精英游泳运动是否会加速腰椎间盘退变并增加下背部疼痛？一项横断面比较研究。
Does elite swimming accelerate lumbar intervertebral disc degeneration and increase low back pain? A cross-sectional comparison.
作者信息
Folkvardsen Steffen, Magnussen Erland, Karppinen Jaro, Auvinen Juha, Larsen Rasmus Hertzum, Wong Christian, Bendix Tom
机构信息
Department of Orthopedics, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.
Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Rigshospitalet, Glostrup, Denmark.
出版信息
Eur Spine J. 2016 Sep;25(9):2849-55. doi: 10.1007/s00586-016-4642-x. Epub 2016 Jun 11.
PURPOSE
The aim was to elucidate elite swimming's possible influence on lumbar disc degeneration (DD) and low back pain (LBP).
METHODS
Lumbar spine MRI was performed on a group of elite swimmers and compared to a matched Finnish population-based no-sport group.
RESULTS
One hundred elite swimmers and 96 no-sport adults, mean age 18.7/20.8, respectively, participated. Overall, the two groups had similar prevalence of DD. Swimmers had more DD in the upper lumbar spine but tended to have less DD at the lowest level. Prevalence of bulges and disc herniations were similar, but swimmers had significantly more bulges at L4-5. The swimmers reported less LBP, although not significantly (N.S.). If degenerative findings were present, the association between them and LBP was stronger in the no-sport group.
CONCLUSION
Elite swimmers and controls had similar prevalence of DD and LBP, although the pattern of DD differed between the groups. In case of DD, swimmers reported less LBP, although N.S.
目的
旨在阐明精英游泳运动对腰椎间盘退变（DD）和腰痛（LBP）可能产生的影响。
方法
对一组精英游泳运动员进行腰椎磁共振成像（MRI）检查，并与匹配的芬兰非运动人群对照组进行比较。
结果
共有100名精英游泳运动员和96名非运动成年人参与，平均年龄分别为18.7岁和20.8岁。总体而言，两组的腰椎间盘退变患病率相似。游泳运动员上腰椎节段的退变较多，但最低节段的退变往往较少。椎间盘膨出和突出的患病率相似，但游泳运动员在L4 - 5节段的膨出明显更多。游泳运动员报告的腰痛较少，尽管差异无统计学意义（N.S.）。如果存在退变表现，在非运动组中，退变与腰痛之间的关联更强。
结论
精英游泳运动员和对照组的腰椎间盘退变和腰痛患病率相似，尽管两组之间的腰椎间盘退变模式有所不同。在存在腰椎间盘退变的情况下，游泳运动员报告的腰痛较少，尽管差异无统计学意义。
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