Método MasQsano. Detección de enfermedades cardiacas no conocidas en reconocimientos médicos deportivos / MasQsano method. Detection of unknown cardiac diseases in sports medical examinations

El reconocimiento médico deportivo es considerado como un punto de partida para cualquier deportista antes de incorporarse a la actividad física o deportiva. Su objetivo principal es la detección de patologías que pudieran poner en riesgo su vida y aquellas que una vez corregidas pueden potenciar el rendimiento físico. Es por ello por lo que debe realizarse por un equipo de salud multidisciplinario experto en el área. De esta manera, resulta importante revisar la evidencia científica y conocer directamente el estado de salud de un grupo de adultos y niños deportistas, su incidencia de enfermedades cardiovasculares y el rol de la enfermería en su aplicación. Este estudio, evaluó una muestra de 7.340 deportistas con edades comprendidas entre los 3 y 17 años, compuesta de 1.693 femeninos y 5.647 masculinos, a los cuales se les realizó el reconocimiento médico deportivo, de acuerdo con un protocolo registrado y establecido previamente en los clubes deportivos de 2 provincias españolas con el apoyo del personal de enfermería durante el año 2021. De estos, se obtuvo un total de 112 casos de patologías cardiacas, de los cuales el 54% tenía conocimiento de patología cardiaca y el 64% no era conocido. De este grupo de patologías cardíacas no conocidas, el 5,9% de los casos requirió intervención quirúrgica, el 21,1% se encuentra en revisión y el 73% fue dado de alta. El total de casos con patologías cardíacas no conocida representa un 0,70% de la muestra. Así mismo, se determinó el rol fundamental de enfermería en la aplicación de este protocolo.(AU)

The sports medical examination is considered a starting point for any athlete before taking up physical or sporting activity. Its main objective is to detect pathologies that could put your life at risk and those that, once corrected, can enhance physical performance. This is why it must be carried out by a multidisciplinary health team with expertise in the area. In this way, it is important to review the scientific evidence and learn directly about the health status of a group of adult and child athletes, their incidence of cardiovascular diseases and the role of nursing in their application. This study evaluated a sample of 7340 athletes aged between 3 and 17 years, composed of 1693 females and 5647 males, who underwent a sports medical examination, according to a registered and previously established protocol in sports clubs in 2 Spanish provinces with the support of nursing staff during the year 2021. Of these, a total of 112 cases of cardiac pathologies were obtained, of which 54% were known to have a cardiac pathology and 64% were unknown. Of this group of unknown cardiac pathologies, 5.9% of the cases required surgical intervention, 21.1% are under review and 73% were discharged. The total number of cases with unknown cardiac pathologies represents 0.70% of the sample. The fundamental role of nursing in the application of this protocol was also determined.(AU)

Correlations Between Medicine Ball Throw With Wheelchair Mobility and Isokinetic Tests in Basketball Para-Athletes.

CONTEXT: A detailed analysis of wheelchair basketball skills in beginner wheelchair basketball players (WBP) can provide practitioners with important indications regarding the selection and prospective development of potential sports talents. A comprehensive WBP evaluation can be very time consuming, mainly during the initial phases of the training processes, which could be a barrier in clinical and practical settings. Moreover, the large number and the turnover of beginner WBP attending rehabilitation centers make the applicability of field and strength tests unfeasible. OBJECTIVE: To verify the relationships between the medicine ball throw (MBT) and wheelchair basketball mobility performance field tests and the shoulder and trunk peak torque in male and female beginner WBP. DESIGN: Cross-sectional study. SETTING: Rehabilitation Hospital Network, Paralympic Program. PARTICIPANTS: Thirty-seven female and male beginner WBP. MAIN OUTCOMES MEASURES: Participants performed wheelchair basketball field tests (speed, agility, strength, and power tests) and the maximum strength test in the isokinetic dynamometer. The outcomes were correlated with the MBT results. RESULTS: The MBT presented significantly very high and perfect correlations with all wheelchair basketball field tests assessed (5-m sprint, 20-m sprint, and zig-zag agility test with and without a ball), and peak torque (R2 ranging from .810 to .995; P ≤ .05) for male and female athletes. CONCLUSIONS: The MBT, a simple and feasible test, can be used for estimating and determining the wheelchair mobility performance of female and male beginner WBP. It is suggested to measure the distance of a 5-kg medicine ball thrown by athletes during training and testing routines to follow the players' progression.

