RESUMO
La ruptura de ligamento cruzado anterior (LCA) es la lesión de rodilla más común que se trata de una reconstruc- ción quirúrgica. El objetivo principal de esta revisión fue analizar la importancia de la función de los músculos isquiosurales como factor de riesgo de posibles lesiones de LCA. Se llevó a cabo siguiendo las normas Preferred Reported Item for Systematic Reviews and Meta- analyses (PRISMA). La fuente de la recopilación de datos fue la consulta directa de las bases de datos Pubmed, Sportdiscus, Web of Science y Scopus. Para la recuperación documental, se utilizaron varias palabras clave y se evaluó la calidad de los estudios que fueron seleccionados mediante la escala PEDro. Los déficits de la función muscular en los músculos isquiosurales se han relacionado con una mayor translación tibial anterior y, como consecuencia, un incremento del estrés tensional sobre el LCA entre los 10° y 45° de flexión de rodilla. Una co-activación de los músculos isquiosurales con el músculo cuádriceps femoral puede ser de gran ayuda para reducir los factores de riesgo de la lesión LCA.
SUMMARY: Anterior cruciate ligament (ACL) rupture is the most common knee injury to undergo surgery in the sports setting. The main objective of this review was to analyze the importance of hamstring function as a risk factor for potential ACL injury. It was conducted following the Preferred Reported Item for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The source of data collection was direct consultation of the Pubmed, Sportdiscus, Web of Science and Scopus databases. For documentary retrieval, several key words were used and the quality of the studies that were selected was assessed using the PEDro scale. Muscle function deficits in the hamstrings have been related to increased anterior tibial translation and, as a consequence, increased tensional stress on the ACL between 10° and 45° of knee flexion. A co-activation of the hamstrings with the quadriceps may be helpful in reducing the risk factors for ACL injury.
Assuntos
Humanos , Estresse Mecânico , Músculos Isquiossurais/fisiopatologia , Lesões do Ligamento Cruzado Anterior/etiologia , Fatores de Risco , Esportes de EquipeRESUMO
Abstract The aim of this study was two-fold. The first aim was to determine if there were any anthropometric and physical performance differences (controlling for maturation) between male and female handball players selected in training categories as well asthe relation of these differences with the performance level achieved. The second aim was to identify the discriminatory variables between the performance levels achieved. A total of 216 young handball players (125 men and 91 women) participated in the study. The data were classified by selection level (regional n=154; national n=62), gender (men; women) and age category (under-15; under-17). The use of MANCOVA analyses, controllingfor maturation, identified how gender could determine variables related to handball players' future competitive levels. The results revealed that anthropometric variables such as height, arm span, trochanter height, thigh girth, and leg girth were more influential in men than in women. In addition, the physical performance tests of vertical jump (squat jump and counter movement jump with/without arm) and 10x5m shuttle run were determinants in both sexes. Discriminatory analysis predicted that a combination of five variables (counter movement jump with arm, body mass, 10x5m shuttle run, dominant hand length and trochanter height) would successfully distinguish between regional and national players, with a predictive accuracy of 81.9% for all players.