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https://www.readbyqxmd.com/read/28321283/preparticipation-physical-evaluation-an-opportunity-for-malawian-athletes
#1
Enock M Chisati, Charles Nyasa, Augustine M Banda
No abstract text is available yet for this article.
December 2016: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28306678/the-complex-phenotype-of-the-athlete-s-heart-implications-for-preparticipation-screening
#2
Benjamin Brown, John Somauroo, Daniel J Green, Mathew Wilson, Jonathan Drezner, Keith George, David Oxborough
Preparticipation screening is vital to exclude inherited cardiac conditions that have the potential to cause sudden cardiac death in seemingly healthy athletes. Recent research has questioned traditional theories of load-induced, dichotomous cardiac adaptation. We therefore considered whether a one-size-fits-all approach to screening can account for interindividual differences brought about by sporting discipline, training volume, ethnicity, body size, sex, and age.
April 2017: Exercise and Sport Sciences Reviews
https://www.readbyqxmd.com/read/28287681/the-preparticipation-physical-evaluation
#3
Patrick J Lehman, Rebecca L Carl
With rising rates of sports participation among children and adolescents, pediatricians are increasingly being called upon to perform preparticipation physical evaluations (PPEs) for young athletes. The purpose of this review article is to discuss the general structure of a comprehensive PPE and how the PPE differs from a typical health maintenance visit. The PPE focuses attention on screening for cardiac conditions that predispose athletes to sudden cardiac death with exercise. This review also addresses the debate over whether electrocardiogram screening should be a routine required part of the PPE...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28282353/the-use-of-echocardiograms-in-preparticipation-examinations
#4
Caroline Lucas, Deanna L Kerkhof, Jacilyn E Briggs, Gianmichel D Corrado
Sudden cardiac death (SCD) is the leading cause of death during exercise in young athletes. Preparticipation physical examinations were developed to maintain the health and safety of athletes, including the prompt identification of those at risk for SCD. The use of medical history and physical examinations, electrocardiography, and echocardiography, or some combination thereof, is the source of continued debate. This article provides an overview of the etiology of SCD and reviews literature relating to preparticipation echocardiography, with a focus on its evolution, utility, and effectiveness...
March 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28257352/cardiovascular-risks-in-long-distance-runners
#5
Bethany Rolfe Witham, Keven Babbitt
Distance running has become increasingly popular since the 1970s. Despite the health benefits, long-distance running has been associated with an increased risk for cardiac events. Healthcare professionals should be familiar with distance running cardiac risk factors and preparticipation screening recommendations from the American Heart Association, and should screen and educate patients during healthcare encounters. Nurses are particularly well suited to educate runners on risks and symptoms of cardiac dysfunction...
April 2017: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
https://www.readbyqxmd.com/read/28220574/selective-use-of-the-electrocardiogram-in-pediatric-preparticipation-athletic-examinations-among-pediatric-primary-care-providers
#6
Bradley C Clark, Joshua M Hayman, Charles I Berul, Kristin M Burns, Jonathan R Kaltman
OBJECTIVES: Recent literature examining insurance administrative data suggests that a selective approach, with concurrent history and physical exam (H&P), for obtaining an electrocardiogram (ECG) as a part of a preparticipation examination (PPE) for pediatric athletes is commonly used in the primary care setting demonstrating a high rate of disease detection. We sought to understand practice patterns of providers with regard to usage of ECG as a part of PPE. METHODS: Utilizing an online survey, we queried primary care providers regarding their practice patterns, rationale, and concerns regarding use of ECGs as a part of the PPE...
February 21, 2017: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/28181210/the-differences-in-ecgs-interpretation-in-top-level-athletes
#7
Agnieszka A Jakubiak, Krystyna Burkhard-Jagodzińska, Wojciech Król, Marcin Konopka, Dominik Bursa, Dariusz Sitkowski, Marek Kuch, Wojciech Braksator
BACKGROUND: The Ministry of Health in Poland recommends ECG- based cardiovascular screening in athletes, but so far, there is lack of guidelines on preparticipation assessment. We compared different criteria of ECG screening assessment in the group of top-level athletes. AIMS: The aims were to evaluate the prevalence of ECG changes in athletes that necessitate further cardiological work-up according to three criteria in various age groups as well as to identify factors determining the occurrence of changes related and unrelated to the training...
