{"id":5421,"date":"2018-07-30T04:00:53","date_gmt":"2018-07-30T07:00:53","guid":{"rendered":"http:\/\/barcainnovationhub.com\/?p=5421"},"modified":"2021-11-23T09:40:05","modified_gmt":"2021-11-23T12:40:05","slug":"classificacio-lesions-musculars","status":"publish","type":"post","link":"https:\/\/barcainnovationhub.com\/ca\/classificacio-lesions-musculars\/","title":{"rendered":"UNA CLASSIFICACI\u00d3 OBJECTIVA PER A LES LESIONS MUSCULARS"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>Una classificaci\u00f3 objectiva i bona milloraria la precisi\u00f3 en el pron\u00f2stic, permetria ajustar el tractament i reduir el risc de re-lesi\u00f3.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[221,37,34,31],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.6.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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19:02:50","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/barcainnovationhub.com\/wp-includes\/images\/media\/default.png","width":1084,"height":610,"sizes":{"thumbnail":"https:\/\/static.capabiliaserver.com\/frontend\/clients\/barca\/wp\/wp-content\/uploads\/2018\/07\/Semedo_lesion_muscular-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/static.capabiliaserver.com\/frontend\/clients\/barca\/wp\/wp-content\/uploads\/2018\/07\/Semedo_lesion_muscular-300x169.jpg","medium-width":300,"medium-height":169,"medium_large":"https:\/\/static.capabiliaserver.com\/frontend\/clients\/barca\/wp\/wp-content\/uploads\/2018\/07\/Semedo_lesion_muscular-768x432.jpg","medium_large-width":768,"medium_large-height":432,"large":"https:\/\/static.capabiliaserver.com\/frontend\/clients\/barca\/wp\/wp-content\/uploads\/2018\/07\/Semedo_lesion_muscular-1024x576.jpg","large-width":1024,"large-height":576,"1536x1536":"https:\/\/static.capabiliaserver.com\/frontend\/clients\/barca\/wp\/wp-content\/uploads\/2018\/07\/Semedo_lesion_muscular.jpg","1536x1536-width":1084,"1536x1536-height":610,"2048x2048":"https:\/\/static.capabiliaserver.com\/frontend\/clients\/barca\/wp\/wp-content\/uploads\/2018\/07\/Semedo_lesion_muscular.jpg","2048x2048-width":1084,"2048x2048-height":610}},"gif":false,"contenido":[{"acf_fc_layout":"bloque_de_texto","bloque_de_texto":"<p>Les lesions musculars s\u00f3n una de les causes m\u00e9s freq\u00fcents de lesions en l\u2019esport. Segons <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21335353\" target=\"_blank\" rel=\"noopener\">alguns estudis<\/a>, un equip de futbol d\u2019elit pot esperar patir cada temporada uns 15 contratemps d\u2019aquest tipus, la qual cosa suposa m\u00e9s de 200 dies de p\u00e8rdua d\u2019entrenament entre tota la plantilla. Malgrat la import\u00e0ncia que aix\u00f2 t\u00e9, <strong>encara no existeix una classificaci\u00f3 objectiva i globalment acceptada<\/strong> que permeti millorar-ne la comprensi\u00f3 i optimitzar-ne el pron\u00f2stic.<\/p>\n<p>Recentment, part de l\u2019equip m\u00e8dic del FC Barcelona, juntament amb el Duke Sports Science Institute dels Estats Units i l\u2019hospital Aspetar de Qatar, ha publicat un <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s40279-016-0647-1\" target=\"_blank\" rel=\"noopener\">article a la revista <em>Sports Medicine<\/em><\/a> que estableix una <strong>nova classificaci\u00f3 basada en quatre punts<\/strong>. Aquesta proposta, que ja s\u2019utilitza actualment al club, facilitar\u00e0 la comunicaci\u00f3 entre els professionals responsables i ajudar\u00e0 en el proc\u00e9s de tractament i rehabilitaci\u00f3.