A equipa Multidisciplinar no Desporto

Uma perspetiva do Fisioterapeuta

João Noura Fisioterapeuta

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

• Multidisciplinaridade

• Interdisciplinaridade

• Transdisciplinaridade

Burwitz, Moore e Wilkinson (1994)

Doherty (2012)

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

Treinador Preparador Físico

Médico

Fisioterapeuta

Enfermeiro

Técnico de Imagiologia Nutricionista

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

Multidisciplinary Sport Science Teams in Elite Sports: Comprehensive Servicing or Conflict and Confusion? (Reid, Stewart e Thorne, 2004)

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

An injury prevention pyramid for elite sports team (Coles, 2017)

Prevenção Reabilitação Redução

Cronologia da Reabilitação

Evento de lesão Primeiro momento competitivo

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

• Enfermeiro

- Intervenção imediata e especializada em situações traumáticas

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

• Técnico de Imagiologia

- Diagnóstico estrutural (dimensões, comprometimento estrutural)

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

• Médico

- Interpretação do relatório imagiológico e diagnóstico estrutural - Diagnóstico clínico e auxílio na tomada de decisão

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

• Nutricionista - Fase aguda na imobilização

- Recuperação/reabilitação de dores/lesões musculares

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

• Preparador Físico

- Assegurar melhoria da condição atlética do jogador, reduzindo o risco de lesão

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

• Treinador - Gestão de cargas - Gestão emocional e psicológica de Recursos Humanos

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

Infograma: Yann le Meur @YLMSportsSciences

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

• Fazer o básico bem feito • Inovar q.b. • Comunicar • Autodefinir-se • Respeitar e considerar muitas opiniões • Operar a uma só voz • Colocar a sua influência em perspetiva

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

Multidisciplinary Sport Science Teams in Elite Sports: Comprehensive Servicing or Conflict and Confusion? (Reid, Stewart e Thorne, 2004)

Bibliografia • Les Burwitz , Phil M. Moore & David M. Wilkinson (1994) Future directions for

performance‐related sports science research: An interdisciplinary approach, Journal of Sports

Sciences, 12:1, 93-109, DOI: 10.1080/02640419408732159

• Alison Doherty (2012) “It Takes a Village:” Interdisciplinary Research for Sport Management;

Journal of Sport Management, 2012, 26, 1-10

• Corinne Reid, Evan Stewart and Greg Thorne (2004) Multidisciplinary Sport Science Teams in

Elite Sport: Comprehensive Servicingor Conflict and Confusion?; The Sport Psychologist,

2004, 18, 204-217

• Rebecca Mitchell, Caroline Finch, Soufiane Boufous and Gary Brown (2009) Examination of

triage nurse text narratives to identify sports injury cases in emergency department

presentations, International Journal of Injury Control and Safety Promotion

• Benjamin T. Wall, James P. Morton & Luc J. C. van Loon (2014): Strategies to maintain skeletal

muscle mass in the injured athlete: Nutritional considerations and exercise mimetics,

European Journal of Sport Science, DOI: 10.1080/17461391.2014.936326

• Jordan Milsom, Paulo Barreira, Darren J. Burgess, Zafar Iqbal and James P. Morton (2014)

Case Study: Muscle Atrophy and Hypertrophy in a Premier League Soccer Player During

Rehabilitation From ACL Injury; International Journal of Sport Nutrition and Exercise

Metabolism, 2014, 24, 543 -552, http://dx.doi.org/10.1123/ijsnem.2013-0209

Bibliografia • Mueller- Wohlfahrt H-W, Haensel L, Mithoefer K, et al. (2013) Terminology and classification

of muscle injuries in sport: The Munich consensus statement Br J Sports Med 2013;47: 342–350.

• Philip Alexander Coles (2017) An injury prevention pyramid for elite sports teams, British Journal of Sports Medicine, 10.1136/bjsports-2016-096697

• Pollock N, James SLJ, Lee JC, et al. (2014) Br J Sports Med Published Online First: 22/08/2018, doi:10.1136/ bjsports-2013-093302

• Kevin D. Tipton (2015) Nutritional Support for Exercise-Induced Injuries, Sports Medicine, DOI 10.1007/s40279-015-0398-4

• Shane Malone, Adam Owen, Bruno Mendes, Brian Hughes, Kieran Collins,Tim J. Gabbett (2017) High-speed running and sprinting as an injury risk factor in soccer:Can well-developed physical qualities reduce the risk?, Journal of Science and Medicine in Sport, http://dx.doi.org/10.1016/j.jsams.2017.05.016

• Jan Ekstrand, Daniel Lundqvist, Lars Lagerbäck, Marc Vouillamoz, Niki Papadimitiou, Jon Karlsson (2017) Is there a correlation between coaches’ leadership styles and injuries in elite football teams? A study of 36 elite teams in 17 countries, British Journal of Sports Medicine, 52:527–531. doi:10.1136/bjsports-2017-098001

• Iñigo Mujika, Shona Halson, Louise M. Burke, Gloria Balagué and Damian Farrow (2018) An Integrated, Multifactorial Approach to Periodization for Optimal Performance in Individual and Team Sports, International Journal of Sports Physiology and Performance, 2018, 13, 538-561, https://doi.org/10.1123/ijspp.2018-0093

Bibliografia • Ashton H. Are we sports physiotherapists working as a team as well as we could? Br J Sports

Med 2016;50:257.

• Ekstrand J, Lundqvist D, Davison M, et al. Communication quality between the medical team and the head coach/manager is associated with injury burden and player availability in elite football clubs; Br J Sports Med pub ahead of print: [28 August 2018]. doi:10.1136/ bjsports-2018-099411

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

Fisioterapeuta

Enfermeiro

Médico

Psicólogo

Fisioterapeuta

Treinador

Nutricionista

Médico

A Equipa Multidisciplinar no Deporto – A perspetiva do Fisioterapeuta

Psicólogo

Treinador

An Integrated, Multifactorial Approach to Periodization for Optimal Performance in Individual and Team Sports (Mujika; Halson; Burke; Balagué e Farrow, 2018)