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The American Journal of Sports Medicine 19:463-468 (1991)
© 1991 SAGE Publications

Spine injuries in gymnasts and swimmers

An epidemiologic investigation

Jack D. Goldstein, MD

Southern California Center for Sports Medicine

Paul E. Berger, MD

Southern California Center for Sports Medicine, Memorial Magnetic Resonance Center, Long Beach, California

Gary E. Windler, MD

Southern California Center for Sports Medicine

Douglas W. Jackson, MD

Southern California Center for Sports Medicine

Three groups of top level female gymnasts of preelite, elite, national and Olympic caliber were studied without regard to back pain or injury. These athletes were compared to a similar group of national caliber female swimmers. Magnetic resonance imaging scans of each participant were used to document disk or bony abnor malities. The relationship between magnetic resonance imaging findings and age, height, weight, previous in juries, back symptoms, and hours of training per week each year was examined.

Nine percent of preelite (1/11), 43% of elite (6/14), and 63% of Olympic level (5/8) gymnasts had spine abnormalities; 15.8% of all swimmers had spine abnor malities. Average hours of training per week and age were found to be associated with abnormalities seen on magnetic resonance imaging. Increased intensity and length of training correlated with previous data that suggests the female gymnast is prone to spine injuries.




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