Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozelo
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/20898 |
Resumo: | Lateral ankle sprains are one of the most frequent injuries in the general population, increasing their incidence in physically active populations and sports practitioners. That injury can be considered the most common in sports and is related to several functional and mechanical alterations. Subjects who have undergone a ankle sprain can develop chronic ankle instability (CAI), dynamic postural control deficits, and biomechanical changes of the lower limb that may cause joint overload due to mechanical and sensory-motor failures. The knowlegde of these modifications may be crucial for the rehabilitation and prevention of other lower extremity injuries. Our research is a case-control study based on the STROBE guidelines for controlled studies and its execution was approved by the UFSM Ethics and Research Committee, CAAE 51543815.7.0000.5346. Twenty physically active subjects (14 women and 6 men) participated in the study, with 10 individuals (7 women and 3 men) aged 24.7 ± 3.3 years, 68.8 ± 15.5 kg and 1.66 ± 00 meters in the control group and 10 individuals (7 women and 3 men) age 23.3 ± 3.3 years, mass 68.7 ± 11.2 kg and height 1.66 ± 00 meters in the self reported ankle chronic instability group (CAI). In order to include the individuals in the study, the International Ankle Consortium criteria were used. Subjects were evaluated by the FAAM-BRASIL and CAIT questionnaires to understand the functional capacity of the subjects and classify as CAI, respectively. We measured the maximum dorsiflexion range of motion by the Weight Bearing Lunge Test (WBLT), since it is an important variable in the population with CAI. . The functional task selected for evaluation was the anterior reach of the Star Excursion Balance Test (SEBTa) concomitantly with the assessment of kinetic and 3D kinematics. The outcome variables were the relative contributions (RC’s) of the ankle, knee and hip joint moments in the sagittal, frontal and transverse planes. Significant modifications were found in ankle, knee and hip RC´s s in individuals with CAI. In the sagittal plane there is a reduction of the RC´s of ankle and knee, and a substantial increase of the RC of the hip in most part of the movement. For the frontal plane the ankle RC´s s are reduced during the forward and return phase of the movement. Conclusion: In individuals with CAI there are evident changes in the strategy in the absorption of the total flexor momentum of the lower limbs, with a substantial increase in the participation of the hip in the sagittal plane and reduction of the use of the ankle in the sagittal and frontal plane. These findings corroborate with the theory of neuromuscular pattern modifications in the population with CAI in order to perform functional tasks. |
id |
UFSM_ee2721de3502467f5e9a1d38bd2034c3 |
---|---|
oai_identifier_str |
oai:repositorio.ufsm.br:1/20898 |
network_acronym_str |
UFSM |
network_name_str |
Manancial - Repositório Digital da UFSM |
repository_id_str |
|
spelling |
Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozeloRelative contributions of articular moments in the dynamic postural control of individuals with chronic ankle instabilityInstabilidade crônica de tornozeloEntorse lateral de tornozeloControle postural dinâmicoFenômenos biomecânicosChronic ankle instabilityAnkle sprainDynamic postural controlBiomechanical phenomenaCNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALLateral ankle sprains are one of the most frequent injuries in the general population, increasing their incidence in physically active populations and sports practitioners. That injury can be considered the most common in sports and is related to several functional and mechanical alterations. Subjects who have undergone a ankle sprain can develop chronic ankle instability (CAI), dynamic postural control deficits, and biomechanical changes of the lower limb that may cause joint overload due to mechanical and sensory-motor failures. The knowlegde of these modifications may be crucial for the rehabilitation and prevention of other lower extremity injuries. Our research is a case-control study based on the STROBE guidelines for controlled studies and its execution was approved by the UFSM Ethics and Research Committee, CAAE 51543815.7.0000.5346. Twenty physically active subjects (14 women and 6 men) participated in the study, with 10 individuals (7 women and 3 men) aged 24.7 ± 3.3 years, 68.8 ± 15.5 kg and 1.66 ± 00 meters in the control group and 10 individuals (7 women and 3 men) age 23.3 ± 3.3 years, mass 68.7 ± 11.2 kg and height 1.66 ± 00 meters in the self reported ankle chronic instability group (CAI). In order to include the individuals in the study, the International Ankle Consortium criteria were used. Subjects were evaluated by the FAAM-BRASIL and CAIT questionnaires to understand the functional capacity of the subjects and classify as CAI, respectively. We measured the maximum dorsiflexion range of motion by the Weight Bearing