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Verfasst von:Mayer, Frank [VerfasserIn]   i
 Rosenberger, Friederike [VerfasserIn]   i
 Scharhag, Jürgen [VerfasserIn]   i
Titel:Medical results of preparticipation examination in adolescent athletes
Verf.angabe:Frank Mayer, Klaus Bonaventura, Michael Cassel, Steffen Mueller, Josefine Weber, Friederike Scharhag-Rosenberger, Anja Carlsohn, Heiner Baur, Juergen Scharhag
E-Jahr:2012
Jahr:10 May 2012
Umfang:7 S.
Fussnoten:Gesehen am 05.11.2018
Titel Quelle:Enthalten in: British journal of sports medicine
Ort Quelle:London : BMJ Publ. Group, 1970
Jahr Quelle:2012
Band/Heft Quelle:46(2012), 7, Seite 524-530
ISSN Quelle:1473-0480
Abstract:Background Preparticipation examinations (PPE) are frequently used to evaluate eligibility for competitive sports in adolescent athletes. Nevertheless, the effectiveness of these examinations is under debate since costs are high and its validity is discussed controversial. Purpose To analyse medical findings and consequences in adolescent athletes prior to admission to a sports school. Methods In 733 adolescent athletes (318 girls, 415 boys, age 12.3±0.4, 16 sports disciplines), history and clinical examination (musculoskeletal, cardiovascular, general medicine) was performed to evaluate eligibility. PPE was completed by determination of blood parameters, ECG at rest and during ergometry, echocardiography and x-rays and ultrasonography if indicated. Eligibility was either approved or rated with restriction. Recommendations for therapy and/or prevention were given to the athletes and their parents. Results Historical (h) and clinical (c) findings (eg, pain, verified pathologies) were more frequent regarding the musculoskeletal system (h:120, 16.4%; c:247, 33.7%) compared to cardiovascular (h:9, 1.2%; c:23, 3.1%) or general medicine findings (h:116, 15.8%; c:71, 9.7%). ECG at rest was moderately abnormal in 46 (6.3%) and severely abnormal in 25 athletes (3.4%). Exercise ECG was suspicious in 25 athletes (3.4%). Relevant echocardiographic abnormalities were found in 17 athletes (2.3%). In 52 of 358 cases (14.5%), x-rays led to diagnosis (eg, Spondylolisthesis). Eligibility was temporarily restricted in 41 athletes (5.6%). Three athletes (0.4%) had to be excluded from competitive sports. Therapy (eg, physiotherapy, medication) and/or prevention (sensorimotor training, vaccination) recommendations were deduced due to musculoskeletal (t:n=76,10.3%;p: n=71,9.8%) and general medicine findings (t:n=80, 10.9%; p:n=104, 14.1%). Conclusion Eligibility for competitive sports is restricted in only 5.5% of adolescent athletes at age 12. Eligibility refusals are rare. However, recommendations for therapy and prevention are frequent, mainly regarding the musculoskeletal system. In spite of time and cost consumption, adolescent preparticipation before entering a career in high-performance sports is supported.
DOI:doi:10.1136/bjsports-2011-090966
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: http://dx.doi.org/10.1136/bjsports-2011-090966
 Volltext: https://bjsm.bmj.com/content/46/7/524
 DOI: https://doi.org/10.1136/bjsports-2011-090966
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1582571589
Verknüpfungen:→ Zeitschrift

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