{"id":2160,"date":"2021-10-31T16:20:14","date_gmt":"2021-10-31T15:20:14","guid":{"rendered":"https:\/\/www.fisioelab.com\/blog\/?p=2160"},"modified":"2022-01-13T10:21:29","modified_gmt":"2022-01-13T09:21:29","slug":"il-tennis-in-eta-pediatrica-quali-rischi","status":"publish","type":"post","link":"https:\/\/www.fisioelab.com\/blog\/il-tennis-in-eta-pediatrica-quali-rischi\/","title":{"rendered":"Il tennis in et\u00e0 pediatrica, quali rischi?"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1300px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.04 * calc( 100% - 0px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:66.666666666667%;--awb-spacing-right-medium:calc( 0.04 * calc( 100% - 0px ) );--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-margin-top-small:4vw;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-bottom:30px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Il tennis in et\u00e0 pediatrica, quali rischi?<\/h2><\/div><div class=\"fusion-text fusion-text-1\"><p><strong>A cura di Dott. Simone Spolaore &#8211; Specialista in Ortopedia e Traumatologia, Specialista in Ortopedia Pediatrica<\/strong><\/p>\n<p>Il tennis riesce a coinvolgere un numero elevato di bambini che si approcciano con passione a questo sport anche in virt\u00f9 dei recenti risultati raggiunti dagli atleti a livello nazionale.<\/p>\n<p>Contrariamente a quanto accade negli adulti che praticano questo sport, i bambini vengono maggiormente risparmiati dalle patologie infiammatorie periarticolari della spalla.<\/p>\n<p>E\u2019 doveroso porre attenzione alle lesioni ed ai sovraccarichi funzionali a livello di bacino, ginocchia e caviglie, tipiche dell\u2019et\u00e0 evolutiva. Lo scheletro in formazione presenta nuclei di accrescimento osteocartilaginei sui quali si inseriscono i tendini, che presentano resistenza alla trazione inferiore rispetto ai tendini stessi.<\/p>\n<p>Questa condizione, stimolata dai microtraumi ripetuti o da carichi eccessivi, pu\u00f2 portare ad infiammazione cronica dei suddetti nuclei, identificando un quadro patologico denominato Osteocondrosi. Tra le sedi tipiche ricordiamo la tuberosit\u00e0 ischiatica, l\u2019apofisi tibiale anteriore, il polo inferiore rotuleo ed il calcagno. Il dolore presenta caratteristiche cronico-recidivanti, ad inizio graduale, la diagnosi deve essere precoce e la terapia in questo caso \u00e8 di solito incruenta con un intervento di tipo riabilitativo.<\/p>\n<p>Contrazioni muscolari anomale, concentriche ed eccentriche, possono invece causare lesioni o avulsioni da strappo dei nuclei osteocartilaginei. Il passaggio in Pronto soccorso \u00e8 obbligatorio, l\u2019indagine radiografica \u00e8 la base di partenza per pianificare un\u2019eventuale soluzione chirurgica oppure impostare un programma riabilitativo specifico. Tipici sono i distacchi delle spine iliache (SIAS-SIAI) e della apofisi tibiale anteriore.<\/p>\n<p>Nel bambino che si approccia al tennis sono fondamentali un corretto inquadramento posturale, la valutazione della colonna, degli arti inferiori e dell\u2019appoggio plantare. Il maestro dovrebbe lavorare insieme al preparatore e al fisioterapista per pianificare ad inizio stagione un percorso di tipo preventivo, propriocettivo e di core-stability. Si deve porre particolare attenzione a differenziare gli allenamenti e le attivit\u00e0 complementari a seconda dello sviluppo fisico dell\u2019atleta, perch\u00e9 in pediatrica non sempre l\u2019et\u00e0 anagrafica corrisponde ad un medesimo quadro somatico.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-animated leftBar\" style=\"--awb-padding-top:2vw;--awb-padding-right:2vw;--awb-padding-bottom:2vw;--awb-padding-left:2vw;--awb-bg-color:#f6b600;--awb-bg-color-hover:#f6b600;--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:calc( 0.1 * calc( 100% - 0px ) );--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:calc( 0.1 * calc( 100% - 0px ) );--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.5\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"--awb-max-width:;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"500\" height=\"349\" title=\"spolaore\" src=\"https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/spolaore.jpeg\" data-orig-src=\"https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/spolaore.jpeg\" alt class=\"lazyload img-responsive wp-image-2161\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27500%27%20height%3D%27349%27%20viewBox%3D%270%200%20500%20349%27%3E%3Crect%20width%3D%27500%27%20height%3D%27349%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/spolaore-200x140.jpeg 200w, https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/spolaore-400x279.jpeg 400w, https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/spolaore.jpeg 500w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 700px) 100vw, 500px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-2\"><p><em>Dott. Simone Spolaore<\/em><\/p>\n<\/div><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#ffffff;--awb-margin-bottom:20px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Prenota la tua visita<\/h3><\/div><div class=\"fusion-text fusion-text-3\" style=\"--awb-font-size:16px;--awb-line-height:2.1em;--awb-text-color:#ffffff;\"><p><em><strong>Info e prenotazioni \u2013 Telefono<\/strong><\/em><\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-1 fusion-button-span-yes fusion-button-default-type fusion-has-button-gradient\" style=\"--button_accent_color:#000000;--button_accent_hover_color:#784910;--button_border_hover_color:#784910;--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;--button_gradient_top_color:#ffffff;--button_gradient_bottom_color:#ffffff;--button_gradient_top_color_hover:#e8c090;--button_gradient_bottom_color_hover:#f6b600;\" target=\"_self\" href=\"tel:0110864444\"><i class=\"fa-phone-alt fas awb-button__icon awb-button__icon--default button-icon-left\" aria-hidden=\"true\"><\/i><span class=\"fusion-button-text awb-button__text awb-button__text--default\">+39 011 0864444<\/span><\/a><\/div><div class=\"fusion-text fusion-text-4\" style=\"--awb-font-size:13px;--awb-line-height:2.1em;--awb-text-color:#ffffff;--awb-margin-top:20px;\"><p><em style=\"font-size: 16px;\"><strong>Info e prenotazioni \u2013 E-mail<\/strong><\/em><\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-2 fusion-button-span-yes fusion-button-default-type fusion-has-button-gradient\" style=\"--button_accent_color:#000000;--button_accent_hover_color:#784910;--button_border_hover_color:#784910;--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;--button_gradient_top_color:#ffffff;--button_gradient_bottom_color:#ffffff;--button_gradient_top_color_hover:#e8c090;--button_gradient_bottom_color_hover:#f6b600;\" target=\"_self\" href=\"mailto:info@fisioelab.it\"><i class=\"fa-envelope fas awb-button__icon awb-button__icon--default button-icon-left\" aria-hidden=\"true\"><\/i><span class=\"fusion-button-text awb-button__text awb-button__text--default\">info@fisioelab.it<\/span><\/a><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2358,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,22],"tags":[],"class_list":["post-2160","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-infanzia","category-medicina-dello-sport"],"_links":{"self":[{"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/posts\/2160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/comments?post=2160"}],"version-history":[{"count":2,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/posts\/2160\/revisions"}],"predecessor-version":[{"id":2359,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/posts\/2160\/revisions\/2359"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/media\/2358"}],"wp:attachment":[{"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/media?parent=2160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/categories?post=2160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/tags?post=2160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}