert
- School of Psychology and Exercise Science, Murdoch University, Murdoch, Western Australia, Australia.,Faculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - C A Emery
- Faculty of Kinesiology, Sport Injury Prevention Research Centre, Calgary, Canada.,Sport Injury Prevention Research Centre, University of Calgary, Edmonton, Canada
| | - J Attermann
- Department of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark
| |
Collapse
|
14
|
Abstract
Acute patellar dislocation affects approximately 1:1000 healthy children 9-15 years of age, and up to 50% are at risk for recurrent dislocations. In adults the condition is associated with long-term complications, such as osteoarthritis and impairment of knee function. However, literature describing the outcome in a pediatric population is sparse. The present review article evaluates the long-term effects on knee function and cartilage quality after traumatic patellar dislocation in childhood, and also to evaluate the reliability of two clinical tests of medio-lateral knee position, in healthy children.
Collapse
Affiliation(s)
- Baobiao Gao
- Department of Orthopedics, The Affiliated Xuzhou Children's Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Yingchun Shi
- Department of Orthopedics, The Affiliated Xuzhou Children's Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China -
| | - Fengfei Zhang
- Department of Orthopedics, The Affiliated Xuzhou Children's Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
| |
Collapse
|
15
|
Chéron C, Le Scanff C, Leboeuf-Yde C. Association between sports type and overuse injuries of extremities in adults: a systematic review. Chiropr Man Therap 2017; 25:4. [PMID: 28101329 PMCID: PMC5237127 DOI: 10.1186/s12998-017-0135-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Accepted: 01/04/2017] [Indexed: 01/08/2023] Open
Abstract
Background Sports injuries are often described as overuse or traumatic. Little is known about the frequency of overuse injuries and, in particular, if they vary between different types of sporting activities. Purpose To identify any differences between sports in relation to diagnoses of overuse injuries of the extremities (OIE) and anatomical areas most likely to be injured in adults and to compare these findings with those reported in youngsters, as identified in a previous review. Methods A search was made in May 2015 and again in April 2016 in PubMed, SportDiscus, PsycInfo, and Web of Sciences. Search terms were « overuse injuries OR cumulative trauma disorders OR musculoskeletal injuries » AND « extremity OR limb » AND « physical activity OR sport OR risk factor OR exercises ». Inclusion criteria were: 1) prospective, or cross-sectional study design; 2) at least 1/3 of the population should be ≥ 19 years; 3) articles must clearly state if reported cases were classified as traumatic or overuse injuries in relation to a particular sports type, 4) sample size >50, and 5) articles must not deal with specific occupational subpopulations nor with clinical populations. A blinded systematic review was conducted and results reported per anatomical site of injury and diagnosis for the different sports. Results In all, 10 of 1435 identified articles were included, studying soccer, beach-volleyball and triathlon. In general, the incidence estimates were low, never above 2.0/1000 h of practice, similar to results seen in children/adolescents. The incidence estimates and the diagnoses of OIE were given only in 4 articles on soccer, making comparisons between sports impossible. As in children/adolescents, the lower limb is more often affected than the upper but contrary to young people the injured site in adults is more often the knee and above, and there were also differences in the diagnoses for the two age groups. Conclusion The literature does not permit to identify clearly the difference in the incidence of OIE for different sports showing that more but well-designed surveillance studies are needed.
