Exercise in medicine / injury and nutrition
8 important questions on Exercise in medicine / injury and nutrition
Misconceptions about sports physicians are...
- Only there for professional adn elite athletes. NO everyone can visit / get help
- magician/doctor who runs into the field. NO that is te physiotherapeut
- prescription of doping, banned substances
Sport injuries and related injuries/problems some numbers:
- 3.7 million sports and exercise injuries each year. 1/3 needs medical treatment
- acute injuries
- overues injuries, which are underreported because athletes are continuing with the injuries
Diagnostic exercise training you can determine:
- Load
- ECG/heart rate
- blood pressure
- ventilation
- VO2max
- CO2
- threshold
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What is the FITT principle?
- frequency
- intensity
- time
- type
Always combine nutrition and exercise!
Which 3 activities doe you perform at a outpatient clinic consultation?
- Pre-participation phycial examination
- Exercise related problems
- fatigue/overtraining syndrome/no improvement with training
- exercise induced problems
- asthma, stomach and bowel problems, headache, RED-S
- Sport injuries
- chronic/overuse injuries
- persisting problems after acute injury: 50% of the patient population
1. Pre-participation physical examination
Why?
It is safe to exercise/play sports?
- obligatory examinations
- elite athletes and talents
- scuba diving, motor sports, cycling
- cardiologic and musculoskeletal screening of recreational athletes
- congenital abnormalities of the heart
- coronary artery diseas (sudden cardiac death)
- determine exercise capacity
Training = systematic overload to improve the performance, so no homeostasis between laod and recovery
What can you do?
Nutrition for tendon/ligament injuries:
- Vit C - collage synthesis
- Copper - cross-linking
- Glycine - collagen synthesis
- Gelatin/hydrolyzed collagen - collagen synthesis
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