team management – Seite 2

sports physiotherapy sports science team management education innovation

Learning and sharing at the Lausanne 2020 Youth Olympic Games medical clinic

The Youth Olympic Games are an elite sporting event that include a series of educational activities and we built the whole concept of medical care at the village in the same spirit. We wanted not only to build a clinic with a lot of expertise, but to create a space for education for the young athletes, their medical teams and our volunteers.

elite sports sports nutrition team management digestive system education

Update on oral health in elite sports

Since the first report from the 1968 Olympic Games, many studies have consistently reported poor oral health in elite athletes without any differences regarding socio-economic status or continental location. Poor oral health is an important issue as it has a clear impact on quality of life, confidence, appearance and socialisation. It also has an impact on sport performance and training with impaired preparation for competition. Many causes to impaired oral health can include nutritional diet and carbohydrate supplementation, oral dehydration, depression of various aspect of the immune function due to intense exercise, negative health behaviours, lack of awareness, time and prioritisation.

sports and youth preparticipation sports medicine team management

Lower limb in the preparticipation examination (PPE)

This article described the clinical examination of the lower extremity during a pre-participation screening in regard of sports ability, presence of injuries and musculoskeletal disorders as well as predisposing risk factors for injuries and prevention. It divided into global static and dynamic testing but also isolated analysis of joint function.

sports medicine cardiology team management preparticipation

Regional differences of sudden cardiac death in sports. Experiences from German and Swiss registries

Sudden death of an athlete is the most devastating medical event in sports. While accidents account for more than 50% of these cases, sudden cardiac deaths (SCD) are less frequent (approx. 15%), but the leading medical cause of deaths. The risk depends on age, sex, ethnicity, type of sport and sport level. There are large variations in the methods of registration of SCD in recreational and competitive sports. This must be taken into account when interpreting reported incidences and causes. High data quality in registries is a prerequisite for meaningful preventive strategies (e.g. ECG screening and safety at sports facilities).

sports medicine cardiology team management preparticipation

The International (Seattle) Criteria

Through continuous improvement of diagnostic accuracy of ECG criteria for athletes sensitivity as well as specificity have grown so much that foregoing this screening tool is not feasible anymore. The most updated guidelines, the so-called “International (Seattle) Criteria” globally exhibit the most important reference publication, currently. The criteria were created with the purpose that particularly “non-cardiologists” should be able to use them before clearly pathological findings lead to further follow-up examinations at a specialist. On the other hand, physiologic ECG findings should not prompt expensive further evaluations, as it used to happen quite frequently.

sports medicine cardiology team management preparticipation

Recommendations for cardiovascular evaluation in athletes – a viewpoint

Traditionally, cardiovascular screening has been recommended mostly for competitive athletes younger than 35 years. The perception that only young competitive athletes at top level are at increased risk, has changed in the last years. Theoretically, we advocate a voluntary cardiovascular screening for all athletes who exercise vigorously, independent of their competitive status, and age. Although, this should be based on an individual estimation of the athlete’s risk. Physical examination, medical history and an ECG should be the baseline investigations for all athletes.

antidoping elite sports performance sports and society team management

Risk for a Swiss medical doctor involved in a doping affair

As soon as he prescibes medicine to an athlete, any physician is confrounted if he wants or not, and if he is aware of it or not, with the numerous and often complex rules treating with the universal fight against doping. In case of an involountary mistakee or not, the doctor can be involved in very unpleasant situations over different regulations. As ignorance is no valid defense form, it seems obvious that it is very imporant that each practitionner is informed the better possible about these legal aspects. This is the objective of the following presentation.

sports and youth preparticipation sports medicine cardiology team management

EKG and sports

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.

antidoping elite sports sports and society team management

The CADF: a possible independent model for the management of a comprehensive Anti-Doping programme

Created in 2008, the Cycling Anti-Doping Foundation (CADF), is a non-profit organization acting under Swiss law that became fully independent in 2013. Unique model for a sporting organization, the CADF’s role is to manage autonomously the Anti-Doping programme, on behalf of the Union Cycliste Internationale (UCI). The relationships between UCI and CADF are regulated by a contract signed by the CADF Foundation Board and UCI management. The CADF activities are conducted in compliance with the World Anti-Doping code [1], the UCI Anti-Doping rules [2].

elite sports sports and society team management

Professional path of former Swiss elite ice hockey players – influence of sporting career on professional career

A career in elite sports requires a significant investment of time. Professional sportsmen, such as Swiss ice hockey players, are intensively involved in the system of high-performance sports. From junior years through to the end of a professional career, a high investment of time is necessary to develop the appropriate sporting achievements. Building an ice hockey career occurs at the same time as the school phase of vocational training. The high time-demand of sport training can affect the choices and occupational opportunities offered at this time. After the end of the professional career and hockey players are forced to enter ’normal’ working life.