Disposición sagital del raquis y estensibilidad isquiosural en mujeres postmenopáusicas activas y sedentarias

  1. Sainz de Baranda Andújar, María del Pilar
  2. López Miñarro, Pedro Ángel
  3. Martínez-Almagro Andreo, Andrés
Revista:
Cultura, ciencia y deporte

ISSN: 1696-5043

Año de publicación: 2005

Volumen: 1

Número: 3

Páginas: 137-144

Tipo: Artículo

DOI: 10.12800/CCD.V1I3.123 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Cultura, ciencia y deporte

Objetivos de desarrollo sostenible

Resumen

Se valoró la disposición sagital del raquis dorsal y lumbar mediante un inclinómetro ISOMED Unilevel en bipedestación relajada, sedentación asténica y flexión del tronco máxima (test dedos-suelo), así como la extensibilidad isquiosural mediante el test de elevación de pierna recta. Se valoraron a 79 mujeres postmenopaúsicas que participaban en programas de ejercicio físico organizados por instituciones públicas (ACT), así como a 45 mujeres sedentarias de las mismas características (SED). En bipedestación, la curva dorsal media fue de 46.51º+ 10.19º (SED) y 44.15º + 10.69º (ACT) (p>0.05). Para la curva lumbar, la media fue de 37.00º + 8.36º (SED) y 37.36º + 9.00º (ACT) (p>0.05). En disposición dedos-suelo, la curva dorsal media fue de 57.76º + 12.13º (SED) y de 56.21º + 11.8º para el grupo ACT (p>0.05). Para la curva lumbar, el grupo SED presenta una media de 13.47º + 12.84º, y el grupo ACT de 15.94 + 13.42 (p>0.05). En sedentación asténica, la curva dorsal media del grupo SED fue de 46.62º+ 11.2º y de 44.54º + 12.93º en el grupo ACT (p>0.05). La curva lumbar fue de - 4.00º + 12.00º en el grupo SED y de - 2.88º + 11.50º en el grupo ACT (p>0.05). Tras la valoración de la extensibilidad isquiosural con el test de elevación de la pierna recta, la media del grupo SED fue de 80.64º+ 16.3º para la pierna izquierda y de 79.67º + 13.69º para la pierna derecha, mientras que en el grupo ACT la media fue de 83.96º+ 13.9º para la pierna izquierda y de 82.10º + 14.73º para la pierna derecha (p>0.05). No se encontraron diferencias significativas entre ambos grupos, posiblemente porque en los programas de ejercicio físico no se realizan actividades específicas de higiene postural.

