Apunts Medicina de l''Esport最新文献

{"title":"Player talent identification and development in football","authors":"Ricard Pruna , Luz Miñarro Tribaldos , K. Bahdur","doi":"10.1016/j.apunts.2018.02.002","DOIUrl":"https://doi.org/10.1016/j.apunts.2018.02.002","url":null,"abstract":"","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"53 198","pages":"Pages 43-46"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.apunts.2018.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91622098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smart decisions and return to play","authors":"Pedro Gómez-Piqueras","doi":"10.1016/j.apunts.2017.10.003","DOIUrl":"10.1016/j.apunts.2017.10.003","url":null,"abstract":"","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"53 198","pages":"Pages 85-86"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.apunts.2017.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78879632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Displacement of the nervous system through articular movement by ultrasound. Bibliographic review","authors":"Carles Munné ,&nbsp;Carles Pedret","doi":"10.1016/j.apunts.2017.11.006","DOIUrl":"https://doi.org/10.1016/j.apunts.2017.11.006","url":null,"abstract":"<div><p>The nervous system has the capacity to adapt to the mechanical forces of tension, compression and shearing to which it is exposed in daily movements. Reduction of nerve slide may alter its function by increasing neural tension, which may have an adverse effect, contributing to the onset of pain. The objective of the study was to review the current literature regarding the movement of the nervous system and how to measure it. To do this, a search was undertaken in Pubmed and PEDro of articles where neural displacement is measured by the “frame-by-frame cross correlation system” technique. Twenty studies were selected: 14 measured displacement in healthy subjects, and 6 compared some form of peripheral neuropathy. The results show that the peripheral nervous system is displaced during the different movements of body segments to adapt to the space through which it runs, although there is no significant difference in displacement between healthy people and patients with nerve involvement.</p></div>","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"53 198","pages":"Pages 75-83"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.apunts.2017.11.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91622096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do elite athletes sleep well?","authors":"Carla Estivill-Domènech ,&nbsp;Beatriz Galilea ,&nbsp;Beatriz Rodríguez-Morilla ,&nbsp;Ignasi de Yzaguirre ,&nbsp;Eduard Estivill ,&nbsp;Elena López ,&nbsp;Maria Antonia Zamora ,&nbsp;Juan Antonio Madrid ,&nbsp;Francisco Segarra","doi":"10.1016/j.apunts.2017.10.002","DOIUrl":"https://doi.org/10.1016/j.apunts.2017.10.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The objective of the study was to evaluate sleep, circadian rhythms and neurocognitive status of high performance athletes during the usual period of training, competitions and studies.</p></div><div><h3>Materials and methods</h3><p>A team of 12 high-performance basketball players (women, 15–17 years old) concentrated in a sports residence was evaluated. Sleep was studied through polysomnography, circadian rhythms using ambulatory circadian monitoring sensors, and neurocognitive status using s battery of questionnaires.</p></div><div><h3>Results</h3><p>Athletes sleep 6:57<!--> <!-->±<!--> <!-->0.02<!--> <!-->h, nocturnal activity of 201.1<!--> <!-->±<!--> <!-->33.7% is above normal range (65–135%), regularity of schedules, 72.6<!--> <!-->±<!--> <!-->9.2% is also out of range (75–125%). The sleep depth of 85.1<!--> <!-->±<!--> <!-->2.6% (normal values between 85 and 100%) is reduced, and the peripheral temperature during the day, of 33.4<!--> <!-->±<!--> <!-->0.9<!--> <!-->°C (normal values between 31 and 33<!--> <!-->°C) indicates drowsiness.</p></div><div><h3>Conclusions</h3><p>Our sample of athletes sleep less than the necessary hours, their sleep quality is low due to muscle fatigue and poor habits, and their irregular schedule deteriorates the circadian system. All of this influences both physical and mental performance. It is essential to raise awareness of the importance of improving these sleep habits in order to maintain optimum physical performance.</p></div>","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"53 198","pages":"Pages 47-54"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.apunts.2017.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91622097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bipolar disorders and comorbid conditions – Ethical considerations in sports","authors":"Kenneth R. Kaufman ,&nbsp;Miriam Campeas ,&nbsp;Melissa Coluccio ,&nbsp;Ronke Babalola ,&nbsp;Anthony Tobia","doi":"10.1016/j.apunts.2017.10.001","DOIUrl":"https://doi.org/10.1016/j.apunts.2017.10.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The goal of pharmacologic intervention is therapeutic outcome – maximal efficacy with minimal adverse effects. In treating bipolar disorder, this may be complicated by comorbidities and/or adjunctive medications required to address adverse effects. Optimal rational polypharmacy may maximize therapeutic outcome yet could create ethical issues in competitive sports. The World Anti-Doping Code (WADC) and yearly published World Anti-Doping Agency Prohibited List are intended to deter and sanction athletes using performance-enhancing agents while promoting an even playing field for all competitors. This paper presents three hypothetical examples (ADHD/lithium-tremor/pain) wherein unintended Prohibited List contravention would result in doping violation disqualifications without approved Therapeutic Use Exemptions (TUEs).</p></div><div><h3>Method</h3><p>Hypothetical case analyses with literature review.</p></div><div><h3>Results</h3><p>Comorbid ADHD – the Prohibited List precludes psychostimulants (methylphenidate/amphetamines) in competition (S6) but permits guanfacine/atomoxetine. When psychostimulants effectively treat ADHD in athletes with bipolar disorder but guanfacine/atomoxetine do not, these patient-athletes, with clinician's certification and supportive documentation, should file TUEs.</p><p>Lithium-tremor – beta-blockers are frequently prescribed to control lithium-tremor but are not permitted for specific sports (P2). If alternatives (primidone) are ineffective, TUEs are indicated.</p><p>Pain – chronic pain management is difficult in athletes as narcotic analgesics (S7) and cannabinoids (S8) are prohibited in competition. When comorbid pain is not controlled with approved medications, TUEs are required.