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01.12.2018 | Systematic review | Ausgabe 1/2018 Open Access

Chiropractic & Manual Therapies 1/2018

Physical risk factors for adolescent neck and mid back pain: a systematic review

Zeitschrift:
Chiropractic & Manual Therapies > Ausgabe 1/2018
Autoren:
Brigitte Wirth, Tobias Potthoff, Sandra Rosser, Barry Kim Humphreys, Eling D. de Bruin
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12998-018-0206-y) contains supplementary material, which is available to authorized users.

Abstract

Background

Besides low back pain (LBP), also neck pain (NP) and mid back pain (MBP) are common health issues in adolescence. Psychological factors are regarded as main risk factors for spinal pain in adolescence, but recent studies suggest that the importance of physical factors might be underestimated. The purpose of this study was to summarize the results of studies on physical risk factors for adolescent NP and MBP.

Methods

Cross-sectional and prospective English studies on NP and MBP in adolescents aged 10 to 18 were searched by a professional librarian in Medline (OvidSP), Premedline (PubMed), EMBASE, Cochrane, CINAHL, PEDro and PsycINFO up to October 2016. Studies that were restricted to self-report via questionnaires were excluded.

Results

Eight cross-sectional studies could be included in this review. Some aspects of sagittal alignment in sitting (increased lumbar lordosis) and standing (anteroposition of the head, sway-back posture) were associated with NP. Study comparability was impeded by inconsistent definitions of NP and MBP and a wide variety of outcome measures.

Conclusions

This systematic review indicates that prospective studies using a consistent definition of NP and MBP are needed. Such studies might further investigate sagittal alignment in sitting and standing as possible risk factors for NP and MBP in adolescence using a consistent terminology for the outcomes and longitudinal research designs.
Zusatzmaterial
Additional file 1: Search strategy. (DOCX 508 kb)
12998_2018_206_MOESM1_ESM.docx
Additional file 2: Quality assessment form and quality assessment of the included studies. (DOCX 35 kb)
12998_2018_206_MOESM2_ESM.docx
Additional file 3: PRISMA checklist. (DOCX 37 kb)
12998_2018_206_MOESM3_ESM.docx
Literatur
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