n International SportMed Journal - The etiology and clinical features of low back pain in distance runners : a review
|Article Title||The etiology and clinical features of low back pain in distance runners : a review|
|© Publisher:||International Federation of Sports Medicine|
|Journal||International SportMed Journal|
|Author||Grant Lewis, Martin P. Schwellnus and Gisela Sole|
|Publication Date||Jan 2000|
Low back pain generally has not been regarded as a common running injury. However, a recent study has shown that the lifetime prevalence of low back pain in runners is as high as 47%. The clinical characteristics of low back pain in distance runners have recently been reported. These include the following : (i) 60% of runners with low back pain had an insidious onset of symptoms, (ii) low back pain is associated with referral of pain to the buttocks in 30% of runners, (iii) there is referral of pain into the leg in 43% of runners, and (iv) there is altered sensory perception into the legs in 32% of runners. Specific postulated predisposing factors to the development of low back pain in runners are related to a disturbance in the functioning of compensation strategies, such as poor stability, muscle imbalances, weakness, and fatigue, as well as any increase in the load or nature of this load imposed on the spine while running. Further possible predisposing factors to the development of low back pain in runners include poor musculotendinous flexibility, altered (increased or decreased) lumbar spine motion segment control, or injury to the sacroiliac joint.
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