Collapse
Affiliation(s)
- Charlène Chéron
- CIAMS, Université Paris-Sud, Université Paris-Saclay, F-91405 Orsay, Cedex France ; CIAMS, Université d'Orléans, F-45067 Orléans, France ; Institut Franco-Européen de Chiropraxie, 72 Chemin de la Flambère, F-31300 Toulouse, France
| | - Christine Le Scanff
- CIAMS, Université Paris-Sud, Université Paris-Saclay, F-91405 Orsay, Cedex France ; CIAMS, Université d'Orléans, F-45067 Orléans, France
| | - Charlotte Leboeuf-Yde
- CIAMS, Université Paris-Sud, Université Paris-Saclay, F-91405 Orsay, Cedex France ; CIAMS, Université d'Orléans, F-45067 Orléans, France ; Institut Franco-Européen de Chiropraxie, 72 Chemin de la Flambère, F-31300 Toulouse, France
| |
Collapse
|
16
|
Räisänen AM, Parkkari J, Karhola L, Rimpelä A. Adolescent physical activity-related injuries in sports club, school sports and other leisure time physical activities. COGENT MEDICINE 2016. [DOI: 10.1080/2331205x.2016.1260786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Affiliation(s)
- Anu M. Räisänen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland
| | - Jari Parkkari
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland
| | - Lotta Karhola
- School of Medicine, University of Tampere, Tampere, Finland
| | - Arja Rimpelä
- School of Health Sciences and PERLA–Tampere Centre for Childhood, Youth and Family Research, University of Tampere, Tampere, Finland
- Department of Adolescent Psychiatry, Tampere University Hospital, Tampere, Finland
| |
Collapse
|
17
|
Chéron C, Le Scanff C, Leboeuf-Yde C. Association between sports type and overuse injuries of extremities in children and adolescents: a systematic review. Chiropr Man Therap 2016; 24:41. [PMID: 27872744 PMCID: PMC5109679 DOI: 10.1186/s12998-016-0122-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Accepted: 08/22/2016] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Sporting activities can cause injuries and overuse injuries of the extremities (OIE) in children have been shown to be more common than injuries caused by trauma. The lower extremity is more frequently affected than the upper extremity in OIE, but it is not known whether injury site and diagnosis vary in different sporting activities. PURPOSE To identify any differences between sports in relation to diagnoses and anatomical areas most likely to be injured. METHODS A search was made in November 2014 and again in June 2016 in PubMed, SportDiscus, PsycInfo and Web of Sciences. Search terms were: « overuse injuries OR cumulative trauma disorders OR musculoskeletal injuries » AND « extremity OR limb » AND « physical activity OR sport OR risk factor OR predictors OR exercises » AND « child OR adolescent OR young adults ». Inclusion criteria were: 1) prospective, retrospective, or cross-sectional study design; 2) age ≤19 years; 3) the articles must clearly state if reported cases were classified as traumatic or overuse injuries; 4) reporting on OIE in relation to a particular sports type, and 5) sample size >50. A blinded systematic review was conducted. RESULTS In all, nine of the 736 identified articles were included, studying soccer, handball, orienteering, running, dance, and gymnastics. The incidence of OIE was given only in a few articles but at least the site and diagnosis of OIE were identifiable. The lower limb is more often affected than the upper in all sports covered, and, in general, the lower leg and knee are the two most often affected areas. However, in handball, the elbow was the second most often reported area, and in gymnastics injuries of the foot appeared to be more frequent than in the other sports. No differences in diagnoses were observed between sports types. CONCLUSION Our work contributes new information, namely that the site of OIE in children and adolescents appears to vary only somewhat between different types of sports. Further well-designed surveillance studies are needed to improve knowledge that can help prevent injuries in children and adolescents participating in sports activities.
Collapse
Affiliation(s)
- Charlène Chéron
- CIAMS, University Paris-Sud, Université Paris-Saclay, F-91405 Orsay Cedex, France
- Institut Franco-Européen de Chiropraxie, 72 Chemin de la Flambère, F-31300 Toulouse, France
| | - Christine Le Scanff
- CIAMS, University Paris-Sud, Université Paris-Saclay, F-91405 Orsay Cedex, France
| | - Charlotte Leboeuf-Yde
- CIAMS, University Paris-Sud, Université Paris-Saclay, F-91405 Orsay Cedex, France
- Institut Franco-Européen de Chiropraxie, 72 Chemin de la Flambère, F-31300 Toulouse, France
| |
Collapse
|
18
|
Swain MS, Kamper SJ, Maher CG, Latimer J, Broderick C, McKay D, Henschke N. Short-term Clinical Course of Knee Pain in Children and Adolescents: A Feasibility Study Using Electronic Methods of Data Collection. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2016; 22. [PMID: 27196524 DOI: 10.1002/pri.1669] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2015] [Revised: 12/08/2015] [Accepted: 02/28/2016] [Indexed: 11/06/2022]
Abstract
BACKGROUND AND PURPOSE Musculoskeletal disorders, such as knee pain, are common in children and adolescents, but there is a lack of high quality research that evaluates the clinical course of these conditions. The objective of this study was to evaluate the feasibility of conducting a prospective study of children and adolescents with knee pain using electronic methods of data collection. METHODS Children and adolescents with knee pain that presented to primary care physiotherapy clinics were enrolled and followed-up on a weekly basis via short messaging service (SMS) until their knee pain had recovered (i.e. two consecutive weeks of no pain). Feasibility was assessed in terms of recruitment, retention and response rates to SMS and an online questionnaire. Baseline and 6-month follow-up measures included pain, disability, physical function, physical activity and health related quality of life. Kaplan-Meier survival analysis was used to estimate the median time to knee pain recovery. RESULTS Thirty participants (mean age 13.0 ± 2.2 years, 53% boys) were recruited over 26 months. The overall response rate to weekly SMS follow-up was 71.3% (809 received/1135 sent). One third of participants stopped responding to SMS prior to recovery, and these participants typically had a much lower response rate during the time they remained in the study. At 6-month follow-up, 80% of the cohort completed the final online questionnaire, and 29% of participants still reported current knee pain (≥1/10 VAS). The median time for knee pain recovery was 8 weeks (95%CI: 5, 10). CONCLUSION Electronic data collection alone seems insufficient to track pain recovery in young people and may need to be supplemented with more traditional data collection methods. Researchers should consider further measures to address slow recruitment rates and high attrition when designing large prospective studies of children and adolescents in the future. Copyright © 2016 John Wiley & Sons, Ltd.
