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Medicina dello Sport 2018 June;71(2):243-56

DOI: 10.23736/S0025-7826.18.03281-7

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English, Italian

The occurrence of low back pain and the change of lumbar lordosis angle in field hockey players with various training experience

Marta FLIS-MASŁOWSKA , Marzena WIERNICKA, Piotr KOCUR, Magdalena GOLIWĄS, Katarzyna ADAMCZEWSKA, Jacek LEWANDOWSKI

Department of Locomotor System Rehabilitation, University School of Physical Education, Poznan, Poland


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BACKGROUND: Low back pain is classified as the most frequent symptom of locomotor system dysfunction and it is one of the most serious health problems in the 21st century. The current state of knowledge indicates that long, professional practicing sports significantly contributes to overload of the locomotor system and spinal pain, especially in the lumbar segment. The problem is beginning to occur even in young sportsmen. The main movements a field hockey player performs are dynamic flexions, extensions, and rotations of the trunk. This often leads to improper shaping of the physiological lumbar curvature of the spine and modified angle of lordosis. The aim of the study was to evaluate the angle of lumbar lordosis in field hockey players depending on their age and playing experience as well as to attempt to determine prophylactic indications significant in qualifying players for practicing competitive field hockey.
METHODS: Based on data obtained from the questionnaires and due to the age of study subjects, two field hockey players groups were selected for further study. For the purpose of comparison, two control groups were formed including persons not practicing sports, qualified based on medical data and radiological images from the archive of the Department of Radiology at the Dega Orthopedic and Rehabilitation Teaching Hospital in Poznań. Tests were performed in the Radiology Laboratory of the Dega Hospital. Based on lateral X-rays, the angle of lumbar lordosis was measured. Structural changes were also observed.
RESULTS: In the junior group, the mean value of lumbar spine lordosis angle was indicating deepening of physiological lumbar lordosis. In both older groups study groups, deepening of physiological lumbar lordosis was observed. We observed selected correlations between lumbar spine lordosis angle and structural changes. Were noticed correlations between the value of lumbar spine lordosis and training experience in the group of all hockey players.
CONCLUSIONS: In the studied players training field hockey, changed position of lumbar spine lordosis angle was observed. The characteristics of the sport practiced and training experience are related to the extent of changes. Radiological examination should be an important element of imaging diagnostics. A thorough examination of the lumbar spine section should be a part of qualification for playing field hockey, as it will exclude players with defects limiting the necessary mobility.


KEY WORDS: Lordosis - Hockey - Spine - Athletic injuries

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