Oxford Textbook of Children's Sport and Exercise Medicine

2017 ◽  
Keyword(s):  
Physical Activity ◽  
Sport Medicine ◽  
Exercise Physiology ◽  
Young Athlete ◽  
Exercise Science ◽  
Contact Sports ◽  
Sport Science ◽  
Exercise Medicine ◽  
Biological Maturation ◽  
Sport And Exercise

Comprehensive and up to date, this textbook on children’s sport and exercise medicine features research and practical experience of internationally recognized scientists and clinicians that informs and challenges readers. Four sections—Exercise Science, Exercise Medicine, Sport Science, and Sport Medicine—provide a critical, balanced, and thorough examination of each subject, and each chapter provides cross-references, bulleted summaries, and extensive reference lists. Exercise Science covers growth, biological maturation and development, and examines physiological responses to exercise in relation to chronological age, biological maturation, and sex. It analyses kinetic responses at exercise onset, scrutinizes responses to exercise during thermal stress, and evaluates how the sensations arising from exercise are detected and interpreted during youth. Exercise Medicine explores physical activity and fitness and critically reviews their role in young people’s health. It discusses assessment, promotion, and genetics of physical activity, and physical activity in relation to cardiovascular health, bone health, health behaviours, diabetes, asthma, congenital conditions, and physical/mental disability. Sport Science analyses youth sport, identifies challenges facing the young athlete, and discusses the physiological monitoring of the elite young athlete. It explores molecular exercise physiology and the potential role of genetics. It examines the evidence underpinning aerobic, high-intensity, resistance, speed, and agility training programmes, as well as effects of intensive or over-training during growth and maturation. Sport Medicine reviews the epidemiology, prevention, diagnosis, and management of injuries in physical education, contact sports, and non-contact sports. It also covers disordered eating, eating disorders, dietary supplementation, performance-enhancing drugs, and the protection of young athletes.

scholarly journals Special Issue “New Trends in Sport and Exercise Medicine”

2021 ◽  
Vol 11 (18) ◽  
pp. 8353
Author(s):  
Daniela Galli
Keyword(s):  
Physical Activity ◽  
Cardiovascular Diseases ◽  
Regular Physical Activity ◽  
Special Issue ◽  
Exercise Medicine ◽  
Sport And Exercise

The practice of regular physical activity has been proposed as a determinant in many disciplines, from wellness to physiotherapy; in fact, it reduces the risks of cardiovascular diseases and diabetes [...]

scholarly journals Fascial tissue research in sports medicine: from molecules to tissue adaptation, injury and diagnostics: consensus statement

2018 ◽  
Vol 52 (23) ◽  
pp. 1497-1497 ◽  
Author(s):  
Martina Zügel ◽  
Constantinos N Maganaris ◽  
Jan Wilke ◽  
Karin Jurkat-Rott ◽  
Werner Klingler ◽  
...  
Keyword(s):  
Sports Medicine ◽  
High Performance ◽  
Consensus Statement ◽  
Exercise Physiology ◽  
Three Dimensional ◽  
Significant Loss ◽  
The Body ◽  
Exercise Medicine ◽  
Recreational Exercise ◽  
Sport And Exercise

The fascial system builds a three-dimensional continuum of soft, collagen-containing, loose and dense fibrous connective tissue that permeates the body and enables all body systems to operate in an integrated manner. Injuries to the fascial system cause a significant loss of performance in recreational exercise as well as high-performance sports, and could have a potential role in the development and perpetuation of musculoskeletal disorders, including lower back pain. Fascial tissues deserve more detailed attention in the field of sports medicine. A better understanding of their adaptation dynamics to mechanical loading as well as to biochemical conditions promises valuable improvements in terms of injury prevention, athletic performance and sports-related rehabilitation. This consensus statement reflects the state of knowledge regarding the role of fascial tissues in the discipline of sports medicine. It aims to (1) provide an overview of the contemporary state of knowledge regarding the fascial system from the microlevel (molecular and cellular responses) to the macrolevel (mechanical properties), (2) summarise the responses of the fascial system to altered loading (physical exercise), to injury and other physiological challenges including ageing, (3) outline the methods available to study the fascial system, and (4) highlight the contemporary view of interventions that target fascial tissue in sport and exercise medicine. Advancing this field will require a coordinated effort of researchers and clinicians combining mechanobiology, exercise physiology and improved assessment technologies.

scholarly journals Evaluation of the Clinical Champions' Physical Activity Training Programme

2020 ◽  
Author(s):  
Liz Carlin ◽  
Hayley Musson ◽  
Emma Adams
Keyword(s):  
Physical Activity ◽  
Clinical Practice ◽  
Healthcare Professional ◽  
Healthcare Professionals ◽  
Training Programme ◽  
Routine Clinical Practice ◽  
Training Models ◽  
Exercise Medicine ◽  
Physical Activity Advice ◽  
Sport And Exercise

