scholarly journals Análise da performance funcional em indivíduos com instabilidade do tornozelo: uma revisão sistemática da literatura

2009 ◽  
Vol 15 (3) ◽  
pp. 233-237 ◽  
Author(s):  
Eneida Yuri Suda ◽  
Rafael Novaes de Souza

INTRODUÇÃO E OBJETIVO: Os entorses do tornozelo estão entre as lesões mais frequentes nos esportes, nas atividades de vida diária, nos acidentes e nos departamentos de emergências médicas, afetando principalmente os indivíduos jovens fisicamente ativos. O objetivo deste trabalho foi realizar uma revisão sistemática da literatura a fim de levantar a existência de medidas clínicas que avaliem a performance funcional de indivíduos com instabilidade crônica do tornozelo, assim como a de estudos que verifiquem objetivamente a presença de déficits de performance funcional nesses indivíduos. MÉTODO: Foi conduzida uma busca nas bases de dados Medline, Embase e Lilacs. Essa revisão incluiu estudos que descrevem instrumentos de avaliação da performance funcional em indivíduos com instabilidade crônica do tornozelo. Os dois revisores realizaram buscas nas bases de dados computadorizadas de forma independente. RESULTADOS: No total, seis estudos foram incluídos, apenas três considerados de alta qualidade. Os testes descritos na literatura para avaliação de performance funcional em indivíduos com instabilidade do tornozelo foram Cocontraction test, Shuttle run test, Agility hop test, Triple-crossover hop for distance, 6-m shuttle run, Figure-of-8-hop, Side hop, Up-down-hop, Single hop, Multiple hop test e Star excursion balance test. Apenas os dois últimos testes foram capazes de detectar déficits de performance funcional em indivíduos com instabilidade de tornozelo. CONCLUSÃO: Observou-se que, até o momento, apenas os testes Multiple hop test e SEBT têm sua validade e confiabilidade atestadas como ferramentas capazes de detectar déficits de performance funcional em indivíduos com instabilidade do tornozelo.

2017 ◽  
Vol 12 (35) ◽  
pp. 111-116
Author(s):  
Joaquín Calatayud ◽  
Fernando Martín ◽  
Juan C. Colado ◽  
Juan Benavent ◽  
María C. Martínez ◽  
...  

2017 ◽  
Vol 18 (2) ◽  
pp. 111
Author(s):  
Daiene Cristina Ferreira ◽  
Willian De Almeida Silva ◽  
Lucas Rafael Heleno ◽  
Eduardo Rossi Spartalis ◽  
Camile Ludovico Zamboti ◽  
...  

Introdução: Avaliar agilidade, equilíbrio e flexibilidade é importante para o desempenho esportivo e seus resultados podem estar associados a lesões no futebol. Objetivos: Avaliar a agilidade, equilíbrio e flexibilidade de atletas de futebol. Métodos: Foram submetidos 50 atletas de futebol masculino aos testes funcionais Figure 8 Test (F8), Side Hop Test (SHT) e Star Excursion Balance Test (SEBT) e à avaliação da flexibilidade dos músculos isquiotibiais e quadríceps, por fotogrametria. Estes foram distribuídos em grupos em função da dominância do membro inferior, queixas álgicas, posição de jogo e categoria, e comparados por meio dos testes t de Student e Anova. O nível de significância foi de 5%. Resultados: Os resultados dos testes funcionais não diferiram para dominância e posição de jogo e não apresentaram correlação com a dor. Os atletas de maior idade apresentaram melhores scores nos testes funcionais. A flexibilidade dos músculos quadríceps e isquiotibiais não apresentaram diferenças para a dominância e categorias; porém, todos os atletas demonstraram flexibilidade diminuída nos isquiotibiais quando comparados às referências literárias. Conclusão: Atletas profissionais apresentaram melhores escores na execução dos testes funcionais e flexibilidade diminuída. Os resultados valorizam as avaliações com testes funcionais e fotogrametria, pois são formas de baixo custo e fácil reprodutibilidade.Palavras-chave: atletas, equilíbrio postural, fotogrametria, futebol.


