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首页> 外文期刊>Journal of athletic training >Lacrosse equipment and cervical spinal cord space during immobilization: preliminary analysis.
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Lacrosse equipment and cervical spinal cord space during immobilization: preliminary analysis.

机译：固定过程中的曲线环设备和颈椎脊髓空间：初步分析。

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CONTEXT: Removal of the lacrosse helmet to achieve airway access has been discouraged based only on research in which cervical alignment was examined. No researchers have examined the effect of lacrosse equipment on the cervical space available for the spinal cord (SAC). OBJECTIVE: To determine the effect of lacrosse equipment on the cervical SAC and cervical-thoracic angle (CTA) in the immobilized athlete. DESIGN: Observational study. SETTING: Outpatient imaging center. PATIENTS OR OTHER PARTICIPANTS: Ten volunteer lacrosse athletes (age = 20.7 +/- 1.87 years, height = 180.3 +/- 8.3 cm, mass = 91 +/- 12.8 kg) with no history of cervical spine injury or disease and no contraindications to magnetic resonance imaging (MRI). INTERVENTION(S): The lacrosse players were positioned supine on a spine board for all test conditions. An MRI scan was completed for each condition. MAIN OUTCOME MEASURE(S): The independent variables were condition (no equipment, shoulder pads only [SP], and full gear that included helmet and shoulder pads [FG]), and cervical spine level (C3-C7). The dependent variables were the SAC and CTA. The MRI scans were evaluated midsagittally. The average of 3 measures was used as the criterion variable. The SAC data were analyzed using a 3 x 5 analysis of variance (ANOVA) with repeated measures. The CTA data were analyzed with a 1-way repeated-measures ANOVA. RESULTS: We found no equipment x level interaction effect (F(3.7,72) = 1.34, P = .279) or equipment main effect (F(2,18) = 1.20, P = .325) for the SAC (no equipment = 5.04 +/- 1.44 mm, SP = 4.69 +/- 1.36 mm, FG = 4.62 +/- 1.38 mm). The CTA was greater (ie, more extension; critical P = .0167) during the SP (32.64 degrees +/- 3.9 degrees) condition than during the no-equipment (25.34 degrees +/- 2.3 degrees ; t(9) = 7.67, P = .001) or FG (26.81 degrees +/- 5.1 degrees; t(9) = 4.80, P = .001) condition. CONCLUSIONS: Immobilizing healthy lacrosse athletes with shoulder pads and no helmets affected cervical spine alignment but did not affect SAC. Further research is needed to determine and identify appropriate care of the lacrosse athlete with a spine injury.
机译：背景信息：仅基于研究宫颈取向的研究，拆除了曲棍球头盔以实现气道进入。没有研究人员已经检查了曲棍球设备对脊髓（SAC）可用宫颈空间的影响。目的：确定固定运动员宫颈囊和宫颈 - 胸角（CTA）对曲棍球设备的影响。设计：观察研究。设置：门诊成像中心。患者或其他参与者：十名志愿者曲棍球运动员（年龄= 20.7 +/- 1.87年，身高= 180.3 +/- 8.3厘米，质量= 91 +/- 12.8千克），没有颈椎损伤或疾病的历史，没有禁忌症磁共振成像（MRI）。干预：曲棍球运动员在脊柱板上定位了所有测试条件的仰卧。为每个条件完成MRI扫描。主要结果措施：独立变量是条件（没有设备，仅肩部垫[SP]，以及包括头盔和肩部垫[FG]的全齿轮），以及颈椎水平（C3-C7）。依赖变量是囊和CTA。 MRI扫描在途中进行了评估。使用3个措施的平均值作为标准变量。使用重复措施，使用3×5分析（ANOVA）分析SAC数据。通过双向重复测量Anova分析CTA数据。结果：我们发现没有设备X电平相互作用效果（F（3.7,72）= 1.34，p = .279）或囊的主要效果（F（2,18）= 1.20，p = .325）（无设备= 5.04 +/- 1.44 mm，SP = 4.69 +/- 1.36 mm，FG = 4.62 +/- 1.38 mm）。在SP（32.64摄氏度+/- 3.9度）条件下，CTA更大（即，更长的延伸;关键P = .0167），而不是无设备（25.34度+/- 2.3度; T（9）= 7.67 ，p = .001）或fg（26.81度+/- 5.1度; t（9）= 4.80，p = .001）条件。结论：用肩部垫固定健康的曲棍球运动员，不会影响颈椎对齐但不影响囊。需要进一步的研究来确定和识别脊柱损伤的曲囊运动员的适当照顾。

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