RESUMO
Objetivo Investigar os efeitos do distanciamento social na qualidade de vida de mulheres com condromalácia patelar antes e durante a pandemia de COVID-19. Em 2019, o mundo foi atingido pela descoberta do novo coronavírus, uma doença infecciosa e extremamente contagiosa. O isolamento social ocasionado pela pandemia pode ser responsável pelo aumento do sedentarismo, agravando o quadro clínico e a qualidade de vida de pacientes portadores da síndrome da dor patelofemoral. Métodos Foi aplicado o questionário de qualidade de vida SF-36 em 10 mulheres portadoras da síndrome patelofemoral, residentes na região Oeste de São Paulo, com idades entre 20 e 40 anos, praticantes de atividades físicas. Resultados A análise dos resultados obtidos mostra uma queda na pontuação de todas os domínios analisados no questionário no período durante a pandemia quando comparado ao período pré-pandemia. Conclusão Conclui-se que com o isolamento social causado pela pandemia e a inatividade física, houve interferência negativa na qualidade de vida de mulheres portadoras de condromalácia patelar
Objective To investigate through field research whether social distancing and decreased physical activity had an influence on the quality of life of women with patellar chondromalacia. In 2019, the world was hit by the discovery of the new corona virus, an infectious and extremely contagious disease. The social isolation caused by the pandemic may be responsible for the increase of sedentarism, worsening the clinical scenario and quality of life of patients with patellofemoral pain syndrome. Methods The SF-36 quality of life questionnaire was applied to 10 women with patellofemoral syndrome, living in the West region of São Paulo, aged between 20 and 40, practicing physical activities. Results The analysis of the results obtained shows a drop in the score of all the domains analyzed in the questionnaire during the period during the pandemic compared to the pre-pandemic period. Conclusion It is concluded that with social isolation caused by the pandemic and physical inactivity, there was negative interference in the quality of life of women with patellar chondromalacia. Descriptors: Infections; Coronavi
RESUMO
La condromalacia patelar está asociada a inestabilidad rotuliana. La inclinación troclear femoral lateral se ha vinculado a inestabilidad patelar, pero no se conoce su asociación con la condromalacia patelar. Se incluyeron 39 pacientes, ambos sexos, edades de 13-74 años, a quienes se realizó resonancia magnética y artroscopia de la rodilla. La sensibilidad y especificidad de la resonancia magnética para la condromalacia patelar fue 84 por ciento y 71,4 por ciento. El grado leve de condromalacia patelar afectó más a hombres y pacientes más jóvenes, mientras que los grados moderado y severo afectaron más al sexo femenino y pacientes de más edad. No hubo diferencias significativas entre los valores de inclinación troclear femoral lateral de los pacientes con y sin condromalacia patelar. Sin embargo, en la condromalacia patelar severa la inclinación troclear femoral lateral fue menor, particularmente en comparación a los casos moderados (17,6º vs. 21,8º, P=0,06). La inclinación troclear femoral lateral y la inestabilidad patelar podrían estar asociadas a condromalacia patelar severa, pudiendo condicionar progresión de la enfermedad
The patellar chondromalacia is associated to rotulian instability. The lateral femoral troclear inclination is linked to patellar inestabily; however, there are not studies about linking it to patellar chondromalacia. 39 patients of both genders were included; age range between 13-74 years, who underwent magnetic resonance and arthroscopy of the knee. The sensitivity and specificity of the magnetic resonance for patellar chondromalacia were 84 percent and 71.4 percent. Mild cases were more frequents in men and younger subjects. Moderate and severe grades were more frequents in the femenine gender and affect older patients. There were not significant differences between the values of lateral femoral troclear inclination of the patients with and without chondromalacia patellar. However, the lateral femoral troclear inclination was lower in the severe patellar chondromalacia, particularly in comparison to moderate cases (17.6º vs. 21.8º, P=0.06). The lateral femoral troclear inclination and patellar instability could be associated to severe patellar chondromalacia; They may be according the progression of the disease