Associação entre entorse de tornozelo e presença de lombalgia em bailarinas de Lima, Peru
DOI:
https://doi.org/10.47197/retos.v47.95593Palavras-chave:
Ballet, Dolor Lumbar, Traumatismos de tobillo, inestabilidad de la articulación, lesiones en deportesResumo
Introdução: A lombalgia e a entorse de tornozelo são lesões altamente prevalentes em bailarinas. Diferentes estudos relacionam ambas as lesões, por isso sugere-se uma investigação a esse respeito.
Objetivo: determinar se existe associação entre entorse de tornozelo e presença de DL em bailarinas maiores de 18 anos. Desenho do estudo: transversal, analítico, prospectivo e observacional.
Métodos: foram contatados 114 bailarinos de diferentes escolas e companhias de balé de Lima, que responderam a uma pesquisa online relacionada à presença de DL nos últimos seis meses, entorses de tornozelo nos últimos 12 meses e outras variáveis sociodemográficas. ; assim como covariáveis de instabilidade do tornozelo, lesão de membro inferior, hiperfrouxidão ligamentar, entre outras. Resultados: 47 participantes foram incluídos na análise do estudo, onde 61,7% eram do sexo feminino e tinham idade mediana de 22 anos. Da mesma forma, 57,5% apresentaram DL; e 25,5%, entorse de tornozelo nos últimos 12 meses. Ao associar as variáveis ao DL, encontrou-se relação significativa (p<0,05) com peso, IMC e instabilidade do tornozelo. Mesmo assim, não foi confirmada associação entre entorse de tornozelo e DL. Conclusão: não foi encontrada associação entre sofrer entorse de tornozelo no último ano e apresentar lombalgia nos últimos 6 meses.
Palavras-chave: balé, lombalgia, lesões no tornozelo, instabilidade articular, lesões esportivas, índice de massa corporal, prevalência.
Referências
Allen, N., Nevill, A., Brooks, J., Koutedakis, Y., & Wyon, M. (2012). Ballet injuries: injury incidence and severity over 1 year. The Journal of Orthopaedic and Sports Physical Therapy, 42(9), 781–790. https://doi.org/10.2519/jospt.2012.3893
Angoules, A. G., Dionyssiotis, Y., Angoules, G. A., Balakatounis, K. C., Panou, A., & Papathanasiou, J. (2018). An Epi-demiological Study of Non-specific Low Back Pain in Non-professional Female Greek Classic Ballet Dancers. Folia Me-dica, 60(2), 248–253. https://doi.org/10.1515/folmed-2017-0087
Bronner, S., Ojofeitimi, S., & Mayers, L. (2006). Comprehensive surveillance of dance injuries. Journal of Dance Medicine & Science1. Bronner S, Ojofeitimi S, Mayers L. Comprehensive Surveillance of Dance Injuries. J Danc Med Sci [Inter-net]. 2006;10(3):69–80. Available from: https://iadms.org/publications-research/journal-of-dance-medicine-science/ https://www.ingentaconnect.com/contentone/jmrp/jdms/2006/00000010/f0020003/art00001
Cao, S., Wang, C., Ma, X., Jiang, S., Yu, Y., Wang, X., Huang, J., & Zhang, C. (2020). Stair descent biomechanics reflect perceived instability in people with unilateral ankle sprain history. Clinical biomechanics (Bristol, Avon), 72, 52–57. https://doi.org/10.1016/j.clinbiomech.2019.11.022
Cho, B.-K., & Park, J.-K. (2019). Correlation Between Joint-Position Sense, Peroneal Strength, Postural Control, and Functional Performance Ability in Patients With Chronic Lateral Ankle Instability. Foot & Ankle International, 40(8), 961–968. https://doi.org/10.1177/1071100719846114
Cholewicki, J., Silfies, S. P., Shah, R. A., Greene, H. S., Reeves, N. P., Alvi, K., & Goldberg, B. (2005). Delayed trunk muscle reflex responses increase the risk of low back injuries. Spine, 30(23), 2614–2620. https://doi.org/10.1097/01.brs.0000188273.27463.bc
