Abstract
Purpose
Tennis is widely practiced by adolescents in many countries. Many spinal deformity experts consider this activity, together with other asymmetrical sports, as risk factors for scoliosis development even though scientific data are missing. The aim of the present study was to verify the prevalence of spinal deformities and LBP in adolescent competitive tennis players compared to healthy controls.
Methods
We designed a cross-sectional study. A convenience sample of 102 adolescent tennis players (52 girls) was compared to 203 scholars (102 girls) of the same age (12 years). We used a questionnaire to collect data on LBP and we measured the ATR to screen for spinal deformities and the plumb line distances for kyphosis (C7 and C7 + L3) and lordosis (L3).
Results
We found similar spinal deformities in both groups: ATR female: 3.2° ± 1° (tennis) versus 2.8° ± 1° (school), NS; ATR males: 2.8° ± 1° (tennis) versus 2.6° ± 1° (school), p < 0.05. No differences were found for kyphosis and lordosis. Low back pain prevalence was similar for both groups, but a significant difference was found for limitation of usual activity, which was higher for tennis players than controls.
Conclusion
The correlation between tennis, an asymmetric sport, and spinal deformities that has been postulated by many experts was not confirmed by our data. There was no correlation between tennis and LBP, even if there were some differences among groups for limitations of the daily activities. Adolescent competitive tennis showed to be a safe sport without an increased risk of spinal deformities and LBP.
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References
Becker TJ (1986) Scoliosis in swimmers. Clin Sports Med 5:149–158
Zaina F, Donzelli S, Lusini M et al (2015) Swimming and spinal deformities: a cross-sectional study. J Pediatr 166:163–167. doi:10.1016/j.jpeds.2014.09.024
Warren MP, Brooks-Gunn J, Hamilton LH et al (1986) Scoliosis and fractures in young ballet dancers. Relation to delayed menarche and secondary amenorrhea. N Engl J Med 314:1348–1353. doi:10.1056/NEJM198605223142104
Longworth B, Fary R, Hopper D (2014) Prevalence and predictors of adolescent idiopathic scoliosis in adolescent ballet dancers. Arch Phys Med Rehabil 95:1725–1730. doi:10.1016/j.apmr.2014.02.027
Negrini S, Aulisa AG, Aulisa L et al (2012) 2011 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis 7:3. doi:10.1186/1748-7161-7-3
Tanchev PI, Dzherov AD, Parushev AD et al (2000) Scoliosis in rhythmic gymnasts. Spine 25:1367–1372
Masiero S, Carraro E, Celia A et al (2008) Prevalence of nonspecific low back pain in schoolchildren aged between 13 and 15 years. Acta Paediatr Oslo Nor 97:212–216. doi:10.1111/j.1651-2227.2007.00603.x
Skoffer B, Foldspang A (2008) Physical activity and low-back pain in school children. Eur Spine J 17:373–379. doi:10.1007/s00586-007-0583-8
Sato T, Hirano T, Ito T et al (2011) Back pain in adolescents with idiopathic scoliosis: epidemiological study for 43,630 pupils in Niigata City, Japan. Eur Spine J 20:274–279. doi:10.1007/s00586-010-1657-6
I numeri dello sport—a cura del Centro Studi. In: Com Olimp Naz Ital. http://www.coni.it/it/coni/i-numeri-dello-sport.html. Accessed 29 Dec 2015
Zaina F, Atanasio S, Negrini S (2008) Clinical evaluation of scoliosis during growth: description and reliability. Stud Health Technol Inform 135:125–138
Zaina F, Donzelli S, Lusini M, Negrini S (2012) How to measure kyphosis in everyday clinical practice: a reliability study on different methods. Stud Health Technol Inform 176:264–267
Bunnell WP (1993) Outcome of spinal screening. Spine 18:1572–1580
Grivas TB, Wade MH, Negrini S et al (2007) SOSORT consensus paper: school screening for scoliosis. Where are we today? Scoliosis 2:17. doi:10.1186/1748-7161-2-17
Bunnell WP (1984) An objective criterion for scoliosis screening. J Bone Joint Surg Am 66:1381–1387
Samuelsson L, Norén L (1997) Trunk rotation in scoliosis. The influence of curve type and direction in 150 children. Acta Orthop Scand 68:273–276
Negrini S, Donzelli S, Zaina F et al (2012) Complete validation of plumbline distances as a screening tool for sagittal plane deformities. Scoliosis 7:O16. doi:10.1186/1748-7161-7-S1-O16