Referencias bibliográficas

  • (1) Adams, M. A. & Dolan, P. (1995). Recent advances in lumbar spinal mechanics and their clinical significance. Clinical Biomechanics, 10, 3-19.
  • (2) American Alliance for Health, Physical Education, Recreation and Dance. (1984). Technical manual for the health related physical fitness test. Reston, VA: Author.
  • (3) Bado, J. L. (1977). Dorso Curvo. Montevideo: Artecolor.
  • (4) Baker, B. E. (1984). Current concepts in the diagnosis and treatment of musculotendinous injuries. Medicine Science in Sport and Exercise, 16, 323-327.
  • (5) Biering-Sorensen, F. (1984). Physical measurements as risk indicator for low-back trouble over a one year period. Spine, 9, 106-119.
  • (6) Black, D. M., Palermo, L., Nevitt, M. C., Genant, H. K., Chistensen, L. & Cummings, S. R. (1999). Defining incident vertebral deformity: A prospective comparison of several approaches. Journal of Bone and Mineral Research, 14, 90-101.
  • (7) Cabry, J. & Shiple, B. J. (2000). Increasing hamstring flexibility decreases hamstring injuries in high school athletes. Clinical Journal of Sport Medicine, 10(4), 311-312.
  • (8) Cailliet, R. (1988). Low back pain syndrome. Philadelphia: F. A. Davis.
  • (9) Callaghan, J. P. & McGill, S. M. (2001a). Low back joint loading and kinematics during standing and unsupported sitting. Ergonomics, 44, 280-294.
  • (10) Callaghan, J. P. & McGill, S. M. (2001b). Intervertebral disk herniation: Studies on a porcine model exposed to highly repetitive flexion/extension motion with compressive force. Clinical Biomechanics, 16, 28-37.
  • Cockerill, W., Ismail, A. A., Cooper, C., Matthis, C., Raspe, H., Silman, A. J. et al. (2000). Does location of vertebral deformity within the spine influence back pain and disability? Annals of rheumatic diseases, 59, 368-371.
  • (12) Cooper, C., Oneil, T. & Silman, A. J. (1993). The epidemiology of vertebral fractures. Bone, 14, S87-S97.
  • (13) Cortet, B., Houvenagel, E., Pusieux, F., Roches, E., Garnier, P. & Delcambre, B. (1999). Spinal curvatures and quality of life in women with vertebral fractures secondary to osteoporosis. Spine, 24, 1921-1925.
  • (14) Croisier, J. L., Forthomme, B., Namurois, M. H., Vanderthommen, M. & Crielaard, J.M. (2002). Hamstring muscle strain recurrence and strength performance disorders. The American Journal of Sports Medicine, 30, 199-203.
  • (15) Culham, E. G., Jiménez, H. A. & King, C. E. (1994). Thoracic kyphosis, rib mobility, and lung volumes in normal women and women with osteoporosis. Spine, 19, 1250-1255.
  • (16) De Smet, A. A., Robinson, R. G., Johnson, B. E. & Lukert, B. P. (1988). Spinal compression fractures in osteoporotic women: patterns andrelationship to hyperkyphosis. Radiology, 166, 497-500.
  • (17) Eagan, M. S. & Sedlock, D. A. (2001). Kyphosis in active and sedentary postmenopausal women. Medicine and Science in Sports and Exercise, 33, 688-695.
  • (18) Ensrud, K. E., Black, D. M., Harris, F., Ettinger, B. & Cummings, S. R. (1997). Correlates of kyphosis in older women. The Fracture Intervention Trial Research Group. Journal of the American Geriatrics Society, 46, 682-687.
  • (19) Ensrud, K. E., Thompson, D. E., Cauley, J. A., Nevitt, M. C., Kado, D. M., Hochberg, M. C. et al. (2000). Prevalent vertebral deformities predict mortality and hospitalization in older women with low bone mass. Fracture Intervention Trial Research Group. Journal of the American Geriatrics Society, 48, 241-249.
  • (20) Ernst, E. (1998). Exercise for females osteoporosis. A systematic review of randomised clinical trials. Sports Medicine, 25, 359-368.
  • (21) Esola, M. A., McClure, P. W., Fitzgerald, G. K. & Siegler, S. (1996). Analysis of lumbar spine and hip motion during forward bending in subjects with and without a history of low back pain. Spine, 21, 71-78.
  • (22) Ettinger, B., Black, D. M., Palermo, L., Nevitt, M. C., Melnikoff, S. & Cummings, S. R. (1994). Kyphosis in older women and its relation to back pain, disability and osteopenia: the study of osteoporotic fractures. Osteoporosis International, 4, 55-60.
  • (23) Ferrer, V. (1998). Repercusiones de la cortedad isquiosural sobre la pelvis y el raquis lumbar. Tesis Doctoral. Facultad de Medicina, Universidad de Murcia, Murcia.
  • (24) Fisk, J. W. & Baigent, M. L. (1981). Hamstring Tightness and Scheuermann’s Disease. A pilot study. American Journal of Physical Medicine and Rehabilitation, 60, 122-125.
  • (25) Fisk, J. W., Baigent, M. L. & Hill, P. D. (1984). Scheuermann’s disease. Clinical and radiological survey of 17 and 18 years old. American Journal of Physical Medicine and Rehabilitation, 63, 18-30.
  • (26) Gajdosik, R. L., Albert, C. R. & Mitman, J. J. (1994). Influence of hamstring length on the standing position and flexion range of motion of the pelvic angle, lumbar angle, and thoracic angle. Journal of Orthopaedic and Sports Physical Therapy, 20, 213-219.
