Lesões desportivas na natação

O estudo objetivou analisar a ocorrência de lesões em nadadores, associando-as a fatores de risco específicos da modalidade e do atleta. Fizeram parte desse estudo 215 atletas, de ambos os sexos, participantes dos principais campeonatos promovidos pela Federação Aquática Paulista. Os dados foram obtidos por meio de Inquérito de Morbidade Referida, constituído por perguntas relacionadas ao atleta, modalidade e referentes ao tipo, mecanismo e local da lesão. A análise entre variáveis antropométricas e presença de lesão foi realizada pelo teste t de Student ou pelo teste não paramétrico de Mann Whitney. Para relação entre as especificidades e o tipo, mecanismo e local da lesão, utilizou-se o teste de Goodman. Resultados significantes foram obtidos entre os atletas lesionados com mais idade e anos de treinamento. Segundo o mecanismo da lesão, o volume dos treinos é a principal causa de ocorrências de lesões e as tendinopatias são as lesões mais comuns. O ombro é o local mais acometido pelas diferentes especialidades, com exceção dos nadadores de peito que referiram a virilha. Conclui-se a partir dos achados que a exposição dos nadadores a prática esportiva associada ao volume de treinamento estão relacionadas com as frequentes lesões nestes atletas.The study aimed to analyze the occurrence of injuries in swimmers, linking them to specific risk factors of the sport and the athlete. The present study evaluated 215 athletes of both sexes participating in the major championships, sponsored by the Aquatic Federation of São Paulo. Data were collected through a Morbidity Survey, consisting of questions related to the athlete, modality, as well as injury type, mechanism and site. Analysis between anthropometric variables and injury presence was performed by Student's t test or nonparametric Mann Whitney test. Goodman test was used for determination of specific relationship between injury type and site. Significant results were obtained between the older injured athletes and years of training. According to the injury mechanism, the training volume is the main cause of injury and tendinopathy are the most common examples. The shoulder is the site most affected by the different specialties, except for the breaststroke swimmers who reported the groin. The findings here state that exposure of swimmers to sports practice associated with the training volume is related to the frequent injuries in these athletes

Osteoporosis in psoriatic arthritis: is there any?

AIMS: Although considered as a feature of inflammatory rheumatic diseases, there is a lot of controversy around low bone mass in patients with psoriatic arthritis. The aim of this cross-sectional study was to analyze bone mineral density in patients with psoriatic arthritis, as well as to investigate its possible association with some measures of disease activity and functional capacity. ----- SUBJECTS AND METHODS: Sixty-nine patients with established psoriatic arthritis (mean age 56.20 ± 12.23 years) and who have not been treated with specific antiosteoporotic drugs were recruited from the out-patient clinic database. Bone mineral density was measured by dual-energy X-ray absorptiometry at the lumbar spine and at the left hip. Disease activity measures included: duration of morning stiffness, tender and swollen joint count, patient's and physician's global assessment, presence of dactylitis and enthesitis, ESR, CRP and Disease Activity Score 28. Health Assessment Questionnaire was used to assess functional status. ----- RESULTS: According to WHO definition, spinal osteoporosis was found in 7.2% of patients, total hip osteoporosis in 1.4% of patients and femoral neck osteoporosis in 2.9% of patients. There was no significant association of any of the measures of disease activity with BMD at any site. Higher HAQ scores were associated with lower total hip BMD. ----- CONCLUSIONS: In our sample of patients with psoriatic arthritis we did not find increased prevalence of osteoporosis. There was no association of BMD with indices of disease activity, while negative correlation was found between HAQ and total hip BMD

Comparison of the effects of amitriptyline and paroxetine in the treatment of fibromyalgia syndrome

