Care of The Older Fighter: Position Statement of the Association of Ringside Physicians.

IF 1.9 4区医学 Q2 ORTHOPEDICS

Physician and Sportsmedicine Pub Date : 2024-12-01 Epub Date: 2024-05-06 DOI:10.1080/00913847.2024.2344227

Davide Bianchi, Nitin K Sethi, George Velasco, Uneeb A Qureshi, Kevin deWeber

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引用次数: 0

Abstract

Older Fighters are defined as combat sports athletes older than 35 years, based on heightened medical risks and historical classification. Age-related changes to the neurological, cardiopulmonary, endocrinological, thermoregulatory, osmoregulatory, and musculoskeletal systems increase these athletes' risks for injury and may prolong their recovery. These age-related risks warrant special considerations for competition, licensure, prefight medical clearance, in-fight supervision, post-fight examination, and counseling regarding training practices and retirement from combat sports. Neurological considerations include increased risk of intracranial lesions, intracranial hemorrhage, and sequelae from traumatic brain injury (TBI), warranting more comprehensive neurological evaluation and neuroimaging. Increased risk of myocardial ischemia and infarction warrant careful assessment of cardiac risk factors and scrutiny of cardiovascular fitness. Older fighters may take longer time to recover from musculoskeletal injury; post-injury clearance should be individualized.

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老年拳击手的护理：赛场医生协会的立场声明。

老年搏击运动员是指 35 岁以上的搏击运动员，其定义基于更高的医疗风险和历史分类。与年龄有关的神经、心肺、内分泌、体温调节、渗透调节和肌肉骨骼系统的变化增加了这些运动员受伤的风险，并可能延长他们的康复时间。这些与年龄有关的风险需要在比赛、执照、赛前体检、赛中监督、赛后检查以及训练实践和退役咨询方面予以特别考虑。神经系统方面的考虑包括颅内病变、颅内出血和脑外伤（TBI）后遗症的风险增加，因此需要进行更全面的神经系统评估和神经影像学检查。心肌缺血和心肌梗塞的风险增加，因此需要仔细评估心脏风险因素和检查心血管健康状况。年龄较大的战士可能需要更长的时间才能从肌肉骨骼损伤中恢复过来；受伤后的清理工作应因人而异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physician and Sportsmedicine PRIMARY HEALTH CARE-ORTHOPEDICS

CiteScore

4.90

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery. The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.