Goto Tsuyoshi, Sakai Toshinori, Sato Nori, Katoh Shinsuke, Sairyo Koichi
Department of Rehabilitation Medicine, Tokushima University Hospital, Tokushima, Japan.
Department of Orthopedics, Institute ofBiomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
J Med Invest. 2019;66(1.2):199-200. doi: 10.2152/jmi.66.199.
Spina bifida occulta (SBO) is a common malformation of lamina of the spine, most commonly occurring in the sacrum or lower lumbar spine. Athletes with anatomical abnormalities such as SBO may be vulnerable to discoordination of muscles and/or skeletal structures.
We present a case of a 15- year-old male adolescent who presented with persistent low back pain (LBP) associated with SBO at T11-L1 that had been overlooked for several years. He participated in karate as a top-level competitor at the nationallevel, but the LBP interfered with his play. Dynamic X-ray films showed limited range of motion (ROM) in his lower lumbar spine (L3-S1). Instead, the thoracolumbar junction compensated for the lack of ROM in the lumbar spine,enabling trunk flexion and extension. To restore normal coordination, he was treated with a 2-week rehabilitation program including flexibility and core conditioning for the trunk to improve coordination of spinal movement. Two weeks later, his LBP resolved.
These results suggest that evaluation of the coordination of the muscles and skeletal structures has an important role in the treatment of cases with an anatomical abnormality such as SBO. J.Med.Invest.66:199-200, February, 2019.
隐性脊柱裂（SBO）是一种常见的脊柱椎板畸形，最常发生于骶骨或下腰椎。患有诸如隐性脊柱裂等解剖学异常的运动员可能易出现肌肉和/或骨骼结构失调。
我们报告一例15岁男性青少年病例，该患者因T11 - L1水平的隐性脊柱裂出现持续性腰痛（LBP），此情况已被忽视数年。他作为国家级顶级选手参加空手道比赛，但腰痛影响了他的比赛。动态X线片显示其下腰椎（L3 - S1）活动范围（ROM）受限。相反，胸腰段交界处代偿了腰椎活动范围的不足，使躯干能够进行屈伸活动。为恢复正常协调性，对他进行了为期2周的康复计划，包括针对躯干的灵活性和核心训练，以改善脊柱运动的协调性。两周后，他的腰痛症状消失。
这些结果表明，评估肌肉和骨骼结构的协调性在治疗诸如隐性脊柱裂等解剖学异常病例中具有重要作用。《医学调查杂志》66:199 - 200，2019年2月。
