Relationship between radiographic abnormalities of lumbar spine and incidence of low back pain in high school and college football players - A prospective study
Relationship between radiographic abnormalities of lumbar spine and incidence of low back pain in high school and college football players - A prospective study
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DOI：
10.1177/0363546503261721
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发表时间：
2004-04-01
影响因子：
4.8
通讯作者：
Wakano, K
中科院分区：
文献类型：
--
作者：
Iwamoto, J;Abe, H;Wakano, K
背景：下背痛是美式足球运动员常见的症状。然而，在日本，足球运动员的骨骼疾病，包括腰部问题，很少被研究，并且还没有建立预防骨骼疾病的管理。研究设计：前瞻性观察的流行病学研究。作者分析了腰椎异常之间的关系，以及171名高中足球运动员和742名大学足球运动员1年内腰痛的发生率。腰椎弓峡部裂，椎间隙狭窄，脊柱不稳，Schmorl的节点，气球光盘，和脊柱裂oculta.Results：高中球员腰椎弓峡部裂有较高的发病率下腰痛（79.8%）比那些没有异常的影像学结果（37.1%）。患有脊椎峡部裂、椎间盘间隙狭窄和脊柱不稳定的大学运动员腰痛的发生率更高（80.5%，59.8%和53.5%）（32.1%），而大学生运动员腰椎峡部裂患者的腰痛发生率高于椎间隙狭窄和脊柱不稳患者。本研究的结果表明，脊柱峡部裂等异常是高中和大学橄榄球运动员腰痛的最重要危险因素，而椎间隙狭窄和脊柱不稳定也是运动员腰痛的重要危险因素，这些运动员具有更大的体育活动，如大学橄榄球运动员。
Background: Low back pain is a common presenting symptom among players of American football. In Japan, however, skeletal disorders in football players, including low back problems, have been rarely studied, and management to prevent skeletal disorders has not been established.Study Design: An epidemiological study with prospective observation.Methods: The authors analyzed the relationship between lumbar spine abnormalities viewed through radiographs taken during the preparticipation physical examination, and the incidence of low back pain during a 1-year period in 171 high school and 742 college football players. Abnormalities assessed were spondylolysis, disc space narrowing, spinal instability, Schmorl's node, balloon disc, and spina bifida occulta.Results: High school players with spondylolysis had a higher incidence of low back pain (79.8%) than those with no abnormal radiographic results (37.1%). College players with spondylolysis, disc space narrowing, and spinal instability had a higher incidence of low back pain (80.5%, 59.8%, and 53.5%, respectively) than those with no abnormal radiographs (32.1%), and college players with spondylolysis had a higher incidence of low back pain than those with disc space narrowing and spinal instability.Conclusions: The results of the present study suggest that an abnormality such as spondylolysis is the most significant risk factor for low back pain in high school and college football players, and that disc space narrowing and spinal instability are also significant risk factors for low back pain in athletes with greater athletic activity such as college football players.