Lesiones de rodilla en deportistas: período de desentrenamiento
Knee injuries in athletes: detraining period
Lesões no joelho de atletas: período de destreinamento
Abstract (en)
Knee injuries are common in athletes and recurrence after the first injury also occurs in most cases. Therefore, the number of studies on this topic is increasing, but there are few studies that relate the subject and its consequences to the detraining period, although this period can bring great losses. In order to identify these risk factors, a bibliographic review was carried out in the databases PubMed and the Coordination for the Improvement of Higher Level Personnel, using the PICOT search strategy. Of the 354 articles identified, 12 met the criteria and were analyzed in their entirety, considering the hypothesis of a correlation between knee injuries and detraining. From this, it was concluded that it is necessary to develop a protocol for extended detraining to prevent withdrawal syndrome and promote the health maintenance in athletes, especially those who have suffered knee injuries. Finally, further research on the subject is suggested to confirm the correlation.
Abstract (es)
Las lesiones de rodilla son comunes en los atletas y la recurrencia después de la primera lesión ocurre también en la mayoría de casos. Por tanto, el número de estudios sobre este tema va en aumento, pero son pocos los estudios que relacionen el tema y sus consecuencias con el período de desentrenamiento, aunque este período puede traer grandes pérdidas. Para identificar estos factores de riesgo se realizó una revisión bibliográfica en las bases de datos PubMed y la Coordenación de Perfeccionamiento de Personal de Nivel Superior, utilizando la estrategia de búsqueda PICOT. De los 354 artículos identificados, 12 cumplieron los criterios y fueron analizados en su totalidad, considerando la hipótesis de una correlación entre lesiones de rodilla y desentrenamiento. De ahí, se concluyó que es necesario elaborar un protocolo de desentrenamiento prolongado para prevenir el síndrome de abstinencia y promover el mantenimiento de la salud de los deportistas, especialmente los que han sufrido lesiones de rodilla. Finalmente, se sugiere una mayor investigación sobre el tema para confirmar la correlación.
Abstract (pt)
As lesões de joelho são comuns em atletas, e a reincidência após a ocorrência da primeira lesão também acontece na maioria dos casos. Assim, é crescente o número de estudos a esse respeito, porém há poucos estudos que interligam esse assunto e suas consequências ao período de destreino, mesmo sabendo que esse período pode proporcionar grandes perdas. Para identificar esses fatores de risco, foi realizada uma revisão bibliográfica nas bases PubMed e da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, usando a estratégia de busca PICOT. Dos 354 artigos identificados, 12 artigos atenderam aos critérios e foram analisados na íntegra, considerando a hipótese de correlação entre as lesões de joelho e o destreino. A partir disso, conclui-se que é necessário elaborar um protocolo de destreinamento prolongado para prevenir a síndrome de retirada e promover a manutenção da saúde dos atletas, principalmente daqueles que sofreram lesões de joelho. Por fim, sugerem-se ulteriores pesquisas sobre o tema para a confirmação da correlação.
References
Aravindh, P., Wu, T., Chan C. X., Wong K. L. e Krishna L. (2018). Association of compartmental bone bruise distribution with concomitant intra-articular and extra-articular injuries in acute anterior cruciate ligament tears after noncontact sports trauma. Orthopaedic Journal of Sports Medicine, 6(4), 1- 9. https://doi.org/10.1177/2325967118767625
Awwad, G. E. H., Coleman, J. H., Dunkley C. J. e Dewar D. C. (2019). An analysis of knee injuries in Rugby League: The experience at the Newcastle Knights Professional Rugby League Team. Sports Med — Open, 5, 33-1-7. https://doi.org/10.1186/s40798-019-0206-z
Baggish, A. L., Wang, F., Weiner, R. B., Elinoff, J. M., Tournoux, F., Boland, A., Picard, M. H., Hutter, A. M., Jr e Wood, M. J. (2008). Training-specific changes in cardiac structure and function: A prospective and longitudinal assessment of competitive athletes. Journal of applied physiology (Bethesda, Md.: 1985), 104(4), 1121-1128. https://doi.org/10.1152/japplphysiol.01170.2007
Balcarek, P., Sawallich, T., Losch, A., Stürmer, K. M. e Frosch, K. H. (2008). Delayed cyclops syndrome: Symptomatic extension block four years after anterior cruciate ligament reconstruction. Acta orthopaedica Belgica, 74(2), 261-265.
