Low back disorders among athletes and its prevention

Заболевания поясницы у спортсменов и их профилактика
Koji Kaneoka
2013-01-01

athleteslow back painlumbar intervertebral disc degenerationspinal stabilization exercisesspondylolysis
There are several pathomechanisms of lower back pain among athletes such as lumbar intervertebral disc degenerations, disc herniations, spondylolysis, zygapophyseal (facet) joint disorders, sacroiliac joint disorders, muscle, fascia and its insertion disorders. In many cases except intervertebral disc herniations, there are less radiological findings so they should be diagnosed using functional classification. In order to decrease the mechanical stress to the pathological portion, it is thought to be important to maintain the proper spinal alignment and the spinal segmental stability. The stabilization exercises which facilitates the deep trunk muscles (transversus abdominis, lumbar multifidus) function and the stretching for the muscles attached to the pelvis are recommended to achieve these tasks.
1
Athletes’ low back disorders arise from multiple mechanisms, including disc degeneration or herniation, spondylolysis, facet and sacroiliac joint disorders, and muscle or fascial injuries.
2
Except for intervertebral disc herniation, many athletic low back disorders show limited radiological abnormalities and therefore require functional classification for diagnosis.
3
Maintaining proper spinal alignment and segmental stability is considered important for reducing mechanical stress on pathological spinal structures.
4
Stabilization exercises targeting the transversus abdominis and lumbar multifidus, together with stretching pelvic-attached muscles, are recommended for prevention.

Lower back disorders among athletes

Pathomechanisms and prevention through spinal alignment, segmental stability, stabilization exercises, and pelvic-muscle stretching

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2013-01-01
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Koji Kaneoka
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