Wada E, Ebara S, Saito S, Ono K
Department of Orthopaedic Surgery, Osaka University Medical School, Japan.
Spine (Phila Pa 1976). 1992 Mar;17(3 Suppl):S1-6. doi: 10.1097/00007632-199203001-00001.
It has been suggested that overuse can accelerate the progression of cervical spondylosis. This assumption was derived from a study examining premature onset of cervical spondylosis in patients with athetoid cerebral palsy. To clarify the relationship between overuse and structural abnormalities of the spine, repetitive extension-flexion movement was located onto young rabbit spines through electric stimulation of the trapezius muscle. Repetitive loads of 200,000 cycles caused more severe delamination of the anulus fibrosus than control at the lower cervical spine. In addition, it was associated with early osteophyte formation at the same disc level. No severe degeneration of the nucleus pulposus, however, occurred through repetitive loading. It was found that repetitive movement could accelerate the progression of structural abnormalities, such as cervical spondylosis. This result suggests that overuse is an important factor in the pathogenesis of spondylosis.
有人认为过度使用会加速颈椎病的进展。这一假设源自一项针对手足徐动型脑瘫患者颈椎病过早发病的研究。为了阐明过度使用与脊柱结构异常之间的关系,通过电刺激斜方肌将重复性屈伸运动施加到幼兔脊柱上。200,000次循环的重复负荷在下颈椎处比对照组导致了更严重的纤维环分层。此外,它与同一椎间盘水平的早期骨赘形成有关。然而,通过重复负荷并未发生髓核的严重退变。研究发现重复性运动可加速诸如颈椎病等结构异常的进展。这一结果表明过度使用是脊椎病发病机制中的一个重要因素。