Imperial College London
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ProfessorAlisonMcGregor

Faculty of Medicine, Department of Surgery & Cancer

Professor of Musculoskeletal Biodynamics
 
 
 
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Contact

 

+44 (0)20 7594 2972a.mcgregor

 
 
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Location

 

Room 202ASir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Wilson:2021:10.1136/bjsports-2020-103385,
author = {Wilson, F and Thornton, JS and Wilkie, K and Hartvigsen, J and Vinther, A and Ackerman, KE and Caneiro, JP and Trease, L and Nugent, F and Gissane, C and McDonnell, S-J and McGregor, A and Newlands, C and Ardern, CL},
doi = {10.1136/bjsports-2020-103385},
journal = {British Journal of Sports Medicine},
pages = {893--899},
title = {2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers},
url = {http://dx.doi.org/10.1136/bjsports-2020-103385},
volume = {55},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - 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.
AU  - Wilson,F
AU  - Thornton,JS
AU  - Wilkie,K
AU  - Hartvigsen,J
AU  - Vinther,A
AU  - Ackerman,KE
AU  - Caneiro,JP
AU  - Trease,L
AU  - Nugent,F
AU  - Gissane,C
AU  - McDonnell,S-J
AU  - McGregor,A
AU  - Newlands,C
AU  - Ardern,CL
DO  - 10.1136/bjsports-2020-103385
EP  - 899
PY  - 2021///
SN  - 0306-3674
SP  - 893
TI  - 2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers
T2  - British Journal of Sports Medicine
UR  - http://dx.doi.org/10.1136/bjsports-2020-103385
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33685861
UR  - https://bjsm.bmj.com/content/early/2021/03/11/bjsports-2020-103385
UR  - http://hdl.handle.net/10044/1/88234
VL  - 55
ER  -
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