Early osteoarthritis and reduced quality of life after retirement in former professional soccer players

Abstract

OBJECTIVES:This study aims to compare the prevalence of osteoarthritis in two groups: one comprising former professional soccer players and the other comprising non-professional-athlete participants.METHODS:Twenty-seven male former professional soccer players and 30 male volunteers from different non-sports professional areas participated in the study. All participants underwent bilateral knee radiography and magnetic resonance imaging. In addition, the quality of life, knee pain and joint function were evaluated and compared using questionnaires given to all participants in both groups. Specific knee evaluations, with regard to osteoarthritis and quality of life, were performed in both groups using the Knee Injury and Osteoarthritis Outcome Score subjective questionnaires and the Short-form 36. The chi-squared test, Fisher's exact test, the Mann-Whitney U test and Student's t-test were used for group comparisons.RESULTS:The between-groups comparison revealed significant differences in the following: pain, symptoms and quality of life related to the knee in the Knee Injury and Osteoarthritis Outcome Score subscales; the physical aspects subscale of the SF-36; total whole-organ magnetic resonance imaging scores with regard to the dominant and non-dominant knees. Former soccer players had worse scores than the controls in all comparisons.CONCLUSIONS:Both the clinical and magnetic resonance evaluations and the group comparisons performed in this study revealed that former soccer players have a worse quality of life than that of a control group with regard to physical aspects related to the knee; these aspects include greater pain, increased symptoms and substantial changes in radiographic and magnetic resonance images of the knee.

Match-related risk factors for injury in male professional football

“…Symptoms of mental disorder are more common during the 12 month period after an injury [14] and are also more common among players who have sustained severe injuries during their career [15]. Professional football may also have long-lasting negative physiological consequences for the players, with residual pain affecting their quality of life [16,17]. These physiological consequences have also been found to occur more frequently among players who have sustained significant injuries during their careers, [12] which can potentially be explained by an increased risk of osteoarthritis after injuries [18].…”

Bowlegs and Intensive Football Training in Children and Adolescents

“…Professional footballers who have never suffered a major injury to the knee joint have a significantly (1.3-fold) elevated risk of knee osteoarthritis; the increase in risk is even greater (2.9-fold) if footballers with knee injuries are included (8). Alongside the increased prevalence of knee joint problems in general and osteoarthritis in particular, ex-professional football players have been found to have a high (55 to 63%) incidence of genu varum (bowlegs) (9). For adults there is strong evidence that genu varum accelerates the progress of knee osteoarthritis (10).…”

Reparo de lesões induzidas na articulação femorotibiopatelar de ovinos através do implante de biomateriais associados à células-tronco de polpa dentária humana

“…Alguns estudos têm demonstrado interessantes resultados aliando a terapia celular com CT à engenharia de biomateriais, que funcionam como suporte para as células, melhorando a sobrevivência após o transplante, auxiliando na regeneração de tecidos danificados e o aumentando a biocompatibilidade (HELMUS; GIBBONS; CEBON, 2008;WILLIAMS, 2008;KATARI;PELOSO;ORLANDO, 2014 (FRITZ et al, 2008;ARLIANI et al, 2014;ROI et al, 2015).…”

“…O processo patológico da doença ativa afeta todos os tecidos da articulação, levando a uma alteração metabólica local, alterando o processo de reparo tecidual e culminando com uma insuficiência articular (SHARMA;ELISSEEFF, 2004;ARLIANI et al, 2014;CHEN et al, 2015).…”

“…Principalmente pela dor e pela diminuição progressiva da mobilidade, a OA é uma doença que afeta a qualidade de vida dos pacientes (ARLIANI et al 2014;ROI et al, 2015). É a afecção mais prevalente em toda população mundial (RADL, 2005;RICCI;COIMBRA, 2006;SCHMINKE;MIOSGE, 2014), podendo afetar de 6% a 12% da população adulta e mais de um terço das pessoas com mais de 65 anos de idade (MICHAEL; SCHLUTER-BRUST; EYSEL, 2010;HUANG et al, 2015).…”