Comparación de la terapia kinésica tradicional y la Terapia Manual Ortopédica en el manejo de inestabilidad crónica de tobillo en futbolistas amateur de la escuela de fútbol Peñaloñén, Santiago de Chile
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Archivos
Fecha
2019
Profesor/a Guía
Facultad/escuela
Idioma
es
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Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Los esguinces de tobillo son comunes en la práctica deportiva con una prevalencia del 85% y hasta un 40% desarrollan inestabilidad crónica de tobillo (CAI) caracterizada por esguince a repetición y la sensación de falta de control sobre la articulación. Objetivo. Comparar la respuesta de la estabilidad y de la percepción del dolor en futbolistas amateur al aplicar la intervención de Terapia Manual Ortopédica y la terapia kinésica convencional. Metodología. Estudio cuasi experimental, en futbolistas amateur de la escuela de fútbol de Peñalolén con CAI, se formaron 2 grupos, uno con manejo kinésico convencional y otro con TMO. Se aplicaron las pruebas SEBT, CAIT y EVA con evaluaciones pre y post prueba. El nivel de confianza fue de 0.95 y se aplicaron las pruebas t de student y Wilcoxon. Resultados. La edad de los futbolistas fue de 28.3±6.5 años, la ocupación principal fue Ingeniería con un 60%. El 50% tuvo esguinces y el 60% lesión en ambos tobillos y todos presentaron CAI. En la prueba de Wilcoxon, en la variable dolor en el grupo TMO en la pre y post prueba, se encontró diferencia significativa (p=0,0105) pero no se encontró diferencia significativa (p=0,3173) al comparar los dos grupos en la post prueba. En la prueba t para muestras independientes y pareadas en la variable estabilidad, en la prueba del CAIT en el grupo TMO en la pre y post prueba, se encontró diferencia significativa (p<0,001) sin embargo al comparar los resultados obtenidos en la post prueba entre ambos grupos, no se encontró diferencia significativa (p= O, 1242) Se obtuvo una diferencia significativa (p=0,002320) en el alcance lateral (SEBTL), favoreciendo al grupo que recibió TMO. Conclusión. La TMO mejora la estabilidad y la precepción del dolor en los jugadores de fútbol con CAI, sin embargo, al comparar los grupos solo existió una diferencia significativa para el SEBTL
Ankle sprains are one of the rnost cornrnon injuries in sports practice, they represent the 85% of regular injuries; frorn this percentage between the 20% to 40% of cases, develop chronic ankle instability (CAi). CAi is characterized by several continuous sprains and the lack of control of the articulation. The treatrnent for this type of lesions is rnostly a functional rehabilitation to avoid the injury recurrence and in sorne cases surgery. Main Objective. To compare the outcomes of stability and the rank of pain on amateur football soccer players developed at Peñalolen Football School when applying Orthopedic Manual Therapy (known in Spanish as TMO), as well as the management of the Kinetics Conventional Therapy. Methodology. Quasi experimental study on amateur football players from the Peñalolen Soccer School who presented CAi. To accornplish this study, two groups were forrned, one that was managed under Orthopedic Manual Therapy (TMO) and a second one under kinetics conventional therapy. The SEBT, CAIT and EVA tests were applied doing pre and post - test evaluations. Applying the t student Test and Wilcoxon, it carne out a reliability level of 0.95 in the study. Results. The soccer players age was 28.3±6.5, the principal bachelor's degree was engineering in a 60%; the 50% rnentioned that they got sprains, the remaining 60% reported an injury in both ankles, and all of thern presented CAi. In Wilcoxon test for non-parametric sarnples, in the results obtained for pain variables for TMO group in the pre and post-test, showed a significant difference (p=0,0105) but there was not a significant difference (p=0,3173) when comparing the results obtained in the post test between both groups. The t student test for independent and paired samples in the stability variable in CAIT in pre and post-test for TMO group, showed that there was a significant difference (p=0,001). Nonetheless, in relation to the conventional treatment, comparing the results in post-test between the groups, there was not a significant difference (p=0, 1242). Regarding SEBT, there was a significant difference (p=0,002320) in lateral scope (SEBTL) between the groups, favoring the group that received TMO.
Ankle sprains are one of the rnost cornrnon injuries in sports practice, they represent the 85% of regular injuries; frorn this percentage between the 20% to 40% of cases, develop chronic ankle instability (CAi). CAi is characterized by several continuous sprains and the lack of control of the articulation. The treatrnent for this type of lesions is rnostly a functional rehabilitation to avoid the injury recurrence and in sorne cases surgery. Main Objective. To compare the outcomes of stability and the rank of pain on amateur football soccer players developed at Peñalolen Football School when applying Orthopedic Manual Therapy (known in Spanish as TMO), as well as the management of the Kinetics Conventional Therapy. Methodology. Quasi experimental study on amateur football players from the Peñalolen Soccer School who presented CAi. To accornplish this study, two groups were forrned, one that was managed under Orthopedic Manual Therapy (TMO) and a second one under kinetics conventional therapy. The SEBT, CAIT and EVA tests were applied doing pre and post - test evaluations. Applying the t student Test and Wilcoxon, it carne out a reliability level of 0.95 in the study. Results. The soccer players age was 28.3±6.5, the principal bachelor's degree was engineering in a 60%; the 50% rnentioned that they got sprains, the remaining 60% reported an injury in both ankles, and all of thern presented CAi. In Wilcoxon test for non-parametric sarnples, in the results obtained for pain variables for TMO group in the pre and post-test, showed a significant difference (p=0,0105) but there was not a significant difference (p=0,3173) when comparing the results obtained in the post test between both groups. The t student test for independent and paired samples in the stability variable in CAIT in pre and post-test for TMO group, showed that there was a significant difference (p=0,001). Nonetheless, in relation to the conventional treatment, comparing the results in post-test between the groups, there was not a significant difference (p=0, 1242). Regarding SEBT, there was a significant difference (p=0,002320) in lateral scope (SEBTL) between the groups, favoring the group that received TMO.
Notas
Tesis (Magíster en Terapia Manual Ortopédica)
Palabras clave
Tobillo, Esguinces, Terapia