Meurer Maurício Couto, Silva Marcelo Faria, Baroni Bruno Manfredini
Graduate Program in Rehabilitation Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil.
Graduate Program in Rehabilitation Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil.
Phys Ther Sport. 2017 Nov;28:1-8. doi: 10.1016/j.ptsp.2017.07.004. Epub 2017 Jul 25.
To describe the physiotherapists perceptions and the current practices for injury prevention in elite football (soccer) clubs in Brazil.
Cross-sectional study.
Group of Science in Sports & Exercise, Federal University of Healthy Sciences of Porto Alegre (Brazil).
16 of the 20 football clubs involved in the Brazilian premier league 2015.
Physiotherapists answered a structured questionnaire.
Most physiotherapists (∼88%) were active in design, testing and application of prevention programs. Previous injury, muscle imbalance, fatigue, hydration, fitness, diet, sleep/rest and age were considered "very important" or "important" injury risk factors by all respondents. The methods most commonly used to detect athletes' injury risk were: monitoring of biochemical markers (100% of teams), isokinetic dynamometry (81%), questionnaires (75%), functional movement screen (56%), fleximetry (56%) and horizontal jump tests (50%). All clubs used strength training, functional training, core exercises and balance/proprioception exercises in their injury prevention program; and Nordic hamstring exercise and other eccentric exercises were used by 94% of clubs. "FIFA 11+" prevention program was adapted by 88% of clubs.
Physiotherapists perceptions and current practices of injury prevention within Brazilian elite football clubs were similar to those employed in developed countries. There remains a gap between clinical practice and scientific evidence in high performance football.
描述巴西职业足球（英式足球）俱乐部中物理治疗师对损伤预防的看法及当前的实践做法。
横断面研究。
巴西阿雷格里港联邦健康科学大学运动与锻炼科学组。
参与2015年巴西足球超级联赛的20家足球俱乐部中的16家。
物理治疗师回答一份结构化问卷。
大多数物理治疗师（约88%）积极参与预防方案的设计、测试和应用。所有受访者均认为既往损伤、肌肉失衡、疲劳、水合作用、体能、饮食、睡眠/休息和年龄是“非常重要”或“重要”的损伤风险因素。最常用于检测运动员损伤风险的方法有：生化标志物监测（所有球队的100%）、等速测力法（81%）、问卷调查（75%）、功能性动作筛查（56%）、关节活动度测量（56%）和纵跳测试（50%）。所有俱乐部在其损伤预防方案中都采用了力量训练、功能性训练、核心练习以及平衡/本体感觉练习；94%的俱乐部采用了北欧绳肌练习和其他离心练习。88%的俱乐部采用了“国际足联11 +”预防方案。
巴西职业足球俱乐部中物理治疗师对损伤预防的看法及当前的实践做法与发达国家类似。在高水平足球领域，临床实践与科学证据之间仍存在差距。
