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INJURIES IN AEROBIC EXERCISE: CAUSES AND PREVENTIONS

LESÕES NO EXERCÍCIO AERÓBICO: CAUSAS E PREVENÇÃO

LESIONES EN EL EJERCICIO AERÓBICO: CAUSAS Y PREVENCIÓN

ABSTRACT

Introduction:

Professional aerobic exercises require high performance from exercisers. Injuries are common during their execution. Understanding the causal reasons is essential for prevention methods to reduce athletes’ injuries.

Objective:

Investigate the influential factors of ligament injuries caused by aerobic exercise.

Methods:

This paper analyzes the injuries caused by aerobic exercise through mathematical statistics. Time, course, degree of injury, location of the injury, cause, early treatment time, primary approach, treatment methods, recovery conditions, and speed in recovery time of sports injuries were investigated.

Results:

Injuries are mainly concentrated at the hip, knee, and ankle joint level; sprains are the first injuries, followed by muscle strains, lower back muscle contractures, kneecap deformities, and joint ligament injuries. The leading causes of injuries were poor warm-up, excessive load, technical errors, and fatigue.

Conclusion:

Various physiotherapy methods can improve the recovery rate from ligament injuries. This method can also improve sports ligament injuries’ prevention and treatment effects. Evidence Level II; Therapeutic Studies - Investigating the result.

Keywords:
Gymnastics; Exercise; Anterior Cruciate Ligament Injuries; Sports

RESUMO

Introdução:

Exercícios aeróbicos profissionais exigem alto rendimento dos praticantes e as lesões são comuns durante suas execuções. É essencial compreender as razões causais para fornecer métodos de prevenção no intuito de reduzir as lesões nos atletas.

Objetivo:

Analisar os fatores que influenciam as lesões ligamentares causadas pelo exercício aeróbico.

Métodos:

O artigo analisa os fatores das lesões esportivas causadas por exercícios de aeróbica através de estatísticas matemáticas. Foram investigados o tempo, curso, grau de lesão, localização da lesão, causa, tempo de tratamento precoce, abordagem primária, métodos de tratamento, condições de recuperação e velocidade no tempo de recuperação das lesões esportivas.

Resultados:

As lesões concentram-se principalmente a nível de quadril, articulações do joelho e tornozelo; entorses são as primeiras lesões, seguidas por estiramentos musculares, contraturas da musculatura lombar, deformações da rótula e lesões nos ligamentos articulares. As principais causas das lesões foram aquecimento precário, carga excessiva, erros técnicos e fadiga.

Conclusão:

Vários métodos de fisioterapia podem melhorar a taxa de recuperação das lesões ligamentares. Esse método também pode melhorar os efeitos de prevenção e tratamento das lesões ligamentares esportivas. Nível de evidência II; Estudos Terapêuticos - Investigação de Resultados.

Descritores:
Ginástica; Exercício Físico; Lesões do Ligamento Cruzado Anterior; Esportes

Resumen

Introducción:

Los ejercicios aeróbicos profesionales exigen un alto rendimiento de los practicantes y las lesiones son frecuentes durante sus ejecuciones. Es esencial comprender las razones causales para proporcionar métodos de prevención con el fin de reducir las lesiones en los deportistas.

Objetivo:

Analizar los factores que influyen en las lesiones de ligamentos causadas por el ejercicio aeróbico.

Métodos:

El artículo analiza los factores de las lesiones deportivas causadas por el ejercicio aeróbico mediante la estadística matemática. Se investigó el tiempo, la evolución, el grado de la lesión, la localización de la misma, la causa, el tiempo de tratamiento temprano, el enfoque primario, los métodos de tratamiento, las condiciones de recuperación y la velocidad en el tiempo de recuperación de las lesiones deportivas.

Resultados:

Las lesiones se concentran principalmente a nivel de las articulaciones de la cadera, la rodilla y el tobillo; los esguinces son las primeras lesiones, seguidas de las distensiones musculares, las contracturas de los músculos lumbares, las deformidades de la rótula y las lesiones de los ligamentos articulares. Las principales causas de las lesiones fueron el mal calentamiento, la carga excesiva, los errores técnicos y la fatiga.

