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Effects of Competition Level on the Prevalence and Incidence of Lumbar Disk Degeneration in Japanese Collegiate Gymnasts

BACKGROUND: Lumbar disk degeneration (LDD) occurs frequently in athletes. Researchers have found that LDD occurs mainly in the lower disks (L4/L5 and L5/S1) in the general and athletic populations. However, a retrospective study showed a high prevalence of LDD in the upper lumbar disks (L1/L2), espe...

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Autores principales: Koyama, Koji, Nakazato, Koichi, Kubo, Yoshiaki, Gushiken, Koji, Hatakeda, Yoshiaki, Seo, Kyoko, Nakase, Takuya, Hiranuma, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9676327/
https://www.ncbi.nlm.nih.gov/pubmed/36419478
http://dx.doi.org/10.1177/23259671221119439
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author Koyama, Koji
Nakazato, Koichi
Kubo, Yoshiaki
Gushiken, Koji
Hatakeda, Yoshiaki
Seo, Kyoko
Nakase, Takuya
Hiranuma, Kenji
author_facet Koyama, Koji
Nakazato, Koichi
Kubo, Yoshiaki
Gushiken, Koji
Hatakeda, Yoshiaki
Seo, Kyoko
Nakase, Takuya
Hiranuma, Kenji
author_sort Koyama, Koji
collection PubMed
description BACKGROUND: Lumbar disk degeneration (LDD) occurs frequently in athletes. Researchers have found that LDD occurs mainly in the lower disks (L4/L5 and L5/S1) in the general and athletic populations. However, a retrospective study showed a high prevalence of LDD in the upper lumbar disks (L1/L2), especially in elite gymnasts. PURPOSE: To investigate the effect of competition level on the prevalence and incidence of LDD in the upper lumbar disks (L1/L2). STUDY DESIGN: Cross-sectional study; Level of evidence, 3; and cohort study; Level of evidence, 2. METHODS: We conducted 2 studies to evaluate the effect of competition level on the prevalence and incidence of LDD in Japanese collegiate gymnasts. In study 1, a cross-sectional study of 298 collegiate gymnasts was conducted between 2011 and 2015. Competition levels were categorized as regional, national, and international, and T2-weighted magnetic resonance imaging (MRI) was used to evaluate LDD. Chi-square testing was applied to assess differences in the prevalence of LDD and spinal levels among the 3 competition levels. In study 2–-a prospective cohort study–-LDD progression and its related risk factors were investigated in 51 collegiate gymnasts. Baseline lumbar MRI scans and measurements of physical function (generalized joint laxity and finger-floor distance test) were performed in March 2014. Follow-up lumbar MRI scans were obtained 2 years later, in February 2016. Logistic regression analyses were performed to investigate the relationship between competition level and LDD progression. RESULTS: In study 1, the prevalence of at least 1 degenerated disk in the regional, national, and international groups was 44.2% (19/43), 44.7% (98/219), and 52.8% (19/36), respectively (P = .655). The prevalence of LDD at L1/L2 in the international group was significantly higher than that in the other 2 groups (P = .018). In study 2, the presence of LDD at L1/L2 was associated significantly with international-level competition (adjusted odds ratio, 47.8; 95% CI, 2.75-830.50). CONCLUSION: In Japanese collegiate gymnasts, competing at the international level was found to be a risk factor for LDD at L1/L2.
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spelling pubmed-96763272022-11-22 Effects of Competition Level on the Prevalence and Incidence of Lumbar Disk Degeneration in Japanese Collegiate Gymnasts Koyama, Koji Nakazato, Koichi Kubo, Yoshiaki Gushiken, Koji Hatakeda, Yoshiaki Seo, Kyoko Nakase, Takuya Hiranuma, Kenji Orthop J Sports Med Article BACKGROUND: Lumbar disk degeneration (LDD) occurs frequently in athletes. Researchers have found that LDD occurs mainly in the lower disks (L4/L5 and L5/S1) in the general and athletic populations. However, a retrospective study showed a high prevalence of LDD in the upper lumbar disks (L1/L2), especially in elite gymnasts. PURPOSE: To investigate the effect of competition level on the prevalence and incidence of LDD in the upper lumbar disks (L1/L2). STUDY DESIGN: Cross-sectional study; Level of evidence, 3; and cohort study; Level of evidence, 2. METHODS: We conducted 2 studies to evaluate the effect of competition level on the prevalence and incidence of LDD in Japanese collegiate gymnasts. In study 1, a cross-sectional study of 298 collegiate gymnasts was conducted between 2011 and 2015. Competition levels were categorized as regional, national, and international, and T2-weighted magnetic resonance imaging (MRI) was used to evaluate LDD. Chi-square testing was applied to assess differences in the prevalence of LDD and spinal levels among the 3 competition levels. In study 2–-a prospective cohort study–-LDD progression and its related risk factors were investigated in 51 collegiate gymnasts. Baseline lumbar MRI scans and measurements of physical function (generalized joint laxity and finger-floor distance test) were performed in March 2014. Follow-up lumbar MRI scans were obtained 2 years later, in February 2016. Logistic regression analyses were performed to investigate the relationship between competition level and LDD progression. RESULTS: In study 1, the prevalence of at least 1 degenerated disk in the regional, national, and international groups was 44.2% (19/43), 44.7% (98/219), and 52.8% (19/36), respectively (P = .655). The prevalence of LDD at L1/L2 in the international group was significantly higher than that in the other 2 groups (P = .018). In study 2, the presence of LDD at L1/L2 was associated significantly with international-level competition (adjusted odds ratio, 47.8; 95% CI, 2.75-830.50). CONCLUSION: In Japanese collegiate gymnasts, competing at the international level was found to be a risk factor for LDD at L1/L2. SAGE Publications 2022-11-15 /pmc/articles/PMC9676327/ /pubmed/36419478 http://dx.doi.org/10.1177/23259671221119439 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Koyama, Koji
Nakazato, Koichi
Kubo, Yoshiaki
Gushiken, Koji
Hatakeda, Yoshiaki
Seo, Kyoko
Nakase, Takuya
Hiranuma, Kenji
Effects of Competition Level on the Prevalence and Incidence of Lumbar Disk Degeneration in Japanese Collegiate Gymnasts
title Effects of Competition Level on the Prevalence and Incidence of Lumbar Disk Degeneration in Japanese Collegiate Gymnasts
title_full Effects of Competition Level on the Prevalence and Incidence of Lumbar Disk Degeneration in Japanese Collegiate Gymnasts
title_fullStr Effects of Competition Level on the Prevalence and Incidence of Lumbar Disk Degeneration in Japanese Collegiate Gymnasts
title_full_unstemmed Effects of Competition Level on the Prevalence and Incidence of Lumbar Disk Degeneration in Japanese Collegiate Gymnasts
title_short Effects of Competition Level on the Prevalence and Incidence of Lumbar Disk Degeneration in Japanese Collegiate Gymnasts
title_sort effects of competition level on the prevalence and incidence of lumbar disk degeneration in japanese collegiate gymnasts
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9676327/
https://www.ncbi.nlm.nih.gov/pubmed/36419478
http://dx.doi.org/10.1177/23259671221119439
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