Bennell, K., Hunter, D. J. e Vicenzino, B. (2012). Long-term effects of sport: Preventing and managing OA in the athlete. Nature reviews. Rheumatology, 8(12), 747-752. https://doi.org/10.1038/nrrheum.2012.119
Bollen, S. (2000). Epidemiologia das Lesões no Joelho: diagnóstico e triagem. Br J Sports Med, 34(3), 227-228. http://dx.doi.org/10.1136/bjsm.34.3.227-a
Bonar, J., Carr, S. C., de Carvalho, D. e Wunder, J. S. (2016). Differentiating giant cell tumor of bone from patellofemoral syndrome: A case study. The Journal of the Canadian Chiropractic Association, 60(1), 57-65. https://europepmc.org/article/med/27069267
Chi, M. M., Hintz, C. S., Coyle, E. F., Martin, W. H., Ivy, J. L., Nemeth, P. M., Holloszy, J. O. e Lowry, O. H. (1983). Effects of detraining on enzymes of energy metabolism in individual human muscle fibers. The American journal of physiology, 244(3), C276-C287. https://doi.org/10.1152/ajpcell.1983.244.3.C276
Coyle, E. F. (1994). Destreinamento e retenção das adaptações induzidas pelo treinamento. Em American College of Sport Medicine. Prova de esforço e prescrição de exercício (pp. 8086). Revinter.
Delaloye, J. R., Murar, J., Vieira, T. D., Franck, F., Pioger, C., Helfer, L., Saithna, A. e Sonnery-Cottet, B. (2020). Knee extension deficit in the early postoperative period predisposes to cyclops syndrome after anterior cruciate ligament reconstruction: A risk factor analysis in 3633 patients from the SANTI study group database. The American journal of sports medicine, 48(3), 565-572. https://doi.org/10.1177/0363546519897064
Evangelista, F. S. A. e Brum, P. C. (1999). Efeitos do destreinamento físico sobre a “performance” do atleta: uma revisão das alterações cardiovasculares e músculo-esqueléticas. Revista Paulista de Educação Física, 13(2), 239-249. https://doi.org/10.11606/issn.2594-5904.rpef.1999.137873
Fatouros, I. G., Jamurtas, A. Z., Villiotou, V., Pouliopoulou, S., Fotinakis, P., Taxildaris, K. e Deliconstantinos, G. (2004). Oxidative stress responses in older men during endurance training and detraining. Medicine and science in sports and exercise, 36(12). https://doi.org/10.1249/01.mss.0000147632.17450.ff
Finch, C. F., Kemp, J. L. e Clapperton, A. J. (2015). The incidence and burden of hospital-treated sports-related injury in people aged 15+ years in Victoria, Australia, 2004-2010: A future epidemic of osteoarthritis? Osteoarthritis and cartilage, 23(7), 1138–1143. DOI https://doi.org/10.1016/j.joca.2015.02.165
Fonseca, J., Loureiro, L. L., Feital E. M. e Pierucci A. P. T. (2014). Impacto do destreinamento na antropometria de adolescentes pentatletas. Rev Bras Med Esporte, 20, 398-34. https://doi.org/10.1590/1517-86922014200501903
Fox, E. L., Bowers, R. W. e Foss, M. L. (1991). Bases fisiológicas da educação física e dos desportos (4ª ed.). Editora Guanabara Koogan. http://www.bibliotecadigital.unicamp.br/document/?view=000317292
Geblein, M., Frodl A., Millrose M., Biber R., Bail H. J. e Wolpert A. K. (2020). How dangerous is American football in the German amateur sector? An Analysis of positional injury over four seasons. Unfallchirurg, 123, 473-478. https://doi.org/10.1007/s00113-019-00743-z
Giacomo, L. M., Khan M. S., Piscitelli L., Bisaccia M. e Caraffa A. (2016). Management of cyclops syndrome: A case report. J Pak Med Assoc, 66, 1330-1333. https://jpma.org.pk/article-details/7943?article_id=7943
Gibala, M. J., Macdougall, J. D. e Sale, D. G. (1994). The effects of tapering on strength performance in trained athletes. International journal of sports medicine, 15(8), 492-497. https://doi.org/10.1055/s-2007-1021093
Griffin, L. Y., Agel, J., Albohm, M. J., Arendt, E. A., Dick, R. W., Garrett, W. E., Garrick, J. G., Hewett, T. E., Huston, L. M. S., Irlanda, M. L., Johnson, R. J., Kibler, W. B., Lephart, S., Lewis, J. L., Lindenfeld, T. N., Mandelbaum, B., Marchak, P., Teitz, C. C. e Wojtys, E. M. (2000). Lesões sem contato do ligamento cruzado anterior: fatores de risco e estratégias de prevenção [Noncontact Anterior Cruciate Ligament Injuries: Risk Factors and Prevention Strategies]. Journal of the American Academy of Orthopaedic Surgeons, 8, 141-150. https://journals.lww.com/jaaos/fulltext/2000/05000/noncontact_anterior_cruciate_ligament_injuries_.1.aspx
Harner, C. D. e Höher J. (1998). Avaliação e tratamento de lesões do ligamento cruzado posterior. Am J Sports Med, 26, 471-482. https://doi.org/10.1177%2F03635465980260032301
Hickson, R. C. e Rosenkoetter, M. A. (1981). Reduced training frequencies and maintenance of increased aerobic power. Medicine and science in sports and exercise, 13(1), 13-16.
