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Physical Function in Amateur Athletes with Lumbar Disc Herniation and Chronic Low Back Pain: A Case-Control Study

Author

Listed:
  • Diego Miñambres-Martín

    (Premium Madrid Global Health Care, 28016 Madrid, Spain
    Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain)

  • Patricia Martín-Casas

    (Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, 28040 Madrid, Spain
    Instituto de Investigación Sanitaria San Carlos (IdISSC), 28040 Madrid, Spain)

  • Ibai López-de-Uralde-Villanueva

    (Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, 28040 Madrid, Spain
    Instituto de Investigación Sanitaria San Carlos (IdISSC), 28040 Madrid, Spain)

  • César Fernández-de-las-Peñas

    (Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain
    Cátedra Institucional en Docencia, Clínica e Investigación en Fisioterapia: Terapia Manual, Punción Seca y Ejercicio Terapéutico, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain)

  • Juan Antonio Valera-Calero

    (VALTRADOFI Research Group, Department of Physiotherapy, Faculty of Health, Universidad Camilo José Cela, 28692 Villanueva de la Cañada, Spain)

  • Gustavo Plaza-Manzano

    (Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, 28040 Madrid, Spain
    Instituto de Investigación Sanitaria San Carlos (IdISSC), 28040 Madrid, Spain)

Abstract

This study aimed to analyze if chronic low back pain (LBP) and lumbar disc herniation induce biomechanics, flexibility, body balance, physical activity, and muscular function alterations compared to a similar asymptomatic cohort. Fifty male volunteers ( n = 25 with chronic LBP and lumbar disc herniation and n = 25 pain-free subjects) were enrolled. Range of motion (internal and external hip rotation, ankle dorsiflexion, and active straight leg raise, ASLR), trunk flexibility (finger–floor distance), body balance (Y-balance test) and muscle function (Biering–Sorensen test, prone and lateral bridges) outcomes were assessed. Comparative analyses between sides and group were conducted. Results: Patients showed greater weight and BMI compared with controls ( p < 0.05). None of the outcomes bilaterally assessed showed side-to-side differences for pain-free participants (all, p > 0.05) or LBP patients (all, p > 0.05). Regarding the differences between groups, LBP patients showed limited internal hip rotation ( p < 0.001), finger–floor distance ( p < 0.001), body balance ( p < 0.001), and muscle endurance (planks p < 0.001; Biering–Sorensen test p < 0.05). External hip rotation, ASLR, and ankle dorsiflexion range of movement were comparable in both groups ( p > 0.05). The sample of pain-free amateur athletes showed greater range of movement for internal hip rotation, lower finger–floor distance, better body balance, and muscle function. However, the external hip rotation, ankle dorsiflexion, and ASLR tests showed no difference between cases and controls.

Suggested Citation

  • Diego Miñambres-Martín & Patricia Martín-Casas & Ibai López-de-Uralde-Villanueva & César Fernández-de-las-Peñas & Juan Antonio Valera-Calero & Gustavo Plaza-Manzano, 2022. "Physical Function in Amateur Athletes with Lumbar Disc Herniation and Chronic Low Back Pain: A Case-Control Study," IJERPH, MDPI, vol. 19(6), pages 1-9, March.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3743-:d:776253
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    References listed on IDEAS

    as
    1. Joaquín Calatayud & Adrian Escriche-Escuder & Carlos Cruz-Montecinos & Lars L. Andersen & Sofía Pérez-Alenda & Ramón Aiguadé & José Casaña, 2019. "Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain," IJERPH, MDPI, vol. 16(19), pages 1-11, September.
    2. María Teresa Martínez-Romero & Francisco Ayala & Mark De Ste Croix & Francisco J. Vera-Garcia & Pilar Sainz de Baranda & Fernando Santonja-Medina & Julio Sánchez-Meca, 2020. "A Meta-Analysis of the Reliability of Four Field-Based Trunk Extension Endurance Tests," IJERPH, MDPI, vol. 17(9), pages 1-21, April.
    3. Antonio Cejudo & Víctor Jesús Moreno-Alcaraz & Ricardo Izzo & Fernando Santonja-Medina & Pilar Sainz de Baranda, 2020. "External and Total Hip Rotation Ranges of Motion Predispose to Low Back Pain in Elite Spanish Inline Hockey Players," IJERPH, MDPI, vol. 17(13), pages 1-17, July.
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