Category

growth

Category
Elle avait été annoncée, et elle s’est réalisée. En avril dernier [1] il avait été annoncé que, dans le cadre d’une collaboration francophone, la SEMS et Le Réseau Santé & Sport allaient se déplacer chez nos voisins français au congrès conjoint de la Société Française de Traumatologie du Sport (SFTS) et de la Société Française de Médecine de l’Exercice et du Sport (SFMES) à Toulon (F).
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Competitive and elite sport often challenges the balance between health and performance, especially when it involves youth athletes. As Lausanne was getting ready to host the 2020 winter Youth Olympic Games, we had the opportunity to reflect on these challenges and on what they mean for sports medicine practitioners. Elite sport pushes athletes to the limit, be it through their own intrinsic drive to achieve ever more, or through the pressures of the multiple stakeholders around sport.
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Young competitive athletes are particularly at risk during puberty. Growth plates and apophyses are reduced in their stability by hormone influence. Epiphyses can slip, apophyses can tear out. Therefore, a regular examination of those athletes is important. The examination should focus on muscular asymmetries, or reduced range of motion of a joint. Shortened muscles have to be recon as a risk factor for apophysitis. Dysbalances of the musculature are mainly found in the trunk area. Training plans should be adapted to the increased vulnerability.
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Until now, there have been no studies in Switzerland that investigate differences in the motor performance disposition of children in urban and rural as well as in traditional and physical education kindergartens. A newly developed test instrument (MOBAK-KG) was therefore used in a supra-­cantonal research project in school year 2017/18 to test the motor skills of 4- to 6-year-old children (n = 403, Ø 5,7 years, SD = .56) in the areas of “self-movement” and «object-movement».
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There’s a relatively high prevalence of groin pain in male football players across the literature (ca. 21% of all time-loss injuries per season), and it is considered the third most common injury in football. About 2/3 of all groin injuries are adductor related. Andrea Mosler (former Aspetar, Doha, now at La Trobe University, Melbourne) who presented at the #SportSuisse 2018 conference, completed her PhD with a series of prospective studies on risk factors for groin pain in athletes. The aims were to identify the intrinsic risk factors for hip/groin injury, to determine if the “at-risk” individual can be identified through screening, and to examine the association between bony hip morphology and groin injury risk.
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During the last years, muscle strengthening exercises have been included as an essential part in youth physical activity guidelines of national and international health organisations. It is well-documented that strength training is effective in improving physical fitness and promoting health and psycho-social well-being. Therefore, the purpose of this review article is to present empirical evidence on the effectiveness of strength training in children and adolescents.
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The growing spine is – particularly in performance oriented young athletes – prone to overload: under pubertal hormonal influence the 48 cartilaginous growth zones beneath the vertebral endplates are mechanical as fragil as never before during growth whereas on the other side the impacting forces are becoming higher due to the longer trunk lever arm, the often apparent relative muscular insufficiency, the increasing training hours and intensity as well as the willingness and pressure to perform. The subsequent biomechanical imbalance usually results in simple functional complaints but may also entail structural changes, for example (thoraco-) lumbar Scheuermann’s disease in sports with high axial impact such as alpine skiing oder gymnastics.
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Ideally, the musculosceletal system and it’s components maintain a biologic balance during growth in order to compensate and/or adapt to intrinsic and extrinsic factors. Otherwise, the risk of acute or overuse injuries is increasing. The growth cartilage at the level of the growth plates or apophyses as well as the spine is highly vulnerable to overuse injuries, especially during the pubertal growth spurt. The diagnosis of an overuse injury is often delayed due to the undulant clinical manifestation and the treatment can be extensive and long-lasting, sometimes leading to an early cessation of sports activities.
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