Aplicación de tratamiento fisioterapéutico para epicondilitis medial, con uso de ejercicios de fortalecimeinto excéntrico y crioterapia en un beisbolista amateur de 19 años de edad, presentación de un caso clínico.

Sandra García-Clemente, Laura Subervier-Ortiz, Sandra Kristal Cortés-Márquez
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Abstract

Baseball is a high-demand sport in which 1 out of every 4 players suffers an important musculoskeletal injury enough to demand a temporary or definitive competition withdrawal, being medial epicondylitis the main injury found in the elbow due to repetitive overload. Method: An experimental, prospective and longitudinal study was conducted, it was performed in a 19-year-old male patient, diagnosed with II grade medial epicondylitis, due to amateur baseball practice, who received physiotherapeutic treatment consisted of eccentric strengthening exercises and the application of cryotherapy for 15 sessions. Results: The patient began treatment with an 8 degree of pain based on the Visual Analogue Scale (VAS) and muscle strength ranging from 3 to 3+ in each muscle group involved according to the Daniels scale. At the end of the application of the treatment protocol, the degree of pain presented was reduced by 30% and muscle strength increased by 40% in every muscle groups assessed. Conclusion: The presentation of this clinical case can evidence and report a favorable evolution during the 15 sessions of application of the treatment protocol, which is why it is determined effective in reducing pain and increasing muscle strength.
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19岁业余棒球运动员内侧上髁炎理疗应用偏心强化运动及冷冻治疗,临床病例介绍。
棒球是一项高要求的运动,每4名球员中就有1人遭受严重的肌肉骨骼损伤,足以要求暂时或最终退出比赛,内侧上髁炎是肘部因重复超负荷而导致的主要损伤。方法:对一名19岁男性患者进行实验、前瞻性和纵向研究,该患者因业余棒球训练而被诊断为II级内上髁炎,接受了15次的物理治疗,包括偏心强化运动和冷冻疗法的应用。结果:患者开始治疗时,根据视觉模拟评分(VAS),疼痛程度为8度,根据丹尼尔斯评分,肌肉力量在3至3+之间。在治疗方案的应用结束时,每个肌肉群的疼痛程度减少了30%,肌肉力量增加了40%。结论:本临床病例的介绍可以证明并报告在15次治疗方案的应用中取得的良好进展,这就是为什么确定它在减轻疼痛和增加肌肉力量方面有效。
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