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1.
Rev Bras Ortop (Sao Paulo) ; 58(4): e563-e570, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37663195

RESUMO

Objective To analyze the clinicoepidemiological characteristics of pubalgia in athletes and to define the epidemiological profile of patients complaining of lower abdomen and groin pain at a specialized center. Methodology We conducted a retrospective study based on a case series to evaluate the epidemiological profile of 245 athletes with pubalgia reported in their medical records from October 2015 to February 2018. The selected sample underwent a clinical evaluation, and the results were recorded through the application of a questionnaire. Results The sample consisted of 245 patients aged between 14 and 75 years. Soccer and running were the most prevalent sports. Most subjects (58%) trained or played sports 3 or more days a week. After evaluating specific sports movements, symptoms worsened in 24% of the patients when changing direction; in 23%, when kicking; in 22%, during sprints and speed training; in 17%, during long runs; and in 14%, when jumping. Pain during intercourse was reported by 13% of the patients. For most subjects (80%), the inguinal region, the adductor muscles, and the pubis (midline) were the main pain sites. The tests involving adductor contraction against resistance with an extended knee was positive in 77.6% of the patients, and the one involving simultaneous hip and abdomen flexion against resistance was positive in 76.7% of the sample. Conclusion The present study has demonstrated the predominance of pubalgia in male patients who play soccer and practice running. In most cases (80%), pain occurred in the inguinal region, the adductor muscles, and the pubis. Confirmation of the clinical diagnosis took more than six months for most patients.

2.
Rev. bras. ortop ; 58(4): 563-570, July-Aug. 2023. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1521798

RESUMO

Abstract Objective To analyze the clinicoepidemiological characteristics of pubalgia in athletes and to define the epidemiological profile of patients complaining of lower abdomen and groin pain at a specialized center. Methodology We conducted a retrospective study based on a case series to evaluate the epidemiological profile of 245 athletes with pubalgia reported in their medical records from October 2015 to February 2018. The selected sample underwent a clinical evaluation, and the results were recorded through the application of a questionnaire. Results The sample consisted of 245 patients aged between 14 and 75 years. Soccer and running were the most prevalent sports. Most subjects (58%) trained or played sports 3 or more days a week. After evaluating specific sports movements, symptoms worsened in 24% of the patients when changing direction; in 23%, when kicking; in 22%, during sprints and speed training; in 17%, during long runs; and in 14%, when jumping. Pain during intercourse was reported by 13% of the patients. For most subjects (80%), the inguinal region, the adductor muscles, and the pubis (midline) were the main pain sites. The tests involving adductor contraction against resistance with an extended knee was positive in 77.6% of the patients, and the one involving simultaneous hip and abdomen flexion against resistance was positive in 76.7% of the sample. Conclusion The present study has demonstrated the predominance of pubalgia in male patients who play soccer and practice running. In most cases (80%), pain occurred in the inguinal region, the adductor muscles, and the pubis. Confirmation of the clinical diagnosis took more than six months for most patients.


