{"id":19812,"date":"2021-09-06T11:08:00","date_gmt":"2021-09-06T10:08:00","guid":{"rendered":"https:\/\/centrekine.com\/rotura-fibrilar-de-gemelos\/"},"modified":"2025-01-28T09:31:39","modified_gmt":"2025-01-28T08:31:39","slug":"trencament-fibril%c2%b7lar-de-bessons-que-es-i-com-tractar-la","status":"publish","type":"post","link":"https:\/\/centrekine.com\/ca\/trencament-fibril%c2%b7lar-de-bessons-que-es-i-com-tractar-la\/","title":{"rendered":"Trencament fibril\u00b7lar de bessons \u2013 Qu\u00e8 \u00e9s i com tractar-la"},"content":{"rendered":"<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Qu\u00e8 \u00e9s el trencament de fibres o fibril\u00b7lar de bessons?<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">El trencament de fibres o fibril\u00b7lar del bess\u00f3 \u00e9s tamb\u00e9 coneguda com a <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">s\u00edndrome de la pedrada<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u00c9s una lesi\u00f3 relativament <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">comuna en esportistes que realitzen sortides en esprint intens<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Tamb\u00e9 es d\u00f3na<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> (sorprenentment) <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">en persones amb una activitat f\u00edsica escassa o nul\u00b7la<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> i en <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">gestos o activitats quotidianes<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Les fibres musculars d&#8217;un o ambd\u00f3s bessons <\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><strong><span style=\"vertical-align: inherit;\">(<\/span><\/strong><span style=\"vertical-align: inherit;\"> gastrocnemis) es veuen separades, en algun punt, quan hi ha una <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">c\u00e0rrega o estirament excessiu<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> al panxell. <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">dolor<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Graus d&#8217;un trencament de fibres de bessons<\/span><\/span><\/h2>\n<p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Depenent de la quantitat de fibres musculars trencades,<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> podem classificar la lesi\u00f3 en tres graus:<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Grau I:<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> \u00a0es considera <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">lleu<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , aqu\u00ed <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">nom\u00e9s el 5% de fibres musculars del bess\u00f3 es veuen compromeses<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En aquest grau podria ser <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">fins i tot imperceptible per a la persona lesionada<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Grau II:<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> \u00a0es considera <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">moderada<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , aqu\u00ed hi ha <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">m\u00e9s percentatge del fibres musculars trencades (&gt;5%)<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En conseq\u00fc\u00e8ncia, ocasiona <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">notable dolor al panxell, hematoma i alteraci\u00f3 en el moviment<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Resulta ser el grau m\u00e9s freq\u00fcent, requerint <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">de 3-4 setmanes per aconseguir la seva recuperaci\u00f3<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Grau III:\u00a0<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> es considera <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">el grau m\u00e9s greu<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> perqu\u00e8 hi ha una <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">separaci\u00f3 completa del m\u00fascul lesionat<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Per tant, ocasiona la <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">p\u00e8rdua de la capacitat de moviment i c\u00e0rrega<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Per aquest motiu, sol requerir un temps m\u00e9s gran d&#8217;unes <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">6 o 8 setmanes per aconseguir la curaci\u00f3<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Com saber si pateixes un trencament fibril\u00b7lar de bessons?<\/span><\/span><\/h2>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Pateixes dolor intens i punxant<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Els primers signes despr\u00e9s d&#8217;un trencament de les fibres musculars del bess\u00f3 solen ser un\u00a0 <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">dolor intens i punxant al panxell<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Molts pacients ho descriuen <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">com la sensaci\u00f3 d&#8217;haver rebut una pedrada a la zona<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . El <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">dolor pot estendre&#8217;s cap a la cuixa o peu<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Sents debilitat muscular<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Generalment, <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">el dolor est\u00e0 acompanyat per una debilitat muscular<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> dels gastrocnemis. \u00c9s a dir, els moviments de <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">flexi\u00f3 plantar o la capacitat de posar-se de puntetes es veuen alterats<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Detectes inflamaci\u00f3 o inflor<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Com a resultat del <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">despla\u00e7ament del l\u00edquid inflamatori reparador cap a l&#8217;\u00e0rea del m\u00fascul esquin\u00e7at<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> es pot produir <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">inflamaci\u00f3 o inflor<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">S&#8217;aprecia una abonyegament o esquerda al panxell<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Si el trencament \u00e9s de gran magnitud <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">de vegades, es pot veure o sentir una petita abonyegament o esquerda a l&#8217;\u00e0rea del panxell<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Hi ha hematoma<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Finalment, l&#8217;aparici\u00f3 d&#8217;un\u00a0 <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">hematoma en alguna zona del panxell<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> no \u00e9s infreq\u00fcent, a causa del <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">trencament de petits vasos sanguinis<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Confirmar mitjan\u00e7ant una Ecografia<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Per corroborar que efectivament aquests signes estan indicant un trencament fibril\u00b7lar de bessons.