Kraft C N, Scharfstädt A, Yong M, Westhoff B, Urban N, Falkenhausen M v, Pennekamp P H
Klinik für Orthopädie, Unfall- und Handchirurgie, Klinikum Krefeld.
Sportverletz Sportschaden. 2007 Sep;21(3):142-7. doi: 10.1055/s-2007-963542.
A connection between morphologic lesions of the spine and specific sport disciplines incorporating torsional and hyperextension forces has been found. Although vaulting incorporates a significant amount of figures known from gymnastics, little is known about the influence of this sport on the lower back. The aim of our study was to assess to what extent vaulters suffer from back pain and whether these symptoms correlate to findings in magnetic resonance imaging (MRI) of the lumbar spine.
20 high level vaulters ( [see text] age 21.95 [15 - 36] years) were included in the study. Using a standardised questionnaire biometric data, training intensity, localisation as well as intensity of back pain (VAS) was assessed. 12 of these vaulters agreed to an MRI scan of their lumbar spine. Scans were evaluated for morphologic changes using a semiquantative score and the results were correlated to clinical symptoms.
17 / 20 (85 %) reported of back pain of which 15 (75 %) had daily pain, the remaining 2 only occasionally. The average pain intensity on the visual analogue scale (VAS) was reported to be 3.76 +/- 0.53. The MRI scans revealed only slight degenerative changes of the lumbar spine. Statistical analysis of the data (Spearman's rank test) could not show a significant correlation between clinical symptoms and morphologic MRI-changes.
Vaulters, compared to riders of other disciplines, seem to suffer from recurrent back pain to a greater extent. Despite the fact that the lumbar spine is confronted with repetitive torsional and hyperextension forces, vaulters do not show undue early degenerative changes or marked lesions of the lumbar spine. Recurrent back pain in the vaulter is most likely due to functional problems. It seems unlikely that is based on manifest morphologic changes of the lower back.
已发现脊柱形态学病变与包含扭转和过伸力的特定运动项目之间存在关联。尽管跳马包含大量从体操中熟知的动作，但关于这项运动对下背部的影响却知之甚少。我们研究的目的是评估跳马运动员背痛的程度，以及这些症状是否与腰椎磁共振成像（MRI）的结果相关。
20名高水平跳马运动员（年龄21.95 [15 - 36]岁）纳入研究。使用标准化问卷评估生物特征数据、训练强度、背痛的部位以及强度（视觉模拟评分法[VAS]）。其中12名跳马运动员同意进行腰椎MRI扫描。使用半定量评分评估扫描结果的形态学变化，并将结果与临床症状相关联。
20名中有17名（85%）报告有背痛，其中15名（75%）每天都疼，其余2名只是偶尔疼痛。据报告，视觉模拟量表（VAS）上的平均疼痛强度为3.76±0.53。MRI扫描仅显示腰椎有轻微的退行性改变。对数据进行统计分析（Spearman秩检验）未显示临床症状与MRI形态学变化之间存在显著相关性。
与其他项目的运动员相比，跳马运动员似乎更容易反复出现背痛。尽管腰椎面临反复的扭转和过伸力，但跳马运动员并未表现出过度的早期退行性改变或明显的腰椎病变。跳马运动员反复出现的背痛很可能是由于功能问题。似乎不太可能是基于下背部明显的形态学变化。
