Korean J Sports Med.  2014 Jun;32(1):27-36. 10.5763/kjsm.2014.32.1.27.

Analysis on Structural Variation and Disability Index of Spinal-Pelvic in the High School Students with Low Back Pain

• Na YM
• Yoo TW
• Im SH
• Choi SH
• Im HT
• Cho YJ
• Jeong HS

• KMID: 2288687
• DOI: http://doi.org/10.5763/kjsm.2014.32.1.27

Abstract

The purpose of this study was to evaluate the prevalence rate of low back pain (LBP) in the high school students and to analyze the differences and correlations with the spinal-pelvic structural variations and disability index with LBP. The subjects are 499 high school students (236 males, 263 females: mean age, 16.38 years). They were assessed for LBP with the numerical rating scale (NRS) and for disability with the Korean version Oswestry disability index (KODI). All subjects were to take the plain radiographic examination for spinal-pelvic structural variations including thoracic, lumbar, thoracolumbar Cobb's angle, lumbar lordotic curve, sacral slope, pelvic tilt and pelvic incidence. All subjects were divided into two groups by NRS scores (0, 1=no/minimum pain group [NMP group], 2-10=low back pain group [LBP group]). The prevalence rate of LBP of all subjects was 56.7% (n=283). NRS and total KODI scores were higher in the LBP group (3.38 cm/11.83%) than NMP group (0.07 cm/2.74%) (p<0.001). In the spinal-pelvic structural variations analysis, the thoracic Cobb's angle was significantly high in LBP group (p<0.05), but others were shown no differences between the both groups (p>0.05). NRS had significantly positive correlation with KODI (p<0.001). NRS and KODI did not demonstrate any correlations with spinal-pelvic structural variations (p>0.05). In conclusion, this study showed high prevalence rate of LBP in the high school students, but did not show significant correlations with the spinal-pelvic structural variations and disability index.

Keyword

Low back pain; Structural variation; Korean version of the Oswestry disability index; High school student

MeSH Terms

Back Pain
Female
Humans
Incidence
Low Back Pain*
Male
Prevalence

Figure

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  Fig. 1. Numerical rating scale.

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  Fig. 2. Measurement of the Cobb's angle.

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  Fig. 3. Measurement of the lumbar and pelvic parameters used in the current study. Lumbar lordotic curve (LL), sacral slope (SS), pelvic tilt (PT), and pelvic incidence (PI) were measured in each whole spine lateral view.

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