Mar 13

Prevalencia y mecanismos propuestos del dolor lumbar crónico en el béisbol: parte i.

Prevalence and proposed mechanisms of chronic low back pain in baseball: part i.


Este artículo es originalmente publicado en:




Wasser JG1, Zaremski JL1, Herman DC1, Vincent HK1.

Res Sports Med. 2017 Jan 27:1-12. doi: 10.1080/15438627.2017.1282361. [Epub ahead of print]


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The prevalence of low back pain (LBP) among active baseball players ranges between 3 and 15%. The execution of baseball-specific manoeuvres, such as pitching or batting, may be related to the onset of LBP. These baseball motions are complex and require appropriate activation of the core musculature to produce a well-timed motion with forces minimized at the extremities. The spine, core and back musculature are involved with acceleration and deceleration of rotational motions. This narrative review synopsizes the available evidence of the prevalence of and mechanical factors underlying LBP in the baseball population. Possible mechanical mechanisms linking baseball play to LBP include aberrant motion, improper timing, high lumbar stress due to mechanical loading and lumbopelvic strength deficits. Potential clinical implications relating to these possible mechanical mechanisms will also be highlighted. The state of the evidence suggests that there are deficits in understanding the role of baseball motion and playing history in the development of spine conditions.



La prevalencia de dolor lumbar (LBP) entre los jugadores activos de béisbol oscila entre 3 y 15%. La ejecución de maniobras específicas del béisbol, tales como lanzamiento o bateo, puede estar relacionado con el inicio de la LBP. Estos movimientos de béisbol son complejos y requieren la activación apropiada de la musculatura del núcleo para producir un movimiento bien sincronizado con fuerzas minimizadas en las extremidades. La columna vertebral, el núcleo y la musculatura de la espalda están implicados en la aceleración y desaceleración de los movimientos de rotación. Esta revisión narrativa sinopsis de la evidencia disponible de la prevalencia de los factores mecánicos y subyacente LBP en la población de béisbol. Mecanismos mecánicos posibles que vinculan el juego de béisbol a LBP incluyen el movimiento aberrante, la sincronización inadecuada, la tensión lumbar alta debido a la carga mecánica y los déficits lumbopelvic de la fuerza. También se destacarán las posibles implicaciones clínicas relacionadas con estos posibles mecanismos mecánicos. El estado de la evidencia sugiere que hay deficiencias en la comprensión del papel del movimiento de béisbol y la historia de juego en el desarrollo de las condiciones de la columna vertebral.



Baseball; injury; kinematics; low back pain; stress

PMID:  28128007  DOI:   10.1080/15438627.2017.1282361



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