Diferencias en la composición corporal entre los lados afectados y no afectados em atletas de fútbol con parálisis cerebral: Resultados preliminares (Differences in body composition between affected and nonaffected sides in cerebral palsy football athlete

Palabras clave: fútbol 7, deportes paraolímpicos, antropometría, bioimpedancia, (football-7-a-side, paralympic sports, anthropometry, bioimpedance)

Resumen

Para verificar la simetría de la distribución de la composición corporal en jugadores de fútbol con parálisis cerebral (PC) y hemiparesia, se realizó un estudio transversal con 17 jugadores de fútbol 7 con PC y hemiparesia, nivel I según el Gross Motion Function Classification System, y como clase 7 según la International Federation of CP Football. La composición corporal se evaluó, tanto en el lado afectado como en el no afectado, mediante antropometría y bioimpedancia. Como resultado, el peso de la masa libre de grasa, la circunferencia de las extremidades y las áreas musculares de las extremidades fueron significativamente mayores en el lado no afectado. Además, el peso de la masa grasa, los pliegues cutáneos de las extremidades y las áreas de grasa de las extremidades inferiores fueron significativamente menores en el lado no afectado, pero el área de grasa del brazo es similar en ambos lados. Estos resultados sugirieron que los requisitos físicos del entrenamiento y las competiciones de fútbol 7 permiten el desarrollo muscular en el lado no afectado, sin embargo, no son suficientes para que el desarrollo muscular del lado afectado alcance un desarrollo similar al del lado no afectado.

Abstract: To verify the symmetry of body composition distribution in cerebral palsy (CP) football players with hemiparesis, was carried out a cross-sectional study with17 football-7-a-side players with CP and hemiparesis, level I according to the Gross Motion Function Classification System and as class 7 according to the International Federation of CP Football. The body composition was evaluated, on both affected and nonaffected sides, by anthropometry and bioimpedance. As a result, fat free mass weight, limb girths and limb muscular areas were significantly higher on nonaffected side. In addition, fat mass weight, limb skinfolds and lower limb fat areas were significantly lower on nonaffected side, but the arm fat area are similar on both sides. These findings suggested that physical requirements of training and competitions of 7-a-side-football allows the muscular development in the non-affected side, however, they are not enough for the muscular development in the affected side to reach a similar development to the non-affected side. 

Citas

Andrade, M. S., Fleury, A. M., & Silva, A. C. (2005). Força muscular isocinética de jogadores de futebol da seleção paraolímpica brasileira de portadores de paralisia cerebral. Revista Brasileira de Medicina do Esporte, 11(5), 281-285. https://doi:org/10.1590/S1517-86922005000500007

Baladi, A. B. P. T., Castro, N. M. D., & Moraes Filho, M. C. (2007). Paralisia Cerebral. In: Fernandes, A. C., Ramos, A. C. R., Casalis, M. E. P., & Hebert, S. K. (Eds.) AACD Medicina e Reabilitação: Princípios e Prática (pp. 16-34). Porto Alegre: Artes Médicas.

Frisancho, A. R. (2008). Anthropometric standards: an interactive nutritional reference of body size and body composition for children and adults. Ann Arbor, MI: The University of Michigan Press.

Gorla, J. I., Nogueira, C. D., Gonçalves, H. R., De Faria, F. R., Buratti, J. R., Nunes, N., Pereira do Rêgo, J. T., Borges, M., Vieira, I. B., & Labrador Roca, V. (2019). Composición corporal y perfil somatotípico de jugadores brasileños de fútbol siete con Parálisis Cerebral de acuerdo con la clasificación funcional. Contribución al Deporte Paralímpico. Retos, 35, 326-328. https://doi.org/10.47197/retos.v0i35.58931

Hildreth, H. G., Johnson, R. K., Goran, M. I., & Contompasis, S. H. (1997). Body composition in adults with cerebral palsy by dual-energy X-ray absorptiometry, bioelectrical impedance analysis, and skinfold anthropometry compared with the 18O isotope-dilution technique. The American Journal of Clinical Nutrition, 66(6), 1436–1442. https://doi:org/10.1093/ajcn/66.6.1436

Hiratuka, E., Matsukura, T. S., & Pfeifer, L. I. (2010). Cross-cultural adaptation of the Gross Motor Function Classification System into Brazilian-Portuguese (GMFCS). Brazilian Journal of Physical Therapy, 14(6), 537-544. https://doi:org/10.1590/S1413-35552010000600013

Kuczmarski, R. J., Flegal, K. M., Johnson, C. L., & Hubbard, V. S. (2003). Development of bioelectrical impedance analysis prediction equations for body composition with the use of a multicomponent model for use in epidemiologic surveys. The American Journal of Clinical Nutrition, 77(2), 331-340. https://doi:org/10.1093/ajcn/77.2.331

Macedo, O. G., Carazzato, J. G., Meirelles, E. S., de Paula, A., dos Santos, C. A., Bolliger Neto, R., & Mattar Júnior, R. (2008). Comparative study of skin folding of dominant and nondominant hemibodies in spastic hemiplegic cerebral palsy. Clinics, 63(5), 601-606. https://doi:org/10.1590/S1807-59322008000500006

Macedo, O. G. (2008). Comparative study of body composition by dual X rays densitometry in the dominant and nondominant hemi bodies between spastic hemiplegic and normal persons. Doctoral dissertation, University of São Paulo, São Paulo, Brazil. Retrieved July 17, 2020, from: https://www.teses.usp.br/teses/disponiveis/5/5160/tde-17122008-085802/publico/osmairgdemacedo.pdf

