Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study.

Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study.
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DOI:
10.1186/1471-2474-8-129
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发表时间:
2007-12-31
影响因子:
2.3
通讯作者:
Greene HS
Greene HS
中科院分区:
医学3区
文献类型:
--
作者:
Silfies SP;Cholewicki J;Reeves NP;Greene HS

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腰椎本体感觉受损经常被报道在腰痛患者中。然而,没有前瞻性研究来断言这种关联的因果关系。我们假设,运动员与下背部损伤(LBI)的历史将表现出较差的腰椎位置感(PS)比运动员没有LBI的历史,这种赤字将是未来LBI的一个危险因素。这是一项随访2-3年的前瞻性队列研究。采用三种测试方法对292名运动员的腰椎PS进行了评估:1)被动和2)主动躯干复位,3)运动知觉阈值。计算平均绝对(准确度)和变量(精密度)误差。有和没有LBI史的运动员之间,或在随访期间受伤和没有受伤的运动员之间,在重新定位错误或运动感知阈值方面没有显着差异。主动躯干复位导致的误差小于被动躯干复位(绝对误差和相对误差分别为1.6°± 0.8° vs 2.1°± 1.0°和1.7°± 0.8° vs 2.3°± 1.1°)。在运动员的LBI中,横向平面中的躯干PS差与LBI无关,也没有出现躯干PS差使运动员易于LBI。
Impaired proprioception in the lumbar spine has often been reported in people with low back pain. However, no prospective studies exist to assert the cause and effect of this association. We hypothesized that athletes with a history of low back injury (LBI) would demonstrate poorer lumbar position sense (PS) than athletes without a history of LBI, and that this deficit would be a risk factor for future LBI. This was a prospective cohort study with 2–3 year follow-up. Lumbar spine PS in the transverse plane was evaluated in 292 athletes using three tests: 1) passive and 2) active trunk repositioning, and 3) motion perception threshold. Mean absolute (accuracy) and variable (precision) errors were computed. There were no significant differences in the repositioning errors or motion perception threshold between athletes with and without a history of LBI or between those who did and did not get injured during the follow-up. Active trunk repositioning resulted in smaller errors than passive repositioning (1.6°± 0.8°) versus 2.1°± 1.0°) and 1.7°± 0.8°) versus 2.3°± 1.1°) for the absolute and relative errors, respectively). Poor trunk PS in transverse plane is not associated with LBI in athletes, nor does it appear that poor trunk PS predisposes athletes to LBI.
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