{"id":61236,"date":"2021-12-17T09:16:00","date_gmt":"2021-12-17T09:16:00","guid":{"rendered":"https:\/\/avant-age.live\/?p=61236"},"modified":"2026-08-31T10:48:04","modified_gmt":"2026-08-31T10:48:04","slug":"return-to-play-nelle-lesioni-muscolari-nel-calcio-delite","status":"publish","type":"post","link":"https:\/\/avant-age.live\/it\/return-to-play-bei-muskelverletzungen-im-elite-fussball\/","title":{"rendered":"Ritorno in campo in caso di infortuni muscolari nel calcio d'\u00e9lite"},"content":{"rendered":"<p class=\"wp-block-paragraph\">La valutazione degli studi disponibili sulla ESWT ha dimostrato il suo forte impatto positivo nel trattamento di vari disturbi muscoloscheletrici. Pertanto, i ricercatori hanno ipotizzato che l'implementazione della rESWT nell'approccio terapeutico multimodale possa abbreviare i tempi di inattivit\u00e0 e ridurre il tasso di recidiva degli infortuni.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large has-custom-border\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"589\" src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-1024x589.jpg.webp\" alt=\"\" class=\"wp-image-61237\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px\" srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-1024x589.jpg.webp 1024w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-300x173.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-768x442.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-1536x883.jpg.webp 1536w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-18x10.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-130x75.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-600x345.jpg.webp 600w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1.jpg.webp 1690w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" data-smush-webp-fallback=\"{&quot;src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-1024x589.jpg&quot;,&quot;srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-1024x589.jpg 1024w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-300x173.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-768x442.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-1536x883.jpg 1536w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-18x10.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-130x75.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-600x345.jpg 600w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1.jpg 1690w&quot;}\" \/><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">In che modo l'approccio multimodale con l'uso della rESWT influenza il tempo di recupero?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Per indagare su questo aspetto, gli autori hanno condotto un'ampia analisi retrospettiva di 20 lesioni muscolari acute, diagnosticate secondo le linee guida internazionali. Queste sono state classificate in base a M\u00fcller-ohlfahrt et al. come segue:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>8 (40%) sono stati diagnosticati come tipo 1a<\/li>\n\n\n\n<li>5 (25 %) come tipo 2b<\/li>\n\n\n\n<li>4 (20 %) come tipo 3a<\/li>\n\n\n\n<li>3 (15 %) come pazienti con contusione.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Durante la stagione di gioco non sono state registrate lesioni muscolari di tipo 3b o 4.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large has-custom-border\"><img decoding=\"async\" width=\"1024\" height=\"589\" data-src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-1024x589.jpg.webp\" alt=\"\" class=\"wp-image-61238 lazyload\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/589;border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px\" data-srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-1024x589.jpg.webp 1024w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-300x173.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-768x442.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-1536x883.jpg.webp 1536w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-18x10.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-130x75.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-600x345.jpg.webp 600w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE.jpg.webp 1690w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" data-original-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-smush-webp-fallback=\"{&quot;data-src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-1024x589.jpg&quot;,&quot;data-srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-1024x589.jpg 1024w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-300x173.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-768x442.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-1536x883.jpg 1536w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-18x10.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-130x75.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-600x345.jpg 600w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE.jpg 1690w&quot;}\" \/><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Approccio terapeutico multimodale<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Tutti i pazienti sono stati sottoposti, utilizzando soluzioni di trattamento innovative, a una terapia multimodale personalizzata che combinava crioterapia, compressione, terapia manuale, allenamento contro resistenza o di forza, un programma di esercizi fisioterapici progressivi e terapia a onde d'urto extracorporee. Un terapista esperto ha deciso se l'applicazione di un protocollo di Onde d'Urto Extracorporee (ESWT) radiali o focali fosse pi\u00f9 appropriata ed efficace per il paziente. La maggior parte dei casi (19\/20) era idonea per la rESWT e un solo caso (contusione del muscolo grande gluteo) \u00e8 stato trattato con l'applicazione della fESWT.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>La rESWT \u00e8 stata eseguita con un apparecchio Swiss DolorClast dotato di manipolo EvoBlue.<\/strong><\/li>\n\n\n\n<li><strong>La fESWT con il dispositivo Swiss PiezoClast e cuscini in gel da 15 mm.<\/strong><\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Scopri la differenza tra&nbsp;<strong><a href=\"https:\/\/www.mtr-ag.ch\/health\/therapiegeraete\/stosswellentherapie-shock-wave\/swiss-dolorclast-stosswellentherapie-de\/swiss-dolorclast-radial-shock-wave-de.html\">terapia con onde d'urto radiali (rESWT)<\/a><\/strong>&nbsp;e<strong>&nbsp;<a href=\"https:\/\/www.mtr-ag.ch\/health\/therapiegeraete\/stosswellentherapie-shock-wave\/guided-dolorclast-therapy-de.html\/swiss-piezoclast.html\">terapia ad onde d'urto focali (fESWT).