dc.contributorRosa, Stela Márcia Mattiello Gonçalves
dc.contributorhttp://lattes.cnpq.br/1406279816228350
dc.contributorhttp://lattes.cnpq.br/6336612282081567
dc.creatorSaccol, Michele Forgiarini
dc.date.accessioned2013-07-18
dc.date.accessioned2016-06-02T20:18:20Z
dc.date.available2013-07-18
dc.date.available2016-06-02T20:18:20Z
dc.date.created2013-07-18
dc.date.created2016-06-02T20:18:20Z
dc.date.issued2013-05-10
dc.identifierSACCOL, Michele Forgiarini. Avaliação morfofuncional do manguito rotador em indivíduos com instabilidade glenoumeral e lesão SLAP. 2013. 146 f. Tese (Doutorado em Ciências Biológicas) - Universidade Federal de São Carlos, São Carlos, 2013.
dc.identifierhttps://repositorio.ufscar.br/handle/ufscar/5161
dc.description.abstractAthlete´s shoulder most frequent lesions are anterior shoulder instability and superior labrum anterior and posterior lesion ( SLAP), altering structures and functions of the shoulder joint, leading to impairments in sports activity. The aim of this thesis was to evaluate functional and supraspinatus morphological adaptations of shoulder in athletes with anterior instability and SLAP lesion. Three studies were developed. The first study investigated functional differences regarding clinical complaints and the scoring systems of American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) and the Athletic Shoulder Outcome Rating Scale (ASORS) in 249 athletes (153 with instability and 96 with SLAP lesion). The groups presented functional differences related mainly to sports activitiy and, even with more complaints of shoulder pain, SLAP lesion athlete´s tolerate more training hours compared to instability athletes. The second study evaluated isokinetic strenght and muscular control of shoulder rotators in four groups: instability group (n=10), instability control group (n=10), SLAP group (n=10) and SLAP control group (n=10). The torque steadiness and rotator cuff strength in 90 and 180°/s were evaluated. Athlete´s with anterior stability presented shoulder rotation weakness, while athletes with SLAP lesion showed higher torque fluctuation of shoulder internal rotation. The third study characterized the different fiber types of supraspinatus and shoulder function in those lesions. This study performed muscles biopsies in 10 athletes undergoing to arthroscopy repair of shoulder anterior instability and SLAP lesion. The volunteers were functionally evaluated with ASES and ASORS, and muscle samples were processed with histochemical reaction for myosin adenosine triphosphatase (mATPase). Muscles fibers were then characterized in type I, IIa, IIb and hybrid, and percentual and lesser diameter of each fiber type were calculated. In this study, volunteers presented evident functional limitations in sports activity and hypertrophy of all typees of muscles fibers. Most of the sample also presented a great number of type IIa and IIb in the supraspinatus muscle. In conjuction, those studies proves different functional and supraspinatus morphologic adaptations in athletes with anterior shoulder instability and SLAP lesion, justifying the need of different rehabilitations approaches.
dc.publisherUniversidade Federal de São Carlos
dc.publisherBR
dc.publisherUFSCar
dc.publisherPrograma de Pós-Graduação em Fisioterapia - PPGFt
dc.rightsAcesso Aberto
dc.subjectArticulações
dc.subjectOmbro
dc.subjectAtletas
dc.subjectQuestionários
dc.subjectForça muscular
dc.subjectBiópsia muscular
dc.subjectInstabilidade articular
dc.subjectLesão SLAP
dc.subjectDesempenho neuromuscular
dc.subjectBainha rotadora
dc.subjectMúsculo supraespinhoso
dc.subjectShoulder
dc.subjectJoint instability
dc.subjectSLAP lesion
dc.subjectAthletes
dc.subjectQuestionnaires
dc.subjectMuscle strength
dc.subjectSensorimotor control
dc.subjectRotator cuff
dc.subjectBiopsy
dc.subjectSupraspinatus muscle
dc.titleAvaliação morfofuncional do manguito rotador em indivíduos com instabilidade glenoumeral e lesão SLAP
dc.typeTesis


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