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1.
Instr Course Lect ; 69: 661-670, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32017759

RESUMO

Orthobiologics continue to be one of the most discussed and trending topics in orthopaedic surgery today. Pathology of tendons, ligaments, bone, cartilage, and meniscal tissue are all theoretically treatable with biologics. Ultimately, the hope for biologics is to provide symptom relief and improve tissue healing with the potential to treat some conditions without the need for surgery. It is important to review the current state of biologic therapies available for musculoskeletal disease, discuss government regulations and barriers to use, and, finally, examine current research in biologics and what the future may hold.


Assuntos
Produtos Biológicos , Ortopedia , Medicina Esportiva , Humanos , Ligamentos , Tendões
3.
Emerg Med Clin North Am ; 38(1): 207-222, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31757251

RESUMO

A systematic approach is required for patients with a suspected concussion. Although standardized tools can aid in assessment, the diagnosis of concussion remains a clinical one. At the time of diagnosis, patients should be given both verbal and written review of the common symptoms of concussion, expected course of recovery, as well as strategies to manage symptoms. Most patients benefit from a brief period of rest, followed by a gradual reintroduction of activities, and a graduated return-to-sport protocol. Patients with prolonged recovery from a concussion may benefit from exercise, vestibular, and cognitive rehabilitation programs.


Assuntos
Traumatismos em Atletas/terapia , Concussão Encefálica/terapia , Diagnóstico por Imagem/métodos , Gerenciamento Clínico , Emergências , Medicina Esportiva/métodos , Traumatismos em Atletas/complicações , Traumatismos em Atletas/diagnóstico , Concussão Encefálica/diagnóstico , Concussão Encefálica/etiologia , Humanos , Índices de Gravidade do Trauma
4.
Wilderness Environ Med ; 30(4S): S121-S140, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31753543

RESUMO

The Wilderness Medical Society convened an expert panel in 2018 to develop a set of evidence-based guidelines for the treatment of type 1 and 2 diabetes, as well as the recognition, prevention, and treatment of complications of diabetes in wilderness athletes. We present a review of the classifications, pathophysiology, and evidence-based guidelines for planning and preventive measures, as well as best practice recommendations for both routine and urgent therapeutic management of diabetes and glycemic complications. These recommendations are graded based on the quality of supporting evidence and balance between the benefits and risks or burdens for each recommendation.


Assuntos
Diabetes Mellitus Tipo 1/terapia , Diabetes Mellitus Tipo 2/terapia , Medicina Selvagem/normas , Atletas , Diabetes Mellitus Tipo 1/fisiopatologia , Diabetes Mellitus Tipo 2/fisiopatologia , Humanos , Hiperglicemia/prevenção & controle , Hipoglicemia/prevenção & controle , Padrões de Prática Médica , Sociedades Médicas , Medicina Esportiva/métodos , Medicina Selvagem/métodos
6.
J Athl Train ; 54(10): 1083-1088, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31633410

RESUMO

CONTEXT: Sport specialization has been defined as year-round intensive training in a single sport to the exclusion of other sports. A commonly used survey tool created by Jayanthi et al, which classifies athletes as having a low, moderate, or high level of specialization, categorizes only athletes answering yes to "Have you quit other sports to focus on a main sport?" as highly specialized. We hypothesized that a measureable number of year-round, single-sport athletes have never played other sports and, therefore, may be inaccurately classified as moderately specialized when using this tool, even though most experts would agree they should be viewed as highly specialized. OBJECTIVE: To determine the proportion of athletes misclassified as moderately rather than highly specialized because they never played a previous sport. DESIGN: Cross-sectional study. SETTING: Hospital-based pediatric outpatient sports medicine clinic. PATIENTS OR OTHER PARTICIPANTS: Injured athletes aged 12 to 17 years who presented to the clinic between 2015 and 2017 and completed a sports-participation survey (n = 917). MAIN OUTCOME MEASURE(S): Sport-specialization level. RESULTS: Of 917 participants, 299 (32.6%) played a single sport more than 8 months per year, and 208/299 (69.6%) had previously quit other sports (highly specialized), whereas 91 (30.4%) had never played other sports (highly specialized and misclassified as moderate). Individual-sport athletes had a 2.03 times greater risk of being highly specialized and misclassified as moderate than team-sport athletes (relative risk = 2.03 [95% confidence interval = 1.37, 3.00]). Females had a 1.70 times greater risk of being misclassified as moderately specialized than males (relative risk 1.70 [95% confidence interval = 1.07, 2.70]). Of the 3 sports with the largest number of athletes, artistic gymnastics had the highest proportion (51.2%) who had never played other sports. CONCLUSIONS: The commonly used specialization survey misclassified a substantial number of highly specialized athletes as moderately specialized. Researchers should consider adding a fourth survey question, "Have you only ever played 1 sport?" to identify and better study this unique subset of misclassified athletes.