  • (27) Garret, W. E., Calift, J. C. & Basset, F. H. (1984). Histochemical correlates of hamstrings injuries. American Journal of Sport Medicine, 12, 98-103.
  • (28) Gedalia, U., Solomonow, M., Zhou, B., Baratta, R. V., Lu, Y. & Harris, M. (1999). Biomechanics of increased exposure to lumbar injury caused by ciclic loading: part 2. Recovery of reflexive muscular stability with rest. Spine, 24, 2462-2472.
  • (29) Haczynski, J. & Jakimiuk, A. J. (2001). Vertebral fractures: a hidden problem of osteoporosis. Medical Science Monitor, 7, 1108-1117.
  • (30) Harvey J. & Tanner, S. (1991). Low back pain in young athletes: A practical approach. Sport Medicine, 12, 394-406.
  • (31) Hollingworth, P. (1996). Back pain in children. British Journal of Rheumatology, 35, 1022-1028.
  • (32) Hyytiäinen, K., Salminen, J. J., Suvitie, T., Wickström, G. & Pentty, J. (1991). Reproducibility of nine test to measure spinal mobility and trunk muscle strength. Scandinavian Journal of Rehabilitation Medicine, 23, 3-10.
  • (33) Itoi, E. & Sinaki, M. (1994). Effect of back-strengthening exercise on posture in healthy women 49 to 65 years of age. Mayo Clinic Proceedings, 69, 1054-1059.
  • (34) Jones, C. J., Rikli, R. E., Max, J. & Noffal, G. (1998). The reliability and validity of a chair sit-and-reach test as a measure of hamstring flexibility in older adults. Research Quarterly for Exercise and Sport, 63, 338-343.
  • (35) Kado, D. M., Huang, M. H., Barret-Connor, E. & Greendale, G. A. (2005). Hyperkyphotic posture and poor physical functional ability in older community-dwelling men and women: the Rancho Bernardo study. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60, 633-637.
  • (36) Kado, D. M., Huang, M. H., Karlamangla, A. S., Barret-Connor, E. & Greendale, G. A. (2004). Hyperkyphotic posture predicts mortality in older community-dwelling men and women: a prospective study. Journal of the American Geriatrics Society, 52, 1662-1667.
  • (37) Krämer, J. (1989). Síndrome Lumbar. En Patología del disco intervertebral (pp. 121-262). Barcelona: Doyma.
  • (38) Lemmink, K. A. P. M., Kemper, H. C. G., de Greef, M. H. G., Rispens, P. & Stevens, M. (2003). The validity of the sit-and- reach test and the modified sit-and-reach test in middleaged to older men and women. Research Quarterly for Exercise and Sport, 74, 331-336.
  • (39) Lindsey, D. P., Kim, M. J., Hannibal, M. & Alamin, T. F. (1995). The monotonic and fatigue properties of osteoporotic thoracic vertebral bodies. Spine, 30, 645-649.
  • (40) Madson, T. J, Youdas, J. W. & Suman, V. J. (1999). Reproducibility of lumbar spine range of motion measurements using the back range of motion device. Journal of Orthopaedic and Sports Physical Therapy, 29, 470-477.
  • (41) McGill, S. M. (1997). The biomechanics of low back injury: implications on current practice in industry and the clinic. Journal of Biomechanics, 30, 465-475.
  • (42) McGill, S. M. (2002). Low back disorders. Evidence-based prevention and rehabilitation. Champaign: Human Kinetics.
  • (43) McGill, S. M.; Hughson, R. L. & Parks, K. (2000). Changes in lumbar lordosis modify the role of the extensor muscles. Clinical Biomechanics, 15, 777-80.
  • (44) Melton, J. L. (1997). Epidemiology of spinal osteoporosis. Spine, 22, S2-S11.
  • (45) Mierau, D., Cassidy, J. D. & Yong-Hing, K. (1989). Low-back pain and straight in children and adolescents. Spine, 14, 526-528.
  • (46) Mika, A., Unnithan, V. B. & Mika, P. (2005). Differences in thoracic kyphosis and in back muscle strength in women with bone loss due to osteoporosis. Spine, 30, 241-246.
  • (47) Miyakoshi, N., Itoi, E., Kobayashi, M. & Kodama, H. (2003). Impact of postural deformities and spinal mobility on quality of life in postmenopausal osteoporosis. Osteoporosis International, 14, 1007-1012.
  • (48) Nachemson, A. (1976). The load on lumbar disks in different positions of the body. Clinical Orthophaedic, 45, 107-112.
  • (49) Ng, J. K., Kippers, V., Richardson, C. A. & Parnianpour, M. (2001). Range of motion and lordosis of the lumbar spine: reliability of measurement and normative values. Spine, 26, 53-60.
  • (50) Pastor, A. (2000). Estudio del morfotipo sagital de la columna y de la extensibilidad de la musculatura isquiosural de jóvenes nadadores de élite Españoles. Tesis Doctoral. Facultad de Medicina, Universidad de Murcia, Murcia.
  • (51) Polga, D. J., Beaubien, B. P., Kallemeier, P. M., Schellhas, K. P., Lew, W. D., Buttermann, G. R. et al. (2004). Measurement of in vivo intradiscal pressure in healthy thoracic intervertebral discs. Spine, 29, 1320-1324.
