Introdução: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musc... more Introdução: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musculoesqueléticas. No entanto, são poucas as informações na literatura a respeito das lesões no atletismo paralímpico. Objetivo: Descrever o perfil das queixas musculoesqueléticas, a localização anatômica e os recursos fisioterapêuticos utilizados durante o Mundial Paralímpico de Atletismo em Christchurch Nova Zelândia 2011. Métodos: A Delegação Brasileira foi composta por 34 atletas. Foram feitos registros de todos os atendimentos do setor da fisioterapia, diariamente, quanto à queixa, região anatômica acometida e os recursos fisioterapêuticos utilizados. Os atendimentos eram realizados no hotel em que a delegação estava hospedada, bem como no local da competição. Dos 34 atletas, 25 (73,5%) foram atendidos no setor de fisioterapia. Resultados: As principais queixas foram as mialgias (38,4%), seguida pelas artralgias (23%). As regiões mais referidas nas queixas dos atletas foram na coxa (n = 8, 30,7%), seguida pelo joelho (n = 6, 23%). No total foram realizados 428 atendimentos fisioterapêuticos. No hotel, o recurso terapêutico mais utilizado foi o ultrassom (35,1%), seguido do TENS (31,2%), da crioterapia (23,3%). No local da competição, o recurso terapêutico que prevaleceu foi a crioterapia (44,1%), seguida pela massoterapia (37,2%). Conclusão: Estes resultados contribuem para o conhecimento das principais lesões nesta modalidade esportiva, auxiliando no desenvolvimento de programas direcionados à prevenção das mesmas.
In the last few years, the development of national and international games for the physically cha... more In the last few years, the development of national and international games for the physically challenged has encouraged greater participation of athletes with physical disabilities. This resulted in an increase in intensity and frequency of the training routines and competitions and higher levels of trauma-orthopedic lesions. The aim of this descriptive-comparative study is to analyze statistically the incidence of trauma-orthopedic lesions of 82 physically challenged athletes selected in a non intentional and no probalistic way. These athletes belong to various sports categories, as follows: swimming = 37, table tennis = 19, athletics = 19, power lifting = 7. Sixty are males, 24, females, they range in age from 15 to 51 and they all took part in the 2002 World Championship. Applying the medical records of the Brazilian Paraolimpic Committee medical department filled in at those events (the technique of observing the athlete clinical-sports files and medical examinations), the result showed a recurrence of lesions in athletes in the following sports: athletics (MMII = 64.9%, backbone 19.3% and MMSS = 15.8%; power lifting (backbone = 54.5%, MMSS = 36.4% and MMII = 9.1%); swimming (MMSS = 44.4%, backbone = 38.9% and MMII = 16.7%) and table tennis (MMSS = 56%, Backbone = 36% and MMII = 8%). Such results lead to the conclusion that the performing of sports of the physically challenged athletes, and also the intensity of the training routing to try to beat their previous marks and results, cause these kinds of lesion. In addition, it is important to reinforce the preventive measures to the athletes.
Body composition assessments of high-performance athletes are very important for identifying phys... more Body composition assessments of high-performance athletes are very important for identifying physical performance potential. Although the relationship between the kinanthropometric characteristics and performance abilities of Olympic swimmers is extremely important, this subject is not completely understood for Paralympic swimmers. To investigate the relationship between body composition and sport performance in Brazilian Paralympic swimmers 6 months after training. Experimental pre-/post-test design. Research laboratory and field evaluations of swimming were conducted to verify the 50 m freestyle time of each athlete. Seventeen Brazilian Paralympic swimming team athletes (12 men and 5 women). Body composition assessments were performed using a BOD POD, and swimming performance was assessed using the 50 m freestyle, which was performed twice: before and after 6 months of training. Increased lean mass and significantly reduced relative fat mass and swimming time (p < 0.05) were observed 6 months after training. Furthermore, a positive correlation between body fat percentage and performance (r = 0.66, p < 0.05) was observed, but there was no significant correlation between body density and performance (r = -0.14, p > 0.05). Our results show that after a 6-month training period, Paralympic swimmers presented reduced fat mass and increased lean body mass associated with performance, as measured by 50 m freestyle time. These data suggest that reduced FM percentage was significantly correlated with improved swimming performance in Paralympics athletes.
