精英轻量级柔道运动员的下躯干肌肉力量与腰痛的关系取决于腰椎异常

IF 0.6 4区医学 Q4 ENGINEERING, BIOMEDICAL

Isokinetics and Exercise Science Pub Date : 2021-09-27 DOI:10.3233/ies-210193

T. Okada, Kazunori Iwai, Takayoshi Hakkaku, K. Nakazato

{"title":"精英轻量级柔道运动员的下躯干肌肉力量与腰痛的关系取决于腰椎异常","authors":"T. Okada, Kazunori Iwai, Takayoshi Hakkaku, K. Nakazato","doi":"10.3233/ies-210193","DOIUrl":null,"url":null,"abstract":"BACKGROUND: Lumbar radiological abnormalities (LRA) and trunk muscle weakness are major causes of the low back pain (LBP). We reported that the prevalence of LRA was approximately 90% in middle- and heavyweight-judokas, independent to the occurrence of LBP. However, the trunk muscle weakness, especially the rotators, plays a key role in occurrence of LBP in heavyweight judokas. OBJECTIVE: To examine the trunk muscle strength (TMS) and LRA impact on LBP occurrence in lightweight judokas. METHOD: The strength of the trunk extensors, flexors, and rotators was measured in 32 lightweight male judokas. LBP and LRA were identified using a questionnaire, X-ray, and MRI. RESULTS: The occurrence rate of LBP and LRA were 40.6% and 62.5%, respectively, without any significant correlation. Among judokas without LRA, TMS of those with LBP were significantly lower than those without LBP (P< 0.05, the extensor; 60∘/s: ES [d] = 1.38, 90∘/s: ES [d] = 0.78, and 120∘/s: ES [d] = 0.37, flexor; 60∘/s: ES [d] = 1.48, dominant rotator; 60∘/s: ES [d] = 1.66, and 90∘/s: ES [d] = 1.87, non-dominant rotator; 90∘/s: ES [d] = 0.17, and dominant/non-dominant rotator ratio; 90∘/s: ES [d] = 1.55). Moreover, there were significant negative correlations between LBP severity and TMS (P< 0.05, the extensor; 90∘/s: r=-0.63, dominant rotator; 90∘/s: r=-0.648, and dominant/non-dominant rotator ratio; 90∘/s: r=-0.621) in judokas without LRA. RESULTS: The occurrence rate of LBP and LRA were 40.6% and 62.5%, respectively, without any significant correlation. Among judokas without LRA, the extensor (60, 90, and 120∘/s), flexor (60∘/s), dominant rotator (60 and 90∘/s), non-dominant rotator (90∘/s), and dominant/non-dominant rotator ratio (90∘/s) of judokas with LBP were significantly lower than those of the judokas without LBP. Moreover, there were significant negative correlations (P< 0.05) between LBP severity and the extensor (90∘/s; r=-0.63) and dominant rotator (90∘/s; r=-0.648) strength, and dominant/non-dominant rotator ratio (90∘/s; r=-0.621) in judokas without LRA. CONCLUSION: Weak trunk musculature may be a co-factor in the occurrence of LBP in lightweight judokas without LRA.","PeriodicalId":54915,"journal":{"name":"Isokinetics and Exercise Science","volume":"76 12","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The association of lower trunk muscle strength with low back pain in elite lightweight judokas is dependent on lumber spine abnormalities\",\"authors\":\"T. Okada, Kazunori Iwai, Takayoshi Hakkaku, K. Nakazato\",\"doi\":\"10.3233/ies-210193\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND: Lumbar radiological abnormalities (LRA) and trunk muscle weakness are major causes of the low back pain (LBP). We reported that the prevalence of LRA was approximately 90% in middle- and heavyweight-judokas, independent to the occurrence of LBP. However, the trunk muscle weakness, especially the rotators, plays a key role in occurrence of LBP in heavyweight judokas. OBJECTIVE: To examine the trunk muscle strength (TMS) and LRA impact on LBP occurrence in lightweight judokas. METHOD: The strength of the trunk extensors, flexors, and rotators was measured in 32 lightweight male judokas. LBP and LRA were identified using a questionnaire, X-ray, and MRI. RESULTS: The occurrence rate of LBP and LRA were 40.6% and 62.5%, respectively, without any significant correlation. Among judokas without LRA, TMS of those with LBP were significantly lower than those without LBP (P< 0.05, the extensor; 60∘/s: ES [d] = 1.38, 90∘/s: ES [d] = 0.78, and 120∘/s: ES [d] = 0.37, flexor; 60∘/s: ES [d] = 1.48, dominant rotator; 60∘/s: ES [d] = 1.66, and 90∘/s: ES [d] = 1.87, non-dominant rotator; 90∘/s: ES [d] = 0.17, and dominant/non-dominant rotator ratio; 90∘/s: ES [d] = 1.55). Moreover, there were significant negative correlations between LBP severity and TMS (P< 0.05, the extensor; 90∘/s: r=-0.63, dominant rotator; 90∘/s: r=-0.648, and dominant/non-dominant rotator ratio; 90∘/s: r=-0.621) in judokas without LRA. RESULTS: The occurrence rate of LBP and LRA were 40.6% and 62.5%, respectively, without any significant correlation. Among judokas without LRA, the extensor (60, 90, and 120∘/s), flexor (60∘/s), dominant rotator (60 and 90∘/s), non-dominant rotator (90∘/s), and dominant/non-dominant rotator ratio (90∘/s) of judokas with LBP were significantly lower than those of the judokas without LBP. Moreover, there were significant negative correlations (P< 0.05) between LBP severity and the extensor (90∘/s; r=-0.63) and dominant rotator (90∘/s; r=-0.648) strength, and dominant/non-dominant rotator ratio (90∘/s; r=-0.621) in judokas without LRA. CONCLUSION: Weak trunk musculature may be a co-factor in the occurrence of LBP in lightweight judokas without LRA.\",\"PeriodicalId\":54915,\"journal\":{\"name\":\"Isokinetics and Exercise Science\",\"volume\":\"76 12\",\"pages\":\"\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2021-09-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Isokinetics and Exercise Science\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://doi.org/10.3233/ies-210193\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Isokinetics and Exercise Science","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.3233/ies-210193","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}

