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sports

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Despite increasingly advanced diagnostic and therapeutic ­methods, coronary heart disease and myocardial infarction continue to be by far the leading cause of death worldwide. This makes it all the more important in this context to make full use of known but far from optimally used therapeutic measures. Adequate physical activity in everyday life and addi­tional targeted training lead to an evidence-based ­improvement in quality of life, a reduction in morbidity and above all to a ­significant reduction in cardiac and overall ­mortality.
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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.
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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.
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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.
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Non-specific chronic low back pain is a multifactorial pathology with a significant impact on quality of life. Physical activity is a major axis of treatment to improve pain and functional capacity through structured exercises, but also to fight against physical deconditioning. It is therefore advised to perform leisure time physical activity regularly and in an adapted way. There is no contraindication to practice sports activities but they should be performed with special attention not to increase the symptoms. This article aims to evaluate the effects of different types of physical activity in chronic low back pain to help the practitioner to advise at best his patients and prescribe appropriate physical activity, source of pleasure and health benefits.
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