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The role of Quadratus Lumborum asymmetry in the occurrence of lesions in the lumbar vertebrae of cricket fast bowlers

de Visser, Hans, Adam, Clayton J., Crozier, Stuart, & Pearcy, Mark J. (2007) The role of Quadratus Lumborum asymmetry in the occurrence of lesions in the lumbar vertebrae of cricket fast bowlers. Medical Engineering and Physics, 29(8), pp. 877-885.

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Abstract

In cricket fast bowlers an increased incidence of stress fractures or lesions in the L4 pars interarticularis is observed, which shows a strong statistical correlation with the presence of hypertrophy in the contralateral Quadratus Lumborum (QL) muscle. This study aims to find a physical explanation for this correlation. A mathematical model was used to estimate the forces and moments on the L3 and L4 vertebrae in six postures attained during fast bowling. These forces and moments were used in finite element models to estimate the stresses in the pars interarticularis. Two scenarios were examined per posture: symmetric QL muscles, and right QL muscle volume 30% enlarged. Influence of muscle activation was also investigated. QL asymmetry only correlates with significant stress increases when stress levels are relatively low. When stress levels are high, due to extreme posture or muscle activation, asymmetry only causes small stress changes, suggesting that asymmetry is not the cause of stress fractures in the pars. There are even indications that asymmetry might help to reduce stresses, but more detailed knowledge of the size and activation of the lumbar muscles is needed to confirm this.

Impact and interest:

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11 citations in Web of Science®

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ID Code: 5193
Item Type: Journal Article
Keywords: Cricket fast bowlers, pars interarticularis, quadratus lumborum asymmetry, fractures, lumbar spine, finite element modelling, musculoskeletal modelling
DOI: 10.1016/j.medengphy.2006.09.010
ISSN: 1350-4533
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > HUMAN MOVEMENT AND SPORTS SCIENCE (110600) > Biomechanics (110601)
Australian and New Zealand Standard Research Classification > ENGINEERING (090000) > BIOMEDICAL ENGINEERING (090300) > Biomechanical Engineering (090302)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > HUMAN MOVEMENT AND SPORTS SCIENCE (110600) > Sports Medicine (110604)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Copyright Owner: Copyright 2007 Elsevier
Copyright Statement: Reproduced in accordance with the copyright policy of the publisher.
Deposited On: 15 Nov 2006
Last Modified: 29 Feb 2012 23:35

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