棒球選手之脊椎解離和脊椎滑脫症：五病例報告

Spondylolysis and Spondylolisthesis in Baseball Athletes: Five Case Reports

游鈞堯(Chun-Yao Yu) ； 張曉昀(Hsiao-Yun Chang) ； 林傳朝(Chuan-Chao Lin) ； 洪翊倫(Yi-Luen Hung) ； 蔡素如(Su-Ju Tsai)

《台灣復健醫學雜誌》 39卷1期 (2011/03) Pp. 39-44

https://doi.org/10.6315/2011.39(1)06

摘要

下背痛是年輕運動員常見的求診原因之一，而脊椎解離和脊椎滑脫症，則是年輕運動員下背痛常見之診斷。其下背痛的臨床表現，常在腰椎過度伸直時疼痛會加重，休息時會較緩解。遺傳因素對脊椎解離和脊椎滑脫有部份影響；而某些特定的活動，會對腰椎產生反覆性過度伸張和旋轉的力量負擔，也會造成年輕運動員的脊椎解離和脊椎滑脫。
於2005年12月至2009年3月，共有五位棒球選手因爲下背痛至本院求診，其中二位診斷爲第一級脊椎滑脫、二位爲雙側脊椎解離而無滑脫、及一位爲單側脊椎解離。此五位選手，皆接受保守治療，包括藥物和物理治療，其症狀皆獲得緩解，且皆能重返運動場。回顧文獻少有類似的案例報告，本五病例的診斷及治療過程可供臨床照顧之參考。

關鍵字

脊椎解離 ； 脊椎滑脫 ； 棒球 ； 復健

並列摘要

Low back pain is one of the commonest complaints of young athletes who visit the physical medicine and rehabilitation outpatient department. Spondylolysis and spondylolisthesis are frequent causes of low back pain in young athletes. The pain in these conditions is exacerbated by lumbar extension and relieved by rest. Although genetic predisposition plays an important role in the development of pars defect, certain activities involving lumbar hyperextension and rotation movements result in spondylolysis and spondylolisthesis.
From December 2005 to March 2009, there were five baseball athletes who visited our outpatient department because of low back pain. The diagnosis was grade I spondylolisthesis in two patients, bilateral spondylolysis in two patients, and unilateral spondylolysis in one patient. The five patients received conservative treatment including rest, oral medication, and physical therapy. All of the patients obtained obvious symptomatic relief and returned to playing.

並列關鍵字

spondylolysis ； spondylolisthesis ； baseball ； rehabilitation