Negrini S, Carabalona R, Sibilla P (1999) Backpack as a daily load for school children. Lancet 354:1974. doi:10.1016/S0140-6736(99)04520-1
Karachalios T, Sofianos J, Roidis N et al (1999) Ten-year follow-up evaluation of a school screening program for scoliosis. Is the forward-bending test an accurate diagnostic criterion for the screening of scoliosis? Spine 24:2318–2324
Vernacchio L, Trudell EK, Hresko MT et al (2013) A quality improvement program to reduce unnecessary referrals for adolescent scoliosis. Pediatrics 131:e912–e920. doi:10.1542/peds.2012-2359
Jayanthi N, Pinkham C, Dugas L et al (2013) Sports specialization in young athletes. Sports Health 5:251–257. doi:10.1177/1941738112464626
Czaprowski D, Kotwicki T, Pawłowska P, Stoliński L (2011) Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner. Scoliosis 6:22. doi:10.1186/1748-7161-6-22
Negrini S, Zaina F, Atanasio S et al (2009) Adolescent soccer is correlated with an increase of kyphosis but a reduction of low back pain: a controlled cross-sectional survey. Scoliosis 4:O3. doi:10.1186/1748-7161-4-S2-O3
Calvo-Muñoz I, Gómez-Conesa A, Sánchez-Meca J (2013) Prevalence of low back pain in children and adolescents: a meta-analysis. BMC Pediatr 13:14. doi:10.1186/1471-2431-13-14
Campbell A, Straker L, O’Sullivan P et al (2013) Lumbar loading in the elite adolescent tennis serve: link to low back pain. Med Sci Sports Exerc 45:1562–1568. doi:10.1249/MSS.0b013e31828bea5e
Campbell A, O’Sullivan P, Straker L et al (2014) Back pain in tennis players: a link with lumbar serve kinematics and range of motion. Med Sci Sports Exerc 46:351–357. doi:10.1249/MSS.0b013e3182a45cca
Hjelm N, Werner S, Renstrom P (2010) Injury profile in junior tennis players: a prospective two year study. Knee Surg Sports Traumatol Arthrosc 18:845–850. doi:10.1007/s00167-010-1094-4
Auvinen JP, Tammelin TH, Taimela SP et al (2008) Musculoskeletal pains in relation to different sport and exercise activities in youth. Med Sci Sports Exerc 40:1890–1900. doi:10.1249/MSS.0b013e31818047a2
Farber J, Harris JD, Kolstad K, McCulloch PC (2014) Treatment of anterior cruciate ligament injuries by major league soccer team physicians. Orthop J Sports Med. doi:10.1177/2325967114559892
van der Does HTD, Brink MS, Benjaminse A et al (2015) Jump landing characteristics predicts lower extremity injuries in indoor team sports. Int J Sports Med. doi:10.1055/s-0035-1559688
de Almeida MO, Hespanhol LC, Lopes AD (2015) Prevalence of musculoskeletal pain among swimmers in an elite national tournament. Int J Sports Phys Ther 10:1026–1034
Negrini S, Zaina F (2013) The chimera of low back pain etiology: a clinical rehabilitation perspective. Am J Phys Med Rehabil Assoc Acad Physiatr 92:93–97. doi:10.1097/PHM.0b013e31827df8f5
Amendt LE, Ause-Ellias KL, Eybers JL et al (1990) Validity and reliability testing of the Scoliometer. Phys Ther 70:108–117
Coelho DM, Bonagamba GH, Oliveira AS (2013) Scoliometer measurements of patients with idiopathic scoliosis. Braz J Phys Ther 17:179–184. doi:10.1590/S1413-35552012005000081
Upadhyay SS, Burwell RG, Webb JK (1988) Hump changes on forward flexion of the lumbar spine in patients with idiopathic scoliosis. A study using ISIS and the Scoliometer in two standard positions. Spine 13:146–151
Schulte TL, Hierholzer E, Boerke A et al (2008) Raster stereography versus radiography in the long-term follow-up of idiopathic scoliosis. J Spinal Disord Tech 21:23–28. doi:10.1097/BSD.0b013e318057529b
Bunnell WP (2005) Selective screening for scoliosis. Clin Orthop Relat Res 434:40–45
Hresko MT (2013) Clinical practice. Idiopathic scoliosis in adolescents. N Engl J Med 368:834–841. doi:10.1056/NEJMcp1209063
Acknowledgments
The authors wish to thank Elisa Vantellino for her help in collecting data.
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The authors have no conflict of interest to disclose. No funding was provided for this study.
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Zaina, F., Donzelli, S., Lusini, M. et al. Tennis is not dangerous for the spine during growth: results of a cross-sectional study. Eur Spine J 25, 2938–2944 (2016). https://doi.org/10.1007/s00586-016-4452-1
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DOI: https://doi.org/10.1007/s00586-016-4452-1