Ausgabe 3-2017 Archives

Activity guidelines for children and adolescents in Germany, Austria and Switzerland

Post author:Artd
Post published:22.01.2017
Post category:exercise is medicine sports and youth

The benefits of physical activity for the healthy development of children and adolescents are now undisputed. Therefore, recommendations for physical activity based on current scientific knowledge are installed. Although there are national differences, the primary goal is to motivate children and adolescents in different settings to be more active and less inactive. The extent to which this is possible or what factors are necessary at a political, scientific and actor-oriented level is critically discussed in this article.

Physical activity with congenital heart disease – Where are we 2017?

Post author:Artd
Post published:21.01.2017
Post category:cardiology sports and youth

Introduction: Adequate physical activity is important for a healthy and age-appropriate development in children and adolescents with congenital heart disease (CHD). To enable each child with CHD individual and harmless physical activity an exam by a pediatric cardiologist/sports medicine physician, specific recommendations based on residual findings and structures of care are needed. Methods: A selective review of the literature in PubMed was performed to retrieve current guidelines and review articles.

Use of time and effort in physical education classes

Post author:Artd
Post published:20.01.2017
Post category:exercise is medicine sports and youth

High, goal-orientated movement time is an essential characteristic of good physical education (PE). Due to the low weekly dotation of PE in the Swiss school curriculum, the question arises as to how the available teaching time is used, to what extent do the pupils exert themselves and what the subject actually contributes to the achievement of the recommended activity guidelines? The purpose of this cross-sectional study was to analyse the use of time and to determine the effort and perceived exertion of 5th grades (n = 468) during physical education (PE) lessons of 90 min.

“cool and clean”: does prevention of substance abuse work in sport?

Post author:Artd
Post published:19.01.2017
Post category:antidoping

There is a strong belief among the general population that sport has positive effects. However, only some preventive effects of sport meet these high expectations. Numerous studies have specifically shown that sport does not protect people from the consumption of legal and illegal drugs such as alcohol, tobacco and cannabis. For this reason, the umbrella organisation of Swiss sports associations (Swiss Olympic), the Federal Office of Sport (FOSPO) and the Federal Office of Public Health (FOPH) teamed up as early as 2003 and launched the “cool and clean” prevention programme.

Concussion in sports in children and adolescents – to play or not to play?

Post author:Artd
Post published:18.01.2017
Post category:concussion sports and youth

A lot has been published on the topic concussion in sports during the last years, conscience was sharpened, much was structured and defined more precisely, help tools were developed and rules changed. This article summarizes the fifth edition of the recently published guidelines of the “International Consensus Conference on Concussion in Sport”. In addition, new findings regarding gender differences and recovery will be presented, as well as the modified “return-to-sport” and the novel “return-to-school” protocols.

Strength training in children and adolescents: science, effects and recommandations

Post author:Artd
Post published:17.01.2017
Post category:coaching growth maturation

During the last years, muscle strengthening exercises have been included as an essential part in youth physical activity guidelines of national and international health organisations. It is well-documented that strength training is effective in improving physical fitness and promoting health and psycho-social well-being. Therefore, the purpose of this review article is to present empirical evidence on the effectiveness of strength training in children and adolescents.

Management of youth athletic injuries in alpine skiing

Post author:Artd
Post published:16.01.2017
Post category:sports and youth sports injury

The popularity of alpine skiing is growing among young athletes. However, this development also carries the risk of early health problems such as traumatic and overuse injuries. To support a long-term beneficial effect of an early sport specialization, the amount of appropriate volume and intensity of training need to be investigated. As a basis for a prospective and reliable data collection, we developed a training and injury database to repeatedly record the occurrence of traumatic injuries and overuse injuries. Study participants were 82 young talented alpine skiers aged between 9 and 14 years.

Diving medicine in children and adolescents

Post author:Artd
Post published:15.01.2017
Post category:sports and youth sports science

The special feature in recreational scuba diving is the high ambient pressure under water. As a consequence, specific behavioral rules and special requirements exist for safe diving in children and adolescents, especially for the preparticipation examination done by the diving physician. In this overview article, we describe the physical basics of diving, the sport-specific characteristics of recreational scuba diving with a special focus on children and adolescents (Declaration of Eisenach). We describe the requirements for health and for the medical certification for scuba diving.

The growing spine – a bestseller

Post author:Artd
Post published:14.01.2017
Post category:growth maturation overuse

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.

Overview of overuse injuries

Post author:Artd
Post published:13.01.2017
Post category:growth overuse sports injury

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.

Resting ECG as screening tool for Sudden Cardiac Death: PRO and CON

Post author:Artd
Post published:12.01.2017
Post category:cardiology cardiology elite sports

During our Annual meeting of the Society for Pediatric Sports Medicine in Basel 2017 one of the highlight sessions was the PRO-CON discussion about the use of a resting ECG as screening tool to detect youth at risk for sudden cardiac death. We present the two statements of the cardiology experts that were finally not so controversial as the PRO-CON may suggest. Well as often in medicine, it is the choice of each of you, how to deal with the situation. On one side we are taught to know and listen to the “evidence in medicine”, but on the other side we so often end up in our traditional professional perspective as decision maker that is not always wrong …

Pediatric sports medicine – why we need it

Post author:Artd
Post published:11.01.2017
Post category:education exercise is medicine

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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