<\/span><\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">A <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Centre Kine<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> disposem d&#8217; <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ec\u00f2graf per al diagn\u00f2stic i seguiment de la lesi\u00f3<\/span><\/span><\/strong><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u00bf Com prevenir-la?<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En general <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">per prevenir lesions, abans de qualsevol activitat f\u00edsica<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> \u00e9s important <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">fer una bona rutina d&#8217;escalfament<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">A m\u00e9s, et donarem <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">una s\u00e8rie de claus i recomanacions per prevenir qualsevol lesi\u00f3 muscular<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<ul>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Mantingues una\u00a0 <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">hidrataci\u00f3 adequada\u00a0<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> per afavorir l&#8217;eliminaci\u00f3 de metab\u00f2lits durant l&#8217;entrenament.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Una <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">nutrici\u00f3 equilibrada<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> \u00a0permet el manteniment d&#8217;un bon estat muscular.<\/span><\/span><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Realitza exercicis<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> que enforteixin la musculatura dels panxells.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Despr\u00e9s de l&#8217;entrenament, <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">estira mitjan\u00e7ant exercicis la cadena posterior de la cama<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En el cas que vagis a incrementar la intensitat i la durada de l&#8217;entrenament, <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">fes-ho de manera progressiva<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> i no sobtada.<\/span><\/span><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Evita el sobre entrenament<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> \u00a0i <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">susp\u00e8n l&#8217;activitat esportiva a la m\u00ednima pres\u00e8ncia de mol\u00e8sties<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , tracta de descansar prou.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Utilitza <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">cal\u00e7at d&#8217;acord amb l&#8217;activitat<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> que realitzar\u00e0s.<\/span><\/span><\/li>\n<\/ul>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Tractament de Fisioter\u00e0pia per a la ruptura de fibres de bess\u00f3<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Perqu\u00e8 s&#8217;efectu\u00ef un diagn\u00f2stic correcte de la lesi\u00f3, <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">un especialista ha de fer un examen f\u00edsic o proves d&#8217;imatge<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> (ecografia o resson\u00e0ncia magn\u00e8tica).<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En primer lloc, el tractament m\u00e9s habitual sol ser <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">farmacol\u00f2gic, acompanyant de rep\u00f2s (relatiu, no absolut)<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> perqu\u00e8 el m\u00fascul esquin\u00e7at es regeneri amb normalitat.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Un cop passat el per\u00edode de rep\u00f2s, que dependr\u00e0 del grau de lesi\u00f3, el m\u00fascul ja estar\u00e0 llest per a la seva <\/span><\/span><a href=\"https:\/\/centrekine.com\/treatments1\/fisioterapia\/\"><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">rehabilitaci\u00f3 i recuperaci\u00f3<\/span><\/span><\/strong><\/a><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/strong><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Aquesta es realitza mitjan\u00e7ant exercicis d&#8217;enfortiment, des <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">d&#8217;isom\u00e8trics<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> fins a <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">exc\u00e8ntrics progressius <\/span><\/span><\/strong> <strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">i estiraments.<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> Els tractaments han de ser <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">supervisats per un <\/span><\/span><\/strong><a href=\"https:\/\/centrekine.com\/quien-te-cuida\/\"><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">fisioterapeuta col\u00b7legiat<\/span><\/span><\/strong><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">A <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Centre Kine de Lleida<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> els nostres fisioterapeutes et <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">guiaran en cada fase de la lesi\u00f3<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Ens adaptem a les <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">caracter\u00edstiques f\u00edsiques de cada pacient i als seus objectius<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> (esportius, laborals, personals).<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Fases del tractament<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Tot i que les <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">intervencions del fisioterapeuta s\u00f3n \u00faniques per a cada cas<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , el tractament <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">se sol dividir en fases<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , amb objectius i intervencions diferents:<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Fase I (24h \u2013 3 dies) <\/span><\/span><\/strong><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">&#8211; Gaireb\u00e9 immediatament despr\u00e9s del trencament<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">A la primera fase, el fisioterapeuta busca <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">fomentar la reparaci\u00f3 de les fibres musculars trencades i <\/span><\/span><\/strong> <strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">eliminar els efectes negatius<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> de la lesi\u00f3: <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">inflamaci\u00f3, edema, hematoma i dolor.