<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Il risultato dello studio<\/strong>, definita come il ritorno all'impiego attivo, era caratterizzata dal fatto che il paziente era in grado di partecipare pienamente agli allenamenti di squadra, compresi gli allenamenti con contatto, ed era pronto a riprendere l'attivit\u00e0 agonistica durante la stagione di campionato in corso.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Risultati<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In base a un set di dati pubblicato da Ekstrand et al. relativo a 31 squadre di calcio maschile europee, la terapia multimodale con ESWT ha ridotto significativamente il tempo mediano di stop:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lesioni di tipo 1a: \u2013 54 %<\/li>\n\n\n\n<li>Lesioni di tipo 2b intorno a \u2013 50 %<\/li>\n\n\n\n<li>Lesioni di tipo 3a intorno a 8 % (o 23 % se classificate come tipo 3b, pi\u00f9 grave)<\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Gli autori hanno anche analizzato retrospettivamente il tasso di reinfortunio durante la stagione calcistica. Solo 1 caso di nuovo infortunio (precedentemente classificato come tipo 1a) si \u00e8 verificato dopo la guarigione completa. Lo studio ha fornito risultati chiaramente soddisfacenti, che mostrano che il dolore (misurato con la scala analogica visiva, VAS) \u00e8 diminuito costantemente nel corso del trattamento multimodale. Questo \u00e8 un fattore di successo estremamente importante sia per il paziente che per il terapeuta, poich\u00e9 consente di intensificare il trattamento per ottenere risultati ancora migliori.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large has-custom-border\"><img decoding=\"async\" width=\"1024\" height=\"589\" data-src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-1024x589.jpg.webp\" alt=\"\" class=\"wp-image-61239 lazyload\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/589;border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px\" data-srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-1024x589.jpg.webp 1024w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-300x173.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-768x442.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-1536x883.jpg.webp 1536w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-18x10.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-130x75.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-600x345.jpg.webp 600w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE.jpg.webp 1690w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" data-original-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-smush-webp-fallback=\"{&quot;data-src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-1024x589.jpg&quot;,&quot;data-srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-1024x589.jpg 1024w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-300x173.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-768x442.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-1536x883.jpg 1536w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-18x10.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-130x75.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-600x345.jpg 600w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE.jpg 1690w&quot;}\" \/><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusione<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Risultati dello studio:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>supportano l'ipotesi iniziale che l'inclusione di rESWT\/fESWT in un approccio terapeutico multimodale sia sicura, efficace e vantaggiosa per gli atleti che soffrono di diverse lesioni muscolari;<\/strong><\/li>\n\n\n\n<li><strong>sottolineano il potenziale impatto della OWT radiale e focale sulla prevenzione delle nuove lesioni.<\/strong><\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">La terapia \u00e8 stata ben accolta dai giocatori e non sono stati registrati effetti indesiderati durante le sedute terapeutiche.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Ulteriori studi<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>EMS<sup>\u00ae<\/sup>I dispositivi vengono utilizzati da molti ricercatori per studiare ulteriori effetti dei trattamenti con onde d'urto.<\/strong><br>Con un clic sul pulsante sottostante accederete alla biblioteca di studi di EMS<sup>\u00ae<\/sup>. Qui troverete i rapporti di studio su varie patologie che dimostrano l'efficacia dell'EMS<sup>\u00ae<\/sup>\u00a0DolorClast<sup>\u00ae<\/sup>- Evidenziare il metodo.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-b192c3d7 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.ems-dolorclast.com\/de\/wissenschaftliche-studien\" style=\"border-width:1px\" target=\"_blank\" rel=\"noreferrer noopener\">agli studi<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">2021-06-15<br>Morgan JPM, Hamm M, Schmitz C, Brem MH. Ritorno in campo dopo il trattamento di lesioni muscolari acute in calciatori d'\u00e9lite con terapia ad onde d'urto radiali extracorporee. J Orthop Surg Res.<br>2021 Dec 7;16(1):708. doi: 10.1186\/s13018-021-02853-0. PMID: 34876172; PMCID: PMC8650394.<br>Studio completo\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34876172\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/34876172\/<\/a><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">Hai domande sull'argomento?<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Siamo a vostra disposizione per ulteriori informazioni e per rispondere personalmente alle vostre domande.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3e41869c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--2\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/it\/contatti\/\" style=\"border-width:1px\">Contattaci ora<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>L'obiettivo principale di questo studio \u00e8 stato la valutazione e il confronto del tempo di recupero dopo lesioni muscolari acute in calciatori d'\u00e9lite sottoposti a diversi approcci terapeutici.<\/p>","protected":false},"author":1,"featured_media":61235,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[21,22],"tags":[2731],"blog_topic":[65],"class_list":["post-61236","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical","category-sport","tag-stosswellentherapie","blog_topic-stosswellentherapie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin 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