Análisis de la activación isométrica del glúteo medio y la musculatura intrínseca de la planta del pie en la prevención de lesiones en jugadores de baloncesto de élite: Estudio Piloto

  • Jaime Almazán Polo "Universidad Europea de Madrid"
  • Javier Barrio Calvo "Centro de Fisioterapia Amaro y Castillo, Madrid, España"
  • Cesar Calvo Lobo "Universidad de León"
  • Carlos Romero Morales "Universidad Europea de Madrid"
  • David Rodriguez Sanz "Universidad Europea de Madrid"
  • Sergio Vazquez Gonzalez "Universidad Europea de Madrid"
  • Aitor Pérez Chicharro "Universidad Europea de Madrid"
  • Eva Santa Cruz Ramos "Universidad Europea de Madrid"
Palabras clave: Valgo dinámico de rodilla, glúteo medio, musculatura intrínseca del pie, prevención & control, estudio transversal

Resumen

Introducción: El valgo dinámico de rodilla es uno de los principales factores de riesgo de lesión de deportes de impacto como el Baloncesto. Mejorar los sistemas de análisis de identificación de los factores de riesgo y los protocolos de prevención de lesiones se ha convertido en uno de los objetivos principales del fisioterapeuta deportivo, con el objetivo de disminuir el riesgo de lesión del deportista.Material y Métodos: Se analizó la distribución de las presiones plantares y los ángulos de alineación de los segmentos corporales en el plano frontal durante el Single-Leg-Squat Test en 10 sujetos deportistas de élite, con el objetivo de y observar la modificación a corto plazo  asociada a la activación isométrica del glúteo medio y la musculatura intrínseca de la planta del pie.Resultados: Variaciones significativas en el aumento de la presión plantar del primer metatarsiano se registraron tras la activación del glúteo medio y de la musculatura intrínseca del pie. No se obtuvieron resultados significativos en la modificación de los ángulos de alineación en el plano frontal.Conclusiones: Un aumento de la presión plantar de la cabeza del primer metatarsiano puede relacionarse con una mayor estabilidad del miembro, mediante la activación del glúteo medio y de la musculatura intrínseca del pie. Son necesarios estudios con muestras más amplias que correlacionen los datos obtenidos en una muestra más homogénea.

Referencias

Loes M, Dahlstedt L, Thomee R. A 7 year study on risks and costs of knee injuries in male and female youth participants in 12 sports. Scand J Med Sci Sports 2000;10(2):90-97.

Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 2002 Apr;36(2):95-101.

Dingenen B, Malfait B, Nijs S, Peers KH, Vereecken S, Verschueren SM, et al. Can two-dimensional video analysis during single-leg drop vertical jumps help identify non-contact knee injury risk? A one-year prospective study. Clin Biomech 2015;30(8):781-787.

Drakos MC, Domb B, Starkey C, Callahan L, Allen AA. Injury in the National Basketball Association: a 17-year overview. Sports Health: A Multidisciplinary Approach 2010:1941738109357303.

Cumps E, Verhagen E, Meeusen R. Prospective epidemiological study of basketball injuries during one competitive season: ankle sprains and overuse knee injuries. Journal of Sports Science and Medicine 2007;6(2):204-211.

Spriet LL. Sport Nutrition for Basketball: Science-Based Recommendations. Nutrition & Recovery Needs of the Basketball Athlete:16.

Hewett TE, Ford KR, Myer GD. Anterior cruciate ligament injuries in female athletes: Part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention. Am J Sports Med 2006 Mar;34(3):490-498.

Hewett TE, Myer GD, Ford KR. Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. Am J Sports Med 2006 Feb;34(2):299-311.

Mendiguchia J, Ford KR, Quatman CE, Alentorn-Geli E, Hewett TE. Sex differences in proximal control of the knee joint. Sports Medicine 2011;41(7):541-557.

Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. journal of orthopaedic & sports physical therapy 2010;40(2):42-51.

Palmer K, Hebron C, Williams JM. A randomised trial into the effect of an isolated hip abductor strengthening programme and a functional motor control programme on knee kinematics and hip muscle strength. BMC musculoskeletal disorders 2015;16(1):1.

Andersen LL, Magnusson SP, Nielsen M, Haleem J, Poulsen K, Aagaard P. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Phys Ther 2006 May;86(5):683-697.

Distefano LJ, Blackburn JT, Marshall SW, Padua DA. Gluteal muscle activation during common therapeutic exercises. journal of orthopaedic & sports physical therapy 2009;39(7):532-540.

Philippou A, Bogdanis GC, Maridaki M. Neuromuscular dysfunction with the experimental arm acting as its own reference following eccentric and isometric exercise. Somatosens Mot Res 2010;27(2):45-54.

Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, et al. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med 2015 Oct;49(19):1277-1283.

Koltyn KF, Umeda M. Contralateral attenuation of pain after short-duration submaximal isometric exercise. The Journal of Pain 2007;8(11):887-892.

Kobayashi M, Hamada T, Kogo M, Yanagawa Y, Obata K, Kang Y. Developmental profile of GABAA‐mediated synaptic transmission in pyramidal cells of the somatosensory cortex. Eur J Neurosci 2008;28(5):849-861.

Goodwill AM, Pearce AJ, Kidgell DJ. Corticomotor plasticity following unilateral strength training. Muscle Nerve 2012;46(3):384-393.

Pitman BM, Semmler JG. Reduced short-interval intracortical inhibition after eccentric muscle damage in human elbow flexor muscles. J Appl Physiol (1985) 2012 Sep;113(6):929-936.

Cashman GE. The effect of weak hip abductors or external rotators on knee valgus kinematics in healthy subjects: a systematic review. J Sport Rehabil 2012;21(3):273-284.

