Dinamometria isocinética e antropometria segmentar como parâmetros de lesão muscular rotadores de ombro em atletas

Autores

  • Diana Carolina Preciado Martinez Escuela Militar de Cadetes General ¨Jose Maria Cordova¨
  • Alejandro Bustamante Garrido Escuela de Ciencias del Deporte y la Actividad Física, Facultad de Salud, Universidad Santo Tomás, 8370003, Chile 3 Laboratorio de Biomecánica Deportiva, Unidad de Ciencias Aplicadas al Deporte, Instituto Nacional de Deportes, Chile
  • Danny Wilson Sanjuanelo Corredor Departamento de Ciencias Exactas y Naturales Facultad de Ciencias U.D.C.A, Colombia

DOI:

https://doi.org/10.47197/retos.v51.99498

Palavras-chave:

Força muscular, composição corporal, padrões de referência, fatores de risco, avaliação

Resumo

A detecção dos níveis de força dos músculos das extremidades superiores afeta o desempenho, a prevenção e a reabilitação dos atletas. Objetivo: estimar o risco de lesão dos músculos rotadores do ombro nas velocidades de 60°/s e 180°/s. Método: estudo descritivo, correlacional e transversal em 80 atletas amadores que realizaram isocinese por meio do Sistema Isocinético de Teste e Reabilitação HumacNorm (CSMI) e antropometria segmentar por meio de bioimpedanciômetro seca mBCA554. Resultados: foram comparados com escalas padronizadas em diferentes populações de atletas. Foi obtida alta correlação antropométrica entre a massa muscular do braço dominante (MMBD) e a massa muscular do braço não dominante (MMBND) (p<0,001); e isocinética a 60°/s entre os IR do MMBD e do MMBND (p<0,001); entre 60°/s e 180°/s de OD (p<0,001); entre antropometria segmentar e isocinese como MMBND e OD da MMBND a 60°/s com raio de r=0,70 (p=0,01). O IMC estava normal; mas os valores de déficit para IR180°/s ultrapassaram 10% e o índice de fadiga (FI) foi elevado para IR180°/s (p<0,05). Conclusão: Força máxima, massa muscular segmentar, assimetrias, déficit e FI são variáveis ​​que podem estimar melhor o risco de lesão, embora devido à falta de escalas em atletas amadores e aos resultados limitados e incongruentes em outras modalidades esportivas e atletas de elite, nossos os resultados podem servir como parâmetros iniciais de antropometria isocinética e segmentar para atletas amadores com maior demanda nas extremidades superiores.

Palavras-chave: Força muscular, composição corporal, padrões de referência, fatores de risco, avaliação.

Biografias Autor

Alejandro Bustamante Garrido , Escuela de Ciencias del Deporte y la Actividad Física, Facultad de Salud, Universidad Santo Tomás, 8370003, Chile 3 Laboratorio de Biomecánica Deportiva, Unidad de Ciencias Aplicadas al Deporte, Instituto Nacional de Deportes, Chile

Escuela de Ciencias del Deporte y la Actividad Física, Facultad de Salud, Universidad Santo Tomás, 8370003, Chile 

Laboratorio de Biomecánica Deportiva, Unidad de Ciencias Aplicadas al Deporte, Instituto Nacional de Deportes, Chile 

Danny Wilson Sanjuanelo Corredor , Departamento de Ciencias Exactas y Naturales Facultad de Ciencias U.D.C.A, Colombia

Departamento de Ciencias Exactas y Naturales Facultad de Ciencias U.D.C.A, Colombia

Referências

Akınoğlu, B., & Kocahan, T. (2019). Body composition and torso muscle strength relationship in athletes. Progress in Nutri-tion, 21, 1019-1028.

Alderink, G. J., & Kuck, D. J. (1986). Isokinetic shoulder strength of high school and college-aged pitchers. The Journal of Orthopaedic and Sports Physical Therapy, 7(4), 163-172. https://doi.org/10.2519/jospt.1986.7.4.163

Andrade, M. D. S., de Lira, C. A. B., Vancini, R. L., de Almeida, A. A., Benedito-Silva, A. A., & da Silva, A. C. (2013). Profiling the isokinetic shoulder rotator muscle strength in 13- to 36-year-old male and female handball players. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 14(4), 246-252. https://doi.org/10.1016/j.ptsp.2012.12.002

Batalha, N. M. P., Raimundo, A. M. de M., Tomas-Carus, P., Fernandes, O. de J. S. M., Marinho, D. A., & Silva, A. J. R. M. da. (2012). Shoulder rotator isokinetic strength profile in young swimmers. Revista Brasileira de Cineantropometria & Desempenho Humano, 14, 545-553. https://doi.org/10.5007/1980-0037.2012v14n5p545

Borges Hernández, P. J., Ruiz Lara, E., & Argudo Iturriaga, F. M. (2017). Relación entre parámetros antropométricos, agarre máximo y velocidad de lanzamiento en jugadores jóvenes de waterpolo. Retos: nuevas tendencias en educación física, deporte y recreación, 31, 212-218.