</p></div><div><h3>Conclusion</h3><p>Patient-athletes with bipolar disorder and comorbidities require holistic approaches with appreciation of both the WADC and Prohibited List. Athletes should list all medications with diagnoses/obtain TUEs/verify proposed medication status (banned/restricted/permitted) with appropriate International Federations and/or Olympic organizations. Clinicians should be cognizant of these issues when treating patient-athletes.</p></div>","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"53 198","pages":"Pages 55-61"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.apunts.2017.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91622101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desplazamiento del sistema nervioso a partir del movimiento articular mediante ecografía. Revisión bibliográfica","authors":"Carles Munné, C. Pedret","doi":"10.1016/J.APUNTS.2017.11.006","DOIUrl":"https://doi.org/10.1016/J.APUNTS.2017.11.006","url":null,"abstract":"","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"42 1","pages":"75-83"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78196269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stepping to one side","authors":"J. A. Rincón","doi":"10.1016/J.APUNTS.2018.02.001","DOIUrl":"https://doi.org/10.1016/J.APUNTS.2018.02.001","url":null,"abstract":"","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"63 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77676688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doping control adverse results prevalence worldwide for 13 consecutive years","authors":"Franchek Drobnic ,&nbsp;Pedro Alberto Galilea","doi":"10.1016/j.apunts.2017.09.002","DOIUrl":"https://doi.org/10.1016/j.apunts.2017.09.002","url":null,"abstract":"<div><p>The presence of adverse results in doping controls is always bad news for the sport, as it reflects the moral and ethical absence of a clean competition. Its prevalence and evolution is important to know and have criteria on the relevance of this event.</p></div><div><h3>Method</h3><p>The results of doping controls from 2003 to 2015 at the global level, offered by the World Anti-Doping Agency on its website, have been revised.</p></div><div><h3>Results</h3><p><span><span>The presence of adverse results of the year 2015 as last reference, reached 0.83% in Olympic sports and 2.04% in the non-Olympic ones. It remains a similar level during the last 7 years, tending to decline in the Olympics and increase in the non-Olympics. The groups of predominant substances are, in order, anabolic steroids<span> 50.3%, stimulants<span> 15.4% and maskers 12.5%, being the rest diverse and variable. It should be noted that many treatments with therapeutic authorisation, i.e., </span></span></span>beta agonists (3–4%), </span>glucocorticosteroids<span> (6–8%) or central nervous system (3–5%), are shown as adverse results, but are therefore not doping positive and in their case punishable. Similarly, the high number of anabolic positives is the result of fraud, but also the presence of repeated samples in the follow-up study of some athletes.</span></p></div><div><h3>Conclusion</h3><p>The data serve as a reference to have a more accurate criterion in reference to this field of sport.</p></div>","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"53 197","pages":"Pages 11-18"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.apunts.2017.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89990755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Load management in tendinopathy: Clinical progression for Achilles and patellar tendinopathy","authors":"Alfons Mascaró ,&nbsp;Miquel Àngel Cos ,&nbsp;Antoni Morral ,&nbsp;Andreu Roig ,&nbsp;Craig Purdam ,&nbsp;Jill Cook","doi":"10.1016/j.apunts.2017.11.005","DOIUrl":"https://doi.org/10.1016/j.apunts.2017.11.005","url":null,"abstract":"<div><p><span>Achilles and patellar tendons are commonly affected by tendinopathy. Injury to these tendons can severely impact upon sports, recreational and everyday activities. Eccentric musculotendinous loading has become the dominant conservative intervention strategy for Achilles and patellar tendinopathy over the last two decades. Eccentric loading involves isolated, slow lengthening muscle contractions. </span>Systematic reviews<span> have evaluated the evidence for eccentric muscle loading in Achilles and patellar tendinopathy, concluding that outcomes are promising but high-quality evidence is lacking. Eccentric loading may not be effective for all patients (athletes and non-athletes) affected by tendinopathy. It is possible that in athletes, eccentric work is an inadequate load on the muscle and tendon. A rehabilitation program aiming to increase tendon load tolerance must obviously include strength exercises, but should also add speed and energy storage and release. The aim of this paper is to document a rehabilitation protocol for Achilles and patellar tendinopathy. It consists of simple and pragmatic exercises designed to incorporate progressive load to the tendon: isometric work, strength, functional strength, speed and jumping exercises to adapt the tendon to the ability to store and release energy. This article would be the first step for an upcoming multicentre randomized controlled trial to investigate its efficacy.</span></p></div>","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"53 197","pages":"Pages 19-27"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.apunts.2017.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89990754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiopulmonary resuscitation and use of the automatic external defibrillator in sport","authors":"Gonzalo Grazioli ,&nbsp;Xavier Escalada ,&nbsp;Luis Serratosa ,&nbsp;Jordi Medallo ,&nbsp;Josep Gutierrez ,&nbsp;Marta Sitges ,&nbsp;Josep Brugada","doi":"10.1016/j.apunts.2017.07.003","DOIUrl":"https://doi.org/10.1016/j.apunts.2017.07.003","url":null,"abstract":"<div><p>Cardiac arrest during sport practice is a low-incidence event, however, as it is commonly seen witnessed to have a high survival rate compared to general non-hospital cardiac arrest. The objective of this review is to analyze the special characteristics, give recommendations for the installation of automatic external defibrillators and the elaboration of an adequate medical action plan for each sports center.</p></div>","PeriodicalId":34995,"journal":{"name":"Apunts Medicina de l''Esport","volume":"53 197","pages":"Pages 29-31"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.apunts.2017.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91595399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}