Taipei Physical Education College, Graduate Institute of Transition and Leisure Education for Individuals with Disabilities, Taipei, Taiwan.
J Orthop Sports Phys Ther. 2010 Jul;40(7):430-8. doi: 10.2519/jospt.2010.3152.
STUDY DESIGN: Controlled laboratory study using a cross-sectional design. OBJECTIVES: To examine the kinematics and kinetics of the trunk and the physical characteristics of trunk and hip in golfers with and without a history of low back pain (LBP). BACKGROUND: Modified swing patterns and general exercises have been suggested for golfers with back pain. Yet we do not know what contributes to LBP in golfers. To create and validate a low back-specific exercise program to help prevent and improve back injuries in golfers, it may be valuable to understand the differences in biomechanical and physical characteristics of golfers with and without a history of LBP. METHODS: Sixteen male golfers with a history of LBP were matched by age and handicap with 16 male golfers without a history of LBP. All golfers underwent a biomechanical swing analysis, trunk and hip strength and flexibility assessment, spinal proprioception testing, and postural stability testing. RESULTS: The group with a history of LBP demonstrated significantly less trunk extension strength at 60 degrees/s and left hip adduction strength, as well as limited trunk rotation angle toward the nonlead side. No significant differences were found in postural stability, trunk kinematics, and maximum spinal moments during the golf swing. CONCLUSION: Deficits observed in this study may affect a golfer's ability to overcome the spinal loads generated during the golf swing over time. Exercises for improving these physical deficits can be considered, although the cause-effect of LBP in golfers still cannot be determined.
研究设计:采用横断面设计的对照实验室研究。 研究目的:检查有和无下背痛(LBP)病史的高尔夫球手的躯干运动学和动力学以及躯干和臀部的物理特性。 背景:对于有背痛的高尔夫球手,已经提出了改良的挥杆模式和一般运动。然而,我们不知道是什么导致高尔夫球手的背痛。为了制定和验证专门针对下背部的锻炼计划,以帮助预防和改善高尔夫球手的背部受伤,了解有和无 LBP 病史的高尔夫球手的生物力学和物理特性差异可能很有价值。 方法:通过年龄和差点与 16 名无 LBP 病史的男性高尔夫球手相匹配,选择 16 名有 LBP 病史的男性高尔夫球手。所有高尔夫球手都接受了生物力学挥杆分析、躯干和臀部力量和灵活性评估、脊柱本体感觉测试和姿势稳定性测试。 结果:有 LBP 病史的组在 60 度/秒时的躯干伸展力量和左侧髋关节内收力量明显较弱,并且非主导侧的躯干旋转角度有限。在姿势稳定性、躯干运动学和高尔夫挥杆过程中的最大脊柱力矩方面没有发现显著差异。 结论:本研究中观察到的缺陷可能会影响高尔夫球手随着时间的推移克服高尔夫挥杆过程中产生的脊柱负荷的能力。可以考虑进行改善这些身体缺陷的运动,但仍不能确定高尔夫球手的 LBP 的因果关系。
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