Periodic health evaluation in Para athletes: a position statement based on expert consensus.

Autor:	Pinheiro L; School of Physical Education, Physical Therapy and Occupational Therapy, Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Verhagen E; Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam University Medical Centers, Location VU University Medical Center, Amsterdam, The Netherlands., Ocarino J; School of Physical Education, Physical Therapy and Occupational Therapy, Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Fagher K; Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden., Ahmed OH; Physiotherapy Department, University Hospitals Dorset NHS Foundation Trust, Poole, UK.; The FA Centre for Para Football Research, The Football Association, Burton-Upon-Trent, UK., Dalton K; School of Optometry & Vision Science, University of Waterloo, Waterloo, Ontario, Canada., Mann DL; Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences and Institute Brain and Behaviour Amsterdam (iBBA), Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Weiler R; Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam University Medical Centers, Location VU University Medical Center, Amsterdam, The Netherlands.; Institute of Sport, Exercise and Health, Division of Surgery and Interventional Science, UCL, London, UK.; Sport & Exercise Medicine, Fortius Clinic, London, UK., Akinyi Okoth C; Internal Medicine,Training, Research & Innovation Unit, National Spinal Injury and Referral Hospital, Nairobi, Kenya.; State Department for Medical Services, Ministry of Health, Nairobi, Kenya., Blauwet CA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, Massachusetts, USA., Lexell J; Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden., Derman W; Department of Exercise, Sport & Lifestyle Medicine, Stellenbosch University, Faculty of Medicine and Health Sciences, Stellenbosch, South Africa., Webborn N; School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK., Silva A; School of Physical Education, Physical Therapy and Occupational Therapy, Department of Sports, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Resende R; School of Physical Education, Physical Therapy and Occupational Therapy, Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Jazyk:	angličtina
Zdroj:	BMJ open sport & exercise medicine [BMJ Open Sport Exerc Med] 2024 Oct 09; Vol. 10 (4), pp. e001946. Date of Electronic Publication: 2024 Oct 09 (Print Publication: 2024).
DOI:	10.1136/bmjsem-2024-001946
Abstrakt:	Para athletes present a broad range of sports-related injuries and illnesses, frequently encountering barriers when accessing healthcare services. The periodic health evaluation (PHE) is a valuable tool for continuously monitoring athletes' health, screening for health conditions, assisting in the surveillance of health problems by establishing baseline information and identifying barriers to athlete's performance. This position statement aims to guide sports healthcare providers in the PHE for Para athletes across key impairment categories: intellectual, musculoskeletal, neurological and vision. A panel of 15 international experts, including epidemiologists, physiotherapists, optometrists and physicians with expertise in Para athlete health, convened via videoconferences to discuss the position statement's purpose, methods and themes. They formed working groups to address clinical, cardiorespiratory, neuromusculoskeletal, nutritional status, mental and sleep health, concussion and female Para athlete health assessment considerations. The PHE's effectiveness lies in its comprehensive approach. Health history review can provide insights into factors impacting Para athlete health, inform physical assessments and help healthcare providers understand each athlete's needs. During the PHE, considerations should encompass the specific requirements of the sport modality and the impairment itself. These evaluations can help mitigate the common tendency of Para athletes to under-report health issues. They also enable early interventions tailored to the athlete's health history. Moreover, the PHE serves as an opportunity to educate Para athletes on preventive strategies that can be integrated into their training routines, enhancing their performance and overall health. This position statement can potentially enhance clinical translation into practice and improve the healthcare quality for Para athletes. Competing Interests: None declared. (Copyright © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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