评估与游泳相关的腰椎退行性磁盘疾病风险:系统性审查
Connie Hsu1, Timothy Genovese1, Kelly C McInnis1,2
1Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts, USA.
PM & R : the journal of injury, function, and rehabilitation
|March 19, 2024
概括
竞技游泳与腰椎退行性磁盘疾病 (DDD) 和背部疼痛的风险更高有关. 精英游泳者可能面临脊柱问题,原因是强烈的训练和独特的生物力学.
科学领域:
- 运动医学 运动医学
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
背景情况:
- 游泳通常被认为是一种低影响性活动.
- 然而,人们对竞技游泳运动员的脊柱健康存在担忧.
- 腰椎退行性磁盘疾病 (DDD) 是一个潜在的问题.
研究的目的:
- 综合现有关于竞争性游泳与腰椎退行性磁盘疾病 (DDD) 相关性的研究.
- 评估与非游泳者相比,游泳者发展腰部DDD的几率.
- 为了评估竞技游泳运动员背部疼痛的患病率.
主要方法:
- 在PubMed,Embase和Web of Science数据库中进行了系统的文献搜索,直到2023年3月.
- 研究是根据系统审查和元分析 (PRISMA) 准则的首选报告项目来确定的.
- 对腰部DDD成像发现和游泳者背部疼痛患病率的数据进行了综合.
主要成果:
- 四项研究符合纳入标准;质量和偏见风险充足.
- 在研究中观察到显著的异质性,排除了元分析.
- 三项研究表明游泳者腰部DDD的几率增加,背部中度至重度疼痛的可能性更高.
结论:
- 竞技游泳与腰部DDD和中度至重度的背痛有关.
- 这些发现受到研究异质性的限制.
- 建议对游泳生物力学和脊柱负荷进行进一步的研究,以预防和康复伤害.
相关概念视频
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...


