Imagética motora no tratamento da entorse lateral de tornozelo em atletas de futebol de campo: um estudo piloto
DOI:
https://doi.org/10.590/1809-2950/13856722032015Resumo
A entorse de tornozelo é uma lesão comum em atletas de futebol e apresenta um alto índice de recidivas. A imagética motora (IM) pode ser uma alternativa no tratamento para diminuir as consequências neuromusculares apresentadas pós-lesão. Dessa forma, este estudo teve como objetivo verificar os resultados preliminares da efetividade da IM na reabilitação de atletas de futebol com entorse aguda de tornozelo. Participaram 20 jovens atletas do sexo masculino, que foram divididos de forma aleatória em dois grupos: intervenção (GI) e controle (GC). Os participantes passaram por um processo de reabilitação convencional (crioterapia, eletroterapia e cinesioterapia) para entorse de tornozelo, porém apenas o GI realizava exercício de imagética ao tentar reconhecer as figuras do tornozelo-pé, projetados em um computador, em várias perspectivas e ângulos de orientação. Foram mensurados as amplitudes de movimento (ADM) de flexão dorsal e plantar, controle postural, edema e estabilidade funcional. Após o tratamento não foi observada nenhuma diferença entre os grupos quanto à ADM de flexão dorsal (p=0,23), ADM de flexão plantar (p=0,50), Star Excursion Balance Test (SEBT) na direção anterior (p=0,70), SEBT na direção póstero-lateral (p=0,29), SEBT na direção póstero-medial (p=0,79), perimetria em "8" (p=0,50) e questionário CAIT-P para instabilidade funcional (p=0,70). A IM não foi um método eficaz no tratamento de entorse de tornozelo em atletas de futebol de campo para melhora de ADM, equilíbrio dinâmico, edema e estabilidade funcional. Entretanto, este é um estudo piloto e maiores investigações são necessárias.Downloads
Referências
Kemler E, van de Port I, Backx F, van Dijk CN. A systematic
review on the treatment of acute ankle sprain: brace
versus other functional treatment types. Sports Med.
;41(3):185-97.
Munn J, Sullivan SJ, Schneiders AG. Evidence of sensorimotor
deficits in functional ankle instability: a systematic review
with meta-analysis. J Sci Med Sport. 2010;13(1):2-12.
de Vries Jasper S, Krips Rover, Sierevelt Inger N, Blankevoort
Leendert, van Dijk C N. Interventions for treating chronic
ankle instability. Cochrane Database Syst Rev. 2014;12:
CD004124.
Gehring D, Faschian K, Lauber B, Lohrer H, Nauck T,
Gollhofer A. Mechanical instability destabilises the ankle joint
directly in the ankle-sprain mechanism. Br J Sports Med.
;48(5):377-82.
Petersen W, Rembitzki IV, Koppenburg AG, Ellermann A,
Liebau C, Brüggemann GP, et al. Treatment of acute ankle
ligament injuries: a systematic review. Arch Orthop Trauma
Surg. 2013;133(8):1129-41.
Bleakley CM, O’Connor SR, Tully MA, Rocke LG, MacAuley
DC, Bradbury I, et al. Effect of accelerated rehabilitation on
function after ankle sprain: randomized controlled trial. BMJ.
;340(4):1964.
Christakou A, Zervas Y, Lavallee D. The adjunctive role of
imagery on the functional rehabilitation of a grade II ankle
sprain. Hum Movement Sci. 2007;26(1):141-54.
Christakou A, Zervas Y. The effectiveness of imagery on pain,
edema, and range of motion in athletes with a grade II ankle
sprain. Phys Ther Sport. 2007;8(3):130-40.
Stenekes MW, Geertzen JH, Nicolai J-PA, De Jong BM,
Mulder T. Effects of motor imagery on hand function during
immobilization after flexor tendon repair. Arch Phys Med
Rehabil. 2009;90(4):553-9.
Tamir R, Dickstein R, Huberman M. Integration of motor
imagery and physical practice in group treatment applied
to subjects with Parkinson’s disease. Neurorehabil Neural
Repair. 2007;21(1):68-75.
