Reavaliação do ombro doloroso em atletas de beisebol após tratamento conservador Reassessment of painful shoulders among baseball players after conservative treatment

Abstract

OBJETIVO: O objetivo deste trabalho foi avaliar os resultados da reabilitação nos jogadores de beisebol que possuíam dor e déficit de rotação medial no ombro. MÉTODOS: Dos 55 atletas avaliados no período de abril a junho de 2009, observou-se que 20 atletas tinham dor em algum momento do arremesso. Eles foram orientados a realizar um programa de reabilitação com exercícios para alongamento da cápsula posterior e reforço dos músculos da cintura escapular, especialmente os rotadores laterais. Dezoito pacientes seguiram as orientações, dois perderam o seguimento. Os parâmetros avaliados foram: dor, amplitude de movimento e força pré e pós o término do programa. RESULTADOS: Na avaliação final, em comparação com a inicial, observamos: aumento em média da elevação de 10º (p = 0,001), de três níveis vertebrais da rotação medial (p OBJECTIVE: The objective of this study was to evaluate the rehabilitation results among baseball players who presented pain and medial rotation deficit in their shoulders. METHODS: Out of 55 baseball players assessed between April and June 2009, it was observed that 20 presented pain at some instant during throwing movements. They were advised to undergo a rehabilitation program with exercises to stretch the posterior capsule and reinforce the muscles of the scapular belt, especially the lateral rotators. Eighteen patients followed the advice, while two were lost from the follow-up. The parameters evaluated were: pain, range of motion, strength before the program and strength after the end of the program. RESULTS: Comparing the initial and final assessments, we observed mean increases as follows: 10º of elevation (p = 0.001); three vertebral levels of medial rotation (p < 0.001); 20º of medial rotation at 90º abduction (p < 0.001); and 26º of range of motion (p < 0.001). Regarding strength, elevation force increased by 3 kgf (p = 0.002) and lateral rotation force increased by 1 kgf (p = 0.020). Out of the 18 baseball players studied, the pain level improved in 16, while two continued to present pain and underwent magnetic resonance imaging, which showed lesions for surgical treatment. CONCLUSION: The rehabilitation program conducted among the baseball players was effective and enabled increases in medial rotation, elevation, range of motion and strength of elevation and lateral rotation, consequently producing pain improvements in most of the players.

Keywords

• Beisebol
• Ombro
• Amplitude de Movimento Articular
• Baseball
• Shoulder
• Joint Range of Motion