Kinder sind von klein auf hoch motiviert, sich zu bewegen, freuen sich an neu gewonnenen motorischen Fertigkeiten und haben Spass an der Bewegung. Dabei geht es nicht um Sport, sondern einfach nur um die aktuelle Freude an der Aktivität an sich. Sport – also Bewegung um eines Zieles wegen – sollte später kommen. Das Eintrittsalter in den Wettkampfsport ist jedoch in den letzten Jahren gesunken, Leistungssport bei Grundschülern mit Trainingsumfängen von 10–20 Stunden pro Woche in Sportarten wie Schwimmen, Turnen, rhythmische Sportgymnastik oder Ähnliches hat es früher nicht gegeben.
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ACL injuries in children and adolescents have increased substantially in recent years. Nevertheless, treatment algorithms are domiated by predjudice more than by evidence, eventhough the scientific basis, summarized in this paper, is sound. The likelihood of an ACL tear in a traumatic hemarthros, even without contact, is 52%. More than half of the cases show concurrent injuries. Methods and criteria for success of conservative treatment are published in detail, however, surgical treatment produces a better clinical outcome in most cases. Various surgical techniques exist, and age appropriate treatment can elimate the risk of a growth disturbance and restore the normal function of the knee.
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There was a longstanding controversy on the role of resting ECG in the preparticipation examination in athletes, as well as in children and adolescent, in leisure time or top athletes. Besides other arguments, this was due to the limited validity, to the false positive and false negative findings often followed by a thorough clinical examination. However, recent studies from different research groups yielded a significant improvement in establishing ECG criteria in athletes discriminating normal from abnormal or pathological findings in athletes.This in addition is supported and improved by a software-based ECG device considering the new Seattle criteria.
These new criteria from the Seattle conference reliably discriminate normal from abnormal findings. Frequent ECG findings in athletes, especially in those engaged in endurance sports showed sinus bradycardia, AV-block and signs of left ventricular hypertrophy.
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Physical activity is recognized as a basic component of the management of the obese child, but it is not clear which kind of intervention is the most efficient. The aim of this study is to evaluate the effect of prescribed exercise training in obese children. We reviewed 19 studies, 10 RCT and 9 observational studies, published in the last 5 years. In the majority of these studies obese children were treated as ambulatory patient, in tertiary centers. Only 2 studies described a community based program. In half of the studies, drop-out was not reported and the rate of attendance was rarely described. On the other hand, the content of each session was well described, but exercise training intensity was below international recommendations.
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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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Injury prevention is a priority in the field of sports medicine and in physical activity promotion, in particular for youth. Injuries can lead to long term handicaps and disengagement from physical activity. The follow up of young sportsmen in the canton of Geneva over the last 35 years has permitted to get an idea of the prevalence of injuries in young sportsmen and allows a comparison with the general population. It has also permitted to get an idea of the influence prevention has had on injuries.
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Objective: The objective of the project is to actively integrate students partially dispensed from school sport through an adapted form of sports dispensation as well as a customized selection of exercises.
Method: By means of two online questionnaires, both structured similarly with respect to questions and main themes, a needs assessment was carried out. The questionnaires were sent by e-mail to 2600 members of three Swiss medical associations, doctors of the University Children’s hospital of Basel as well as to approximately 4000 sports teachers of the Swiss organization for sports at school.
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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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The process by which young talents develop to become top-class players once they reach the age of maximum performance is influenced by numerous factors. Among the exogenous factors, the family plays a central role. In the context of a research project carried out in cooperation with the Swiss Football Association SFV, 159 former members of the national youth football team were interviewed retrospectively, among other things concerning their family circumstances. The study is interested in understanding two issues.
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This paper highlights the findings of a comparative cross-sectional study in the cantons of Uri (UR) and Schwyz (SZ). In this study, participating in sports and daily physical activity among 5th grades were observed trough selected indicators. The study was conducted in autumn 2012 and 2013 and included a randomly selected sample of 161 pupils in Uri (10.6±0.7 year olds) and 261 pupils in the canton of Schwyz (10.7±0.7 year olds). In both regions, a high rate of participation in free time sports activities could be detected: 68.8% (UR) and 70.1% (SZ) of all the children involved are members of a sports club, with more than half of them, being active, both in and outside of sports club.
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