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2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers

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Title: 2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers
Authors: Wilson, F
Thornton, JS
Wilkie, K
Hartvigsen, J
Vinther, A
Ackerman, KE
Caneiro, JP
Trease, L
Nugent, F
Gissane, C
McDonnell, S-J
McGregor, A
Newlands, C
Ardern, CL
Item Type: Journal Article
Abstract: PURPOSE: To synthesise evidence on low back pain (LBP) in adult rowers and to create a consensus statement to inform clinical practice. METHODS: There were four synthesis steps that informed the consensus statement. In step one, seven expert clinicians and researchers established the scope of the consensus statement and conducted a survey of experienced and expert clinicians to explore current practice. In step two, working groups examined current evidence relating to key scope questions and summarised key issues. In step three, we synthesised evidence for each group and used a modified Delphi process to aid in the creation of the overall consensus statements. Finally, in step four, we combined information from step three with the findings of the clinician survey (and with athlete and coach input) to produce recommendations for clinical practice. RESULTS: The scope of the consensus statement included epidemiology; biomechanics; management; the athlete's voice and clinical expertise. Prevention and management of LBP in rowers should include education on risk factors, rowing biomechanics and training load. If treatment is needed, non-invasive management, including early unloading from aggravating activities, effective pain control and exercise therapy should be considered. Fitness should be maintained with load management and progression to full training and competition. The role of surgery is unclear. Management should be athlete focused and a culture of openness within the team encouraged. CONCLUSION: Recommendations are based on current evidence and consensus and aligned with international LBP guidelines in non-athletic populations, but with advice aimed specifically at rowers. We recommend that research in relation to all aspects of prevention and management of LBP in rowers be intensified.
Issue Date: 30-Jul-2021
Date of Acceptance: 19-Feb-2021
URI: http://hdl.handle.net/10044/1/88234
DOI: 10.1136/bjsports-2020-103385
ISSN: 0306-3674
Publisher: BMJ Publishing Group
Start Page: 893
End Page: 899
Journal / Book Title: British Journal of Sports Medicine
Volume: 55
Issue: 16
Copyright Statement: © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. This article has been accepted for publication in British Journal of Sports Medicine following peer review. The definitive copyedited, typeset version Wilson F, Thornton JS, Wilkie K, et al. Br J Sports Med Epub ahead of print: 08 March 8 2021, is available online at: http://dx.doi.org/10.1136/bjsports-2020-103385
Keywords: back
lower back
lower back
Sport Sciences
09 Engineering
11 Medical and Health Sciences
13 Education
Publication Status: Published
Conference Place: England
Online Publication Date: 2021-03-08
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine