Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), University of Genova - Campus of Savona, Savona, Italy.
Sovrintendenza Sanitaria Regionale Puglia INAIL, Bari, Italy.
BMC Musculoskelet Disord. 2020 Jun 3;21(1):343. doi: 10.1186/s12891-020-03357-4.
Running is one of the most popular sports worldwide. Despite low back pain (LBP) represents the most common musculoskeletal disorder in population and in sports, there is currently sparse evidence about prevalence, incidence and risk factors for LBP among runners. The aims of this systematic review were to investigate among runners: prevalence and incidence of LBP and specific risk factors for the onset of LBP.
A systematic review has been conducted according to the guidelines of the PRISMA statement. The research was conducted in the following databases from their inception to 31st of July 2019: PubMed; CINAHL; Google Scholar; Ovid; PsycINFO; PSYNDEX; Embase; SPORTDiscus; Scientific Electronic Library Online; Cochrane Library and Web of Science. The checklists of The Joanna Briggs Institute Critical Appraisal tools were used to investigate the risk of bias of the included studies.
Nineteen studies were included and the interrater agreement for full-text selection was good (K = 0.78; 0.61-0.80 IC 95%). Overall, low values of prevalence (0.7-20.2%) and incidence (0.3-22%) of LBP among runners were reported. Most reported risk factors were: running for more than 6 years; body mass index > 24; higher physical height; not performing traditional aerobics activity weekly; restricted range of motion of hip flexion; difference between leg-length; poor hamstrings and back flexibility.
Prevalence and incidence of LBP among runners are low compared to the others running related injuries and to general, or specific population of athletes. View the low level of incidence and prevalence of LBP, running could be interpreted as a protective factor against the onset of LBP.
PROSPERO CRD42018102001.
跑步是全球最受欢迎的运动之一。尽管下背痛（LBP）是人群和运动中最常见的肌肉骨骼疾病，但目前关于跑步者 LBP 的患病率、发病率和危险因素的证据很少。本系统评价的目的是调查跑步者中：LBP 的患病率和发病率以及 LBP 发病的特定危险因素。
根据 PRISMA 声明的指南进行了系统评价。该研究在以下数据库中进行，从成立到 2019 年 7 月 31 日：PubMed；CINAHL；Google Scholar；Ovid；PsycINFO；PSYNDEX；Embase；SPORTDiscus；Scientific Electronic Library Online；Cochrane Library 和 Web of Science。使用 The Joanna Briggs Institute Critical Appraisal tools 清单调查纳入研究的偏倚风险。
共纳入 19 项研究，全文选择的一致性良好（K=0.78；0.61-0.80 95%CI）。总体而言，报告的跑步者 LBP 患病率（0.7-20.2%）和发病率（0.3-22%）较低。报告的大多数危险因素包括：跑步时间超过 6 年；体重指数>24；较高的身体高度；每周不进行传统有氧运动；髋关节屈曲活动范围受限；腿长差异；腘绳肌和背部柔韧性差。
与其他与跑步相关的损伤和一般或特定运动员人群相比，跑步者的 LBP 患病率和发病率较低。鉴于 LBP 的发病率和患病率较低，可以认为跑步是预防 LBP 发病的保护因素。
PROSPERO CRD42018102001。
