SUITABILITY FOR SPORTS PRACTICE

 

SUITABILITY FOR SPORTS PRACTICE                   

A. MEDICAL VISIT : CERTIFICATE OF APTITUDE                  

Much more than a simple checkbox and an initial….

 

 

 

All sports work in one way or another on the articular, muscular, cardiovascular and respiratory systems.

They can therefore aggravate a pre-existing pathology, or on the contrary improve it, or even cause certain pathologies, hence the importance of making a medical examination of aptitude.

Compulsory for obtaining any sports license, the certificate of aptitude for sports practice is issued at least once a year by a general practitioner or a specialist in sports medicine during a specific medical examination.

The examination must be adapted to the sport practiced, the physical condition and the age of the person. Before allowing you to start a sport, your doctor must first know your history (medical, surgical, traumatic, chronic pain ...), your sports habits (sports practiced before, level, frequency of training ...) and your lifestyle ( sedentary mode , stressful environment, tobacco consumption ...). Then comes the time of the exam or rather the exams ...

 

It is even recommended that all patients from the age of 15 years to perform an EKG if it has never been done. This makes it possible to detect possible congenital pathologies and thus to lower the mortality rate from sudden death during sports practice, an exercise ECG in the slightest doubt, in competitive athletes after 40 years or if there are factors risk (blood pressure, cholesterol , diabetes , tobacco )

 

 

 

 

 

B. A COMPLETE AND RIGOROUS VISIT                 

Medical history These relate to family history, personal medical history (asthma, heart disease, diabetes, etc.), sports history and usual physical activity, and surgical history.

Cardiovascular examination Preferably carried out by a cardiologist at the request of a doctor, it includes a clinical examination (auscultation), an electrocardiogram in order to detect a rhythm disorder or a coronary problem, sometimes an echocardiogram (ultrasound allowing to see the physical aspect of the heart, but also its flow and contractile force). Note that 90 % of inaptitude for sport is of cardiovascular origin.

 

Examination of the musculoskeletal system It searches for the sequelae of previous accidents by clinical examination or radiology, it allows to quantify the amplitude of movements, ligament hyper laxity or stiffness, it allows to detect static disorders or morphological that can be decompensated by sports practice (orientation abnormalities of the hips or knees, scoliosis, etc.).

General examination It reviews the main functions of the organism, without forgetting the dental, ENT and ocular check-up (visual acuity).