Introduction: Athletics is an umbrella sport with high incidence of musculoskeletal injuries; how... more Introduction: Athletics is an umbrella sport with high incidence of musculoskeletal injuries; however, the literature presents little information on injuries in Paralympics athletics. Objective: This study was to describe the profile of the musculoskeletal complaints, their anatomical locations, and physiotherapeutic resources used during the Paralympic Athletics World Championships in Christchurch in 2011. Methods: The Brazilian delegation included 34 athletes. Their musculoske-letal complaints, affected anatomical regions, and the physiotherapy resources used were daily recorded for all of the physiotherapy sessions. The sessions were held in the hotel that hosted the delegation and at the competition venue. Results: Out of the 34 athletes, 25 (73.5%) were treated at the Department of Physiotherapy. The main complaints were myalgia (38.4%), followed by arthralgia (23%). The region of the body with the most complaints was the thigh (n = 8, 30.7%), followed by the knee (n = 6, 23%)....
INTRODUÇÃO: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musc... more INTRODUÇÃO: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musculoesqueléticas. No entanto, são poucas as informações na literatura a respeito das lesões no atletismo paralímpico. OBJETIVO: Descrever o perfil das queixas musculoesqueléticas, a localização anatômica e os recursos fisioterapêuticos utilizados durante o Mundial Paralímpico de Atletismo em Christchurch Nova Zelândia 2011. MÉTODOS: A Delegação Brasileira foi composta por 34 atletas. Foram feitos registros de todos os atendimentos do setor da fisioterapia, diariamente, quanto à queixa, região anatômica acometida e os recursos fisioterapêuticos utilizados. Os atendimentos eram realizados no hotel em que a delegação estava hospedada, bem como no local da competição. Dos 34 atletas, 25 (73,5%) foram atendidos no setor de fisioterapia. RESULTADOS: As principais queixas foram as mialgias (38,4%), seguida pelas artralgias (23%). As regiões mais referidas nas queixas dos atletas foram na coxa (n...
American journal of physical medicine & rehabilitation / Association of Academic Physiatrists, Jan 3, 2015
The aim of this study was to assess and monitor the peak torque of the knee extensor and flexor m... more The aim of this study was to assess and monitor the peak torque of the knee extensor and flexor muscles in flexion and extension and the reports of musculoskeletal complaints in members of the main Brazilian Paralympic athletics team through 1 yr. Fourteen healthy athletes from both sexes were assessed three times in 1 yr. The volunteers were assessed for the presence of musculoskeletal complaints and muscle strength at three time points: (1) at the onset of the preparatory phase on December 2009, (2) at a follow-up assessment on June 2010, and (3) before actual competition on December 2010. The athletes' self-reported musculoskeletal complaints were assessed in structured interviews, and the muscle strength was assessed by means of isokinetic dynamometry. The knee flexor and extensor muscle strength exhibited significant increase in both the right and left lower limbs at the second and third assessments compared with the first one (P < 0.05). Muscle imbalance was associated ...
Estudos na área de lesões esportivas em atletas com deficiência apresentam, em sua maioria, um de... more Estudos na área de lesões esportivas em atletas com deficiência apresentam, em sua maioria, um desenho de pesquisa que agrega dados de diferentes deficiências (físicas e sensoriais) e modalidades esportivas, criando dificuldades na interpretação dos resultados. Este estudo teve como objetivo principal analisar a frequência das lesões esportivas em atletas com deficiência visual, além de identificar as áreas corporais mais lesionadas, o mecanismo das lesões esportivas, as principais lesões esportivas que acometem os atletas com deficiência visual e verificar se o grau de deficiência visual apresenta relação com a incidência de lesões esportivas. Fizeram parte do estudo atletas com deficiência visual, de ambos os sexos, integrantes da seleção brasileira nas modalidades de atletismo, futebol de 5, goalball, judô e natação, em competições internacionais, entre os anos de 2004 e 2008. Os dados foram coletados através de uma ficha médica e fisioterápica utilizada pela Confederação Brasileira de Desporto para Cegos e pelo Comitê Paraolímpico Brasileiro. Participaram do estudo 131 atletas, sendo 42 do sexo feminino e 89 do sexo masculino, 61 com classe visual B1, 46 com classe B2 e 24 com classe B3. Deste total, 102 atletas apresentaram 288 lesões resultando em uma média de 2,82 lesões por atleta. Atletas do sexo feminino lesionam mais que atletas do sexo masculino; porém, essa diferença não é estatisticamente significante. Com relação à classificação visual, atletas B1 lesionam mais que B2 e esses mais que B3; porém, só foi encontrada diferença significativa entre os atletas B1 e B3. Foi encontrado valor próximo entre lesões por acidente esportivo e sobrecarga. A respeito dos segmentos corporais, os membros inferiores foram mais acometidos, seguido por membros superiores, coluna, cabeça e tronco. Foram encontrados 21 diagnósticos diferentes, sendo mais frequentes as tendinopatias, contraturas e contusões. Palavras-chave: deficientes visuais, deficientes, traumatismos em atletas.
