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Chiropractic and Crossfit


Due to high-intensity training and a wide range of exercises performed in CrossFit practice, the care to prevent bodily injuries is of fundamental importance. Chiropractic, a profession that takes care of the neuromusculoskeletal system with its own techniques, has been gaining space and is increasingly being integrated within the CrossFit community.

CrossFit is a sports modality that combines various functional movements with relatively high intensity. The exercises are based on the best aspects of gymnastics, weightlifting, running, rowing and others, ideal for maximizing training in a short period, leading to the improvement of both the athlete's skills and their physical condition. This wide range of movements contributes to the controversial rate of musculoskeletal injuries said to be common in CrossFit practice.

In a study involving 137 CrossFit Games participants, the lumbar region showed the highest number of complaints (20.9%), followed by the wrist (14.4%), tibia/calf (11.0%), and knee (10.2%). The most frequent mechanism of injury was overtraining (22.4%), followed by running (19.0%). Acute injuries represented 72.20% of all injuries and myofascial trigger points were present in 21.6% of injuries, followed by muscle strains (19.7%). Facet syndromes - excessive contact of the posterior regions of the lumbar vertebrae - affected 13% of diagnoses. Chiropractic adjustments, kinesiotaping, ischemic compression (Nimmo Receptor Tonus Technique), and massage are the most commonly used treatments.

Chiropractic is a profession that evaluates, prevents, and treats disorders of the joint, nervous, and muscular systems through manual practices commonly called chiropractic adjustments. Its focus is on the spine, but corrective procedures extend to most body joints. The goal is to correct joint restrictions and vertebral misalignments, allowing the athlete's body to balance itself and function better, leading to higher performance.

In a Brazilian study involving 82 CrossFit practitioners, the major complaints were related to the lumbar spine, shoulder, and cervical region. Chiropractic interventions showed a statistical difference in pain reduction and improvement in physical performance when comparing pre and post-treatment. Studies affirm that chiropractic care is beneficial in controlling pain in patients with disc herniation, serving as the better option for acute lower back pain and reducing leg pain related to back pain. Furthermore, adjustments in the hip and pelvis reduced knee pain in patients with patellofemoral syndromes and increased quadriceps muscle activation. Regarding ankle issues, chiropractic care proved effective in treating recurrent sprains and improved vertical jump in female athletes.

As the profession has a preventive nature and aims to enhance body function through corrective maneuvers, many CrossFit boxes in Brazil have acknowledged its benefits and have qualified chiropractors. In the state of Espírito Santo, chiropractor Camila Lisott Bagatini attends at CrossFit Vila Velha - 'I treat an athlete who comes in every week for adjustments; he passed my contacts to the box, and I was invited to participate in their internal events.' Other chiropractors attend to athletes on specific days of the week, along with various partnership forms established between chiropractors and the boxes.

When it comes to athletes, chiropractic care requires detailed knowledge of the practiced modality to assist in pain reduction through adjustments, specific tests, soft tissue mobilization, and suggestions for corrective exercises or stretches. It is hoped that this article can help coaches and athletes seek chiropractic care to further enhance their bodily health.


References:

What 1 is Crossfit? Disponível em: https://crossfit.com/what-is- crossfit. Acesso em 24 de jul 2016.

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LEEMAN 7 , S et al., Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniation receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one year follow-up. Journal of Manipulative and Physiological Therapists, v. 37, n. 3, p.155-163, 2014.

SCHNEIDER 8 , M et al., Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain: A Randomized Clinical Trial. Spine. v. 40, n. 4, p. 209-217, 2015.

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IVERSON 10 , C A et al., Lumbopelvic Manipulation for the Treatment of Patients With Patellofemoral Pain Syndrome: Development of a Clinical Prediction Rule. Journal of Orthopaedic & Sports Physical Therapy. v. 38, n. 6, p.297-231, 2008.

SUTER 11 , E et al., Decrease in Quadriceps Inihibition After Sacroiliac Joint Manipulation in Patients with Anterior Knee Pain. Journal of Manipulative and Physiological Therapists. v. 22, n. 3, p. 149-153, 1999.

LUBBE 12 , D. et al., Manipulative Therapy and Rehabilitation for Recurrente Ankle Sprain wiht Functional Instability: a Short-Term, Assessor-Blind, Parallel-Group Randomized Trial. Journal of Manipulative and Physiological Therapeutics. v. 38, n. 1, p. 22-34, 2015.

HEDLUND 13 , S et al. Effect of chiropractic manipulation on vertical jump height in young female athletes with talocrural joint dysfunction: a single-blind randomized clinical pilot trial. Journal of Manipulative and Physiological Therapeutics. v. 37, n. 2, p. 116-123, 2014.

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