Reabilitação Precoce de Atletas Utilizando Hidroterapia
Reabilitação Precoce de Atletas Utilizando Hidroterapia
Reabilitação Precoce de Atletas Utilizando Hidroterapia
MARCELO WAJCHEMBERG1, LEONARDO PIRES2, REYNALDO C. RODRIGUES2, KARINA S. MANO2, MORGANA DE SÁ SOTTOMAIOR2,
MOISÉS COHEN3, RENE J. ABDALLA4, EDUARDO B. PUERTAS5
RESUMO SUMMARY
Os autores avaliaram três atletas do sexo masculino, subme- Three male athletes submitted to surgical treatment of
tidos a tratamento cirúrgico de hérnia discal lombar, com o obje- lumbar disc herniation were assessed aiming to evaluate the
tivo de avaliar os resultados, após serem submetidos a um proto- results of a rehabilitation protocol based on aquatic therapy.
colo de reabilitação com base em hidroterapia. Este método per- This method allowed early rehabilitation of the athletes, within
mitiu a reabilitação precoce dos atletas, iniciando-se na primeira a week after surgery.
semana após a cirurgia. The athletes were evaluated in 5 occasions: pre-operatively
Os atletas foram avaliados em 5 ocasiões: pré-operatório e and in the 4 following months. Complete improvement of pain
nos 4 meses seguintes. Houve melhora completa da dor em dois was observed in two athletes. The third case had 1.3% of the
atletas. O terceiro caso apresentou no 4º mês 1,3% da intensida- maximum intensity in the 4th month. The daily life activities during
de máxima. As atividades de vida diária no período pré-operató- the pre-operative period presented 21.6% of the maximum fre-
rio em média apresentaram-se com 21,6% da freqüência máxima, quency on average, reaching 99.3% in the 4 th month. The fre-
chegando a 99,3% no 4º mês. A freqüência de prática esportiva quency of practicing sports was on average 10% the pre-opera-
teve em média 10% da intensidade no pré-operatório, no 4º mês tive intensity; in the 4th month the athletes already played sports
os atletas já praticavam a atividade esportiva com uma freqüência with a frequency 84.6% of the normal. The level of sporting acti-
de 84,6% do normal. O nível de atividade esportiva foi relatado em vities was reported as 10% on average of the one established by
média como 10% daquele estabelecido pelos atletas antes do the athletes before the symptoms had started, reaching 88.3%
início dos sintomas, atingindo 88,3% no 4º mês. in the 4th month.
Concluímos que os atletas apresentaram melhora evolutiva em We conclude that the athletes had an evolutionary improvement
todos os parâmetros analisados, especialmente em relação a dor. in all the analyzed parameters, especially as regards pain. Thus,
Portanto, a hidroterapia mostrou-se um método eficaz e bem tolera- hydrotherapy was an effective and well tolerated method in the early
do na reabilitação precoce da cirurgia de hérnia discal em atletas. rehabilitation of athletes after disc herniation surgery.
Descritores: hidroterapia, hérnia discal, atletas Key Words: hydrotherapy, disc herniation, athletes.
INTRODUÇÃO INTRODUCTION
A coluna vertebral lombar é localização freqüente de lesões, In the practice of sports, the lumbar vertebral column is
quando comparada a outros segmentos corporais na prática frequent localization of lesions when compared to other body
esportiva. Apesar deste fato, esta região muitas vezes, não rece- segments. In spite of that, this region often does not call
be grande atenção da área médica, atraindo pouco interesse e medical attention, and consequently the number of studies
consequentemente, limitada quantidade de estudos. A dor lombar is limited. Lumbar pain is very representative among the
tem comprovada importância entre as diversas modalidades es- sports, since it is a condition which impairs performance; in
portivas, pois esta pode representar um problema que acarreta order to understand it good knowledge of the column ana-
Trabalho realizado no Centro de Traumato-ortopedia do esporte (CETE) e Grupo de patologias *Work performed at the Sports Trauma-Orthopedics Center (CETE) and Vertebral Column
da Coluna Vertebral - UNIFESP - EPM Pathology Group - UNIFESP - EPM
Endereço para correspondência: Av. Lineu de Paula Machado, 660 Address: Av. Lineu de Paula Machado, 660
CEP 05601-000 - São Paulo - SP CEP 05601-000 - São Paulo - SP
Trabalho recebido em 20/03/2001. Aprovado em 28/03/2002
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