ABSTRACT RESUMO Introdução: O atletismo é uma modalidade esportiva que apresenta grande incidênci... more ABSTRACT RESUMO Introdução: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musculo-esqueléticas. No entanto, são poucas as informações na literatura a respeito das lesões no atletismo paralímpico. Objetivo: Descrever o perfil das queixas musculoesqueléticas, a localização anatômica e os recursos fisioterapêu-ticos utilizados durante o Mundial Paralímpico de Atletismo em Christchurch Nova Zelândia 2011. Métodos: A Delegação Brasileira foi composta por 34 atletas. Foram feitos registros de todos os atendimentos do setor da fisioterapia, diariamente, quanto à queixa, região anatômica acometida e os recursos fisioterapêuticos utilizados. Os atendimentos eram realizados no hotel em que a delegação estava hospedada, bem como no local da com-petição. Dos 34 atletas, 25 (73,5%) foram atendidos no setor de fisioterapia. Resultados: As principais queixas foram as mialgias (38,4%), seguida pelas artralgias (23%). As regiões mais referidas nas queixas dos atletas foram na coxa (n = 8, 30,7%), seguida pelo joelho (n = 6, 23%). No total foram realizados 428 atendimentos fisioterapêuticos. No hotel, o recurso terapêutico mais utilizado foi o ultrassom (35,1%), seguido do TENS (31,2%), da crioterapia (23,3%). No local da competição, o recurso terapêutico que prevaleceu foi a crioterapia (44,1%), seguida pela massoterapia (37,2%). Conclusão: Estes resultados contribuem para o conhecimento das principais lesões nesta modalidade esportiva, auxiliando no desenvolvimento de programas direcionados à prevenção das mesmas. ABSTRACT Introduction: Athletics is an umbrella sport with high incidence of musculoskeletal injuries; however, the literature presents little information on injuries in Paralympics athletics. Objective: This study was to describe the profile of the musculoskeletal complaints, their anatomical locations, and physiotherapeutic resources used during the Paralympic Athletics World Championships in Christchurch in 2011. Methods: The Brazilian delegation included 34 athletes. Their musculoskeletal complaints, affected anatomical regions, and the physiotherapy resources used were daily recorded for all of the physiotherapy sessions. The sessions were held in the hotel that hosted the delegation and at the competition venue. Results: Out of the 34 athletes, 25 (73.5%) were treated at the Department of Physiotherapy. The main complaints were myalgia (38.4%), followed by arthralgia (23%). The region of the body with the most complaints was the thigh (n = 8, 30.7%), followed by the knee (n = 6, 23%). A total of 428 physiotherapy sessions were performed. At the hotel, the mostly used therapeutic approach was the ultrasound (35.1%), followed by TENS (31.2%) and cryotherapy (23.3%). At the competition venue, the mostly used therapeutic approach was cryotherapy (44.1%), followed by massage (37.2%). Conclusion: The results of this study contribute to a better understanding of the major injuries in this sport and help to develop programs aimed for injury prevention.
... Roberto Vital1, Hésojy Gley Pereira Vital da Silva1, Ronnie Peterson Andrade de Sousa1, Renat... more ... Roberto Vital1, Hésojy Gley Pereira Vital da Silva1, Ronnie Peterson Andrade de Sousa1, Renata Bezerra do Nascimento1, Edílson ... treinamentos) e principalmente durante as competições, procurando relacionar com a avaliação inicial pré-participação rea-lizada em todos os ...