Moore KL, Dalley AF, Agur AM. Clinically oriented anatomy. : Lippincott Williams & Wilkins; 2013.

O'Sullivan K, Smith SM, Sainsbury D. Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises. BMC Sports Science, Medicine and Rehabilitation 2010;2(1):1.

Tong JW, Kong PW. Association between foot type and lower extremity injuries: systematic literature review with meta-analysis. journal of orthopaedic & sports physical therapy 2013;43(10):700-714.

Razeghi M, Batt ME. Foot type classification: a critical review of current methods. Gait Posture 2002;15(3):282-291.

Valenzuela KA, Lynn SK, Mikelson LR, Noffal GJ, Judelson DA. Effect of Acute Alterations in Foot Strike Patterns during Running on Sagittal Plane Lower Limb Kinematics and Kinetics. J Sports Sci Med 2015 Mar 1;14(1):225-232.

Jung D, Kim M, Koh E, Kwon O, Cynn H, Lee W. A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises. Physical Therapy in Sport 2011;12(1):30-35.

Gatev P, Thomas S, Kepple T, Hallett M. Feedforward ankle strategy of balance during quiet stance in adults. J Physiol (Lond ) 1999;514(3):915-928.

Mochizuki G, Semmler J, Ivanova T, Garland S. Low-frequency common modulation of soleus motor unit discharge is enhanced during postural control in humans. Experimental brain research 2006;175(4):584-595.

Kura H, Luo ZP, Kitaoka HB, An KN. Quantitative analysis of the intrinsic muscles of the foot. Anat Rec 1997 Sep;249(1):143-151.

Ledoux WR, Hirsch BE, Church T, Caunin M. Pennation angles of the intrinsic muscles of the foot. J Biomech 2001;34(3):399-403.

Kelly LA, Kuitunen S, Racinais S, Cresswell AG. Recruitment of the plantar intrinsic foot muscles with increasing postural demand. Clin Biomech 2012;27(1):46-51.

Vandenbroucke JP, von Elm E, Altman DG, G?tzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and elaboration. Int J Surg [Internet]. 2014 Dec [cited 2017 Jun 13];12(12):1500–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25046751.

Faul F, Erdfelder E, Lang A, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods 2007;39(2):175-191.

Hewett TE, Myer GD, Ford KR, Heidt RS,Jr, Colosimo AJ, McLean SG, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med 2005 Apr;33(4):492-501.

Ford KR, Nguyen A, Dischiavi SL, Hegedus EJ, Zuk EF, Taylor JB. An evidence-based review of hip-focused neuromuscular exercise interventions to address dynamic lower extremity valgus. Open access journal of sports medicine 2015;6:291.

Holt GR. Declaration of Helsinki?The World?s Document of Conscience and Responsibility. South Med J [Internet]. 2014 Jul [cited 2017 Jun 29];107(7):407–407. Available from: http://sma.org/southern-medical-journal/article/declaration-of helsinki-the-worlds-document-of-conscience-and-responsibility.

Stensrud S, Myklebust G, Kristianslund E, Bahr R, Krosshaug T. Correlation between two-dimensional video analysis and subjective assessment in evaluating knee control among elite female team handball players. Br J Sports Med 2011 Jun;45(7):589-595.

Munro AG, Herrington L, Carolan M. Reliability of two-dimensional video assessment of frontal plane dynamic knee valgus during common athletic screening tasks. J Sport Rehab 2012;21(1):7-11.

Stensrud S, Myklebust G, Kristianslund E, Bahr R, Krosshaug T. Correlation between two-dimensional video analysis and subjective assessment in evaluating knee control among elite female team handball players. Br J Sports Med 2011 Jun;45(7):589-595.

Dingenen B, Malfait B, Vanrenterghem J, Verschueren SM, Staes FF. The reliability and validity of the measurement of lateral trunk motion in two-dimensional video analysis during unipodal functional screening tests in elite female athletes. Physical Therapy in Sport 2014;15(2):117-123.

Dingenen B, Staes FF, Janssens L. A new method to analyze postural stability during a transition task from double-leg stance to single-leg stance. J Biomech 2013;46(13):2213-2219.

Boren K, Conrey C, Le Coguic J, Paprocki L, Voight M, Robinson TK. Electromyographic analysis of gluteus medius and gluteus maximus during rehabilitation exercises. Int J Sports Phys Ther 2011 Sep;6(3):206-223.

Macadam P, Cronin J, Contreras B. An Examination of the Gluteal Muscle Activity Associated with Dynamic Hip Abduction and Hip External Rotation Exercise: A Systematic Review. International journal of sports physical therapy 2015;10(5):573.

Page P. Sensorimotor training: A “global” approach for balance training. J Bodywork Movement Ther 2006;10(1):77-84.

Sidorkewicz N, Cambridge ED, McGill SM. Examining the effects of altering hip orientation on gluteus medius and tensor fascae latae interplay during common non-weight-bearing hip rehabilitation exercises. Clin Biomech 2014;29(9):971-976.

Reiman MP, Bolgla LA, Loudon JK. A literature review of studies evaluating gluteus maximus and gluteus medius activation during rehabilitation exercises. Physiotherapy theory and practice 2012.

Headlee DL, Leonard JL, Hart JM, Ingersoll CD, Hertel J. Fatigue of the plantar intrinsic foot muscles increases navicular drop. Journal of Electromyography and Kinesiology 2008;18(3):420-425.

McKeon PO, Hertel J, Bramble D, Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br J Sports Med 2015 Mar;49(5):290-2013-092690. Epub 2014 Mar 21.

Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Man Ther 2013;18(5):425-430.

Publicado
2018-10-17
Sección
Artículos Originales