Conclusión:

Varios métodos de fisioterapia pueden mejorar la tasa de recuperación de las lesiones de ligamentos. Este método también puede mejorar los efectos de la prevención y el tratamiento de las lesiones de los ligamentos deportivos. Nivel de evidencia II; Estudios terapéuticos - Investigación de resultados.

Descriptores:
Gimnasia; Ejercicio Físico; Lesiones del Ligamento Cruzado Anterior; Deportes

INTRODUCTION

Skeletal muscles are important joints for human movement and activities. Skeletal muscles ensure that the human body can bend over, stretch legs, sit down and walk upright. However, the human skeletal muscle detaches from the acetabulum and pushes towards the lower part of the joint capsule.11 Koller A, Schobersberger W. Comment on: “Revised approach to the role of fatigue in anterior cruciate ligament injury prevention: a systematic review with meta-analyses”. Sports Medicine. 2019;49(8):1303-4. If the external force acts on the knee joint from the front and then travels along the femur to the femoral head, it is very easy to cause skeletal muscle dislocation and injury. Studying the force characteristics of skeletal muscle in aerobics exercise and analyzing its influence on ligament injury can guide the treatment of aerobics exercise muscle and ligament injury. We apply computer perception technology to analyze human aerobics sports behaviors to realize accurate analysis and recognition of human aerobics sports behaviors, especially through the force decomposition and feature extraction of human body aerobics exercise behavior.

The positioning of the arc trajectory of the aerobics arm movement is based on the image feature extraction and edge feature analysis of the aerobics arm movement. Most scholars build aerobics arm motion image collection and information processing models. Combining edge feature decomposition and information fusion method for image feature analysis and optimization extraction of aerobics arm action.22 Butler CR, Allen K, DiStefano LJ, Lepley LK. Protracted Cardiovascular Impairments After Anterior Cruciate Ligament Injury: A Critically Appraised Topic. Journal of sport rehabilitation. 2019;29(5):680-3. We use corner information detection and ambiguity noise reduction analysis methods to achieve optimal detection and recognition of aerobics arm motion images. In the traditional method, the trajectory positioning method of the moving image of the aerobics arm mainly includes the Harris corner tracking and recognition method, the video tracking video method, and so on. Combine feature point positioning and recognition to realize the aerobics arm movement trajectory positioning. However, the traditional method for aerobics arm movement trajectory positioning is not well-adapted, and the feature recognition ability is weak.

We use miniature low-power sensors for feature extraction in human body aerobics exercises, extracting relevant information from the data.33 Guan X, Xu Y, Liu Z, Zhang L, Bai Y. Nano-ligament combined with sports rehabilitation training on treatment effect of patients with ligament injury. Ferroelectrics. 2021;580(1):1-14. In this way, accurate quantitative analysis and simulation of aerobics exercises and force-generating patterns of different body parts in the process of human aerobics exercises are realized. Finally, it can improve the effectiveness and pertinence in the training of aerobics athletes and the treatment of aerobics sports injuries.

METHOD

Research object

In this paper, there are 13 cases of ligament injury caused by skeletal muscle exercises in aerobics. There were 3 females and 10 males, with an average age of (28±9.5) years. The admission period is from September 2019 to January 2020. We use computer simulation and medical clinical tracking methods to analyze the force characteristics of skeletal muscles in aerobics exercises.44 Rostami KD, Naderi A, Thomas A. Hip abductor and adductor muscles activity patterns during landing after anterior cruciate ligament injury. Journal of sport rehabilitation. 2019;28(8):871-6. We analyze the therapeutic effect of this method on ligament injury.

Construction and mathematical analysis of aerobics skeletal muscle force characteristic analysis model

Aerobics exercise fatigue refers to the phenomenon that the body’s functions are unbalanced or impaired due to excessive use of body resources during aerobics exercises. Therefore, fatigue is caused by the corresponding attenuation or weakening of the functions of the tissues and organs. Fatigue can affect the various systems of the body.55 Benjaminse A, Webster KE, Kimp A, Meijer M, Gokeler A. Revised approach to the role of fatigue in anterior cruciate ligament injury prevention: a systematic review with meta-analyses. Sports medicine. 2019;49(4):565-86. Aerobics exercise-induced muscle fatigue is a physiological phenomenon in which the muscle contraction caused by exercise produces the maximum active contraction force or the maximum output power temporarily decreases. This paper constructs an analysis model of the skeletal muscle force characteristics of aerobics. According to the accelerometer worn by the aerobics, the mechanical characteristics of the force exerted and the muscle force is quantitatively analyzed and judged for the patients with ligament strain in the aerobics exercise. At the same time, it can also identify the force and action characteristics of the skeletal muscles in aerobics exercises.