Introduction: Shift work has been associated with a higher propensity for the development of prob... more Introduction: Shift work has been associated with a higher propensity for the development of problems in glucose metabolism and a higher risk for the development of insulin resistance and diabetes. The aim of this study was to evaluate the levels of cortisol, homeostasis model assessment (HOMA), adiponectin, tumor necroses factor-alpha (TNF-α) and interleukin-6 (IL-6) in different fixed-shift work schedules. Methods: Concentrations of glucose, insulin, cortisol, adiponectin, TNF-α and IL-6 were measured in 3 groups: fixed night shift work (n=9), fixed early morning shift work (n=6) and a fixed day-active group (n=7). Blood samples were collected every 4 hours within the 24 hours of the study, totaling 6 samples per individual. The results are expressed as the mean ± SE. A repeatedmeasures ANOVA and a Tukey post hoc test were used for statistical analyses where p ? 0.05 was considered statistically significant. Results: A significant circadian variation was found for cortisol and HOMA in all of the groups. The 24 hour mean plasma cortisol levels were statistically higher in early morning than day-active subjects (p=0.047). No significant variation was found for the 24 hour HOMA levels. For adiponectin, TNF-α and IL-6 there was no significant circadian variation between groups.
PURPOSE: The goal of this study was to examine anabolic hormone, muscle damage marker, and inflam... more PURPOSE: The goal of this study was to examine anabolic hormone, muscle damage marker, and inflammation marker responses to two types of resistance training protocols in older men.
Visually impaired athletes sustain overuse injuries in the lower limbs, but the pattern of injuri... more Visually impaired athletes sustain overuse injuries in the lower limbs, but the pattern of injuries may vary according to the sport. The characteristics of sports injuries in visually impaired swimmers are unknown. To determine the characteristics and epidemiologic measures (prevalence, clinical incidence, and incidence rate) of sports injuries in visually impaired elite national swimmers and to assess differences among visual classes and between sexes. Descriptive epidemiology study. International Paralympic competitions held between 2004 and 2008. Twenty-eight elite, visually impaired swimmers (19 males, 9 females) from the Brazilian Paralympic Team participated in this study. Twelve were visual class S11 (blind swimmers), 12 were S12 (low-vision swimmers), and 4 were S13 (low-vision swimmers). A standardized report form was used to collect data during 5 competitions. This was endorsed by 2 Brazilian sports governing bodies. The characteristics, prevalence, clinical incidence, and incidence rate of injuries were calculated. Eighteen athletes reported 41 sports injuries, with a prevalence of 64%, clinical incidence of 1.5 injuries per athlete, and an incidence rate of 0.3 injuries per athlete per competition. Overuse injuries (80%) were more frequent than traumatic injuries (20%). The clinical incidence and prevalence varied according to sex and visual class, but no statistical differences were observed (P &amp;amp;amp;amp;amp;amp;amp;amp;gt; .05). The highest proportion of injuries was in the trunk (46.34%), followed by the upper limbs (34.15%). The shoulders (29.27%) were most affected, followed by the thoracic (21.95%) and lumbar spine (17.07%). Spasm (36.59%) was the most frequent diagnosis, followed by tendinopathy (26.83%). Visually impaired swimmers had a relatively high proportion of overuse injuries, predominantly associated with muscle spasm in the spine and tendinopathy in the shoulders. No differences were apparent in injury prevalence and clinical incidence among visual classes or between sexes.
The objective of this study was to evaluate the sleep quality, sleepiness, chronotype and the anx... more The objective of this study was to evaluate the sleep quality, sleepiness, chronotype and the anxiety level of Brazilian Paralympics athletes before the 2008 Beijing Paralympic Games. Cross-sectional study. Setting Exercise and Psychobiology Studies Center (CEPE) and Universidade Federal de São Paulo, an urban city in Brazil. A total of 27 Paralympics athletes of both genders (16 men and 11 women) with an average age of 28±6 years who practised athletics (track and field events) were evaluated. Sleep quality was evaluated using the Pittsburgh Scale and the Epworth Sleepiness Scale to evaluate sleepiness. Chronotype was determined by the Horne and Östberg questionnaire and anxiety through the State-Trait Anxiety Inventory. The evaluations were performed in Brazil 10 days before the competition. The study&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s results demonstrate that 83.3% of the athletes that presented excessive daytime sleepiness also had poor sleep quality. The authors noted that 71.4% were classified into the morning type and 72% of the athletes who presented a medium anxiety level also presented poor sleep quality. Athletes with poor sleep quality showed significantly lower sleep efficiency (p=0.0119) and greater sleep latency (p=0.0068) than athletes with good sleep quality. Athletes who presented excessive daytime sleepiness presented lower sleep efficiency compared to non-sleepy athletes (p=0.0241). The authors conclude that the majority of athletes presented poor sleep quality before the competition. This information should be taken into consideration whenever possible when scheduling rest, training and competition times.
