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[躯干异常。年轻运动员中其患病率的分析]

[Anomalies of the trunk. An analysis of their prevalence in young athletes].

作者信息

Boldori L, Da Soldà M, Marelli A

机构信息

Servizio Pediatria di Comunità, ASL della Provincia di Cremona.

出版信息

Minerva Pediatr. 1999 Jul-Aug;51(7-8):259-64.

PMID:10634058
Abstract

BACKGROUND

To evaluate the influence of some sports (swimming, tennis, soccer, artistic gym, classical dance, basket, volley) on the development of the musculoskeletal system in prepuberal children.

METHODS

From January 1994 to December 1997, 3,765 students of the 4th and 6th class of primary schools in the area of the health district of Cremona, underwent orthopaedic screening. The prevalence of kyphosis, hyperlordosis and back asymmetry in children playing and not playing sports were compared. Statistical analysis was performed using X2-test.

RESULTS

The incidence of hyperlordosis was significantly lower in boys playing soccer while the incidence of back asymmetry was higher in girls playing basketball. Tennis was found not to be a suitable sport for either male or female prepuberal children. Swimming was the best sport for females whereas males who swan registered a higher incidence of hyperphosis compared to the control group. In females the incidence of hyperlordosis did not correlate with any of the sports considered whereas the incidence in boys playing soccer and swimming showed a decrease. Hyperkyphosis in females can be reduced by swimming and volleyball, in males by playing basketball.

CONCLUSIONS

The results obtained suggest the importance of an orthopaedic evaluation of children who want to take up sports.

摘要

背景

评估某些运动(游泳、网球、足球、艺术体操、古典舞蹈、篮球、排球)对青春期前儿童肌肉骨骼系统发育的影响。

方法

1994年1月至1997年12月,克雷莫纳健康区的3765名小学四年级和六年级学生接受了骨科筛查。比较了参加运动和不参加运动的儿童脊柱后凸、腰椎前凸过度和背部不对称的患病率。采用X²检验进行统计分析。

结果

踢足球的男孩腰椎前凸过度的发生率显著较低,而打篮球的女孩背部不对称的发生率较高。发现网球对青春期前的男性和女性儿童都不是一项合适的运动。游泳是女性的最佳运动,而游泳的男性与对照组相比脊柱后凸发生率较高。在女性中,腰椎前凸过度的发生率与所考虑的任何运动均无相关性,而踢足球和游泳的男孩的发生率有所下降。女性的脊柱后凸过度可通过游泳和排球减轻,男性可通过打篮球减轻。

结论

所得结果表明,对想要从事体育运动的儿童进行骨科评估很重要。

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