Lesões nos joelhos são comuns entre ciclistas
Autor: Tec Julio | Publicado: 2012-10-22T16:42:00-02:00


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<![endif]-->A
condropatia patelar é uma das lesões mais comuns naqueles que andam de
bicicleta com frequência, segundo o cirurgião ortopedista especializado em
trauma ortopédico e cirurgia de joelho Paulo Henrique Araujo. O problema é um
desgaste da cartilagem da patela (ou rótula), osso que protege a parte anterior
da articulação do joelho.





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Condropatia
patelar é uma das lesões mais comuns entre ciclistas
Foto: Reprodução/ Internet&nbsp;



&nbsp;O ortopedista explica que, durante a pedalada, os
joelhos realizam movimentos cíclicos de flexão e extensão (esticar e dobrar)
que levam a patela a subir e descer em contato com uma região do fêmur onde ela
se articula. “Quando o joelho fica dobrado além de 40 graus, seja pedalando ou
em qualquer outra situação, a patela passa a fazer contato com uma região do
fêmur chamada tróclea e isso pressiona a cartilagem que reveste essas duas
estruturas. Quanto maior o grau de flexão do joelho, maior é a pressão que
recai sobre a cartilagem dessas estruturas, o que pode levar à lesão”, explica.





Segundo o médico, isso ocorre, principalmente,
quando o ciclista posiciona o selim da bicicleta numa altura muito baixa,
fazendo com que os joelhos tenham graus altos de flexão, aumentando a carga
(força de atrito) que passa na articulação patelo-femoral e desgastando a
cartilagem desta região. Além disso, quando o ciclista realiza esforços
maiores, como uma subida, a pressão que passa na articulação patelo-femoral
aumenta ainda mais, contribuindo para o desgaste articular.



O tratamento para lesões no joelho requer avaliação
adequada e individual. O médico afirma que é preciso considerar o equipamento
utilizado pelo ciclista e também a técnica de pedalada. Quando uma
inconformidade é detectada, ela deve ser corrigida. Problemas como altura do
selim ou alinhamento dos joelhos em relação aos pés durante o movimento cíclico
de pedalada são exemplos citados por ele como potenciais problemas na prática
da atividade física. "Além disso, deve-se buscar o equilíbrio da
musculatura da coxa e panturrilha com adequação da força e alongamentos
musculares”, ressalta o profissional.



EVITANDO LESÕES - Uma bicicleta bem ajustada e adequada a altura e
peso do ciclista vão contribuir para evitar grandes lesões. O ângulo de ataque
do pedal também pode influenciar no desgaste sofrido pelo corpo do atleta ao
andar de bicileta. Segundo o fisioterapeuta Joelson Araújo, especialista em
adaptação de bikes a ciclistas, o ideal é que a pessoa peça orientação desde o
momento da compra do equipamento.
"Você deve pedir orientação na própria loja
onde vai comprar ou realizar a manutenção da bicicleta para encontrar alguma
que mais se aproxime da sua anatomia. O ideal, porém, é realizar um bike fit (adaptação da bicicleta a anatomia do
ciclista), pois cada corpo tem uma anatomia diferente e um ajuste personalizado
proporcionará mais saúde e conforto durante o pedal", afirma.



Fonte: NE10/
PB