Lesiones en el voley de alto rendimiento / Volleyball injuries in high-performance athletes

El vóley es un deporte popular con aproximadamente dos millones de profesionales en el mundo, clásicamente se describe como una práctica con bajos índices de lesiones. El nivel profesional hace que muchos deportistas convivan con dolor y esta adaptación podría influir en la incidencia de lesiones. En el siguiente trabajo intentamos realizar una descripción de las lesiones evaluadas en la selección mayor de vóley masculina. Se realizó un seguimiento desde 2014 hasta 2016. Se evaluaron 78 deportistas, con 37 lesiones, en 21.812 horas de exposición. Los resultados fueron: 1,69 LESIONES CADA MIL HORAS. Con predominio de las lesiones musculares. El índice de lesiones durante los partidos fue mayor que el de los entrenamientos. En el seguimiento anual detectamos un marcado descenso de las lesiones musculares en 2016. Comparando nuestra experiencia con los reportes mundiales encontramos diferencias en las frecuencias de los diagnósticos. Nuestros reportes muestran a las alteraciones musculares como principal causa de lesión contrastando, con lo reportado en otros trabajos donde fueron los esguinces. En nuestra opinión esto podría obedecer a los trabajos de prevención que se realizan desde las categorías juveniles. En conclusión, nuestros índices de lesión son similares a los reportados internacionalmente pero varían en el tipo de lesión. Queremos remarcar la importancia en documentar la evolución de las patologías para tener un estrecho seguimiento de las mismas y adoptar medidas de cambio a tiempo

Volleyball is a popular sport with approximately two million professionals worldwide, classically described as a practice with low injury rates. The professional level causes many athletes to live with pain and this adaptation could influence the incidence of injuries. In the next paper we try to make a description of the injuries evaluated in the major selection of male volleyball. Follow-up was made from 2014 to 2016. 78 athletes, with 37 injuries, were evaluated at 21,812 hours of exposure. The results were: 1.69 INJURY EVERY THOUSAND HOURS. Predominantly with muscle injuries. The injury rate during the matches was May than that of the training. In the annual follow-up we detected a marked decrease in muscle injuries in 2016. Comparing our experience with global reports we find differences in diagnostic frequencies. Our reports show muscle disturbances as the main cause of injury contrasting with reports by other authors where the sprains were. In our opinion this could be due to the prevention work carried out from he youth categories. In conclusion our injury rates are similar to those reported internationally but vary in the type of injury. We want to emphasize the importance in documenting the evolution of pathologies in order to closely monitor them and take measures in time

Desgarro del recto abdominal en jugadores de selección nacional masculina de voleibol. Serie de casos y revisión de la bibliografía / Rectus abdominis muscle strain in team selection male volleyball players. Case series and bibliographic review

Introducción: El recto abdominal (RA), es un musculo par, acintado, que tiene como principales funciones la flexión del tronco y la estabilidad del Core. Su desgarro se asocia al deporte de elite y lanzadores, mayormente vinculado con el tenis y su servicio según publicaciones. En voleibol se repiten ciclos de hiperextensión del tronco con sobrecarga excéntrica y consecuente hipertrofia asimétrica del RA contralateral al brazo dominante, asiento de la lesión muscular. Materiales y métodos: Se realizó un estudio descriptivo, retrospectivo de una serie de motivos de consulta de jugadores de la Selección Nacional Argentina masculina mayor de voleibol durante el período comprendido entre 2015 y 2017. Se clasificaron las lesiones en función del retorno al deporte según Paús V. y Torrengo. Los deportistas con desgarro de RA, fueron agrupados evaluando las variables: brazo dominante, RA lesionado, tipo de lesión muscular, gesto deportivo involucrado, situación de competencia durante la lesión, lesión abdominal previa. Resultados: Se evaluaron 386 motivos de consulta, los jugadores centrales fueron los que más consultaron, en el contexto general de lesiones se clasificaron los 10 motivos principales de consulta, las lesiones musculares funcionales (contracturas) fueron las más frecuentes (n97, 25%), el desgarro de RA fue la lesión muscular estructural predominante por encima del gastrocnemio. 6 casos de lesión aguda y 1 caso de recurrencia, la mayoría durante el gesto de ataque y en competencia. Conclusión: De lo analizado en los registros la lesión muscular representó el 42% del total de las lesiones, el desgarro tiene predominio en el recto abdominal representando el 32% de total de las lesiones musculares estructurales. Nivel de evidencia: IV