Collapse
Affiliation(s)
- Michael S Swain
- The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia.,Faculty of Science and Engineering, Macquarie University, Sydney, Australia
| | - Steven J Kamper
- The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia
| | - Chris G Maher
- The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia
| | - Jane Latimer
- The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia
| | - Carolyn Broderick
- The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia.,Children's Hospital Institute of Sports Medicine, The Sydney Children's Hospitals Network, Sydney, Australia.,School of Medical Sciences, The University of New South Wales, Sydney, Australia
| | - Damien McKay
- Children's Hospital Institute of Sports Medicine, The Sydney Children's Hospitals Network, Sydney, Australia
| | - Nicholas Henschke
- The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia.,Institute for Public Health, University of Heidelberg, Heidelberg, Germany
| |
Collapse
|
19
|
JUNGE TINA, RUNGE LISBETH, JUUL-KRISTENSEN BIRGIT, WEDDERKOPP NIELS. Risk Factors for Knee Injuries in Children 8 to 15 Years. Med Sci Sports Exerc 2016; 48:655-62. [DOI: 10.1249/mss.0000000000000814] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
|
20
|
Nauta J, Martin-Diener E, Martin BW, van Mechelen W, Verhagen E. Injury risk during different physical activity behaviours in children: a systematic review with bias assessment. Sports Med 2015; 45:327-36. [PMID: 25430601 DOI: 10.1007/s40279-014-0289-0] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
INTRODUCTION The current focus on a physically active lifestyle in children puts children at increased physical activity-related injury risk. OBJECTIVE To summarise, in a systematic review, the evidence for the injury risk of several physical activity behaviours in 6- to 12-year-old children. METHODS An electronic search was performed in three databases (Embase, PubMed and SPORTDiscus). Inclusion criteria were: age 6-12 years; report on injuries related to overall physical activity, active commuting, unorganised leisure time physical activity, physical education and/or organised sports; incidence rates expressed as injuries per hours of physical activity; and published after January 1st 2000. Risk of bias was assessed for all studies included. RESULTS Eight studies were included. The risk of bias assessment resulted in two studies with a score that was higher than 75 %; risk bias of those two studies was considered low. The medically treated, injury incidence rate was reported to be between 0.15 and 0.27 injuries per 1,000 h of physical activity. The absolute number of injuries related to unorganised leisure time physical activity was higher than the absolute number of injuries reported in organised sports. The respective injury incidence rate expressed per 1,000 h exposure was, however, generally lower during unorganised leisure time than during organised sports. Reported injury incidence rates related to active commuting were comparable to those for unorganised leisure time physical activity. Conflicting injury incidence rates were reported for physical education. Subgroup analysis suggested that girls and children with low habitual levels of physical activity are at increased injury risk. A limitation of the review is that no standard bias assessment was available for this specific context. CONCLUSIONS Children are at an inherent injury risk while participating in physical activities. Most injury prevention efforts have focussed on the sports setting, but our results suggest that many children sustain an injury during unorganised leisure time physical activities.
Collapse
Affiliation(s)
- Joske Nauta
- Department of Public and Occupational Health and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
| | | | | | | | | |
Collapse
|
21
|
Franz C, Jespersen E, Rexen CT, Leboeuf-Yde C, Wedderkopp N. Back injuries in a cohort of schoolchildren aged 6-12: A 2.5-year prospective study. Scand J Med Sci Sports 2015; 26:911-8. [PMID: 26130046 DOI: 10.1111/sms.12519] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/02/2015] [Indexed: 11/27/2022]
Abstract
The aims of this prospective school cohort study were to describe the epidemiology of diagnosed back pain in childhood, classified as either nontraumatic or traumatic back injury, and to estimate the association with physical activity in different settings. Over 2.5 years, 1240 children aged 6-12 years were surveyed weekly using mobile text messages to ask about the presence or absence of back pain. Pain was clinically diagnosed and injuries were classified using the International Classification of Diseases version 10. Physical activity data were obtained from text messages and accelerometers. Of the 315 back injuries diagnosed, 186 injuries were nontraumatic and 129 were traumatic. The incidence rate ratio was 1.5 for a nontraumatic back injury compared with a traumatic injury. The overall estimated back injury incidence rate was 0.20 per 1000 physical activity units (95% confidence interval 0.18-0.23). The back injury incidence rates were higher for sports when exposure per 1000 physical activity units was taken into consideration and especially children horse-riding had a 40 times higher risk of sustaining a traumatic back injury compared to the risk during non-organized leisure time physical activity. However, the reasonably low injury incidence rates support the recommendations of children continuously being physically active.