We use the acceleration sensor worn on the crotch to collect the raw data of the motion characteristics of the human body under several actions such as running, standing still, walking, and jumping.66 Umutlu G, Arinli Y. Segmental Musculoskeletal Examinations of Injured Adolescent Ballet Dancers Mimic a Decreased Strength, Anaerobic Power and Endurance Performance. International Journal of Disabilities Sports and Health Sciences. 2020;4(1):45-53. Two acceleration sensors are selected, and the missing data functional algorithm based on RFID is used to analyze the force characteristics and behavior decomposition of skeletal muscles. First, the feature extraction of human motion behavior is required. The most important step in designing the decomposition model of human motion force behavior based on the probability function of RFID missing data is to extract the characteristics of human motion behavior. In the force analysis of human motion behavior, the association relationship between multi-sensor information requires joint feature extraction. There is a N x N size characteristic component of the arc trajectory of the aerobics arm motion image in the radian trajectory information sampling model of the aerobics arm motion image. Let Rt be the local gray-scale feature value of the image at time t. R0 is the contour offset component. Perform aerobics arm motion arc trajectory tracking detection in the Ridgelet domain to get the aerobics arm motion arc trajectory detection output as:

(1) m i = c i + t i u + ( R t + R 0 )

ci The multi-scale wavelet decomposition method is used to filter and analyze the collected aerobics arm motion images. u means to construct the sub-block area [77 Buckthorpe M, Della Villa F, Della Villa S, Roi GS. On-field rehabilitation Part 1: 4 pillars of high-quality on-field rehabilitation are restoring movement quality, physical conditioning, restoring sport-specific skills, and progressively developing chronic training load. Journal Of Orthopaedic & Sports Physical Therapy. 2019;49(8):565-9.]. According to the contour characteristics of the aerobics arm, the regularized equation of the image fusion of the arc trajectory of the aerobics arm is obtained:

(2) K ψ = y 0 K i + d + ψ <

ki represents the arc trajectory positioning method of aerobics. It is said that ψ is the similarity information of images in d dimensional space.88 Pardiwala DN, Subbiah K, Rao N, Modi R. Badminton injuries in elite athletes: A review of epidemiology and biomechanics. Indian Journal of Orthopaedics. 2020;54(3):237-45. We use the corner detection method to obtain the edge contour feature quantity of the arc trajectory of the aerobics arm movement as:

(3) N i = { i [ sin 1 θ ] 2 ( π d = 2 θ ) r }

Here, the Euclidean distance between the corner points of the arc trajectory of the aerobics arm movement of d = 2, we use [sin-1 ϴ]2 to describe. r is a constant. The Euclidean distance is used to realize the point positioning and recognition of the arc trajectory of the aerobics arm movement.99 Thompson XD, DiAntonio B. Returning a Division I Hurdler to Sport After Multiple Knee Ligament Injuries. International Journal of Athletic Therapy and Training. 2020;26(1):26-31. In this way, the edge contour feature set of the arc trajectory of the aerobics arm action is obtained as:

(4) R i = 1 γ i j Ω g j d ( A 1 + A g + A b )

We reconstruct the edge contour feature of aerobics arm movement arc trajectory sequence component Ar, Ag, Ab. In this way, the feature analysis model of the arc trajectory tracking and recognition of the aerobics arm movement is obtained:

(5) A = lim δ x 0 + b k , t = A g

According to the multi-scale contour edge feature extraction results. limδx0 uses the scale decomposition method.1010 Buckthorpe M, Della Villa F, Della Villa S, Roi GS. On-field rehabilitation part 2: A 5-stage program for the soccer player focused on linear movements, multidirectional movements, soccer-specific skills, soccer-specific movements, and modified practice. Journal Of Orthopaedic & Sports Physical Therapy. 2019;49(8):570-5. We use k, t to represent the arc trajectory tracking and positioning recognition of the arm movement in aerobics.

