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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(02): 168-174
DOI: 10.1055/s-0040-1713758
Artigo Original
Joelho

Relação entre sintomatologia no joelho e as características biológicas em corredores recreacionais[*]

Artikel in mehreren Sprachen: português | English
Paula Passuello Alves Ribeiro 
1   Departamento de Fisioterapia, Faculdade de Americana, Americana, SP, Brasil
,
Kelly Cristina dos Santos Berni 
1   Departamento de Fisioterapia, Faculdade de Americana, Americana, SP, Brasil
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Resumo

Objetivo O principal objetivo do presente estudo foi comparar a percepção subjetiva de dor e sintomas de dor anterior no joelho com as diferentes classificações de índice de massa corporal (IMC). O objetivo secundário foi verificar a associação entre as variáveis biológica e antropométrica com os resultados apresentados pelos sujeitos nos questionários subjetivos.

Métodos Foram recrutados 126 corredores recreacionais de ambos os gêneros, com idades entre 20 e 59 anos. Foram coletados dados referentes à variável biológica idade, e as variáveis antropométricas peso e altura, além da escala visual analógica (EVA) e os questionários Lysholm e Kujala. As informações foram obtidas por meio de plataforma digital, disponibilizado em um único link, para que fossem respondidos através de dispositivos eletrônicos pelos próprios voluntários. A normalidade foi verificada por meio do teste Shapiro-Wilk. Foi utilizado o teste-T e o teste de Wilcoxon para comparação das médias. A associação entre as variáveis foi determinada pela correlação linear de Pearson.

Resultados Houve diferença significativa entre a estatura do grupo sobrepeso e o grupo obesidade grau 1 (p = 0,029), e o peso do grupo peso normal para os grupos sobrepeso e obesidade grau 1 (p < 0,001), e entre as médias do IMC (p < 0,05). Foi observada correlação significativa não clara entre o IMC e os questionários específicos e a escala subjetiva (p < 0.05).

Conclusão Os corredores recreacionais que possuem IMC acima dos valores de normalidade estão mais predispostos a apresentar dor no joelho do que aqueles com IMC normal.

Palavras-chave

corrida - escala de Lysholm para joelho - índice de massa corporal - lesões esportivas - lesões do joelho - síndrome da dor patelofemoral

* Trabalho desenvolvido na Faculdade de Americana, Americana, São Paulo, Brasil.




Publikationsverlauf

Eingereicht: 22. Juli 2019

Angenommen: 15. April 2020

Artikel online veröffentlicht:
29. Oktober 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Referências