Introdução: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musc... more Introdução: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musculoesqueléticas. No entanto, são poucas as informações na literatura a respeito das lesões no atletismo paralímpico. Objetivo: Descrever o perfil das queixas musculoesqueléticas, a localização anatômica e os recursos fisioterapêuticos utilizados durante o Mundial Paralímpico de Atletismo em Christchurch Nova Zelândia 2011. Métodos: A Delegação Brasileira foi composta por 34 atletas. Foram feitos registros de todos os atendimentos do setor da fisioterapia, diariamente, quanto à queixa, região anatômica acometida e os recursos fisioterapêuticos utilizados. Os atendimentos eram realizados no hotel em que a delegação estava hospedada, bem como no local da competição. Dos 34 atletas, 25 (73,5%) foram atendidos no setor de fisioterapia. Resultados: As principais queixas foram as mialgias (38,4%), seguida pelas artralgias (23%). As regiões mais referidas nas queixas dos atletas foram na coxa (n = 8, 30,7%), seguida pelo joelho (n = 6, 23%). No total foram realizados 428 atendimentos fisioterapêuticos. No hotel, o recurso terapêutico mais utilizado foi o ultrassom (35,1%), seguido do TENS (31,2%), da crioterapia (23,3%). No local da competição, o recurso terapêutico que prevaleceu foi a crioterapia (44,1%), seguida pela massoterapia (37,2%). Conclusão: Estes resultados contribuem para o conhecimento das principais lesões nesta modalidade esportiva, auxiliando no desenvolvimento de programas direcionados à prevenção das mesmas.
In the last few years, the development of national and international games for the physically cha... more In the last few years, the development of national and international games for the physically challenged has encouraged greater participation of athletes with physical disabilities. This resulted in an increase in intensity and frequency of the training routines and competitions and higher levels of trauma-orthopedic lesions. The aim of this descriptive-comparative study is to analyze statistically the incidence of trauma-orthopedic lesions of 82 physically challenged athletes selected in a non intentional and no probalistic way. These athletes belong to various sports categories, as follows: swimming = 37, table tennis = 19, athletics = 19, power lifting = 7. Sixty are males, 24, females, they range in age from 15 to 51 and they all took part in the 2002 World Championship. Applying the medical records of the Brazilian Paraolimpic Committee medical department filled in at those events (the technique of observing the athlete clinical-sports files and medical examinations), the result showed a recurrence of lesions in athletes in the following sports: athletics (MMII = 64.9%, backbone 19.3% and MMSS = 15.8%; power lifting (backbone = 54.5%, MMSS = 36.4% and MMII = 9.1%); swimming (MMSS = 44.4%, backbone = 38.9% and MMII = 16.7%) and table tennis (MMSS = 56%, Backbone = 36% and MMII = 8%). Such results lead to the conclusion that the performing of sports of the physically challenged athletes, and also the intensity of the training routing to try to beat their previous marks and results, cause these kinds of lesion. In addition, it is important to reinforce the preventive measures to the athletes.
Body composition assessments of high-performance athletes are very important for identifying phys... more Body composition assessments of high-performance athletes are very important for identifying physical performance potential. Although the relationship between the kinanthropometric characteristics and performance abilities of Olympic swimmers is extremely important, this subject is not completely understood for Paralympic swimmers. To investigate the relationship between body composition and sport performance in Brazilian Paralympic swimmers 6 months after training. Experimental pre-/post-test design. Research laboratory and field evaluations of swimming were conducted to verify the 50 m freestyle time of each athlete. Seventeen Brazilian Paralympic swimming team athletes (12 men and 5 women). Body composition assessments were performed using a BOD POD, and swimming performance was assessed using the 50 m freestyle, which was performed twice: before and after 6 months of training. Increased lean mass and significantly reduced relative fat mass and swimming time (p &amp;amp;lt; 0.05) were observed 6 months after training. Furthermore, a positive correlation between body fat percentage and performance (r = 0.66, p &amp;amp;lt; 0.05) was observed, but there was no significant correlation between body density and performance (r = -0.14, p &amp;amp;gt; 0.05). Our results show that after a 6-month training period, Paralympic swimmers presented reduced fat mass and increased lean body mass associated with performance, as measured by 50 m freestyle time. These data suggest that reduced FM percentage was significantly correlated with improved swimming performance in Paralympics athletes.
