Anxiety is in principle a normal and (often) helpful emotion in humans and animals. However, anxiety can get excessive and be impairing and disabling. If anxiety is excessive in intensity and duration, occurs in actually non-dangerous situations, uncontrollable, and impairs actions, an anxiety disorder is typically diagnosed [2].
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Alpine sports are comprised of multiple disciplines like mountaineering, climbing, ice-climbing, high-altitude mountaineering, trekking, canyoning and ski-mountaineering. However, there is no standardised definition of alpine sports. Alpinism in a broader sense includes as well mountain science, mountain guiding and alpine rescue. Hence this article focuses on sport activities in an alpine environment and on the possible psychiatric impact thereof.
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Non-specific low back pain is considered a widespread disease and therefore leads to a high financial burden on the health care system. Among other things, reduced muscle strength of the trunk extensors is discussed as major risk factor. Therefore, the aim of the study was to examine the influence of a barbell training on the strength capacity of the trunk muscles and on the pain-related restrictions in the everyday life of low back pain patients.
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Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder which is characterized by symptoms of inattention, hyperactivity, and impulsivity. The estimated prevalence of ADHD in the general population is 7,2% in children, with persistence into adulthood of approximately 35%. [1,2]
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The SSSPP established a three level curriculum for additional training in Sports Psychiatry and Psychotherapy. Level 1 “Basic Healthcare In Sports Psychiatry And Psychotherapy” is imparted. The curriculum contains a theoretical part, practical experience and supervision within 80 hours of additional training, leading to a SSSPP certificate
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Mental disorders are common in competitive sports. They can influence performance, increase the risk of physical injuries and prolong rehabilitation. A specialized discipline for mental health has not (yet) been established. This position paper will emphasize the connection between the special requirements in competitive sports and the need of psychiatric specialization.
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Promoting physical activity (PA) has not yet been established as a standard procedure in psychiatric care. Psychiatric patients are at higher chance to be physically inactive which contributes to increased morbidity and mortality. Regular PA has shown to improve mental wellbeing in the general population and reduces the risk to develop several mental disorders. Assessing PA and motivation for change should be established as routine in psychiatric practice.
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The ongoing COVID-19 pandemic is a global crisis of unprecedented scale in modern times. The initial outbreak of COVID-19 in Wuhan spread rapidly, affecting other parts of China and soon other countries becoming a global threat. (1)
On 11 March 2020, the WHO has declared the ‘Pandemic state’ calling the governments to take ‘urgent and aggressive action’ to delay and mitigate the peak of infection.
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Chronic exertional compartment syndrome of the lower leg accounts for approximately 75% of sports-related chronic leg pain. Nevertheless, the exact and timely recognition in athletes might pose a great challenge to sports physicians. Among a variety of possible differential diagnoses such as tenosynovitis, stress fractures, periostalgia, or popliteal artery entrapment syndrome the physician has to be able to identify the correct entity as promptly as possible.
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Within a sports medicine setting vascular pathologies of the legs represent a rare entity and are often associated with a significant delay of diagnosis and treatment. Nevertheless, timely detection is crucial when it comes to management of athletes.
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Competitive and elite sport often challenges the balance between health and performance, especially when it involves youth athletes. As Lausanne was getting ready to host the 2020 winter Youth Olympic Games, we had the opportunity to reflect on these challenges and on what they mean for sports medicine practitioners. Elite sport pushes athletes to the limit, be it through their own intrinsic drive to achieve ever more, or through the pressures of the multiple stakeholders around sport.
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How fortunate to have been able to take part in the medical organisation of the Lausanne 2020 Winter Youth Olympic Games (YOG) as head of the Olympic Village Medical Clinic and Medical Education Programme manager, while introducing some innovations to the Games!
From a clinical point of view, the temporary creation of a high quality interdisciplinary medical clinic provided all participants aged 14 to 18 years old with global and equitable care. We adopted the WHO criteria to offer an adolescent friendly setting.
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This interview was conducted by Dr Boris Gojanovic after the Lausanne 2020 Youth Olympic Games.
Richard, can you please introduce yourself, as a medical doctor and an athlete.
I am the medical and scientific director for the IOC and I started off in life as a rower. As an athlete, I had the privilege to compete in the 1984 Olympic Games in Los Angeles, and I won a gold medal there.
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Purpose: The Youth Olympic Games (YOG) are an elite sporting event for young athletes aged 15-18 years from all over the world. In the third Youth Olympic Winter Games, held in Lausanne in 2020, there were 16 disciplines and 81 events. In previous reports regarding YOG, injury risk was highest in the skiing events and alpine ski had a high rate, 14% in 2012 and 12.9% in 2016. The purpose of this report is to discuss the rescue organization, investigate the incidence of alpine ski injury during YOG 2020 and compare to previous reports.
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L’attribution des Jeux Olympiques de la Jeunesse (JOJ) à Lausanne a déclenché dans toute la Romandie un engouement extraordinaire pour la préparation des Jeux, avec la volonté affirmée de faire des Jeux pour les jeunes, avec les jeunes et par les jeunes. En tant qu’étudiant-e-s en médecine, nous avons eu le privilège de participer aux JOJ du 4 au 24 janvier 2020; un groupe de 20 étudiant-e-s en 6e année ont eu l'occasion d’effectuer un stage de médecine du sport, validé dans le catalogue de l’année à option, dans le cadre de la troisième édition hivernale des Jeux Olympiques de la Jeunesse à Lausanne, plus connus sous l’appellation Lausanne 2020.
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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.
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