Musculoskeletal Screening to Identify Female Collegiate Rowers at Risk for Low Back Pain.

CONTEXT: Rowers are at risk for overuse injuries, including low back pain (LBP). Defining the utility of screening tests for identifying those at risk for LBP can aid in the development of guidelines for injury prevention.

OBJECTIVE

To determine if the Functional Movement Screen (FMS) and impairments can identify rowers at risk for developing LBP.

DESIGN

Prospective cohort study.

SETTING

Athletic training room.

PATIENTS OR OTHER

PARTICIPANTS

A total of 31 National Collegiate Athletic Association Division I, female, open-weight rowers (age = 19.9 ± 1.4 years, height = 163.6 ± 30.8 cm, mass = 84.1 ± 37.63 kg); coxswains were excluded.

MAIN OUTCOME MEASURE(S): We assessed the FMS and 5 impairment measures of the Star Excursion Balance Test, closed kinetic chain dorsiflexion range of motion, and the plank, Sorensen, and sit-and-reach tests before the fall season. Low back pain injuries were tracked by the sports medicine staff. Impairment measures were compared between the injured and uninjured athletes. The FMS cutoff score that discriminated injured from uninjured rowers was determined using a receiver operating characteristic curve analysis. Impairments were compared between those at a higher versus lower risk of LBP.

RESULTS

Eighteen rowers sustained an LBP injury. No differences in FMS or impairments between groups were demonstrated. The FMS receiver operating characteristic curve analysis cutoff score was 16 points (area under the curve = 0.60, specificity = 0.67, risk ratio = 1.4 [95% confidence interval = 0.91, 2.11]). Rowers with an FMS score ≤16 had a shorter plank-test time (109.5 ± 60.2 seconds) than those with less risk (175.3 ± 98.6 seconds, mean difference = 65.9 seconds, 95% confidence interval = -129.4, -2.3; P = .043).

CONCLUSIONS

Those with an FMS score ≤16 had a shorter plank-test hold time, indicating that a lack of core endurance may contribute to the increased risk of LBP in female rowers. An FMS score ≤16 indicated a small increased risk (1.4) of developing LBP compared with rowers who had scores >16; however, the FMS is not recommended for widespread screening of female rowers because the risk ratio was relatively small and had a wide 95% confidence interval.