Medicine Ball Throw Responsiveness to Measure Wheelchair Basketball Mobility in Male Players.

CONTEXT: Monitoring training loads and consequent fatigue responses are usually a result of personal trainers' experiences and an adaptation of methods used in sports for people without disabilities. Currently, there is little scientific evidence on the relationship between training load and fatigue resulting from training sessions in wheelchair sports. Analogous to the vertical jump, which has been associated with competitive performance and used to assess fatigue in Olympic sports, the medicine ball throw (MBT) is a fast, feasible, and accessible test that might be used to measure performance outcomes in Paralympic athletes. OBJECTIVE: To test the MBT responsiveness to detect meaningful changes after training sessions in beginner wheelchair basketball players (WBP). DESIGN: Cross-sectional study. SETTING: Rehabilitation Hospital Network, Paralympic Program. PARTICIPANTS: Twelve male WBP. MAIN OUTCOMES MEASURES: The participants performed 3 consecutive days of training sessions involving exercises of wheelchair basketball skills, strength, and power. The MBT test was performed pre and post training sessions. RESULTS: The smallest worthwhile change for MBT was 0.10 cm, and the lower and upper limits were 3.54 and 3.75 m, respectively. On the first day, the MBT started below the smallest worthwhile change lower limit and increased above the upper limit (3.53 and 3.78 m, respectively). On the second day, the MBT pretraining and posttraining session results were near the sample mean (3.62 and 3.59 m, respectively). On the third day, the WBP started the MBT test training higher than the upper limit (3.78 m) and decreased to near the mean (3.58 m). CONCLUSIONS: During 3 consecutive days of training sessions, the magnitude-based inference model presented meaningful changes in MBT test performance. The accurate association of the magnitude-based inference model with the MBT allows coaches and sports team staff to interpret the correct magnitude of change in WBP performance.

Experiência, performance e práticas de aprendizagem: temas para pensar o lazer de forma não fragmentada / Experience, performance and practices of learning: issues to think about the leisure of a non-fragmented

Apresenta discussão que parte de três campos de estudos nos quais os autores realizam pesquisas: Lazer, Educação e Antropologia. A partir de uma perspectiva antropológica Pós-Social apresenta reflexão sobre o conceito de cultura e sua importância para compreensão do fenômeno do Lazer. Enfoca três eixos conceituais principais que constituem um campo teórico no qual seja possível dialogar para pensar o Lazer de forma não fragmentada: os conceitos de experiência, performance e prática, a partir das concepções dos seguintes autores: Victor Turner, Richard Schechner, Walter Benjamin, Tim Ingold e Jean Lave. Entendemos significativo e oportuno acompanhar o ?desvio do olhar? proposto na antropologia de Victor Turner, ao buscar renovar as abordagens sobre o lazer.

Presents discussion that part of three camps of studies in which the authors performed studies: Leisure, Education and Anthropology. From a perspective Post-Social anthropological presents reflection on the concept of culture and its importance for understanding the phenomenon of Leisure. It focuses on three main conceptual which constitute a theoretical in which we can talk to think the Leisure not piecemeal: experience, performance and practice, from the conceptions of following authors: Victor Turner, Richard Schechner, Walter Benjamin, Tim Ingold and Jean Lave. We believe significant and timely follow the ?gaze deviation? proposed in the anthropology of Victor Turner, to renew the search for approaches to leisure.