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>De la cl\u00ednica a una nova classificaci\u00f3<\/h2>\n<p>\u201cDurant molt de temps, les lesions musculars s\u2019havien classificat basant-se en la cl\u00ednica (\u00e9s a dir, mitjan\u00e7ant les sensacions de l\u2019esportista i l\u2019exploraci\u00f3 f\u00edsica)\u201d, comenta Xavier Valle, metge del FC Barcelona i primer signant de l\u2019article. \u201cM\u00e9s tard van apar\u00e8ixer les classificacions basades en <a href=\"http:\/\/barcainnovationhub.com\/ca\/diagnostic-per-imatge-medicina-esportiva\/\" target=\"_blank\" rel=\"noopener\">les proves d\u2019imatge<\/a> \u2014com l\u2019ecografia i la resson\u00e0ncia magn\u00e8tica\u2014, que s\u00f3n m\u00e9s objectives. Tot i aix\u00f2, <strong>els protocols d\u2019actuaci\u00f3 no s\u00f3n iguals a tots els clubs i aix\u00f2 dificulta la recerca.<\/strong> Potser per aix\u00f2 no disposem encara d\u2019una classificaci\u00f3 majorit\u00e0riament acceptada\u201d, continua.<\/p>\n<p>En els \u00faltims anys s\u00ed que han aparegut algunes propostes, com la de <a href=\"http:\/\/bjsm.bmj.com\/content\/47\/6\/342\" target=\"_blank\" rel=\"noopener\">Munic<\/a> o el <a href=\"http:\/\/bjsm.bmj.com\/content\/48\/18\/1347\" target=\"_blank\" rel=\"noopener\">sistema brit\u00e0nic<\/a>. Per\u00f2 totes dues inclouen termes ambigus, la qual cosa dificulta fixar-ne el valor verdader i tamb\u00e9 la universalitzaci\u00f3.<\/p>\n<p><strong>Per establir la nova classificaci\u00f3, es va establir un protocol pel qual es va revisar exhaustivament l\u2019evid\u00e8ncia cient\u00edfica disponible<\/strong> (especialment per als m\u00fasculs isquiotibials i recte femoral) i es van concretar diverses reunions per compartir informaci\u00f3 i arribar a un consens i acord entre els tres centres m\u00e8dics implicats.<\/p>\n<blockquote><p>Finalment, es va establir una classificaci\u00f3 basada en quatre punts, seguint un sistema de quatre lletres: MLG-R, que fan refer\u00e8ncia al <strong>(M)<\/strong>ecanisme de la lesi\u00f3, la <strong>(L)<\/strong>ocalitzaci\u00f3, el <strong>(G)<\/strong>rau de lesi\u00f3 i si es tracta o no d\u2019una <strong>(R)<\/strong>e-lesi\u00f3.<\/p><\/blockquote>\n<p>A grans trets, els criteris s\u00f3n els seg\u00fcents:<\/p>\n<ul>\n<li><strong>Mecanisme (M):<\/strong> la lesi\u00f3 pot ser directa (per una contusi\u00f3) o indirecta (per estirament o esprint). En general, les lesions directes acostumen a tenir un pron\u00f2stic millor.<\/li>\n<li><strong>Localitzaci\u00f3:<\/strong> pot situar-se en el ter\u00e7 proximal, mitj\u00e0 o distal del m\u00fascul i estar en relaci\u00f3 amb la uni\u00f3 miotendinosa proximal o distal. Com m\u00e9s a prop es localitzi del tend\u00f3, pitjor ser\u00e0 el pron\u00f2stic.<\/li>\n<li><strong>Grau de severitat:<\/strong> numerat del 0 al 3 segons la quantitat d\u2019edema o desestructuraci\u00f3 de fibres musculars observada mitjan\u00e7ant resson\u00e0ncia magn\u00e8tica.<\/li>\n<li><strong>Re-lesi\u00f3:<\/strong> si es tracta d\u2019un primer episodi, el pron\u00f2stic \u00e9s millor. Empitjora com m\u00e9s alt \u00e9s el nombre de lesions pr\u00e8vies en la mateixa zona.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u201cEn general, les quatre lletres intenten quantificar la quantitat de teixit connectiu afectat\u201d, precisa Valle. (El teixit connectiu \u00e9s una mena de matriu en qu\u00e8 es disposen les c\u00e8l\u00b7lules musculars i que \u00e9s fonamental en la transmissi\u00f3 de forces i en la funci\u00f3 del m\u00fascul). Per\u00f2, tot i que aquests criteris ja s\u2019utilitzen, encara se n\u2019ha d\u2019avaluar el valor. \u201cAquest \u00e9s el seg\u00fcent pas\u201d, confirma l\u2019especialista. \u201cJa disposem d\u2019una mostra amb m\u00e9s de cent casos que ens permetran comprovar-ho\u201d.