2019 ◽  
Vol 1 (1) ◽  
pp. 6
Author(s):  
Mira Saraswita Kumala ◽  
Damayanti Tinduh ◽  
Dewi Poerwandari

Background: Motor tasks involving the lower legs activate a closed kinetic chain, with the foot being the terminal part of that chain. It is known that when a part of this chain is disturbed, it will affect other parts of the chain, including the effect on the motor performance of lower extremities.Aims: To see the difference of physical performance on athlete age 14 – 17 years with flatfoot and normal foot on strength, balance and agility factors.Methods: Male athletes age 14 – 17 years enrolled in Sport Senior High School at Sidoarjo who underwent athletes screening at Sport Clinic of dr. Soetomo General Hospital and fulfill the inclusion criteria. The subject were 29 boys, the normal foot were 22 boys and the flatfoot were 7 boys. Subjects were examined for Clarke’s angle and Chippaux-Smirak index to diagnose flatfoot and did Single-leg Hop for Distance, One Leg Test, Star Excursion Balance Test, and Hexagon Hop Test.Result: The statistical analysis showed no difference of lower extremities’ physical performance in strength using Single-leg Hop for Distance (p>0.05), balance using One Leg Test and Star Excursion Balance Test (p>0.05), and agility using Hexagon Hop Test (p>0.05) on male athletes age 14-17 years with normal foot and flatfoot.Conclusion: There are no difference of lower extremities’ physical performance in strength, balance and agility on male athlete age 14-17 years with normal foot and flatfoot.


2017 ◽  
Vol 24 (4) ◽  
pp. 356-362 ◽  
Author(s):  
Aline Tiemi Kami ◽  
Camila Borecki Vidigal ◽  
Christiane de Souza Guerino Macedo

RESUMO Os hormônios sexuais femininos como estrogênio e progesterona têm relação com receptores específicos localizados em regiões cerebrais e podem influenciar o controle motor. Analisou-se o desempenho funcional nas diversas fases do ciclo menstrual em mulheres jovens e saudáveis. O estudo caracteriza-se como transversal e incluiu 13 mulheres saudáveis com ciclo menstrual regular e que não faziam uso de contraceptivo oral. Para a avaliação do desempenho funcional foram utilizados os testes Side Hop Test (SHT), Figure of Eight Hop Test (F8T) e Modified Star Excursion Balance Test (mSEBT) aplicados em três fases do ciclo menstrual (menstrual, ovulatória e lútea). Este estudo estabeleceu diferença significativa para os testes funcionais SHT e F8T entre as fases do ciclo menstrual, com piores resultados para a fase menstrual. O mSEBT não estabeleceu qualquer diferença. Concluiu-se que o desempenho funcional nos testes SHT e F8T foi significativamente pior na fase menstrual, quando comparado à ovulatória e lútea. Estes resultados podem ser considerados para avaliação e prescrição de condutas fisioterapêuticas para mulheres na fase menstrual, já que seu desempenho funcional pode estar comprometido.


Author(s):  
P. Gomez-Piqueras ◽  
S. Gonzalez-Villora ◽  
M. Sanchez-Gonzalez ◽  
P. Sainz de Baranda

