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Keeping pace with developments

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发表于 2012-7-1 23:39:51 | 显示全部楼层 |阅读模式
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                                   Keeping pace with developments


For any reader and football enthusiast, “Medicine Matters” can be a great source of useful and interesting information.

Without a doubt, medicine has influenced sport, and sport, in turn, has influenced medicine. This is clearly reflected in the fact that today, sports medicine is a well-established specialised field. Beyond simple healing, an injured athlete needs to be fit to play. Just as skiers’ injuries have

influenced the procedures and treatment for broken bones,

footballers’ injuries have had animpact on medicine, particularly

on the technique and treatment for anterior cruciate ligament tears and meniscus injuries. In the past, in the interval between the treatment of player injuries and resumption of play, we began to identify the types of long-term damage that could be expected. Here we are referring primarily to post-traumatic arthroses. In addi- tion to reducing the time required for healing and restoring fitness to play, the methods and materials used today should, as far as possi- ble, prevent iatrogenic damage. We know, of course, that the injury itself and primary damage to the cartilage should be consid- ered the main causes of long-term damage. This fact is forgotten all too often by the injured players. If an injury results in long-term damage, it is nearly always attrib- uted to an error on the part of the doctor. Fortunately, such assump- tions are rarely correct. Minimally invasive operations, as they are called today, are now common-place and largely prevent addi-

tional damage, while significantly reducing post-operative recupera- tion time. Healthy athletes also seek doctors’ assistance. Most often, they want to know how to improve their performance capa- bility. As a result, training methods have been studied from a scientific point of view, and it emerges that a balance has to be struck between a player’s training

capacity, strain endurance and rest requirements. Further study

should be conducted on player nutrition, liquid intake, strain, and the amount of rest required. Only a healthy athlete can benefit from optimal preparation and training. Any injury or illness has enormous consequences on whether a player is fit to play, and consequently, it is absolutely imperative to do everything possible to prevent both.  Medical specialists have to contin- uously update the preventative measures that they recommend. Accordingly, specific regulations for each sport also have to be repeatedly revised. Injury patterns and possibilities differ from sport to sport, and they should be researched using sport-specific methods. We can never know enough about specific problems, which is why the constant searchfor new discoveries should be

conducted separately for each sport. Football differs from many other types of sport in that it is played throughout the year, and that professional players compete weekly and are therefore per- petually in the public eye. Team sport differs in several ways from individual sport.

The medical community’s desire to engage additionally in sport- specific research is legitimate. Professor Ekstrand, Vice-Chairman of the Medical Committee, has conducted, in friendly co-operation with the relevant club physicians, a year-long study on the occur- rence of injuries in eleven top European clubs. He presents his results in an article in this issue of “Medicine Matters”. Future research is planned in the spirit of continuing to gather knowledge about our sport. UEFA will also provide financial support to suitable research proj- ects which make a specific contri- bution to football. In recent days, the European media have taken up discussion of the evocative ques- tion of whether heading the ball can cause damage to the brain and the cervical spine. The medical community has to admit that it has not yet achieved general consensus on this issue. As conscientiousphysicians, we have an obliga-

tion to discuss the potential for long-term damage. This will be possible only if we pave the way for international research on this topic.

These are issues which have a direct impact on the way in which the rules are interpreted. How should an elbow jab to the head be disciplined? Similarly to tack- ling from behind, which is sanc- tioned with a red card because of our present knowledge about its increased potential for injury?  The publication of “Medicine Matters” is justified by articles on research and new discoveries about proven therapeutic

methods. We would like to thank the authors of the very interest- ing articles printed here for their valued co-operation. The medical knowledge that applies to profes- sional football can be used to benefit the game at grassroots level too. Our sport is constantly changing, and every specialist is called upon to keep pace with developments. We are already looking forward to the EURO 2004 in Portugal. Let’s work together to solve any medical problems that can accompany such a major event.

Dr Urs Vogel Chairman, UEFA Medical Committee



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