Lunge Test (WBLT), since it is an important variable in the population with CAI. . The functional task selected for evaluation was the anterior reach of the Star Excursion Balance Test (SEBTa) concomitantly with the assessment of kinetic and 3D kinematics. The outcome variables were the relative contributions (RC’s) of the ankle, knee and hip joint moments in the sagittal, frontal and transverse planes. Significant modifications were found in ankle, knee and hip RC´s s in individuals with CAI. In the sagittal plane there is a reduction of the RC´s of ankle and knee, and a substantial increase of the RC of the hip in most part of the movement. For the frontal plane the ankle RC´s s are reduced during the forward and return phase of the movement. Conclusion: In individuals with CAI there are evident changes in the strategy in the absorption of the total flexor momentum of the lower limbs, with a substantial increase in the participation of the hip in the sagittal plane and reduction of the use of the ankle in the sagittal and frontal plane. These findings corroborate with the theory of neuromuscular pattern modifications in the population with CAI in order to perform functional tasks.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESAs entorses laterais de tornozelo (ELT) estão entre as lesões mais frequentes na população em geral, aumentando sua incidência em populações fisicamente ativas e praticantes esportivos. A ELT pode ser considerada a lesão mais comum no esporte e está ligada à várias alterações funcionais e mecânicas. Sujeitos que sofreram uma ELT podem desencadear em longo prazo a instabilidade crônica de tornozelo, déficit do controle postural dinâmico e alterações biomecânicas do membro inferior que podem gerar sobrecargas articulares devido às falhas mecânicas e sensório-motoras. Conhecer estas modificações pode ser crucial para a reabilitação e prevenção de novas lesões da extremidade inferior. A nossa pesquisa trata-se de um estudo de caso-controle baseado nas diretrizes STROBE para estudos controlados e sua execução foi aprovada pelo Comitê de Ética e Pesquisa da UFSM, CAAE 51543815.7.0000.5346. Participaram do estudo 20 sujeitos fisicamente ativos (14 mulheres e 6 homens), deste total 10 indivíduos (7 mulheres e 3 homens) com idade 24.7±3.3 anos, massa 68.8±15.5 quilogramas e estatura1.66±00 metros formaram o grupo controle e 10 indivíduos (7 mulheres e 3 homens) idade 23.3±3.3 anos, massa 68.7±11.2 quilogramas e estatura 1.66±00 metros formaram o grupo instabilidade crônica de tornozelo auto relatada (ICT). Para inclusão dos indivíduos no estudo foram utilizados os critérios do International Ankle Consortium. Os indivíduos foram avaliados pelos questionários FAAM-BRASIL e CAIT para compreensão da capacidade funcional dos sujeitos e classificar como ICT, respectivamente. Foram submetidos a mensuração da amplitude máxima de dorsiflexão pelo Weight Bearing Lunge Test (WBLT). A tarefa funcional selecionada para avaliação foi a direção anterior do Star Excursion Balance Test (SEBTa) concomitantemente com a avaliação da plataforma de força e cinemetria 3D. As variáveis de desfecho foram as contribuições relativas dos momentos articulares (CR’s) de tornozelo, joelho e quadril nos planos sagital, frontal e transverso. Foram encontradas modificações importantes nas CR’s das articulações de membro inferior em indivíduos com ICT. No plano sagital há uma redução das CR’s de tornozelo e joelho, um aumento substancial das CR’s de quadril. Para o plano frontal as CR’s de tornozelo estão reduzidas durante a fase de ida e de retorno do movimento. Conclusão: Em indivíduos com ICT há evidentes mudanças na estratégia na absorção do momento flexor total dos membros inferiores, tendo um aumento substancial na participação do quadril no plano sagital e redução da utilização de tornozelo no plano sagital e frontal. Estes achados corroboram com a teoria das modificações dos padrões neuromusculares na população com ICT para poder desempenhar tarefas funcionais da melhor forma possível.Universidade Federal de Santa MariaBrasilCiências da SaúdeUFSMPrograma de Pós-Graduação em Reabilitação FuncionalCentro de Ciências da SaúdeMota, Carlos Bollihttp://lattes.cnpq.br/5319954295407481Saccol, Michele ForgiariniCarpes, Felipe PivettaGeremia, Jeam MarcelLoureiro, Victor Luiz Florio2021-05-14T11:15:46Z2021-05-14T11:15:46Z2018-08-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/20898porAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2021-05-15T06:02:27Zoai:repositorio.ufsm.br:1/20898Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2021-05-15T06:02:27Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.none.fl_str_mv |
Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozelo Relative contributions of articular moments in the dynamic postural control of individuals with chronic ankle instability |
title |
Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozelo |
spellingShingle |
Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozelo Loureiro, Victor Luiz Florio Instabilidade crônica de tornozelo Entorse lateral de tornozelo Controle postural dinâmico Fenômenos biomecânicos Chronic ankle instability Ankle sprain Dynamic postural control Biomechanical phenomena CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozelo |
title_full |
Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozelo |
title_fullStr |
Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozelo |
title_full_unstemmed |
Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozelo |
title_sort |
Contribuições relativas dos momentos articulares no controle postural dinâmico de indivíduos com instabilidade crônica de tornozelo |
author |
Loureiro, Victor Luiz Florio |
author_facet |
Loureiro, Victor Luiz Florio |
author_role |
author |
dc.contributor.none.fl_str_mv |
Mota, Carlos Bolli http://lattes.cnpq.br/5319954295407481 Saccol, Michele Forgiarini Carpes, Felipe Pivetta Geremia, Jeam Marcel |
dc.contributor.author.fl_str_mv |
Loureiro, Victor Luiz Florio |
dc.subject.por.fl_str_mv |
Instabilidade crônica de tornozelo Entorse lateral de tornozelo Controle postural dinâmico Fenômenos biomecânicos Chronic ankle instability Ankle sprain Dynamic postural control Biomechanical phenomena CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
topic |
Instabilidade crônica de tornozelo Entorse lateral de tornozelo Controle postural dinâmico Fenômenos biomecânicos Chronic ankle instability Ankle sprain Dynamic postural control Biomechanical phenomena CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
Lateral ankle sprains are one of the most frequent injuries in the general population, increasing their incidence in physically active populations and sports practitioners. That injury can be considered the most common in sports and is related to several functional and mechanical alterations. Subjects who have undergone a ankle sprain can develop chronic ankle instability (CAI), dynamic postural control deficits, and biomechanical changes of the lower limb that may cause joint overload due to mechanical and sensory-motor failures. The knowlegde of these modifications may be crucial for the rehabilitation and prevention of other lower extremity injuries. Our research is a case-control study based on the STROBE guidelines for controlled studies and its execution was approved by the UFSM Ethics and Research Committee, CAAE 51543815.7.0000.5346. Twenty physically active subjects (14 women and 6 men) participated in the study, with 10 individuals (7 women and 3 men) aged 24.7 ± 3.3 years, 68.8 ± 15.5 kg and 1.66 ± 00 meters in the control group and 10 individuals (7 women and 3 men) age 23.3 ± 3.3 years, mass 68.7 ± 11.2 kg and height 1.66 ± 00 meters in the self reported ankle chronic instability group (CAI). In order to include the individuals in the study, the International Ankle Consortium criteria were used. Subjects were evaluated by the FAAM-BRASIL and CAIT questionnaires to understand the functional capacity of the subjects and classify as CAI, respectively. We measured the maximum dorsiflexion range of motion by the Weight Bearing Lunge Test (WBLT), since it is an important variable in the population with CAI. . The functional task selected for evaluation was the anterior reach of the Star Excursion Balance Test (SEBTa) concomitantly with the assessment of kinetic and 3D kinematics. The outcome variables were the relative contributions (RC’s) of the ankle, knee and hip joint moments in the sagittal, frontal and transverse planes. Significant modifications were found in ankle, knee and hip RC´s s in individuals with CAI. In the sagittal plane there is a reduction of the RC´s of ankle and knee, and a substantial increase of the RC of the hip in most part of the movement. For the frontal plane the ankle RC´s s are reduced during the forward and return phase of the movement. Conclusion: In individuals with CAI there are evident changes in the strategy in the absorption of the total flexor momentum of the lower limbs, with a substantial increase in the participation of the hip in the sagittal plane and reduction of the use of the ankle in the sagittal and frontal plane. These findings corroborate with the theory of neuromuscular pattern modifications in the population with CAI in order to perform functional tasks. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-08-10 2021-05-14T11:15:46Z 2021-05-14T11:15:46Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/20898 |
url |
http://repositorio.ufsm.br/handle/1/20898 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Ciências da Saúde UFSM Programa de Pós-Graduação em Reabilitação Funcional Centro de Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Ciências da Saúde UFSM Programa de Pós-Graduação em Reabilitação Funcional Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Manancial - Repositório Digital da UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Manancial - Repositório Digital da UFSM |
collection |
Manancial - Repositório Digital da UFSM |
repository.name.fl_str_mv |
Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
atendimento.sib@ufsm.br||tedebc@gmail.com |
_version_ |
1805922137753518080 |