Avaliação muscular do joelho e funcional de membros inferiores de jovens atletas de voleibol do sexo feminino

Autores

  • Ana Paula Rodrigues Universidade de Caxias do Sul
  • Geiziane de Fátima Fabian Universidade de Caxias do Sul
  • Matheus Pauletti Cecconi Universidade de Caxias do Sul
  • Elias Franzoi Eberle Universidade de Caxias do Sul
  • Guilherme Faria Balbinot Universidade de Caxias do Sul
  • Andressa Viecelli Universidade de Caxias do Sul
  • Gerson Saciloto Tadiello Universidade de Caxias do Sul
  • Leandro Viçosa Bonetti Universidade de Caxias do Sul

DOI:

https://doi.org/10.11606/issn.2317-0190.v29i4a170355

Palavras-chave:

Desempenho Físico Funcional, Dinamômetro de Força Muscular, Traumatismos em Atletas, Joelho, Voleibol

Resumo

Os desequilíbrios musculares e funcionais são analisados na tentativa de prevenir lesões e melhorar os desempenhos de atletas. Objetivo: Analisar o desempenho muscular de extensores e flexores de joelho e o desempenho funcional dos membros inferiores de atletas de voleibol. Métodos: Quinze atletas da categoria sub-16 de voleibol feminino da Universidade de Caxias do Sul foram avaliadas. Para análise do desempenho muscular, as variáveis pico de torque de extensores e flexores de joelho, e razão convencional de extensores/flexores, foi utilizado o dinamômetro isocinético. Já para a análise funcional dos membros inferiores, foram utilizados os testes Hop tests e Y balance test (YBT). Resultados: Na comparação entre membro dominante (MD) e não dominante (MND), não houve diferenças estatisticamente significativas na análise do pico de torque; já na razão flexores/extensores foi encontrada diferença significativa apenas à 240°/s. Entretanto, os valores médios da razão flexores/extensores encontrarem-se abaixo dos valores sugeridos pela literatura. As avaliações funcionais também não mostraram assimetrias entre os membros; no entanto, a pontuação composta do YBT apresentou-se abaixo dos valores normativos. Conclusão: A excelente simetria entre os membros pode ser justificada pela especificidade do esporte, pois os gestos esportivos do voleibol apresentam carácter simétrico durante as exigências físicas dos membros inferiores. No entanto, os baixos valores da razão flexores/extensores e da pontuação composta do YBT talvez não estejam diretamente relacionados a um risco maior de lesões já que os valores de referência utilizados são de atletas adultos.

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Referências

Peres MM, Cecchini L, Pacheco I, Pacheco AM. Effects of proprioceptive training on the stability of the ankle in volleyball players. Rev Bras Med Esporte. 2014;20(2):146-50. Doi: http://dx.doi.org/10.1590/1517-86922014200202046

Horta TAG, Bara Filho MG, Miranda R, Coimbra DR, Werneck FZ. Influence of vertical jump in the perception of the internal volleyball training load. Rev Bras Med Esporte. 2017;23(5):403-6. Doi: http://dx.doi.org/10.1590/1517-869220172305172132

Çelebi MM, Akarçeşme C, Dalbayrak BE. Evaluation of postural balance and hamstring/quadriceps peak torque ratios according to leg dominancy in turkish female volleyball players. Turk J Sports Med. 2018;53(3):123-30. Doi: http://dx.doi.org/10.5152/tjsm.2018.100

Massada M, Aido R, Magalhaes C, Puga N. Volleyball injuries: a survey of injuries of the Portuguese Female National Team. Br J Sports Med. 2011;45(6):546-7. Doi: http://dx.doi.org/10.1136/bjsm.2011.084558.39

Miranda GE, Mas M, Lopez D, Perez C, Micheo W. Epidemiology of volleyball related injuries in the young athlete. Int J Sports Exerc Med. 2015;1:005 Doi: https://dx.doi.org/10.23937/2469-5718/1510005

