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Sagittal Integral Morphotype of Competitive Amateur Athletes and Its Potential Relation with Recurrent Low Back Pain

Author

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  • Antonio Cejudo

    (Department of Physical Activity and Sport, Faculty of Sport Sciences, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, 30100 Murcia, Spain)

  • Josep María Centenera-Centenera

    (Department of Surgery, Traumatology and Orthopedics, Bofill Clinic, ProActive Health, 17002 Gerona, Spain)

  • Fernando Santonja-Medina

    (Department of Surgery, Pediatrics, Obstetrics and Gynecology, Faculty of Medicine, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, 30100 Murcia, Spain)

Abstract

Athletes have higher thoracic and lumbar curvature in standing than the reference values of the non-athletic population. The sagittal integral morphotype method (SIM) assessment has not previously been applied to competitive amateur athletes (CAA). The propose of the present study was to determine the SIM of CAA treated at a sports-medicine center and to identify spinal misalignments associated with recurrent low back pain (LBP). An observational analysis was developed to describe the SIM in 94 CAA. The thoracic and lumbar curvatures of the CAA were measured in standing, sitting, and trunk forward flexion. Association analysis (Pearson’s chi-square and Cramér’s V tests) was then performed to identify the SIM misalignments associated with LBP. Effect size was analyzed based on Hedges’ g. The most common thoracic SIMs in CAA were total hyperkyphosis (male = 59.02%; female = 42.42%) and static hyperkyphosis (male = 11.48%; female = 6.06%). Hyperlordotic attitude (female = 30.30%; male = 4.92%), static-functional hyperkyphosis (male = 16.39%; female = 3.03%), and structured hyperlordosis (female = 21.21%; male = 1.64%) were the most common lumbar SIMs. Hyperlordotic attitude, static functional lumbar hyperkyphosis, and structured hyperlordosis were associated with LBP in male and female athletes.

Suggested Citation

  • Antonio Cejudo & Josep María Centenera-Centenera & Fernando Santonja-Medina, 2021. "Sagittal Integral Morphotype of Competitive Amateur Athletes and Its Potential Relation with Recurrent Low Back Pain," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8262-:d:608229
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    References listed on IDEAS

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    1. Antonio Cejudo & Sebastián Gómez-Lozano & Pilar Sainz de Baranda & Alfonso Vargas-Macías & Fernando Santonja-Medina, 2021. "Sagittal Integral Morphotype of Female Classical Ballet Dancers and Predictors of Sciatica and Low Back Pain," IJERPH, MDPI, vol. 18(9), pages 1-12, May.
    2. Fernando Santonja-Medina & Mónica Collazo-Diéguez & María Teresa Martínez-Romero & Olga Rodríguez-Ferrán & Alba Aparicio-Sarmiento & Antonio Cejudo & Pilar Andújar & Pilar Sainz de Baranda, 2020. "Classification System of the Sagittal Integral Morphotype in Children from the ISQUIOS Programme (Spain)," IJERPH, MDPI, vol. 17(7), pages 1-15, April.
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    Cited by:

    1. Jose Ramón Alvero-Cruz & Fernando Santonja-Medina & Jose Manuel Sanz-Mengibar & Pilar Sainz de Baranda, 2021. "The Sagittal Integral Morphotype in Male and Female Rowers," IJERPH, MDPI, vol. 18(24), pages 1-17, December.

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