Introduction: Athletics is an umbrella sport with high incidence of musculoskeletal injuries; how... more Introduction: Athletics is an umbrella sport with high incidence of musculoskeletal injuries; however, the literature presents little information on injuries in Paralympics athletics. Objective: This study was to describe the profile of the musculoskeletal complaints, their anatomical locations, and physiotherapeutic resources used during the Paralympic Athletics World Championships in Christchurch in 2011. Methods: The Brazilian delegation included 34 athletes. Their musculoske-letal complaints, affected anatomical regions, and the physiotherapy resources used were daily recorded for all of the physiotherapy sessions. The sessions were held in the hotel that hosted the delegation and at the competition venue. Results: Out of the 34 athletes, 25 (73.5%) were treated at the Department of Physiotherapy. The main complaints were myalgia (38.4%), followed by arthralgia (23%). The region of the body with the most complaints was the thigh (n = 8, 30.7%), followed by the knee (n = 6, 23%)....
INTRODUÇÃO: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musc... more INTRODUÇÃO: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musculoesqueléticas. No entanto, são poucas as informações na literatura a respeito das lesões no atletismo paralímpico. OBJETIVO: Descrever o perfil das queixas musculoesqueléticas, a localização anatômica e os recursos fisioterapêuticos utilizados durante o Mundial Paralímpico de Atletismo em Christchurch Nova Zelândia 2011. MÉTODOS: A Delegação Brasileira foi composta por 34 atletas. Foram feitos registros de todos os atendimentos do setor da fisioterapia, diariamente, quanto à queixa, região anatômica acometida e os recursos fisioterapêuticos utilizados. Os atendimentos eram realizados no hotel em que a delegação estava hospedada, bem como no local da competição. Dos 34 atletas, 25 (73,5%) foram atendidos no setor de fisioterapia. RESULTADOS: As principais queixas foram as mialgias (38,4%), seguida pelas artralgias (23%). As regiões mais referidas nas queixas dos atletas foram na coxa (n...
American journal of physical medicine & rehabilitation / Association of Academic Physiatrists, Jan 3, 2015
The aim of this study was to assess and monitor the peak torque of the knee extensor and flexor m... more The aim of this study was to assess and monitor the peak torque of the knee extensor and flexor muscles in flexion and extension and the reports of musculoskeletal complaints in members of the main Brazilian Paralympic athletics team through 1 yr. Fourteen healthy athletes from both sexes were assessed three times in 1 yr. The volunteers were assessed for the presence of musculoskeletal complaints and muscle strength at three time points: (1) at the onset of the preparatory phase on December 2009, (2) at a follow-up assessment on June 2010, and (3) before actual competition on December 2010. The athletes' self-reported musculoskeletal complaints were assessed in structured interviews, and the muscle strength was assessed by means of isokinetic dynamometry. The knee flexor and extensor muscle strength exhibited significant increase in both the right and left lower limbs at the second and third assessments compared with the first one (P < 0.05). Muscle imbalance was associated ...
Estudos na área de lesões esportivas em atletas com deficiência apresentam, em sua maioria, um de... more Estudos na área de lesões esportivas em atletas com deficiência apresentam, em sua maioria, um desenho de pesquisa que agrega dados de diferentes deficiências (físicas e sensoriais) e modalidades esportivas, criando dificuldades na interpretação dos resultados. Este estudo teve como objetivo principal analisar a frequência das lesões esportivas em atletas com deficiência visual, além de identificar as áreas corporais mais lesionadas, o mecanismo das lesões esportivas, as principais lesões esportivas que acometem os atletas com deficiência visual e verificar se o grau de deficiência visual apresenta relação com a incidência de lesões esportivas. Fizeram parte do estudo atletas com deficiência visual, de ambos os sexos, integrantes da seleção brasileira nas modalidades de atletismo, futebol de 5, goalball, judô e natação, em competições internacionais, entre os anos de 2004 e 2008. Os dados foram coletados através de uma ficha médica e fisioterápica utilizada pela Confederação Brasileira de Desporto para Cegos e pelo Comitê Paraolímpico Brasileiro. Participaram do estudo 131 atletas, sendo 42 do sexo feminino e 89 do sexo masculino, 61 com classe visual B1, 46 com classe B2 e 24 com classe B3. Deste total, 102 atletas apresentaram 288 lesões resultando em uma média de 2,82 lesões por atleta. Atletas do sexo feminino lesionam mais que atletas do sexo masculino; porém, essa diferença não é estatisticamente significante. Com relação à classificação visual, atletas B1 lesionam mais que B2 e esses mais que B3; porém, só foi encontrada diferença significativa entre os atletas B1 e B3. Foi encontrado valor próximo entre lesões por acidente esportivo e sobrecarga. A respeito dos segmentos corporais, os membros inferiores foram mais acometidos, seguido por membros superiores, coluna, cabeça e tronco. Foram encontrados 21 diagnósticos diferentes, sendo mais frequentes as tendinopatias, contraturas e contusões. Palavras-chave: deficientes visuais, deficientes, traumatismos em atletas.
