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The relationship between morphology of abdominal wall muscles and back pain in elite female floorball players – sonographic evaluation


Authors: Kramperová A.;  Machač S.
Authors‘ workplace: Klinika rehabilitace a tělovýchovného lékařství 2. LF UK a FN Motol, Praha
Published in: Rehabil. fyz. Lék., 31, 2024, No. 1, pp. 25-31.
Category: Original Papers
doi: https://doi.org/10.48095/ccrhfl 202425

Overview

The article contains an evaluation of the morphology of the abdominal wall muscles focusing on the assessment of lateral symmetry in elite floorball players and its relationship with the occurrence of low back pain. A total of 20 female players of women‘s floorball extraleague, who filled out an electronic questionnaire assessing low back pain, participated in the evaluation. The linear parameters of the abdominal wall muscles were measured in the players on both sides at rest using sonography. A significant lateral asymmetry of the linear parameters of abdominal wall muscles was demonstrated in the work (P = 0.02; Cohen‘s d = 0.52). However, the relationship between this asymmetry and the biomechanics of movement in floorball, correlated with the side of the player’s stick, cannot be proven based on the collected data (P = 0.34–0.95; Cohen‘s d = –0.15 to 0.38). We also observe certain trends in the results. Compared to the previously published female average, we notice hypertrophy of the rectus abdominis in participants. On average, female players who reported low back pain have lower values of the linear parameters of abdominal wall muscles. After correlation with the results of the questionnaires, lateral asymmetry of the abdominal wall muscles surprisingly appears to be a possible protective factor in the occurrence of back pain in these elite players (Pearson‘s correlation coefficient r = –0.39; P = 0.09). To confirm the relationship between lateral asymmetry, floorball biomechanics and low back pain, it is advisable to expand research in this area by involving a larger number of probands. At the same time, it should be emphasized that the finding of a possible protective effect of asymmetry in elite female players is not transferable to the general population and that the long-term effect of this asymmetry on the occurrence of pain in later life has not been evaluated.

Keywords:

Abdominal muscles – low back pain – sonography – female floorball – musculoskeletal ultrasound


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Doručeno/ Submitted: 31. 10. 2023
Přijato/
 Accepted: 17. 1. 2024

Korespondenční autor:
Mgr. Adéla Kramperová
Klinika rehabilitace a TVL
2. LF UK a FN Motol
V Úvalu 84
150 06 Praha 5
e-mail: adela.kramperova@email.cz

Labels
Physiotherapist, university degree Rehabilitation Sports medicine
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