Costa, M. S. S., Ferreira, A. S., Orsini, M., Silva, E. B., & Felicio, L. R. (2016). Characteristics and prevalence of musculo-skeletal injury in professional and non-professional ballet dancers. Brazilian Journal of Physical Therapy, 20(2), 166–175. https://doi.org/10.1590/bjpt-rbf.2014.0142
Cruz-Díaz, D., Hita-Contreras, F., Lomas-Vega, R., Osuna-Pérez, M. C., & Martínez-Amat, A. (2013). Cross-cultural adaptation and validation of the Spanish version of the Cumberland Ankle Instability Tool (CAIT): an instrument to as-sess unilateral chronic ankle instability. Clinical Rheumatology, 32(1), 91–98. https://doi.org/10.1007/s10067-012-2095-0
Curotto-Winder, D. A., Becerra- Bravo, G., & Bravo-Cucci, S. (2022). Asociación entre el nivel de actividad física, seden-tarismo y dolor de espalda en estudiantes de nutrición y dietética de una universidad de Lima en contexto de Pandemia por COVID-19 (Association between the level of physical activity, sedentary lifestyl. Retos, 45, 1019–1030. https://doi.org/10.47197/retos.v45i0.90979
DeJong, A. F., Koldenhoven, R. M., Hart, J. M., & Hertel, J. (2020). Gluteus medius dysfunction in females with chronic ankle instability is consistent at different walking speeds. Clinical biomechanics (Bristol, Avon), 73, 140–148. https://doi.org/10.1016/j.clinbiomech.2020.01.013
Drężewska, M., & Śliwiński, Z. (2013). Lumbo-sacral spine pain in ballet school students. Pilot study. Ortopedia Trauma-tologia Rehabilitacja, 15(2), 1–10. https://doi.org/10.5604/15093492.1041451
Freeman, M. A. R., & Wyke, B. (1967). The innervation of the ankle joint. An anatomical and histological study in the cat. Acta Anatomica, 68(3), 321–333. https://doi.org/10.1159/000143037
Fukano, M., Fukubayashi, T., & Kumai, T. (2020). In vivo talocrural and subtalar kinematics during the stance phase of walking in individuals with repetitive ankle sprains. Journal of biomechanics, 101, 109651. https://doi.org/10.1016/j.jbiomech.2020.109651
Fukuda, T. Y., Aquino, L. M., Pereira, P., Ayres, I., Feio, A. F., de Jesus, F. L. A., & Neto, M. G. (2021). Does adding hip strengthening exercises to manual therapy and segmental stabilization improve outcomes in patients with nonspecific low back pain? A randomized controlled trial. Brazilian journal of physical therapy, 25(6), 900–907. https://doi.org/10.1016/j.bjpt.2021.10.005
Gurav, R., Ganu, S., & Panhale, V. (2014). Reliability of the identification of functional ankle instability (Idfai) scale across different age groups in adults. North American Journal of Medical Sciences, 6(10), 516. https://doi.org/10.4103/1947-2714.143283
Haddas, R., Sawyer, S. F., Sizer, P. S., Brooks, T., Chyu, M. C., & James, C. R. (2017). Effects of Volitional Spine Stabili-zation and Lower-Extremity Fatigue on the Knee and Ankle During Landing Performance in a Population With Recur-rent Low Back Pain. Journal of sport rehabilitation, 26(5), 329–338. https://doi.org/10.1123/jsr.2015-0171
Hakim, A. J., & Grahame, R. (2003). A simple questionnaire to detect hypermobility: an adjunct to the assessment of pa-tients with diffuse musculoskeletal pain. International Journal of Clinical Practice, 57(3), 163–166. http://www.ncbi.nlm.nih.gov/pubmed/12723715
Hertel, J. (2008). Sensorimotor deficits with ankle sprains and chronic ankle instability. Clinics in Sports Medicine, 27(3), 353–370, vii. https://doi.org/10.1016/j.csm.2008.03.006
Hertel, J., & Corbett, R. O. (2019). An Updated Model of Chronic Ankle Instability. Journal of Athletic Training, 54(6), 572. https://doi.org/10.4085/1062-6050-344-18