引用次数: 0

摘要

背景:腰椎放射学异常(LRA)和躯干肌肉无力是腰痛(LBP)的主要原因。我们报道了中、重量级柔道运动员中LRA的患病率约为90%，与腰痛的发生无关。然而，在重量级柔道运动员中，躯干肌无力，尤其是旋转肌无力，在腰痛的发生中起着关键作用。目的:探讨轻量级柔道运动员躯干肌力(TMS)和LRA对腰痛发生的影响。方法:测量32名轻量级男子柔道运动员躯干伸肌、屈肌和旋转肌的强度。通过问卷调查、x射线和MRI确定LBP和LRA。结果:LBP和LRA的发生率分别为40.6%和62.5%，无显著相关性。在无LRA的柔道运动员中，有LBP组的TMS显著低于无LBP组(P< 0.05)，伸肌;60∘/ s: ES [d] = 1.38, 90∘/ s: ES [d] = 0.78, 120∘/ s: ES [d] = 0.37,屈肌;60°/s: ES [d] = 1.48，主旋转器;60°/s: ES [d] = 1.66, 90°/s: ES [d] = 1.87，非主导型旋转器;90°/s: ES [d] = 0.17，主导/非主导旋转比;90°/s: ES [d] = 1.55。腰痛严重程度与TMS呈显著负相关(P< 0.05);90°/s: r=-0.63，主旋转器;90°/s: r=-0.648，主导/非主导旋转比;90°/s: r=-0.621)。结果:LBP和LRA的发生率分别为40.6%和62.5%，无显著相关性。在没有腰痛的柔道运动员中，有腰痛的柔道运动员的伸肌(60、90和120°/s)、屈肌(60°/s)、优势旋肌(60和90°/s)、非优势旋肌(90°/s)和优势/非优势旋肌比(90°/s)明显低于无腰痛的柔道运动员。此外，腰痛严重程度与伸肌(90°/s;R =-0.63)和主旋转(90°/s;R =-0.648)的强度，以及主/非主旋转比(90°/s;r=-0.621)。结论:弱躯干肌肉组织可能是轻量级柔道运动员无LRA时腰痛发生的辅助因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The association of lower trunk muscle strength with low back pain in elite lightweight judokas is dependent on lumber spine abnormalities

