Category

growth

Category
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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Adolescence is triggered by puberty and corresponds to a time of great changes in many fields including biological, psychological, cognitive and social. Participation to a sport activity improves self-esteem, socialisation with peers and physical condition. Yet, it sometimes is associated with suffering, restrictive behaviours and eating disorders when performed at an intensive level. Intensive sport activity during adolescence should take into account young people’s developmental stages as well as their fundamental needs in order to promote a harmonious training. One way to promote such training is to train parents and medical health providers to recognise these specific developmental needs and take them into account.
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Ein junger Athlet sollte seine sportliche Tätigkeit über die gesamte Zeit von Wachstum und Entwicklung möglichst erfolgreich und mit Freuden durchführen können. Gerade sind von einem Expertenteam unter dem Hut des IOC lesenswerte Empfehlungen lanciert worden, wie gesunde, belastbare und fähige junge Athleten entstehen und wie diese optimal betreut werden sollen, jeder auf seinem sportlichen Niveau und mit seinen eigenen Erfolgsvorstellungen.
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Apophysitis are part of the growth-related diseases within youth athlete population. Despite their high incidence within this growing cohort, many doubts remain. The physiopathology is still debated. Initially, the fragmentation of the ossification center was seen as the main factor of the disease. For few years, this theory has been questioned due to consistent signs of tendon suffering. Apophysitis may have some negative long-term effect on a sporting career. There is currently poor scientific evidence on the optimal management and no treatment has been widely accepted.
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Strength training guidelines tend to be based on stress factors such as relative weight, repetitions, sets, rest inbetween sets, muscle action velocity and number of sessions per week. Based on the stress-strain-concept, empirical results and training experience require additional parameters related to the molecular and cellular adaptations for an effective strength training concept. In contrast to what has generally been assumed, it is notable that the individual percentage of 1-Repetition-Maximum (1 RM) is not the intensity but only a relative training load and therefore a stress factor. Intensity is referred to here as a strain factor, operationalized as the level of effort applied to a given load.
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