Heuch, I., Hagen, K., Heuch, I., Nygaard, Ø., & Zwart, J. (2010). The impact of body mass index on the prevalence of low back pain: the HUNT study. Spine, 35(7), 764–768. https://doi.org/10.1097/BRS.0b013e3181ba1531
Iunes, D. H., Elias, I. F., Carvalho, L. C., & Dionísio, V. C. (2016). Postural adjustments in young ballet dancers compared to age matched controls. Physical Therapy in Sport, 17, 51–57. https://doi.org/10.1016/j.ptsp.2015.04.004
Jagodinsky, A. E., Angles, R., Wilburn, C., & Weimar, W. H. (2020). Lower-Extremity Motor Synergies in Individuals With and Without Chronic Ankle Instability. Journal of applied biomechanics, 1–7. Advance online publication. https://doi.org/10.1123/jab.2019-0398
Kobayashi, T., & Gamada, K. (2014). Lateral Ankle Sprain and Chronic Ankle Instability. Foot & Ankle Specialist, 7(4), 298–326. https://doi.org/10.1177/1938640014539813
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
Leanderson, C., Leanderson, J., Wykman, A., Strender, L.-E., Johansson, S.-E., & Sundquist, K. (2011). Musculoskeletal injuries in young ballet dancers. Knee Surgery, Sports Traumatology, Arthroscopy, 19(9), 1531–1535. https://doi.org/10.1007/s00167-011-1445-9
Lee, I., Ha, S., Chae, S., Jeong, H. S., & Lee, S. Y. (2021). Altered biomechanics in individuals with chronic ankle instabil-ity compared with copers and controls during gait. Journal of athletic training, 57(8), 760–770. Advance online publica-tion. https://doi.org/10.4085/1062-6050-0605.20
Lin, C.-W., Su, F.-C., & Lin, C.-F. (2014). Influence of ankle injury on muscle activation and postural control during ballet grand plié. Journal of Applied Biomechanics, 30(1), 37–49. https://doi.org/10.1123/jab.2012-0068
Marshall, P. W. M., McKee, A. D., & Murphy, B. A. (2009). Impaired trunk and ankle stability in subjects with functional ankle instability. Medicine and Science in Sports and Exercise, 41(8), 1549–1557. https://doi.org/10.1249/MSS.0b013e31819d82e2
Martínez, M. M., & Alvarado Muñoz, R. (2017). Validación del Cuestionario Nórdico Estandarizado de Síntomas Muscu-loesqueléticos para la población trabajadora chilena, adicionando una escala de dolor. Revista de Salud Pública, 21(2), 43. https://doi.org/10.31052/1853.1180.v21.n2.16889
Mizoguchi, Y., Akasaka, K., Otsudo, T., & Hall, T. (2019). Factors associated with low back pain in elite high school vol-leyball players. Journal of Physical Therapy Science, 31(8), 675–681. https://doi.org/10.1589/jpts.31.675
Moix-Queraltó, M.-J., & Vidal-Fernández, J. (2008). Aetiology, chronification, and treatment of low back pain. Clínica y Salud, 19(3), 379–392. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-52742008000300007
Nadler, S. F., Wu, K. D., Galski, T., & Feinberg, J. H. (1998). Low back pain in college athletes. A prospective study cor-relating lower extremity overuse or acquired ligamentous laxity with low back pain. Spine, 23(7), 828–833. https://doi.org/10.1097/00007632-199804010-00018
O’Leary, C. B., Cahill, C. R., Robinson, A. W., Barnes, M. J., & Hong, J. (2013). A systematic review: the effects of podiatrical deviations on nonspecific chronic low back pain. Journal of Back and Musculoskeletal Rehabilitation, 26(2), 117–123. https://doi.org/10.3233/BMR-130367
O’Loughlin, P. F., Hodgkins, C. W., & Kennedy, J. G. (2008). Ankle sprains and instability in dancers. Clinics in Sports Medicine, 27(2), 247–262. https://doi.org/10.1016/j.csm.2007.12.006