John, R., Dhillon, M. S, Syam, K., Prabhakar, S., Behera P. e Singhb, H. (2016). Epidemiological profile of sports-related knee injuries in northern India: An observational study at a tertiary care centre. Clin Orthop Trauma, 7, 207-211. https://doi.org/10.1016/j.jcot.2016.02.003
Joo C. H. (2018). The effects of short term detraining and retraining on physical fitness in elite soccer players. PloS one, 13(5), e0196212. https://doi.org/10.1371/journal.pone.0196212
Joseph, C., Naughton, G. e Antcliff, A. (2019). Australian netball injuries in 2016: An overview of insurance data. Journal of science and medicine in sport, 22(12), 1304-1308. https://doi.org/10.1016/j.jsams.2019.07.016
Laprade R. F., Wentorf F. A., Fritts H., Gundry C. e Hightower C. D. (2007). Um estudo prospectivo de ressonância magnética da incidência de lesões posterolaterais e de ligamentos múltiplos em lesões agudas do joelho com hemartrose. Arthroscopy, 23(12),1341-1347. https://doi.org/10.1016/j.arthro.2007.07.024
Lohmander, L. S., Englund, P. M., Dahl, L. L. e Roos, E. M. (2007). The long-term consequence of anterior cruciate ligament and meniscus injuries: Osteoarthritis. The American journal of sports medicine, 35(10), 1756-1769. https://doi.org/10.1177/0363546507307396
Lutter, C., Tischer, T., Cooper, C., Frank, L., Hotfiel, T., Lenz, R. e Schöffl, V. (2020). Mechanisms of acute knee injuries in bouldering and rock climbing athletes. The American journal of sports medicine, 48(3), 730-738. https://doi.org/10.1177/0363546519899931
Maron, B. J., Pelliccia, A., Spataro, A. e Granata, M. (1993). Reduction in left ventricular wall thickness after deconditioning in highly trained olympic athletes. British heart journal, 69(2), 125-128. https://doi.org/10.1136/hrt.69.2.125
Marques, M. C., Casimiro, F. L. M., Marinho, D. A. e Costa, A. F. M. M. C. D. (2011). Efeitos do treino e do destreino sobre indicadores de força em jovens voleibolistas: implicações da distribuição do volume. Motriz: Revista de Educação Física, 17(2), 235-243. https://doi.org/10.5016/1980-6574.2011v17n2p235
Michelin, E., Coelho, C. F. e Burini, R. C. (2008). Efeito de um mês de destreinamento sobre a aptidão física relacionada à saúde em programa de mudança de estilo de vida. Revista Brasileira de Medicina do Esporte, 14(3), 192-196. https://doi.org/10.1590/S1517-86922008000300006
Morrison, W. B. e Major, N. (2015). The knee. Topics in Magnetic Resonance Imaging, 24(4), 193-203. https://doi.org/10.1097/rmr.0000000000000059
Mujika, I. e Padilla, S. (2000). Detraining: Loss of training-induced physiological and performance adaptations. Part I: short term insufficient training stimulus. Sports medicine, 30(2), 79-87. https://doi.org/10.2165/00007256-200030020-00002
Naraghi, A. e White L. (2016) Imaging of athletic injuries of knee ligaments and menisci. Sports Imaging Series, 281(1), 23-40. https://doi.org/10.1148/radiol.2016152320
Noailles, T., Chalopin, A., Boissard, M., Lopes, R., Bouguennec, N. e Hardy, A. (2019). Incidence and risk factors for cyclops syndrome after anterior cruciate ligament reconstruction: A systematic literature review. Orthopaedics & traumatology, surgery & research: OTSR, 105(7), 1401-1405. https://doi.org/10.1016/j.otsr.2019.07.007
Oliveira, V. L., Leite, G. S., Leite, R. D., Assumpção, O. C., Pereira, G. B., Neto, J. B. e Prestes, J. (2009). Efeito de um período de destreinamento sobre variáveis neuromusculares em atletas de Handebol. Fitness & Performance Journal, 8(2), 96-102. https://dialnet.unirioja.es/servlet/articulo?codigo=2958724
