Background: Iron deficiency (ID), worldwide a common affection is associated with reduced performance, fatigue and increased risk for infections. Athletes are a risk-population due to a higher prevalence of restrictive diets or exercise-induced inflammation. Particularly in athletes, the diagnosis of ID based on unspecific symptomes or routine laboratory diagnostics with ferritin is not always reliable. The goal of this study was therefore to discover if a new diagnostic approach adding zinc protoporphyrin (ZnPP) or soluble transferrin receptor (sTfR) in the routine assessment of ID in athletes is helpful or even necessary.
Read More
Introduction: Sport climbing is becoming more and more popular however, protocols for analyzing technique do rarely exist. One common tool in Switzerland is the standard climbing protocol of SAC, which is oriented at the standard movement of climbing allowing to rate individual technique. In this study interaction of blood lactate concentration and its interaction with technique scores were analyzed.
Methods: 12 sportclimbers of good leisure sport level with regular climbing activity performed 3 previously unknown routes with difficulties of 6–, 6, 6+ (UIAA Scale) in a climbing hall.
Read More
Introduction: The use of prophylactic knee orthoses is very common among Swiss ice hockey players to prevent recurrent lesions of the medial collateral ligament (MCL) and the anterior cruciate ligament (ACL). However, their effects are still widely discussed in the literature.
Purpose of the Study: The purpose of this study is to assess the feasibility of a given protocol (recruitment, resources, data management, surveys...) for a future national study and to present the preliminary results of the prophylactic orthotics effects on recurrent injuries.
Methods: Retrospective epidemiological pilot study.
Read More
Eine komplette Ruptur eines Muskelbauchs kann zu einem partiellen oder vollständigem Funktionsverlust führen. Dies gilt insbesondere für wichtige Kennmuskeln. Ein solcher Muskel ist der M. rectus femoris. Er ist der wichtigste Kniestrecker. Ein vollständiger Funktionsausfall des M. rectus femoris führt zu einem Extensionskraftsdefizit im Kniegelenk, ähnlich einer Patellarsehnen- oder Quadricepssehnenruptur. Während bei einer Patellarsehnen- oder Quadricepssehnenruptur therapeutisch die chirurgische Sehnenrekonstruktion unbestritten ist, ist dies für den Muskelriss weniger eindeutig. In den zwei Fällen, die hier vorgestellt werden, wurde der chirurgische Therapieweg gewählt.
Read More
Hip disorders are increasingly common in pediatric and adolescent athletes, being both idiopathic problems aggravated by sports and overuse injuries caused by sports. These disorders are a major cause of morbidity and their long-term consequences carry into adulthood. In the past these problems have been primarily treated with open surgery using a surgical hip dislocation, but due to improved instruments and techniques, hip arthroscopy is becoming a mainstay in their treatment.
Arthroscopic management allows assessment and reconstructive treatment of most problems in practically all parts of the hip.
Read More
Background: Muscle injuries are the most common injury in soccer and account for almost 30 percent of all time-loss injuries. The aim of this study was to investigate the muscle length as a risk factor to sustain a muscle injury and to grade and monitore muscle injuries during the rehabilitation.
Methods: 110 young male football players of 5 soccer teams (U15, U16, U17, U18 and U21) with (age 16,8 (14,3–21) years, height 174,5 (146,1–190,0) cm, weight 65,7 (35,5–84,6) kg) were monitored for 12 months in a prospective cohort study. Initially, muscle length in all players were measured. Every muscle injury was documented and monitored in a standardized protocol and graded clinically based on the Muscle-Injury-Score.
Read More
Background: Muscle injuries affect up to 72% of professional soccer players within one season and there are well reviewed, but muscle injuries in youth soccer players are not widely documented. The aim of this study was to investigate incidence, localization, pathomechanism and point of time of indirect muscle injuries in youth soccer players.
Methods: Prospective cohort study. 5 teams (U15, U16, U17, U18 and U21) with 110 young male football players (age 16,8 (14,3–21) years, height 174,5 (146,1–190,0) cm, weight 65,7 (35,5–84,6) kg) were monitored for 12 months. Every muscle injury was documented and monitored on a standardized evaluation score.
Read More
Injuries to skeletal muscle can pose a severe challenge for any team physician or medical professional. They account for up to one third of all sports-related injuries and can result in weeks of recovery and absence from play. Crucial in the successful treatment is the accurate classification of the type of injury, be it fatigue, structural or chronic.
Read More
Muscle injuries are responsible for up to one third of the musculoskeletal injuries occuring in professional football and summer Olympic Games. Classifying injuries has the objective to define the extent, to predict the time-loss, and potentially to suggest a treatment plan to optimize the return to sport and prevent from re-injury.
Read More
Gait impairments in simultaneous motor-cognitive tasks have been well documented in neurodegenerative disease populations, including Parkinson’s disease, and Alzheimer’s disease. The consequences of these gait impairments in patient populations include an increased fall risk, sedentariness, functional decreases, decreases in self-efficacy, and overall reduced quality of life. Therefore, improving gait performance in dual-task situations is becoming an important focus of rehabilitation for people with neurological disorders.
Read More
In den letzten Jahrzehnten hat die Zahl der wissenschaftlichen Studien im Gebiet der Sportmedizin oder zu sportlichen Leistungen im weiteren Sinne erheblich zugenommen. Immer mehr Fachzeitschriften sind verfügbar, und die Zahl der eingereichten Manuskripte nimmt im Laufe der Jahre weiter zu. Interessanterweise beschäftigt sich ein wachsender Teil dieser Arbeiten mit Themen, die direkt die Akteure (Ärzte, Physiotherapeuten, Trainer, Sportlehrer, Sportwissenschaftler usw.) betreffen, welche sich täglich mit den Athleten befassen.
Read More
Staying up to date with the latest evidence in Sports and Exercise medicine (SEM) can sometimes be a challenging task. Social media like Twitter and Facebook are able to help you to keep up to date in a variety of subjects and can be a fun thing to do.
Read More
Digital media must help to answer the current challenges in healthcare systems. Medicine’s growing complexity requires a smart use of digital opportunities to offer our patients efficacious and safe treatments. In order for digital media development to correspond to healthcare practitioners’ needs, it is essential that they take an interest to it, and dedicate some of their precious time. Internet, social media and the Internet-of-things constitute three domains that illustrate the
potential and limitations of digital health.
Read More
Within a clinical sports medical setting the discussion about doping is insufficient. In elite-sports use of pharmaceutical agents is daily business in order to maintain the expected top-level performance. Unfortunately, a similar development could be observed in the general population of leisure athletes where medical supervision is absent. As a sports physician you are facing imminent ethical questions when standing in between. Therefore, we propose the application of a standardised risk score as a tool to promote doping-prevention and launch the debate within athlete-physician-relationship.
Read More
Social Media and blogs are increasingly used in the everyday life and also by scientists to share their work and communicate with colleagues all around the world. In addition, blogs are believed to be valuable educational tools. This article highlights, through examples taken from the blog of the British Journal of Sports Medicine, the educational benefits for students to commit to a blog.
Read More
The growth of social media has long been on the radar of health professionals, their industries and their regulators. The initial response by many was one of fear and ignorance. Although the popularity of social media is rapidly rising, its adoption by health professionals does not appear to be increasing at the same rate. Additionally, the way that people seek knowledge has changed. In this paper I discuss not only this changing landscape with its pitfalls and opportunities but also give recommendations on how those in healthcare can engage in this new landscape effectively.
Read More