Imperial College London
Portrait Picture

ProfessorAlisonMcGregor

Faculty of Medicine, Department of Surgery & Cancer

Professor of Musculoskeletal Biodynamics
 
 
 
//

Contact

 

+44 (0)20 7594 2972a.mcgregor

 
 
//

Location

 

Room 202ASir Michael Uren HubWhite City Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Nugent:2021:10.1136/bjsports-2020-102533,
author = {Nugent, FJ and Vinther, A and McGregor, A and Thornton, JS and Wilkie, K and Wilson, F},
doi = {10.1136/bjsports-2020-102533},
journal = {British Journal of Sports Medicine},
pages = {616--630},
title = {The relationship between rowing-related low back pain and rowing biomechanics: a systematic review},
url = {http://dx.doi.org/10.1136/bjsports-2020-102533},
volume = {55},
year = {2021}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Low back pain (LBP) is common in rowers. Understanding rowing biomechanics may help facilitate prevention and improve rehabilitation. OBJECTIVES: To define the kinematics and muscle activity of rowers and to compare with rowers with current or LBP history. DESIGN: Systematic review. DATA SOURCES: EMBASE, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Web of Science and Scopus from inception to December 2019. Grey literature was searched. STUDY ELIGIBILITY CRITERIA: Experimental and non-experimental designs. METHODS: Primary outcomes were kinematics and muscle activity. Modified Quality Index (QI) checklist was used. RESULTS: 22 studies were included (429 participants). Modified QI score had a mean of 16.7/28 points (range: 15-21). Thirteen studies investigated kinematics and nine investigated muscle activity. Rowers without LBP ('healthy') have distinct kinematics (neutral or anterior pelvic rotation at the catch, greater hip range of motion, flatter low back spinal position at the finish) and muscle activity (trunk extensor dominant with less flexor activity). Rowers with LBP had relatively greater posterior pelvic rotation at the catch, greater hip extension at the finish and less efficient trunk muscle activity. In both groups fatigue results in increased lumbar spine flexion at the catch, which is greater on the ergometer. There is insufficient evidence to recommend one ergometer type (fixed vs dynamic) over the other to avoid LBP. Trunk asymmetries are not associated with LBP in rowers. CONCLUSION: Improving clinicians' and coaches' understanding of safe and effective rowing biomechanics, particularly of the spine, pelvis and hips may be an important strategy in reducing incidence and burden of LBP.
AU  - Nugent,FJ
AU  - Vinther,A
AU  - McGregor,A
AU  - Thornton,JS
AU  - Wilkie,K
AU  - Wilson,F
DO  - 10.1136/bjsports-2020-102533
EP  - 630
PY  - 2021///
SN  - 0306-3674
SP  - 616
TI  - The relationship between rowing-related low back pain and rowing biomechanics: a systematic review
T2  - British Journal of Sports Medicine
UR  - http://dx.doi.org/10.1136/bjsports-2020-102533
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33397675
UR  - https://bjsm.bmj.com/content/55/11/616
UR  - http://hdl.handle.net/10044/1/86309
VL  - 55
ER  -
Download