Resumo Objetivo Analisar as características clínico-epidemiológicas da pubalgia do atleta, e definir o perfil epidemiológico dos pacientes com queixa de dor na região baixa do abdômen e virilha avaliados em um centro especializado. Metodologia Realizou-se um estudo retrospectivo de uma série de casos, no qual se avaliou o perfil epidemiológico de 245 pacientes esportistas com pubalgia, registrados em prontuário, entre outubro de 2015 e fevereiro de 2018. A amostra selecionada foi submetida a uma avaliação clínica, e os resultados foram documentados a partir da aplicação de um questionário. Resultados A amostra estudada foi de 245 pacientes com idades que variavam entre 14 e 75 anos. O futebol e a corrida foram os esportes mais prevalentes, e 58% treinavam ou praticavam esporte 3 ou mais dias por semana. Após a avaliação dos movimentos esportivos específicos, foi observada piora dos sintomas em 24% com a troca de direção; em 23%, nos chutes; em 22%, nos sprints e treinos de velocidade; em 17%, nas corridas longas; e em 14%, nos saltos. Dor durante o ato sexual foi relatado em 13% dos pacientes. A maior parte dos pacientes (80%) relatou que a região inguinal, os adutores e o púbis (linha média) eram os principais sítios da dor. O teste de contração dos adutores contra resistência com joelho em extensão foi positivo em 77,6% dos pacientes avaliados, e o teste de Flexão simultânea do Quadril + Abdômen contra resistência foi positivo em 76.7% dos pacientes. Conclusão O presente estudo demonstrou o predomínio dessa lesão nos pacientes do sexo masculino praticantes de futebol e de corrida. A dor, na maioria dos casos (80%), estava presente na região inguinal, nos adutores e no púbis. A maioria dos pacientes demorou mais de seis meses para ter o diagnóstico clínico confirmado.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Traumatismos em Atletas/epidemiologia , Esportes , Hérnia Inguinal
3.
Rev. andal. med. deporte ; 13(1): 29-34, mar. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-193414

RESUMO

OBJECTIVE: The purpose of the present study was to evaluate the effectiveness of a three-week power-training block with two different cluster set configurations using pneumatic equipment on sprint performance. METHOD: Thirty recreationally active subjects participated in this study (18 female and 12 male). The subjects were distributed randomly into Control (CG), Cluster 1 (CL1) and Cluster 2 (CL2) groups. The experimental procedure involved a three-week training period; at the pre - and post-training time points, a 20-meter sprint tests were applied. RESULTS: There was an intergroup significant difference for the CL2 versus the CG for time, acceleration and velocity in the first 10-meter sprint test. The alpha value used was p < 0.05. For total time, total velocity, time and velocity in the first 10-meter sprint test: significant differences were observed for both CL1 and CL2 at the post-test. The total acceleration and acceleration in the first 10-meter sprint test was significantly different for the CL2 at the post-training. There were no significant differences in time, velocity and acceleration in the final 10-meter sprint test between groups. CONCLUSION: These results suggest that interventions with intra-set intervals (specifically CL2) using pneumatic equipment allow for positive adaptations in velocity and acceleration after three-week training


OBJETIVO: evaluar la eficacia de tres semanas de un entrenamiento de potencia en bloque utilizando dos configuraciones diferentes de conglomerados con equipo neumático sobre el desempeño en el Sprint. MÉTODO: treinta individuos recreacionales activos participaron en este estudio (18 mujeres y 12 hombres). Los sujetos fueron distribuidos aleatoriamente en los grupos Control (GC), Cluster 1 (CL1) y Cluster 2 (CL2). El procedimiento experimental implicó un período de entrenamiento de tres semanas; en los momentos pre y post-entrenamiento se aplicaron pruebas de Sprint de 20 metros. RESULTADOS: hubo una diferencia significativa intergrupos para el CL2 versus CG en el tiempo, aceleración y velocidad en los primeros 10 metros de Sprint. El valor alfa utilizado fue p <0.05. Para el tiempo total, velocidad total, tiempo y velocidad en los primeros 10 metros del Sprint: se observaron diferencias significativas para CL1 y CL2 en el post-test. La aceleración total y aceleración en los primeros 10 metros del Sprint presentó diferencias significativas para el CL2 en el post-entrenamiento. No hubo diferencias significativas en el tiempo, velocidad y aceleración en los 10 metros finales del Sprint entre los grupos. CONCLUSIÓN: estos resultados sugieren que las intervenciones con intervalos intra-series (específicamente CL2) utilizando equipo neumático permiten adaptaciones positivas a la velocidad y la aceleración después de tres semanas de entrenamiento