<\/span><\/span><\/strong><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Fase II (3 \u2013 7 dies) <\/span><\/span><\/strong><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">&#8211; <\/span><\/span><\/strong><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">El teixit muscular esquin\u00e7at hauria d&#8217;estar parcialment reparat<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En segon lloc, el fisioterapeuta <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">incentivar\u00e0 l&#8217;alineaci\u00f3 de les neofibril\u00b7les<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> del nou teixit, amb l&#8217;objectiu de <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">reduir el risc de formaci\u00f3 d&#8217;adher\u00e8ncies, cicatrius i altres complicacions<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> que afectin la funci\u00f3 del m\u00fascul.<\/span><\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">A m\u00e9s, <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">estimula l&#8217;amplitud articular <\/span><\/span><\/strong> <strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">sense dolor<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , la <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">contractibilitat del m\u00fascul i la forma f\u00edsica general<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> del pacient.<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Fase III (7 \u2013 15 dies)<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Despr\u00e9s de les dues primeres fases, el fisioterapeuta <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">aspira a normalitzar les capacitats del bess\u00f3<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , com la <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">for\u00e7a, elasticitat, contractibilitat i resist\u00e8ncia.<\/span><\/span><\/strong><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Fase IV (Posterior als 15 dies)<\/span><\/span><\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Per acabar, s&#8217;inicia un enfocament terap\u00e8utic que permeti a la persona lesionada <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">retornar a les seves activitats amb la condici\u00f3 f\u00edsica pr\u00e8via a la lesi\u00f3.<\/span><\/span><\/strong><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Per aix\u00f2, es treballar\u00e0 mitjan\u00e7ant exercicis d&#8217; <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">equilibri, propiocepci\u00f3 i d&#8217;enfortiment m\u00e9s intens<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">En vols saber m\u00e9s?<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Truca&#8217;ns als tel\u00e8fons: 973 23 37 03 \u2013 677 56 16 59 o contacta&#8217;ns per WhatsApp.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Estarem encantats de poder atendre&#8217;t.<\/span><\/span><\/p>\n<p><a href=\"https:\/\/centrekine.com\/ca\/contacte\/\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Centre Kine<\/span><\/span><\/a><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Dues cl\u00edniques a Lleida: Passeig de Ronda, 164 i Santa Cec\u00edlia, 20<\/span><\/span><\/p>\n<hr \/>\n<h3><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Fonts<\/span><\/span><\/h3>\n<p><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">D\u00edaz Mohedano, Esther. <\/span><\/span><\/em><a href=\"https:\/\/www.amazon.es\/Manual-Fisioterapia-Traumatolog%C3%ADa-Esther-Mohedo\/dp\/849022871X\" target=\"_blank\" rel=\"noopener\"><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Manual de Fisioter\u00e0pia en Traumatologia<\/span><\/span><\/em><\/a><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . 1r Edici\u00f3. Elsevier. Espanya. SLU 2015.<\/span><\/span><\/em><\/p>\n<p><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Hsu D, Chang KV. <\/span><\/span><\/em><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK534766\/\" target=\"_blank\" rel=\"noopener\"><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Gastrocnemius Strain.<\/span><\/span><\/em><\/a><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> 2020 Aug 29. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan\u2013. PMID: 30521187.<\/span><\/span><\/em><\/p>\n<p><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Coffey R, Khan IS. <\/span><\/span><\/em><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK560869\/\" target=\"_blank\" rel=\"noopener\"><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Gastrocnemius Rupture<\/span><\/span><\/em><\/a><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . 2021 Feb 13. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan\u2013. PMID: 32809704.<\/span><\/span><\/em><\/p>\n<p><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">J. Rocha Ventosa. <\/span><\/span><\/em><a href=\"https:\/\/www.elsevier.es\/en-revista-revista-iberoamericana-fisioterapia-kinesiologia-176-articulo-la-ruptura-fibrilar-tratamiento-fisioterapico-13010373\" target=\"_blank\" rel=\"noopener\"><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">La ruptura fibril\u00b7lar: tractament fisioter\u00e0pic<\/span><\/span><\/em><\/a><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . REVISTA IBEROAMERICANA DE FISIOTER\u00c0PIA I KINESIOLOGIA. Volum 1 N\u00famero 2. P\u00e0gines 137 a 144. Abril 1998, Barcelona<\/span><\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Qu\u00e8 \u00e9s el trencament de fibres o fibril\u00b7lar de bessons? El trencament de fibres o fibril\u00b7lar del bess\u00f3 \u00e9s tamb\u00e9 coneguda com a s\u00edndrome de la pedrada . \u00c9s una lesi\u00f3 relativament comuna en esportistes que realitzen sortides en esprint intens . Tamb\u00e9 es d\u00f3na (sorprenentment) en persones amb una activitat f\u00edsica escassa o nul\u00b7la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18806,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[1910,1911,1912],"tags":[1914,2000,2102,1932,2114,2056,2146,2033,1984,2062,2063,2064,2017],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Trencament fibril\u00b7lar de bessons \u2013 Qu\u00e8 \u00e9s i com tractar-la - Centre Kine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/centrekine.com\/ca\/trencament-fibril\u00b7lar-de-bessons-que-es-i-com-tractar-la\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trencament fibril\u00b7lar de bessons \u2013 Qu\u00e8 \u00e9s i com tractar-la - Centre Kine\" \/>\n<meta property=\"og:description\" content=\"Qu\u00e8 \u00e9s el trencament de fibres o fibril\u00b7lar de bessons? 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