精英越野滑雪运动员中腰部疼痛和椎间盘退化的患病率:与非运动员对照的比较研究
Anni Aavikko1, Janne Pesonen2, Leena Ristolainen3
1Department of Orthopedics and Traumatology, Wellbeing Services County of Päijät-Häme, Lahti, Finland.
Scandinavian journal of medicine & science in sports
|December 19, 2025
概括
精英滑雪运动员比非运动员更容易出现腰部疼痛 (LBP),尽管磁盘退化 (DD) 的发生率相似. 强化训练可能会增加LBP风险,但不会增加DD的患病率.
科学领域:
- 运动医学 运动医学
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
背景情况:
- 年轻人进行密集体育训练可能会增加腰部疼痛 (LBP) 的风险.
- 椎间盘退化 (DD) 是已知的LBP贡献者,但其在精英滑雪运动员中的患病率尚未研究.
- 磁共振成像 (MRI) 对于评估脊柱健康至关重要.
研究的目的:
- 为了比较精英越野滑雪运动员中的LBP和DD患病率与非运动员对照.
- 调查运动员和非运动员的磁盘退化和LBP之间的关联.
- 评估密集训练对脊柱健康结果的影响.
主要方法:
- 44名精英滑雪者和71名对照者接受了临床采访,检查和腰椎MRI.
- 患者报告的结果措施 (PROMs) 评估了滑雪者的症状.
- 使用Pfirrmann分类来对盘形态进行分级,并计算Pfirrmann总结分数 (PSS).
主要成果:
- 低背部疼痛 (LBP) 在滑雪者中比对照人群 (54%) (p=0.028) 更多 (75%).
- 滑雪者 (50%) 和对照 (42%) (p=0.78) 之间,磁盘退化 (DD) 的患病率没有显著差异.
- 在两组中,更高的PSS分数与LBP相关,无论运动状态如何.
结论:
- 精英越野滑雪运动员报告的LBP发病率高于对照组,独立于椎间盘退化.
- 强度训练可能会增加LBP负担,但不一定会加速磁盘退化.
- 由PSS表示的结构性盘变化与运动员和非运动员群体的LBP有关.
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