Cole M H, Grimshaw P N
School of Health Sciences, University of South Australia, Australia.
J Sci Med Sport. 2008 Apr;11(2):174-81. doi: 10.1016/j.jsams.2007.02.006. Epub 2007 Apr 12.
Twelve male golfers who experienced low back pain (LBP) whilst playing or practicing golf and 18 asymptomatic golfers were recruited and divided into handicap-specific groups; low-handicap golfers, with a handicap between 0 and 12 strokes; and high-handicap golfers, with a handicap of between 13 and 29 strokes. The myoelectric activity of the lumbar erector spinae (ES) and the external obliques (EO) was recorded via surface electromyography (EMG), whilst the golfers performed 20 drives. The root mean square (RMS) was calculated for each subject and the data for the ES and EO were normalised to the EMGs recorded whilst holding a mass equal to 5% of the subjects' body mass at arms length and whilst performing a double-leg raise, respectively. The results showed that the low-handicap LBP golfers tended to demonstrate reduced ES activity at the top of the backswing and at impact and greater EO activity throughout the swing. The high-handicap LBP golfers demonstrated considerably more ES activity compared with their asymptomatic counterparts, whilst EO activity tended to be similar between the high-handicap groups. The reduced ES activity demonstrated by the low-handicap LBP group may be associated with a reduced capacity to protect the spine and its surrounding structures at the top of the backswing and at impact, where the torsional loads are high. When considering this with the increased EO activity demonstrated by these golfers, it is reasonable to suggest that these golfers may be demonstrating characteristics/mechanisms that are responsible for or are a cause of LBP.
招募了12名在打高尔夫球或练习高尔夫球时经历过腰痛(LBP)的男性高尔夫球手和18名无症状的高尔夫球手,并将他们分为特定差点组;低差点高尔夫球手,差点在0至12杆之间;高差点高尔夫球手,差点在13至29杆之间。通过表面肌电图(EMG)记录腰椎竖脊肌(ES)和腹外斜肌(EO)的肌电活动,同时高尔夫球手进行20次击球。计算每个受试者的均方根(RMS),并将ES和EO的数据分别标准化为在手臂伸直时手持等于受试者体重5%的重物以及进行双腿抬高时记录的肌电图。结果表明,低差点LBP高尔夫球手在向后挥杆顶部和击球时往往表现出ES活动减少,并且在整个挥杆过程中EO活动增加。与无症状的高差点高尔夫球手相比,高差点LBP高尔夫球手表现出更多的ES活动,而高差点组之间的EO活动往往相似。低差点LBP组表现出的ES活动减少可能与在后挥杆顶部和击球时保护脊柱及其周围结构的能力降低有关,此时扭转负荷较高。考虑到这些高尔夫球手表现出的EO活动增加,有理由认为这些高尔夫球手可能表现出导致LBP或引发LBP的特征/机制。
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