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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(01): e29-e37
DOI: 10.1055/s-0043-1771007
Artigo Original
Artroscopia e Trauma Esportivo

Mudanças na flacidez do joelho com esteroides sexuais durante as fases do ciclo menstrual em mulheres atletas e não atletas

Article in several languages: português | English
Firouzeh Dehghan 
1   Departamento de Ciências do Esporte, Campus Internacional de Kish, Universidade de Teerã, Ilha de Kish, Irã
,
Rahman Soori
2   Departamento de Fisiologia do Exercício, Faculdade de Ciências do Esporte e Saúde, Universidade de Teerã, Teerã, Irã
,
Ashril Yusof
3   Departamento de Ciência do Exercício, Centro Esportivo, Universidade da Malásia, Kuala Lumpur, Malásia
› Author Affiliations Suporte Financeiro Os autores declaram não ter recebido qualquer apoio financeiro de fontes públicas, comerciais ou sem fins lucrativos.
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Resumo

Objetivo: Nosso estudo investigou alterações na lassidão do joelho em atletas e não atletas do sexo feminino e a relação entre a lassidão do joelho e esteroides sexuais nas fases do ciclo menstrual.

Métodos: Quarenta e seis mulheres saudáveis, vinte e quatro atletas e vinte e duas não atletas, sem uso de pílulas anticoncepcionais hormonais, sem lesões anteriores no joelho e com ciclos menstruais regulares por 3 meses consecutivos, participaram do estudo. A lassidão medial e lateral do joelho foi determinada por testes de varo-valgo nas fases folicular, ovulatória e lútea. Os níveis séricos de relaxina, estrógeno, progesterona e testosterona foram determinados por ensaio imunoenzi mático (ELISA) e radioimunoensaio.

Resultados: A lassidão do joelho em atletas e não atletas em 0° e 20° de flexão foi maior na fase lútea; as não atletas apresentavam maior lassidão do que as atletas. Houve uma correlação positiva entre os níveis de progesterona e relaxina e a lassidão do joelho. Além disso, os níveis desses dois hormônios foram maiores na fase lútea.

Conclusão: O aumento da lassidão medial e lateral do joelho em atletas e não atletas, associado a altos níveis séricos de progesterona e relaxina na fase lútea, pode contribuir para o aumento do risco de lesão sem contato no joelho. No entanto, a menor lassidão do joelho em atletas do que em não atletas sugere que o exercício pode ser um fator protetor.

Palavras-chave

articulação do joelho - ciclo menstrual - hormônio esteroide sexual - relaxina - atletas

* Trabalho desenvolvido na Universidade de Teerã, Ilha de Kish, Irã




Publication History

Received: 09 December 2022

Accepted: 07 February 2023

Article published online:
21 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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