Hadzic V, Sattler T, Markovic G, Veselko M, Dervisevic E. The isokinetic strength profile of quadriceps and hamstrings in elite volleyball players. Isokinet Exerc Sci. 2010;18(1):31-37. Doi: https://doi.org/10.3233/ies-2010-0365

Soylu Ç, Altundağ E, Akarçeşme C, Ün Yildirim N. The relationship between isokinetic knee flexion and extension muscle strength, jump performance, dynamic balance and injury risk in female volleyball players. J Hum Sport Exerc. 2019. Doi: https://doi.org/10.14198/jhse.2020.153.03

Cheung RT, Smith AW, Wong del P. H:q ratios and bilateral leg strength in college field and court sports players. J Hum Kinet. 2012;33:63-71. Doi: https://doi.org/10.2478/v10078-012-0045-1

Kabacinski J, Murawa M, Mackala K, Dworak LB. Knee strength ratios in competitive female athletes. PloS One. 2018;13(1):e0191077. Doi: https://doi.org/10.1371/journal.pone.0191077

Croisier JL, Ganteaume S, Binet J, Genty M, Ferret JM. Strength imbalances and prevention of hamstring injury in professional soccer players: a prospective study. Am J Sports Med. 2008;36(8):1469-75. Doi: https://doi.org/10.1177/0363546508316764

Stark T, Walker B, Phillips JK, Fejer R, Beck R. Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: a systematic review. PMeR. 2011;3(5):472-479. DOI: https://doi.org/10.1016/j.pmrj.2010.10.025

Tlatoa Ramírez HM. Torque máximo absoluto e índice convencional isocinético de rodilla en futbolistas profesionales del 2007 al 2012. Rev Med Inv. 2014;2(2):154-62. Doi: https://doi.org/10.1016/s2214-3106(15)30014-5

Myers H, Poletti M, Butler RJ. Functional performance on the upper quarter Y-balance test differs between high school wrestlers and baseball players. J Sport Rehabil. 2017; 26(3):253-259. DOI: https://doi.org/10.1123/jsr.2015-0168

Santos HH, Sousa CDO, Medeiros CLP, Barela JA, Barela AMF, Salvini TDF. Correlation between eccentric training and functional tests in subjects with reconstructed ACL. Rev Bras Med Esporte. 2018;24(6):471-6. Doi: http://dx.doi.org/10.1590/1517-869220182406184218

Aka H, Yilmaz G, Aktug ZB, Akarçesme C, Altundag E. The comparison of the functional movement screen test results of volleyball national team players in different countries. EduLearn. 2019;8(1):138-42. Doi: https://doi.org/10.5539/jel.v8n1p138

Hamilton RT, Shultz SJ, Schmitz RJ, Perrin DH. Triple-hop distance as a valid predictor of lower limb strength and power. J Athl Train. 2008;43(2):144-51. Doi: http://natajournals.org/doi/full/10.4085/1062-6050-43.2.144

Kockum B, Annette ILH. Hop performance and leg muscle power in athletes: reliability of a test battery. Phys Ther Sport. 2015;16(3):222-7. Doi: https://doi.org/10.1016/j.ptsp.2014.09.002

Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star excursion balance test as a predictor of lower extremity injury in high school basketball players. Orthop Sports Phys Ther. 2006;36(12):911-9. Doi: https://doi.org/10.2519/jospt.2006.2244

Lee DK, Kim GM, Ha SM, Oh JS. Correlation of the Y-balance test with lower-limb strength of adult women. J Phys Ther Sci. 2014;26(5):641-3. Doi: https://doi.org/10.1589/jpts.26.641

Lee DK, Kang MH, Lee TS, Oh JS. Relationships among the Y balance test, Berg Balance Scale, and lower limb strength in middle-aged and older females. Braz J Phys Ther. 2015;19(3):227-34. Doi: https://dx.doi.org/10.1590/bjpt-rbf.2014.0096

Smith CA, Chimera NJ, Warren M. Association of y balance test reach asymmetry and injury in division I athletes. Med Sci Sports Exerc. 2015;47(1):136-41. Doi: https://doi.org/10.1249/MSS.0000000000000380

Thomas JR, Nelson JK. Métodos de pesquisa em atividade física. 5 ed. Porto Alegre: Artmed; 2007.

