{"id":21443,"date":"2019-04-25T10:05:13","date_gmt":"2019-04-25T13:05:13","guid":{"rendered":"https:\/\/barcainnovationhub.com\/?p=21443"},"modified":"2021-11-24T14:22:32","modified_gmt":"2021-11-24T17:22:32","slug":"ressonancia-magnetica-i-lesions-musculars","status":"publish","type":"post","link":"https:\/\/barcainnovationhub.com\/ca\/ressonancia-magnetica-i-lesions-musculars\/","title":{"rendered":"RESSON\u00c0NCIA MAGN\u00c8TICA I LESIONS MUSCULARS: UNA AN\u00c0LISI DE LES CLASSIFICACIONS DISPONIBLES"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>Les lesions musculars representen m\u00e9s del 30% de les lesions esportives. Tant \u00e9s aix\u00ed que un equip de futbol professional pot esperar-se una mitjana de 15 contratemps d\u2019aquest tipus per temporada<\/p>\n","protected":false},"author":24,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[221,43,43,31,18],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.6.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<meta name=\"description\" content=\"Les lesions musculars representen m\u00e9s del 30% de les lesions esportives. 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Tant \u00e9s aix\u00ed que un equip de futbol professional pot esperar-se una mitjana de 15 contratemps d\u2019aquest tipus per temporada, els quals suposen una p\u00e8rdua de m\u00e9s de 200 dies \u00fatils d\u2019entrenament i competici\u00f3. A m\u00e9s de treballar en la prevenci\u00f3, \u00e9s fonamental establir un diagn\u00f2stic correcte que aconsegueixi minimitzar-ne les repercussions. Aquest diagn\u00f2stic permet determinar la gravetat i el tipus de tractament m\u00e9s convenient, i tamb\u00e9 orientar sobre el per\u00edode de baixa i el risc de repetici\u00f3 de la lesi\u00f3.<\/p>\n<p>Una eina molt \u00fatil en el proc\u00e9s s\u00f3n <a href=\"https:\/\/barcainnovationhub.com\/ca\/diagnostic-per-imatge-medicina-esportiva\/\" target=\"_blank\" rel=\"noopener\">les proves d\u2019imatge<\/a>, tant l\u2019ecografia com la resson\u00e0ncia magn\u00e8tica. D\u2019aquesta darrera, la m\u00e9s precisa i resolutiva, se n\u2019han proposat en els \u00faltims anys <a href=\"https:\/\/barcainnovationhub.com\/ca\/classificacio-lesions-musculars\/\" target=\"_blank\" rel=\"noopener\">tres classificacions diferents<\/a>: la classificaci\u00f3 de Munic, el sistema brit\u00e0nic i la m\u00e9s recent, la classificaci\u00f3 del <a href=\"https:\/\/barcainnovationhub.com\/ca\/classificacio-lesions-musculars\/\" target=\"_blank\" rel=\"noopener\">FC<\/a><a href=\"https:\/\/barcainnovationhub.com\/ca\/classificacio-lesions-musculars\/\" target=\"_blank\" rel=\"noopener\"> Barcelona-Aspetar<\/a>. Totes tres categoritzen i acoten els diferents tipus i graus de lesi\u00f3, i n\u2019ajuden a establir el diagn\u00f2stic i el pron\u00f2stic. Tanmateix, els criteris de cada classificaci\u00f3 s\u00f3n diferents i s\u2019originen discrep\u00e0ncies. A m\u00e9s, encara no hi ha proves s\u00f2lides de la seva validesa i utilitat.<\/p>\n<p>Per avaluar millor aquestes classificacions, un equip de metges i radi\u00f2legs que col\u00b7laboren amb el FC Barcelona n\u2019han analitzat la utilitat a l\u2019hora de valorar el pron\u00f2stic i el temps de baixa dels jugadors lesionats a la primera plantilla de futbol del club durant un any. En publiquen els resultats i les conclusions a la revista <a href=\"https:\/\/healthmanagement.org\/c\/hospital\/issuearticle\/critical-analysis-of-mri-based-classification-systems-for-sport-muscle-injuries\" target=\"_blank\" rel=\"noopener\">healthmanagement.org.