{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:44:46Z","timestamp":1777880686507,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"USA Lacrosse","award":["PRO00008322"],"award-info":[{"award-number":["PRO00008322"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Low back pain (LBP) is a common condition that can affect athletes of all ages. The risk factors for LBP onset and worsening associated with the lacrosse shooting motion are not yet known.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To identify training and biomechanical factors associated with preexisting LBP and development of LBP over 6 months in youth, high school, and collegiate lacrosse players.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case-control study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 128 lacrosse players were enrolled in this study between January 2016 and January 2019. Player characteristics, lacrosse experience, and participation in other sports were self-reported. At baseline and 2-, 4-, and 6-month follow-ups, the players self-rated the presence and severity of LBP using a numeric pain rating scale (0-10 points). Participants were grouped according to LBP symptoms: no LBP at any time point (n = 102), preexisting LBP (n = 17), or developed LBP within the 6-month period (n = 9). The lacrosse shooting motion was captured via 3-dimensional motion analysis, and kinematic and kinetic variables were recorded. A Low Back Stress Index was used to estimate lumbar stress as a function of pelvic acceleration at the time of maximum lateral trunk lean during the shot. Univariate analyses of covariance and logistic regression models were used to address study aims.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Compared with the no-LBP group, the preexisting LBP group demonstrated 13.9% to 22.9% lower maximum angular velocities at the pelvis, trunk, and shoulders in the transverse plane ( P &lt; .05), 19.3% less collective pelvis-shoulder rotation in the transverse plane ( P = .015), and 4.5% more knee flexion excursion ( P = .063). The developed-LBP group produced 2.3% to 11.1% higher angular velocities in the pelvis, trunk, and shoulder and generated maximum pelvic acceleration values 36% to 42% higher than the remaining groups ( P &lt; .05 for both). Mean Low Back Stress Index values were not statistically significant among the groups (no LBP: 12,504 \u00b1 13,076 deg\n                      <jats:sup>2<\/jats:sup>\n                      \/s\n                      <jats:sup>2<\/jats:sup>\n                      ; preexisting LBP: 8808 \u00b1 10,174 deg\n                      <jats:sup>2<\/jats:sup>\n                      \/s\n                      <jats:sup>2<\/jats:sup>\n                      ; developed LBP: 19,389 \u00b1 13,590 deg\n                      <jats:sup>2<\/jats:sup>\n                      \/s\n                      <jats:sup>2<\/jats:sup>\n                      ; P = .157).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Preexisting LBP was associated with significantly restricted motion of the pelvis, trunk, and shoulders during a lacrosse shot. Excessive pelvic acceleration may be related to the development of LBP in lacrosse players.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671241231958","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T17:35:50Z","timestamp":1710437750000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Identifying Risk Factors for Preexisting or Developing Low Back Pain in Youth, High School, and Collegiate Lacrosse Players Using 3-Dimensional Motion Analysis"],"prefix":"10.1177","volume":"12","author":[{"given":"Joseph G.","family":"Wasser","sequence":"first","affiliation":[{"name":"Department of Physical Medicine & Rehabilitation, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle L.","family":"Bruner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather K.","family":"Vincent","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine & Rehabilitation, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,14]]},"reference":[{"issue":"5","key":"bibr1-23259671241231958","first-page":"652","volume":"8","author":"Calabrese GJ.","year":"2013","journal-title":"Int J Sports Phys Ther"},{"key":"bibr2-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-015-0429-1"},{"key":"bibr3-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.09.019"},{"key":"bibr4-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(05)70231-3"},{"issue":"2","key":"bibr5-23259671241231958","first-page":"262","volume":"42","author":"Dick R","year":"2007","journal-title":"J Athl Train"},{"key":"bibr6-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1016\/j.smhs.2020.03.002"},{"key":"bibr7-23259671241231958","unstructured":"Girls\u2019 rules. US Lacrosse. Published July 20, 2016. Accessed July 26, 2019. https:\/\/www.uslacrosse.org\/rules\/girls-rules"},{"key":"bibr8-23259671241231958","doi-asserted-by":"publisher","DOI":"10.2165\/11536590-000000000-00000"},{"key":"bibr9-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2007.07.388"},{"key":"bibr10-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e318163be67"},{"key":"bibr11-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"bibr12-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504274148"},{"key":"bibr13-23259671241231958","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-380-18"},{"key":"bibr14-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1177\/19417381211051636"},{"key":"bibr15-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000001422"},{"key":"bibr16-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-3482"},{"key":"bibr17-23259671241231958","doi-asserted-by":"publisher","DOI":"10.2478\/hukin-2014-0028"},{"key":"bibr18-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511411700"},{"key":"bibr19-23259671241231958","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2014.5378"},{"key":"bibr20-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1007\/s43390-020-00061-0"},{"key":"bibr21-23259671241231958","unstructured":"Sugaya H, Morgan DA, Banks SA, Cook FF, Moriya H. Golf and low back injury: defining the crunch factor. Paper presented at: 22nd Annual Meeting of the American Orthopaedic Society of Sports Medicine; June 1997; Sun Valley, ID."},{"key":"bibr22-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2014.06.001"},{"key":"bibr23-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(03)00059-0"},{"key":"bibr24-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.20.1.74"},{"key":"bibr25-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1080\/14763141.2015.1084034"},{"key":"bibr26-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1177\/1941738114552990"},{"key":"bibr27-23259671241231958","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-312-17"},{"key":"bibr28-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1177\/2325967116657535"},{"key":"bibr29-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1080\/15438627.2017.1282361"},{"key":"bibr30-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000019"},{"key":"bibr31-23259671241231958","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000495669.49710.aa"},{"key":"bibr32-23259671241231958","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2020.00894"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671241231958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671241231958","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671241231958","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:18:55Z","timestamp":1777594735000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671241231958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1177\/23259671241231958"],"URL":"https:\/\/doi.org\/10.1177\/23259671241231958","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]},"article-number":"23259671241231958"}}