Introduction: The rectus abdominis (RA), is a pair, curved muscle, whose main functions are trunk flexion and Core stability. His strain is associated with the sport of elite and pitchers, mostly linked to tennis and its service according to publications. In volleyball, cycles of hyperextension of the trunk with eccentric sebrecharge and consequent asymmetric hypertrophy of the RA contralateral to the dominant arm, seat of the muscle injury, are repeated. Materials and methods: A descriptive, retrospective study of a series of reasons for consultation of players of the Argentine National Men's Volleyball Team during the period between 2015 and 2017 was carried out. The injuries were classified according to the return to sport criteria by Páus V. and Torrengo F. The athletes with RA strain were grouped evaluating following variables: Dominant arm, injured RA, type of muscle injury, sports gesture involved, competition situation at injury time, previous abdominal lesion. Results: We evaluated 386 reasons for consultation, the central players were the most consulted, in the general context of injuries were classified the 10 main reasons for consultation, muscle functional injuries (contractures) were the most frequent (n97, 25%), the RA strain was the predominant structural muscle lesion above the gastrocnemius. 6 case of acute injury and 1 case of recurrence. most during the attack gesture and in competition. Conclusion: From the analyzed in the registers the muscular injury represented 42% of the total of the injuries, the strain has predominance in the rectus abdominus representing 32% of the total of the muscular structural injuries. Level of evidence: IV

Prevalência de subluxações cervicais e torácicas com relação ao membro dominante superior em atletas amadores de voleibol / Prevalence of cervical and thoracic subluxations in relation to the dominant upper limb in amateur volleyball players

O voleibol exige um ótimo condicionamento físico, força, velocidade, agilidade e flexibilidade de seus participantes. Nele, a repetição de determinados tipos de movimentos e a sobrecarga de treinamento exigida produz um processo de adaptação orgânica do corpo que resulta, muitas vezes, em desequilíbrio muscular. Somado a isso, os gestos específicos e os erros na técnica de execução dos movimentos podem aumentar a prevalência de alterações posturais influenciando o aumento de possibilidades de lesões (JUNIOR, 2004). As alterações posturais, por sua vez, podem ocasionar distúrbios que afetam a coluna vertebral. Objetivo: o propósito do estudo foi detectar as principais subluxações - vertebrais cervicais e torácicas - por meio da análise das rotações do processo espinhoso de cada vértebra e lateralidade do atlas com o membro dominante superior, relacionando com as categorias e com a posição em quadra de atletas de Voleibol. Método: para tanto, realizou-se uma pesquisa descritiva com 145 atletas de categorias de base e adulta que treinam mais de dois dias por semana. Os atletas foram submetidos a uma avaliação quiroprática. Resultados e Discussão: verificou-se que as subluxações mais prevalentes foram das vértebras C1, C7, T4, T8 e T12. Observou-se que a musculatura e a articulação do ombro estão diretamente interligadas com as subluxações encontradas. Atletas ambidestros apresentaram menor percentagem de subluxações e maior equilíbrio rotacional dos processos espinhosos e da lateralidade do atlas. Os demais atletas apresentaram a lateralidade do atlas e as rotações do processo espinhoso das regiões cervical e torácica para o lado direito...

Volleyball requires a great physical fitness, strength, speed, agility and flexibility of its players. In it, the repetition of certain types of movements and the overload of training required may produces an organic process of adaptation of the body that often results in muscle imbalance. Added to this, the specific gestures and errors in technique of the movements may increase the prevalence of postural changes influencing the increased possibilities of injuries. Postural changes, inturn, can lead to disorders affecting the spine. Objective: the purpose of the study was to identify the main subluxations - cervical and thoracic - through the analysis of rotations of the spinous process of each vertebra and laterality of the atlas with the dominant upper limb, in what respect the categories and the position in court of volleyball athletes. Method: it was carried out a descriptive study of 145 athletes from youth teams and adult training more than two days per week. The athletes underwent a chiropractic evaluation. Results and Discussion: it was found that the most prevalent vertebral subluxation are C1, C7, T4, T8 and T12. It was noted that the muscles and the shoulder joint are directly interconnected with the subluxations found. Ambidextrous athletes showed lower percentage of subluxations and higher rotational equilibrium of the spinous processes and the laterality of the atlas. The other athletes showed the laterality of the atlas and the rotations of the spinous process of the cervical and thoracic regions to the right side...

Estadística de lesiones en selecciones masculinas juveniles argentinas de voleibol / Incidence of injuries in Argentina national youth volleyball team

Las lesiones en el deporte de alto rendimiento generan un problema a resolver por el cuerpo médico y sobretodo una frustración en el deportista desafectándolo de los entrenamientos y de la competencia oficial. En los últimos años se ha preconizado hacer hincapié en la prevención de las lesiones en todos los ámbitos deportivos con el fin de reducir el número de lesiones y el tiempo de ausencia del deportista. El voleibol es un deporte seguro si lo comparamos con otros deportes de colisión o contacto tal como lo demuestran trabajos estadísticos de lesiones en juegos olímpicos (Injuries in Team Sport Tournarnents During the 2004 Olympic Games, Am. J. Sports Med. 2006)

Prevalência de lesões musculoesqueléticas em ?atletas adolescentes / Prevalence of musculoskeletal injuries in young athletes

Introdução: As lesões esportivas em adolescentes variam em decorrência de fatores tais como tipo de esporte praticado, tempo despendido e nível de exigência. Objetivo: Verificar a prevalência de lesões musculoesqueléticas em atletas adolescentes. Métodos: Coleta de dados de prontuários (contendo idade, data de nascimento, estatura, massa corporal, modalidade esportiva, gênero, localização anatômica, classificação e origem da lesão) dos atletas atendidos no serviço de Fisioterapia do IME-UCS, que apresentaram lesões musculoesqueléticas de julho de 2005 a junho de 2009. Resultados: O gênero masculino apresentou maior número de lesões (67,6%). A maioria das lesões foi de origem traumática (69%). O voleibol apresentou maior número de lesões (28,0%). A lesão mais frequente foi entorse (24,8%) e o joelho teve maior prevalência de lesões (25,3%). Conclusão: É de grande importância a realização de estudos sobre prevalência de lesões musculoesqueléticas, pois possibilita aos profissionais que trabalham com esporte planejar seus treinamentos, podendo evitar possíveis lesões.

Introduction: Sports injuries in adolescents vary due to factors such as type of sport, time spent and level of demand. Objective: To investigate the prevalence of musculoskeletal injuries in adolescent athletes. Methods: Data collection of records (containing age, date of birth, height, body mass, sport, gender, anatomical location, classification and origin of the lesion) of the athletes met in the service of Physiotherapy of the EMI-UCS, who had musculoskeletal injuries July 2005 to June 2009. Results: Males had higher number of lesions (67.6%). Most injuries were traumatic (69%). Volleyball had a higher number of injuries (28.0%). The most frequent injury was ankle sprain (24.8%) and had higher prevalence of knee injuries (25.3%). Conclusion: It is of great importance for studies on the prevalence of musculoskeletal injuries because it enables professionals working with sports to plan your workouts and can prevent possible injury.

Medial peritalar dislocation in a volleyball player.

We report a medial peritalar dislocation, which was treated with closed reduction and cast for 3 weeks. At follow up 12 months later, there was normal range of motion and mild pain after prolonged walking.