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[Osteomyoarticular injuries in a physical conditioning program]

L R Battistella1, G T Shinzato, H C Kiss

  • 1Divisão de Reabilitação, Hospital das Clínicas, Universidade de São Paulo.

Revista Do Hospital Das Clinicas
|July 1, 1993
PubMed
Summary

Physical conditioning programs can lead to musculoskeletal injuries, requiring careful management. Early evaluation by a physiatrist is crucial for sedentary patients to prevent and treat potential disabling lesions.

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Area of Science:

  • Sports Medicine
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Sedentary individuals often present with both cardiovascular and musculoskeletal deconditioning.
  • Physical conditioning programs aim to improve cardiovascular health but may pose risks for musculoskeletal injuries.

Purpose of the Study:

  • To analyze the incidence and management of musculoskeletal lesions in patients undergoing a physical conditioning program.
  • To emphasize the importance of physiatrist evaluation for preventing and treating these lesions.

Main Methods:

  • Follow-up of 130 patients in a one-year physical conditioning program.
  • Observation and documentation of musculoskeletal lesions and patient withdrawals.
  • Intervention strategies including physical agents, kinesiotherapy, and pharmacotherapy.

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Main Results:

  • 13 patients had pre-existing lesions; 19 developed lesions during the program.
  • 4 patients (from the first group) and 5 patients (from the second group) had to interrupt or quit the program.
  • Program interruptions exceeding three weeks significantly reduce cardiovascular benefits.

Conclusions:

  • Physical conditioning requires careful monitoring for musculoskeletal deconditioning in sedentary patients.
  • Early physiatrist evaluation is essential to prevent and manage disabling lesions, optimizing program outcomes.
  • Integrating musculoskeletal assessment into physical conditioning protocols is vital for patient safety and efficacy.