Siqueira Ana Paula Rehme, Beraldo Lucas Menghin, Krueger Eddy, Ulbricht Leandra
Universidade Tecnológica Federal do Paraná, Curitiba, PR, Brazil.
Neural Engineering and Rehabilitation Laboratory. Graduate program in Rehabilitation UEL-UNOPAR. Universidade Estadual de Londrina - UEL, Londrina, PR, Brazil.
Acta Ortop Bras. 2018;26(6):418-422. doi: 10.1590/1413-785220182606167896.
Pain in the lower limbs is common in athletes and a limiting factor in performance. Acupuncture has shown positive effects as an analgesic treatment and may potentially be used for pain reduction in runners. This study aimed to analyze the parameters associated with knee pain by correlating strength parameters of the musculature assessed in runners treated with acupuncture. A descriptive longitudinal study was conducted on 34 runners of both sexes aged 20 to 52 years, who presented with knee-related pain from January to June, 2015. Two pain questionnaires and a maximal strength test with electromyographic evaluation of the rectus femoris, vastus lateralis, and medialis muscles were used, and patients were monitored during five follow-up visits after an acupuncture protocol. All participants reported experiencing a decrease in knee pain after treatment. The affected limbs showed an increase in average strength by 34% and 25% compared to the contralateral limb. An increase in the number of motor units recruited for the three muscles was observed in both limbs. In conclusion, the proposed acupuncture protocol was effective in reducing pain symptoms in the knee region of athletes, thus influencing their gain in strength and muscle balance.
下肢疼痛在运动员中很常见,并且是影响运动表现的一个限制因素。针灸作为一种镇痛疗法已显示出积极效果,可能可用于减轻跑步者的疼痛。本研究旨在通过关联接受针灸治疗的跑步者所评估的肌肉组织力量参数,分析与膝关节疼痛相关的参数。对34名年龄在20至52岁之间的男女跑步者进行了一项描述性纵向研究,这些跑步者在2015年1月至6月期间出现膝关节相关疼痛。使用了两份疼痛问卷以及一项对股直肌、股外侧肌和股内侧肌进行肌电图评估的最大力量测试,并在针灸治疗方案后的五次随访中对患者进行监测。所有参与者均报告治疗后膝关节疼痛减轻。与对侧肢体相比,患侧肢体的平均力量增加了34%和25%。在双下肢均观察到三块肌肉募集的运动单位数量增加。总之,所提出的针灸方案在减轻运动员膝关节区域的疼痛症状方面是有效的,从而影响了他们的力量增强和肌肉平衡。