Macedo, O. G., Silva, E. F., Lima, M. S. N., Barbosa, P. H. F. A., & Martins, E. F. (2012). Estudo comparativo entre as dobras cutâneas dos hemicorpos dominante e não dominante em pessoas com hemiplegia espástica pós-acidente vascular encefálico. Anais do 2o Congresso Brasileiro de Fisioterapia Neurofuncional - 2 COBRAFIN, Rio de Janeiro, Brazil. Brazilian Journal of Physical Therapy, 16(2), 168-168. Retrieved July 17, 2020, from: https://abrafin.org.br/wp-content/uploads/2015/02/COBRAFIN-II.pdf

Mialich, M. S., Sicchieri, J. M. F., & Jordão Junior, A. A. (2014) Analysis of Body Composition: A Critical Review of the Use of Bioelectrical Impedance Analysis. International Journal of Clinical Nutrition, 2(1), 1-10. https://doi:org/10.12691/ijcn-2-1-1

Parker, D. F., Carriere, L., Hebestreit, H., Salsberg, A., & Bar-Or, O. (1993). Muscle performance and gross motor function of children with spastic cerebral palsy. Developmental Medicine and Child Neurology, 35(1), 17-23. https://doi:org/10.1111/j.1469-8749.1993.tb11547.x

Peña Gónzalez, I., Sarabia, J. M., Mancha-Triguero, D., Moya-Ramón, M., & Gamonales, J. M. (2021). Relación entre el rendimiento físico y la carga de trabajo en partido y efecto de dos partidos consecutivos en futbolistas con parálisis cerebral (Relationship between physical performance and match load and effects of two consecutive matches in cerebral. Retos, 41, 728-734. https://doi.org/10.47197/retos.v41i0.86424

Rodrigues, M. N., Silva, S. C. Monteiro, W. D., & Farinatti, P. T. V. (2001). Estimativa da gordura corporal através de equipamentos de bioimpedância, dobras cutâneas e pesagem hidrostática. Revista Brasileira de Medicina do Esporte, 7(4), 125-131. https://doi.org/10.1590/S1517-86922001000400003

Rosenbaum, P., Paneth, N., Leviton, A., Goldstein, M., & Bax, M. (2007). The definition and classification of Cerebral Palsy. Developmental Medicine and Child Neurology, 49(s109), 1-44. https://doi.org/10.1111/j.1469-8749.2007.00001.x

Runciman, P., Tucker, R., Ferreira, S., Albertus-Kajee, Y., Micklesfield, L., & Derman, W. (2016). Site-Sspecific bone mineral density is unaltered despite differences in fat-free soft tissue mass between affected and nonaffected sides in hemiplegic paralympic athletes with cerebral palsy: Preliminary findings. American Journal of Physical Medicine & Rehabilitation, 95(10), 771-778. https://doi.org/10.1097/PHM.0000000000000532

Silva, E. F. (2013). Profile of body composition in people bedridden with spastic hemiplegic and distribution of lean and fat mas in the hemibodies. Monography, University of Brasília, Brasília, Brazil. Retrieved July 17, 2020, from https://bdm.unb.br/handle/10483/6375

Steenberger, B., & van der Kamp, J. (2008). Attentional processes of high-skilled soccer players with congenital hemiparesis: differences related to the side of the hemispheric lesion. Motor Control, 12(1), 55–66. https://doi.org/10.1123/mcj.12.1.55

Stewart, A., Marfell-Jones, M., Olds, T., & Ridder, H. (2011). International standards for anthropometric assessment. Lower Hutt, NZ: ISAK.

Sun, S. S., Chumlea, W. C., Heymsfield, S. B., Lukaski, H. C., Schoeller, D., Friedl, K., Kuczmarski, R. J., Flegal, K. M., Johnson, C. L., & Hubbard, V. S. (2003). Development of bioelectrical impedance analysis prediction equations for body composition with the use of a multicomponent model for use in epidemiologic surveys. The American journal of clinical nutrition, 77(2), 331–340. https://doi.org/10.1093/ajcn/77.2.331

Tosi, L., & Rosenbloom, L. (2014). Cerebral palsy in adulthood. In: Dan, B., Mayston, M., & Paneth, N. (Eds.), Cerebral palsy: Science and clinical practice (pp. 49-62). Mac Keith Press.

Virella, D., Folha, D., Andrada, M. G., Cadete, A., Gouveia, R., Gaia, T., Alvarelhão, J., & Calado, E. (2018). Vigilância Nacional da Paralisia Cerebral aos 5 anos de Idade- Crianças Nascidas entre 2001 e 2007. Lisbon: Federação das Associações Portuguesas de Paralisia Cerebral. Retrieved July 17, 2020, from: http://www.fappc.pt/wp-content/uploads/2018/02/FAPPC_PROJETO167_LivroIIedicao_PVNPC5A.pdf

Publicado
2022-04-01
Cómo citar
Macedo, O., Cunha, C., Ferreira, V., & Vieira, M. F. (2022). Diferencias en la composición corporal entre los lados afectados y no afectados em atletas de fútbol con parálisis cerebral: Resultados preliminares (Differences in body composition between affected and nonaffected sides in cerebral palsy football athlete. Retos, 44, 416-420. https://doi.org/10.47197/retos.v44i0.89905
Sección
Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas