Emma Feng Ming Zhou, Arnold Yu Lok Wong, Juhua Peng, Guohui Lin, Tao Wen, Jianhui Fang, Chufeng Zhou, Siu Ngor Fu
{"title":"患有和未患有慢性腰痛的精英举重运动员的膈肌功能及其对运动表现的影响。","authors":"Emma Feng Ming Zhou, Arnold Yu Lok Wong, Juhua Peng, Guohui Lin, Tao Wen, Jianhui Fang, Chufeng Zhou, Siu Ngor Fu","doi":"10.1519/JSC.0000000000004976","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Zhou, EFM, Wong, AYL, Peng, J, Lin, G, Wen, T, Fang, J, Zhou, C, and Fu, SN. Diaphragm function in elite weightlifters with and without chronic low back pain and its impacts on sports performance. J Strength Cond Res XX(X): 000-000, 2024-The aim of this study was to compare diaphragm function between elite weightlifters with and without chronic low back pain (LBP) and to explore the associations between diaphragm function and sports performance. Forty-nine elite weightlifters aged 16-26 years were recruited, including 29 women (16-25 years, mean ± SD = 19.93 ± 2.70 years) and 20 men (16-26 years, mean ± SD = 20.95 ± 2.68 years). Of these, 23 subjects had chronic LBP. Diaphragm thickness and excursion were assessed using ultrasonography, and maximal inspiratory pressure (MIP), measured with POWERbreathe KH2, served as indicators of diaphragm contractility and strength, respectively. Sports performance was gauged through maximal snatch and clean and jerk lifts. Group differences and performance correlations were analyzed with consideration for confounders. The significance was set at p ≤ 0.05. Weightlifters with chronic LBP demonstrated significantly lower diaphragmatic contractility: diaphragm thickening fraction (by 21%; mean difference [MD] = 0.09, p = 0.04, Cohen's d = 0.69) and diaphragm excursion (by 18%; MD = 0.99, p < 0.01, Cohen's d = 0.89) compared with non-LBP controls. In addition, MIP was positively related to snatch (r = 0.34, p = 0.02) and clean and jerk (r = 0.43, p < 0.01) lifts. This study revealed that elite weightlifters with chronic LBP exhibit reduced diaphragm contractility, and inspiratory muscle force output (primary diaphragm) was associated with lifting performance. Incorporating diaphragm strengthening into training and rehabilitation might enhance performance and aid in LBP management, offering a dual benefit for athletes.</p>","PeriodicalId":17129,"journal":{"name":"Journal of Strength and Conditioning Research","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diaphragm Function in Elite Weightlifters With and Without Chronic Low Back Pain and its Impacts on Sports Performance.\",\"authors\":\"Emma Feng Ming Zhou, Arnold Yu Lok Wong, Juhua Peng, Guohui Lin, Tao Wen, Jianhui Fang, Chufeng Zhou, Siu Ngor Fu\",\"doi\":\"10.1519/JSC.0000000000004976\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Abstract: </strong>Zhou, EFM, Wong, AYL, Peng, J, Lin, G, Wen, T, Fang, J, Zhou, C, and Fu, SN. Diaphragm function in elite weightlifters with and without chronic low back pain and its impacts on sports performance. J Strength Cond Res XX(X): 000-000, 2024-The aim of this study was to compare diaphragm function between elite weightlifters with and without chronic low back pain (LBP) and to explore the associations between diaphragm function and sports performance. Forty-nine elite weightlifters aged 16-26 years were recruited, including 29 women (16-25 years, mean ± SD = 19.93 ± 2.70 years) and 20 men (16-26 years, mean ± SD = 20.95 ± 2.68 years). Of these, 23 subjects had chronic LBP. Diaphragm thickness and excursion were assessed using ultrasonography, and maximal inspiratory pressure (MIP), measured with POWERbreathe KH2, served as indicators of diaphragm contractility and strength, respectively. Sports performance was gauged through maximal snatch and clean and jerk lifts. Group differences and performance correlations were analyzed with consideration for confounders. The significance was set at p ≤ 0.05. Weightlifters with chronic LBP demonstrated significantly lower diaphragmatic contractility: diaphragm thickening fraction (by 21%; mean difference [MD] = 0.09, p = 0.04, Cohen's d = 0.69) and diaphragm excursion (by 18%; MD = 0.99, p < 0.01, Cohen's d = 0.89) compared with non-LBP controls. In addition, MIP was positively related to snatch (r = 0.34, p = 0.02) and clean and jerk (r = 0.43, p < 0.01) lifts. This study revealed that elite weightlifters with chronic LBP exhibit reduced diaphragm contractility, and inspiratory muscle force output (primary diaphragm) was associated with lifting performance. Incorporating diaphragm strengthening into training and rehabilitation might enhance performance and aid in LBP management, offering a dual benefit for athletes.</p>\",\"PeriodicalId\":17129,\"journal\":{\"name\":\"Journal of Strength and Conditioning Research\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-10-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Strength and Conditioning Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1519/JSC.0000000000004976\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Strength and Conditioning Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1519/JSC.0000000000004976","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
Diaphragm Function in Elite Weightlifters With and Without Chronic Low Back Pain and its Impacts on Sports Performance.
Abstract: Zhou, EFM, Wong, AYL, Peng, J, Lin, G, Wen, T, Fang, J, Zhou, C, and Fu, SN. Diaphragm function in elite weightlifters with and without chronic low back pain and its impacts on sports performance. J Strength Cond Res XX(X): 000-000, 2024-The aim of this study was to compare diaphragm function between elite weightlifters with and without chronic low back pain (LBP) and to explore the associations between diaphragm function and sports performance. Forty-nine elite weightlifters aged 16-26 years were recruited, including 29 women (16-25 years, mean ± SD = 19.93 ± 2.70 years) and 20 men (16-26 years, mean ± SD = 20.95 ± 2.68 years). Of these, 23 subjects had chronic LBP. Diaphragm thickness and excursion were assessed using ultrasonography, and maximal inspiratory pressure (MIP), measured with POWERbreathe KH2, served as indicators of diaphragm contractility and strength, respectively. Sports performance was gauged through maximal snatch and clean and jerk lifts. Group differences and performance correlations were analyzed with consideration for confounders. The significance was set at p ≤ 0.05. Weightlifters with chronic LBP demonstrated significantly lower diaphragmatic contractility: diaphragm thickening fraction (by 21%; mean difference [MD] = 0.09, p = 0.04, Cohen's d = 0.69) and diaphragm excursion (by 18%; MD = 0.99, p < 0.01, Cohen's d = 0.89) compared with non-LBP controls. In addition, MIP was positively related to snatch (r = 0.34, p = 0.02) and clean and jerk (r = 0.43, p < 0.01) lifts. This study revealed that elite weightlifters with chronic LBP exhibit reduced diaphragm contractility, and inspiratory muscle force output (primary diaphragm) was associated with lifting performance. Incorporating diaphragm strengthening into training and rehabilitation might enhance performance and aid in LBP management, offering a dual benefit for athletes.
期刊介绍:
The editorial mission of The Journal of Strength and Conditioning Research (JSCR) is to advance the knowledge about strength and conditioning through research. A unique aspect of this journal is that it includes recommendations for the practical use of research findings. While the journal name identifies strength and conditioning as separate entities, strength is considered a part of conditioning. This journal wishes to promote the publication of peer-reviewed manuscripts which add to our understanding of conditioning and sport through applied exercise science.