ABSTRACT RESUMO Introdução: O atletismo é uma modalidade esportiva que apresenta grande incidênci... more ABSTRACT RESUMO Introdução: O atletismo é uma modalidade esportiva que apresenta grande incidência de lesões musculo-esqueléticas. No entanto, são poucas as informações na literatura a respeito das lesões no atletismo paralímpico. Objetivo: Descrever o perfil das queixas musculoesqueléticas, a localização anatômica e os recursos fisioterapêu-ticos utilizados durante o Mundial Paralímpico de Atletismo em Christchurch Nova Zelândia 2011. Métodos: A Delegação Brasileira foi composta por 34 atletas. Foram feitos registros de todos os atendimentos do setor da fisioterapia, diariamente, quanto à queixa, região anatômica acometida e os recursos fisioterapêuticos utilizados. Os atendimentos eram realizados no hotel em que a delegação estava hospedada, bem como no local da com-petição. Dos 34 atletas, 25 (73,5%) foram atendidos no setor de fisioterapia. Resultados: As principais queixas foram as mialgias (38,4%), seguida pelas artralgias (23%). As regiões mais referidas nas queixas dos atletas foram na coxa (n = 8, 30,7%), seguida pelo joelho (n = 6, 23%). No total foram realizados 428 atendimentos fisioterapêuticos. No hotel, o recurso terapêutico mais utilizado foi o ultrassom (35,1%), seguido do TENS (31,2%), da crioterapia (23,3%). No local da competição, o recurso terapêutico que prevaleceu foi a crioterapia (44,1%), seguida pela massoterapia (37,2%). Conclusão: Estes resultados contribuem para o conhecimento das principais lesões nesta modalidade esportiva, auxiliando no desenvolvimento de programas direcionados à prevenção das mesmas. ABSTRACT Introduction: Athletics is an umbrella sport with high incidence of musculoskeletal injuries; however, the literature presents little information on injuries in Paralympics athletics. Objective: This study was to describe the profile of the musculoskeletal complaints, their anatomical locations, and physiotherapeutic resources used during the Paralympic Athletics World Championships in Christchurch in 2011. Methods: The Brazilian delegation included 34 athletes. Their musculoskeletal complaints, affected anatomical regions, and the physiotherapy resources used were daily recorded for all of the physiotherapy sessions. The sessions were held in the hotel that hosted the delegation and at the competition venue. Results: Out of the 34 athletes, 25 (73.5%) were treated at the Department of Physiotherapy. The main complaints were myalgia (38.4%), followed by arthralgia (23%). The region of the body with the most complaints was the thigh (n = 8, 30.7%), followed by the knee (n = 6, 23%). A total of 428 physiotherapy sessions were performed. At the hotel, the mostly used therapeutic approach was the ultrasound (35.1%), followed by TENS (31.2%) and cryotherapy (23.3%). At the competition venue, the mostly used therapeutic approach was cryotherapy (44.1%), followed by massage (37.2%). Conclusion: The results of this study contribute to a better understanding of the major injuries in this sport and help to develop programs aimed for injury prevention.
... Roberto Vital1, Hésojy Gley Pereira Vital da Silva1, Ronnie Peterson Andrade de Sousa1, Renat... more ... Roberto Vital1, Hésojy Gley Pereira Vital da Silva1, Ronnie Peterson Andrade de Sousa1, Renata Bezerra do Nascimento1, Edílson ... treinamentos) e principalmente durante as competições, procurando relacionar com a avaliação inicial pré-participação rea-lizada em todos os ...