OBJETIVO: avaliar a eficácia de três semanas de um treinamento de potência em bloco utilizando duas configurações diferentes de cluster set com equipamento pneumático sobre o desempenho de Sprint. MÉTODO: Trinta indivíduos recreacionalmente ativos participaram deste estudo (18 mulheres e 12 homens). Os sujeitos foram distribuídos aleatoriamente nos grupos Controle (GC), Cluster 1 (CL1) e Cluster 2 (CL2). O procedimento experimental envolveu um período de treinamento de três semanas; nos momentos pré e pós-treinamento foram aplicados testes de Sprint de 20 metros. RESULTADOS: Houve uma diferença significativa intergrupos para o CL2 versus CG no tempo, aceleração e velocidade nos primeiros 10 metros de Sprint. O valor alfa utilizado foi p <0.05. Para o tempo total, velocidade total, tempo e velocidade nos primeiros 10 metros do Sprint: diferenças significativas foram observadas para CL1 e CL2 no pós-teste. A aceleração total e aceleração nos primeiros 10 metros do Sprint apresentou diferenças significativas para o CL2 no pós-treinamento. Não houve diferenças significativas no tempo, velocidade e aceleração nos 10 metros finais do Sprint entre os grupos. CONCLUSÃO: Estes resultados sugerem que intervenções com intervalos intraséries (especificamente CL2) utilizando equipamento pneumático permitem adaptações positivas na velocidade e aceleração após três semanas de treinamento


Assuntos
Masculino , Feminino , Adulto Jovem , Adulto , Humanos , Exercício Pliométrico , Atletas , Corrida/fisiologia , Treinamento Resistido , Desempenho Atlético/fisiologia , Aceleração , Índice de Massa Corporal , Medição da Velocidade de Vazão
4.
BMC Musculoskelet Disord ; 21(1): 122, 2020 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-32093651

RESUMO

BACKGROUND: Musculoskeletal injuries (MSK-I) are a serious problem in sports medicine. Modifiable and non-modifiable factors are associated with susceptibility to these injuries. Thus, the aim of this study was to describe the prevalence of and identify the factors associated with MSK-I, including tendinopathy and joint and muscle injuries, in athletes. METHODS: In this cross-sectional observational study, 627 athletes from rugby (n = 225), soccer (n = 172), combat sports (n = 86), handball (n = 82) and water polo (n = 62) were recruited at different sports training centres and competitions. Athlete profiles and the prevalence of MSK-I were assessed using a self-reported questionnaire. Only previous MSK-I with imaging confirmation and/or a positive physical exam by a specialized orthopaedist were considered. The association of the epidemiological, clinical and sports profiles of athletes with MSK-I was evaluated by a logistic regression model. RESULTS: The mean age was 25 ± 6 years, and 60% of the athletes were male. The epidemiological, clinical and sports profiles of the athletes were different for the five sport groups. The MSK-I prevalence among all athletes was 76%, with 55% of MSK-I occurring in a joint, 48% occurring in a muscle and 30% being tendinopathy, and 19% of athletes had three investigated injuries. The MSK-I prevalence and injury locations were significantly different among sport groups. There was a predominance of joint injury in combat sports athletes (77%), muscle injury in handball athletes (67%) and tendinopathy in water polo athletes (52%). Age (≥30 years) was positively associated with joint (OR = 5.2 and 95% CI = 2.6-10.7) and muscle (OR = 4.9 and 95% CI = 2.4-10.1) injuries and tendinopathy (OR = 4.1 and 95% CI = 1.9-9.3). CONCLUSION: There is a high prevalence of tendinopathy and joint and muscle injuries among rugby, soccer, combat sports, handball and water polo athletes. The analysis of associated factors (epidemiological, clinical and sports profiles) and the presence of MSK-I in athletes suggests an approximately 4-5-fold increased risk for athletes ≥30 years of age. The identification of modifiable and non-modifiable factors can contribute to implementing surveillance programmes for MSK-I prevention.


Assuntos
Atletas , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/epidemiologia , Doenças Musculoesqueléticas/diagnóstico , Doenças Musculoesqueléticas/epidemiologia , Adolescente , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Futebol Americano/lesões , Humanos , Masculino , Autorrelato , Futebol/lesões , Esportes Aquáticos/lesões , Adulto Jovem
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