Actualización sobre el síndrome de estrés tibial medial
DOI:
https://doi.org/10.22335/rlct.v6i3.22Palavras-chave:
Síndrome do estresse tibial medial,, lesão por estresse tibial, lesões nos membros inferiores,, atualização, esportes, reabilitação, fisioterapiaResumo
A síndrome do estresse tibial medial é uma das causas mais comuns de dor induzida pelo exercício físico nas extremidades inferiores em praticantes de atividades físicas e esportivas. É um evento semiótico produzido por lesão repetitiva de estresse mecânico no aspecto medial da tíbia, freqüente entre as doenças que afetam corredores e treinamento militar; geralmente não é grave, mas, se não tratada adequadamente, pode evoluir para lesões incapacitantes, como a fratura por estresse da tíbia. Existem fatores de risco que contribuem para desenvolvimento da patologia, entre eles o tipo de atividade, técnicas inadequadas de treinamento, condições do solo, tipo de calçado utilizado, pronação anormal da articulação subtalar, sexo feminino, massa corporal elevada índice e diminuição da densidade mineral óssea. O diagnóstico geralmente é estabelecido por meio de anamnese e exame físico, pois as radiografias não fornecem informações úteis, apenas ajudam a estabelecer o diagnóstico diferencial com as fraturas por estresse da tíbia, e os exames radiológicos mais caros não se justificam. O tempo de recuperação para os acometidos por essa doença é bastante prolongado, havendo a tendência de abandonar a terapia, impedindo a realização dos objetivos terapêuticos propostos, o tratamento padrão ouro é a fisioterapia, porém existem outras modalidades terapêuticas com grandes perspectivas para o tratamento. o tratamento dessa entidade nosológica, na qual a Terapia Extracorpórea por Ondas de Choque se destaca, e embora existam estudos científicos sobre esse assunto, não há o suficiente. Tanto a fisiopatologia como a prevenção e o tratamento ainda não são claros. Devido ao exposto acima, é feita uma revisão do estado da arte dos aspectos fundamentais desta patologia.Downloads
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