Back pain in tennis players: A link with lumber serve kinematics and range of motion

Purpose: This study compared regional lumbar (upper and lower), pelvis, trunk, and lower limb kinematics between elite male adolescent players with and without a history of low back pain (LBP) during the kick and flat serves as well as regional lumbar mobility and serving kinematics relative to the...

Full description

Bibliographic Details
Main Authors: Campbell, Amity, O'Sullivan, Peter, Straker, Leon, Elliott, B., Reid, M.
Format: Journal Article
Published: Lippincott Williams & Wilkins 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/41912
_version_ 1848756274871664640
author Campbell, Amity
O'Sullivan, Peter
Straker, Leon
Elliott, B.
Reid, M.
author_facet Campbell, Amity
O'Sullivan, Peter
Straker, Leon
Elliott, B.
Reid, M.
author_sort Campbell, Amity
building Curtin Institutional Repository
collection Online Access
description Purpose: This study compared regional lumbar (upper and lower), pelvis, trunk, and lower limb kinematics between elite male adolescent players with and without a history of low back pain (LBP) during the kick and flat serves as well as regional lumbar mobility and serving kinematics relative to the end of range. Methods: Seven players with a history of LBP and confirmed L4/L5 injury and 13 controls matched for age, height, mass, and performance underwent a three-dimensional motion analysis during serving trials and lumbar mobility assessments. Regional lumbar, pelvis, trunk, and lower limb kinematics were compared between pain/no pain and kick/flat serves using a series of 2 x 2 mixed model ANOVA, with independent samples t-tests used to compare regional lumbar mobility between pain/no pain. Results: The pain group had significantly reduced lower lumbar mobility in every plane of motion than the no pain group. The pain group demonstrated less right lower lumbar and pelvis/shoulder rotation, greater right pelvic tilt, earlier peak right knee extension velocity during the drive phase of the tennis serves, and greater lower lumbar and pelvis left rotation, upper lumbar left lateral flexion, and anterior pelvis tilt during the forward-swing phase. All players approached their lumbar end of range during the serve. Conclusions: The results of this investigation suggest that a multidimensional LBP management and prevention strategy is required, including the assessment of regional spinal mobility, the lower limb and upper limb and spinal kinematics, and the integrated work between clinicians and coaches to adapt adverse technique.
first_indexed 2025-11-14T09:09:36Z
format Journal Article
id curtin-20.500.11937-41912
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T09:09:36Z
publishDate 2014
publisher Lippincott Williams & Wilkins
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-419122017-09-13T14:17:04Z Back pain in tennis players: A link with lumber serve kinematics and range of motion Campbell, Amity O'Sullivan, Peter Straker, Leon Elliott, B. Reid, M. injury prevention tennis back pain Biomechanics Purpose: This study compared regional lumbar (upper and lower), pelvis, trunk, and lower limb kinematics between elite male adolescent players with and without a history of low back pain (LBP) during the kick and flat serves as well as regional lumbar mobility and serving kinematics relative to the end of range. Methods: Seven players with a history of LBP and confirmed L4/L5 injury and 13 controls matched for age, height, mass, and performance underwent a three-dimensional motion analysis during serving trials and lumbar mobility assessments. Regional lumbar, pelvis, trunk, and lower limb kinematics were compared between pain/no pain and kick/flat serves using a series of 2 x 2 mixed model ANOVA, with independent samples t-tests used to compare regional lumbar mobility between pain/no pain. Results: The pain group had significantly reduced lower lumbar mobility in every plane of motion than the no pain group. The pain group demonstrated less right lower lumbar and pelvis/shoulder rotation, greater right pelvic tilt, earlier peak right knee extension velocity during the drive phase of the tennis serves, and greater lower lumbar and pelvis left rotation, upper lumbar left lateral flexion, and anterior pelvis tilt during the forward-swing phase. All players approached their lumbar end of range during the serve. Conclusions: The results of this investigation suggest that a multidimensional LBP management and prevention strategy is required, including the assessment of regional spinal mobility, the lower limb and upper limb and spinal kinematics, and the integrated work between clinicians and coaches to adapt adverse technique. 2014 Journal Article http://hdl.handle.net/20.500.11937/41912 10.1249/MSS.0b013e3182a45cca Lippincott Williams & Wilkins unknown
spellingShingle injury prevention
tennis
back pain
Biomechanics
Campbell, Amity
O'Sullivan, Peter
Straker, Leon
Elliott, B.
Reid, M.
Back pain in tennis players: A link with lumber serve kinematics and range of motion
title Back pain in tennis players: A link with lumber serve kinematics and range of motion
title_full Back pain in tennis players: A link with lumber serve kinematics and range of motion
title_fullStr Back pain in tennis players: A link with lumber serve kinematics and range of motion
title_full_unstemmed Back pain in tennis players: A link with lumber serve kinematics and range of motion
title_short Back pain in tennis players: A link with lumber serve kinematics and range of motion
title_sort back pain in tennis players: a link with lumber serve kinematics and range of motion
topic injury prevention
tennis
back pain
Biomechanics
url http://hdl.handle.net/20.500.11937/41912