{"id":827,"date":"2018-12-12T14:31:16","date_gmt":"2018-12-12T16:31:16","guid":{"rendered":"https:\/\/kinetec.com.br\/new\/?p=827"},"modified":"2019-06-11T13:16:20","modified_gmt":"2019-06-11T16:16:20","slug":"dinamica-inversa-no-joelho","status":"publish","type":"post","link":"https:\/\/kinetec.com.br\/new\/dinamica-inversa-no-joelho\/","title":{"rendered":"Din\u00e2mica inversa no joelho"},"content":{"rendered":"

[et_pb_section bb_built=”1″ next_background_color=”#009fdb”][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.18.2″]<\/p>\n

Sabe-se que as investiga\u00e7\u00f5es em biomec\u00e2nica t\u00eam sido de fundamental import\u00e2ncia, em diversos contextos, como preven\u00e7\u00e3o de les\u00f5es, tratamentos terap\u00eauticos e desempenho esportivo (RICHARDS et al., 2002; PELLIZZARO, BERNARDES, LOSS, 2009). No entanto, tem-se dificuldade na obten\u00e7\u00e3o de dados para quantifica\u00e7\u00e3o da carga a qual uma articula\u00e7\u00e3o \u00e9 submetida, o que se torna especialmente importante tratando-se da articula\u00e7\u00e3o do joelho, visto que a articula\u00e7\u00e3o tibiofemoral \u00e9 bastante suscet\u00edvel a les\u00f5es traum\u00e1ticas por ser submetida a esfor\u00e7os elevados, pois localiza-se entre os dois maiores ossos do corpo humano (f\u00eamur e t\u00edbia) (PELLIZZARO, BERNARDES, LOSS, 2009). Nesse sentido, an\u00e1lises de din\u00e2mica inversa em tal articula\u00e7\u00e3o s\u00e3o importantes para o entendimento de diferentes aspectos, como carga em ligamentos, demanda muscular…<\/p>\n

Por exemplo, essas an\u00e1lises, nos permitem saber que, durante a corrida, o papel dos extensores de tornozelo e joelho \u00e9 criar rigidez articular elevada antes e durante a fase de contato, enquanto os extensores de quadril s\u00e3o os principais impulsionadores para frente do corpo com velocidade de corrida crescente (BELLI, A.; KYR\u00d6L\u00c4INEN, H.; KOMI 2002). Tais informa\u00e7\u00f5es podem auxiliar na escolha da interven\u00e7\u00e3o adequada para melhorar o desempenho, ou aumentar a estabilidade durante a corrida, prevenindo les\u00f5es, como a tendinopatia patelar, principalmente se forem aliadas ao conhecimento das vari\u00e1veis ligadas a essa disfun\u00e7\u00e3o. Nesse sentido, a literatura destaca: grandes valores de torques invers\u00e3o-evers\u00e3o do tornozelo, de rota\u00e7\u00e3o tibial externa, de torque extensor do joelho e de flex\u00e3o plantar, al\u00e9m de altos valores de for\u00e7as de rea\u00e7\u00e3o do solo verticais (RICHARDS et al., 2002).
Com rela\u00e7\u00e3o ao LCA, a din\u00e2mica inversa traz informa\u00e7\u00f5es com rela\u00e7\u00e3o \u00e0 demanda gerada em cadeia cin\u00e9tica aberta, sem carga externa. Pellizzaro, Bernardes e Loss (2009) afirmam que o LCA atua durante todo movimento de flexo-extens\u00e3o do joelho, de 5 a 80 graus de flex\u00e3o, tendo seu pico m\u00e1ximo de for\u00e7a em 30 graus. A partir desse resultado, a escolha de exerc\u00edcios para pessoas que necessitem enfoque no LCA, seja por situa\u00e7\u00e3o p\u00f3s-cir\u00fargica, ou preventiva, passa a ser realizada de maneira mais direcionada e segura, permitindo adapta\u00e7\u00f5es adequadas, at\u00e9 mesmo para quem \u00e9 popula\u00e7\u00e3o de risco para les\u00f5es e rompimentos (PELLIZZARO, BERNARDES, LOSS, 2009). Al\u00e9m disso, a din\u00e2mica inversa \u00e9 apontada como o m\u00e9todo mais abrangente que d\u00e1 acesso \u00e0s for\u00e7as conjuntas e torques associados \u00e0 carga nos componentes prot\u00e9ticos (DUMAS, CHEZE, FROSSARD, 2009), auxiliando em seu desenvolvimento e adapta\u00e7\u00e3o.
Os exemplos abordados reafirmam, dentre outras possiblidades de uso, a diversidade de ambientes e contextos onde a din\u00e2mica inversa pode nos levar a uma interven\u00e7\u00e3o mais efetiva. Entender as varia\u00e7\u00f5es das cargas impostas, ao longo da amplitude articular, al\u00e9m de um grande diferencial no mercado, \u00e9 a forma mais segura de escolha de conduta, em uma pr\u00e1tica realmente baseada em evid\u00eancias.<\/p>\n

