Loading...
Publication
Análise da espondilólise lombar em crianças e adolescentes desportistas. Eficácia do tipo de diagnóstico e de terapêutica: revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_35353 | 651.31 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: a espondilólise lombar (EL) é uma alteração óssea dos pares interarticulares,
frequente em jovens desportistas. Objetivo: analisar a presença de EL em crianças e adolescentes
desportistas, verificar a precisão dos instrumentos de avaliação, quer clínicos quer imagiológicos,
utilizados no diagnóstico da EL, e observar a eficácia dos diversos tipos de tratamento,
conservador ou cirúrgico, no retorno a atividade desportiva. Metodologia: foi realizada uma
pesquisa computorizada nas bases de dados PubMed, PEDro, Scielo, MedLine e Sciences Direct,
e em outras fontes. A análise da qualidade metodológica foi efetuada com os checklists da
Strengthening the Reporting of Observational studies in Epidemiology (STROBE). Resultados:
foram selecionados 8 artigos, respeitando os critérios de seleção, com 332 atletas adolescentes de
ambos os sexos, dos 8 aos 22 anos com EL, praticantes de diversas modalidades desportivas. A
presença da EL foi diagnosticada através da análise imagiológica e/ou clinica. E os tratamentos,
conservador e cirúrgico, contribuíram para o retorno a atividade desportiva. Conclusão: a EL dos
adolescentes é afetada pela repetição dos movimentos extensores e rotadores da coluna lombar.
Localiza-se maioritariamente em L5, sendo a RM e o tratamento cirúrgico as escolhas
preferenciais na resolução da EL.
Introduction: Lumbar spondylolysis (LS) is a bone alteration of interarticular pairs, frequent in young athletes. Objective: to analyse the presence of LS in sports children and adolescents, to verify the accuracy of evaluation instruments, both clinical and imagiological, used in the diagnosis of LS, and to observe the effectiveness of various types of treatment, conservative or surgical, in returning to sports activity. Methodology: a computerized search was performed on PubMed, PEDro, Scielo, MedLine and Sciences Direct databases, and other sources. Methodological quality analysis was performed with the checklists of the Strengthening the Reporting of Observational studies in Epidemiology (STROBE). Results: 8 articles were selected, respecting the selection criteria, with 332 adolescent athletes of both sexes, from 8 to 22 years old with LS, practicing several sports modalities. The presence of LS was diagnosed through imagiological and/or clinical analysis. And the treatments, both conservative and surgical, contributed to the return to sports activity. Conclusion: adolescents' LS is affected by the repetition of the extensor and rotator movements of the lumbar spine. It is mostly located in L5, with MRI and surgical treatment being the preferred choices in the resolution of LS.
Introduction: Lumbar spondylolysis (LS) is a bone alteration of interarticular pairs, frequent in young athletes. Objective: to analyse the presence of LS in sports children and adolescents, to verify the accuracy of evaluation instruments, both clinical and imagiological, used in the diagnosis of LS, and to observe the effectiveness of various types of treatment, conservative or surgical, in returning to sports activity. Methodology: a computerized search was performed on PubMed, PEDro, Scielo, MedLine and Sciences Direct databases, and other sources. Methodological quality analysis was performed with the checklists of the Strengthening the Reporting of Observational studies in Epidemiology (STROBE). Results: 8 articles were selected, respecting the selection criteria, with 332 adolescent athletes of both sexes, from 8 to 22 years old with LS, practicing several sports modalities. The presence of LS was diagnosed through imagiological and/or clinical analysis. And the treatments, both conservative and surgical, contributed to the return to sports activity. Conclusion: adolescents' LS is affected by the repetition of the extensor and rotator movements of the lumbar spine. It is mostly located in L5, with MRI and surgical treatment being the preferred choices in the resolution of LS.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Espondilólise Crianças Adolescentes Atletas Desporto Lesões da coluna lombar Spondylolysis Children Adolescents Athletes Sports Lumbar spine injuries