Isokinetic evaluation in the upper limb amputee swimmer: a case report
DOI:
https://doi.org/10.11606/issn.2317-0190.v16i4a103287Keywords:
Disabled Persons, Amputees, Upper Extremity, Exercise, SwimmingAbstract
Swimming is one of the most popular sports studied, but swim-ming by athletes with physical disabilities suggests a new branch of research. Objective: To analyze muscle groups by isokinetic dynamometry: the adductor and abductor and the shoulder flexor and extensor of an elite Brazilian swimmer with an amputation at the level of the proximal third of the radius. Methods: The male patient was 18 years old, and had spent nine of those years competing. He was clinically evaluated via the functional DASH questionnaire and the EROE questionnaire on sports. The Biodex System 3 isokinetic dynamometer was used with the protocol of 5 repetitions at 60 ° / second, 20 repetitions at 180 º and 240 º / second as the movement of abduction / adduction and flexion / extension. Results: In the questionnaires there was no indication of pain or any other change in clinical evaluation. In the DASH questionnaire, the athlete reported a medium level of difficulty. His performance was excellent on the EROE scale. In isokinetic evaluation the athlete showed differences between the amputated side and the healthy side. Conclusion: Isokinetic evaluation is a good parameter to study the strength even in swimmers with physical disabilities, showing that these athletes need specific training.
Downloads
References
Fu FH, Stone DA. Sports injuries: mechanisms, prevention, treatment. Baltimore: Williams & Wilkins; 1996.
Gozlan G, Bensoussan L, Coudreuse JM, Fondarai J, Gremeaux V, Viton JM, et al. Isokinetic dynamometer measurement of shoulder rotational strength in healthy elite athletes (swimming, volley-ball, tennis): comparison between dominant and nondominant shoulder. Ann Readapt Med Phys. 2006;49(1):8-15.
Tyler TF, Nahow RC, Nicholas SJ, McHugh MP. Quantifying shoulder rotation weakness in patients with shoulder impingement. J Shoulder Elbow Surg. 2005;14(6):570-4.
West D, Sole G, Sullivan SJ. Shoulder external- and internal-rotation isokinetic strength in master's swimmers. J Sport Rehabil. 2005;14:12-9.
Swanik KA, Swanik CB, Lephart SM, Huxel K. The effect of functional training on the incidence of shoulder pain and strength in intercollegiate swimmers. J Sport Rehabil. 2002;11:140-154.
Silva AC, Andrade MS, Avaliaçao isocinética em atletas paraolímpicos. Rev Bras Med Esporte. 2002;8(3):99-101.
Fernandes TBF, Shinzato GT. Avaliaçao isocinética de rotadores externos e internos do ombro do atleta de cadeira de rodas e indivíduos sedentários: estudo comparativo. Acta Fisiátr. 1999;6(1):40-4. Doi: https://doi.org/10.5935/0104-7795.19990001
Vital R, Silva HGPV, Sousa RPA. Lesoes traumato-ortopédicas nos atletas paraolímpicos. Rev Bras Med Esporte. 2007;13(3):165-8.
Orfale AG, Araújo PM, Ferraz MB, Natour J. Translation into Brazilian Portuguese, cultural adaptation and evaluation of the reliability of the Disabilities of the Arm, Shoulder and Hand Questionnaire. Braz J Med Biol Res. 2005;38(2):293-302.
Leme L. Traduçao, adaptaçao e validaçao da escala "Athletic Shoulder Outcome Rating Scale" para língua portuguesa [dissertaçao]. Sao Paulo: Universidade Federal de Sao Paulo; 2005.
Perrin DH.Terminology and the isokinetic torque curve. In: Perrin DH. Isokinetic exercise and assessment. Champaign: Human Kinetics; 1993. p.205.
Tarpinian S. Nataçao: um guia ilustrado de aperfeiçoamento de técnicas e treinamento para nadadores de todos os níveis. Sao Paulo: Gaia; 2007.
Terreri ASAP, Greve JMD, Amatuzzi MM. Avaliaçao isocinética no joelho do atleta. Rev Bras Med Esporte. 2001;7(5):170-4.
Downloads
Published
Issue
Section
License
Copyright (c) 2009 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
