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

Bibliographic Data

ID15463579
AuthorsAntonio Cejudo (0000-0001-5903-0843, Universidad de Murcia, corresponding author), Josep María Centenera-Centenera (Department of Surgery, Traumatology and Orthopedics, Bofill Clinic, 17002 Gerona, Spain, corresponding author), Fernando Santonja‐Medina (0000-0002-3593-3287, Universidad de Murcia)
Year2021
Volume18
Issue16
Pages8654-8654
Publication date2021-08-16
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18168654
PMID34444402
OpenAlexW3194799994
LanguageEN
Citations received5
References cited85

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

Hamstring · Low back pain · Lumbar · Lumbosacral joint · Pelvic tilt · Pelvis · Physical medicine and rehabilitation · Physical therapy · Sagittal plane · Spinal Curvatures · Medicine · Musculoskeletal pain and rehabilitation · Occupational Health and Performance · Sports injuries and prevention · Anatomy · Surgery

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