Objetivo – El objetivo del presente estudio consistió en establecer valores de referencia para futbolistas profesionales en una serie de test funcionales seleccionados previamente. Método – Durante dos temporadas (2012/13 y 2013/14) y en tres momentos distintos de las mismas, 42 futbolistas profesionales fueron evaluados funcionalmente mediante las siguientes pruebas: CMJ (salto bipodal), 5 m Shuttle Run Sprint Test (velocidad/agilidad), Test de Barrow (agilidad), Y Balance Test (control postural), Single Hop Test y Triple Hop Test (salto unipodal). Resultados – Los valores medios obtenidos fueron: CMJ (40.25±4.13cm), 5 m Shuttle Run Sprint Test (10.89±0.38 segundos), Test de Barrow (7.46±0.27 segundos), Y Balance asimetría derecha (4.63±2.16%), Y Balance asimetría izquierda (3.91±2.25%), Single Hop Test derecha (2.06±0.11 metros), Single Hop Test izquierda (2.07±0.12 metros), Triple Hop Test derecha (6.87±0.29 metros) y Triple Hop Test izquierda (6.83±0.31). Conclusión – Este trabajo contribuye aportando valores de referencia que puedan ser utilizados para cuantificar el grado de recuperación funcional durante la recuperación de un futbolista profesional lesionado. Aim - The objective of this study was to establish reference values for professional football players in a series of previously selected functional tests. Methods - 42 professional football players were functionally assessed during two seasons (2012/13 and 2013/14), at three different times: preseason, midpoint of the season and end of the season. For this purpose, the following tests were carried out: Counter Movement Jump (bipodal jump), 5 metres Shuttle Run Sprint Test (speed/agility), Barrow Test (agility), Y Balance Test (posture control), Single Hop Test and Triple Hop Test (unipodal jump). Results - The average obtained values were: Counter Movement Jump (40.25±4.13cm), 5 metres Shuttle Run Sprint Test (10.89±0.38 seconds), Barrow Test (7.46±0.27 seconds), right asymmetry Y Balance Test (4.63±2.16%), left asymmetry Y Balance Test (3.91±2.25%), right Single Hop Test (2.06±0.11 meters), left Single Hop Test (2.07±0.12 meters), right Triple Hop Test (6.87±0.29 meters) and left Triple Hop Test (6.83±0.31). Conclusion - This paper contributes reference values which can be used to determine the sports performance or quantify the degree of functional recovery of an professional injured football player during his recovery.


2020 ◽  
Vol 55 (8) ◽  
pp. 801-810
Author(s):  
M. Spencer Cain ◽  
Rebecca J. Ban ◽  
Yu-Ping Chen ◽  
Mark D. Geil ◽  
Benjamin M. Goerger ◽  
...  

Context Researchers have shown that rehabilitation programs incorporating resistance-band and balance-board exercises are effective for improving clinical measures of function and patient-reported outcomes in individuals with chronic ankle instability (CAI). However, whether combining the 2 exercises increases improvement is unknown. Objective To determine the effectiveness of 3 rehabilitation programs on clinical measures of balance and self-reported function in adolescent patients with CAI. Design Randomized controlled clinical trial (Trail Registration Number: ClinicalTrails.gov: NCT03447652). Setting High school athletic training facilities. Patients or Other Participants Forty-three patients with CAI (age = 16.37 ± 1.00 years, height = 171.75 ± 12.05 cm, mass = 69.38 ± 18.36 kg) were block randomized into 4 rehabilitation groups. Intervention(s) Protocols were completed 3 times per week for 4 weeks. The resistance-band group performed 3 sets of 10 repetitions of ankle plantar flexion, dorsiflexion, inversion, and eversion with a resistance band. The Biomechanical Ankle Platform System group performed 5 trials of clockwise and counterclockwise rotations, changing direction every 10 seconds during each 40-second trial. The combination group completed resistance-band and Biomechanical Ankle Platform System programs during each session. The control group did not perform any exercises. Main Outcome Measure(s) Variables were assessed before and after the intervention: time-in-balance test, foot-lift test, Star Excursion Balance Test, side-hop test, figure-8 hop test, Foot and Ankle Ability Measure, and Cumberland Ankle Instability Tool. We conducted 4 separate multivariate repeated-measures analyses of variance, followed by univariate analyses for any findings that were different. Results Using the time-in-balance test, foot-lift test, Star Excursion Balance Test (medial, posteromedial, and posterolateral directions), and figure-8 hop test, we detected improvement for each rehabilitation group compared with the control group (P < .05). However, no intervention group was superior. Conclusions All 3 rehabilitation groups demonstrated improvement compared with the control group, yet the evidence was too limited to support a superior intervention. Over a 4-week period, either of the single-task interventions or the combination intervention can be used to combat the residual deficits associated with CAI in an adolescent patient population.


