Esguince de tobillo-vendaje de cuello de pie en futbolistas juveniles uruguayos. Estudio caso-control
Resumen
Objetivo: valorar el vendaje de cuello de pie como factor protector del esguince de tobillo.
Material y método: la población estudiada fue la de los futbolistas juveniles pertenecientes a la Asociación Uruguaya de Fútbol y el diseño fue estudio caso-control. Durante dos períodos de tiempo fueron registrados todos los esguinces de tobillo ocurridos en partidos oficiales del Campeonato Uruguayo y se comprobó si los jugadores estaban vendados o no. Se tomaron dos controles por cada caso.
Resultados: en total se diagnosticaron 38 esguinces de tobillo y se compararon con 72 controles. De los 38 casos, 16 estaban vendados y 22 no se habían vendado el cuello de pie. De los 72 controles, 37 estaban vendados y 35 no estaban vendados. El riesgo o probabilidad de sufrir un esguince de tobillo de los jugadores vendados fue de 0,301. El riesgo de esguince de los jugadores no vendados fue de 0,385. El odds ratio entre los dos grupos fue de 0,687. Entre los 53 sujetos que estaban vendados, 16 (30,2%) presentaron esguince de tobillo, mientras que entre los 57 sujetos que no estaban vendados, 22 (38,6%) lo presentaron. Esta diferencia observada no resultó estadísticamente significativa (p=0,354). Conclusiones: en este estudio el vendaje de cuello de pie no demostró tener un efector protector para el esguince de tobillo.
Citas
(1) Loudon JK, Reiman MP, Sylvain J. The efficacy of manual joint mobilisation/manipulation in treatment of lateral ankle sprains: a systematic review. Br J Sports Med 2014; 48(5):365-70. ]
(2) Czajka CM, Tran E, Cai AN, DiPreta JA. Ankle sprains and instability. Med Clin North Am 2014; 98(2):313-29. ]
(3) Calatayud J, Borreani S, Colado JC, Flandez J, Page P, Andersen LL. Exercise and ankle sprain injuries: a comprehensive review. Phys Sportsmed 2014; 42(1):88-93. ]
(4) Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med 2014; 44(1):123-40. ]
(5) Shields CA, Needle AR, Rose WC, Swanik CB, Kaminski TW. Effect of elastic taping on postural control deficits in subjects with healthy ankles, copers, and individuals with functional ankle instability. Foot Ankle Int 2013; 34(10):1427-35. ]
(6) Kerkhoffs GM, Struijs PA, Marti RK, Assendelft WJ, Blankevoort L, van Dijk CN. Different functional treatment strategies for acute lateral ankle ligament injuries in adults. Cochrane Database Syst Rev 2002; (3):CD002938. ]
(7) Sultan MJ, McKeown A, McLaughlin I, Kurdy N, McCollum CN. Elastic stockings or Tubigrip for ankle sprain: a randomised clinical trial. Injury 2012; 43(7):1079-83. ]
(8) O’Connor G, Martin AJ. Acute ankle sprain: is there a best support? Eur J Emerg Med 2011; 18(4):225-30. ]
(9) Briem K, Eythörsdöttir H, Magnúsdóttir RG, Pálmarsson R, Rúnarsdöttir T, Sveinsson T. Effects of kinesio tape compared with nonelastic sports tape and the untaped ankle during a sudden inversion perturbation in male athletes. J Orthop Sports Phys Ther 2011; 41(5):328-35. ]
(10) Kemler E, van de Port I, Backx F, van Dijk CN. A systematic review on the treatment of acute ankle sprain: brace versus other functional treatment types. Sports Med 2011; 41(3):185-97. ]
(11) Assal M, Crevoisier X. Acute ankle sprain: which immobilization?]. Article in French] Rev Med Suisse 2009; 5(212):1551-4. ]
(12) Lamb SE, Marsh JL, Hutton JL, Nakash R, Cooke MW; Collaborative Ankle Support Trial (CAST Group). Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. Lancet 2009; 373(9663):575-81. ]
(13) Sacco Ide C, Takahasi HY, Suda EY, Battistella LR, Kavamoto CA, Lopes JA, et al. Ground reaction force in basketball cutting maneuvers with and without ankle bracing and taping. Sao Paulo Med J 2006; 124(5):245-52. ]
(14) van Ochten JM, van Middelkoop M, Meuffels D, Bierma-Zeinstra SM. Chronic complaints after ankle sprains: a systematic review on effectiveness of treatments. J Orthop Sports Phys Ther 2014; 44(11):862-71. ]
(15) Heijnders IL, Lin CW. Treatment of acute ankle sprains: evidence on the use of an ankle brace is unclear. Br J Sports Med 2012; 46(12):852-3. ]
(16) Lardenoye S, Theunissen E, Cleffken B, Brink PR, de Bie RA, Poeze M. The effect of taping versus semi-rigid bracing on patient outcome and satisfaction in ankle sprains: a prospective, randomized controlled trial. BMC Musculoskelet Disord 2012; 13:81. ]
(17) Cooke MW, Marsh JL, Clark M, Nakash R, Jarvis RM, Hutton JL, et al. Treatment of severe ankle sprain: a pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage. The CAST trial. Health Technol Assess 2009; 13(13):iii, ix-x, 1-121. ]
(18) Beynnon BD, Renström PA, Haugh L, Uh BS, Barker H. A prospective, randomized clinical investigation of the treatment of first-time ankle sprains. Am J Sports Med 2006; 34(9):1401-12. ]
(19) Knight AC, Weimar WH. Development of a fulcrum methodology to replicate the lateral ankle sprain mechanism and measure dynamic inversion speed. Sports Biomech 2012; 11(3):402-13. ]
(20) Knight AC, Weimar WH. Effects of previous lateral ankle sprain and taping on the latency of the peroneus longus. Sports Biomech 2012; 11(1):48-56. ]
(21) Refshauge KM, Raymond J, Kilbreath SL, Pengel L, Heijnen I. The effect of ankle taping on detection of inversion-eversion movements in participants with recurrent ankle sprain. Am J Sports Med 2009; 37(2):371-5. ]
(22) Mickel TJ, Bottoni CR, Tsuji G, Chang K, Baum L, Tokushige KA. Prophylactic bracing versus taping for the prevention of ankle sprains in high school athletes: a prospective, randomized trial. J Foot Ankle Surg 2006; 45(6):360-5. ]
(23) Moiler K, Hall T, Robinson K. The role of fibular tape in the prevention of ankle injury in basketball: a pilot study. J Orthop Sports Phys Ther 2006; 36(9):661-8.
