INSERTIONAL TENDINOPATIES IN ATHLETES: CLMICAL BIOMECHANICS AND MORPHOLOGICAL CORRELATIONS

Abstract

The aim of the study was to investigate the biomechanics aspects of some mecystatisis technics utilized to re-equilibrate the kinetics chains of the human body. The first part of the study foresaw a pilot trial through which the authors have observed the biomoleculars aspects induced by different allongement methods for biomechanics setting and extension time. For the pilot trial we have made use of 5 rabbits. A qualitative evaluation of the results brings to think how it realizes, in the treated limbs with muscular strain, an important increasing of the proteoglycanics rate. Following this first part, a clinical study, in which the biomechanical redress of muscular kinetics chain effectiveness induced by elongation technics, it has been investigated in 14 patients spiltted up in 2 groups, treated/controlled, affected by recto-adductive syndrome. The first group was submitted to a muscular redress by active elongation technics as a protocol foresaw 5 weakly sittings of 1 hour. For the spontaneous and active pain displacement (evaluated by MAIGNE method, 0-3 scale) this group have been treated for 28 days with an infiltration (750mcg of Somatostatin/Stilamin Serono) at adductor tendons level or to the abdominal rectoinsertion, every seven days. From the results we can pointed out an important decreasing of spontaneous and active pain of the treated group versus the controlled (P<0.001) after only two weeks. In the treated group we have noticed an important increase (P<0.005) of the middle value of the strength moment peak versus the controlled group up to the 3rd week. In this study the authors show the correlations between biomechanics correct posture during the muscular allongement, modification of the molecular intrinsic composition of the intersional connective and clinical application in sportive rehabilitation.