Musculoskeletal Injuries in Professional Basketball Players

Gijón-Noguerón, Gabriel; Lópezosa-Reca, Eva; Ortega-Ávila, Ana Belén

Musculoskeletal Injuries in Professional Basketball Players

Gijón-Noguerón, Gabriel,Lópezosa-Reca, Eva,Ortega-Ávila, Ana Belén

Published: 2017
Publisher: ENPODHE
Repository: riuma.uma.es
Language: sp

Abstract

Antecedentes : Varios estudios han demostrado que la postura del pie está relacionada con la incidencia de esguinces de tobillo en atletas y en poblaciones no atléticas, pero esta asociación no ha sido considerada previamente en jugadores de baloncesto. Este estudio investiga la relación entre la postura del pie y las lesiones de miembros inferiores en los jugadores de baloncesto de élite. Diseño y Método: Se reclutó una muestra de 220 jugadores de baloncesto profesionales. Los jugadores tenían una edad media de 22,51 ± 3,88 años y un índice de masa corporal de 23,98 ± 1,80. Los expedientes médicos de los jugadores fueron alcanzados a partir de los 10 años anteriores, y las lesiones fueron registradas según su localización (rodilla, pie y / o tobillo). Además, se puntuó el índice de postura del pie (FPI) para cada jugador, y se observaron sus posiciones de juego. Resultados: Se obtuvo una puntuación promedio de FPI de 2,66 en todos los jugadores, con guardias puntuales y de tiro que presentaron un FPI promedio significativamente menor, de -0,48 (p <0,001), indicando un pie más supinado. Otras diferencias significativas se encontraron en los jugadores centrales, que tenían un FPI promedio de 5,15 (p <0,001), lo que indica tipos de pie pronado. Las lesiones más comunes observadas fueron esguince de tobillo (n = 214, 97,3%) y tendinitis rotuliana (n = 126, 57,3%). La última lesión afectó el pie supinado en 37 casos (90,2%) y el pie pronado en 24 casos (55,8%). Conclusiones: La patología de las extremidades inferiores más común observada en los jugadores de baloncesto fue esguince de tobillo y tendinopatía rotuliana. Esta última se asoció más comúnmente con el pie supinado. Los jugadores de la Guardia tendían a tener un pie más supinado.

Full text

Faculty of Health Science. University of Malaga Gabriel Gijón Noguerón Eva Lopezosa Reca Ana Belen Ortega Avila WHAT IS BASKETBALL? Jump Contact Lateral movement Positions Guard Shooting guard Forward Forward-centre Centre Control the action Guard and shooting guard Forward and Forward-centre Jumping capability agility of movements Power and strength Centre BASKETBALL INJURIES Knee Ankle The most frequent injuries found in basketball players! Type of Injuries! Incidence rate%! Ankle sprain! 13,2-25! Patelar tendinitis! 3,9-10,87! Lower back pain! 6,1-7,45! Knee sprain! 3,6-4,61! Finger sprain! 2,7-17,09! Achilles tendinitis! 3,2-2,84! Plantar Fasciitis! 1,6-2,84! Back hernia! 1-2,83! Meniscus injuries! 1-2,13! Compartmental syndrome! 2,13! AIMS!OF!THIS!STUDY! The aim of the present study was to determine the relationship between foot posture, lower limb injuries and playing position, among professional basketball players. METHOD! Participants Means(SD) CI 95% Height (cm)!195.73(9.56)!194.46-197.00! BMI (Kg/m2)!23.98(1.76)!23.74-24.22! Weight (Kg)!92.22(12.31)!90.58-93.85! Age (years)!22.51(3.58)!22.03-22.99! FPI score (mean of both feet)!2.66(3.14)!2.24-3.08! Experience (years)!15.04(3.88)!19.14-20.64! Training (hours/week)!19.89(5.61)!14.52-15.55! Two hundred twenty (220) players . Teams of the two major basketball leagues (ACB and LEB) in Spain, during the period from October 2011 to October 2014. Characteristics of the sample Inclusion!and!exclusion!criteria! - The following inclusion criteria were applied: (i) Participants were 18 or older (ii) The all had at least 10 years experience playing basketball. - The exclusion criteria were the presence of a serious foot injury that could have produced morphological change in the last 6 months, poor balance, or edema in the foot or ankle, which could impede obtaining the Foot Posture Index (FPI). VARIABLES of STUDY Sport injuries Sport injuries were classified by their location: ankle, knee or foot, and included patellar luxation, lateral ligament knee sprain and patellar chondromalacia, 5th metatarsal bone fracture, ankle sprain Foot posture by FPI These items included are talar head palpation, curves above and below the lateral malleoli, calcaneal angle, talonavicular bulge, medial longitudinal arch and forefoot to rearfoot alignment. The scores obtained are grouped into the following categories: >10 = highly pronated, 6 to 9 = pronated, 0 to 5 = normal, 0 to -5 supinated, -6 to -12 = highly supinated Study!Design! A cross-sectional study . Sta=s=cal!analysis!! • The data was analysed using IBM SPSS Statistics v. 21.0 (BM Corp; Armonk, New York, USA). • The Kolmogorov-Smirnov test was applied to determine the normality of the distribution. • Bivariate chi square analyses, ANOVA with the Bonferroni test and correlations were then conducted to estimate the association between the player’s position and the corresponding FPI, together with the most frequent pathologies associated with this playing position. • In the correlations and inferential tests, alpha was set to 0.05. Anatomical localization in the lower limb Number (AEMB) % (AEMB) Number Our Study % Our Study Injuries in lower limb 130 506 Thigh 6 4,61% Knee 40 30,76% 236 46,64% Ankle/foot 84 64,61% 270 53,35% The most frequent injuries in basketball players DISCUSSION! Liga profesional de Baloncesto Española. Tomado de Protocolo lesional A.E.M.B (Asociación Española de Médicos de Baloncesto) The most frequent injuries in basketball players Type of injuries INCIDENCE (%) (Marqueta, 1998) INCIDENCE (%) (Our study) ANKLE SPRAIN 90 % 95% PATELLAR CHONDROMALACIA 45,5 % 58,2% SPRAIN LATERAL KNEE LIGAMENT 20 % 25,5% PLANTAR FASCIITIS 25,3% 38,3% MENISCUS INJURY 20,2 % 22,7% Injuries in comparison with other sports SPORTS INCIDENCE Basketball 998 Handball 814 Volleyball 548 Field Hockey 528 Martial Arts 388 Baseball 387 Track and Field 295 Badminton 204 !(Backs,!1991)! DISCUSSION! COMPARISON OF FOOT POSTURE AND OTHER SPORTS Autor Sample FPI SCORE Our study N=220 2.66 ± 3.14 (Redmond, 2008) (n=1648) 2.4 (Teyhen, 2011) Runner (n=1000) 3.4 ± 2.9 (Burns, 2005) Triathletes (n=131) 5.1 ± 3.9 (Cain et al., 2007) Indoor Football player (n=76) 5.3 ± 2.9 DISCUSION! CONCLUSIONS! • The most common injuries in basketball players were ankle sprains, followed by patellar tendinitis. 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