业余运动员腰椎间盘突出症和慢性下腰痛的身体功能:病例对照研究。
Physical Function in Amateur Athletes with Lumbar Disc Herniation and Chronic Low Back Pain: A Case-Control Study.
机构信息
Premium Madrid Global Health Care, 28016 Madrid, Spain.
Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.
出版信息
Int J Environ Res Public Health. 2022 Mar 21;19(6):3743. doi: 10.3390/ijerph19063743.
This study aimed to analyze if chronic low back pain (LBP) and lumbar disc herniation induce biomechanics, flexibility, body balance, physical activity, and muscular function alterations compared to a similar asymptomatic cohort. Fifty male volunteers (n = 25 with chronic LBP and lumbar disc herniation and n = 25 pain-free subjects) were enrolled. Range of motion (internal and external hip rotation, ankle dorsiflexion, and active straight leg raise, ASLR), trunk flexibility (finger−floor distance), body balance (Y-balance test) and muscle function (Biering−Sorensen test, prone and lateral bridges) outcomes were assessed. Comparative analyses between sides and group were conducted. Results: Patients showed greater weight and BMI compared with controls (p < 0.05). None of the outcomes bilaterally assessed showed side-to-side differences for pain-free participants (all, p > 0.05) or LBP patients (all, p > 0.05). Regarding the differences between groups, LBP patients showed limited internal hip rotation (p < 0.001), finger−floor distance (p < 0.001), body balance (p < 0.001), and muscle endurance (planks p < 0.001; Biering−Sorensen test p < 0.05). External hip rotation, ASLR, and ankle dorsiflexion range of movement were comparable in both groups (p > 0.05). The sample of pain-free amateur athletes showed greater range of movement for internal hip rotation, lower finger−floor distance, better body balance, and muscle function. However, the external hip rotation, ankle dorsiflexion, and ASLR tests showed no difference between cases and controls.
本研究旨在分析慢性下腰痛(LBP)和腰椎间盘突出症是否会引起生物力学、柔韧性、身体平衡、身体活动和肌肉功能改变,并与相似的无症状队列进行比较。共纳入 50 名男性志愿者(n = 25 名慢性 LBP 和腰椎间盘突出症患者,n = 25 名无痛受试者)。评估了运动范围(髋关节内、外旋转,踝关节背屈,主动直腿抬高,ASLR)、躯干柔韧性(手指-地面距离)、身体平衡(Y 平衡测试)和肌肉功能(Biering-Sorensen 测试、俯桥和侧桥)结果。对侧别和组间进行了比较分析。结果:与对照组相比,患者的体重和 BMI 更大(p < 0.05)。无痛受试者双侧评估的所有结果均无侧别差异(均 p > 0.05)或 LBP 患者(均 p > 0.05)。关于组间差异,LBP 患者髋关节内旋(p < 0.001)、手指-地面距离(p < 0.001)、身体平衡(p < 0.001)和肌肉耐力(俯桥 p < 0.001;Biering-Sorensen 测试 p < 0.05)均受限。两组间髋关节外旋、ASLR 和踝关节背屈运动范围无差异(p > 0.05)。无痛业余运动员样本的髋关节内旋运动范围更大,手指-地面距离更低,身体平衡和肌肉功能更好。然而,髋关节外旋、踝关节背屈和 ASLR 测试在病例组和对照组之间无差异。
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