THE LONG-TERM EFFECTS OF PHYSICAL LOADING AND EXERCISE LIFE-STYLES ON BACK-RELATED SYMPTOMS, DISABILITY, AND SPINAL PATHOLOGY AMONG MEN
THE LONG-TERM EFFECTS OF PHYSICAL LOADING AND EXERCISE LIFE-STYLES ON BACK-RELATED SYMPTOMS, DISABILITY, AND SPINAL PATHOLOGY AMONG MEN
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DOI：
10.1097/00007632-199503150-00011
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发表时间：
1995-03-15
期刊：
影响因子：
3
通讯作者：
GIBBONS, L
中科院分区：
文献类型：
--
作者：
VIDEMAN, T;SAMA, S;GIBBONS, L
研究设计。历史队列，包括选定的亚组。目标。为了了解运动对背部相关结果的长期影响，对前精英运动员进行了背痛、坐骨神经痛、背部相关住院治疗、养老金和磁共振成像结果的研究。背景数据摘要。锻炼和体育运动参与变得越来越受欢迎，针对背部问题的锻炼建议也越来越受欢迎，但对其长期影响却知之甚少。方法。 937 名前精英运动员和 620 名对照组受试者返回了问卷（回复率为 83%）。识别码允许记录链接到出院和养老金登记册。获得具有对比物理负荷模式的选定亚组的磁共振图像。结果。运动员背痛的比值比低于对照组，在耐力、短跑和竞技运动、摔跤和拳击方面差异显着。坐骨神经痛的发生率或背部相关的养老金和住院率没有差异。在比较 24 名跑步者、26 名足球运动员、19 名举重运动员和 25 名射击运动员的腰椎磁共振图像时，椎间盘退变和膨出在举重运动员中最常见；足球运动员的 L4-S1 光盘也有类似的变化。跑步者和射击者的磁共振图像没有发现显着差异。结论。最大举重与整个腰椎更大的退化有关，而足球则与下腰椎区域的退化有关。在竞技跑步者中没有发现椎间盘加速退化的迹象。然而，背痛在运动员中比对照组少见，并且住院或养老金方面没有显着差异。与轻度运动相比，剧烈运动对背部的影响并未显示出任何益处。
Study Design. Historical cohort, including selected subgroups.Objectives. to understand the long-term effects of exercise on back-related outcomes, back pain, sciatica, back-related hospitalizations, pensions, and magnetic resonance imaging findings were studies among former elite athletes.Summary of Background Data. Exercise and sports participation have become increasingly popular, as have recommendations of exercises for back problems, but little is known about their long-term effects.Methods. Questionnaires were returned by 937 former elite athletes and 620 control subjects (83% response rate). Identification codes allowed record linkage to hospital discharge and pension registers. Magnetic resonance images were obtained of selected subgroups with contrasting physical loading patterns.Results. Odds ratios for back pain were lower among athletes than among control subjects, with significant differences in endurance, sprinting and game sports, and wrestling and boxing. No differences in the occurrence of sciatica or in back-related pensions and hospitalizations were seen. When comparing lumbar magnetic resonance images of 24 runners, 26 soccer players, 19 weight lifters, and 25 shooters, disc degeneration and bulging were most common among weight lifters; soccer players had similar changes in the L4-S1 discs. No significant differences were seen in the magnetic resonance images of runners and shooters.Conclusions. Maximal weight lifting was associated with greater degeneration throughout the entire lumbar spine, and soccer with degeneration in the lower lumbar region. No signs of accelerated disc degeneration were found in competitive runners. However, back pain was less common among athletes than control subjects and there were no significant differences in hospitalizations or pensions. No benefits were shown for vigorous exercise compared with lighter exercise with respect to back findings.