運動員之下背痛

Low Back Pain in Athletes

10.6162/SRR.2011.112.11

陳柏州(Chen-Po Chou)；陳裕鏞(Chen-Yu Yawn)

脊椎 ； 藥物治療 ； 復健治療 ； spine ； medicine treatment ； rehabilitation

大專體育

112期（2011 / 02 / 01）

76 - 83

繁體中文

運動員的下背痛是普遍發生的肌肉骨骼疾患，依骨骼是否成熟，所好發的疾病不盡相同，就骨骼未成熟的年輕運動員而言，過多的壓力負荷加諸於未成熟的骨骼，易造成這些組織的受傷，而成熟的運動員，因其骨骼已達高強度的組織，骨骼的問題已非是最重要的因數，反而一些軟組織的過度使用與組織的退化成了首要的下背痛因素；下背痛的治療的方式包含臥床休息、藥物治療、使用背架護具、手術治療及運動復健治療，當運動員在可控制環境下，可以無症狀地完成該運動的專項訓練時，就可以返回運動場上了。

The prevalence of low back pain was the common musculoskeletal disease in athletes. The major pathogenic factors attributed to immaturity of bone in athletes, especially, with the overloading physiological stress in bone of young athletes. However, it exhibited the causes of overuse and degeneration in soft-tissue in adult athletes with matured and stronger bone. The currently therapeutic treatments of low back pain were bed rest, medicine treatment, usage of back brace, surgery and exercise rehabilitation. The athletes will return to field when they can finish the specific training program with asymptomatic manner in the control environment.

1. Akuthota, V.,Ferreiro, A.,Moore, T.,Fredericson, M.(2008).Core stability exercise principles.Current Sports Medicine Reports,7(1),39-44.
2. Baker, R. J.,Patel, D.(2005).Lower back pain in the athlete: common conditions and treatment.Primary Care,32(1),201-229.
3. Bernstein, E.,Carey, T. S.,Garrett, J. M.(2004).The use of muscle relaxant medications in acute low back pain.Spine,29,1346-1351.
4. Caldwell, J. S.,McNair, P. J.,Williams, M.(2003).The effects of repetitive motion on lumbar flexion and erector spinae muscle activity in rowers.Clinical Biomechanics,18,704-711.
5. Carlson, C.(2009).Axial back pain in the athlete: Pathophysiology and approach to rehabilitation.Current Reviews in Musculoskeletal Medicine,2(2),88-93.
6. DePalma, M. J.,Bhargava, A.(2006).Nonspondylolytic etiologies of lumbar pain in the young athlete.Current Sports Medicine Reports,5(1),44-49.
7. Faizan, A.,Sairyo, K.,Goel, V. K.,Biyani, A.,Ebraheim, N.(2007).Biomechanical rationale of ossification of the secondary ossification center on apophyseal bony ring fracture: A biomechanical study.Clinical Biomechanics,22,1063-1067.
8. Graw, B. P.,Wiesel, S. W.(2008).Low back pain in the agin athlete.Sports Medicine and Arthroscopy Review,16(1),39-46.
9. Hagen, K. B.,Hilde, G.,Jamtvedt, G.,Winnem, M. F.(2000).The Cochrane review of bed rest for acute low back pain and sciatica.Spine,25,2932-2939.
10. Iwamoto, J.,Takeda, T.,Wakano, K.(2004).Returning athletes with severe low back pain and spondylolysis to original sporting activities with conservative treatment.Scandinavian Journal of Medicine & Science in Sports,14,346-351.
11. Konno, S.,Kikuchi, S.,Nagaosa, Y.(1994).The relationship between intramuscular pressure of the paraspinal muscles and low back pain.Spine,19,2186-2189.
12. Kruse, D.,Lemmen, B.(2009).Spine injuries in the sport of gymnastics.Current Sports Medicine Reports,8(1),20-28.
13. Lederman, E.(2010).The myth of core stability.Journal of Bodywork and Movement Therapies,14(1),84-98.
14. McCleary, M. D.,Congeni, J. A.(2007).Current concepts in the diagnosis and treatment of spondylolsis in young athletes.Current Sports Medicine Reports,6(1),62-66.
15. Mitra, R.,Ghazi, U.,Kirpalani, D.,Cheng, I.(2007).Interspinous ligament steroid injections for the management of Baastrup's disease: A case report.Archives of Physical Medicine and Rehabilitation,88,1353-1356.
16. Norris, C.,Matthews, M.(2008).The role of an integrated back stability program in patients with chronic low back pain.Complementary Therapies in Clinical Practice,14,255-263.
17. Roelofs, P. D.,Deyo, R. A.,Koes, B. W.,Scholten, R. J.,Van Tulder, M. W.(2008).Nonsteroidal anti-inflammatory drugs for low back pain: An updated Cochrane review.Spine,33,1766-1774.
18. See, S.,Ginzburg, R.(2008).Choosing a skeletal muscle relaxant.American Family Physician,78,365-370.
19. Smith, D.,McMurray, N.,Disler, P.(2002).Early intervention for acute back injury: Can we finally develop an evidence-based approach?.Clinical Rehabilitation,16(1),1-11.
20. Standaert, C. J.(2008).Low back pain in the adolescent athlete.Physical Medicine and Rehabilitation Clinics of North America,19,287-304.
21. Standaert, C. J.(2002).New strategies in the management of low back injuries in gymnasts.Current Sports Medicine Reports,1,293-300.
22. Standaert, C. J.,Herring, S. A.(2007).Expert opinion and controversies in sports and musculoskeletal medicine: The diagnosis and treatment of spondylolysis in adolescent athletes.Archives of Physical Medicine and Rehabilitation,88,537-540.
23. Tallarico, R. A.,Madom, I. A.,Palumbo, M. A.(2008).Spondylolysis and spondylolisthesis in the athlete.Sports Medicine and Arthroscopy Review,16(1),32-38.
24. Waicus, K. M.,Smith, B. W.(2002).Back injuries in the pediatric athlete.Current Sports Medicine Reports,1(1),52-58.
25. Weiss, H. R.,Turnbull, D.,Bohr, S.(2009).Brace treatment for patients with Scheuermann's disease-A review of the literature and first experiences with a new brace design.Scoliosis,4(22)
26. Weiss, H. R.,Werkmann, M.(2009).Treatment of chronic low back pain in patients with spinal deformities using a sagittal re-alignment brace.Scoliosis,4(7)
27. Wilson, F.,Gissane, C.,Gormley, J.,Simms, C.(2010).A 12-month prospective cohort study of injury in international rowers.British Journal of Sports Medicine,44,207-214.
28. Wood, K. B.(2002).Spinal deformity in the adolescent athlete.Clinics in Sports Medicine,21(1),77-92.

1. 董牧喬,陳建利,唐嘉佑(2019)。桌球運動傷害之預防與處置原則。大專體育，151，48-61。
2. 楊椀如,林威秀(2019)。巧固球運動常見的傷害與預防方法。大專體育，150，34-44。