Petersen, A. K., Zebis, M. K., Lauridsen, H. B., Hölmich, P., Aagaard, P., & Bencke, J. (2022). Impaired one-legged land-ing balance in young female athletes with previous ankle sprain: a cross-sectional study. The Journal of sports medicine and physical fitness, 62(11), 1489–1495. https://doi.org/10.23736/S0022-4707.22.12960-9
Ramkumar, P. N., Farber, J., Arnouk, J., Varner, K. E., & Mcculloch, P. C. (2016). Injuries in a Professional Ballet Dance Company: A 10-year Retrospective Study. Journal of Dance Medicine & Science, 20(1), 30–37. https://doi.org/10.12678/1089-313X.20.1.30
Roussel, N., De Kooning, M., Schutt, A., Mottram, S., Truijen, S., Nijs, J., & Daenen, L. (2012). Motor Control and Low Back Pain in Dancers. International Journal of Sports Medicine, 34(02), 138–143. https://doi.org/10.1055/s-0032-1321722
Safran, M. R., Benedetti, R. S., Bartolozzi, A. R., & Mandelbaum, B. R. (1999). Lateral ankle sprains: a comprehensive review: part 1: etiology, pathoanatomy, histopathogenesis, and diagnosis. Medicine and Science in Sports and Exercise, 31(7 Suppl), S429-37. https://doi.org/10.1097/00005768-199907001-00004
San Martín Barra, C., Rojas Cabezas, G., & Troc Gajardo, J. (2021). Propuesta de modelo predictivo de riesgo de lesión en base a descriptores anatómicos y funcionales que se relacionan con la inestabilidad articular en rodilla y tobillo en jugado-res de baloncesto no profesionales - Dialnet. Retos, 39, 257263. https://dialnet.unirioja.es/servlet/articulo?codigo=7594123
Serra-Añó, P., Inglés, M., Espí-López, G. V., Sempere-Rubio, N., & Aguilar-Rodríguez, M. (2021). Biomechanical and viscoelastic properties of the ankle muscles in men with previous history of ankle sprain. Journal of biomechanics, 115, 110191. https://doi.org/10.1016/j.jbiomech.2020.110191
Simon, J., Donahue, M., & Docherty, C. (2012). Development of the Identification of Functional Ankle Instability (IdFAI). Foot & Ankle International, 33(9), 755–763. https://doi.org/10.3113/FAI.2012.0755
Simon, J., Hall, E., & Docherty, C. (2014). Prevalence of Chronic Ankle Instability and Associated Symptoms in University Dance Majors: An Exploratory Study. Journal of Dance Medicine & Science, 18(4), 178–184. https://doi.org/10.12678/1089-313X.18.4.178
Simpson, J. D., Stewart, E. M., Turner, A. J., Macias, D. M., Wilson, S. J., Chander, H., & Knight, A. C. (2019). Neu-romuscular control in individuals with chronic ankle instability: A comparison of unexpected and expected ankle inver-sion perturbations during a single leg drop-landing. Human Movement Science, 64(August 2018), 133–141. https://doi.org/10.1016/j.humov.2019.01.013
Simpson, J. D., Koldenhoven, R. M., Wilson, S. J., Stewart, E. M., Turner, A. J., Chander, H., & Knight, A. C. (2020). Ankle kinematics, center of pressure progression, and lower extremity muscle activity during a side-cutting task in par-ticipants with and without chronic ankle instability. Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 54, 102454. https://doi.org/10.1016/j.jelekin.2020.102454
Smith, P. J., Gerrie, B. J., Varner, K. E., McCulloch, P. C., Lintner, D. M., & Harris, J. D. (2015). Incidence and Preva-lence of Musculoskeletal Injury in Ballet: A Systematic Review. Orthopaedic Journal of Sports Medicine, 3(7), 2325967115592621. https://doi.org/10.1177/2325967115592621
Smith, T O, de Medici, A., Oduoza, U., Hakim, A., Paton, B., Retter, G., Haddad, F. S., & Macgregor, A. (2017). Na-tional survey to evaluate musuloskeletal health in retired professional ballet dancers in the United Kingdom. Physical Therapy in Sport, 23, 82–85. https://doi.org/10.1016/j.ptsp.2016.07.009
