Ahrens S F
Carolina Health Physical Therapy, Charlotte, NC 28236-6935.
J Orthop Sports Phys Ther. 1994 Jul;20(1):17-21. doi: 10.2519/jospt.1994.20.1.17.
Previous studies have shown that intervertebral discs compress under axial loading, yet few studies have examined the relationship between disc age and compressibility. The purpose of this study was to determine if the amount of vertebral column height (VCH) loss induced by running was significantly different between two age groups, 17 males ages 20-27 years and 14 males ages 50-57 years, who could comfortably run 6 miles. The subjects had no previous or current back pathologies. Within 1.5 hours of rising in the morning, each subject's VCH was measured from spinous processes C7 to S2. Immediately following the measurement, each subject ran a predetermined, paved, 6-mile course at a comfortable pace. Within minutes after completing the run, each subject was again measured for VCH. Paired t tests revealed significant decreases in VCH after the run in both groups. An independent t test showed no significant differences between the respective age groups in terms of postrun VCH decreases. Although no significant differences were noted between groups, this study has demonstrated that both age groups experienced significant decreases in VCH after a 6-mile run. These findings have implications for physical therapy for younger and older male patients who may have back pathologies and require an exercise program. Patients may be advised to limit running due to possible exacerbation of back symptoms.
先前的研究表明,椎间盘在轴向负荷下会受到压缩,但很少有研究探讨椎间盘年龄与可压缩性之间的关系。本研究的目的是确定在两个年龄组(17名年龄在20 - 27岁的男性和14名年龄在50 - 57岁的男性,他们能够轻松跑完6英里)中,跑步引起的脊柱高度(VCH)损失量是否存在显著差异。这些受试者既往和当前均无背部疾病。在早晨起床后1.5小时内,从C7棘突至S2测量每个受试者的VCH。测量后,每个受试者立即以舒适的 pace 跑完预定的6英里铺砌道路。在完成跑步后的几分钟内,再次测量每个受试者的VCH。配对t检验显示两组跑步后VCH均显著下降。独立t检验表明,在跑步后VCH下降方面,各年龄组之间无显著差异。虽然两组之间未发现显著差异,但本研究表明,两个年龄组在跑完6英里后VCH均显著下降。这些发现对于可能患有背部疾病且需要运动计划的年轻和老年男性患者的物理治疗具有启示意义。由于可能会加重背部症状,建议患者限制跑步。