Hudson ML, McCormick K, Zalucki N, Moseley GL. Expectation
of pain replicates the effect of pain in a hand laterality
recognition task: bias in information processing toward the
painful side? Eur J Pain. 2006;10(3):219-24.
Moseley GL, Barnett C. Motor imagery for peripheral injury.
Arch Phys Med Rehabil. 2009;90(8):1443-4.
Hong IK, Choi JB, Lee JH. Cortical changes after mental
imagery training combined with electromyography-triggered
electrical stimulation in patients with chronic stroke. Stroke.
;43(9):2506-9.
Kho AY, Liu KPY, Chung RCK. Meta-analysis on the effect of
mental imagery on motor recovery of the hemiplegic upper
extremity function. Aust Occup Ther J. 2014;61(2):38-48.
Bastien M, Moffet H, Bouyer LJ, Perron M, Hébert LJ, Leblond
J. Alteration in global motor strategy following lateral ankle
sprain. BMC Musculoskelet Disord. 2014;15:436.
De Noronha M, França LC, Haupenthal A, Nunes GS. Intrinsic
predictive factors for ankle sprain in active university
students: A prospective study. Scand J Med Sci Sports.
;23(5):541-7.
Malliaropoulos N, Papacostas E, Papalada A, Maffulli N. Acute
lateral ankle sprains in track and field athletes: an expanded
classification. Foot Ankle Clin. 2006;11(3):497-507.
Nunes G, Bayer G, Costa L, de Noronha M. Intra- and interobserver reliability of a method to measure range of motion
of ankle plantar flexion in the hooklying position (Technical
Report). J Sport Rehabil. 2012;(4):1-4.
Bennell KL, Talbot RC, Wajswelner H, Techovanich W,
Kelly DH, Hall AJ. Intra-rater and inter-rater reliability of a
weight-bearing lunge measure of ankle dorsiflexion. Aust J
Physiother. 1998;44(3):175-80.
Chisholm MD, Birmingham TB, Brown J, MacDermid J,
Chesworth BM. Reliability and validity of a weight-bearing
measure of ankle dorsiflexion range of motion. Physiother
Can. 2012;64(4):347-55.
Olmsted-Kramer LC. Simplifying the star excursion balance
test: analyses of subjects with and without chronic ankle
instability. J Orthop Sports Phys Ther. 2006;36(3):131-7.
Gribble PA, Hertel J. Considerations for normalizing measures
of the star excursion balance test. Meas Phys Educ Exerc Sci.
;7(2):89-100.
Munro AG, Herrington LC. Between-session reliability of the
star excursion balance test. Phys Ther Sport. 2010;11(4):128-32.
Petersen EJ, Irish SM, Lyons CL, Miklaski SF, Bryan JM,
Henderson NE, et al. Reliability of water volumetry and the
figure of eight method on subjects with ankle joint swelling.
J Orthop Sports Phys Ther. 1999;29(10):609-15.
De Noronha M, Refshauge KM, Kilbreath SL, Figueiredo
VG. Cross-cultural adaptation of the Brazilian-Portuguese
version of the Cumberland Ankle Instability Tool (CAIT).
Disabil Rehabil. 2008;30(26):1959-65.
Becker L. Effect Size Calculators. http://www.uccs.
edu/~lbecker. Acessado em 30 de julho de 2014.
Husted JA, Cook RJ, Farewell VT, Gladman DD. Methods
for assessing responsiveness: a critical review and
recommendations. J Clin Epidemiol. 2000;53(5):459-68.
Terada M, Pietrosimone BG, Gribble PA. Therapeutic
interventions for increasing ankle dorsiflexion after ankle
sprain: a systematic review. J Athl Train. 2013;48(5):696-709.
De Noronha M, Refshauge KM, Herbert RD, Kilbreath SL.
Do voluntary strength, proprioception, range of motion, or
postural sway predict occurrence of lateral ankle sprain? Br J
Sports Med. 2006;40(10):824-8.
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2015 Fisioterapia e Pesquisa
Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.
