The authors declare that they have no competing interests.
EPL participated in the study design, data analysis, experimentation and manuscript writing. MD participated in study design and manuscript revision. VC participated in study design and manuscript revision. All authors read and approved the final manuscript.
Musculoskeletal pain, symptoms or injuries are prevalent in the adolescent athlete population as well as in the general adolescent population, and often have significant consequences on their future musculoskeletal health. However, differences between these two populations in regards to their musculoskeletal health are not known and have not yet been explored. Therefore, the main objectives of this study are to 1) compare the 6-month prevalence of musculoskeletal symptoms and their impact on school attendance and reduction in sport or leisure activity between a group of adolescent athletes and a group of control adolescents, and 2) determine if gender has different effects on the prevalence of musculoskeletal symptoms in these two populations.
Among adolescents who participated in the 2012 Québec summer games, 1,865 agreed to participate and constituted the adolescent athletes group (mean age:14.12 ± 1.22). An additional cohort of 707 adolescents from two schools was also recruited to form the comparison control group (mean age: 14.69 ± 1.38). Anthropometric data were collected, and the musculoskeletal 6-month prevalence of symptoms and their related impacts were assessed using the Teen Nordic Musculoskeletal Screening Questionnaire (TNMQ-S). Participants’ characteristics as well as symptoms prevalence for the nine anatomical regions as well as their impact on school/work absence and reduction in physical/leisure activities were compared between athletes and control adolescents.
When compared to athlete adolescents, significantly more controls had a positive 6-month prevalence of symptoms affecting the neck (48.8 % vs 26.3 %), upper back (41.3 % vs 18.1 %) and low back (45.4 % vs 35.8 %) when compared to athlete. Symptoms affecting the spine led to significantly more school absence and reduction in physical activity in the control group. Controls also showed higher prevalence of shoulder (37.1 % vs 28.3 %) and wrist/hand (23.8 % vs 17.4 %) symptoms, while athletes had a higher prevalence of elbow symptoms (8.7 % vs 11.4 %).
Despite their higher risk of injuries related to high levels of competition or sport participation, adolescent athletes have fewer symptoms affecting the spine than “typical adolescents”, and similar prevalence of symptoms affecting the body’s extremities. Further investigations are necessary to understand the differences between athletes and non-athletes in regard to disability and long-term complications associated to musculoskeletal pain or symptoms.
Tremblay B. Portrait des traumatismes d’origine récréative et sportive au Québec — Édition 2007, Trois-Rivières, ministère de l’Éducation, du Loisir et du Sport – Direction de la promotion de la sécurité, 2007;22.
Molcho M, Harel Y, Pickett W, Scheidt PC, Mazur J, Overpeck MD. The epidemiology of non-fatal injuries among 11–, 13- and 15-year old youth in 11 countries: findings from the 1998 WHO-HBSC cross national survey. Int J Injury Control Safety Promo. 2006;13(4):205–11. CrossRef
Rhee H, Miles MS, Halpern CT, Holditch-Davis D. Prevalence of recurrent physical symptoms in U.S. adolescents. Pediatr Nurs. 2005;31(4):314–9. 350. PubMed
Billette JM, Janz T. Les blessures au Canada: Un aperçu des résultats de l’Enquête sur la santé dans les collectivités canadiennes. Canada: Statistique Canada; 2011.
Cuff S, Loud K, O’Riordan MA. Overuse injuries in high school athletes. Clin Pediatr. 2010;49(8):731–6. CrossRef
McBeth J, Jones K. Epidemiology of chronic musculoskeletal pain. Best Practice Clin Rheumatol. 2007;21(3):403–25. CrossRef
Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, et al. The international prevalence study on physical activity: results from 20 countries. Int J Behav Nutr Physical Activity. 2009;6:21. CrossRef
Masiero S, Carraro E, Celia A, Sarto D, Ermani M. Prevalence of nonspecific low back pain in schoolchildren aged between 13 and 15 years. Acta Paediatrica (Oslo, Norway 1992). 2008;97(2):212–6. CrossRef
Leboeuf-Yde C, Kyvik KO. At what age does low back pain become a common problem? A study of 29,424 individuals aged 12-41 years. Spine (Phila Pa 1976). 1998;23(2):228–34. CrossRef
Wedderkopp N, Leboeuf-Yde C, Bo Andersen L, Froberg K, Steen Hansen H. Back pain in children: no association with objectively measured level of physical activity. Spine (Phila Pa 1976). 2003;28(17):2019–24. discussion 2024. CrossRef
Eime RM, Young JA, Harvey JT, Charity MJ, Payne WR. A systematic review of the psychological and social benefits of participation in sport for adults: informing development of a conceptual model of health through sport. Int J Behav Nutr Physical Activity. 2013;10:135. CrossRef
Austin JE, Ian DJ, Gavin GJ, McGregor MJ, Dent JB. Individual response pread in self-report scales: personality correlations and consequences. Personal Individ Differ. 1998;24(3):421–38. CrossRef
- Musculoskeletal symptoms in an adolescent athlete population: a comparative study
Élise P. Legault
- BioMed Central
Neu im Fachgebiet Orthopädie und Unfallchirurgie
Mail Icon II