In 2014 Public Health England (PHE) launched the National Physical Activity Framework ‘Everybody Active, Everyday’. The framework included a key domain for action called ‘Moving Professionals’. The Moving Professionals Programme aims to build expertise and leadership across key professional sectors and to raise awareness and understanding of the health benefits of physical activity among professionals and the wider public. The programme comprises several innovative work packages which are described in full elsewhere (Brannan et al., 2019). One element of the programme was the Clinical Champions’ Physical Activity Training Programme. PHE developed a network of Clinical Champions who were tasked with providing peer-to-peer training on physical activity for healthcare professionals. The long-term aim of the Clinical Champions’ Physical Activity (CCPA) training programme is to increase population levels of physical activity by increasing the proportion of healthcare professionals integrating conversations about physical activity into routine clinical practice in England.An independent evaluation of the Clinical Champion’s physical activity training programme was conducted by researchers based at the National Centre for Sport and Exercise Medicine (NCSEM) in the School of Sport, Exercise and Health Sciences at Loughborough University, UK. The NCSEM were not responsible for the implementation of the Clinical Champions’ physical activity training. The evaluation aimed to: 1) Evaluate the uptake and utilisation of the training programme and the different training models; 2) Assess the perceived impact of the training programme on healthcare professionals’ confidence, knowledge and application of brief physical activity advice in routine clinical practice; 3) Assess whether there is any differential impact of the training programme when sessions are delivered by different types of Clinical Champion (i.e. doctor, nurse or allied healthcare professional) to different healthcare professional audiences and 4) Assess the perceived strategic impact of the Clinical Champion physical activity training programme. A mixed methods approach was used to evaluate the programme. This report details the evaluation findings and provides recommendations for the future implementation of the Clinical Champions’ physical activity training programme.

Paediatric Exercise Science and Medicine

2013 ◽  
Keyword(s):  
Experimental Methods ◽  
Paediatric Research ◽  
Exercise Science ◽  
Research Activity ◽  
Non Invasive ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
Invasive Techniques

This resource is the leading reference work designed to support and challenge those involved in developmental exercise science and medicine. This paediatric sub-specialty has become firmly established as a major component of sport and exercise medicine, which is reflected by a marked increase in research activity and publication. Experimental methods pioneered with adults have been successfully adapted for use with children and new non-invasive techniques have been developed and applied to paediatric research to provide new insights into understanding the exercising child.

Sports injuries in older people

2013 ◽  
Author(s):  
Cathy Speed
Keyword(s):  
Physical Activity ◽  
Health Status ◽  
Sports Injuries ◽  
Ageing Population ◽  
Activity Levels ◽  
Exercise Medicine ◽  
Age Related ◽  
Physical Activity Levels ◽  
Sport And Exercise ◽  
Age Related Changes

A generally enhanced health status in an increasingly ageing population allows many to maintain high physical activity levels, and competitive masters and seniors events are becoming progressively more popular. This, together with the recognition of the importance of exercise to mitigate or even reverse many age-related changes, means that the physician in sport and exercise medicine requires a high index of awareness of the specific issues that arise in relation to sporting injury in the ageing individual. These issues include not only recognition and management of sports injuries ...

Chronic Diseases, Exercise, and Physical Activity in Childhood: 2015 in Review

2016 ◽  
Vol 28 (1) ◽  
pp. 52-54
Author(s):  
Tim Takken
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Physical Therapy ◽  
Knowledge Translation ◽  
Chronic Diseases ◽  
Exercise Testing ◽  
Scientific Knowledge ◽  
Exercise Physiology ◽  
Exercise Medicine ◽  
Single Discipline

The year of 2015 was a fruitful year in the field of chronic diseases, exercise, and physical activity in childhood. Many interesting papers came out on this topic. Exercise testing and prescription in children with chronic disease and disability is an increasingly studied area in which many disciplines are involved including pediatric physical therapy, medicine, nursing, physical education, and exercise physiology. This multidisciplinary aspect is reflected in the journals in which my highlighted publications (below) were published. Because no single discipline has the ownership of exercise testing and prescription and because different disciplines use different jargon, it is difficult to have the scientific knowledge translated to the clinic. A few years ago we initiated the Pediatric Exercise Medicine Network (PEMNet) to close this knowledge translation gap.

scholarly journals The Active Hospital pilot: A qualitative study exploring the implementation of a Trust-wide Sport and Exercise Medicine-led physical activity intervention

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257802
Author(s):  
Anna Myers ◽  
Helen Quirk ◽  
Anna Lowe ◽  
Helen Crank ◽  
David Broom ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Clinical Pathways ◽  
Clinical Care ◽  
Limited Resource ◽  
Political Climate ◽  
Structured Interviews ◽  
Effect Change ◽  
Exercise Medicine ◽  
Sport And Exercise