Bonetti LV, Floriano LL, Santos TA, Segalla FM, Biondo S, Tadiello GS. Isokinetic performance of knee extensors and flexors in adolescent male soccer athletes. Sport Sci Health. 2017;13(2):315-21. Doi: https://doi.org/10.1007/s11332-017-0360-y

Bonetti LV, Piazza F, Marini C, Zardo BS, Tadiello GS. Isokinetic performance of knee extensors and flexor muscles in adolescent basketball players. Arch Med Deporte. 2017;34(4):191-5.

Stedile AR, Pasqualotto LA, Tadiello GS, Finger ALT, Marchi T, Bonetti LV. Desempenho isocinético dos músculos do joelho de atletas de futsal durante a pré-temporada e o meio de temporada. Acta Fisiatr. 2017;24(2):72-6. Doi: https://doi.org/10.5935/0104-7795.20170014

Logerstedt D, Grindem H, Lynch A, Eitzen I, Engebretsen L, Risberg MA, et al. Single-legged hop tests as predictors of self-reported knee function after anterior cruciate ligament reconstruction: the Delaware-Oslo ACL cohort study. Am J Sports Med. 2012;40(10):2348-56. Doi: https://doi.org/10.1177/0363546512457551

Sueyoshi T, Nakahata A, Emoto G, Yuasa T. Single-leg hop test performance and isokinetic knee strength after anterior cruciate ligament reconstruction in athletes. Orthop J Sports Med. 2017;5(11):1-6. Doi: https://doi.org/10.1177/2325967117739811

Swearingen J, Lawrence E, Stevens J, Jackson C, Waggy C, Davis DS. Correlation of single leg vertical jump, single leg hop for distance, and single leg hop for time. Phys Ther Sport. 2011;12(4):194-8. Doi: https://doi.org/10.1016/j.ptsp.2011.06.001

Hsu CJ, George SZ, Chmielewski TL. Association of quadriceps strength and psychosocial factors with single-leg hop performance in patients with meniscectomy. Orthop J Sports Med. 2016;4(12):1-8. Doi: https://doi.org/10.1177/2325967116676078

Plisky PJ, Gorman PP, Butler RJ, Kiesel KB, Underwood FB, Elkins B. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther. 2009;4(2):92-9.

Read PJ, Oliver JL, Croix MBDS, Myer GD, Lloyd RS. A review of field-based assessments of neuromuscular control and their utility in male youth soccer players. J Strength Cond Res. 2019;33(1):283-99. Doi: https://doi.org/10.1519/JSC.0000000000002069

Schwiertz G, Brueckner D, Schedler S, Kiss R, Muehlbauer T. Performance and reliability of the lower quarter Y balance test in healthy adolescents from grade 6 to 11. Gait Posture. 2019;67(1):142-6. Doi: https://doi.org/10.1016/j.gaitpost.2018.10.011

Callegari-Jacques SM. Bioestatística: princípios e aplicações. 3 ed. Porto Alegre: Artmed; 2003.

World World Health Organization. Prevalence of overweight among adults, BMI ≥ 25, age-standardized estimates by country [text on the Internet]. Geneve: WHO c2017 [cited 2020 May 15]. Available from: https://apps.who.int/gho/data/node.main.A897A?lang=en;%202017

Munro AG, Herrington LC. Between-session reliability of four hop tests and the agility T-test. J Strength Cond Res. 2011;25(5):1470-1477. DOI: https://doi.org/10.1519/JSC.0b013e3181d83335

Beischer S, Senorski EH, Thomeé C, Samuelsson K, Thomeé R. Knee strength, hop performance and self-efficacy at 4 months are associated with symmetrical knee muscle function in young athletes 1 year after an anterior cruciate ligament reconstruction. BMJ Open Sport Exerc Med. 2019;5(1):e000504. Doi: http://dx.doi.org/10.1136/bmjsem-2018-000504

Garrison JC, Bothwell JM, Wolf G, Aryal S, Thigpen CA. Y balance test™ anterior reach symmetry at three months is related to single leg functional performance at time of return to sports following anterior cruciate ligament reconstruction. Int J Sports Phys Ther. 2015;10(5):602-11.

