足球运动可导致颈椎发生退行性改变。
Soccer causes degenerative changes in the cervical spine.
作者信息
Kartal Alparslan, Yildiran Ibrahim, Senköylü Alparslan, Korkusuz Feza
机构信息
Cankaya University, Ankara, Turkey.
出版信息
Eur Spine J. 2004 Feb;13(1):76-82. doi: 10.1007/s00586-003-0623-y. Epub 2003 Nov 28.
BACKGROUND
Radiological changes and degeneration of the cervical spine have been previously described in soccer players. The onset of such changes was 10-20 years earlier than that of the normal population. The aim of this study was to assess these early degenerative changes in amateur active and veteran soccer players in a cross-sectional descriptive study using biomechanical, radiological, and magnetic resonance measures.
METHODS
The subjects were active (<30 years; n=15) and veteran (>30 years; n=15) male amateur soccer players, and their age-matched controls ( n=13 and n=15). Biomechanical measurements were made on a cervical dynamometer. Dynamic radiological and magnetic resonance findings were also obtained and evaluated.
RESULTS
The normalized mean extension moment was higher in the active soccer players, but the mean range of motion was lower. Degenerative changes were prominent in veteran players, and the sagittal diameter of their spinal canal at C2 to C6 was lower when compared to active players and controls. Magnetic resonance findings of degeneration were more prominent in soccer players when compared to their age-matched controls.
CONCLUSION
A tendency towards early degenerative changes exists in soccer players most probably due to high- and/or low-impact recurrent trauma to the cervical spine caused by heading the ball.
背景
足球运动员颈椎的放射学改变和退变此前已有描述。这些改变的出现比正常人群早10 - 20年。本研究的目的是在一项横断面描述性研究中，使用生物力学、放射学和磁共振测量方法，评估业余现役和退役足球运动员的这些早期退变改变。
方法
受试者为现役（<30岁；n = 15）和退役（>30岁；n = 15）男性业余足球运动员，以及年龄匹配的对照组（n = 13和n = 15）。在颈椎测力计上进行生物力学测量。还获得并评估了动态放射学和磁共振检查结果。
结果
现役足球运动员的标准化平均伸展力矩较高，但平均活动范围较低。退变改变在退役球员中较为突出，与现役球员和对照组相比，他们C2至C6节段椎管的矢状径较小。与年龄匹配的对照组相比，足球运动员的磁共振退变表现更为突出。
结论
足球运动员存在早期退变改变的倾向，很可能是由于头球对颈椎造成的高和/或低冲击力反复创伤所致。
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