Osteoartrose no joelho e qualidade de vida após aposentadoria em ex-jogadores de futebol profissional do Brasil
Arquivos
Data
2014
Autores
Arliani, Gustavo Gonçalves 
Orientadores
Cohen, Moises
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: O futebol tem sofrido muitas mudanças, principalmente em
função das exigências físicas cada vez maiores, o que obriga os atletas a
trabalharem perto do limite máximo, com maior predisposição a sobrecarga
nas articulações. Objetivos: Determinar a prevalência de osteoartrose nos
joelhos em um grupo de ex-jogadores profissionais de futebol do Brasil e o
impacto na função da articulação e na qualidade de vida destes ex-atletas
quando comparados a um grupo controle. Métodos: Participaram deste
estudo transversal, divididos em dois grupos, 27 ex-jogadores de futebol
profissional e 30 voluntários do sexo masculino de diferentes áreas
profissionais. Todos os participantes foram submetidos a radiografias e
ressonâncias magnéticas bilaterais do joelho. Além disso, foram avaliados e
comparados em relação a qualidade de vida, dor e função da articulação
através de questionários específicos (Short-form 36, Escala Visual
Analógica da dor e Knee Injury and Osteoarthritis Outcome). Para
comparação entre os grupos, foram utilizados os testes qui-quadrado, teste
exato de Fisher, teste de Mann- Whitney e teste t-student. Em todas as
análises foi levado em consideração um p<0.05. Resultados: A prevalência
de osteoartrose radiográfica nos ex-jogadores de futebol foi 66,6%.
A comparação entre os grupos revelou diferenças significativas: nas
subescalas de dor, sintomas e qualidade de vida relacionada ao joelho do
Knee Injury and Osteoarthritis Outcome Score; na subescala de Aspectos
físicos do Short-form 36; na pontuação total do Whole-Organ Magnetic
Resonance Imaging Score. Os ex- jogadores de futebol tiveram piores
resultados do que os controles em todas estas comparações. Conclusão: Ex- jogadores de futebol desta amostra têm pior qualidade de
vida relacionada ao joelho e em relação aos aspectos físicos incluindo mais
dor, sintomas e alterações em imagens de ressonância magnética e
radiografias do joelho em comparação com um grupo controle.
Introduction: Soccer has undergone many changes, mainly due to the increasing physical demands, which forces athletes to work near their upper limits, with greater predisposition to joints overload. Objectives: The study aims to compare the prevalence of osteoarthritis between two groups, one of former professional soccer players and other of non-professional individuals. Methods: The study participants were 27 male former professional soccer players and 30 male volunteers from different nonsports professional areas. All participants underwent bilateral knee radiographs and magnetic resonances. Moreover, knee pain, joint function and quality of life were evaluated and compared, through questionnaires given to all participants of both groups. Specific knee evaluations with regard to osteoarthritis and quality of life were performed in both groups by applying the Knee Injury and Osteoarthritis Outcome Score (KOOS) subjective questionnaires and SF-36. For group comparisons, the chisquare test, Fisher’s exact test, Mann-Whitney test, spearman correlation and Student’s t-test were used. Results: The radiographic osteoarthritis prevalence in former soccer players group was 66.6%. The between-group comparison revealed significant differences on: Pain, symptoms and quality of life related to the knee in Knee Injury and Osteoarthritis Outcome Score subscales; Physical aspects subscale of SF-36; Total Whole-Organ Magnetic Resonance Imaging Score (WORMS) scores with regard to the dominant and non-dominant knees. Former soccer players had worst scores than controls in all comparisons. Conclusions: The clinical and magnetic resonances evaluations as well as the group comparisons of this study revealed that former soccer players have a worse quality of life with regard to physical aspects related to the knee including greater pain symptoms and changes in radiographic and magnetic resonance images of the knee compared with a control group.
Introduction: Soccer has undergone many changes, mainly due to the increasing physical demands, which forces athletes to work near their upper limits, with greater predisposition to joints overload. Objectives: The study aims to compare the prevalence of osteoarthritis between two groups, one of former professional soccer players and other of non-professional individuals. Methods: The study participants were 27 male former professional soccer players and 30 male volunteers from different nonsports professional areas. All participants underwent bilateral knee radiographs and magnetic resonances. Moreover, knee pain, joint function and quality of life were evaluated and compared, through questionnaires given to all participants of both groups. Specific knee evaluations with regard to osteoarthritis and quality of life were performed in both groups by applying the Knee Injury and Osteoarthritis Outcome Score (KOOS) subjective questionnaires and SF-36. For group comparisons, the chisquare test, Fisher’s exact test, Mann-Whitney test, spearman correlation and Student’s t-test were used. Results: The radiographic osteoarthritis prevalence in former soccer players group was 66.6%. The between-group comparison revealed significant differences on: Pain, symptoms and quality of life related to the knee in Knee Injury and Osteoarthritis Outcome Score subscales; Physical aspects subscale of SF-36; Total Whole-Organ Magnetic Resonance Imaging Score (WORMS) scores with regard to the dominant and non-dominant knees. Former soccer players had worst scores than controls in all comparisons. Conclusions: The clinical and magnetic resonances evaluations as well as the group comparisons of this study revealed that former soccer players have a worse quality of life with regard to physical aspects related to the knee including greater pain symptoms and changes in radiographic and magnetic resonance images of the knee compared with a control group.
Descrição
Citação
ARLIANI, Gustavo Gonçalves. Osteoartrose no joelho e qualidade de vida após aposentadoria em ex-jogadores de futebol profissional do Brasil. 2014. 84 f. Tese (Doutorado em Ciências) –Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2014.