Gonell AC, Romero JAP, Soler LM. Relationship between the Y balance test scores and soft tissue injury incidence in a soccer team. Int J Sports Phys Ther. 2015;10(7):955-66.

Schons P, Da Rosa RG, Fischer G, Berriel GP, Fritsch CG, Nakamura FY, et al. The relationship between strength asymmetries and jumping performance in professional volleyball players. Sports Biomech. 2018;1(1):1-12. Doi: https://doi.org/10.1080/14763141.2018.1435712

Alvim FC, Lucareli PRG, Menegaldo LL. Predicting muscle forces during the propulsion phase of single leg triple hop test. Gait Posture. 2018;59:298-303. Doi: https://doi.org/10.1016/j.gaitpost.2017.07.038

Rousanoglou EN, Barzouka KG, Boudolos KD. Seasonal changes of jumping performance and knee muscle strength in under-19 women volleyball players. J Strength Cond Res. 2013;27(4):1108-17. Doi: https://doi.org/10.1519/jsc.0b013e3182606e05

Pelegrinelli AR, Bela LFD, Silva MF, Rodrigues LC, Batista Jr JP, Guenka LC, et al. Velocity-specific knee strength between professional and under-17 female volleyball player. S Afr J Physiother. 2019;75(1):1-7. Doi: https://doi.org/10.4102/sajp.v75i1.478

Akarçesme C, Aytar SH. The comparison of lower extremity isokinetic strength in volleyball players according to the leagues. World J Educ. 2018;8(4):111-7. Doi: https://doi.org/10.5430/wje.v8n4p111

Carling C, Le Gall F, Malina RM. Body size, skeletal maturity, and functional characteristics of elite academy soccer players on entry between 1992 and 2003. J Sports Sci. 2012;30(15):1683-93. Doi: https://doi.org/10.1080/02640414.2011.637950

Hewett TE, Myer GD, Zazulak BT. Hamstrings to quadriceps peak torque ratios diverge between sexes with increasing isokinetic angular velocity. J Sci Med Sport. 2008;11(5):452-9. Doi: https://doi.org/10.1016/j.jsams.2007.04.009

Bittencourt NFN, Amaral GM, Anjos MD, D’Alessandro R, Silva AA, Fonseca ST. Avaliação muscular isocinética da articulação do joelho em atletas das seleções brasileiras infanto e juvenil de voleibol masculino. Rev Bras Med Esporte. 2005;11(6):331-6. Doi: http://dx.doi.org/10.1590/S1517-86922005000600005

Hoog P, Warren M, Smith CA, Chimera NJ. Functional hop tests and tuck jump assessment scores between female division I collegiate athletes participating in high versus low ACL injury prone sports: a cross sectional analysis. Int J Sports Phys Ther. 2016;11(6):945-53.

Myer GD, Schmitt LC, Brent JL, Ford KR, Barber Foss KD, et al. Utilization of modified NFL combine testing to identify functional deficits in athletes following ACL reconstruction. J Orthop Sports Phys Ther. 2011;4(6):377-87. Doi: https://doi.org/10.2519/jospt.2011.3547

Haitz K, Shultz R, Hodgins M, Matheson GO. Test-retest and interrater reliability of the functional lower extremity evaluation. J Orthop Sports Phys Ther. 2014;44(12):947-54. Doi: https://doi.org/10.2519/jospt.2014.4809

Teruyu AI, Paula Martins C, Felipe CPF, Santos JM, Yamamoto M, Silva RM, et al. Efeito da dominância de membros sobre o desempenho em testes funcionais - um estudo piloto. Arq Cien Esp. 2019;7(1):23-7. Doi: http://dx.doi.org/10.17648/aces.v7n1.3465

