overuse – SEMS-journal

elite sports Mental health stress burnout overuse

SSSPP Position paper: Mental health in competitive sport

Mental disorders are common in competitive sports. They can influence performance, increase the risk of physical injuries and prolong rehabilitation. A specialized discipline for mental health has not (yet) been established. This position paper will emphasize the connection between the special requirements in competitive sports and the need of psychiatric specialization.

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Health prevention in youth sports: innovative and interdisciplinary experiences at the Lausanne 2020 Youth Olympic Games

The Youth Olympic Games were introduced in 2010 with the aim to bring young athletes not only an experience of competition on the world stage, but also to help them learn about the Olympic values, explore other cultures and develop the skills to become true ambassadors. The Lausanne 2020 Games provided an excellent opportunity to develop innovative concepts for health promotion and sports-related prevention. The enthusiasm across various sectors of society (political, academic and economy) empowered us to bring together multiple skills to materialize the IOC’s pledge.

sports and youth growth maturation overuse

The growing spine – a bestseller

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.

sports and youth growth overuse sports injury

Overview of overuse injuries

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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Psycho-educational group discussions: effective tool to reduce overload in adolescents facing a dual career challenge in sports/arts and studies?

Pendant les années 2011–2013, 151 jeunes talents sportifs et artistes du programme pour talents sportifs et artistiques du Canton du Tessin («Programme pour talents SMS») ont participé à un projet de suivi de leur santé sur le plan psychologique. Les objectifs visés par ce projet étaient l’évaluation du risque de surcharge psychologique de la population observée et le test de l’efficacité d’une intervention psycho-éducative de groupe pour réduire ce risque. Les jeunes talents – subdivisés en un groupe intervention (n=28) et un groupe contrôle (n=123) – ont rempli un questionnaire d’entrée (PRE), mesurant les paramètres psychologiques tels que l’anxiété, les motivations intrinsèques, ainsi que quatre facteurs de burnout et la perception d’un conflit d’intérêt entre pratique sportive/artistique et études. 8 mois après, ils ont été à nouveau interrogés au moyen du même questionnaire (POST), complété par des questions d’évaluation finale. Les réponses aux questionnaires d’entrée ont permis de montrer que 57.6% de l’ensemble des jeunes talents sont potentiellement à risque de surcharge psychologique.

sports and youth growth maturation overuse sports injury sports medicine muscle tendon

Apophysiopathies – a review of the literature and new directions

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.