Low-back pain in adolescent athletes
Low-back pain in adolescent athletes
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DOI：
10.1097/00005768-199602000-00002
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发表时间：
1996-02-01
期刊：
影响因子：
--
通讯作者：
Kaprio, J
中科院分区：
文献类型：
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作者：
Kujala, UM;Taimela, S;Kaprio, J
在这项为期3年的纵向研究中，我们调查了98名青少年中下背痛的发生率和与负荷和损伤相关的下背部解剖学变化：33名非运动员（16名男孩，17名女孩），34名男孩运动员（17名冰球运动员，17名足球运动员）和31名女孩运动员（17名花样滑冰运动员，14名体操运动员）。在3年的随访中，29名（45%; 95%CI，32%-57%）运动员和6名（18%; 95%CI，7%-35%）非运动员报告了持续时间超过1周的腰痛（P = 0.0099）。19例报告腰痛的受试者中有17例报告了急性背部损伤（89%; 95% CI，67%-99%），63例无长期腰痛的受试者中有2例报告了急性背部损伤（3%; 95% CI，0%-11%）（P < 0.0001）。在43名参与基线和随访腰椎MRI检查的女孩中，8名报告急性背部损伤的女孩中有6名（75%; 95% CI，35%-97%）和其余35名女孩中的8名（23%; 95% CI 10%-40%）发现了新的MRI异常（P = 0.018）。总之，在生长突增期过度负重会导致急性下背部损伤，这对下背部是有害的。
In this 3-yr longitudinal study we investigated the occurrence of low-back pain and anatomic changes in the low back in relation to loading and injuries among 98 adolescents: 33 nonathletes (16 boys,17 girls), 34 boy athletes (17 ice hockey, 17 soccer players), and 31 girl athletes (17 figure skaters, 14 gymnasts). During the 3-yr follow-up, low-back pain lasting longer than 1 wk was reported by 29 (45%; 95% CI, 32%-57%) athletes and by 6 (18%; 95% CI, 7%-35%) nonathletes (P = 0.0099). Acute back injury was reported by 17 of 19 subjects who also reported low-back pain (89%; 95% CI, 67%-99%) and by 2 of 63 of those without prolonged low-back pain (3%; 95% CI, 0%-11%) (P < 0.0001). Among 43 girls participating in baseline and follow-up MRI examinations of the lumbar spine, new MRI abnormalities were found in 6 of 8 reporting acute back injury (75%; 95% CI, 35%-97%) and in 8 of the remaining 35 girls (23%; 95% CI 10% to 40%) (P = 0.018). In conclusion, excessive loading that involves a risk for acute low-back injuries during the growth spurt is harmful to the lower back.