Bispo VA, de Paula Oliveira M. Avaliação da resposta sensório-motora e funcionalidade após a participação no programa de prevenção de lesões FIFA “The 11+”. UniCEUB. 2015;13(2):63-9. Doi: http://dx.doi.org/10.5102/ucs.v13i2.2993

Araújo S, Ribeiro S, Bertú Medeiros F, Menzel K, Joachim H, Heleno Chagas M, et al. Diagnóstico de assimetrias laterais em jogadores de futebol das categorias de base por meio do salto horizontal monopodal. Rev Port Ciênc Desporto. 2017;17(1):36-46. Doi: https://doi.org/10.5628/rpcd.17.01.36

Lima MACD, Barbosa GDM, Ribeiro JDC, Ferreira JJDA, Andrade PRD, Santos HHD. The influence of the external ankle support on the dynamic balance in volleyball athletes. Motriz: Rev Edu Fís. 2015;21(3):274-80. Doi: http://dx.doi.org/10.1590/S1980-65742015000300008

Stiffler MR, Sanfilippo JL, Brooks MA, Heiderscheit BC. Star excursion balance test performance varies by sport in healthy division I collegiate athletes. J Orthop Sports Phys Ther. 2015;45(10):772-80. Doi: https://doi.org/10.2519/jospt.2015.5777

Hudson C, Garrison JC, Pollard K. Y-balance normative data for female collegiate volleyball players. Phys Ther Sport. 2016; 22:61-5. Doi: https://doi.org/10.1016/j.ptsp.2016.05.009

Vitale JA, Vitale ND, Cavaleri L, Dazzan E, Lombardi G, Mascagni P, et al. Level-and sport-specific star excursion balance test performance in female volleyball players. J Sports Med Phys Fitness. 2019;59(5):733-42. Doi: http://dx.doi.org/10.23736/S0022-4707.18.08691-7

Greenberg ET, Barle M, Glassmann E, Jung MK. Interrater and test-retest reliability of the y balance test in healthy, early adolescent female athletes. Int J Sports Phys Ther. 2019;14(2):204-213.

Bittencourt N, Leite M, Garcia L, Mendonça L, Bithencourt AC, Gonçalves G. Y-balance test score comparison between pre-season and in-season in youth athletes. Br J Sports Med 2017;51(4):298. Doi: http://dx.doi.org/10.1136/bjsports-2016-097372.37

Tillman MD, Hass CJ, Brunt D, Bennett GR. Jumping and landing techniques in elite women’s volleyball. J Sports Sci Med. 2004;3(1):30-6.

Thomeé R, Kaplan Y, Kvist J, Myklebust G, Risberg MA, Theisen D, Witvrouw E. Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2011;19(11):1798-805. Doi: https://doi.org/10.1007/s00167-011-1669-8

Abrams GD, Harris JD, Gupta AK, McCormick FM, Bush-Joseph CA, Verma NN, Bach Jr BR. Functional performance testing after anterior cruciate ligament reconstruction: a systematic review. Orthop J Sports Med. 2(1):2325967113518305. Doi: https://doi.org/10.1177/2325967113518305

Lynch AD, Logerstedt DS, Grindem H, Eitzen I, Hicks GE, Axe MJ, et al. Consensus criteria for defining ‘successful outcome’after ACL injury and reconstruction: a Delaware-Oslo ACL cohort investigation. Br J Sports Med. 2015;49(5):335-42. Doi: http://dx.doi.org/10.1136/bjsports-2013-092299

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2022-12-28

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Rodrigues AP, Fabian G de F, Cecconi MP, Eberle EF, Balbinot GF, Viecelli A, et al. Avaliação muscular do joelho e funcional de membros inferiores de jovens atletas de voleibol do sexo feminino. Acta Fisiátr. [Internet]. 28º de dezembro de 2022 [citado 23º de abril de 2024];29(4):251-9. Disponível em: https://www.revistas.usp.br/actafisiatrica/article/view/170355