School of Exercise Science, Faculty of Health Sciences, Australian Catholic University, PO Box 456, Virginia, Queensland 4014, Australia.
School of Mechanical Engineering, Faculty of Engineering, Computer and Mathematical Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia.
Spine J. 2014 May 1;14(5):799-807. doi: 10.1016/j.spinee.2013.09.019. Epub 2013 Oct 12.
BACKGROUND CONTEXT: The golf swing exposes the spine to complex torsional, compressive, and shearing loads that increase a player's risk of injury. The crunch factor (CF) has been described as a measure to evaluate the risk of low back injuries in golfers and is based on the notion that lateral flexion and axial trunk rotation jointly contribute to spinal degeneration. However, few studies have evaluated the appropriateness of this measure in golfers with low back pain (LBP). PURPOSE: To objectively examine the usefulness of the CF as a measure for assessing the risk of low back injury in golfers. STUDY DESIGN: Field-based research using a cross-sectional design. METHODS: This research used three-dimensional motion analysis to assess the golf swings of 12 golfers with LBP and 15 asymptomatic controls. Three-dimensional kinematics were derived using Vicon Motus, and the CF was calculated as the instantaneous product of axial trunk rotation velocity and lateral trunk flexion angle. RESULTS: Maximum CFs and their timings were not significantly different between the symptomatic and asymptomatic groups. Furthermore, for those golfers who produced higher CFs (irrespective of the group), the increased magnitude could not be attributed to an increased axial angular trunk velocity or lateral flexion angle, but rather to a concomitant increase in both of these variables. CONCLUSIONS: The findings suggested that although the fundamental concepts that underpin the CF seem sensible, this measure does not appear to be sensitive enough to distinguish golfers with LBP from the asymptomatic players.
背景:高尔夫挥杆会使脊柱承受复杂的扭转、压缩和剪切力,增加球员受伤的风险。挤压因子(CF)被描述为评估高尔夫球手腰背受伤风险的一种测量方法,其理论依据是认为横向弯曲和轴向躯干旋转共同导致脊柱退化。然而,很少有研究评估 CF 在腰背疼痛(LBP)的高尔夫球手中的适用性。 目的:客观评估 CF 作为评估高尔夫球手腰背受伤风险的一种测量方法的有用性。 研究设计:使用横断面设计的现场研究。 方法:本研究使用三维运动分析评估了 12 名有 LBP 的高尔夫球手和 15 名无症状对照组的高尔夫挥杆。三维运动学使用 Vicon Motus 得出,CF 计算为轴向躯干旋转速度和横向躯干弯曲角度的瞬时乘积。 结果:症状组和无症状组之间最大 CF 值及其出现时间没有显著差异。此外,对于产生较高 CF 值的那些高尔夫球手(无论组别如何),增加的幅度不能归因于轴向角速度或横向弯曲角度的增加,而是归因于这两个变量的同时增加。 结论:研究结果表明,尽管 CF 背后的基本概念似乎合理,但这种测量方法似乎不够敏感,无法区分有 LBP 的高尔夫球手和无症状的高尔夫球手。
Spine J. 2013-10-12
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