February 9, 2017: Kardiologia Polska
https://www.readbyqxmd.com/read/28117245/the-medical-value-and-cost-effectiveness-of-an-exercise-test-for-sport-preparticipation-evaluation-in-asymptomatic-middle-aged-white-male-and-female-athletes
#8
MULTICENTER STUDY
Laurent Chevalier, Gaelle Kervio, Stephane Doutreleau, Jean-Philippe Mathieu, Jean-Michel Guy, Aude Mignot, Luc Corneloup, François Passard, Thierry Laporte, Aude Girard-Girod, Olivier Hennebert, Philippe Bernadet, Marie-Pierre Vincent-Chevalier, Laurent Gencel, François Carré
BACKGROUND: Cardiovascular events related to high-intensity sport practice are rare but dramatic. Coronary artery disease (CAD) is the leading cause of these events after the age of 35 years. The value of a maximal exercise test (ET) for detection of athletes at risk remains a matter of debate. AIM: The aim of this prospective multicentre study was to clarify the medical value and cost-effectiveness of an ET in middle-aged white asymptomatic athletes who participate in high-intensity sport...
March 2017: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/28116464/-sports-cardiology-overview-of-relevant-clinical-topics
#9
R Laszlo, J Scharhag, C Burgstahler, H Striegel, J M Steinacker
Physical activity is nowadays an established therapeutic principle concerning primary and secondary prevention of cardiovascular diseases; therefore, in internal sports medicine various aspects go beyond basic cardiological knowledge and require special medical expertise (sports cardiology). Acute cardiac risk is increased during physical activity; therefore, physical activity should be individually phased under consideration of the whole clinical situation. Physical training results in a functional adaptation of the cardiovascular system...
January 23, 2017: Herz
https://www.readbyqxmd.com/read/28102875/prevalence-of-abnormal-electrocardiograms-in-swiss-elite-athletes-detected-with-modern-screening-criteria
#10
Tilman Perrin, Lukas Daniel Trachsel, Simon Schneiter, Andrea Menafoglio, Silvia Albrecht, Tony Pirrello, Prisca Eser, Laurent Roten, Boris Gojanovic, Matthias Wilhelm
AIMS OF THE STUDY: Sudden cardiac arrest in athletes is a rare but dramatic event. The value of a routine electrocardiogram (ECG) during preparticipation screening (PPS) remains controversial, partly because of the relatively high number of false positive findings. Our study aimed to evaluate the prevalence of abnormal ECGs in consecutive Swiss elite athletes, overall and with regard to different sports classes, using modern screening criteria. METHODS: We analysed the 12-lead resting ECGs of high-level elite athletes (age ≥14 years) recorded at the Swiss Olympic Medical Centre Magglingen between 2013 and 2016 during routine PPS...
January 19, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28038316/association-of-the-female-athlete-triad-risk-assessment-stratification-to-the-development-of-bone-stress-injuries-in-collegiate-athletes
#11
Adam S Tenforde, Jennifer L Carlson, Audrey Chang, Kristin L Sainani, Rebecca Shultz, Jae Hyung Kim, Phil Cutti, Neville H Golden, Michael Fredericson
BACKGROUND: The female athlete triad (referred to as the triad) contributes to adverse health outcomes, including bone stress injuries (BSIs), in female athletes. Guidelines were published in 2014 for clinical management of athletes affected by the triad. PURPOSE: This study aimed to (1) classify athletes from a collegiate population of 16 sports into low-, moderate-, and high-risk categories using the Female Athlete Triad Cumulative Risk Assessment score and (2) evaluate the predictive value of the risk categories for subsequent BSIs...
February 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28017944/-the-effects-of-exercise-and-sports-activities-on-bone-and-joint-morbidities
#12
Shinichi Yoshiya
Exercise and sports activities can afford mechanical stimuli to the bone and joint tissues which are required to maintain the tissue properties. Moreover, physical exercise is an important part of the management of bone and joint morbidities such as osteoporosis, osteoarthritis, and low back pain. On the other hand, excessive mechanical load involved in exercise and sports activities can be harmful potentially causing overuse injuries of the musculoskeletal tissues. Especially, safety margin for the amount of acceptable mechanical stress is narrow in the elderly due to preexisting musculoskeletal problems...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/27935485/preparticipation-physical-examination-is-it-time-to-stop-doing-the-sports-physical
#13
EDITORIAL
Michele LaBotz, David T Bernhardt
No abstract text is available yet for this article.
December 1, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27935483/predicting-sport-and-occupational-lower-extremity-injury-risk-through-movement-quality-screening-a-systematic-review
#14
Jackie L Whittaker, Nadine Booysen, Sarah de la Motte, Liz Dennett, Cara L Lewis, Dave Wilson, Carly McKay, Martin Warner, Darin Padua, Carolyn A Emery, Maria Stokes
BACKGROUND: Identification of risk factors for lower extremity (LE) injury in sport and military/first-responder occupations is required to inform injury prevention strategies. OBJECTIVE: To determine if poor movement quality is associated with LE injury in sport and military/first-responder occupations. MATERIALS AND METHODS: 5 electronic databases were systematically searched. Studies selected included original data; analytic design; movement quality outcome (qualitative rating of functional compensation, asymmetry, impairment or efficiency of movement control); LE injury sustained with sport or military/first-responder occupation...
