RESUMO
Introducción: La implementación de programas de prevención de lesiones en deportistas es fundamental para evitar las consecuencias físicas, de rendimiento y salud que puede provocar una lesión. No obstante, en hockey sobre césped la evidencia es escasa y poco transferible a jugadores masculinos de élite, existiendo así la necesidad de desarrollar estudios en esta población específica. Objetivos: Determinar el efecto de un programa de prevención de lesiones en seleccionados masculinos de hockey sobre césped en relación a la cantidad de lesiones en extremidades inferiores y zona lumbar presentadas por los jugadores en los Juegos Panamericanos. Métodos: Se analizó a 30 jugadores realizando una comparación mediante un análisis estadístico de las lesiones registradas en seleccionados nacionales de hockey sobre césped durante los Juegos Panamericanos del año 2015 (grupo control, sin programa de prevención de lesiones) y durante los Juegos Panamericanos del año 2019 (grupo intervenido con programa de prevención de lesiones). Resultados: No se encontró diferencia estadísticamente significativa en cuanto a cantidad de lesiones presentadas por los jugadores comparando los años 2015 y 2019 (p=0,068). Se encontró diferencia estadísticamente significativa en cuanto a cantidad de jugadores lesionados comparando los años 2015 y 2019 (p= 0.04). Conclusión: Se evidencia una reducción significativa en la cantidad de jugadores lesionados, en el grupo de jugadores que realizó el programa de prevención de lesiones previo a los Juegos Panamericanos de Lima 2019.
Introduction: The implementation of injury prevention programs in athletes is essential to avoid the physical, performance and health consequences that an injury can cause. However, the evidence in field hockey is scarce and not very transferable to elite male athletes, thus there is a need to carry out studies in this specific population. Objectives: To determine the effect of an injury prevention program in national selected male field hockey players in relation to the amount of injuries in the lower extremities (LES) and lumbar area presented by the players in the Pan American Games. Methods: 30 players were analyzed by making a comparison through a statistical analysis of the injuries registered in selected national field hockey players during the Pan American Games of 2015 (control group, without injury prevention program) and during the Pan American Games of 2019 (group intervened with injury prevention program). Results: No statistically significant difference was found in terms of the amount of injuries presented by the players comparing the years 2015 and 2019 (p = 0.068). A statistically significant difference was found in terms of the number of injured players comparing the years 2015 and 2019 (p = 0.04). Conclusion: A significant reduction in the number of injured players is evidenced in the group of players that carried out the injury prevention program prior to the Lima 2019 Pan American Games.
RESUMO
Chronic pain is one of the diseases which cause more impact on the functionality and quality of life of a patient. As part of the integrated management of this disease, exercise is a simple intervention, inexpensive and effective, in addition to being widely supported by the literature. The objective of this review is to show the evidence of exercise for chronic pain management through the their effects on the endogenous opioid system and activation of central pain inhibitory pathways. Likewise, this article also present some considerations in the preparticipation physical evaluation, the objectives of the exercise program and the prescription in common diseases such as chronic low back pain, osteoarthritis and fibromyalgia...
Assuntos
Humanos , Dor Crônica/terapia , Terapia por ExercícioRESUMO
A study is made of the evolution of the nutritional biochemical parameters, albumin, prealbumin, cholesterol, creatinine index/height and transferrin, as well as the nutrition route, SAPS, APACHE II, chronic age score, and maximum degree of metabolic stress reached, involving all patients requiring artificial nutrition during at least 14 days, admitted to our intensive medicine unit during an 18 months period, with the aim of finding differences between survivors and those who died. The following conclusions were reached: 1) In patients with severe metabolic stress, like those of the present study, artificial nutrition manages to maintain the nutritional parameters within the limits of moderate malnutrition, improving the nitrogenation balance, without achieving its balance not reducing the consumption of lean body mass, represented by the progressive and significant reduction of the ICALT. 2) In our series, the nutritional parameters behave in a notably different manner with regard to the evolution. In survivors, improvements are seen in albumin, cholesterol, and prealbumin, without variations in transferrin, these changes not being seen in those who died, the latter also showing a significant drop in transferrin, and 3) The greater age and poorer prior health status, despite a lower APS, of those who died appears to be the determining factors for the mortality, and probably also for the different evolution of the nutritional parameters for the usual nutritional standards, maybe due to a lower response capacity to stress.
