Adolescent flexibility, endurance strength, and physical activity as predictors of adult tension neck, low back pain, and knee injury: a 25 year follow up study
Adolescent flexibility, endurance strength, and physical activity as predictors of adult tension neck, low back pain, and knee injury: a 25 year follow up study
复制标题
DOI：
10.1136/bjsm.2004.017350
复制
发表时间：
2006-02-01
影响因子：
18.4
通讯作者：
Kujala, UM
中科院分区：
文献类型：
--
作者：
Mikkelsson, LO;Nupponen, H;Kujala, UM
目的：研究是否青少年的灵活性，耐力强度和体力活动可以预测以后发生的复发性腰痛，紧张性颈部，或膝关节injuries.Methods：在1976年，520名男性和605名女性参加了坐着，达到测试（灵活性）和30秒的仰卧起坐测试（耐力强度）。在1976年和2001年，他们（37岁和42岁）完成了一份问卷调查。根据力量和灵活性测试的基线结果将受试者分为三分位数，计算自我报告的腰痛和自我报告的、医生诊断的张力性颈部和膝关节损伤的终生发生率和风险。来自最高基线柔韧性三分位数的男性比来自最低三分位数的男性有更低的颈部紧张风险（比值比（OR）0.51，95%置信区间（CI）0.28至0.93）。来自最高基线耐力强度三分位数的女性的颈张力风险低于来自最低三分位数的女性（OR 0.60，95% CI 0.40 - 0.91）。来自最高基线耐力强度三分位数的男性膝关节损伤的风险高于来自最低三分位数的男性（OR 1.96，95% CI 1.05至3.64）。男性在学龄期参加体力活动的风险较低，经常性腰痛（OR 0.61; 95%CI 0.42至0.88）比那些谁没有。结论：整体良好的灵活性，男孩和女孩的耐力强度良好，可能有助于降低紧张颈部的风险。男孩的高耐力可能表明膝盖受伤的风险增加。
Objective: To examine whether adolescent flexibility, endurance strength, and physical activity can predict the later occurrence of recurrent low back pain, tension neck, or knee injury.Methods: In 1976, 520 men and 605 women participated in a sit and reach test ( flexibility) and a 30 second sit up test ( endurance strength). In 1976 and 2001 ( aged 37 and 42 years) they completed a questionnaire. Lifetime occurrence and risk of self reported low back pain and self reported, physician diagnosed tension neck and knee injury were calculated for subjects divided into tertiles by baseline results of strength and flexibility tests.Results: Men from the highest baseline flexibility tertile were at lower risk of tension neck than those from the lowest tertile ( odds ratio ( OR) 0.51, 95% confidence interval (CI) 0.28 to 0.93). Women from the highest baseline endurance strength tertile were at lower risk of tension neck than those from the lowest tertile ( OR 0.60, 95% CI 0.40 to 0.91). Men from the highest baseline endurance strength tertile were at higher risk of knee injury than those from the lowest tertile ( OR 1.96, 95% CI 1.05 to 3.64). Men who at school age participated in physical activity were at lower risk of recurrent low back pain ( OR 0.61; 95% CI 0.42 to 0.88) than those who did not.Conclusions: Overall good flexibility in boys and good endurance strength in girls may contribute to a decreased risk of tension neck. High endurance strength in boys may indicate an increased risk of knee injury.