Smith, Toby O., Davies, L., de Medici, A., Hakim, A., Haddad, F., & Macgregor, A. (2016). Prevalence and profile of musculoskeletal injuries in ballet dancers: A systematic review and meta-analysis. Physical Therapy in Sport, 19, 50–56. https://doi.org/10.1016/j.ptsp.2015.12.007
Song, K., Pietrosimone, B., Blackburn, J. T., Padua, D. A., Tennant, J. N., & Wikstrom, E. A. (2022). Dorsiflexion and Hop Biomechanics Associate with Greater Talar Cartilage Deformation in Those with Chronic Ankle Instability. Medi-cine and science in sports and exercise, 54(7), 1176–1182. https://doi.org/10.1249/MSS.0000000000002902
Solomon, R., Brown, T., Gerbino, P. G., & Micheli, L. J. (2000). The Young Dancer. Clinics in Sports Medicine, 19(4), 717–739. https://doi.org/10.1016/S0278-5919(05)70234-9
Sotelo, N., Valencia, A., Soto, R. (2017). Prevalencia y factores asociados a la inestabilidad de tobillo en estudiantes de danza contemporánea Item Type info:eu-repo/semantics/bachelorThesis [Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/621841
Sribastav, S. Sen, Long, J., He, P., He, W., Ye, F., Li, Z., Wang, J., Liu, H., Wang, H., & Zheng, Z. (2018). Risk Factors Associated with Pain Severity in Patients with Non-specific Low Back Pain in Southern China. Asian Spine Journal, 12(3), 533–543. https://doi.org/10.4184/asj.2018.12.3.533
Swain, C. T. V., Bradshaw, E. J., Ekegren, C. L., & Whyte, D. G. (2019). The Epidemiology of Low Back Pain and Injury in Dance: A Systematic Review. Journal of Orthopaedic & Sports Physical Therapy, 49(4), 239–252. https://doi.org/10.2519/jospt.2019.8609
Swain, C. T. V., Bradshaw, E. J., Whyte, D. G., & Ekegren, C. L. (2017). Life history and point prevalence of low back pain in pre-professional and professional dancers. Physical Therapy in Sport, 25, 34–38. https://doi.org/10.1016/j.ptsp.2017.01.005
Swain, C. T. V., Bradshaw, E. J., Whyte, D. G., & Ekegren, C. L. (2018). The prevalence and impact of low back pain in pre-professional and professional dancers: A prospective study. Physical Therapy in Sport, 30, 8–13. https://doi.org/10.1016/j.ptsp.2017.10.006
Tsekoura, M., Billis, E., Panopoulou, K., Fousekis, K., & Tsepis, E. (2017). Musculoskeletal Disorders among Greek Pro-fessional Ballet Dancers. British Journal of Medicine and Medical Research, 19(11), 1–8. https://doi.org/10.9734/BJMMR/2017/31876
Vásquez Orellana, K., López Vásquez, M., Méndez Rebolledo, G., & Guzmán Muñoz, E. E. (2022). Efectos de un entre-namiento neuromuscular sobre el equilibrio postural dinámico y propiocepción en basquetbolistas juveniles con inestabi-lidad funcional de tobillo - Dialnet. Retos, 44, 1104–1112. https://dialnet.unirioja.es/servlet/articulo?codigo=8308987
Golanó, P., Vega, J. (2013). Ankle Sprain: Diagnosis and Therapy Starts With Knowledge. Aspetar Sports Medicine Jour-nal, June 2013, 234–242. https://www.researchgate.net/publication/259911297_Ankle_sprain_Diagnosis_and_therapy_starts_with_knowledge_of_anatomy
Wright, I. ., Neptune, R. ., van den Bogert, A. ., & Nigg, B. . (2000). The influence of foot positioning on ankle sprains. Journal of Biomechanics, 33(5), 513–519. https://doi.org/10.1016/S0021-9290(99)00218-3
Yabe, Y., Hagiwara, Y., Sekiguchi, T., Momma, H., Tsuchiya, M., Kanazawa, K., Itaya, N., Yoshida, S., Sogi, Y., Yano, T., Onoki, T., Itoi, E., & Nagatomi, R. (2020). Association between lower back pain and lower extremity pain among young volleyball players: A cross-sectional study. Physical Therapy in Sport, 43, 65–69. https://doi.org/10.1016/j.ptsp.2020.02.005
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