Monografias de Especialização
Prevenção de lesões em praticantes de Crossfit: uma proposta de intervenção fisioterápica para o complexo do ombro
Fecha
2015-12-01Autor
Yuri Augusto Junqueira Belem Silva
Institución
Resumen
Crossfit is a fitness program whose exercise whose sporting gesture performed with the upper limbs can be performed in extreme flexion positions, abduction and internal rotation of the shoulders, which in conjunction with the high training load, these gestures may predispose damage tissues surrounding this joint overload and consequently the danos1. The shoulder complex, the Crossfit practitioners is thebody region most affected by injuries1, 2, 3, 4. Carrying out activities aimed at preventing injuries on the shoulders resulting from sports practice is relatively common. Though, it has not been found any work that would address strategies to reduce injuries to the Crossfit specific shoulders. The lifting athletes, gymnast, among others present similarities in the sports gesture with Crossfit. These sports movements performed with the upper limbs are performed in up to 90 positions. Thusmay have similar injury mechanisms. Therefore, a literature review was conducted in several databases, as PEDro and Medline using the following terms to search: shoulder or "overhead" and "injury (ies)" to search in English and "lesion (s)" and shoulder to the search in Portuguese. From this research, the main causal factors and prevention of diseases shoulders in these sports were established. Altogether273 studies were in accordance with the inclusion criteria. These studies, 250 (91.6%) were eliminated for not reporting strictly the factors that predispose the shoulder to non traumatic injuries and their prevention. In 23 (8.4%) remaining studies that met the inclusion criteria were identified the main factors that predispose to injuries and their strategies used to reduce this occurrence. After analyzing them, three groups encompassing the main causal factors can be identified: 1) kinematicfactors, which includes repetitive movements, sporting gesture and scapular dyskinesia. 2) kinetic factors comprising increased strength, fatigue resistance and correction activation patterns. 3) structural factors which includes the limitation of internal rotation and joint instability. The correction of structural factors, the scapular dyskinesia and present changes in the kinetic chain were the main measures you recommend for injury prevention in the region. Based on these results it wassuggested one physical therapy intervention program. This program, which identifies risk factors for injury in the shoulders and suggests exercises for correction andprevention.