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The Potential Role of Hamstring Extensibility on Sagittal Pelvic Tilt, Sagittal Spinal Curves and Recurrent Low Back Pain in Team Sports Players: A Gender Perspective Analysis

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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, 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

It is assumed that mechanical restriction of hamstring tightness disrupts sagittal spine–pelvis–leg alignment and alters the lumbar–pelvic rhythm predisposing to low back pain (LBP) in athletes; however, this association is not clear. A prospective cross-sectional cohort study was conducted to determine the influence of hamstring extensibility (HE) on sagittal pelvic tilt, sagittal spinal curves, and LBP in 94 soccer and basketball players (61 man and 33 woman) with ( n = 36) and without recurrent LBP ( n = 58). Descriptive analysis displayed significant gender differences for HE, sagittal pelvic tilt, and lumbar curve. Differences were found between the low-HE and high-HE groups in lumbosacral angle in for the maximum trunk forward flexion (LH-MTFP). Low-HE was associated with LH-MTFP, lumbar curve and LBP in male players ( p ≤ 0.023). In female players, LH-MTFP and lumbar curve were associated with low-HE ( p ≤ 0.020). Low-HE predicted LH-MTFP ( p = 0.000; OR = 65.6950) and LBP ( p = 0.028; OR = 13.915) in male players. The decision tree analysis showed that 50.8% of the players were classified with restricted LH-MTFP, 77.4% with low-HE among male players. The 100% of male players with recurrent LBP had low-HE. The 65% of female players with low-HE had restricted LH-MTFP. Measurement of HE, lumbar curve, and LH-MTFP are important in making training decisions for to reduce the incidence of recurrent LBP in soccer and basketball players.

Suggested Citation

  • Antonio Cejudo & Josep María Centenera-Centenera & Fernando Santonja-Medina, 2021. "The Potential Role of Hamstring Extensibility on Sagittal Pelvic Tilt, Sagittal Spinal Curves and Recurrent Low Back Pain in Team Sports Players: A Gender Perspective Analysis," IJERPH, MDPI, vol. 18(16), pages 1-15, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8654-:d:615475
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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. Antonio Cejudo, 2021. "Lower Extremity Flexibility Profile in Basketball Players: Gender Differences and Injury Risk Identification," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
    2. 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.
    3. Antonio Cejudo, 2022. "Description of ROM-SPORT I Battery: Keys to Assess Lower Limb Flexibility," IJERPH, MDPI, vol. 19(17), pages 1-19, August.
    4. Antonio Cejudo, 2022. "Lower-Limb Range of Motion Predicts Sagittal Spinal Misalignments in Children: A Case-Control Study," IJERPH, MDPI, vol. 19(9), pages 1-11, April.

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