sports medicine – SEMS-journal

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Pelvic Pain in the Female Cyclist: A Multifaceted Diagnostic Challenge

A 28-year-old cyclist reports cramp-like lower abdominal pain while abroad. She had an IUD inserted eight weeks ago and has not felt quite right since. A check-up with her gynecologist four weeks ago was uneventful. In addition to the lower abdominal pain, she also experiences bloating, flatulence, and a strange feeling when urinating, but no actual pain.

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Exercise-Induced Bronchoconstriction in Elite Swimming: A Clinical Approach to Diagnosis and Management

A 19 year-old female swimmer comes to your sports medicine consultation, because she has been struggling with breathing at higher intensities since 3 months. The dyspnea mostly occurs during sustained intensities in the pool or at the later stages of short interval sprints.

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Acute Perimyocarditis in Elite Athletes: Navigating Diagnosis and Return to Competition

A 23-year-old female elite runner, previously healthy with normal pre-participation screening, developed fatigue and an upper respiratory tract infection with fever for three days. Her symptoms improved but she continued to experience prolonged fatigue, which led her to seek evaluation by a sports and exercise medicine physician.

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Effects of therapeutic exercise on cognition in adults with hypertension: A systematic review

Background: To systematically review the effectiveness of exercise on cognition in patients with arterial hypertension (HTN). Methods: A systematic search was performed in the subsequent databases starting from the oldest records existing till June 2022: MEDLINE (accessed by PubMed), CENTRAL, Scopus, and Web of Science (Web of Science Core Collection). The search was carried out from November 2021 to January 2022. Trials investigating the effects of exercise on cognition in patients with HTN were included in the review. Two authors assessed trial quality using PEDro and National Institute of Health (NIH) tools.

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Acute Ankle Sprains – a clinical algorithm for a common injury

This article offers a clinical algorithm on decision making and treatment of acute ankle sprains. Key factors are analyzing trauma mechanism, sprain frequency and ligament injury. Therefore, a thorough clinical examination is important. Additional diagnostic imaging modalities may be required.

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The Athlete’s ECG

Sudden cardiac death (SCD) is the leading non-traumatic cause of mortality in athletes under 35, most often due to inherited cardiomyopathies or primary electrical disorders that may remain silent until a fatal event. The 12-lead electrocardiogram (ECG) is the most accessible and cost-effective screening tool, yet its early use was hampered by poor specificity and high false-positive rates, mainly due to non-standardized interpretation and limited awareness of physiological adaptations.

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Asthma or exercise-induced bronchoconstriction – a diagnostic challenge

Exercise-induced bronchoconstriction (EIB) describes the frequent phenomenon of airway narrowing during or after exercise. EIB is a characteristic of asthma in some patients but might develop in athletes without asthma, especially in high-risk disciplines with prolonged high minute ventilation, exposure to cold or toxic substances.

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“Testing and Procedures in Sports Medicine” – what is this SEMS-course about?

Sports and exercise medicine is about putting things in practice. However, as many academic disciplines it suffers of a discrepancy of science in theory and practical life. To bridge this gap and to break down relevant scientific know-how in favour of athletes’ health and performance is one of the goals of all SEMS educational courses.

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Hüftschmerzen beim jungen Sportler

Hip pain is a common clinical problem caused by a variety of orthopedic and non-orthopedic factors. While orthopedic causes such as osteoarthritis and femoroacetabular impingement (FAI) are well documented, non-orthopedic causes such as sports hernias, peritrochanteric pain syndrome, psoas syndrome, adductor strains, symphysitis and hamstring pathologies require more differentiated consideration.

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Interventionelle Behandlungen des vegetativen Nervensystems bei Sportverletzungen mit CRPS und DOMS

Injections around the autonomic nervous system, particularly the so-called sympathetic trunk, have been established for years. The main focus so far has been the treatment of CRPS (Complex Regional Pain Syndrome). The procedures are being increasingly used for other indications that are associated with vegetative dysregulation, such as DOMS (Delayed Onset Muscle Soreness).