Regional Interdependence of the Shoulders and Hips in Gymnasts With Low Back Pain

NCT02201966 | Withdrawn

• 1 other identifier: IRB14-00229
• Study Type: observational
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

Low back pain is a common condition in children who perform gymnastics. Commonly, the injury is not the result of a specific injury, but is a stress injury to the lumbar spine. Regional interdependence is a theory that suggests when adjacent joints and muscles are not working properly increased stress is placed on a particular joint. This theory would suggest that if a patient did not have enough hip extension to perform a back bend increased motion would occur in the lumbar spine allowing the gymnast to complete the technique. Currently, no research links impairments in other joints to low back pain in gymnasts. This is a cross sectional study assessing the relationship between gymnast with back pain and flexibility and strength of the shoulder and hip joints. Investigators will travel to a local gymnastics training centers and assess the gymnasts' strength and flexibility of the the hips and shoulders. The gymnast will also fill our a questionnaire assessing if they have had back pain in the past month and how much has it limited their ability to participate in gymnastics. Investigators will be blinded to the results of this survey. The goal of this research study is to see if there are any link between strength and flexibility of the hips, and shoulders and gymnasts with low back pain. The investigators hypothesize that gymnasts who demonstrates impairments in strength and flexibility of the hips, or shoulders will be more likely to have complaints of low back pain.

Conditions

Low Back Pain

Keywords

low back pain; pediatric; gymnasts

Outcome Measures

Primary Outcomes (1)

• Presence of low back pain in past month

  Presence of significant low back pain that has affected gymnastics ability at time of evaluation

  Baseline

Study Arms (2)

Female gymnasts with low back pain

Subset of competitive female gymnasts who report significant low back pain that affects their ability to perform gymnastics.

Female gymnasts without low back pain

Subset of competitive female gymnasts who deny significant low back pain that affects their ability to perform gymnastics.

Eligibility Criteria

• Age: 7 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Competitive female gymnasts. Females who perform gymnastics at local gymnastics training centers.

You may qualify if:

• At least 7 years old
• Level 5 or higher gymnast
• Female

You may not qualify if:

• Patient with a injury to the shoulder, or hips that prevents them from performing gymnastics.
• Patients who are unable to follow directions.

Sponsors & Collaborators

• Nationwide Children's Hospital: lead

Study Sites (1)

Buckeye Gymnastics

Powell, Ohio, 43065, United States

Location

Related Publications (3)

• Thorborg K, Petersen J, Magnusson SP, Holmich P. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010 Jun;20(3):493-501. doi: 10.1111/j.1600-0838.2009.00958.x. Epub 2009 Jun 23.

  PMID: 19558384 BACKGROUND

• Sleeper MD, Kenyon LK, Casey E. Measuring fitness in female gymnasts: the gymnastics functional measurement tool. Int J Sports Phys Ther. 2012 Apr;7(2):124-38.

  PMID: 22530187 BACKGROUND

• Widler KS, Glatthorn JF, Bizzini M, Impellizzeri FM, Munzinger U, Leunig M, Maffiuletti NA. Assessment of hip abductor muscle strength. A validity and reliability study. J Bone Joint Surg Am. 2009 Nov;91(11):2666-72. doi: 10.2106/JBJS.H.01119.

  PMID: 19884441 BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Mitchell C Selhorst, DPT

  Nationwide Childrens Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Study Record Dates

• First Submitted: July 23, 2014
• First Posted: July 28, 2014
• Study Start: August 1, 2014
• Primary Completion: August 1, 2015
• Study Completion: December 1, 2015
• Last Updated: July 7, 2015

Record last verified: 2015-07

Locations

US (1)