Pedlar, C. R., Brown, M. G., Shave, R. E., Otto, J. M., Drane, A., Michaud-Finch, J., Contursi, M., Wasfy, M. M., Hutter, A., Picard, M. H., Lewis, G. D. e Baggish, A. L. (2018). Cardiovascular response to prescribed detraining among recreational athletes. Journal of Applied Physiology (Bethesda, Md.: 1985), 124(4), 813-820. https://doi.org/10.1152/japplphysiol.00911.2017
Pelliccia, A., Maron, B. J., De Luca, R., Di Paolo, F. M., Spataro, A. e Culasso, F. (2002). Remodeling of Left ventricular hypertrophy in elite athletes after long-term deconditioning. Circulation, 105(8), 944-949. https://doi.org/10.1161/hc0802.104534
Prodromos C. C., Han, Y., Rogowski, J., Joyce, B. e Shi, K. (2007). A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen. Arthroscopy: The journal of arthroscopic & related surgery, 23(12), 1320-1325.e6. https://doi.org/10.1016/j.arthro.2007.07.003
Rahman, M. M., Kopec, J. A., Anis, A. H., Cibere, J. e Goldsmith, C. H. (2013). Risk of cardiovascular disease in patients with osteoarthritis: A prospective longitudinal Study. Arthritis care & research, 65(12), 1951-1958. https://doi.org/10.1002/acr.22092
Roos, E. M. (2005). Joint injury causes knee osteoarthritis in young adults. Current opinion in rheumatology, 17(2), 195-200. https://doi.org/10.1097/01.bor.0000151406.64393.00
Ruzicic, R. D., Jakovljevic, V. e Djordjevic, D. (2016). Oxidative stress in training, overtraining and detraining: From experimental to applied research. Serbian Journal of Experimental and Clinical Research, 17(4), 343-348. https://doi.org/10.1515/sjecr-2016-0002
Saxon, L., Finch, C. e Bass, S. (1999). Sports participation, sports injuries and osteoarthritis: Implications for prevention. Sports medicine, 28(2), 123-135. https://doi.org/10.2165/00007256-199928020-00005
Sedaghati, P., Sarlak, P. e Saki F. (2018). Comparing the effect of short-term detraining on athletic performance of elite competitive children and adolescent wimmers. Feyz, 22(1), 67-74. http://eprints.kaums.ac.ir/3271/
Shepley, B., Macdougall, J. D., Cipriano, N., Sutton, J. R., Tarnopolsky, M. A. e Coates, G. (1992). Physiological Effects of Tapering in Highly Trained Athletes. Journal of Applied Physiology (Bethesda, Md.: 1985), 72(2), 706-711. https://doi.org/10.1152/jappl.1992.72.2.706
Smet, A. A., Blankenbaker, D. G., Kijowski R., Graf, B. K. e Shinki, K. (2009). Diagnóstico por RM das rupturas radiculares posteriores do menisco lateral usando a artroscopia como padrão de referência. AJR Am J Roentgenol, 192(2), 480-486. https://www.ajronline.org/doi/full/10.2214/AJR.08.1300
Somanathan, A., Tandon, A. e Yang, L. W. (2019). Review of magnetic resonance imaging features of complications after anterior cruciate ligament reconstruction. Singapore medical Journal, 60(2), 63-68. https://doi.org/10.11622/smedj.2019017
Sousa, A. C., Neiva, H. P., Izquierdo, M., Cadore, E. L., Alves, A. R. e Marinho, D. A. (2019). Concurrent training and detraining: Brief review on the effect of exercise intensities. International Journal of Sports Medicine, 40(12), 747-755. https://doi.org/10.1055/a-0975-9471
Spindler, K. P. e Wright, R. W. (2008). Prática clínica. Lágrima do Ligamento cruzado anterior. N Engl J Med, 359, 2135-2142. http://www.revdesportiva.pt/files/FIMS_standing_positions/Anterior_Cruciate_Ligament_Injuries___Anatomy,.7.pdf
Sportverletz, S. K. (1999). Epidemiologia das lesões esportivas: análise de 25 Anos do atendimento ambulatorial ortopédico-traumatológico esportivo. Thieme, 13(2), 38-52. https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2007-993313
Vries, A. J., Koolhaas, W., Zwerver J., Diercks R. L., Nieuwenhuis K., Worp H. V. D., Sandra, B. e Inge Van, D. A. S. (2017). The impact of patellar tendinopathy on sports and work performance in active athletes. Research in SportsMedicine, 25(3), 253-265. https://doi.org/10.1080/15438627.2017.1314292
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