RESULTS

Ligament injury is one of the important diseases of aerobics sports injury. The leading factor is usually due to the unbalanced force of the skeletal muscles in the aerobics exercise. Therefore, it is necessary to analyze the force characteristics of skeletal exercise muscles.1111 Hassmannová K, Pavlů D, Nováková T. Most common injuries of the musculoskeletal system among children of elementary school age who engage in gymnastic sports (aerobics, artistic or rhythmic gymnastics) at an elite level. AUC Kinanthropologica. 2019;55(1):10-20. Assume that m data are missing in the acceleration sensor and RFID channel in collecting human motion characteristics. Therefore, we need to modify the original forward variable. We adopt anti-aerobics kinematics transformation to obtain the trajectory matching mode of Wiener space and force state space. Use ϴi (i = 1,2,…, 6) to represent the multi-information feature fusion value of the force behavior of the skeletal muscle in aerobics exercise.1212 Alanazi AD, Mitchell K, Roddey T, Alenazi AM, Alzhrani MM, Almansour AM et al. The effects of a high-intensity exercise bout on landing biomechanics post anterior cruciate ligament reconstruction: a quasi-experimental study. BMC Sports Science, Medicine and Rehabilitation. 2021;13(1):1-8.Figure 1 shows the characteristic tension model of the skeletal muscle force of different patients’ aerobics exercises through the school model construction.

Figure 1
The skeletal muscle force characteristic tension model of aerobics exercise.

It can be seen from Figure 1 that the muscles have not recovered in the tonic contraction curve of the skeletal muscles in aerobics exercises. At this time, a new record will be generated and cyclically become a continuous muscle response. According to the above research on the characteristics of skeletal muscle stress in aerobics exercise and analyze its influence on ligament injury, guide the aerobics exercise muscle and ligament injury treatment.1313 Ghorbani M, Babakhani F. Comparing the Kinematics of the Lower Limb Joints in Jump-Landing Maneuver Among Soccer Players with and Without Histories of Anterior Cruciate Ligament Reconstruction. Physical Treatments-Specific Physical Therapy Journal. 2020;10(3):177-84. In this way, the clinical treatment guidance analysis results for the still-pending injury are shown in Table 1.

Table 1
Analysis of skeletal muscle force characteristics and treatment results of different patients’ aerobics exercises.

DISCUSSION

The analysis of the above results shows that if the model in this paper is used, it can effectively realize the analysis of the force characteristics of the skeletal muscle in aerobics exercise. At the same time, this method can realize effective treatment guidance for ligament injuries.1414 Desai N, Vance DD, Rosenwasser MP, Ahmad CS. Artistic gymnastics injuries; epidemiology, evaluation, and treatment. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2019;27(13):459-67. Analyzing the results in Table 1 and the above simulation results, it can be seen that the use of this model to analyze the skeletal muscle force characteristics of aerobics exercise can effectively decompose the muscle force model of the patient’s aerobics exercise injury. At the same time, the method can guide ligament injury treatment and improve the recovery rate of ligament injury.

In this paper, the force decomposition and feature extraction of human body aerobics sports behavior.1515 Tayfur B, Charuphongsa C, Morrissey D, Miller SC. Neuromuscular function of the knee joint following knee injuries: does it ever get back to normal? A systematic review with meta-analyses. Sports Medicine. 2021;51(2):321-38. At the same time, we use miniature low-power sensors for feature extraction, reasoning, or recognition in the process of human body aerobics exercise. In this way, human body aerobics’ action types and behavior patterns can be quantitatively analyzed from the perspective of data information processing and information perception. At this time, the relevant information is extracted and expressed. This method realizes the accurate quantitative analysis and simulation of the aerobics exercise and force generation mode of different body parts in the process of human aerobics exercise. This method improves the effectiveness and pertinence in the training of aerobics athletes and the treatment of aerobics sports injuries.

CONCLUSION

Using this method to analyze the skeletal muscle force characteristics of aerobics exercise can effectively decompose the muscle force model of the patient’s aerobics exercise injury. This method guides ligament injury treatment, improves the recovery rate of ligament injury, and improves the prevention and treatment effect of a ligament injury in aerobics sports.

