Pre-participation medical evaluation in competitive athletes: the experience of an international multisport club

IF 1.1 Q3 SPORT SCIENCES
Ramon Pi-Rusiñol , María Sanz-de la Garza , Gonzalo Grazioli , Manel García , Marta Sitges , Franchek Drobnic
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引用次数: 1

Abstract

Objective

to assess the effectiveness of a tailored Pre-Participation Medical Examination (PPME) prior to sport practice for athletes competing in team sports, has been suggested as a useful tool for an early identification and treatment of multiple disorders.

Design

Among 2008 and 2018 a total of 2570 athletes from 12 to 35 years old from 12 different team sports disciplines were evaluated by the PPME of Football Club Barcelona.

Methods

The PPME included: medical history, anthropometric data, physical examination, baseline 12-lead ECG, a maximal stress test, a 2D-Doppler echocardiography and an extensive orthopaedic evaluation.

Results

In 495 of the 2574 athletes (19.2%), the PPME identified pathologies that require a specific treatment or a closed follow-up. The most frequent medical conditions documented in young athletes were neurological, psychological and psychiatric disorders whereas in adults the most prevalent were respiratory and immunological pathologies. Two athletes were considered inadequate to compete due to severe cardiovascular diseases whereas seven required a specific treatment for their cardiovascular diseases in order to be considered eligible for sports competition. Additionally, a large proportion of athletes (958, 37.2%) reported previous musculoskeletal sport-related injuries being bone fractures and joint injuries the most frequent ones.

Conclusions

The Football Club Barcelona PPME was effective in identifying latent pathologies and musculoskeletal sport-related injuries in a significant proportion of young and adult athletes competing in team sports. The identification of these medical conditions allowed to provide an early and specific treatment and to implement strategic ad hoc preventive programs.

竞技运动员参赛前的医疗评估:一个国际综合运动俱乐部的经验
目的评估运动员在参加团体运动比赛之前进行的量身定制的赛前体检(PPME)的有效性,该体检被认为是早期识别和治疗多种疾病的有用工具。2008年至2018年,巴塞罗那足球俱乐部PPME对来自12个不同团队运动项目的2570名12至35岁的运动员进行了评估。方法PPME包括:病史、人体测量资料、体格检查、基线12导联心电图、最大负荷试验、2d多普勒超声心动图和广泛的骨科评估。结果在2574名运动员中,有495名(19.2%)的PPME诊断出需要特殊治疗或随访的病理。在年轻运动员中记录的最常见的医疗状况是神经、心理和精神疾病,而在成年人中最普遍的是呼吸和免疫疾病。两名运动员因患有严重的心血管疾病而被认为不适合参加比赛,而七名运动员需要对其心血管疾病进行特殊治疗,才能被认为有资格参加体育比赛。此外,很大一部分运动员(958人,37.2%)报告了先前的肌肉骨骼运动相关损伤,其中骨折和关节损伤最为常见。结论巴塞罗那足球俱乐部的PPME能够有效地识别出相当比例的青年和成年团队运动运动员的潜在病理和肌肉骨骼运动相关损伤。确定这些疾病可以提供早期和具体的治疗,并实施战略特设预防方案。
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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CiteScore
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