Navegando por Palavras-chave "medicina esportiva"
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- ItemAcesso aberto (Open Access)Análise do SICK Scapula em jogadores de handebol com e sem dor no ombro durante o arremesso(Sociedade Brasileira de Medicina do Exercício e do Esporte, 2014-07-01) Almeida, Gabriel Peixoto Leão; Silveira, Paula Fiquetti; Rosseto, Nathália Polisello; Barbosa, Gisele; Ejnisman, Benno [UNIFESP]; Cohen, Moises [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do CearáINTRODUCTION:The scapular dyskinesia is defined as a change in scapular position, both dynamic and static, resulting from periscapular imbalances secondary to muscle fatigue, trauma or neurological injury. The SICK Scapula statically evaluates and characterizes the scapular changes, ranging from 0 to 20 (0 = best). This exam addressed three aspects: objective pain, subjective pain and scapular malposition.OBJECTIVE:To compare the SICK Scapula in symptomatic and asymptomatic handball players.METHODS:The sample consisted of 57 handball athletes divided into two groups according to the presence of shoulder pain: asymptomatic group (AG) (N = 27) and symptomatic group (SG) (N = 30). The SICK Scapula score has been reported among athletes, both in relation to the total score and its subscales. The GS had a significantly higher score than the GA (8±2.3 vs. 2.7±1.8; p<0.001).RESULTS:In the subscales, GA and SG also showed significant differences in subjective pain (0 vs. 1.73±0.83, p<0.001), objective pain (0.41±0.64 vs. 2.5±0.86, p<0.001) and scapular malposition (2.3±1.9 vs. 3.7±1.5, p=0.002).CONCLUSION:The handball athletes with throwing-related pain have a higher score with respect to pain and changes of scapular positioning, as assessed by SICK Scapula, compared with those who did not have symptoms.
- ItemSomente MetadadadosAvaliação de condições ginecológicas e fatores de risco para tríade da mulher atleta entre jogadoras de softbol(Universidade Federal de São Paulo (UNIFESP), 2014-09-24) Hatano, Karina Mayumi [UNIFESP]; Andreoli, Carlos Vicente Andreoli [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objetivo: Identificar os fatores de risco para a Tríade da Mulher Atleta (desequilíbrio energético, alteração nos ciclos menstruais e alteração da densidade mineral óssea) e a influência do ciclo menstrual no desempenho esportivo em jogadoras de Softbol. Métodos: Estudo epidemiológico descritivo por meio de um questionário com a participação de cento e quatro atletas de Softbol Adulto, no período de agosto 2012 à janeiro 2014. As atletas foram submetidas aos questionários autoaplicáveis: Pre-Participation Gynecological Examination e Teste de Atitude Alimentar (EAT-26). Resultados: As atletas tinham média de idade 23,69 ± 3,11; idade de início de treinamento 15 ± 3,12; média de treinamento 2,92 ± 1,71 horas/dia; frequência de 2,44 ± 1,2 vezes/semana. A menarca ocorreu aos 12,08 ± 1,34 anos sendo que 100% apresentaram ciclos menstruais regulares no momento da avaliação, porém 22% das atletas já ficaram sem menstruar por 3 meses, sendo que 2% estava associado a um período de treinamento e/ou perda de peso. 4,8 % (cinco atletas) apresentaram fratura de estresse no passado; quatro atletas com quadro concomitante de irregularidade menstrual, 87% desconheciam a Tríade da Mulher Atleta. Em relação à influência do ciclo menstrual no desempenho esportivo, 83,65% preferem competir sem estar menstruada e 76% referem sintomas de Tensão Pré-Menstrual com prejuízo nas atividades diárias. Conclusão: A Atleta de Softbol merece maior atenção às condições ginecológicas, especialmente pelo impacto na performance e por ser susceptível à TMA. É importante a divulgação da Tríade como estratégia de prevenção desta síndrome para melhor qualidade de vida e desempenho esportivo.
- ItemSomente MetadadadosRetorno ao esporte após reconstrução do ligamento cruzado anterior(Universidade Federal de São Paulo (UNIFESP), 2016-05-25) Novaretti, Joao Victor [UNIFESP]; Franciozi, Carlos Eduardo da Silveira Franciozi [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To correlate factors associated with better rate of return to the sport that can be assessed six months after surgery. Methods: This was a prospective cohort study with patients undergoing reconstruction of the anterior cruciate ligament. Six months after surgery, patients were submitted to arthrometry tests (KT-1000 TM), isokinetic evaluation, static and dynamic stability tests and the drop-jump video screening test (Sportsmetrics®). In addition, patients completed the evaluation questionnaires knee International Knee Documentation Committee (IKDC) and Lysholm and Tegner score with at least one year after surgery. Results: The rate of return to the sport in the pre-injury level was 53.4% and the rate of return to some sports activity was 84.4%. The group with IKDC Excellent/Good presented a difference in arthrometry of the member operated less the non-operated limb (mean L-N) higher than the group with IKDC Regular/Poor (p = 0.015). The group with Lysholm Excellent/Good presented a greater mean L-N than the group with Lysholm Regular/Poor (p = 0.010). The group ranging from 0 or negative difference from Tegner before and after lesion had a mean L-N greater than the group with positive difference Tegner (p = 0.007). Belonging to the group IKDC Regular/Poor conferred an increased risk (OR = 11.2, 95% CI: 3.0 to 42.2) of belonging to the group variation Tegner >0 (poor). Belonging to the Lysholm Regular/Poor group conferred a higher risk (OR = 24.8, 95% CI: 4.8 to 128.5) of belonging to the group variation Tegner >0 (poor). The group Quadriceps Deficit ?10 presented a less average I/Q ratio than the group with Quadriceps Deficit >10 (p = 0.001). The group with hamstrings deficit ?10 presented a greater average I/Q ratio than the group with hamstrings deficit >10 (p = 0.035). Belonging to the group that used patellar tendon graft (PT) conferred an increased risk (OR = 9.5; 95% CI: 1.04 to 87.07) of belonging to the group Quadriceps >10 than the group that used hamstring graft (STG). Conclusion: The best predictor of return to the sport after reconstruction of the anterior cruciate ligament, analyzed at 6 months postoperatively, was greater freedom of forward displacement of the operated limb compared to the non-operated. This greater freedom of anterior, even if <3 mm compared to the contralateral limb, also related to a lower hamstring peak torque in the operated limb at 6 months and better IKDC, Lysholm and Tegner at follow-up.