Collapse
Affiliation(s)
- C Franz
- Research in Childhood Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - E Jespersen
- Research in Childhood Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - C T Rexen
- Research in Childhood Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - C Leboeuf-Yde
- Research Department, Spine Center of Southern Denmark, Hospital Lillebaelt, Middelfart, Denmark.,Institute of Regional Health Services Research, University of Southern Denmark, Odense, Denmark
| | - N Wedderkopp
- Research in Childhood Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.,Institute of Regional Health Services Research, University of Southern Denmark, Odense, Denmark.,The Sport Medicine Clinic, Orthopaedic Department, Hospital of Lillebaelt, Middelfart, Denmark
| |
Collapse
|
22
|
Junge T, Larsen LR, Juul-Kristensen B, Wedderkopp N. The extent and risk of knee injuries in children aged 9-14 with Generalised Joint Hypermobility and knee joint hypermobility - the CHAMPS-study Denmark. BMC Musculoskelet Disord 2015; 16:143. [PMID: 26065679 PMCID: PMC4465013 DOI: 10.1186/s12891-015-0611-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Accepted: 06/01/2015] [Indexed: 11/30/2022] Open
Abstract
Background Generalised Joint Hypermobility (GJH) is suggested as an aetiological factor for knee injuries in adolescents and adults. It is presumed that GJH causes decreased joint stability, thereby increasing the risk of knee injuries during challenging situations like jumping and landing. The aim was to study the extent and risk of knee injuries in children with GJH and knee hypermobility. Methods In total, 999 children (9–14 years) were tested twice during spring 2012 and 2013 with Beighton´s Tests (BT) for hypermobility, a 0–9 scoring system. GJH was classified with cut-point ≥5/9 on both test rounds. On basis of weekly cell phone surveys of knee pain, children requiring clinical examination were seen. Traumatic and overuse knee injuries were registered by WHO ICD-10 diagnoses. Logistic regression and Poisson regression models with robust standard errors were used to examine the association between GJH and knee injuries, taking into account clustering on school class levels. Results Totally, 36 children were classified GJH on both test rounds. Overuse knee injuries were the most frequent injury type (86 %), mainly apophysitis for both groups (61 %), other than patella-femoral pain syndrome for the control group (13 %). For traumatic knee injuries, distortions and contusions were most frequent in both groups (51 % resp. 36 %), besides traumatic lesions of knee tendons and muscles for the control group (5 %). No significant association was found between overuse knee injuries and GJH with/without knee hypermobility (OR 0.69, p = 0.407 resp. OR 0.75, p = 0.576) or traumatic knee injuries and GJH with/without knee hypermobility (OR 1.56, p = 0.495 resp. OR 2.22, p = 0.231). Conclusions Apophysitis, distortions and contusions were the most frequent knee injuries. Despite the relatively large study, the number of children with GJH and knee injuries was low, with no significant increased risk for knee injuries for this group. This questions whether GJH is a clinically relevant risk factor for knee injuries in school children aged 9–14 years. A fluctuation in the individual child´s status of GJH between test rounds was observed, suggesting that inter- and intra-tester reproducibility of BT as well as growth may be considered important confounders to future studies of children with GJH.
Collapse
Affiliation(s)
- Tina Junge
- Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark. .,Department of Physiotherapy, University College Lillebaelt, Odense, Denmark. .,Health Sciences Research Centre, University College Lillebaelt, Odense, Denmark. .,IRS, SDU, Winsløwparken 19,3. 5000, Odense C, Denmark.
| | - Lisbeth Runge Larsen
- Centre for Welfare Technology Research and Development, University College Lillebaelt, Odense, Denmark.
| | - Birgit Juul-Kristensen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. .,Institute of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, Bergen, Norway.
| | - Niels Wedderkopp
- Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark. .,Spine Centre of Southern Denmark, Hospital Lillebaelt, Middelfart, Denmark.
| |
Collapse
|