{"id":"https://openalex.org/W2004370059","doi":"https://doi.org/10.1111/j.1600-0838.2004.00379.x","title":"Returning athletes with severe low back pain and spondylolysis to original sporting activities with conservative treatment","display_name":"Returning athletes with severe low back pain and spondylolysis to original sporting activities with conservative treatment","publication_year":2004,"publication_date":"2004-03-18","ids":{"openalex":"https://openalex.org/W2004370059","doi":"https://doi.org/10.1111/j.1600-0838.2004.00379.x","mag":"2004370059","pmid":"https://pubmed.ncbi.nlm.nih.gov/15546329"},"language":"en","primary_location":{"id":"doi:10.1111/j.1600-0838.2004.00379.x","doi":"https://doi.org/10.1111/j.1600-0838.2004.00379.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1600-0838.2004.00379.x","pdf_url":null,"source":{"id":"https://openalex.org/S199863227","display_name":"Scandinavian Journal of Medicine and Science in Sports","issn_l":"0905-7188","issn":["0905-7188","1600-0838"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scandinavian Journal of Medicine & Science in Sports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074419878","display_name":"Jun Iwamoto","orcid":"https://orcid.org/0000-0002-3700-5337","observed_orcids":["https://orcid.org/0000-0002-3700-5337"]},"institutions":[{"id":"https://openalex.org/I203951103","display_name":"Keio University","ror":"https://ror.org/02kn6nx58","country_code":"JP","type":"education","lineage":["https://openalex.org/I203951103"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"J. Iwamoto","raw_affiliation_strings":["Department of Sports Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. jiwamoto@sc.itc.keio.ac.jp","Department of Sports Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160\u20138582, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Sports Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. jiwamoto@sc.itc.keio.ac.jp","institution_ids":["https://openalex.org/I203951103"]},{"raw_affiliation_string":"Department of Sports Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160\u20138582, Japan","institution_ids":["https://openalex.org/I203951103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070620598","display_name":"Tsuyoshi Takeda","orcid":"https://orcid.org/0000-0002-0786-8166","observed_orcids":["https://orcid.org/0000-0002-0786-8166"]},"institutions":[{"id":"https://openalex.org/I203951103","display_name":"Keio University","ror":"https://ror.org/02kn6nx58","country_code":"JP","type":"education","lineage":["https://openalex.org/I203951103"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"T. Takeda","raw_affiliation_strings":["Department of Sports Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160\u20138582, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Sports Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160\u20138582, Japan","institution_ids":["https://openalex.org/I203951103"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5090289752","display_name":"Koichi Wakano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405283875","display_name":"Kawasaki Municipal Ida Hospital","ror":"https://ror.org/02etc5a69","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405283875"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"K. Wakano","raw_affiliation_strings":["Department of Orthopaedic Surgery, Kawasaki Municipal Ida Hospital, Kanagawa, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Kawasaki Municipal Ida Hospital, Kanagawa, Japan","institution_ids":["https://openalex.org/I4405283875"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5074419878"],"corresponding_institution_ids":["https://openalex.org/I203951103"],"apc_list":{"value":4550,"currency":"USD","value_usd":4550},"apc_paid":null,"fwci":3.0105,"has_fulltext":false,"cited_by_count":83,"citation_normalized_percentile":{"value":0.89695122,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"14","issue":"6","first_page":"346","last_page":"351"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.8779000043869019,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.8779000043869019,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11246","display_name":"Sports injuries and prevention","score":0.07649999856948853,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.01979999989271164,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spondylolysis","display_name":"spondylolysis","score":0.9449999928474426},{"id":"https://openalex.org/keywords/low-back-pain","display_name":"low back pain","score":0.9679999947547913},{"id":"https://openalex.org/keywords/athletes","display_name":"athletes","score":0.9449999928474426},{"id":"https://openalex.org/keywords/return-to-sport","display_name":"return to sport","score":0.8569999933242798},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.9980000257492065},{"id":"https://openalex.org/keywords/activity-limitation","display_name":"activity limitation","score":0.7960000038146973},{"id":"https://openalex.org/keywords/fibrous-union","display_name":"fibrous union","score":0.7089999914169312},{"id":"https://openalex.org/keywords/sports-medicine","display_name":"sports medicine","score":0.4860000014305115}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8880438804626465},{"id":"https://openalex.org/C2780307688","wikidata":"https://www.wikidata.org/wiki/Q2000072","display_name":"Spondylolysis","level":4,"score":0.8717635869979858},{"id":"https://openalex.org/C2780212340","wikidata":"https://www.wikidata.org/wiki/Q7139913","display_name":"Pars interarticularis","level":5,"score":0.784641683101654},{"id":"https://openalex.org/C3019396726","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative treatment","level":2,"score":0.6781654357910156},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.6574406623840332},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.628195583820343},{"id":"https://openalex.org/C2781054738","wikidata":"https://www.wikidata.org/wiki/Q4813730","display_name":"Athletes","level":2,"score":0.5580334663391113},{"id":"https://openalex.org/C2779793219","wikidata":"https://www.wikidata.org/wiki/Q2662870","display_name":"Brace","level":2,"score":0.5554112195968628},{"id":"https://openalex.org/C2780904754","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative management","level":2,"score":0.4989359378814697},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.4881811738014221},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.464895635843277},{"id":"https://openalex.org/C2776623965","wikidata":"https://www.wikidata.org/wiki/Q973524","display_name":"Spondylolisthesis","level":3,"score":0.46185553073883057},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.320489764213562},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.11037418246269226},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001265","descriptor_name":"Athletic Injuries","qualifier_ui":"Q000534","qualifier_name":"rehabilitation","is_major_topic":true},{"descriptor_ui":"D001915","descriptor_name":"Braces","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013169","descriptor_name":"Spondylolysis","qualifier_ui":"Q000534","qualifier_name":"rehabilitation","is_major_topic":true},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017116","descriptor_name":"Low Back Pain","qualifier_ui":"Q000534","qualifier_name":"rehabilitation","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1600-0838.2004.00379.x","doi":"https://doi.org/10.1111/j.1600-0838.2004.00379.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1600-0838.2004.00379.x","pdf_url":null,"source":{"id":"https://openalex.org/S199863227","display_name":"Scandinavian Journal of Medicine and Science in Sports","issn_l":"0905-7188","issn":["0905-7188","1600-0838"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scandinavian Journal of Medicine & Science in Sports","raw_type":"journal-article"},{"id":"pmid:15546329","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15546329","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scandinavian journal of medicine & science in sports","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9789000153541565,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":29,"referenced_works":["https://openalex.org/W78804132","https://openalex.org/W92090999","https://openalex.org/W191335133","https://openalex.org/W199640704","https://openalex.org/W1908033554","https://openalex.org/W1943777084","https://openalex.org/W1975612144","https://openalex.org/W1993049609","https://openalex.org/W1993495194","https://openalex.org/W1996931702","https://openalex.org/W2010622302","https://openalex.org/W2020288404","https://openalex.org/W2050804970","https://openalex.org/W2055558772","https://openalex.org/W2060086724","https://openalex.org/W2066302510","https://openalex.org/W2077700545","https://openalex.org/W2094059674","https://openalex.org/W2097058469","https://openalex.org/W2132884759","https://openalex.org/W2137554305","https://openalex.org/W2314474784","https://openalex.org/W2410529300","https://openalex.org/W2418253214","https://openalex.org/W2460841656","https://openalex.org/W2801927775","https://openalex.org/W4241256464","https://openalex.org/W4241605070","https://openalex.org/W4300460175"],"related_works":["https://openalex.org/W2915524778","https://openalex.org/W2139713549","https://openalex.org/W2607225340","https://openalex.org/W2041857384","https://openalex.org/W2606242353","https://openalex.org/W2502015544","https://openalex.org/W4214842997","https://openalex.org/W2022414419","https://openalex.org/W2588493419","https://openalex.org/W1804440651"],"abstract_inverted_index":{"The":[0,77],"purpose":[1],"of":[2,10,57,65,80,121,167,176,197],"this":[3],"study":[4],"was":[5,83,134,139,152],"to":[6,26,74,96,145,147,159,206,214,227],"clarify":[7],"the":[8,47,66,81,88,122,137,148,174,181,195],"efficacy":[9],"conservative":[11,75,198],"treatment":[12,199],"in":[13,164,209],"athletes":[14,34],"with":[15,61,105,126,200],"severe":[16,97],"low":[17,58,98,115,131],"back":[18,59,99,116,132],"pain":[19,60,117,133],"and":[20,32,37,53,101,108,141,178,203,212],"spondylolysis,":[21],"especially":[22],"focusing":[23],"on":[24,69],"returning":[25,213],"original":[27,149,161,215],"sporting":[28,93,150,162,216],"activities.":[29,217],"One":[30],"hundred":[31],"four":[33],"(96":[35],"males":[36],"eight":[38],"females),":[39],"who":[40],"consulted":[41],"our":[42,229],"sports":[43],"medicine":[44],"clinic":[45],"during":[46],"11-year":[48],"period":[49],"between":[50],"September":[51],"1991":[52],"October":[54],"2002":[55],"because":[56],"an":[62,165],"apparent":[63],"defect":[64],"pars":[67],"interarticularis":[68],"plain":[70],"radiographs,":[71],"were":[72,102],"subjected":[73],"treatment.":[76],"mean":[78],"age":[79],"patients":[82,155],"20.7":[84],"years.":[85],"Of":[86],"all":[87],"patients,":[89],"40":[90],"(38.5%)":[91],"discontinued":[92],"activities":[94,151,163,182],"due":[95],"pain,":[100],"conservatively":[103],"treated":[104],"activity":[106,201],"restriction":[107,202],"antilordotic":[109],"lumbosacral":[110],"bracing,":[111],"aimed":[112],"at":[113,184],"relieving":[114],"by":[118],"achieving":[119],"stability":[120],"fracture":[123],"partly":[124],"associated":[125],"fibrous":[127],"union.":[128,190],"After":[129],"their":[130,160],"markedly":[135],"reduced,":[136],"brace":[138],"removed":[140],"then":[142],"individual":[143],"training":[144],"return":[146,158],"started.":[153],"Thirty-five":[154],"(87.5%)":[156],"could":[157,179],"average":[166],"5.4":[168],"months":[169,187],"(range:":[170],"1.0-11.5":[171],"months)":[172],"after":[173],"onset":[175],"treatment,":[177],"continue":[180],"for":[183],"least":[185],"6":[186],"despite":[188],"non-bony":[189],"These":[191],"results":[192],"suggest":[193],"that":[194],"outcome":[196],"bracing":[204],"appears":[205],"be":[207],"satisfactory":[208],"controlling":[210],"symptoms":[211],"Randomized":[218],"controlled":[219],"trials":[220],"or":[221],"comparative":[222],"follow-up":[223],"studies":[224],"are":[225],"needed":[226],"confirm":[228],"results.":[230]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":7},{"year":2020,"cited_by_count":5},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":8},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}