Screening in Sport: Difference between revisions

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=== Medical Screening ===
=== Medical Screening ===


=== Musculoskeletal Screening ===
=== Musculoskeletal Screening ===
 
Time constraints do not allow a full comprehensive assessment&nbsp;of all joints and muscles. Therefore, the aim of musculoskeletal&nbsp;screening is to assess recovery from any previous&nbsp;injury and to assess the presence of proven (very few) or suspected&nbsp;risk factors for future injury. Athletes involved in sports&nbsp;associated with high risk of specific joint or muscle injuries,&nbsp;such as, swimmers’ shoulders and pitchers’ elbows, should<br>have specific assessments performed on these areas.<ref name="1">Screening of Athletes
Australian Experience
Peter Brukner, MBBS, FACSP,* Susan White, MBBS, FACSP,† Anik Shawdon, MBBS, FACSP,‡ and
Karen Holzer, MBBS, FACSP§</ref>
 
A full injury history should be taken, and any deficits remaining postinjury should be fully assessed with a view to&nbsp;designing a rehabilitation program to restore full function. Frequently,&nbsp;athletes will have resumed full athletic participation&nbsp;following a significant injury and yet still have considerable&nbsp;limitations in strength, range of movement, proprioception,and so forth.The questionnaire asks the athlete to describe the nature<br>and date of any previous injury and to list any residual problems.Athletes are asked to describe the nature, date, and symptoms&nbsp;of any current injury.<ref>Screening of Athletes
Australian Experience
Peter Brukner, MBBS, FACSP,* Susan White, MBBS, FACSP,† Anik Shawdon, MBBS, FACSP,‡ and
Karen Holzer, MBBS, FACSP§</ref><br><br>


=== Performance Screening ===
=== Performance Screening ===

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Introduction[edit | edit source]

In the endeavours to optimize effects of sports participation and training, unfortunate side-effects should be minimized. Indeed, the devastating impact of cardiac arrest (CA) or sudden death (SD) in athletes has shocked societies and sports spectators all over the world. Preventive measures, specifically pre-participation screening have been advocated by the European Society of Cardioloy (ESC) and have subsequently been implemented in some sporting communities. The EACPR Sports Cardiology section answers below our key questions on pre-participation screening.[1]

Aim of Screening[edit | edit source]

The primary aim of the PPE as performed in other countries would appear to be the detection of cardiovascular abnormalities to prevent sudden death among young athletes. The Australian medical screening program has a broader perspective and is aimed at improving the health of the athlete. The medical screening of these high performance athletes has a number of aims:Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
(1) Prevent sudden death
(2) Ensure optimal medical health (asthma, diabetes, menstrual,
depression)
(3) Ensure optimal musculoskeletal health

(4) Optimize performance (nutrition, psychology, biomechanics)
(5) Prevent injury
(6) Review medications and vaccinationsCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
(7) Collect baseline data (blood tests, neuropsychological
testing in contact sports)
(8) Develop professional relationship with athlete
(9) Educate

Screening Protocol[edit | edit source]

Medical Screening[edit | edit source]

Musculoskeletal Screening[edit | edit source]

Time constraints do not allow a full comprehensive assessment of all joints and muscles. Therefore, the aim of musculoskeletal screening is to assess recovery from any previous injury and to assess the presence of proven (very few) or suspected risk factors for future injury. Athletes involved in sports associated with high risk of specific joint or muscle injuries, such as, swimmers’ shoulders and pitchers’ elbows, should
have specific assessments performed on these areas.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title

A full injury history should be taken, and any deficits remaining postinjury should be fully assessed with a view to designing a rehabilitation program to restore full function. Frequently, athletes will have resumed full athletic participation following a significant injury and yet still have considerable limitations in strength, range of movement, proprioception,and so forth.The questionnaire asks the athlete to describe the nature
and date of any previous injury and to list any residual problems.Athletes are asked to describe the nature, date, and symptoms of any current injury.[2]

Performance Screening[edit | edit source]

Clinical Implications[edit | edit source]

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. http://www.escardio.org/The-ESC/Communities/European-Association-for-Cardiovascular-Prevention-&-Rehabilitation-(EACPR)/News/How-to-conduct-pre-participation-screening-in-athletes
  2. Screening of Athletes Australian Experience Peter Brukner, MBBS, FACSP,* Susan White, MBBS, FACSP,† Anik Shawdon, MBBS, FACSP,‡ and Karen Holzer, MBBS, FACSP§