Objective: To determine the incidence of spondylolysis and spondylolisthesis among female gymnasts, and to correlate these with lumbar pain, history of trauma and training load. Method: Eighteen competitive-level Olympic-style gymnasts aged 8-17 years, with an average age of 11.3 years, were evaluated on a voluntary basis. The gymnasts answered a questionnaire about their sports activities and underwent a clinical examination and lumbar spine radiography. Results: The radiographs were analyzed by orthopedists specializing in surgery of the vertebral column. The prevalence of spondylolysis was 5.56%, while no cases of spondylolisthesis were found. Conclusion: The incidence of the radiographic abnormalities identified was similar to what has been reported in the literature for non-athletic individuals, and the lumbalgia reported by these athletes did not show any direct relationship with spondylolysis and spondylolisthesis.
RESUMOObjetivo: Determinar a presença de espondilólise e espondilolistese em atletas de ginástica artística feminina e correlacionar com dor lombar, história de trauma e carga de treinamento. Mé-todo: Avaliação voluntária de 18 atletas de ginástica olímpica em nível competitivo de oito a 17 anos, com média de 11,3 anos. As ginastas responderam a um questionário em relação às suas atividades esportivas e foram submetidas a exame clínico e radiográfico da coluna lombar. Resultados: A análise das radiografias foi realizada por ortopedistas especialistas em cirurgia de coluna vertebral, obtendo prevalência de 5,56% para espondilólise e não havendo casos de espondilolistese. Conclusão: A incidência das alterações radiográficas identificadas é semelhante à relatada na literatura para indivíduos não atletas e a lombalgia apontada pelas atletas não apresentou relação direta com a espondilólise ou espondilolistese. descritores - INTRODUçãO"A ginástica olímpica é um esporte que congrega a arte da dança, a velocidade dos esportes radicais, a agilidade dos saltos ornamentais e a flexibilidade do balé" (1) . As provas oficiais de ginástica olímpica (artís-tica) diferem em relação ao sexo. No masculino existem seis provas (salto sobre o cavalo, exercícios de solo, cavalo com alça, argolas, barras paralelas, e barra fixa), enquanto que, no feminino, são quatro (salto sobre o cavalo, trave de equilíbrio, exercícios de solo e barras assimétricas).O risco de lesão na prática desse esporte é o dobro do de qualquer outro esporte feminino se desconsiderarmos a gravidade do incidente (2)(3)(4) . A coluna vertebral responde por 17,2% do total de lesões na ginástica olím-pica, correspondendo à segunda sede mais frequente de acidentes (3)(4)(5)(6)(7) . A espondilólise compromete 11% das ginastas do sexo feminino, local mais frequente é a quinta vértebra lombar e é caracterizada pela presença de dores lombares que pioram com a corrida e a queda e melhoram com o repouso e a flexão do tronco (1,(8)(9)(10) . No exame físico dessas pacientes detectam-se hiperlordose lombar e encurtamento da musculatura posterior da coxa (1,9) .Rev Bras Ortop. 2010;45(1):79-83
Category: Sports; Ankle Introduction/Purpose: Ankle sprain is one of the most common sports-related injuries. Treatment of these lesions can be performed conservatively with satisfactory results in up to 80% of cases. The main goals of rehabilitation are the recovery of mobility, strength and balance; but there is no consensus on decision make criteria to return to sport. It is known that the time elapsed from trauma may be insufficient reference and may induce early return, while the individual still does not have symmetric parameters of mobility, strength and proprioception. Purpose: To assess the proportionality of muscle strength between the healthy and rehabilitated sides 16 weeks after ankle sprain related to physical activity and to correlate with its impact on function scores. Methods: 131 individuals, from 18 to 64 years old, were evaluated after rehabilitation of simple sprain. Physical examination was performed with anterior drawer test, measurement of leg circumference by perimetry and by the method of figure in '8'; determination of active and passive range of motion using goniometer; muscle strength conference with hand held dynamometer and finally with the application of function scores. Equality test between two proportions, T-student test, Chi-square test and Pearson correlation were used to determine the significance between the values and correlations found. Results: We identified an average age of 36.1 (+- 2.5) years, 56 (42.70%) women and 75 (57.30%) men. 19.8% of sprains were severe. Limb volume and range of motion evaluations did not show significant differences. The anterior drawer remained positive in 19.1% of the individuals with the highest proportion in severe sprains (36.6%). Force asymmetry for flexion (52.7%), extension (50.4%), eversion (46.6%) and inversion (56.5%) movements above the 10% limit were observed. Impact on function scores showed a moderate correlation (0.59) with the proportionality of ankle extension forces. Conclusion: Individuals adequately rehabilitated after an ankle sprain and considered able to return to sports may present changes anterior drawer test and asymmetries in lower limb muscle strength impacting performance on function scores.
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