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Tennis elbow em atletas de padel: prevalência e fatores associados à sua presença e persistência: um estudo transversal
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Introdução: O padel tem tido um crescimento exponencial à escala mundial, incluindo em Portugal. A lesão musculoesquelética mais frequentemente reportada é o tennis elbow (TE). Literatura que vise dados relativos à sua prevalência e os fatores associados à presença e persistência desta condição nesta população é ainda escassa ou inexistente. Objetivo: Estimar a prevalência de queixas compatíveis com TE em atletas amadores de padel e analisar a sua relação com fatores sociodemográficos, de estilo de vida, carga de treino e características do equipamento. Adicionalmente, procurou-se avaliar a persistência dos sintomas entre os atletas com TE, avaliando, para além das variáveis anteriores, fatores clínicos e psicossociais potencialmente associados à cronicidade da lesão. Métodos: Estudo transversal numa amostra de 160 atletas amadores de padel que preencheram um questionário de caracterização. A análise estatística decorreu em 3 fases: 1) estimou-se a prevalência de TE e de dor persistente na amostra; 2) TE vs sem TE: avaliaram-se associações entre variáveis sociodemográficas, de estilo de vida, carga e equipamento de treino e a presença de TE; 3) TE persistente vs TE não persistente: analisaram-se associações entre variáveis sociodemográficas, de estilo de vida, clínicas, carga e equipamento de treino, e psicossociais e a persistência da dor. Resultados: Não se verificaram associações estatisticamente significativas entre as variáveis de caracterização dos atletas e a presença de TE. Relativamente à persistência da dor nos atletas com TE, o IMC mostrou-se significativamente inferior nos atletas com TE persistente em comparação com o grupo não persistente (23,0 kg/m² vs. 25,2 kg/m²; p = 0,049). Conclusão: A ausência de associações significativas reforça o caráter multifatorial do TE em atletas de padel e aponta para a necessidade de investigar fatores técnicos, biomecânicos e comportamentais não avaliados neste estudo.
Introduction: Padel has experienced exponential growth worldwide, including in Portugal. The most frequently reported musculoskeletal injury in this sport is Tennis Elbow (TE). However, literature reporting the prevalence of TE and the factors associated with its presence and persistence in this population remains scarce or nonexistent. Objective: To estimate the prevalence of complaints compatible with TE in amateur padel athletes and examine their relationship with sociodemographic, lifestyle, training load and equipment-related factors. Additionally, we aimed to investigate the persistence of symptoms among athletes with TE, assessing - beyond the previous variables - clinical and psychosocial factors potentially associated with chronicity. Methods: A cross-sectional study was conducted in a sample of 160 amateur padel athletes who completed a characterization questionnaire. Statistical analysis followed three phases: (1) estimation of the prevalence of TE and persistent pain in the sample; (2) TE vs. no TE: assessment of associations between sociodemographic, lifestyle, training load and equipment-related variables and the presence of TE; (3) persistent TE vs. non-persistent TE: analysis of associations between sociodemographic, lifestyle, clinical, training load, equipment-related and psychosocial variables and pain persistence. Results: No statistically significant associations were found between athlete characteristics and the presence of TE. Regarding pain persistence in athletes with TE, BMI was significantly lower in the persistent TE group compared with the non-persistent group (23.0 kg/m² vs. 25.2 kg/m²; p = 0.049). Conclusion: The absence of significant associations reinforces the multifactorial nature of TE in padel athletes and highlights the need to investigate technical, biomechanical and behavioural factors not assessed in this study.
Introduction: Padel has experienced exponential growth worldwide, including in Portugal. The most frequently reported musculoskeletal injury in this sport is Tennis Elbow (TE). However, literature reporting the prevalence of TE and the factors associated with its presence and persistence in this population remains scarce or nonexistent. Objective: To estimate the prevalence of complaints compatible with TE in amateur padel athletes and examine their relationship with sociodemographic, lifestyle, training load and equipment-related factors. Additionally, we aimed to investigate the persistence of symptoms among athletes with TE, assessing - beyond the previous variables - clinical and psychosocial factors potentially associated with chronicity. Methods: A cross-sectional study was conducted in a sample of 160 amateur padel athletes who completed a characterization questionnaire. Statistical analysis followed three phases: (1) estimation of the prevalence of TE and persistent pain in the sample; (2) TE vs. no TE: assessment of associations between sociodemographic, lifestyle, training load and equipment-related variables and the presence of TE; (3) persistent TE vs. non-persistent TE: analysis of associations between sociodemographic, lifestyle, clinical, training load, equipment-related and psychosocial variables and pain persistence. Results: No statistically significant associations were found between athlete characteristics and the presence of TE. Regarding pain persistence in athletes with TE, BMI was significantly lower in the persistent TE group compared with the non-persistent group (23.0 kg/m² vs. 25.2 kg/m²; p = 0.049). Conclusion: The absence of significant associations reinforces the multifactorial nature of TE in padel athletes and highlights the need to investigate technical, biomechanical and behavioural factors not assessed in this study.
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Atletas de padel Tennis Elbow Dor persistente Lesão desportiva Padel athletes Persistent pain Sports injury