Assuntos
Atletas , Comportamento de Escolha , Especialização , Medicina Esportiva , Esportes Juvenis , Adolescente , Atletas/classificação , Atletas/psicologia , Atletas/estatística & dados numéricos , Criança , Estudos Transversais , Feminino , Ginástica/psicologia , Ginástica/estatística & dados numéricos , Humanos , Masculino , Fatores de Risco , Medicina Esportiva/métodos , Medicina Esportiva/normas , Estados Unidos , Esportes Juvenis/psicologia , Esportes Juvenis/estatística & dados numéricos
7.
J Athl Train ; 54(10): 1040-1049, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31633420

RESUMO

Sport specialization is a training method now commonly used by young athletes who hope to achieve elite-level success. This may be defined as (1) choosing a main sport, (2) quitting all other sports to focus on 1 sport, and (3) year-round training (greater than 8 months per year). A number of sports medicine organizations have published recommendations based on the limited evidence available on this topic. The objective of this article was to perform a narrative review of the currently available evidence and sports medicine organizational recommendations regarding sport specialization and its effects on health to guide athletic trainers and sports medicine providers. To accomplish this goal, we conducted a narrative review of articles and position statements on sport specialization published from 1990 through 2018. Injury, overuse injury, serious overuse injury, and lower extremity injury were likely associated with higher degrees of sport specialization in various populations. Sports medicine organizations in general recommended against sport specialization in young athletes and instead promoted multisport participation for physical and psychological benefits. Few long-term data suggest that sport specialization has negative health-related quality-of-life consequences. Higher degrees of sport specialization likely pose risks of overuse injury; however, the age of specialization at which this risk occurs is not known. Because different populations and sports activities may put children at risk for certain injuries, future researchers should monitor large populations with sport-specific prospective active surveillance.


Assuntos
Traumatismos em Atletas/prevenção & controle , Transtornos Traumáticos Cumulativos , Especialização , Medicina Esportiva , Estresse Psicológico , Esportes Juvenis , Adolescente , Criança , Transtornos Traumáticos Cumulativos/epidemiologia , Transtornos Traumáticos Cumulativos/etiologia , Humanos , Fatores de Risco , Medicina Esportiva/métodos , Medicina Esportiva/normas , Estresse Psicológico/etiologia , Estresse Psicológico/prevenção & controle , Esportes Juvenis/fisiologia , Esportes Juvenis/psicologia , Esportes Juvenis/normas
10.
Transplant Proc ; 51(9): 2902-2905, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31606183

RESUMO

BACKGROUND: Following the positive experience of the national project "A transplant...and now it's time for sport," the Transplant Reference Center of the Emilia-Romagna Region has pursued the promotion of pre- and post-transplant physical exercise by developing a network. METHODS: The path involved the transplant centers and operative units (UU.OO) who wanted to target transplant and waiting list patients, who are clinically stable, to perform personalized exercise through a program (supervised or not) prescribed by a specialist in sports medicine. With the collaboration of the Collective Prevention and Public Health Service, the network was established, consisting of the sports medicine centers and the gyms that promote health for adapted physical activity (PS-AMA). To implement the network, training courses for all the professionals involved (doctors, nurses, exercise specialists) and operational meetings in the transplant centers-nephrology units with patients' associations have been organized. RESULTS: To date, there are 14 transplant centers and UU.OO, 9 sports medicine centers, and 45 PS-AMA involved in this network. Seven training courses were organized with the participation of 193 health professionals. Since January 2016, there have been 65 transplanted patients and 5 patients on the waiting list who practice the prescribed exercise. Of these, 45 carry out supervised exercise in PS-AMA; 25 perform autonomous exercise. Each patient is monitored every 6 months. No problems related to the exercise performance were recorded. CONCLUSIONS: The development of a network of professionals and associations is the key element to raise awareness of physical activity among transplanted and waiting-for-transplant patients, reducing the pathologies associated with a sedentary lifestyle.


