Isokinetic assessment of lower limb in an athlete with below-knee amputation: a case study
DOI:
https://doi.org/10.15448/10.15448/1980-6108.2014.4.17280Keywords:
AMPUTATION, LOWER EXTREMITY, EXERCISE THERAPY.Abstract
AIMS: To evaluate the effects of isokinetic training on peak torque and maximum power of the flexor and extensor muscles of the knee and hip articulations in an athlete with lower limb amputation CASE DESCRIPTION: We assessed a 27-year-old triathlete amputee, with congenital amputation of proximal third of right tibia and user of high-performance prosthetics for running. The circumference of both lower limbs were measured, and an isokinetic dynamometer was used to estimate the peak torque and maximum power of the flexor and extensor muscle groups of the knee and hip, before and after two weeks of training with isokinetic exercises. There was a reduction in the coefficient of variation of all four repetitions of flexion and extension of hip and knee on both lower extremities, identifying a greater uniformity in torque curves on revaluation compared to the initial evaluation. CONCLUSIONS: Athletes with lower limb amputation should have an adjustment period with the isokinetic dynamometer in order to familiarize with the execution of concentric and eccentric movements. The absence or inefficiency of this adaptation can compromise data collection for the composition of protocols of treatment and / or training in amputee athletes.Downloads
References
Gorgatti MG, Böhme MTS. Autenticidade científica de um teste de agilidade para indivíduos em cadeira de rodas. Rev Paul Educ Fís. 2003;17(1):41-50.
Silva GC, Nery CAS, Chamlian TR, Buck GR. Avaliação isocinética em amputações Tanstibiais análise da força muscular dos flexores e extensores dos joelhos. Rev Inspirar Mov Saude. 2013;6(5)13-7.
Chatanooga Group INC. Kin-Com: Clinical desk reference. Rev A. 1995; PN 57682(6).
Afzali L, Fumi K, James Z, Phylls B, Robinson B. A new method for the determination of the characteristic shape of an isokinetic quadriceps femoris muscle torque curve. Phys Ther. 1992 Aug;72(8):585-92; discussion 593-5.
Pacheco GMR, Flores VO, Guadarrama, BJH, Chávez ADD, Díez GMP, García VG. Fortalecimiento muscular con ejercicios isocinéticos en pacientes amputados por arriba de rodilla en período preprotésico estudio de 10 casos. Rev Mex Med Fis Rehab.2004;16(4):104-9.
Freitas, CLR, Candotti CT, Vaz MA. Estudo comparativo de torques isocinéticos em atletas dos 11º jogos da juventude. In: Anais do VIII Congresso Brasileiro de Biomecânica; 1999; Florianópolis/SC. p. 179- 84.
Rebelo AN, Oliveira J. Relação entre a velocidade, a agilidade e a potência muscular de futebolistas profissionais. Rev Port Cien Desp. 2006;6(3):342–8.
Silva GJ. Avaliação isocinética dos flexores e extensores de joelho [Monografia]. Florianópolis: UESC; 2001.
Signorelli MC, Cancelier M, Mazzucco A, Kurban E. A estimulação russa no fortalecimento do membro residual de amputados. Rev Bras Med Esporte. 2002;8(5):192-3.
Prentice WE, Voight ML. Técnicas em reabilitação musculoesquelética. Porto Alegre: Artmed; 2003.
Cahalan TD, Johnson ME, Liu S, Shao EY. Quantitative measurements of hip strength in different age groups. Clin Orthop Relat Res. 1989 Sep;(246):136-45.
Chatrenet Y, Kerkour K. Fisioterapia das lesões ligamentares do joelho no atleta. São Paulo: Manole; 2002.
Adkins DL, Boychuk J, Remple MS, Kleim JA. Motor training induces experience-specific patterns of plasticity across motor cortex and spinal cord. J Appl Physiol (1985). 2006 Dec;101(6):1776-82.
Enoka RM. Bases neuromecânicas da cinesiologia. 2. ed. São Paulo: Manole; 2000.
Devir Z. Isokinetics: muscle testing, interpretation, and clinical applications. Edinburgh: Churchill Livingstone; 1995.
Higbie EJ, Cureton KJ, Warren III GL, Prior BM. Effects of concentric and eccentric training on muscle strength, cross-sectional area, and neural activation. J Appl Physiol (1985). 1996 Nov;81(5):2173-81.
Krotkiewski M, Aniansson A, Grimby G, Björntorp P, Sjöström L. The effect of unilateral isokinetic strength training on local adipose and muscle tissue morphology, thickness, and enzymes. Eur J Appl Physiol Occup Physiol. 1979;42(4):271-81.
Carvalho, P, Cabri, J. Avaliação isocinética da força dos músculos da coxa em futebolistas. Rev Port Fisioterapia Desp. 2007;1(2):4-13.
Filippin NT, Vieira WHB, Costa PHL. Repetibilidade de medidas isocinéticas dos músculos adutores e abdutores do quadril. Rev Bras Educ Fís Esporte. 2006;20(2):131-9.
Soares ASOC, Soares RJ, Serrão JC, Amadio AC. Análise da Componente vertical de Reação do Solo de amputados transtibiais. In: [Anais...] 11º Congresso Brasileiro de Biomecânica; 2005; João Pessoa. João Pessoa: Sociedade Brasileira de Biomecânica; 2005. p. 167-71.
Melo SIL, Oliveira J, Detânico RC, Palhano R, Schwinden RM, Andrade MC, Santos JOL. Avaliação da força muscular de flexores e extensores de joelho em indivíduos com e sem osteoartrose. Rev Bras Cineantropom Desempenho Hum. 2008;10(4):335-40.
Secchi, LLB, Muratt, MD, Saccol, MF, Greve, JMD. Avaliação isocinética em nadador amputado de membro superior: relato de caso. Acta Fisiatr. 2009;16(4):196-9.
Tonon Luz SC. Valoración del daño corporal en amputados de miembros inferiores [Tese]. [Sevilla, Espanã]: Universidad de Valladolid; 2010.
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