Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão

Detalhes bibliográficos
Ano de defesa: 2011
Autor(a) principal: Carvalho, Aline Carla Araújo lattes
Orientador(a): Lopes, Alexandre Dias lattes
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Cidade de São Paulo
Programa de Pós-Graduação: Programa de Pós-Graduação Mestrado em Fisioterapia
Departamento: Pós-Graduação
País: Brasil
Palavras-chave em Português:
Corrida
Lesões do Esporte
Fisioterapia
Exercício Físico
Área do conhecimento CNPq:
FISIOTERAPIA E TERAPIA OCUPACIONAL
Link de acesso: https://repositorio.cruzeirodosul.edu.br/handle/123456789/1165
Resumo: INTRODUÇÃO: Muito se especula sobre a influência de fatores como o alinhamento dos membros inferiores e o desenvolvimento de lesões musculoesqueléticas em praticantes de corrida, porém poucas evidências sustentam esta hipótese. Objetivo: Descrever as características de alinhamento anatômico dos membros inferiores, verificar a prevalência e incidência das lesões musculoesqueléticas relacionadas à corrida, analisar as associações entre as características de alinhamento anatômico e estas lesões, assim como descrever as principais lesões entre os corredores e as regiões anatômicas mais acometidas. Método: Estudos transversal e de coorte prospectivo composto por 89 corredores recreacionais que foram submetidos à avaliação bilateral do ângulo Q, ângulo subtalar, índice do arco plantar e discrepância de comprimento dos membros inferiores e foram acompanhados por um período de 12 semanas. Foram realizadas análises descritivas e verificação da associação entre as características de alinhamento anatômico dos corredores e as lesões apresentadas. A incidência de lesões foi calculada através de análise de sobrevivência e a associação entre possíveis fatores de risco e tempo de lesão foi determinada através do modelo de regressão de Cox. Resultados: Participaram do estudo corredores com idade média de 44 (DP=10) anos, sem grandes alterações no alinhamento dos membros inferiores e que apresentaram associação entre a discrepância de ângulos Q e o histórico de lesões musculoesqueléticas relacionadas à corrida nos últimos 12 meses. Não houve associação entre as novas lesões apresentadas pelos corredores e as características de alinhamento anatômico dos membros inferiores. A prevalência de lesões musculoesqueléticas relacionadas à corrida foi de 61,8%, a incidência das mesmas foi de 27%, sendo as tendinopatias e as lesões musculares as lesões mais comuns e o joelho e a perna as regiões mais acometidas. Conclusões: Foi possível identificar a associação entre a discrepância de ângulos Q com as lesões em corredores, que apresentaram a tendinopatia e as lesões musculares com as principais lesões e o joelho e a perna como as regiões anatômicas mais acometidas
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spelling 2020-12-02T19:55:04Z2020-12-02T19:55:04Z2011-11-17CARVALHO, Aline Carla Araújo Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão. Orientador: Prof. Dr. Alexandre Dias Lopes. 2011 95f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011.https://repositorio.cruzeirodosul.edu.br/handle/123456789/1165INTRODUÇÃO: Muito se especula sobre a influência de fatores como o alinhamento dos membros inferiores e o desenvolvimento de lesões musculoesqueléticas em praticantes de corrida, porém poucas evidências sustentam esta hipótese. Objetivo: Descrever as características de alinhamento anatômico dos membros inferiores, verificar a prevalência e incidência das lesões musculoesqueléticas relacionadas à corrida, analisar as associações entre as características de alinhamento anatômico e estas lesões, assim como descrever as principais lesões entre os corredores e as regiões anatômicas mais acometidas. Método: Estudos transversal e de coorte prospectivo composto por 89 corredores recreacionais que foram submetidos à avaliação bilateral do ângulo Q, ângulo subtalar, índice do arco plantar e discrepância de comprimento dos membros inferiores e foram acompanhados por um período de 12 semanas. Foram realizadas análises descritivas e verificação da associação entre as características de alinhamento anatômico dos corredores e as lesões apresentadas. A incidência de lesões foi calculada através de análise de sobrevivência e a associação entre possíveis fatores de risco e tempo de lesão foi determinada através do modelo de regressão de Cox. Resultados: Participaram do estudo corredores com idade média de 44 (DP=10) anos, sem grandes alterações no alinhamento dos membros inferiores e que apresentaram associação entre a discrepância de ângulos Q e o histórico de lesões musculoesqueléticas relacionadas à corrida nos últimos 