Background In 2017 Public Health England and Sport England commissioned a Consultant-led Sport and Exercise Medicine (SEM) pilot to test the feasibility and acceptability of embedding physical activity interventions in secondary care clinical pathways. The aim of this paper is to report qualitative findings exploring the experience of healthcare professionals (HCPs) and patients involved in the Active Hospital pilot. Methods Qualitative data was collected by semi-structured interviews with Active Hospital pilot SEM Consultants, and staff and patients involved in three clinical pathways. Interviews with SEM Consultants explored the experience of developing and implementing the pilot. Interviews with staff and patients explored the experience of delivering and receiving Active Hospital interventions. Data were analysed thematically. Results Interviews identified the importance of the Active Hospital pilot being Consultant-led for the following reasons; i) having trusting relationships with decision makers, ii) having sufficient influence to effect change, iii) identifying champions within the system, and iv) being adaptable to change and ensuring the programme fits within the wider strategic frameworks. HCPs emphasised the importance of the Active Hospital interventions fitting easily within existing work practices, the need for staff training and to tailor interventions for individual patient needs. The Active Hospital pilot was well received by patients, however a lack of dedicated resource and capacity to deliver the intervention was highlighted as a challenge by both patients and HCPs. Conclusion The SEM Consultants’ ability to navigate the political climate of a large National Health Service (NHS) Trust with competing agendas and limited resource was valuable. The interventions were well received and a valued addition to usual clinical care. However, implementation and ongoing delivery of the pilot encountered challenges including lack of capacity within the system and delays with recruiting to the delivery teams in each pathway.

scholarly journals Evaluation of the Public Health England and Sport England Funded Physical Activity Clinical Advice Pad Pilot in Primary Care

2020 ◽  
Author(s):  
Robert J. Copeland ◽  
Anna Myers ◽  
Helen Quirk ◽  
Helen Crank ◽  
David Broom ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
The Public ◽  
Telephone Interviews ◽  
Exercise Medicine ◽  
Independent Evaluation ◽  
Innovative Work ◽  
Sport And Exercise ◽  
Brief Advice ◽  
Improve Health

In 2014 Public Health England (PHE) launched the national physical activity (PA) framework ‘Everybody Active, Everyday’. The framework included a key domain for action called ‘Moving Professionals’. The Moving Professionals Programme aimed to build expertise and leadership across key professional sectors and to raise awareness and understanding of the health benefits of PA among professionals and the wider public. The Moving Professionals Programme comprised a number of innovative work packages that are described elsewhere (See Brannan et al., 2019). The Physical Activity Clinical Advice Pad (PACAP) pilot was one element of the Moving Professionals Programme, and aimed to; increase the number of primary healthcare professionals (HCPs) in England who integrate brief advice on PA into their routine clinical practice.The PACAP provides advice about the amount and type of PA required to improve health and was designed to look like a prescription pad to aid compliance with the advice provided. It also provides tips on different ways to become more active and signposts users to the PHE Active 10 app and One You website. The purpose of the PACAP was to prompt and facilitate conversations about PA between HCPs and patients.In 2017, PHE and Sport England invited expressions of interest (EoIs) from Local Authority (LA) and Clinical Commissioning Group (CCG) partnerships across England to engage in the pilot. Twenty-five applications were returned and ten partnerships were invited to take part in the PACAP pilot.As part of the National Centre for Sport and Exercise Medicine (NCSEM) network, academics at Sheffield Hallam University (SHU) were commissioned to conduct an independent evaluation of the PACAP pilot. The NCSEM were not responsible for the implementation or delivery of the PACAP pilot. The evaluation adopted a mixed methods approach to explore the acceptability of the PACAP pilot. Data was collected from patients and HCPs using surveys, telephone interviews, focus groups and audits between April 2018 and February 2019. This report details the evaluation findings, provides recommendation for future iterations of the project and provides implications for scaling the PACAP across additional localities in England.

scholarly journals The Move More Plan - A framework for increasing physical activity in Sheffield 2015-2020.

2020 ◽  
Author(s):  
Robert J. Copeland
Keyword(s):  
Physical Activity ◽  
Systems Approach ◽  
Emotional Health ◽  
Population Level ◽  
City Council ◽  
Economic Consequences ◽  
Main Body ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
The Uk

There is compelling and indisputable evidence that physical activity performed on a regular basis, is good for individuals, for society, for the environment and the economy. Yet, the physical activity of the population in the UK is low. The dominant position that physical inactivity currently assumes at city-level in Sheffield, means that the majority of society and particularly the least affluent are experiencing negative physical and emotional health with huge medical, psycho-social and economic consequences. The Move More plan sets out a framework for a systems approach to the promotion of physical activity in Sheffield. Under the banner of ‘Move More’, the plan is owned by the Board of the Olympic Legacy programme: The National Centre for Sport and Exercise Medicine in Sheffield. Move More is supported by all the major city partners, including; the Voluntary Sector, the NHS, both Universities, Sheffield City Council, Sheffield Chamber of Commerce, and Sheffield International Venues (SIV). The aim of the Move More plan is to provide the overall direction for increasing physical activity in Sheffield and to secure and align stakeholder commitment to that direction. Increasing physical activity at a population level is a system challenge and requires the input of numerous organisations, sectors and champions. The Move More plan is therefore intended to be inclusive of, and integral to the strategic and implementation plans of these stakeholders. The Move More plan is split into distinct sections with the main body of the plan focusing on the Vision and Mission of Move More, the challenge of increasing physical activity at population level and the outcomes to be achieved through the application of this framework. The principles that underpin the framework and the proposed programmes of work (ambitions) that are designed to deliver the outcomes are also outlined.

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