Baseline anthropometry, flexibility and strength characteristics and future low‐back pain in adolescent athletes and nonathletes
Baseline anthropometry, flexibility and strength characteristics and future low‐back pain in adolescent athletes and nonathletes
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青少年运动员和非运动员的基线人体测量、灵活性和力量特征以及未来的腰痛
DOI：
10.1111/j.1600-0838.1994.tb00426.x
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发表时间：
1994
影响因子：
4.1
通讯作者：
A. Oksanen
中科院分区：
文献类型：
--
作者：
U. Kujala;S. Taimela;J. Salminen;A. Oksanen
通过检查86名运动员和33名非运动员（共119名青少年（52名男孩和67名女孩））的体力活动，腰痛报告和身体测量，寻找与腰痛相关的因素。体格健壮的男孩参加团体运动（19人参加足球，17人参加冰球），体格健壮的女孩参加个人运动或舞蹈（14人参加体操，17人参加花样滑冰，19人参加芭蕾舞）。所有受试者在研究开始时和1年随访时回答了关于体力活动和疼痛史的问卷。在研究开始时，受试者还参与了人体测量、灵活性（关节过度活动和肌肉紧张）和力量的定量测量。在多变量分析中，基线时腰椎屈曲度和髋屈肌紧张度降低可预测随访期间男孩的腰痛。在基线时体重高于平均体重和基线前12个月内腰痛的女孩中，测量值可预测随访期间的腰痛。然而，与不同体力活动组之间的差异相比，有和没有腰痛的组之间的差异很小。总之，应该把注意力集中在腰痛上，它在青少年运动员参加个人运动时积累，如花样滑冰和体操。我们的研究结果表明，灵活性和力量测量是确定运动员在高风险的弱预测。
Factors associated with low‐back pain were sought by examining physical activity, low‐back pain reports and physical measurements in 86 athletes and 33 nonathletes, a total of 119 adolescents (52 boys and 67 girls). The athletic boys participated in team sports (19 in soccer and 17 in ice hockey) and the athletic girls in individual sports or dance (14 in gymnastics, 17 in figure skating, and 19 in ballet). All subjects answered a questionnaire on physical activity and pain history at the beginning of the study and at the 1‐year follow‐up. At the beginning of the study, the subjects also participated in quantitative measurements of anthropometry, flexibility (joint hypermobility and muscular tightness), and strength. In multivariate analysis, decreased lumbar flexion and hip flexor tightness at the baseline were predictive of low‐back pain among boys during the follow‐up. Among girls higher than average body weight at the baseline and low‐back pain during the 12 months preceding the baseline measurements were predictive of low‐back pain during the follow‐up. However, the differences between the groups with and without low‐back pain were small compared with the differences between different physical activity groups. In conclusion, attention should be focused on low‐back pain, which accumulates in adolescent athletes participating in individual sports, such as figure skating and gymnastics. Our results suggest that flexibility and strength measurements are weak predictors in determining athletes at high risk.