Caracterização da dor no púbis em atletas de elite de ginástica rítmica: um estudo controlado

Abstract

The modalities of gymnastics have improved over the years, demanding a greater physical demand. The most incident site of pain in high performance athletes of this sport is the pelvic region. Pubic pain in athletes is triggered and exacerbated in sports that use changes of direction, acceleration and deceleration. This is a very common pathological condition in high performance athletes, located in the anterior pelvic region, and extending to the inguinal region. Therefore, it is necessary to perform this study to fill an important scientific gap about central and peripheral pain in rhythmic gymnastics athletes, and thus better understand the real origin of pain in this public, as well as its repercussion on the performance progression. and decreased injury rate. In view of this, the primary objective of this study was to compare pain intensity, tolerance, and perception between elite rhythmic gymnastics athletes and controls. And secondarily, to characterize the pain profile and pelvic functionality in the studied groups. The study included 28 elite rhythmic gymnastics athletes and 28 non-athlete girls, who were divided into two groups, and evaluated for central and peripheral pain, and functionality, using the isometric manual dynamometer, esthesiometer, McGill and The Copenhagen Hip And Groin Outcome Score questionnaire (HAGOS). Pressure pain threshold (LDP) was lower only at point P4 of athlete group (GA) compared to group control (CG) (p <0.05). Pain tolerance in temporal summation (TS) was higher in athletes (p <0.05). In conditioned pain modulation (CDM), the LDP was lower in the athlete group (p <0.05). In McGill, a greater number of words were chosen and a higher pain classification index in GA (p <0.05). The GA presented greater impairment in the subscales symptoms, pain, physical function in sports and recreation, participation in physical activities and quality of life in the HAGOS questionnaire (p <0.05).