Assuntos
Terapia por Exercício/métodos , Terapia por Exercício/organização & administração , Exercício , Transplante de Órgãos/reabilitação , Doadores de Tecidos , Feminino , Humanos , Esportes , Medicina Esportiva/métodos
11.
Praxis (Bern 1994) ; 108(13): 851-858, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31571547

RESUMO

Conservative Therapy of Achilles Tendinopathy in Sports Medicine Abstract. Due to its key role in power transmission, the Achilles tendon is a common site of acute and overuse injuries in running athletes. Therefore, a sports physician needs to know some anatomic, diagnostic and therapeutic key points to be able to establish an individualized therapy approach. With regard to the «in¼ and «out of season¼ period, there is a primary focus on physio- and shock-wave therapy. Additionally, peritendinous infiltration might be re-evaluated in individual cases. In this review we focus on «midportion¼ and «insertional¼ tendinopathy. Nevertheless, conservative treatment of Achilles tendon ruptures will be discussed as well. This concise overview should provide the sports physician with basic knowledge of these common pathologies.


Assuntos
Tendão do Calcâneo , Traumatismos em Atletas , Tratamento Conservador , Tendinopatia , Tendão do Calcâneo/lesões , Traumatismos em Atletas/terapia , Humanos , Medicina Esportiva , Tendinopatia/terapia
13.
Int. j. cardiovasc. sci. (Impr.) ; 32(5): 473-480, Sept-Oct. 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1040099

RESUMO

The World Health Organization (WHO) recommends as a weekly "target dose" of exercise 150 minutes of moderate exercise or 75 minutes of intense exercise. Public health policies have prioritized the practice of exercise as a strategy for disease prevention and health promotion, with health professionals as their main promoters. Objective: To assess the interaction between the amount of exercise per week and the knowledge about recommendations for fighting a sedentary lifestyle among health care professionals attending a congress of cardiology. Methods: Participants of the 2017 Rio de Janeiro Society of Cardiology Congress were interviewed. Knowledge about the World Health Organization (WHO) recommendations for fighting a sedentary lifestyle was assessed by asking participants the question: "How much weekly exercise is recommended by the WHO?" Responders were stratified by the weekly exercise load reported. A multivariate logistic model was created to determine independent predictors of knowledge. Results: A total of 426 participants were interviewed (45.5% men, median age 31 years, 37.8% physicians, 65.8% of the physicians were cardiologists). The overall knowledge level was 44.6%; 38.1%, 52.7% and 56.6% among non-physicians, non-cardiologists and cardiologists, respectively (p = 0.002). Of all participants, 21.8% were inactive, 15% were lightly active, 34.7% moderately active and 28.4% highly active, and the percentage of individuals who gave a correct answer to the question on exercise recommendations was 30.1%, 42%, 48% and 52.9% respectively (p < 0.0001). In the multivariate analysis, being highly active (OR = 2.25, IC95%, 1.238 - 4.089), moderately active (OR = 1.93, IC 95% 1.105 - 3.39) and being a cardiologist (OR = 2.01, IC 95% 1.243 - 3,267) were predictors of knowledge. Conclusions: There was a linear association between exercise level and knowledge about the WHO recommendations on exercise. Policies to stimulate the practice of exercise among health professionals can positively impact campaigns for reducing sedentary lifestyle in the general population


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Esportes , Medicina Esportiva/tendências , Organização Mundial da Saúde , Exercício , Doenças Cardiovasculares/prevenção & controle , Índice de Massa Corporal , Análise Estatística , Análise Multivariada , Inquéritos e Questionários , Comportamento Sedentário , Promoção da Saúde , Frequência Cardíaca , Atividade Motora
15.
J Athl Train ; 54(8): 843-851, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31536387

