Hördegen K M
Schweiz Med Wochenschr. 1975 May 24;105(21):668-75.
115 horseback riders have undergone clinical and radiologic examinations of the spine. A minimum of 10 years' riding was required. Depending on intensity of training and number of riding hours, the subjects were divided into three groups: roughriders, sport riders and hobby riders. It was striking that of the bare half of cases (51) suffering from lower back, only 8 (about 15%) had had medical treatment and actually been disabled. Moreover, 47% of the riders with lower back pain were painfree in the saddle, i.e. when riding. No causal connection was found between riding and a higher incidence of osteochondrosis in some parts of the vertebral column. In roughriders and partly in sports riders an increased stress on the spine due to prolonged intensive training cannot be ruled out if the higher incidence of pathologic X-ray findings and low back pain in this group is taken into consideration. On the other hand, other factors such as deficiencies and hard work in the past may, especially in roughriders with a rural background, also be responsible. A higher incidence of spondylolisthesis than in the normal population was not found. It is important that riders should possess a strong back and gluteal muscular system in order to avoid early painful spinal decompensation, especially in cases with degenerative alteration and static form anomalies of the spinal column.
115名骑手接受了脊柱的临床和放射学检查。要求至少有10年的骑行经历。根据训练强度和骑行小时数,受试者被分为三组:职业骑手、运动骑手和业余骑手。令人惊讶的是,在51名患有下背部疾病的病例中,只有8人(约15%)接受过治疗并实际致残。此外,47%的下背部疼痛骑手在骑行时即坐在马鞍上时没有疼痛。在骑行与脊柱某些部位骨软骨病发病率较高之间未发现因果关系。如果考虑到职业骑手和部分运动骑手组中病理性X线表现和下背部疼痛的较高发病率,就不能排除由于长期强化训练导致脊柱压力增加的情况。另一方面,其他因素,如过去的营养缺乏和艰苦工作,尤其是有农村背景的职业骑手,也可能是原因。未发现脊柱滑脱的发病率高于正常人群。重要的是,骑手应拥有强壮的背部和臀肌系统,以避免早期出现疼痛性脊柱失代偿,特别是在脊柱有退行性改变和静态形态异常的情况下。