Byram, I. R., Bushnell, B. D., Dugger, K., Charron, K., Harrell, F. E., & Noonan, T. J. (2010). Preseason shoulder strength measurements in professional baseball pitchers: Identifying players at risk for injury. The American Journal of Sports Medicine, 38(7), 1375-1382. https://doi.org/10.1177/0363546509360404

Caicedo Obando, M. C., Pérez Hurtado, J. D., Sarmiento Bedoya, N., & Zambrano Sarasti, D. C. (2017). Determinación del nivel de la fuerza muscular de rotadores internos y externos del hombro en deportistas competitivos de voleibol, fút-bol campo y población sana no deportista de una universidad de la ciudad de Cali. [Thesis]. https://bibliotecadigital.univalle.edu.co/handle/10893/10277

Cha, J.-Y., Kim, J.-H., Hong, J., Choi, Y.-T., Kim, M.-H., Cho, J.-H., Ko, I.-G., & Jee, Y.-S. (2014). A 12-week rehabil-itation program improves body composition, pain sensation, and internal/external torques of baseball pitchers with shoulder impingement symptom. Journal of Exercise Rehabilitation, 10(1), 35-44. https://doi.org/10.12965/jer.140087

Cochrane, K. C., Housh, T. J., Smith, C. M., Hill, E. C., Jenkins, N. D. M., Johnson, G. O., Housh, D. J., Schmidt, R. J., & Cramer, J. T. (2015). Relative contributions of strength, anthropometric, and body composition characteristics to es-timated propulsive force in young male swimmers. Journal of Strength and Conditioning Research, 29(6), 1473-1479. https://doi.org/10.1519/JSC.0000000000000942

Dale, R. B., Kovaleski, J. E., Ogletree, T., Heitman, R. J., & Norrell, P. M. (2007). The effects of repetitive overhead throwing on shoulder rotator isokinetic work-fatigue. North American Journal of Sports Physical Therapy: NAJSPT, 2(2), 74-80.

Daneshjoo, A., Rahnama, N., Mokhtar, A. H., & Yusof, A. (2013). Bilateral and unilateral asymmetries of isokinetic strength and flexibility in male young professional soccer players. Journal of Human Kinetics, 36, 45-53. https://doi.org/10.2478/hukin-2013-0005

Drapsin, M., Trajković, N., Atanasov, D., Radanović, D., Imbronjev, M., Roklicer, R., Madić, D., Maksimovic, N., Raonić, V., Trivic, T., & Drid, P. (2019). Isokinetic performance of shoulder external and internal rotators in judo and karate female elite athletes. Exercise and Quality of Life, 11, 41-46. https://doi.org/10.31382/eqol.191205

Drigny, J., Guermont, H., Reboursière, E., & Gauthier, A. (2022). Shoulder Rotational Strength and Range of Motion in Unilateral and Bilateral Overhead Elite Athletes. Journal of Sport Rehabilitation, 1-8. https://doi.org/10.1123/jsr.2021-0342

Duvenage, K.-K. (2019). Bilateral differences in anthropometric measurements and isokinetic strength variables of female university level netball players [Thesis, North-West University (South-Africa)]. https://repository.nwu.ac.za/handle/10394/33758

Edouard, P., Degache, F., Oullion, R., Plessis, J.-Y., Gleizes-Cervera, S., & Calmels, P. (2013). Shoulder strength imbal-ances as injury risk in handball. International Journal of Sports Medicine, 34(7), 654-660. https://doi.org/10.1055/s-0032-1312587

Ellenbecker, T., & Roetert, E. P. (2003). Age specific isokinetic glenohumeral internal and external rotation strength in elite junior tennis players. Journal of Science and Medicine in Sport, 6(1), 63-70. https://doi.org/10.1016/s1440-2440(03)80009-9

Ellenbecker, T. S., & Davies, G. J. (2000). The application of isokinetics in testing and rehabilitation of the shoulder com-plex. Journal of Athletic Training, 35(3), 338-350.

Ellenbecker, T. S., Davies, G. J., & Rowinski, M. J. (1988). Concentric versus eccentric isokinetic strengthening of the rotator cuff. Objective data versus functional test. The American Journal of Sports Medicine, 16(1), 64-69. https://doi.org/10.1177/036354658801600112

Escamilla, R. F., & Andrews, J. R. (2009). Shoulder muscle recruitment patterns and related biomechanics during upper extremity sports. Sports Medicine (Auckland, N.Z.), 39(7), 569-590. https://doi.org/10.2165/00007256-200939070-00004

García Chaves, D. C., Corredor Serrano, L. F., & Díaz Millán, S. (2023). Relación entre la fuerza explosiva, composición corporal, somatotipo y algunos parámetros de desempeño físico en jugadores de rugby sevens. Retos: nuevas tendencias en educación física, deporte y recreación, 47, 103-109.

Glazier, P. S., Paradisis, G. P., & Cooper, S. M. (2000). Anthropometric and kinematic influences on release speed in men’s fast-medium bowling. Journal of Sports Sciences, 18(12), 1013-1021. https://doi.org/10.1080/026404100446810

Gonçalves, M., Marson, R., Fortes, M., Neves, E., & Novaes, J. (2017). The relationship between total muscle strength and anthropometric indicators in brazilian army military. Revista Brasileira de Obesidade, Nutrição e Emagrecimento, 11, 330-337.

Gonzalez Arango, L. F. (2018). Composición corporal segmentaria como factor predictivo de la fuerza máxima. https://doi.org/10.13140/RG.2.2.15796.60804

Gray, J., Aginsky, K., Derman, W., Vaughan, C., & Hodges, P. (2015). Symmetry, not asymmetry, of abdominal muscle morphology is associated with low back pain in cricket fast bowlers. Journal of Science and Medicine in Sport, 19. https://doi.org/10.1016/j.jsams.2015.04.009

Guney, H., Harput, G., Colakoglu, F., & Baltaci, G. (2016). The effect of glenohumeral internal-rotation deficit on func-tional rotator-strength ratio in adolescent overhead athletes. Journal of Sport Rehabilitation, 25(1), 52-57. https://doi.org/10.1123/jsr.2014-0260

Havolli, J., Pori, P., & Arifi, F. (2020). The impact of physical activity on body composition between play positions in handball. Iranian journal of public health, 49, 1799-1801. https://doi.org/10.1249/00005768-

Horobeanu, C., Croisier, J., Paulus, J., Pullinger, S., & Forthomme, B. (2019). The reproducibility of fatigue-related indi-ces of the shoulder rotator muscles: A clinical perspective. Isokinetics and exercise science. https://doi.org/10.3233/IES-193129

Huesa Jiménez, F., García Díaz, J., & Vargas Montes, J. (2005). Dinamometría isocinética. Rehabilitación, 39(6), 288-296. https://doi.org/10.1016/S0048-7120(05)74362-0

Hurd, W. J., Morrey, B. F., & Kaufman, K. R. (2011). The effects of anthropometric scaling parameters on normalized muscle strength in uninjured baseball pitchers. Journal of Sport Rehabilitation, 20(3), 311-320. https://doi.org/10.1123/jsr.20.3.311

Johnson, C. D., Nijst, B. K. J. F., Eagle, S. R., Kessels, M. W. M., Lovalekar, M. T., Krajewski, K. T., Flanagan, S. D., Nindl, B. C., & Connaboy, C. (2019). Evaluation of shoulder strength and kinematics as risk factors for shoulder injury in united states special forces personnel. Orthopaedic Journal of Sports Medicine, 7(3), 2325967119831272. https://doi.org/10.1177/2325967119831272

Johnson, J. E., Fullmer, J. A., Nielsen, C. M., Johnson, J. K., & Moorman, C. T. (2018). Glenohumeral internal rotation deficit and injuries: A systematic review and meta-analysis. Orthopaedic Journal of Sports Medicine, 6(5), 2325967118773322. https://doi.org/10.1177/2325967118773322

Katti, A., Verma, S., & Gupta, A. (2022). Isokinetic strength testing of shoulder rotators in collegiate throw ball players.

Kim, D.-K., Park, G., Kuo, L.-T., & Park, W.-H. (2020). Isokinetic performance of shoulder external and internal rotators of professional volleyball athletes by different positions. Scientific Reports, 10(1), 8706. https://doi.org/10.1038/s41598-020-65630-9

Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability re-search. Journal of Chiropractic Medicine, 15(2), 155-163. https://doi.org/10.1016/j.jcm.2016.02.012

Kountouris, A., Portus, M., & Cook, J. (2012). Quadratus lumborum asymmetry and lumbar spine injury in cricket fast bowlers. Journal of Science and Medicine in Sport, 15(5), 393-397. https://doi.org/10.1016/j.jsams.2012.03.012

Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensen, F., Andersson, G., & Jørgensen, K. (1987). Standardised nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics, 18(3), 233-237. https://doi.org/10.1016/0003-6870(87)90010-x

Lategan, L. (2011). Isokinetic norms for ankle, knee, shoulder and forearm muscles in young South African men. Isokinetics and exercise science, 19. https://doi.org/10.3233/IES-2011-0392

Loram, L. C., McKinon, W., Wormgoor, S., Rogers, G. G., Nowak, I., & Harden, L. M. (2005). Determinants of ball release speed in schoolboy fast-medium bowlers in cricket. The Journal of Sports Medicine and Physical Fitness, 45(4), 483-490.

Lucena, E., Ferland, P.-M., Ahmadi, S., Teixeira, L., Comtois, A. S., & Uchida, M. C. (2021). Isokinetic strength of shoulder rotator muscles in powerlifters: Correlation between isometric and concentric muscle actions. The Journal of sports medicine and physical fitness, 62. https://doi.org/10.23736/S0022-4707.21.11921-8

Martin, C., Olivier, B., & Benjamin, N. (2017). Asymmetrical abdominal muscle morphometry is present in injury free adolescent cricket pace bowlers: A prospective observational study. Physical Therapy in Sport: Official Journal of the Associa-tion of Chartered Physiotherapists in Sports Medicine, 28, 34-42. https://doi.org/10.1016/j.ptsp.2017.08.078

Martínez, M., & Alvarado Muñoz, R. (2017). Validación del cuestionario nórdico estandarizado de síntomas musculoesque-léticos para la población trabajadora chilena, adicionando una escala de dolor. Revista de Salud Pública. https://doi.org/10.31052/1853.1180.v21.n2.16889

Martínez Ortega, R. M., Tuya Pendás, L. C., Martínez Ortega, M., Pérez Abreu, A., & Cánovas, A. M. (2009). El coefi-ciente de correlación de los rangos de spearman caracterización. Revista Habanera de Ciencias Médicas, 8(2), 0-0.

Martínez Pérez, P., & Vaquero Cristobal, R. (2021). Revisión sistemática del entrenamiento de fuerza en futbolistas preado-lescentes y adolescentes. Retos: nuevas tendencias en educación física, deporte y recreación, 41, 272-284.

Mateluna Núñez, C. A., Zavala Crichton, J. P., Monsalves-Álvarez, M., Olivares Arancibia, J., & Yáñez Sepúlveda, R. (2022). Efectos del entrenamiento con movimientos de halterofilia en el rendimiento de esprint, salto y cambio de direc-ción en deportistas: Una revisión sistemática. Retos: nuevas tendencias en educación física, deporte y recreación, 44, 464-476.

McMaster, W. C., Long, S. C., & Caiozzo, V. J. (1991). Isokinetic torque imbalances in the rotator cuff of the elite water polo player. The American Journal of Sports Medicine, 19(1), 72-75. https://doi.org/10.1177/036354659101900112

Meliscki, G., Monteiro, L., Furumoto, M., Lopes, G., Carneseca, E., & Vasconcelos, E. (2017). Alterations in strength of the shoulder rotators in young elite swimmers. Fisioterapia em Movimento, 30, 11-18. https://doi.org/10.1590/1980-5918.030.001.ao01

Mónico, J. L., Silva, F., Marques, J. P., Cardoso, J., Mónico, L., & Fonseca, F. (2020). Study on Overload Injuries during Periods of Intense Physical Activity Complemented by Isokinetic Dynamometry Evaluation. Revista Brasileira de Ortope-dia, 55(6), 681-686. https://doi.org/10.1055/s-0040-1712137

Ojeda Aravena, A., Azocar Gallardo, J., Herrera Valenzuela, T., & García García, J. M. (2021). Relación de la asimetría bilateral y el déficit bilateral con la velocidad del cambio de dirección en atletas cadetes de karate: Un estudio piloto. Re-tos: nuevas tendencias en educación física, deporte y recreación, 42, 100-108.

