associação entre discinesia escapular e dor no ombro de praticantes de natação association between scapular dyskinesia and shoulder pain in swimmers

Clicks: 147
ID: 243989
2009
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Abstract
A escápula possui funções essenciais no ombro do atleta de arremesso. Qualquer desequilíbrio presente entre as estruturas responsáveis pela sua estabilidade originará uma condição denominada discinesia escapular, a qual é comumente acompanhada de dor no ombro. Este estudo tem o objetivo de verificar se há associação entre a discinesia escapular e a dor no ombro de praticantes de natação. Foi realizado um estudo analítico observacional de corte transversal, incluindo 36 praticantes de natação do sexo masculino, com idade de 18 a 36 anos. Como métodos diagnósticos sugestivos de discinesia escapular foram utilizados o Slide Lateral Scapular Test e a filmagem proposta por Kibler. A existência de proporções significativas entre as variáveis nominais foi comprovada pelo teste do qui-quadrado ou pelo teste exato de Fisher. Para identificar associações entre as variáveis contínuas e os grupos de estudo foi utilizado o teste t de Student. Um p < 0,05 foi considerado estatisticamente significante. O grau de concordância interexaminador (Kappa; p < 0,0001) foi considerado substancial, correspondendo a 86,1% (0,7656) no ombro direito e 83,3% (0,6412) no esquerdo. Constatou-se que a grande maioria (80%) dos indivíduos que apresentaram positividade no Slide Lateral Scapular Test relatou dor no ombro. Dentre os nadadores que apresentaram discinesia escapular durante a filmagem, em 70,8% também foi constatada a presença dessa condição no teste estático. Este é um estudo original no que diz respeito à abordagem da discinesia escapular em nadadores e em relacioná-la com a presença de dor no ombro. Porém, a hipótese inicial de que haveria uma associação significante não foi correspondida.
The scapula plays an essential role in the throwing motion performed by athletes. Scapular dyskinesia is a condition characterized by imbalance in the structures responsible for the joint stability, which is often accompanied by shoulder pain. The main objective of this study is to assess the relationship between scapular dyskinesia and shoulder pain in swimmers. A total of 36 male swimmers aged between 18 and 36 years were diagnosed for scapular dyskinesia utilizing two different methods: the Lateral Slide Scapular Test and the video recording method suggested by Kibler. Statistical analysis was performed using the Chi-square test or Fisher's exact test. Comparisons between groups were performed using the t-test. The degree of p< 0.05 was considered statistically significant. Significance was set at α=0.05. There was a high inter-rate reliability concerning the video analysis (Kappa; p<0.0001), corresponding to 86.1% (0.7656) on the right shoulder and 83.3% (0.6412) on the left shoulder. The majority of the individuals that had positive diagnosis assessed by the Lateral Slide Scapular Test (80%) reported pain on the shoulder. Furthermore, 70.8% of the subjects who had positive diagnosis by the video recording also had positive diagnosis in the static test. Although a significant association between scapular dyskinesia and shoulder pain was not found, this is an important study to approach these conditions in swimmers.
Reference Key
santana2009revistaassociao Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Elis Passos Santana;Bruno César Ferreirar;Gabriel Ribeiro
Journal research disclosure
Year 2009
DOI
10.1590/S1517-86922009000600004
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-86922009000600004
Keywords
glenohumeral jointsports medicine

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