<\/a><\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Una an\u00e0lisi de les classificacions <\/strong><\/h2>\n<p>Durant la temporada 2017\/18 es van produir vuit lesions musculars a la primera plantilla del club. A tots els jugadors lesionats se\u2019ls va dur a terme una prova de resson\u00e0ncia magn\u00e8tica a les primeres 24-48 hores despr\u00e9s de la lesi\u00f3; passat un temps variable, tots van tornar a la competici\u00f3 sense recaigudes. \u201cL\u2019estudi va consistir a avaluar la capacitat de cadascuna de les tres classificacions per predir el temps de baixa\u201d, explica Jaime Isern, radi\u00f2leg col\u00b7laborador de l\u2019Hospital Cl\u00ednic de Barcelona i dels serveis m\u00e8dics del club. S\u2019observen algunes difer\u00e8ncies, per\u00f2 \u201cla classificaci\u00f3 FC Barcelona-Aspetar \u00e9s la m\u00e9s recent i la m\u00e9s completa perqu\u00e8 introdueix conceptes com el mecanisme i la localitzaci\u00f3 de la lesi\u00f3; tot i aix\u00f2, quan analitza els casos disponibles, a vegades sobreestima el temps de baixa\u201d, resumeix Isern.<\/p>\n<p>\u201c\u00c9s la classificaci\u00f3 que utilitzem en el dia a dia\u201d, comenta Sandra Mech\u00f3, radi\u00f2loga dels serveis m\u00e8dics del club i de l\u2019Hospital de Barcelona. \u201cEntre els avantatges es troben la senzillesa de la categoritzaci\u00f3, que permet valorar la localitzaci\u00f3, i la possibilitat de determinar si hi ha <a href=\"https:\/\/barcainnovationhub.com\/ca\/lesions-musculars-matriu-extracellular\/\" target=\"_blank\" rel=\"noopener\">una afectaci\u00f3 significativa del teixit connectiu<\/a>\u201d, completa.<\/p>\n<p>No obstant aix\u00f2, i malgrat les virtuts que t\u00e9, encara ofereix una certa variabilitat respecte al temps de baixa i no prediu amb exactitud la tornada a la competici\u00f3. Aix\u00f2 ara mateix es basa en l\u2019avaluaci\u00f3 cl\u00ednica i els tests de camp a partir d\u2019an\u00e0lisis amb GPS. Per millorar-ne la utilitat, els autors proposen introduir variacions en la classificaci\u00f3. Les principals s\u00f3n les seg\u00fcents:<\/p>\n<ul>\n<li>Considerar amb m\u00e9s detall la quantitat de teixit connectiu afectat, ja que <a href=\"https:\/\/barcainnovationhub.com\/ca\/lesions-musculars-matriu-extracellular\/\" target=\"_blank\" rel=\"noopener\">els \u00faltims estudis indiquen que t\u00e9 una gran import\u00e0ncia en la recuperaci\u00f3<\/a>. Per aix\u00f2 proposen determinar si hi ha afectaci\u00f3 del tend\u00f3 lliure, el tend\u00f3 intramuscular o el teixit connectiu intramuscular, i tamb\u00e9 valorar-ne el gruix.<\/li>\n<li>Establir uns criteris individualitzats per a cada grup muscular (la classificaci\u00f3 de Barcelona es va establir, b\u00e0sicament, a partir de lesions als isquiotibials i al recte femoral).<\/li>\n<li>Comprovar si hi ha una cicatriu anterior a la zona (no nom\u00e9s si es tracta d\u2019una repetici\u00f3 recent de la lesi\u00f3, com es fa ara).<\/li>\n<li>Tenir en compte la direcci\u00f3 del trencament.<\/li>\n<li>No considerar m\u00e9s l\u2019edema i l\u2019acumulaci\u00f3 de l\u00edquid intermuscular com a factors importants, perqu\u00e8 en cap cas no prediuen l\u2019evoluci\u00f3.<\/li>\n<\/ul>\n<h4><a href=\"http:\/\/barcainnovationhub.com\/ca\/product\/certificat-en-metge-dequip-conceptes-essencials\/\" target=\"_blank\" rel=\"noopener\">Apunta\u2019t al Certificat en Metge d\u2019Equip \u2013 Conceptes essencials<\/a><\/h4>\n<p>&nbsp;<\/p>\n<h2><strong>Conclusions<\/strong><\/h2>\n<p>Les classificacions que defineixen la gravetat i el pron\u00f2stic de les lesions musculars a partir de les imatges de resson\u00e0ncia magn\u00e8tica ajuden els professionals a orientar el tipus de tractament i a fer una estimaci\u00f3 del temps de baixa. No obstant aix\u00f2, la complexitat dels teixits i les peculiaritats de cada m\u00fascul fan que no siguin infal\u00b7libles i, de moment, no s\u00f3n suficients per detallar els terminis amb tota fiabilitat.