Olivier, B., Stewart, A., & Mckinon, W. (2013). Side-to-side asymmetry in absolute and relative muscle thickness of the lateral abdominal wall in cricket pace bowlers. South African Journal of Sports Medicine, 25, 81. https://doi.org/10.17159/2078-516X/2013/v25i3a364

Olivier, N., & Daussin, F. (2018). Relationships between isokinetic shoulder evaluation and fitness characteristics of elite french female water-polo players. Journal of Human Kinetics, 64, 5-11. https://doi.org/10.1515/hukin-2017-0181

Rodríguez, A. T. M., & Shoji, F. H. (2017). Disminución de la rotación interna del hombro (GIRD) en atletas lanzadores. Orthotips AMOT, 12(3), 137-144.

Rosendal, L., Langberg, H., Skov-Jensen, A., & Kjaer, M. (2003). Incidence of injury and physical performance adaptations during military training. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 13(3), 157-163. https://doi.org/10.1097/00042752-200305000-00006

Samsudin, N., Ooi, F., & Chen, C. (2022). Bone health status, muscular Sstrength and power, and aerobic and anaerobic capacities of malaysian male athletes involved in sports with different mechanical loading on bones. Malaysian Journal of Medical Sciences, 29, 54-67. https://doi.org/10.21315/mjms2022.29.3.6

Santos, Y., Carneiro, N., Franken, M., Jesus, K. de, Jesus, K. de, & Medeiros, A. (2022). Comparison of isokinetic force of the internal and external rotators of the shoulders between swimmers of alternate and simultaneous techniques. ISBS Pro-ceedings Archive, 40(1), 620.

Slocker De Arce, A., Carrascosa Sánchez, J., Fernández Camacho, F. J., Clemente De Arriba, C., & Gómez Pellico, L. (2002). Análisis isocinético de la flexo-extensión de la rodilla y su relación con la antropometría del miembro inferior. Rehabilitación, 36(2), 86-92. https://doi.org/10.1016/S0048-7120(02)73247-7

Stagi, S. (2021). Long-term effects of sport on segmental body composition: A study in adult and elderly subjects.

Suner-Keklik, S., Cobanoglu, G., Savas, S., Seven, B., Kafa, N., & Atalay Guzel, N. (2020). Comparison of shoulder mus-cle strength of deaf and healthy basketball players. 20-27. https://doi.org/10.33438/ijdshs.694943

Tuquet Higuera, J., Zapardiel Cortés, J., Saavedra, J., Jaén Carrillo, D., & Lozano, D. (2020). Relationship between an-thropometric parameters and throwing speed in amateur male handball players at d

ifferent ages. International Journal of Environmental Research and Public Health, 17. https://doi.org/10.3390/ijerph17197022

Uzun, S., Kasap, H., Şayli, Ö., Tatar, Y., & Cotuk, B. (2008). The evaluation of fatigue during isometric contractions in elite wrestlers and sedentary subjects by surface emg.

Vargas, V. Z., Motta, C., Vancini, R. L., Barbosa de Lira, C. A., & Andrade, M. S. (2021). Shoulder isokinetic strength balance ratio in overhead athletes: A cross-sectional study. International Journal of Sports Physical Therapy, 16(3), 827-834. https://doi.org/10.26603/001c.22162

Walton, J., Paxinos, A., Tzannes, A., Callanan, M., Hayes, K., & Murrell, G. A. C. (2002). The unstable shoulder in the adolescent athlete. The American Journal of Sports Medicine, 30(5), 758-767. https://doi.org/10.1177/03635465020300052401

Wormgoor, S., Harden, L., & Mckinon, W. (2010). Anthropometric, biomechanical, and isokinetic strength predictors of ball release speed in high-performance cricket fast bowlers. Journal of sports sciences, 28, 957-965. https://doi.org/10.1080/02640411003774537

Zapardiel Cortés, J., Arce, S., & Carrascosa, J. (2012). Valoración funcional isocinética de los músculos rotadores del com-plejo articular del hombro. https://doi.org/10.13140/RG.2.2.11005.61921

Publicado

2024-01-01

Como Citar

Preciado Martinez, D. C., Bustamante Garrido, A. ., & Sanjuanelo Corredor, D. W. . (2024). Dinamometria isocinética e antropometria segmentar como parâmetros de lesão muscular rotadores de ombro em atletas. Retos, 51, 6–17. https://doi.org/10.47197/retos.v51.99498

Edição

Secção

Artigos de caráter científico: trabalhos de pesquisas básicas e/ou aplicadas.