  • 1 Bueno AM, Pilgaard M, Hulme A. et al. Injury prevalence across sports: a descriptive analysis on a representative sample of the Danish population. Inj Epidemiol 2018; 5 (01) 6
    CrossrefPubMedGoogle Scholar
  • 2 van Gent RN, Siem D, van Middelkoop M, van Os AG, Bierma-Zeinstra SM, Koes BW. Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br J Sports Med 2007; 41 (08) 469-480 , discussion 480
    CrossrefPubMedGoogle Scholar
  • 3 Gijon-Nogueron G, Fernandez-Villarejo M. Risk factors and protective factors for lower-extremity running injuries a systematic review. J Am Podiatr Med Assoc 2015; 105 (06) 532-540
    CrossrefPubMedGoogle Scholar
  • 4 Sanchis-alfonso V, Mcconnell J, Monllau JC, Fulkerson JP. Diagnosis and treatment of anterior knee pain. Jt Disord Orthop Sport Med 2016; 1 (03) 161-173
    Google Scholar
  • 5 Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM. et al. Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1?: Terminology, de fi nitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. 2016: 839-843
    Google Scholar
  • 6 van Poppel D, Scholten-Peeters GG, van Middelkoop M, Verhagen AP. Prevalence, incidence and course of lower extremity injuries in runners during a 12-month follow-up period. Scand J Med Sci Sports 2014; 24 (06) 943-949
    CrossrefPubMedGoogle Scholar
  • 7 Linton L, Valentin S. Running with injury: A study of UK novice and recreational runners and factors associated with running related injury. J Sci Med Sport 2018; 21 (12) 1221-1225
    CrossrefPubMedGoogle Scholar
  • 8 Vitez L, Zupet P, Zadnik V, Drobnič M. Running injuries in the participants of ljubljana marathon. Zdr Varst 2017; 56 (04) 196-202
    PubMedGoogle Scholar
  • 9 van der Worp MP, ten Haaf DS, van Cingel R, de Wijer A, Nijhuis-van der Sanden MW, Staal JB. Injuries in runners; a systematic review on risk factors and sex differences. PLoS One 2015; 10 (02) e0114937
    CrossrefPubMedGoogle Scholar
  • 10 Powers CM, Bolgla LA, Callaghan MJ, Collins N, Sheehan FT. Patellofemoral pain: proximal, distal, and local factors, 2nd International Research Retreat. J Orthop Sports Phys Ther 2012; 42 (06) A1-A54
    CrossrefPubMedGoogle Scholar
  • 11 van der Heijden RA, Oei EH, Bron EE. et al. No difference on quantitative magnetic resonance imaging in patellofemoral cartilage composition between patients with Patellofemoral pain and healthy controls. Am J Sports Med 2016; 44 (05) 1172-1178
    CrossrefPubMedGoogle Scholar
  • 12 Aquino VS, Falcon SF, Neves LM, Rodrigues RC, Sendín FA. Translation and Cross-cultural adaptation of the Scoring of Patellofemoral Disorders into Portuguese?: Preliminary study. Acta Ortop Bras 2011; 19 (05) 273-279
    CrossrefGoogle Scholar
  • 13 Kocher MS, Steadman JR, Briggs KK, Sterett WI, Hawkins RJ. Reliability, validity, and responsiveness of the Lysholm knee scale for various chondral disorders of the knee. J Bone Joint Surg Am 2004; 86 (06) 1139-1145
    CrossrefPubMedGoogle Scholar
  • 14 Marx RG, Jones EC, Allen AA. et al. Reliability, validity, and responsiveness of four knee outcome scales for athletic patients. J Bone Joint Surg Am 2001; 83 (10) 1459-1469
    CrossrefPubMedGoogle Scholar
  • 15 Kujala UM, Jaakkola LH, Koskinen SK, Taimela S, Hurme M, Nelimarkka O. Scoring of patellofemoral disorders. Arthroscopy 1993; 9 (02) 159-163
    CrossrefPubMedGoogle Scholar
  • 16 Paxton EW, Fithian DC, Stone ML, Silva P. The reliability and validity of knee-specific and general health instruments in assessing acute patellar dislocation outcomes. Am J Sports Med 2003; 31 (04) 487-492
    CrossrefPubMedGoogle Scholar
  • 17 Rodriguez-Merchan EC. Knee instruments and rating scales designed to measure outcomes. J Orthop Traumatol 2012; 13 (01) 1-6
    CrossrefPubMedGoogle Scholar
  • 18 Nunes GS, Stapait EL, Kirsten MH, de Noronha M, Santos GM. Clinical test for diagnosis of patellofemoral pain syndrome: Systematic review with meta-analysis. Phys Ther Sport 2013; 14 (01) 54-59
    CrossrefPubMedGoogle Scholar
  • 19 Peccin MS, Ciconelli RM, Cohen M. Specific questionnaire for knee symptoms - the “ Lysholm Knee Scoring Scale” - Translation and validation into portuguese. Acta Ortop Bras 2006; 14 (05) 268-272
    CrossrefGoogle Scholar
  • 20 Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med 1982; 10 (03) 150-154
    CrossrefPubMedGoogle Scholar
  • 21 McCormack HM, Horne DJDEL, Sheather S. Clinical applications of visual analogue scales: a critical review. Psychol Med 1988; 18 (04) 1007-1019
    CrossrefPubMedGoogle Scholar
  • 22 Hopkins WG, Marshall SW, Batterham AM, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc 2009; 41 (01) 3-13
    CrossrefPubMedGoogle Scholar
  • 23 Kastelein M, Luijsterburg PA, Heintjes EM. et al. The 6-year trajectory of non-traumatic knee symptoms (including patellofemoral pain) in adolescents and young adults in general practice: a study of clinical predictors. Br J Sports Med 2015; 49 (06) 400-405
    CrossrefPubMedGoogle Scholar
  • 24 Nielsen RO, Buist I, Parner ET. et al. Predictors of Running-Related Injuries Among 930 Novice Runners: A 1-Year Prospective Follow-up Study. Orthop J Sports Med 2013; 1 (01) 2325967113487316
    Google Scholar
  • 25 Nielsen RO, Buist I, Sørensen H, Lind M, Rasmussen S. Training errors and running related injuries: a systematic review. Int J Sports Phys Ther 2012; 7 (01) 58-75
    PubMedGoogle Scholar
  • 26 Neal BS, Lack SD, Lankhorst NE, Raye A, Morrissey D, van Middelkoop M. Risk factors for patellofemoral pain: a systematic review and meta-analysis. Br J Sports Med 2019; 53 (05) 270-281
    CrossrefPubMedGoogle Scholar