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Lumbar spine and their changes related to players.
Spondylolysis is a bone defect in the pars interarticularis of the vertebra. It is usually present bilaterally and affects the L5 vertebrae (85-95%) (Cotorro et al, 2006). The article by Cotorro et al (2006) has presented various aspects of the lumbar spondylolysis and the reason behind the defect in the pars interarticularis. It is clearly stated in the article that the movement is the main impact causing the defect and leading to spondylolysis (Cotorro et al, 2006).
Being an Indian, I am found of Cricket, particularly in this season when the match was going on until last few couple of days. My husband just recorded some of the moments, especially the batting one done by one of his favorite player. As I was reading through this article presented by Cotorro et al (2006), I focused on the paragraph where it was stated that the movement of hyperextension caused by overloading of the posterior arch while serving and combined with force rotation caught my attention. I just read the article and asked my husband to rewind the play. I saw that when the batsman tried to hit the ball in order to score a 4 he intended to perform the same motion. However, I found the impact can be more severe than that of the tennis player.
The reason behind this is the player first takes a flexion position and while hitting the ball with full force the player takes a sudden rotation with a combine movement of extension along with movement in the thoracic vertebrae. Furthermore, the player does all this movements while he is holding a bat (almost 6-7lb) and hitting the season ball with the force. However, I tried to find articles in relation to cricket and the spondylolysis but I was unable to find any.
Nevertheless, I came across the article presented by Mefford et al (2011), where the author tries to find changes in the lumbar spine in golfers. At one point I found the position taken by golfers and cricketers almost the same. However, the position was same but the impact of the force needed in both the game varies to a certain point. Mefford et al (2011) in the study concluded that the golf swing is responsible for the majority of golf-related injuries usually from overuse or poor swing mechanics. Mefford et al (2011) found that low back pain in golfers can originate from several types of swing-related injuries including muscle strains, facet arthropathy, herniated nucleus pulposus, spondylolisthesis, and stress fractures of the vertebral body and pars interarticularis. All patients in this study were diagnosed with endplate inflammation of the lumbar spine specifically localized to the right side.
Have you ever treated sport injuries particularly swing related sport injuries? As most of the sports requires a sudden hyperextension or sudden flexion or sudden twist, do you think there should be specific brace for this kind of sports?
Thanks
Sweta
References:
Cotorro, A.R, Matas, R.B, Massana, A.E & Angulo, J.V (2006). Spondylolysis in Young Tennis Player. Br J Sports Med 2006;40:441–446.
Mefford, J. Sairyo, k. Sakai, T. Hopkins, J. Inoue, M. Amari, R. Bhatia, N. Dezawa. A & Yasui, N (2011). Modic Type 1 changes of lumbar spine in golfers. Skeletal Radiol. 2011 April; 40(4): 467–473.
Spondylolysis is a bone defect in the pars interarticularis of the vertebra. It is usually present bilaterally and affects the L5 vertebrae (85-95%) (Cotorro et al, 2006). The article by Cotorro et al (2006) has presented various aspects of the lumbar spondylolysis and the reason behind the defect in the pars interarticularis. It is clearly stated in the article that the movement is the main impact causing the defect and leading to spondylolysis (Cotorro et al, 2006).
Being an Indian, I am found of Cricket, particularly in this season when the match was going on until last few couple of days. My husband just recorded some of the moments, especially the batting one done by one of his favorite player. As I was reading through this article presented by Cotorro et al (2006), I focused on the paragraph where it was stated that the movement of hyperextension caused by overloading of the posterior arch while serving and combined with force rotation caught my attention. I just read the article and asked my husband to rewind the play. I saw that when the batsman tried to hit the ball in order to score a 4 he intended to perform the same motion. However, I found the impact can be more severe than that of the tennis player.
The reason behind this is the player first takes a flexion position and while hitting the ball with full force the player takes a sudden rotation with a combine movement of extension along with movement in the thoracic vertebrae. Furthermore, the player does all this movements while he is holding a bat (almost 6-7lb) and hitting the season ball with the force. However, I tried to find articles in relation to cricket and the spondylolysis but I was unable to find any.
Nevertheless, I came across the article presented by Mefford et al (2011), where the author tries to find changes in the lumbar spine in golfers. At one point I found the position taken by golfers and cricketers almost the same. However, the position was same but the impact of the force needed in both the game varies to a certain point. Mefford et al (2011) in the study concluded that the golf swing is responsible for the majority of golf-related injuries usually from overuse or poor swing mechanics. Mefford et al (2011) found that low back pain in golfers can originate from several types of swing-related injuries including muscle strains, facet arthropathy, herniated nucleus pulposus, spondylolisthesis, and stress fractures of the vertebral body and pars interarticularis. All patients in this study were diagnosed with endplate inflammation of the lumbar spine specifically localized to the right side.
Have you ever treated sport injuries particularly swing related sport injuries? As most of the sports requires a sudden hyperextension or sudden flexion or sudden twist, do you think there should be specific brace for this kind of sports?
Thanks
Sweta
References:
Cotorro, A.R, Matas, R.B, Massana, A.E & Angulo, J.V (2006). Spondylolysis in Young Tennis Player. Br J Sports Med 2006;40:441–446.
Mefford, J. Sairyo, k. Sakai, T. Hopkins, J. Inoue, M. Amari, R. Bhatia, N. Dezawa. A & Yasui, N (2011). Modic Type 1 changes of lumbar spine in golfers. Skeletal Radiol. 2011 April; 40(4): 467–473.
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