RESUMO
Musculoskeletal injuries are prevalent in professional soccer and can result in lost training time or match play. It is intuitive that the "return to play" (RTP) pathway will depend, in large part, on the expertise of sports medicine practitioners (e.g. surgeons, physicians, physiotherapists) responsible for player's recovery. Consensus statements on returning athletes to sport following injury acknowledge the contributions of sport psychology and sports nutrition. However, specific consideration on how to integrate these two recognized - but often overlooked components of injury rehabilitation - into existing sport medicine approaches has yet to be examined. Using a framework of milestones directed by the medical physician and physical trainer, the evidence is summarized and suggestions provided on the integration of sports psychology and sports nutrition into an interdisciplinary RTP approach. We examine recovery from a phase approach (acute injury and functional recovery) to highlight interdisciplinary opportunities in the management of musculoskeletal soccer injuries. An interdisciplinary approach is understood to achieve outcomes that could not be achieved within the framework of a single discipline. The incorporation of sports psychology and nutrition theoretically compliment milestones used in current medically-based RTP models. Our hope is that this article serves as a catalyst for interdisciplinary practice and research - not only in sports nutrition and sports psychology - but across all sport and exercise disciplines.
Assuntos
Sistema Musculoesquelético/lesões , Nutricionistas , Equipe de Assistência ao Paciente , Psicologia do Esporte , Volta ao Esporte/psicologia , Futebol/lesões , Futebol/psicologia , Feminino , Humanos , Masculino , Recuperação de Função FisiológicaRESUMO
In the context of this study the ethnic origin of the patients revealed no noteworthy difference in the clinical reaction to the parasite; neither did age or sex of the patients. Any minor differences whcih appeared in length of history before seeking treatment and frequency of repeat attacks were more a reflection of the cultural pattern of response to illness (i.e. resort to traditional medicines) and the distance between the patient's home and the doctor rather than any altered response on the part of the host to the parasite. However, the fact that about 35 per cent of all the episodes had a history of eight or more days (about 10 per cent more than 30 days) suggest that more "malaria consciousness" is called for in what is after all an endemic malaria area. The value (and necessity) of repeated examination of the blood to detect the parasite is confirmed but it is also encouraging to note that in 84% of cases a single careful examination of the blood revealed the parasite. Since in 49% of our malaria episodes the patient was afebrile when the parasite was discovered, it is obvious that in outpatient practice especially blood should be examined when the patient presents for treatment, irrespective of the presence or absence of pyrexia. As always, a prerequisite to the diagnosis of malaria is an awareness of its possible presence.
Assuntos
Malária/diagnóstico , Adolescente , Adulto , Criança , Pré-Escolar , Diarreia/etiologia , Etnicidade , Feminino , Febre/etiologia , Humanos , Lactente , Malária/sangue , Malária/complicações , Malásia , Masculino , Plasmodium falciparum/isolamento & purificação , Plasmodium vivax/isolamento & purificação , Vômito/etiologiaRESUMO
Chloroquine pressure was applied over a 22 month period on a somewhat isolated, malarious rubber estate by examination of residents at 4-week intervals and treatment of parasitaemias with chloroquine. During this time the monthly attack rate for P. falciparum rose four-fold to an average of nearly 18% per month, while that of P. vivax remained relatively constant at about 8%. Eight in vivo chloroquine resistance studies, which allowed both detection of late recrudescing R-I resistance and estimation of the risk of reinfection, showed an apparent rise in the drug resistance rate, from 12% to 20% prior to the study to the range of 40-50%. Virtually all resistance encountered was R-I in nature. There was no convincing evidence of chloroquine resistance among 148 tested P. vivax infections.
Assuntos
Cloroquina/uso terapêutico , Malária/tratamento farmacológico , Sangue/parasitologia , Cloroquina/farmacologia , Resistência Microbiana a Medicamentos , Humanos , Estudos Longitudinais , Malária/epidemiologia , Malária/prevenção & controle , Malásia , Plasmodium falciparum/efeitos dos fármacos , Fatores R , RecidivaAssuntos
Malária/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Criança , Pré-Escolar , Etnicidade , Feminino , Humanos , Lactente , Recém-Nascido , Malária/diagnóstico , Malásia , Masculino , Pessoa de Meia-Idade , GravidezAssuntos
Filariose/tratamento farmacológico , Levamisol/uso terapêutico , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Relação Dose-Resposta a Droga , Feminino , Febre/induzido quimicamente , Humanos , Levamisol/administração & dosagem , Levamisol/efeitos adversos , Masculino , Pessoa de Meia-Idade , Fatores de TempoAssuntos
Anti-Helmínticos/uso terapêutico , Infecções por Uncinaria/tratamento farmacológico , Necator , Tiocianatos/uso terapêutico , Adolescente , Adulto , Anti-Helmínticos/administração & dosagem , Anti-Helmínticos/efeitos adversos , Ascaríase/tratamento farmacológico , Cápsulas , Criança , Pré-Escolar , Hemoglobinas/análise , Infecções por Uncinaria/sangue , Infecções por Uncinaria/epidemiologia , Humanos , Larva , Malásia , Pessoa de Meia-Idade , Contagem de Ovos de Parasitas , Fatores Socioeconômicos , Tiocianatos/administração & dosagem , Tiocianatos/efeitos adversos , Tricuríase/tratamento farmacológicoAssuntos
Malária/epidemiologia , Fatores Etários , Pré-Escolar , Etnicidade , Feminino , Humanos , Lactente , Malária/diagnóstico , Malásia , Masculino , Estações do AnoAssuntos
Amebíase/tratamento farmacológico , Metronidazol/administração & dosagem , Doença Aguda , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Doença Crônica , Disenteria Amebiana/tratamento farmacológico , Entamoeba histolytica/isolamento & purificação , Fezes/microbiologia , Feminino , Humanos , Enteropatias Parasitárias/tratamento farmacológico , Masculino , Metronidazol/uso terapêutico , Pessoa de Meia-IdadeRESUMO
No abstract available.