RESUMO

The Second Safety in College Football Summit resulted in interassociation consensus recommendations for three paramount safety issues in collegiate athletics: (1) independent medical care for collegiate athletes; (2) diagnosis and management of sport-related concussion; and (3) year-round football practice contact for collegiate athletes. This document, the fourth arising from the 2016 event, addresses the prevention of catastrophic injury, including traumatic and non-traumatic death, in collegiate athletes. The final recommendations in this document are the result of presentations and discussions on key items that occurred at the summit. After those presentations and discussions, endorsing organisation representatives agreed on 18 foundational statements that became the basis for this consensus paper that has been subsequently reviewed by relevant stakeholders and endorsing organisations. This is the final endorsed document for preventing catastrophic injury and death in collegiate athletes. This document is divided into the following components. (1) Background-this section provides an overview of catastrophic injury and death in collegiate athletes. (2) Interassociation recommendations: preventing catastrophic injury and death in collegiate athletes-this section provides the final recommendations of the medical organisations for preventing catastrophic injuries in collegiate athletes. (3) Interassociation recommendations: checklist-this section provides a checklist for each member school. The checklist statements stem from foundational statements voted on by representatives of medical organisations during the summit, and they serve as the primary vehicle for each member school to implement the prevention recommendations. (4) References-this section provides the relevant references for this document. (5) Appendices-this section lists the foundational statements, agenda, summit attendees and medical organisations that endorsed this document.


Assuntos
Traumatismos em Atletas , Gestão da Segurança , Medicina Esportiva , Universidades/normas , Traumatismos em Atletas/classificação , Traumatismos em Atletas/prevenção & controle , Consenso , Humanos , Gestão da Segurança/métodos , Gestão da Segurança/organização & administração , Medicina Esportiva/métodos , Medicina Esportiva/normas , Estudantes , Estados Unidos
17.
Clin Sports Med ; 38(4): 483-496, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31472761

RESUMO

Cardiac disease can present in the training room through three portals: the preparticipation history and physical may identify concerns, the athlete may present with symptoms, or screening modalities may demonstrate abnormal findings. Training-related cardiovascular remodeling can mimic real disease, therefore providers must be able to separate the two. Sports medicine providers must be knowledgeable in how these present and how to care for these concerns to ensure proper care and avoid unnecessary restrictions of athletes. This article discusses 10 common cardiac concerns that can arise in the training room.


Assuntos
Doenças Cardiovasculares/diagnóstico , Anamnese , Exame Físico , Medicina Esportiva/métodos , Doenças Cardiovasculares/complicações , Doenças Cardiovasculares/genética , Morte Súbita Cardíaca/prevenção & controle , Eletrocardiografia , Humanos , Programas de Rastreamento , Avaliação de Sintomas
18.
Clin Sports Med ; 38(4): 497-511, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31472762

RESUMO

Concussion is a challenging and controversial medical diagnosis that can test even the most seasoned practitioner. Knowledge on this topic is ever evolving. It was not so long ago that grading guidelines were based on loss of consciousness and amnesia. Medicine has seen a renaissance of discovery over the past 20 years in concussion evaluation and management. A PubMed search for "concussion" between 1990 and 2000 produced just over 1000 articles and that same search including the last 18 years expands to over 10,000 publications. The most recent knowledge and recommendations are discussed based on the published evidence.


Assuntos
Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/terapia , Concussão Encefálica/diagnóstico , Concussão Encefálica/terapia , Humanos , Exame Físico , Medicina Esportiva/métodos , Avaliação de Sintomas
19.
Rev Med Suisse ; 15(658): 1370-1373, 2019 Aug 14.
Artigo em Francês | MEDLINE | ID: mdl-31411824

RESUMO

Trail running races are a real challenge for medical and paramedical workers committed to aid station/medical support system, because of their technical and geographical particularities. In this article, we review the different etiologies of collapse, digestive problems, kidney complications, diseases related to the environment and musculoskeletal injuries. Field care and prevention are also examined. Although injuries are often benign, some more serious problems may require rapid and effective intervention. Medical teams must be prepared for each of the different situations discussed in this article.


Assuntos
Doenças Musculoesqueléticas , Corrida , Humanos , Assistência ao Paciente , Corrida/lesões , Medicina Esportiva
20.
Rev Med Suisse ; 15(658): 1374-1379, 2019 Aug 14.
Artigo em Francês | MEDLINE | ID: mdl-31411825

RESUMO

In an alpine region, the winter season has a major impact on the daily practice of both an emergency department and a general practice. During the 2017-2018 season, we have listed the consultations caused by winter sports, whether traumatological or medical. The vast majority are ambulatory. Initial care and follow-up can usually be performed by a primary care physician. In this paper, we will outline the management of the knee and acromioclavicular sprain, two frequent lesions in the winter sports setting.


Assuntos
Serviços Médicos de Emergência , Clínicos Gerais , Esportes , Entorses e Distensões , Serviço Hospitalar de Emergência , Humanos , Estações do Ano , Medicina Esportiva
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