Introduction: Shift work has been associated with a higher propensity for the development of prob... more Introduction: Shift work has been associated with a higher propensity for the development of problems in glucose metabolism and a higher risk for the development of insulin resistance and diabetes. The aim of this study was to evaluate the levels of cortisol, homeostasis model assessment (HOMA), adiponectin, tumor necroses factor-alpha (TNF-α) and interleukin-6 (IL-6) in different fixed-shift work schedules. Methods: Concentrations of glucose, insulin, cortisol, adiponectin, TNF-α and IL-6 were measured in 3 groups: fixed night shift work (n=9), fixed early morning shift work (n=6) and a fixed day-active group (n=7). Blood samples were collected every 4 hours within the 24 hours of the study, totaling 6 samples per individual. The results are expressed as the mean ± SE. A repeatedmeasures ANOVA and a Tukey post hoc test were used for statistical analyses where p ? 0.05 was considered statistically significant. Results: A significant circadian variation was found for cortisol and HOMA in all of the groups. The 24 hour mean plasma cortisol levels were statistically higher in early morning than day-active subjects (p=0.047). No significant variation was found for the 24 hour HOMA levels. For adiponectin, TNF-α and IL-6 there was no significant circadian variation between groups.
PURPOSE: The goal of this study was to examine anabolic hormone, muscle damage marker, and inflam... more PURPOSE: The goal of this study was to examine anabolic hormone, muscle damage marker, and inflammation marker responses to two types of resistance training protocols in older men.
Visually impaired athletes sustain overuse injuries in the lower limbs, but the pattern of injuri... more Visually impaired athletes sustain overuse injuries in the lower limbs, but the pattern of injuries may vary according to the sport. The characteristics of sports injuries in visually impaired swimmers are unknown. To determine the characteristics and epidemiologic measures (prevalence, clinical incidence, and incidence rate) of sports injuries in visually impaired elite national swimmers and to assess differences among visual classes and between sexes. Descriptive epidemiology study. International Paralympic competitions held between 2004 and 2008. Twenty-eight elite, visually impaired swimmers (19 males, 9 females) from the Brazilian Paralympic Team participated in this study. Twelve were visual class S11 (blind swimmers), 12 were S12 (low-vision swimmers), and 4 were S13 (low-vision swimmers). A standardized report form was used to collect data during 5 competitions. This was endorsed by 2 Brazilian sports governing bodies. The characteristics, prevalence, clinical incidence, and incidence rate of injuries were calculated. Eighteen athletes reported 41 sports injuries, with a prevalence of 64%, clinical incidence of 1.5 injuries per athlete, and an incidence rate of 0.3 injuries per athlete per competition. Overuse injuries (80%) were more frequent than traumatic injuries (20%). The clinical incidence and prevalence varied according to sex and visual class, but no statistical differences were observed (P &amp;amp;amp;amp;amp;amp;amp;amp;gt; .05). The highest proportion of injuries was in the trunk (46.34%), followed by the upper limbs (34.15%). The shoulders (29.27%) were most affected, followed by the thoracic (21.95%) and lumbar spine (17.07%). Spasm (36.59%) was the most frequent diagnosis, followed by tendinopathy (26.83%). Visually impaired swimmers had a relatively high proportion of overuse injuries, predominantly associated with muscle spasm in the spine and tendinopathy in the shoulders. No differences were apparent in injury prevalence and clinical incidence among visual classes or between sexes.
The objective of this study was to evaluate the sleep quality, sleepiness, chronotype and the anx... more The objective of this study was to evaluate the sleep quality, sleepiness, chronotype and the anxiety level of Brazilian Paralympics athletes before the 2008 Beijing Paralympic Games. Cross-sectional study. Setting Exercise and Psychobiology Studies Center (CEPE) and Universidade Federal de São Paulo, an urban city in Brazil. A total of 27 Paralympics athletes of both genders (16 men and 11 women) with an average age of 28±6 years who practised athletics (track and field events) were evaluated. Sleep quality was evaluated using the Pittsburgh Scale and the Epworth Sleepiness Scale to evaluate sleepiness. Chronotype was determined by the Horne and Östberg questionnaire and anxiety through the State-Trait Anxiety Inventory. The evaluations were performed in Brazil 10 days before the competition. The study&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s results demonstrate that 83.3% of the athletes that presented excessive daytime sleepiness also had poor sleep quality. The authors noted that 71.4% were classified into the morning type and 72% of the athletes who presented a medium anxiety level also presented poor sleep quality. Athletes with poor sleep quality showed significantly lower sleep efficiency (p=0.0119) and greater sleep latency (p=0.0068) than athletes with good sleep quality. Athletes who presented excessive daytime sleepiness presented lower sleep efficiency compared to non-sleepy athletes (p=0.0241). The authors conclude that the majority of athletes presented poor sleep quality before the competition. This information should be taken into consideration whenever possible when scheduling rest, training and competition times.
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