Fatores intrínsecos associados a dor no ombro em praticantes de surf: um estudo de caso-controlo

Background: The demands of a sport such as surfing are high, paddling is one of the most common movements during a surfing session and therefore the load on the shoulder joint increases. Despite growing evidence regarding surf-related injuries, risk factors should be taking into consideration in a deeper analysis. This study was designed to contribute to greater knowledge of intrinsic factors that may be associated with shoulder injuries. Objective: The aim of this study is to determine if physical characteristics such as range of motion, shoulder strength, proprioception, scapular dyskinesia, core endurance and pectoralis minor length might be associated with shoulder injuries in surfers. Methods: Forty-one surfers aged between 18 and 45 years enrolled this study. Firstly, a socio-demographic questionnaire was filled out addressing anthropometric features and previous pain history (three months prior), the second part, an assessment was carried out: range of motion (ROM), shoulder muscle strength, proprioception (joint position sense), core endurance and pectoralis minor length was measured. Results: Shoulder active range of motion values did not differ between both groups. Normalized shoulder strength and IR:ER ratios for surfers with and without shoulder pain history was not significantly different. End-range position (80º) showed minor relative error scores on surfers who reported previous pain history. There is no correlation between dyskinesia and shoulder pain. Pectoralis minor length did not shown association with a painful shoulder. Symptomatic surfers did show differences in core endurance regarding prone bridge test. Conclusion: Shoulder pain is a recurring symptom both in competitive and free-surfers. All shoulder parameters: range of motion, strength, dyskinesia, pectoralis minor length, side bridge test, CKCUEST were independent of a history of pain story. End-range (80º) proprioception as well as prone bridge test shown significant differences between surfers who reported previous pain and surfers who did not have previous complains. This study provides a basis for more studies to carry on surf investigation

Prevalência de sintomatologia músculo-esquelética e de lesões desportivas em praticantes de surf

Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjetivo: Analisar a prevalência de sintomatologia músculo-esquelética e de lesões desportivas no surf e associá-las a outras variáveis tais como: as características individuais, características da atividade e ainda com as características da lesão. Metodologia: Estudo observacional descritivo. Amostra constituída por 100 surfista, de ambos os sexos, com idades compreendidas entre 18 anos e 50 anos, tendo sido recolhida informação sobre a prevalência de sintomatologia e de lesões músculo-esqueléticas, assim como de outras variáveis que poderão estar relacionadas com os sintomas e com as lesões. Resultados: Os surfistas apresentam maiores queixas de dor/desconforto na região lombar, do pescoço, ombros, punhos/mãos e joelhos. Em relação á prevalecia de lesões, foram reportadas 105 lesões: a área mais afetada foi o membro inferior e a estrutura mais lesada foi o músculo. A maioria dos surfistas que sofreram uma lesão recorreu a um profissional de saúde. Conclusão: Muitas das lesões realizadas durante a sessão de surf poderiam ser prevenidas por um equipamento de proteção ou por um plano de exercícios preventivos personalizados de acordo com as áreas mais afetadas na realidade Portuguesa de Surf.Objective: To analyze the prevalence of skeletal muscle symptoms and sports injuries in surfing and to associate them with other variables such as: individuals, activity characteristics and also with injury characteristics. Methodology: Descriptive observational study. Sample used by 100 surfers, of both sexes, aged between 18 and 50 years old, having received information on the prevalence of symptoms and skeletal muscle injuries, as well as other variables that may be related to symptoms and to injuries. Results: Surfers have greater complaints of pain / discomfort in the lower back, neck, shoulders, wrists / hands and knees. Regarding the prevalence of injuries, 105 injuries were reported: the most affected area was the lower limb and the most injured structure was the muscle. Most of the surfers who suffered an injury turned to a health professional Conclusion: Many injuries injured during a surfing session are prevented by protective equipment or a plan of preventive exercises customized according to the areas most affected in the Portuguese reality of Surfing.N/