12 meses. Não houve associação entre as novas lesões apresentadas pelos corredores e as características de alinhamento anatômico dos membros inferiores. A prevalência de lesões musculoesqueléticas relacionadas à corrida foi de 61,8%, a incidência das mesmas foi de 27%, sendo as tendinopatias e as lesões musculares as lesões mais comuns e o joelho e a perna as regiões mais acometidas. Conclusões: Foi possível identificar a associação entre a discrepância de ângulos Q com as lesões em corredores, que apresentaram a tendinopatia e as lesões musculares com as principais lesões e o joelho e a perna como as regiões anatômicas mais acometidasINTRODUCTION: There has been much speculation about the influence of factors such as upper limb alignment and the development of musculoskeletal injuries in runners; however, there is little evidence to support this hypothesis. Objectives: To describe the characteristics of lower limb alignment, to verify the prevalence and incidence of running-related musculoskeletal injuries, to analyze the associations between anatomical alignment and these injuries and to describe the main injuries among the runners and the most affected anatomical regions. Methods: This was a cross-sectional prospective cohort study with a twelve-week follow-up period including 89 recreational runners who were submitted to a bilateral evaluation of the Q angle, subtalar angle, plantar arch index and lower limb length discrepancy. Descriptive analyses were carried out as well as investigation of the association between the runners’ anatomical alignment and the injuries presented. The incidence of injuries was calculated using survival analysis, and the association between possible risk factors and the time of injury was determined with the Cox regression model. Results: Runners with a mean age of 44 (SD=10), without severe alterations in lower limb alignment and presenting an association between the discrepancy of Q angle and history of running-related musculoskeletal injuries in the last 12 months participated in the study. There was no association between the runners’ new injuries and lower limb alignment characteristics. The prevalence of musculoskeletal injuries from running was 61.8%, and their incidence was of 27%; the most common injuries were tendinopathies and muscle injuries, with the legs being the most affected region. Conclusions: an association between Q angle discrepancy and the runners’ injuries was identified; tendinopathies and muscle injuries were the main injuries, and the knee and leg were the most affected anatomical regions. KEYWORDS: Running, Sport Injuries, Physical Therapy, Physical Exercise.porUniversidade Cidade de São PauloPrograma de Pós-Graduação Mestrado em FisioterapiaUNICIDBrasilPós-GraduaçãoFISIOTERAPIA E TERAPIA OCUPACIONALCorridaLesões do EsporteFisioterapiaExercício FísicoAlinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesãoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisLopes, Alexandre Diashttp://lattes.cnpq.br/2634381371004831http://lattes.cnpq.br/9457256994209883Carvalho, Aline Carla AraújoAuthors are responsible for verifying the accuracy and completeness of references. Citations in the text should follow the referencing style used by the American Psychological Association. 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Further considerations • Manuscript has been "spellchecked" • References are in the correct format for this journal • All references mentioned in the Reference list are cited in the text, and vice versa • Permission has been obtained for use of copyrighted material from other sources (including the Web)info:eu-repo/semantics/openAccessreponame:Repositório Institucional da Universidade Cruzeiro do Sulinstname:Universidade Cruzeiro do Sul (UNICSUL)instacron:UNICSULORIGINALAline Carla Araujo Carvalho.pdfAline Carla Araujo Carvalho.pdfdissertaçãoapplication/pdf1512353http://dev.siteworks.com.br:8080/jspui/bitstream/123456789/1165/1/Aline%20Carla%20Araujo%20Carvalho.pdfab2cb8ff5e4989e5bab26f537efa92b4MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://dev.siteworks.com.br:8080/jspui/bitstream/123456789/1165/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52123456789/11652020-12-02 16:56:56.941oai:repositorio.cruzeirodosul.edu.br: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Repositório InstitucionalPRIhttps://repositorio.cruzeirodosul.edu.br/oai/requestmary.pela@unicid.edu.bropendoar:2020-12-02T19:56:56Repositório Institucional da Universidade Cruzeiro do Sul - Universidade Cruzeiro do Sul (UNICSUL)false
dc.title.pt_BR.fl_str_mv Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão
title Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão
spellingShingle Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão
Carvalho, Aline Carla Araújo
FISIOTERAPIA E TERAPIA OCUPACIONAL
Corrida
Lesões do Esporte
Fisioterapia
Exercício Físico
title_short Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão
title_full Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão
title_fullStr Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão
title_full_unstemmed Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão
title_sort Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão
author Carvalho, Aline Carla Araújo
author_facet Carvalho, Aline Carla Araújo
author_role author
dc.contributor.advisor1.fl_str_mv Lopes, Alexandre Dias
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/2634381371004831
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/9457256994209883
dc.contributor.author.fl_str_mv Carvalho, Aline Carla Araújo
contributor_str_mv Lopes, Alexandre Dias
dc.subject.cnpq.fl_str_mv FISIOTERAPIA E TERAPIA OCUPACIONAL
topic FISIOTERAPIA E TERAPIA OCUPACIONAL
Corrida
Lesões do Esporte
Fisioterapia
Exercício Físico
dc.subject.por.fl_str_mv Corrida
Lesões do Esporte
Fisioterapia
Exercício Físico
description INTRODUÇÃO: Muito se especula sobre a influência de fatores como o alinhamento dos membros inferiores e o desenvolvimento de lesões musculoesqueléticas em praticantes de corrida, porém poucas evidências sustentam esta hipótese. Objetivo: Descrever as características de alinhamento anatômico dos membros inferiores, verificar a prevalência e incidência das lesões musculoesqueléticas relacionadas à corrida, analisar as associações entre as características de alinhamento anatômico e estas lesões, assim como descrever as principais lesões entre os corredores e as regiões anatômicas mais acometidas. Método: Estudos transversal e de coorte prospectivo composto por 89 corredores recreacionais que foram submetidos à avaliação bilateral do ângulo Q, ângulo subtalar, índice do arco plantar e discrepância de comprimento dos membros inferiores e foram acompanhados por um período de 12 semanas. Foram realizadas análises descritivas e verificação da associação entre as características de alinhamento anatômico dos corredores e as lesões apresentadas. A incidência de lesões foi calculada através de análise de sobrevivência e a associação entre possíveis fatores de risco e tempo de lesão foi determinada através do modelo de regressão de Cox. Resultados: Participaram do estudo corredores com idade média de 44 (DP=10) anos, sem grandes alterações no alinhamento dos membros inferiores e que apresentaram associação entre a discrepância de ângulos Q e o histórico de lesões musculoesqueléticas relacionadas à corrida nos últimos 12 meses. Não houve associação entre as novas lesões apresentadas pelos corredores e as características de alinhamento anatômico dos membros inferiores. A prevalência de lesões musculoesqueléticas relacionadas à corrida foi de 61,8%, a incidência das mesmas foi de 27%, sendo as tendinopatias e as lesões musculares as lesões mais comuns e o joelho e a perna as regiões mais acometidas. Conclusões: Foi possível identificar a associação entre a discrepância de ângulos Q com as lesões em corredores, que apresentaram a tendinopatia e as lesões musculares com as principais lesões e o joelho e a perna como as regiões anatômicas mais acometidas
publishDate 2011
dc.date.issued.fl_str_mv 2011-11-17
dc.date.accessioned.fl_str_mv 2020-12-02T19:55:04Z
dc.date.available.fl_str_mv 2020-12-02T19:55:04Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.citation.fl_str_mv CARVALHO, Aline Carla Araújo Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão. Orientador: Prof. Dr. Alexandre Dias Lopes. 2011 95f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011.
dc.identifier.uri.fl_str_mv https://repositorio.cruzeirodosul.edu.br/handle/123456789/1165
identifier_str_mv CARVALHO, Aline Carla Araújo Alinhamento anatômico dos membros inferiores e lesões musculoesqueléticas em corredores: descrições, associações e taxas de lesão. Orientador: Prof. Dr. Alexandre Dias Lopes. 2011 95f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011.
url https://repositorio.cruzeirodosul.edu.br/handle/123456789/1165
dc.language.iso.fl_str_mv por
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dc.publisher.none.fl_str_mv Universidade Cidade de São Paulo
dc.publisher.program.fl_str_mv Programa de Pós-Graduação Mestrado em Fisioterapia
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dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Pós-Graduação
publisher.none.fl_str_mv Universidade Cidade de São Paulo
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