中国优秀短道速滑运动员慢性腰痛病因分析与治疗方法探析

doi:10.15942/j.jcsu.2022.04.023

成都体育学院学报 ›› 2022, Vol. 48 ›› Issue (4): 123-128.doi: 10.15942/j.jcsu.2022.04.023

中国优秀短道速滑运动员慢性腰痛病因分析与治疗方法探析

邱国荣^1,2, 何本祥^1,3*, 廖远朋^1,3

1.成都体育学院运动医学与健康学院,四川成都 610041;
2.重庆文理学院体育学院,重庆永川 410001;
3.成都体育学院附属体育医院,四川成都 610041

收稿日期:2022-01-10 修回日期:2022-03-10 出版日期:2022-07-15 发布日期:2022-08-03
通讯作者: 何本祥,博士,教授,主任中医师,博士生导师,研究方向: 运动医学。E-mail: 1210075193@ qq .com。
作者简介:邱国荣,博士,副教授,研究方向:运动康复与损伤防治。E-mail:guorong_cq@163.com。
基金资助:
国家重点研发计划“科技冬奥”重点专项:“冬季项目运动员科学营养智能系统与伤病防控体系的研究与应用”(2019YFF0301700)。

The Etiology Analysis and Treatment of Chronic Low Back Pain in Chinese Elite Short Track Speed Skaters

QIU Guorong^1,2, HE Benxiang^1,3*, LIAO Yuanpeng^1,3

1. School of Sports Medicine and Health, Chengdu Sport University, Chengdu Sichuan 610041;
2. Chongqing University of Arts and Science, Chongqing 402160;
3. Sport Hospital Attached to Chengdu Sport University, Chengdu Sichuan 610041

Received:2022-01-10 Revised:2022-03-10 Online:2022-07-15 Published:2022-08-03

摘要/Abstract

摘要： 目的:分析短道速滑项目运动员慢性腰痛(CLBP)的发病规律、影响因素与治疗措施,为短道速滑项目运动员CLBP的有效预防和精准治疗提供思路。方法:以稳定参加2018-2019赛季国家短道速滑队集训及比赛的运动员为筛选范围,将符合纳入标准的研究对象分为CLBP组和非慢性腰痛组(NCLBP),对两组运动员进行等速肌力测试、躯干肌肉质量测试、功能性动作筛查(FMS)和视觉模拟评分测试(VAS)等。并对CLBP组进行6周综合治疗后再次进行上述测试评估,分析相关观测指标的变化。结果:(1)两组躯干肌屈曲、伸展峰值力矩差异无统计学意义;屈曲/伸展峰值力矩(F/E)比较,NCLBP组明显高于CLBP组(P＜0.05)。两组运动员躯干肌肉质量占比均接近满分,躯干肌肉质量和肌肉质量占比差异无统计学意义。(2)CLBP组经6周系统治疗后F/E比治疗前明显增加(P＜0.05);与NCLBP组比较,差异无统计学意义。躯干肌肉质量、肌肉质量占比略有上升,与NCLBP组比较差异无统计学意义。(2)CLBP组与NCLBP组FMS测试显示,NCLBP组明显高于CLBP组,差异有统计学意义。CLBP组经6周康复训练后,FMS测试结果较康复训练前明显提高,与NCLBP组比较,差异无统计学意义。(3)CLBP组治疗前、后FMS测试分数明显增加,VAS评分结果明显降低,差异有统计学意义(P＜0.01)结论:(1)短道速滑项目优秀运动员CLBP发病的主要因素与躯干部伸屈肌群力量失衡、核心稳定性下降关系密切。(2)中医结合常规治疗配合核心稳定性康复训练是短道速滑项目优秀运动员CLBP的有效综合治疗方法。

关键词: 短道速滑, 慢性腰痛, 病因分析, 治疗方法, 运动康复

Abstract: Objective: In this paper, the data of low back pain of short track speed skaters were analyzed, and the pathogenesis, influencing factors and treatment measures of chronic low back pain (CLBP) in short track speed skaters were mainly discussed, so as to provide reference for effective prevention and precise treatment of CLBP in short track speed skaters. Methods: Athletes who were stable participants on the National Short Track Speed Skating Team for training and competitions during the 2018-2019 season were taken into the screening scope, and the research subjects who met the inclusion criteria were divided into CLBP group and non-chronic low back pain group (NCLBP). Isometric muscle strength test, trunk muscle mass test, functional movement screen (FMS) and visual analogue scoring test (VAS) were performed on both groups of athletes. The above test evaluation was performed again after 6 weeks of comprehensive treatment in the CLBP group, and relevant observation indexes were compared and analyzed. Results :(1) there was no statistically significant difference between the two groups in the peak torques of trunk muscle flexion and extension, while the ratio of peak torques of trunk muscle flexion and extension (F/E) was statistically significant (P<0.05).The proportions of trunk muscle mass of the two groups of athletes were close to full marks, and there was no statistically significant difference in the proportions of trunk muscle mass and muscle mass.(2) After 6 weeks of systematic treatment, the F/E ratio of CLBP group increased significantly, and the difference between the groups was statistically significant (P<0.05).Compared with NCLBP group, the difference was not statistically significant.The proportion of trunk muscle mass and muscle mass increased slightly, but there was no statistical difference between the two groups.(2) The FMS test results of the two groups were compared, and the difference was statistically significant (P<0.01).After 6 weeks of rehabilitation training, the FMS test results of the CLBP group were significantly improved compared with those before rehabilitation training, and the difference was not statistically significant compared with the NCLBP group.(3) CLBP groups before treatment, after the FMS test compared with the VAS score, the difference was statistically significant (P<0.01). Conclusion:(1) The main factors that lead to CLBP of short track speed skaters are the imbalance of extensor and flexor muscle group of trunk cadres and the decline of core stability. (2) Traditional Chinese medicine combined with conventional treatment and core stability rehabilitation training is an effective comprehensive treatment method for elite athletes in short track speed skating.

Key words: short track speed skating, chronic low back pain, etiological analysis, treatment, sports rehabilitation

中图分类号:

G804.5

邱国荣, 何本祥, 廖远朋. 中国优秀短道速滑运动员慢性腰痛病因分析与治疗方法探析[J]. 成都体育学院学报, 2022, 48(4): 123-128.

QIU Guorong, HE Benxiang, LIAO Yuanpeng. The Etiology Analysis and Treatment of Chronic Low Back Pain in Chinese Elite Short Track Speed Skaters[J]. Journal of Chengdu Sport University, 2022, 48(4): 123-128.

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中国优秀短道速滑运动员慢性腰痛病因分析与治疗方法探析

The Etiology Analysis and Treatment of Chronic Low Back Pain in Chinese Elite Short Track Speed Skaters

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