<\/p>\n<p>&nbsp;<\/p>\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, dissenyat per Gil Rodas<\/a><\/h4>\n<p>&nbsp;<\/p>\n<p>En tot cas, la proposta \u00e9s flexible i necess\u00e0riament ha de romandre \u201cviva\u201d, oberta al nou coneixement que pugui arribar. \u201cAnirem millorant la recerca i arribant a conclusions m\u00e9s s\u00f2lides\u201d, afirma Valle. De moment, la classificaci\u00f3 es basa gaireb\u00e9 exclusivament en dades procedents de proves d\u2019imatge, no de la cl\u00ednica. \u201cEstem valorant tamb\u00e9 si podrien incorporar-se criteris com el percentatge de p\u00e8rdua de for\u00e7a per la lesi\u00f3 o el temps transcorregut fins a poder caminar sense dolor, per\u00f2 de moment no hi ha evid\u00e8ncies clares\u201d.<\/p>\n<p>A dia d\u2019avui, les proves d\u2019imatge no s\u00f3n suficients (<a href=\"http:\/\/barcainnovationhub.com\/ca\/diagnostic-per-imatge-medicina-esportiva\/\">no sembla que siguin \u00fatils<\/a>) per decidir el moment de tornada a la competici\u00f3, per\u00f2 Valle t\u00e9 clar que una classificaci\u00f3 objectiva i bona \u201cmilloraria la precisi\u00f3 en el pron\u00f2stic, permetria ajustar el tractament i reduir el risc de re-lesi\u00f3\u201d.<\/p>\n<p>No \u00e9s poca cosa.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>L&#8217;equip de Bar\u00e7a Innovation Hub<\/em><\/strong><\/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":"","banner_1":[{"activar_imagen_unica_para_banner":true,"imagen_unica_para_banner":"https:\/\/static.capabiliaserver.com\/frontend\/clients\/barca\/wp_prod\/wp-content\/uploads\/2021\/06\/ab9aa8d7-fondo-10.png","activar_titulo_banner":true,"titulo_banner":"APUNTA\u2019T AL CERTIFICAT EN METGE D\u2019EQUIP \u2013 CONCEPTES ESSENCIALS","activar_subtitulo_banner":false,"subtitulo_banner":"","activar_cta_banner":true,"cta_texto_banner":"UNIR-SE ARA","cta_url_banner":"https:\/\/barcainnovationhub.com\/ca\/product\/certificat-en-metge-dequip-conceptes-essencials\/?utm_source=ads_banner&utm_medium=content&utm_campaign=notas","color_fondo_banner":"","imagen_fondo_banner":false,"activar_imagen_izquierda_banner":false,"imagen_izquierda_banner":false}],"activar_nuevos_banners":true,"activar_banner_1":false,"mostrar_banner_1":true,"crear_banner_1":{"utilizar_imagen_unica_para_banner":true,"asignar_imagen_unica_para_banner":"https:\/\/barcainnovationhub.com\/wp-content\/uploads\/2021\/11\/509747c4-fondo-01-sports-tomorrow.png","mostrar_titulo_banner":true,"titulo_para_banner":"APUNTA\u2019T AL CERTIFICAT EN METGE D\u2019EQUIP \u2013 CONCEPTES ESSENCIALS","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\/certificat-en-metge-dequip-conceptes-essencials\/?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\/5421"}],"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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/comments?post=5421"}],"version-history":[{"count":5,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/5421\/revisions"}],"predecessor-version":[{"id":109419,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/posts\/5421\/revisions\/109419"}],"wp:attachment":[{"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/media?parent=5421"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/categories?post=5421"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/barcainnovationhub.com\/ca\/wp-json\/wp\/v2\/tags?post=5421"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}