WOS: 000179727900007The aim of this study is to research the efficiency and the side effects of paroxetine, which is a selective serotonin re-uptake inhibitor (SSRI), and to compare it with amitriptyline, whose efficiency in fibromyalgia syndrome (FMS) is well known. The 40 FMS-diagnosed patients that were involved in the research were separated into two groups randomly. The patients within the first group were given paroxetine tablets (for the first weeks 20 mg/day, later 40 mg/day); those within the second group were given amitriptyline drage (for the first two weeks 10 mg/day, later 20 mg/day). The treatment continued for two months. All of the patients were evaluated by a physician, who was not aware of the therapy options, in the 2(nd), 4(th) and 8(th) weeks with regard to fatigue, morning stiffness, sleep disturbances, paraesthesia, headaches, tender point count and score, severity of global pain, Beck depression index, global efficiency and tolerance according to the patient and the physician's judgments. It is observed that paroxetine has shown good efficiency in treating the symptoms of FMS with the exception of fatigue (p < 0.5), but amitriptyline works better. The most important side effect of paroxetine is sexual dysfunction. Paroxetine therefore can be used as an alternative drug in FMS when the patients cannot use amitriptyline for any reason

Relationship of bone mineral density with disease activity and functional ability in patients with ankylosing spondylitis: a cross-sectional study

In ankylosing spondylitis, inflammatory activity probably plays a key role in the pathophysiology of bone loss. The aim of the study was to investigate the relationship of bone mineral density (BMD) at the lumbar spine and hip region with some measures of disease activity and functional ability in patients with ankylosing spondylitis. In 80 patients with established ankylosing spondylitis, disease activity and functional ability were determined by C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Bath Ankylosing Spondylitis Functional Index (BASFI). Spinal pain and patient global health were assessed using horizontal visual analog scale. BMD was measured by dual-energy X-ray absorptiometry. There was a significant negative correlation of bone density T scores with acute-phase reactants (i.e., patients with lower T scores had higher level of CRP and ESR). That relationship was reflected more reliably at proximal femur sites than at the lumbar spine. There were also significant differences in ESR, BASDAI, BASFI, spinal pain and global health between three groups of patients according to WHO classification of osteoporosis (normal, osteopenic and osteoporotic). Significantly, more patients with osteopenia at the lumbar spine had lower BASDAI index than those with normal BMD (P = 0.030). Our results indicate an association of low BMD with high disease activity in patients with AS. Femoral BMD seems to be more associated with disease activity and functional ability than lumbar spine BMD

Efficacy of alendronate in the treatment osteoporosis in ankylosing spondylitis: One year preliminary results

WOS: 00017561920014

THE EFFECTIVENESS OF THE LOWER DOSE OF LASER TREATMENT ON KNEE OSTEOARTHRITIS

Annual European Congress of Rheumatology -- JUN 14-17, 2017 -- Madrid, SPAINWOS: 00041318140452

Bone mineral density in mild and advanced ankylosing spondylitis

WOS: 000183950300003PubMed ID: 12833574To compare the bone mineral density (BMD) and determine the frequency of osteoporosis in mild and advanced ankylosing spondylitis (AS) cases. Seventy three patients with AS were enrolled in this study. The BMD was analyzed at the lumbar spine and hip by dual energy X-ray absorptiometry. The patients were diagnosed as being "normal, osteopenia, or osteoporosis" according to the WHO classification. Using the BASRI-lumbar and BASRI-hip scores, the patients were grouped in mild and advanced AS categories. The mean BMD in the lumbar spine and hip of patients with mild and advanced AS was similar (p>0.05). While 61.6% of the patients were found to have osteopenia or osteoporosis in the lumbar spine, 46.6% had osteopenia or osteoporosis in the total hip. Of the patients with advanced AS 54.3% had osteopenia or osteoporosis in the lumbar spine, 75% in the total hip. Of the patients with mild AS patients had 68.4% osteopenia or osteoporosis in the lumbar spine, and 42.3% in the total hip. The osteopenia or osteoporosis frequency of the mild and advanced cases of AS in the lumbar spine was similar (p>0.05). In the advanced AS patients, osteopenia or osteoporosis frequency was significantly higher in the total hip than in the mild AS patients (p<0.05). In conclusion, there was evidence of osteoporosis in both the advanced AS and mild AS patients. The reason why the anteroposterior lumbar DXA results in the advanced AS patients were similar to the mild ones may be due to the existence of syndesmophytes and ligament calcification. In these cases, it is more convenient to use a hip DXA for assessing the extent of osteoporosis

The comparison of the effects of vitamin D3 and alphacalcidiol with dexa in osteoporosis

WOS: 00017561920015