BACKGROUND: Lumbar radiological abnormalities (LRA) and trunk muscle weakness are major causes of the low back pain (LBP). We reported that the prevalence of LRA was approximately 90% in middle- and heavyweight-judokas, independent to the occurrence of LBP. However, the trunk muscle weakness, especially the rotators, plays a key role in occurrence of LBP in heavyweight judokas. OBJECTIVE: To examine the trunk muscle strength (TMS) and LRA impact on LBP occurrence in lightweight judokas. METHOD: The strength of the trunk extensors, flexors, and rotators was measured in 32 lightweight male judokas. LBP and LRA were identified using a questionnaire, X-ray, and MRI. RESULTS: The occurrence rate of LBP and LRA were 40.6% and 62.5%, respectively, without any significant correlation. Among judokas without LRA, TMS of those with LBP were significantly lower than those without LBP (P< 0.05, the extensor; 60∘/s: ES [d] = 1.38, 90∘/s: ES [d] = 0.78, and 120∘/s: ES [d] = 0.37, flexor; 60∘/s: ES [d] = 1.48, dominant rotator; 60∘/s: ES [d] = 1.66, and 90∘/s: ES [d] = 1.87, non-dominant rotator; 90∘/s: ES [d] = 0.17, and dominant/non-dominant rotator ratio; 90∘/s: ES [d] = 1.55). Moreover, there were significant negative correlations between LBP severity and TMS (P< 0.05, the extensor; 90∘/s: r=-0.63, dominant rotator; 90∘/s: r=-0.648, and dominant/non-dominant rotator ratio; 90∘/s: r=-0.621) in judokas without LRA. RESULTS: The occurrence rate of LBP and LRA were 40.6% and 62.5%, respectively, without any significant correlation. Among judokas without LRA, the extensor (60, 90, and 120∘/s), flexor (60∘/s), dominant rotator (60 and 90∘/s), non-dominant rotator (90∘/s), and dominant/non-dominant rotator ratio (90∘/s) of judokas with LBP were significantly lower than those of the judokas without LBP. Moreover, there were significant negative correlations (P< 0.05) between LBP severity and the extensor (90∘/s; r=-0.63) and dominant rotator (90∘/s; r=-0.648) strength, and dominant/non-dominant rotator ratio (90∘/s; r=-0.621) in judokas without LRA. CONCLUSION: Weak trunk musculature may be a co-factor in the occurrence of LBP in lightweight judokas without LRA.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Isokinetics and Exercise Science 医学-工程：生物医学

CiteScore

1.20

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： Isokinetics and Exercise Science (IES) is an international journal devoted to the study of theoretical and applied aspects of human muscle performance. Since isokinetic dynamometry constitutes the major tool in this area, the journal takes a particular interest in exploring the considerable potential of this technology. IES publishes studies associated with the methodology of muscle performance especially with respect to the issues of reproducibility and validity of testing, description of normal and pathological mechanical parameters which are derivable from muscle testing, applications in basic research topics such as motor learning paradigms and electromyography. The journal also publishes studies on applications in clinical settings and technical aspects of the various measurement systems employed in human muscle performance research. The journal welcomes submissions in the form of research papers, reviews, case studies and technical reports from professionals in the fields of sports medicine, orthopaedic and neurological rehabilitation and exercise physiology.