  • (52) Pope, M. H., Bevins, T., Wilder, D. G. & Frymoyer, J. V. (1985). The relations-n chip between antrhopometric, postural, muscular and mobility characteristics of males ages 18-55. Spine, 10, 644-648.
  • (53) Revel, M., Mayoux-Benhamou, M. A., Rabourdin, J. P., Bagheri, F. & Roux, C. (1993). One year psoas training can prevent lumbar bone loss in postmenopausal women: a randomised controlled trial. Calcified Tissue International, 53, 307-311.
  • (54) Rodríguez, P. L. (1998). Educación Física y salud del escolar: Programa para la mejora de la extensibilidad isquiosural y del raquis en el plano sagital. Tesis Doctoral. Facultad de Ciencias de la Actividad Física y del Deporte. Universidad de Granada, Granada.
  • (55) Ross, P. D., Dais, J. W., Epstein, R. S. & Wasnich, R. D. (1994). Pain and disability associated with new vertebral fractures and other disability conditions. Journal of Clinical Epidemiology, 47, 231-239.
  • (56) Sainz de Baranda, P. (2002). Educación Física y Actividad Ex- traescolar: programa para la mejora del raquis en el plano sagital y la extensibilidad isquiosural en Primaria. Tesis doctoral. Facultad de Medicina, Universidad de Murcia, Murcia.
  • (57) Santonja, F. (1996). Las desviaciones sagitales del raquis y su relación con la práctica deportiva. En: V. Ferrer, L. Martínez & F. Santonja (Coords.). Escolar: Medicina y Deporte (pp. 251-268). Albacete: Diputación Provincial de Albacete.
  • (58) Santonja, F. & Martínez, I. (1992). Síndrome de acortamiento de la musculatura isquiosural. En F. Santonja & I. Martínez (Eds), Valoración médico-deportiva del escolar (pp. 245-258). Murcia: Universidad de Murcia.
  • (59) Santonja, F., Ferrer, V. & Martinez, I. (1995). Exploración radiográfica ante la cortedad isquiosural. Selección, 4(3), 137-145.
  • (60) Santonja, F., Pastor, A. & Garcés, G. L. (1995). Marcada cortedad isquiosural y espondilolistesis. En Abstracts del VIII Congreso Europeo de Medicina del Deporte (p. 227). Granada: Universidad de Granada.
  • (61) Sato, K., Kikuchi, S. & Yonezawa, K. (1999). In vivo intradiscal pressure measurements in healthy individuals and in patients with ongoing back problems. Spine, 24, 2468-2478.
  • (62) Saur, P. M., Ensink, F. M., Frese, K., Seeger, D. & Hildebrandt, J. (1996). Lumbar range of motion: reliability and validity of the inclinometer technique in the clinical measurement of trunk flexibility. Spine, 21, 1332-1338.
  • (63) Schneider, D. L., Von Muhlen, D., Barrett-Connor, E. & Sartoris, D. J. (2004). Kyphosis does not equal vertebral fractures: the Rancho Bernardo study. Journal of Rheumatology, 31, 747-752.
  • (64) Sinaki, M., Itoi, E., Rogers, J. W., Bergstralh, E. J. & Wahner H. M. (1996). Correlation of back extensor strength with thoracic kyphosis and lumbar lordosis in estrogen-deficient women. American Journal of Physical Medicine and Rehabilitation, 75, 370-374.
  • (65) Solomonow, M., Zhou, B., Baratta, R. V., Zhu, M. & Lu, Y. (2000). Neuromuscular disorders associated with static lumbar flexion: a feline model. Journal of Electromyography and Kinesiology, 12, 81-90.
  • (66) Somhegyi, A. & Ratko, I. (1993). Hamstring tightness and Scheuermann’s Disease. American Journal of Physical Medicine an Rehabilitation, 72, 44.
  • (67) Standaert, C. J. & Herring, S. A. (2000). Spondylolysis: A critical review. British Journal of Sports Medicine, 34, 415-422.
  • (68) Stokes, I. A. F. & Abery, J. M. (1980). Influence of the hamstring muscles on lumbar spine curvature in sitting. Spine, 5, 525-528.
  • (69) Takata, K. & Takahashy, K. (1994). Hamstring tightness and sciatica in young patients with disc herniation. Journal Bone and Joint Surgery, 76, 220-224.
  • (70) Tully, E.A. & Stillman, B. C. (1997). Computer-aided video analysis of vertebrofemoral motion during toe touching in healthy subjects. Archives of Physical Medicine and Rehabilitation, 78, 759-766.
  • (71) Villaverde, C., Roa, J. M., Araujo, E., Cruz, F., Ruiz, G. & Ramírez, J. (2004). Ejercicio físico, densidad mineral ósea y calidad de vida en mujeres menopáusicas. Cultura, Ciencia y Deporte, 1, 21-24.
  • (72) Wherenberg, W. B. & Costello, M. (1993). Clinical evaluation of the backmate lower lumbar rehabilitation system. Results of a preliminary study. The Journal of Orthopaedic and Sport Physical Therapy, 17, 185-190.
  • (73) Wilke, H. J., Neef, P., Caimi, M., Hoogland, T. & Claes, L. E. (1999). New in vivo measurements of pressures in the intervertebral disc in daily life. Spine, 24, 755-762.
  • (74) Wilke, H. J., Neef, P., Hinz, B., Seidel, H. & Claes, L. E. (2001). Intradiscal pressure together with anthropometric data a data set for the validation of models. Clinical Biomechanics, 1, S111-S126.
  • (75) Yingling, V. R. & McGill, S. M. (1999). Anterior shear of spinal motion segments. Kinematics, kinetics, and resultant injuries observed in a porcine model. Spine, 24, 1882- 1889.