参与旋转相关运动的有和没有腰痛的人群的髋关节旋转运动范围。
Hip rotation range of motion in people with and without low back pain who participate in rotation-related sports.
作者信息
Van Dillen Linda R, Bloom Nancy J, Gombatto Sara P, Susco Thomas M
机构信息
Program in Physical Therapy and Orthopedic Surgery, Washington University Medical School, St. Louis, MO 63110, USA.
出版信息
Phys Ther Sport. 2008 May;9(2):72-81. doi: 10.1016/j.ptsp.2008.01.002.
OBJECTIVE
To examine whether passive hip rotation motion was different between people with and without low back pain (LBP) who regularly participate in sports that require repeated rotation of the trunk and hips. We hypothesized that people with LBP would have less total hip rotation motion and more asymmetry of motion between sides than people without LBP.
DESIGN
Two group, case-control.
SETTING
University-based musculoskeletal analysis laboratory.
PARTICIPANTS
Forty-eight subjects (35 males, 13 females; mean age: 26.56+/-7.44 years) who reported regular participation in a rotation-related sport participated. Two groups were compared; people with LBP (N=24) and people without LBP (N=24; NoLBP).
MAIN OUTCOME MEASURES
Data were collected on participant-related, LBP-related, sport-related and activity-related variables. Measures of passive hip rotation range of motion were obtained. The differences between the LBP and NoLBP groups were examined.
RESULTS
People with and without a history of LBP were the same with regard to all participant-related, sport-related and activity-related variables. The LBP group had significantly less total rotation (P=.035) and more asymmetry of total rotation, right hip versus left hip, (P=.022) than the NoLBP group. Left total hip rotation was more limited than right total hip rotation in the LBP group (P=.004). There were no significant differences in left and right total hip rotation for the NoLBP group (P=.323).
CONCLUSIONS
Among people who participate in rotation-related sports, those with LBP had less overall passive hip rotation motion and more asymmetry of rotation between sides than people without LBP. These findings suggest that the specific directional demands imposed on the hip and trunk during regularly performed activities may be an important consideration in deciding which impairments may be most relevant to test and to consider in prevention and intervention strategies.
目的
研究定期参加需要反复转动躯干和髋部的运动的人群中，有和没有腰痛（LBP）的人之间被动髋部旋转运动是否存在差异。我们假设，与没有LBP的人相比，有LBP的人髋部总旋转运动更少，两侧运动的不对称性更大。
设计
两组，病例对照研究。
地点
大学肌肉骨骼分析实验室。
参与者
48名报告定期参加与旋转相关运动的受试者（35名男性，13名女性；平均年龄：26.56±7.44岁）。比较了两组：有LBP的人（N = 24）和没有LBP的人（N = 24；无LBP）。
主要观察指标
收集与参与者、LBP、运动和活动相关的变量数据。获得被动髋部旋转运动范围的测量值。检查LBP组和无LBP组之间的差异。
结果
有和没有LBP病史的人在所有与参与者、运动和活动相关的变量方面相同。与无LBP组相比，LBP组的总旋转明显更少（P = .035），总旋转的不对称性更大，即右髋与左髋相比（P = .022）。LBP组中左髋总旋转比右髋总旋转更受限（P = .004）。无LBP组的左右髋总旋转无显著差异（P = .323）。
结论
在参加与旋转相关运动的人群中，与没有LBP的人相比，有LBP的人总体被动髋部旋转运动更少，两侧旋转的不对称性更大。这些发现表明，在定期进行的活动中对髋部和躯干施加的特定方向要求，可能是决定哪些损伤与测试最相关以及在预防和干预策略中应考虑哪些损伤时的一个重要考虑因素。
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