 <\/p>\n

Texto por: Me. Catiane Souza<\/p>\n

Lattes:\u00a0http:\/\/lattes.cnpq.br\/2788554094463654<\/a><\/p>\n

 <\/p>\n

REFER\u00caNCIAS:<\/p>\n

BELLI, A.; KYR\u00d6L\u00c4INEN, H.; KOMI, P. V. Moment and power of lower limb joints in running. International journal of sports medicine, v. 23, n. 02, p. 136-141, 2002.<\/p>\n

DUMAS, R.; CHEZE, L.; FROSSARD, L. Loading applied on prosthetic knee of transfemoral amputee: comparison of inverse dynamics and direct measurements. Gait & posture, v. 30, n. 4, p. 560-562, 2009.<\/p>\n

PELLIZZARO, C. O.; BERNARDES, C.; LOSS, J. F. An\u00e1lise da for\u00e7a de cisalhamento na articula\u00e7\u00e3o tibiofemoral durante exerc\u00edcio de extens\u00e3o de joelho. Revista Brasileira de Biomec\u00e2nica, v. 10, n. 18, 2009.<\/p>\n

RICHARDS, D. P., AJEMIAN, S. V., WILEY, J. P., BRUNET, J. A., & ZERNICKE, R. F. Relation between ankle joint dynamics and patellar tendinopathy in elite volleyball players. Clinical Journal of Sport Medicine, v. 12, n. 5, p. 266-272, 2002.<\/p>\n

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\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> Sabe-se que as investiga\u00e7\u00f5es em biomec\u00e2nica t\u00eam sido de fundamental import\u00e2ncia, em diversos contextos, como preven\u00e7\u00e3o de les\u00f5es, tratamentos terap\u00eauticos e desempenho esportivo (RICHARDS et al., 2002; PELLIZZARO, BERNARDES, LOSS, 2009). No entanto, tem-se dificuldade na obten\u00e7\u00e3o de dados para quantifica\u00e7\u00e3o da carga a qual uma articula\u00e7\u00e3o \u00e9 submetida, o que se torna especialmente […]<\/p>\n","protected":false},"author":1,"featured_media":1711,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[25],"tags":[],"class_list":["post-827","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"yoast_head":"\nDin\u00e2mica inversa no joelho - Kinetec<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kinetec.com.br\/new\/dinamica-inversa-no-joelho\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Din\u00e2mica inversa no joelho - Kinetec\" \/>\n<meta property=\"og:description\" content=\"Sabe-se que as investiga\u00e7\u00f5es em biomec\u00e2nica t\u00eam sido de fundamental import\u00e2ncia, em diversos contextos, como preven\u00e7\u00e3o de les\u00f5es, tratamentos terap\u00eauticos e desempenho esportivo (RICHARDS et al., 2002; PELLIZZARO, BERNARDES, LOSS, 2009). 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