December 1, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27827793/preparticipation-predictors-for-championship-injury-and-illness-cohort-study-at-the-beijing-2015-international-association-of-athletics-federations-world-championships
#15
Toomas Timpka, Jenny Jacobsson, Victor Bargoria, Julien D Périard, Sébastien Racinais, Ola Ronsen, Karin Halje, Christer Andersson, Örjan Dahlström, Armin Spreco, Pascal Edouard, Juan-Manuel Alonso
OBJECTIVES: To determine preparticipation predictors of injury and illness at a major Athletics championship. METHODS: A cohort study design was used. Before the 2015 International Association of Athletics Federations World Championships in Athletics, all 207 registered national teams were approached about partaking in a study of preparticipation health; 50 teams accepted. The athletes (n=957) in the participating teams were invited to complete a preparticipation health questionnaire (PHQ)...
November 8, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27811139/preparticipation-cardiovascular-screening-clinical-partnership-is-the-only-certainty
#16
EDITORIAL
Aaron L Baggish, Richard J Kovacs
No abstract text is available yet for this article.
November 3, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27755012/early-screening-for-cardiovascular-abnormalities-with-preparticipation-echocardiography-feasibility-study
#17
Courtney N Gleason, Deanna L Kerkhof, Elizabeth A Cilia, Maria A Lanyi, Jonathan Finnoff, Dai Sugimoto, Gianmichel D Corrado
OBJECTIVE: The traditional history and physical (H&P) is a poor screening modality to identify athletes at risk for sudden cardiac death. Although better than H&P alone, electrocardiograms (ECG) have also been found to have high false-positive rates. A limited portable ECG by a frontline physician (PEFP) performed during preparticipation physical examination (PPE) allows for direct measurements of the heart to more accurately identify athletes with structural abnormalities. Therefore, it is worthwhile to assess the feasibility of incorporating limited PEFP as part of PPEs...
October 13, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27707743/infographic-amssm-position-statement-on-cardiovascular-preparticipation-screening-in-athletes-current-evidence-knowledge-gaps-recommendations-and-future-directions
#18
Jonathan A Drezner, Francis G O'Connor, Kimberly G Harmon, Karl B Fields, Chad A Asplund, Irfan M Asif, David E Price, Robert J Dimeff, David T Bernhardt, William O Roberts
No abstract text is available yet for this article.
October 4, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27706273/preparticipation-physical-exams-the-rhode-island-perspective-a-call-for-standardization
#19
Peter K Kriz, Ailis Clyne, Sara R Ford
As of 2015, 98% of U.S. states require preparticipation exams (PPE) before participating in scholastic sports. Despite widespread availability of a PPE monograph endorsed by six medical societies, a lack of uniformity exists regarding implementation of the PPE among Rhode Island health care providers (HCPs). Consequently, significant variability exists regarding how comprehensive a history and physical exam screening is conducted for adolescent athletes looking for sports participation clearance. The purpose of this document is to: 1) establish a uniform screening process in Rhode Island for the PPE utilizing a peer-reviewed history and physical exam; 2) familiarize HCPs with the 2010 PPE monograph, with emphasis on the cardiovascular and musculoskeletal (MSK) systems; 3) encourage HCPs to treat the PPE as a separate entity from the annual wellness visit; 4) engage HCPs and sports medicine providers in Rhode Island to improve the quality and process of evaluating adolescent athletes for sports participation...
October 4, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27692657/detecting-underlying-cardiovascular-disease-in-young-competitive-athletes
#20
James McKinney, Daniel J Lithwick, Barbara N Morrison, Hamed Nazzari, Michael Luong, Christopher B Fordyce, Jack Taunton, Andrew D Krahn, Brett Heilbron, Saul Isserow
BACKGROUND: Sudden cardiac death (SCD) is frequently the first manifestation of underlying cardiovascular disease in young competitive athletes (YCAs), yet there are no Canadian guidelines for preparticipation screening in this population. The goal of this study was to determine the prevalence of potentially lethal cardiovascular disease in a sample of Canadian YCAs by comparing 2 screening strategies. METHODS: We prospectively screened 1419 YCAs in British Columbia, Canada (age 12-35 years)...
January 2017: Canadian Journal of Cardiology
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