ArticleBritish journal of sports medicine2006
Adolescent flexibility, endurance strength, and physical activity as predictors of adult tension neck, low back pain, and knee injury: a 25 year follow up study.
Article in British journal of sports medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02255695 (Effects of a School-based Exercise Program on Posture, Trunk Range of Motion, and Musculoskeletal Pain - A Randomized, Controlled Trial), which is not on this map. Cited by 49 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of a School-based Exercise Program on Posture, Trunk Range of Motion, and Musculoskeletal Pain - A Randomized, Controlled Trial
Who cites it
49 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Is Muscular Fitness Associated with Future Health Benefits in Children and Adolescents? A Systematic Review and Meta-Analysis of Longitudinal Studies.Sports medicine (Auckland, N.Z.) · 2019Pooled it
- Prevalence of Back Pain in Sports: A Systematic Review of the Literature.Sports medicine (Auckland, N.Z.) · 2017Pooled it
- The health benefits of muscular fitness for children and adolescents: a systematic review and meta-analysis.Sports medicine (Auckland, N.Z.) · 2014Pooled it
- The association between physical activity and neck and low back pain: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2011Pooled it
- How do we define the condition 'recurrent low back pain'? A systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2010Pooled it
- How does the Execution of the Pilates Method and Therapeutic Exercise Influence Back Pain and Postural Alignment in Children Who Play String Instruments? A Randomized Controlled Pilot Study.International journal of environmental research and public health · 2020Trial
- Association of activity with the risk of developing musculoskeletal pain in the All of Us research program.The journal of pain · 2025Article
- The Role of Global Physical Capacity Score in Key Parameters of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD).Journal of clinical medicine · 2025Article
- Chronic Low Back Pain: History, Symptoms, Pain Mechanisms, and Treatment.Life (Basel, Switzerland) · 2024Review
- Editorial: Intervertebral disc degeneration: mechanisms and therapeutics.Frontiers in cell and developmental biology · 2024Article
- Causal association of physical activity with low back pain, intervertebral disc degeneration and sciatica: a two-sample mendelian randomization analysis study.Frontiers in cell and developmental biology · 2023Article
- Childhood Obesity and Incorrect Body Posture: Impact on Physical Activity and the Therapeutic Role of Exercise.International journal of environmental research and public health · 2022Review
- Influence of forward head posture on muscle activation pattern of the trapezius pars descendens muscle in young adults.Scientific reports · 2022Article
- Physical fitness characteristics and neck and shoulder pain incidence in school-aged children-A 2-year follow-up.Health science reports · 2022Article
- The Scores and Manner of Performing the Stand and Reach Test in Girls and Boys of Different Body Weight.Bioengineering (Basel, Switzerland) · 2022Article
- Physical activity, screen time and the incidence of neck and shoulder pain in school-aged children.Scientific reports · 2022Article
- Association of sedentary behavior and early engagement in physical activity with low back pain in adolescents: a cross-sectional epidemiological study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Evaluation of work-related musculoskeletal problems in pediatric surgeons.Pediatric surgery international · 2021Article
- A Factual Survey on the Injury of Youth Athletes for Prevention and Management.Iranian journal of public health · 2021Article
- Behaviours involved in the role of victim and aggressor in bullying: Relationship with physical fitness in adolescents.PloS one · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether adolescent flexibility, endurance strength, and physical activity can predict the later occurrence of recurrent low back pain, tension neck, or knee injury.
methodsIn 1976, 520 men and 605 women participated in a sit and reach test (flexibility) and a 30 second sit up test (endurance strength). In 1976 and 2001 (aged 37 and 42 years) they completed a questionnaire. Lifetime occurrence and risk of self reported low back pain and self reported, physician diagnosed tension neck and knee injury were calculated for subjects divided into tertiles by baseline results of strength and flexibility tests.
resultsMen from the highest baseline flexibility tertile were at lower risk of tension neck than those from the lowest tertile (odds ratio (OR) 0.51, 95% confidence interval (CI) 0.28 to 0.93). Women from the highest baseline endurance strength tertile were at lower risk of tension neck than those from the lowest tertile (OR 0.60, 95% CI 0.40 to 0.91). Men from the highest baseline endurance strength tertile were at higher risk of knee injury than those from the lowest tertile (OR 1.96, 95% CI 1.05 to 3.64). Men who at school age participated in physical activity were at lower risk of recurrent low back pain (OR 0.61; 95% CI 0.42 to 0.88) than those who did not.
conclusionsOverall good flexibility in boys and good endurance strength in girls may contribute to a decreased risk of tension neck. High endurance strength in boys may indicate an increased risk of knee injury.
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Registered trials
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