Métodos De Apoio Ao Diagnóstico De Lesões Musculares

Abstract

As lesões musculares são comuns em atletas e indivíduos fisicamente ativos, e causam transtornos e gastos pessoais e institucionais. O tratamento depende do diagnóstico e da monitorização do estado da lesão. Por isso, o diagnóstico é uma etapa fundamental na recuperação das lesões musculares. Neste artigo, são descritos os principais métodos diagnósticos para lesões musculares, divididos em métodos de diagnóstico por imagens e por marcadores bioquímicos. Estes últimos baseiam-se na análise de concentrações de enzimas plasmáticas, como a creatina quinase, lactato desidrogenase, aspartato aminotransferase, miosina, troponina I e interleucina, para indiretamente, diagnosticar danos estruturais no músculo esquelético. Já os exames por imagem, tais como a ultrassonografia, a tomografia computadorizada, a ressonância nuclear magnética e a termografia podem produzir desde um minucioso detalhamento anatômico das partes do corpo sob análise até aspectos relacionados a sua funcionalidade. O conhecimento dos métodos instrumentaliza a decisão dos profissionais de saúde sobre o método que eles vão solicitar ou indicar em cada situação defrontada na prática clínica.

Thermographic: a tool of aid in physical therapy diagnosis – literature review

“…And this change coupled with high levels of creatine kinase (CK), the experimental group indicated that actually occurred muscle damage resulting from training that can be recognized by the high sensitivity of the device. Corroborating this research, a recent study (19) quotes thermography as an important tool for the early diagnosis of muscular injuries. One particularly useful for detection of metabolic disorders, evaluation of inflammatory conditions and trauma evaluation (4) In addition to muscle injury cited overuse, commitments is observed that often occur in sports such as medial tibial stress syndrome (MTSS) (20,21) to which the thermal rating is able to show the traumatized areas, serving as a very useful tool in the evaluation procedures of these patients who are not diagnosed by conventional methods.…”

“…and minimize the likelihood of therapeutic error. (19) Thermography has proven a useful tool in terms of early diagnosis, it has high sensitivity in several situations: muscle injury, occupational disorders, ischemic areas, excessive friction addresses in prostheses, joint overloads and still in the evaluation of various activity diseases.…”

Lesão muscular: Fisiopatologia, diagnóstico e tratamento

“…It allows the detection of physiological changes that mean increased risk of muscle injuries, such as inflammatory reactions by overload. 28 29 Thermography does not show data from deep surfaces and should not be used as a single diagnostic tool. Its use has been shown to be effective in preventing muscle injuries, reducing the incidence of injuries in professional soccer players by > 60%.…”

Acute effect of a fight of Mixed Martial Arts (MMA) on the serum concentrations of testosterone, cortisol, creatine kinase, lactate, and glucose

“…This enzyme is found mostly in muscles and, on the occasion of fiber rupture due to muscle strain, is released into the blood flow. Therefore, it can be used as an indirect marker of muscular injuries and the intensity of the performed effort (Bandeira, Neves, Barroso, & Nohama, 2013;Bandeira, Neves, Moura, & Nohama, 2014;César, Bara Filho, Lima, Aidar, & Dantas, 2008).…”