REFERENCES

  • 1
    Koller A, Schobersberger W. Comment on: “Revised approach to the role of fatigue in anterior cruciate ligament injury prevention: a systematic review with meta-analyses”. Sports Medicine. 2019;49(8):1303-4.
  • 2
    Butler CR, Allen K, DiStefano LJ, Lepley LK. Protracted Cardiovascular Impairments After Anterior Cruciate Ligament Injury: A Critically Appraised Topic. Journal of sport rehabilitation. 2019;29(5):680-3.
  • 3
    Guan X, Xu Y, Liu Z, Zhang L, Bai Y. Nano-ligament combined with sports rehabilitation training on treatment effect of patients with ligament injury. Ferroelectrics. 2021;580(1):1-14.
  • 4
    Rostami KD, Naderi A, Thomas A. Hip abductor and adductor muscles activity patterns during landing after anterior cruciate ligament injury. Journal of sport rehabilitation. 2019;28(8):871-6.
  • 5
    Benjaminse A, Webster KE, Kimp A, Meijer M, Gokeler A. Revised approach to the role of fatigue in anterior cruciate ligament injury prevention: a systematic review with meta-analyses. Sports medicine. 2019;49(4):565-86.
  • 6
    Umutlu G, Arinli Y. Segmental Musculoskeletal Examinations of Injured Adolescent Ballet Dancers Mimic a Decreased Strength, Anaerobic Power and Endurance Performance. International Journal of Disabilities Sports and Health Sciences. 2020;4(1):45-53.
  • 7
    Buckthorpe M, Della Villa F, Della Villa S, Roi GS. On-field rehabilitation Part 1: 4 pillars of high-quality on-field rehabilitation are restoring movement quality, physical conditioning, restoring sport-specific skills, and progressively developing chronic training load. Journal Of Orthopaedic & Sports Physical Therapy. 2019;49(8):565-9.
  • 8
    Pardiwala DN, Subbiah K, Rao N, Modi R. Badminton injuries in elite athletes: A review of epidemiology and biomechanics. Indian Journal of Orthopaedics. 2020;54(3):237-45.
  • 9
    Thompson XD, DiAntonio B. Returning a Division I Hurdler to Sport After Multiple Knee Ligament Injuries. International Journal of Athletic Therapy and Training. 2020;26(1):26-31.
  • 10
    Buckthorpe M, Della Villa F, Della Villa S, Roi GS. On-field rehabilitation part 2: A 5-stage program for the soccer player focused on linear movements, multidirectional movements, soccer-specific skills, soccer-specific movements, and modified practice. Journal Of Orthopaedic & Sports Physical Therapy. 2019;49(8):570-5.
  • 11
    Hassmannová K, Pavlů D, Nováková T. Most common injuries of the musculoskeletal system among children of elementary school age who engage in gymnastic sports (aerobics, artistic or rhythmic gymnastics) at an elite level. AUC Kinanthropologica. 2019;55(1):10-20.
  • 12
    Alanazi AD, Mitchell K, Roddey T, Alenazi AM, Alzhrani MM, Almansour AM et al. The effects of a high-intensity exercise bout on landing biomechanics post anterior cruciate ligament reconstruction: a quasi-experimental study. BMC Sports Science, Medicine and Rehabilitation. 2021;13(1):1-8.
  • 13
    Ghorbani M, Babakhani F. Comparing the Kinematics of the Lower Limb Joints in Jump-Landing Maneuver Among Soccer Players with and Without Histories of Anterior Cruciate Ligament Reconstruction. Physical Treatments-Specific Physical Therapy Journal. 2020;10(3):177-84.
  • 14
    Desai N, Vance DD, Rosenwasser MP, Ahmad CS. Artistic gymnastics injuries; epidemiology, evaluation, and treatment. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2019;27(13):459-67.
  • 15
    Tayfur B, Charuphongsa C, Morrissey D, Miller SC. Neuromuscular function of the knee joint following knee injuries: does it ever get back to normal? A systematic review with meta-analyses. Sports Medicine. 2021;51(2):321-38.

Publication Dates

  • Publication in this collection
    13 May 2022
  • Date of issue
    Sep-Oct 2022

History

  • Received
    28 Jan 2022
  • Accepted
    11 Feb 2022
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