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年轻精英曲棍球运动员、足球运动员和速滑运动员的腰痛:患病率及危险因素。

Low back pain in young elite field hockey players, football players and speed skaters: Prevalence and risk factors.

作者信息

van Hilst Jony, Hilgersom Nick F J, Kuilman Miriam C, Kuijer P Paul F M, Frings-Dresen Monique H W

出版信息

J Back Musculoskelet Rehabil. 2015;28(1):67-73. doi: 10.3233/BMR-140491.

Abstract

BACKGROUND

Low back pain (LBP) hampers performance and experiencing an episode of LBP is strongly associated with recurrent episodes.

OBJECTIVE

The prevalence of LBP and associated risk factors among young elite athletes in popular sports in the Netherlands were studied.

METHODS

A questionnaire-based cross-sectional study was performed among 236 young elite athletes aged between 14–25 years in field hockey, football and speed skating.

RESULTS

One hundred and eighty one (n = 181) athletes responded (response rate 77%). The overall, 12-month prevalence of LBP for the three sports was 60%: field hockey 56%, football 64% and speed skating 60%. Satisfaction with their own performance (OR = 0.5 95%CI:0.3–0.9) and with the coaching staff (OR = 0.5, 95%CI:0.4–0.8) were associated with a lower occurrence of LBP in field hockey. No sport-related risk factors were found in football. In speed skating more training hours (OR = 1.1, 95%CI:1.0–1.2), performance of Pilates (OR = 4.1, 95%CI:1.1–15.7) and more time spent on warming up (OR = 1.1, 95%CI:1.0–1.1) were associated with the occurrence of LBP.

CONCLUSIONS

Prevalence of LBP among young elite athletes compared to the general age-related population was 3–5 times higher. Sport-related risk factors of LBP were found in field hockey and in speed skating.

摘要

背景

腰痛(LBP)会妨碍运动表现,且经历一次腰痛与复发性发作密切相关。

目的

研究荷兰流行运动项目中年轻精英运动员腰痛的患病率及相关危险因素。

方法

对236名年龄在14至25岁之间的曲棍球、足球和速滑项目的年轻精英运动员进行了基于问卷的横断面研究。

结果

181名运动员做出回应(回应率77%)。这三项运动的12个月腰痛总体患病率为60%:曲棍球56%,足球64%,速滑60%。在曲棍球运动中,对自身表现的满意度(比值比=0.5,95%置信区间:0.3 - 0.9)和对教练组的满意度(比值比=0.5,95%置信区间:0.4 - 0.8)与较低的腰痛发生率相关。在足球运动中未发现与运动相关的危险因素。在速滑运动中,更多的训练时长(比值比=1.1,95%置信区间:1.0 - 1.2)、进行普拉提训练(比值比=4.1,95%置信区间:1.1 - 15.7)以及更多的热身时间(比值比=1.1,95%置信区间:1.0 - 1.1)与腰痛的发生相关。

结论

与一般年龄相关人群相比,年轻精英运动员中腰痛的患病率高出3至5倍。在曲棍球和速滑运动中发现了与腰痛相关的运动危险因素。

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