Revista de Medicina Desportiva

Prof. Doutor Nuno Cardim

Hospital da Luz Lisboa; CorSport. Lisboa

“… o conceito atual é que não existe evidência científica que demonstre que todos os doentes com MH devam ser sistematicamente proibidos de participar em desportos competitivos para lá de desportos… o risco deve sempre ser discutido e assumido por ambas as partes (decisão partilhada), pois é inquestionável que mesmo atletas com MH com baixo risco de MS podem ser vítimas deste evento (é importante não esquecer que o risco de MS em doentes com MH é sempre maior que o da população sem doença, mesmo em grupos de baixo risco)… Por outro lado, palavras de bom senso e prudência em relação a esta liberalização são sempre necessárias e bem-vindas, não havendo, no estado atual do conhecimento evidência científica clara que permita definir com elevado grau de precisão o risco em todos os doentes.”

Dr. Eduardo Oliveira, Dr. José Carlos Carneiro, Dr. Manuel Vaz

Physical activity and insulin therapy are the basis of treatment in diabetes mellitus (DM) type 1. Sports activity of the diabetic patients increases the risk of disglicemic events. A child, male gender, seven years old, football player, with personal record of type 1 DM came to medical office for pre-competition medical screening, two months after starting a continuous subcutaneous insulin infusion (CSII) technology, with analytical and clinical improvement. People with type 1 DM should maintain physical activity, so athletes, parents, coaches, and other sports agents should be educated on management of disglicemic events. Each athlete with DM should have a diabetes care plan for practices and games. CSII reduces the risk of disglicemic event, but do not remove it.

Dr. Samuel Canelas, Dr. João Soares Torres

Prof. Doutor João Branco, Prof. Doutor João Páscoa Pinheiro, Dr. João Oliveira, Dr. António Araújo, Dr. Paulo Margalho, Dr. Henrique Jones, Dra. Joana Santos Costa, Dr. Pedro Figueiredo, Dr. Nuno Loureiro, Dr. Daniel Freitas

Pedro Brito Lança, Dra. Inês Ricardo, Prof. Doutora Ana Abreu, Prof. Doutor Hélder Dores

Objectives: To characterize the sport practice of veteran middle long distance running athletes in Portugal; to assess the prevalence of cardiovascular (CV) risk factors; to know the assessment methodology and the clinical follow-up performed. Methods and Results: A questionnaire was designed and sent to athletes who have participated in events of the Portuguese Trail Running Association. Conclusion: The percentage of veteran middle-long distance running athletes with up-to-date SME and regular medical evaluations is far from ideal. It is important to alert to the importance of clinical assessment of extreme exercise athletes for its ability in early detection of exercise-induced pathological adaptations and CV diseases that may lead to serious clinical complications.

Dra. Joana Pinheiro, Dra. Lurdes Rovisco Branquinho, Dr. João Faria, Prof. Doutor João Páscoa Pinheiro

Total knee arthroplasty (TKA) is an effective procedure to control pain and stimulate the functionality of the femorotibial knee. Several studies have shown that the need for a surgical intervention is increasing in young individuals. In this context, exercise prescription and sport practice promotion after TKA has a growing relevance, especially as a component that increases functionality and quality of life.

Dr. João Nuno Malta, Dr. Amílcar Cordeiro, Dr. António Araújo, Prof. Doutor João Pinheiro

The authors present the interest of exercise and sport on the promotion of health and functionality in subjects with spinal cord injury, namely paraplegia and quadriplegia. The benefits of sports practice are described, as well as the specificities identified in these populations. Some exercise prescription, identified as adequacy and safety, are also presented.

Ft. Pedro Martins Farinha, Dr. Diogo Lino Moura

Low back pain originating from lumbar facet joints or zygapophyseal joints has been identified as a potential cause of low back pain. Facet osteoarthritis, a degenerative pathology, is the most common cause of facet pain, and its prevalence increases with age. Facet syndrome is a frequent diagnosis in rhythmic and acrobatic gymnastics athletes, surfing, bodyboarding, and yoga, due to its characteristic repetitive and / or maintained movements of hyperextension and rotation of the lumbar spine. The facet syndrome does not yet reach consensus from its diagnosis to the therapeutic strategies adopted, being still poorly understood, and probably underdiagnosed, which implies the need for further investigation.