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男性撑竿跳运动员中腰椎间盘退变或腰椎峡部裂与无退变或峡部裂者最大关节角度比较。

Comparison of maximum joint angles during pole vaulting between male pole vaulters with and without lumbar disc degeneration or lumbar spondylolysis.

机构信息

School of Health and Sport Sciences, Chukyo University, Toyota, Aichi, Japan.

Graduate School of Health and Sport Sciences, Chukyo University, Toyota, Aichi, Japan.

出版信息

J Back Musculoskelet Rehabil. 2023;36(3):629-636. doi: 10.3233/BMR-210331.

Abstract

BACKGROUND

Pole vaulting involves trunk flexion, extension, and rotation, which may place the lumbar spine under stress. Repeated pole vaulting may cause lumbar disc degeneration (DD) and lumbar spondylolysis (LS); however, this phenomenon is yet to be established.

OBJECTIVE

This study aimed to determine the difference in the maximum joint angles of the shoulder, hip, and trunk during pole vaulting between male pole vaulters with and without lumbar DD or LS.

METHODS

This retrospective study included 17 male pole vaulters. Four high-speed cameras were used to record the pole vaulters at 240 Hz. Radiography and magnetic resonance imaging were used to examine the lumbar spine in all athletes. Differences in the data between two sets of groups were analyzed using the unpaired t-test or the Mann-Whitney U test.

RESULTS

There was a significant difference in the maximum joint angle of hip flexion between pole vaulters with and without lumbar DD (p= 0.03).

CONCLUSION

Pole vaulters with lumbar DD may use lumbar flexion instead of hip flexion during the rock-back movement. Moreover, LS may occur due to repeated failed vaulting. Therefore, trunk stability and functional movements should be prioritized to prevent organic changes in the lower back.

摘要

背景

撑杆跳涉及躯干的屈曲、伸展和旋转,这可能会给腰椎带来压力。反复的撑杆跳可能会导致腰椎间盘退变(DD)和腰椎峡部裂(LS);然而,这一现象尚未得到证实。

目的

本研究旨在确定患有和不患有腰椎 DD 或 LS 的男性撑杆跳运动员在撑杆跳过程中肩部、臀部和躯干的最大关节角度是否存在差异。

方法

这是一项回顾性研究,共纳入 17 名男性撑杆跳运动员。使用四台高速摄像机以 240Hz 的频率记录撑杆跳运动员的动作。对所有运动员的腰椎进行 X 线和磁共振成像检查。使用独立样本 t 检验或曼-惠特尼 U 检验分析两组间数据的差异。

结果

患有和不患有腰椎 DD 的撑杆跳运动员的髋关节最大屈曲角度存在显著差异(p=0.03)。

结论

患有腰椎 DD 的撑杆跳运动员在“后摆”动作中可能会使用腰椎屈曲代替髋关节屈曲。此外,由于反复失败的撑杆跳,可能会发生 LS。因此,应优先考虑躯干稳定性和功能性运动,以防止下背部发生器质性变化。

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