Author(s):  
Mira Saraswita Kumala ◽  
Damayanti Tinduh ◽  
Dewi Poerwandari

Background: Motor tasks involving the lower legs activate a closed kinetic chain, with the foot being the terminal part of that chain. It is known that when a part of this chain is disturbed, it will affect other parts of the chain, including the effect on the motor performance of lower extremities.Aims: To see the difference of physical performance on athlete age 14 – 17 years with flatfoot and normal foot on strength, balance and agility factors.Methods: Male athletes age 14 – 17 years enrolled in Sport Senior High School at Sidoarjo who underwent athletes screening at Sport Clinic of dr. Soetomo General Hospital and fulfill the inclusion criteria. The subject were 29 boys, the normal foot were 22 boys and the flatfoot were 7 boys. Subjects were examined for Clarke’s angle and Chippaux-Smirak index to diagnose flatfoot and did Single-leg Hop for Distance, One Leg Test, Star Excursion Balance Test, and Hexagon Hop Test.Result: The statistical analysis showed no difference of lower extremities’ physical performance in strength using Single-leg Hop for Distance (p>0.05), balance using One Leg Test and Star Excursion Balance Test (p>0.05), and agility using Hexagon Hop Test (p>0.05) on male athletes age 14-17 years with normal foot and flatfoot.Conclusion: There are no difference of lower extremities’ physical performance in strength, balance and agility on male athlete age 14-17 years with normal foot and flatfoot.


2014 ◽  
Vol 49 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Shelley W. Linens ◽  
Scott E. Ross ◽  
Brent L. Arnold ◽  
Richard Gayle ◽  
Peter Pidcoe

Context: Chronic ankle instability (CAI) is characterized by repeated ankle sprains, which have been linked to postural instability. Therefore, it is important for clinicians to identify individuals with CAI who can benefit from rehabilitation. Objective: To assess the likelihood that CAI participants will exhibit impaired postural stability and that healthy control participants will exhibit better test performance values. Design: Case-control study. Setting: Laboratory. Patients or Other Participants: People with CAI (n = 17, age = 23 ± 4 years, height = 168 ± 9 cm, weight = 68 ± 12 kg) who reported ankle “giving-way” sensations and healthy volunteers (n = 17, age = 23 ± 3 years, height = 168 ± 8 cm, weight = 66 ± 12 kg). Intervention(s): Participants performed 7 balance tests: Balance Error Scoring System (BESS), time in balance, foot lift, single-legged stance on a force plate, Star Excursion Balance Test, side hop, and figure-of-8 hop. Main Outcome Measure(s): Balance was quantified with errors (score) for the BESS, length of time balancing (seconds) for time-in-balance test, frequency of foot lifts (score) for foot-lift test, velocity (cm/s) for all center-of-pressure velocity measures, excursion (cm) for center-of-pressure excursion measures, area (cm2) for 95% confidence ellipse center-of-pressure area and center-of-pressure rectangular area, time (seconds) for anterior-posterior and medial-lateral time-to-boundary (TTB) measures, distance reached (cm) for Star Excursion Balance Test, and time (seconds) to complete side-hop and figure-of-8 hop tests. We calculated area-under-the-curve values and cutoff scores and used the odds ratio to determine if those with and without CAI could be distinguished using cutoff scores. Results: We found significant area-under-the-curve values for 4 static noninstrumented measures, 3 force-plate measures, and 3 functional measures. Significant cutoff scores were noted for the time-in-balance test (≤25.89 seconds), foot-lift test (≥5), single-legged stance on the firm surface (≥3 errors) and total (≥14 errors) on the BESS, center-of-pressure resultant velocity (≥1.56 cm/s), standard deviations for medial-lateral (≤1.56 seconds) time-to-boundary and anterior-posterior (≤3.78 seconds) time-to-boundary test, posteromedial direction on the Star Excursion Balance Test (≤0.91), side-hop test (≥12.88 seconds), and figure-of-8 hop test (≥17.36 seconds). Conclusions: Clinicians can use any of the 10 significant measures with their associated cutoff scores to identify those who could benefit from rehabilitation that reestablishes postural stability.


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