Côrte Ana Carolina, Pedrinelli André, Marttos Antonio, Souza Ivan Furlan Grava, Grava Joaquim, José Hernandez Arnaldo
Team Physician of Sport Club Corinthians Paulista, Sports Medical Speciality of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil.
Orthopediac Speciality of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
BMJ Open Sport Exerc Med. 2019 Jan 3;5(1):e000431. doi: 10.1136/bmjsem-2018-000431. eCollection 2019.
OBJECTIVE: To evaluate thermography application as a complementary method in preventing muscle injury in professional soccer players. METHODS: A longitudinal prospective study with 28 professional soccer players that composed a first division of Brazilian's soccer team between 2015 and 2016. In both seasons (2015 and 2016), muscle injuries were documented and classified in grade of severity, by ultrasound. During the following season (2016), infrared medical thermography was applied twice a week (48 hours after game) and if a difference of temperature was detected higher than 0.4°C, a prevention protocol was initiated. Muscle injuries in 2016 were documented. RESULTS: In 2015, the total number of muscle injuries was 11. In 2016, the total number of muscle injuries was 4 (p=0.04). It represents an incidence/player of 78% in 2015 and 28% in 2016, corresponding to a decrease of 64% in 2016. Seven players played in the first team in both seasons. Among these seven players, muscle injuries were reduced from 8 (in 2015) to 3 (in 2016)-a decrease of 63% in the season we used thermographic monitoring (p=0.06). CONCLUSION: The pilot data provide a promising catalyst for a rigorous RCT that could examine whether thermography can contribute to a muscle injury prevention programme.
目的：评估热成像技术作为一种辅助方法在预防职业足球运动员肌肉损伤中的应用。 方法：对28名职业足球运动员进行了一项纵向前瞻性研究，这些运动员在2015年至2016年期间组成了巴西足球队的甲级联赛队伍。在两个赛季（2015年和2016年）中，通过超声记录肌肉损伤情况并对严重程度进行分级。在接下来的赛季（2016年），每周两次（比赛后48小时）应用红外医学热成像技术，如果检测到温度差异高于0.4°C，则启动预防方案。记录2016年的肌肉损伤情况。 结果：2015年，肌肉损伤总数为11例。2016年，肌肉损伤总数为4例（p = 0.04）。这代表2015年每名球员的发病率为78%，2016年为28%，2016年相应下降了64%。七名球员在两个赛季都效力于一线队。在这七名球员中，肌肉损伤从2015年的8例减少到2016年的3例——在我们使用热成像监测的赛季中减少了63%（p = 0.06）。 结论：这些初步数据为一项严格的随机对照试验提供了有前景的催化剂，该试验可以检验热成像技术是否有助于肌肉损伤预防计划。
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