<\/p>\n<p>De les tres classificacions disponibles, la m\u00e9s completa i \u00fatil sembla la del FC Barcelona-Aspetar, per\u00f2 les investigacions continuen. \u201cEn aquests moments estem analitzant les lesions musculars diagnosticades i tractades al club durant les darreres tres temporades. Volem comprovar que els par\u00e0metres i les variacions suggerides s\u00f3n una aut\u00e8ntica millora\u201d, conclou Mech\u00f3.<\/p>\n<p>&nbsp;<\/p>\n<p><em>L\u2019equip Bar\u00e7a Innovation Hub<\/em><\/p>\n"}],"activar_banner_2":false,"banner_2":false,"activar_banner_3":false,"banner_3":false,"id_magento":"","colaboradores":false,"cta_titulo_top":"","cta_boton_top":"","cta_url_top":"","cta_titulo_footer":"","cta_subtitulo_footer":"","cta_boton_footer":"","cta_url_footer":"","activar_banner_1":false,"banner_1":false,"activar_nuevos_banners":true,"mostrar_banner_1":true,"crear_banner_1":{"utilizar_imagen_unica_para_banner":true,"asignar_imagen_unica_para_banner":"https:\/\/static.capabiliaserver.com\/frontend\/clients\/barca\/wp_prod\/wp-content\/uploads\/2021\/03\/091d8325-fondo-02-3.png","mostrar_titulo_banner":true,"titulo_para_banner":"APUNTA\u2019T AL FISIOTER\u00c0PIA I READAPTACI\u00d3 EN LESIONS MUSCULARS AL FUTBOL","mostrar_subtitulo_banner":false,"subtitulo_del_banner":"","mostrar_cta_banner":true,"texto_cta_banner":"UNIR-SE ARA","url_cta_banner":"https:\/\/barcainnovationhub.com\/ca\/product\/readaptacio-lesions-musculars-futbol\/?utm_source=ads_banner&utm_medium=content&utm_campaign=notas","fondo_de_color_banner":"","fondo_de_imagen_banner":false,"mostrar_imagen_izquierda_banner":false,"asignar_imagen_izquierda_banner":false},"mostrar_banner_2":false,"crear_banner_2":{"utilizar_imagen_unica_para_banner":false,"asignar_imagen_unica_para_banner":false,"mostrar_titulo_banner":false,"titulo_para_banner":"","mostrar_subtitulo_banner":false,"subtitulo_del_banner":"","mostrar_cta_banner":false,"texto_cta_banner":"","url_cta_banner":"","fondo_de_color_banner":"","fondo_de_imagen_banner":false,"mostrar_imagen_izquierda_banner":false,"asignar_imagen_izquierda_banner":false},"mostrar_banner_3":false,"crear_banner_3":{"utilizar_imagen_unica_para_banner":false,"asignar_imagen_unica_para_banner":false,"mostrar_titulo_banner":false,"titulo_para_banner":"","mostrar_subtitulo_banner":false,"subtitulo_del_banner":"","mostrar_cta_banner":false,"texto_cta_banner":"","url_cta_banner":"","fondo_de_color_banner":"","fondo_de_imagen_banner":false,"mostrar_imagen_izquierda_banner":false,"asignar_imagen_izquierda_banner":false},"alineacion_vertical_header":"center"},"_links":{"self":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/21443"}],"collection":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/comments?post=21443"}],"version-history":[{"count":5,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/21443\/revisions"}],"predecessor-version":[{"id":110138,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/21443\/revisions\/110138"}],"wp:attachment":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/media?parent=21443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/categories?post=21443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/tags?post=21443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}