W Frey, P Wassmer, P Frey-Rindova, D Braun, F Schwarz, M Arnold, A Piguet, B Villiger
{"title":"[Muscle aches and biochemical changes following a ultra-marathon in the cold--modification by diclofenac].","authors":"W Frey, P Wassmer, P Frey-Rindova, D Braun, F Schwarz, M Arnold, A Piguet, B Villiger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After the Swiss Alpine Marathon in Davos (67 km, altitude difference of 2300 m) the majority of the athletes are suffering from muscle soreness. The goal of the study was therefore to investigate muscle damage, inflammatory reactions and soreness perception during and after this ultramarathon. 27 athletes took part in the study. Creatine-kinase (CK) and C-reactive protein (CRP) were measured 24 hours before the race, immediately before and after the race as well as 2 hours, 24 hours and 48 hours, after the race respectively. Muscle soreness of the lower extremities before and during stretching were assessed at the same time points using a visual analog scale from 1 to 10 (VAS). Significant CK elevations were found in all runners ranging from 600 to 28,000 U/l. Compared to the values before and 48 hours after the start all athletes showed 24 hours after the start significantly elevated CRP values, indicating a pronounced systemic inflammatory reaction. Immediately after the race all runners reported a significantly elevated muscle soreness with maximal pain in the posterior muscles of the lower leg. In order to assess the influence of a nonsteroidal antiinflammatory agent on muscle damage, muscle soreness and inflammatory reactions 16 of the 27 runners received *Diclofenac SR. We were unable to find a difference in the mean plasma CK and CRP activity after the race between both groups, but there was a highly significant, till now to our knowledge never described correlation between the degree of muscle damage and systemic inflammatory reaction (r = 0.75, p < 0.02) in the control group.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":79422,"journal":{"name":"Schweizerische Zeitschrift fur Medizin und Traumatologie = Revue suisse pour medecine et traumatologie","volume":" 2","pages":"30-6"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19043462","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":"[Effect of equipment on current ski injuries, their development in the last 20 years and their prevention].","authors":"P Zucco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ski injuries depend from many factors which involve the skier and his behavior, the environment, especially the weather and slopes conditions, but first of all, the typical equipment, skis, boots and bindings. These materials have undergone a great technical improvement in recent years which allowed a significant decrease of ski injuries, first of all of the typical lower leg fracture, the so called \"boot fracture\". Nevertheless alpine skiers are exposed to conditions not encountered in other sports. The ski and the stiff plastic ski boot combine to form an extension to the human anatomy, which subjects the lower extremities to loads not normally encountered in other activities. The velocity of the skier combine with the equipment used to expose to a risk of injury that by type, severity and incidence is unusual. The more frequent ski injury in the last 15 years involve the knee and his ligaments. These lesions often involve the medial and lateral compartment and the anterior cruciate ligament (ACL, more than 65% of all knee lesions) and the etiology is related to both the boot and bindings characteristics. Many studies have shown the direct relationship between injuries of the lower extremity and equipment (the so called LEER-injuries, near 46% of all lesions in US studies) and also the importance of a proper binding setting for a lower risk. Ski boots are indicated as the primary cause of the ACL tears but, at this moment, for this lesion 4 mechanisms are described.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":79422,"journal":{"name":"Schweizerische Zeitschrift fur Medizin und Traumatologie = Revue suisse pour medecine et traumatologie","volume":" 1","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19176860","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":"[Knee injuries in alpine sports].","authors":"H U Stäubli, W Rauschning","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Knowledge of functional anatomy and cryo-sectional microanatomy are prerequisites for successful intra-articular arthroscopy, assisted ACL reconstruction in documented anterior subluxation of the tibia.</p>","PeriodicalId":79422,"journal":{"name":"Schweizerische Zeitschrift fur Medizin und Traumatologie = Revue suisse pour medecine et traumatologie","volume":" 1","pages":"30-7"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19176857","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":"[Physical training in the 3rd age: and important contribution to public health].","authors":"D Mona","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79422,"journal":{"name":"Schweizerische Zeitschrift fur Medizin und Traumatologie = Revue suisse pour medecine et traumatologie","volume":" 2","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19043463","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}
A Genelin, A Kathrein, A Daniaux, T Lang, P Seykora
{"title":"[Current status of spinal injuries in winter sports].","authors":"A Genelin, A Kathrein, A Daniaux, T Lang, P Seykora","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Parallel with a marked escalation in the number of injuries of the skull, shoulder girdle and upper extremities in recent years, the incidence of spinal injuries has also intensified. This is due to an increase in speed and deceleration traumas, such as are particular to collision accidents. Of all patients with winter sports injuries at the Department of Traumatology at Innsbruck University Hospital, 4.9% have a spinal trauma. A retrospective ten-year study was undertaken to analyze the surgically treated spinal injuries out of overall winter sports injuries. Between 1982 and 1992 862 spinal injuries were surgically treated, 10.9% (94) of which were suffered in winter sports accidents. Of these winter sports injuries, 81.7% (76) were due to skiing accidents. The age group 15 to 25 years made up the largest contingent at 39.8% (37). Most spinal traumas (47.3%), whether suffered in winter sports or not, were located in the thoracolumbar region or the lumbar part of the spine, followed by 38.7% at the cervical vertebrae. Serious snowboard accidents are especially predestined for injuries of the cervical vertebrae. The age group 51 to 60 years also shows a trend to injure the cervical vertebrae; degenerative changes present in this age span cause a high percentage of accompanying neurological injuries. More than half (52.7%) of all surgically treated spinal injuries showed some loss or impairment of neurological function at the time of admission; 17.2% of these cases showed symptoms of a complete transverse lesion of the cord. 36% of all serious spinal injuries are accompanied by secondary injuries (such as craniocerebral trauma, thoracic trauma and other fractures).(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":79422,"journal":{"name":"Schweizerische Zeitschrift fur Medizin und Traumatologie = Revue suisse pour medecine et traumatologie","volume":" 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19176850","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":"[Planning and evaluation model of various muscle training methods concerning the development of maximal force (f max)].","authors":"J P Egger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes the training techniques and yearly schedule of training aimed at improving maximal explosive power production in a world class shot putter. This was done by way of a new method allowing for a semi-quantitative evaluation of mechanical force production in movements relevant in competition.</p>","PeriodicalId":79422,"journal":{"name":"Schweizerische Zeitschrift fur Medizin und Traumatologie = Revue suisse pour medecine et traumatologie","volume":" 2","pages":"21-6"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19043460","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":"[To grow and participate in sports].","authors":"G Theintz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79422,"journal":{"name":"Schweizerische Zeitschrift fur Medizin und Traumatologie = Revue suisse pour medecine et traumatologie","volume":" 3","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18917646","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}