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    Wyświetlanie 1-7 z 7
    Tytuł:
    Femoral neck stress fracture during sport climbing
    Autorzy:
    Küpper, Thomas
    Rutten, Steven
    Morrison, Audry
    Schöffl, Volker
    Powiązania:
    https://bibliotekanauki.pl/articles/2098278.pdf
    Data publikacji:
    2021-11-29
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    wspinaczka sportowa
    urazy
    diagnoza
    rehabilitacja
    fizjoterapia
    złamania
    sport climbing
    injury
    diagnosis
    rehabilitation
    physiotherapy
    occult fracture
    Opis:
    While the epiphyseal stress fracture of the finger’s middle phalanx is a known sport-specific injury occurring only in adolescent climbers, and in other locations it’s rare, no femoral neck stress fracture (FNSF) in sports climbing has yet been reported. An experienced female sport climber (37y, 160 cm, 45 kg, BMI 17.5) suffered from pain in the left inguinal region while climbing, and later, also required a stick to walk. Routine radiography missed the FNSF and it was many weeks before a MRI accurately provided that diagnosis. The time between the X-ray and MRI should have been minimized as it resulted in a delayed diagnosis, unnecessary pain and delayed healing. In this situation the initial clinical investigation, the patient’s history and the X-ray did not lead to a clear diagnosis, and the initial treatment was ineffective. Further investigation by MRI and / or CT scans should have taken place sooner and would have been essential.
    Źródło:
    Health Promotion & Physical Activity; 2021, 17, 4; 1-5
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Sportspecific performance diagnosis in ski mountaineering — comparison of a sportspecific cardiopulmonary exercise test on a treadmill versus outdoors and at altitude, a pilot study
    Autorzy:
    Schöffl, Isabelle
    Bliemsrieder, Bernhard
    Küpper, Thomas
    Schöffl, Volker
    Powiązania:
    https://bibliotekanauki.pl/articles/2098272.pdf
    Data publikacji:
    2021-09-28
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    spiroergometry
    performance testing
    ski mountaineering
    exercise testing
    CPEC
    Opis:
    Background: Ski mountaineering is a competitive sport that has gained popularity during the last years. As most competitions are held in altitudes between 1500 m and 3500 m, a considerable amount of training occurs at various hypobaric hypoxia degrees. It was establishing a sport-specific cardiopulmonary exercise protocol using standard ski mountaineering equipment on a treadmill. This study investigated altitude’s effects on a self-regulated incremental exercise field test at 3100 m with this protocol.Methods: Six athletes were tested (24.2 ± 4.2 years) from the German Ski Mountaineering National Team with a portable telemetric cardiopulmonary exercise test equipment. First, an incremental indoor step test with skis on a treadmill (altitude 310 m) and four days later outdoor on glacier snow (3085 m) after three days of acclimatization. All athletes were exposed to repetitive intermittent hypoxia during the weeks before the test. Standard cardiopulmonary exercise parameters were recorded while individual training zones were defined according to ventilatory thresholds.Results: In highly trained athletes, mean V̇O2peak (72/ml kg KG/min) was reduced by 25% or 9% per 1000 m altitude gain and by 18% and 23% at the first and second ventilatory thresholds, respectively. Mean maximum heart rate and the heart rate at the ventilatory thresholds were reduced at altitude compared to sea-level, as was the O2pulse.Conclusion: Due to distinctive individual reactions to hypoxia, cold, etc., an individual and sport-specific field performance analysis, representing the daily training environment, is highly useful in world-class athletes for precise training control. Our self-regulated cardiopulmonary field protocol could well prove to serve in such a way.
    Źródło:
    Health Promotion & Physical Activity; 2021, 16, 3; 16-25
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Portable hyperbaric chambers for the treatment of altitude disease
    Przenośne komory hiperbaryczne w leczeniu chorób wysokościowych
    Autorzy:
    Küpper, Thomas
    Gieseler, Ulf
    Milledge, Jim
    Morrison, Audry
    Schöffl, Volker
    Powiązania:
    https://bibliotekanauki.pl/articles/12721265.pdf
    Data publikacji:
    2022
    Wydawca:
    Akademia Tarnowska
    Tematy:
    choroba wysokościowa
    AMS
    HAPE
    HACE
    obrzęk płuc
    obrzęk mózgu
    altitude disease
    acute mountain sickness
    high altitude pulmonary edema
    high altitude cerebral edema
    Opis:
    Portable hyperbaric chambers are a therapeutic option for altitude disease in the mountains. By an increase of the oxygen partial pressure the patient’s symptoms ameliorate significantly. Portable hyperbaric chambers may be used as ‘stand alone therapy’ as well as in combination with other therapeutic options. Here we present the recommendation how to use the device and how to avoid problems. The recommendation has been agreed by all members of the medical commission of the world umbrella organization Union Internationale des Associations d’Alpinisme (UIAA MedCom).
    Źródło:
    Health Promotion & Physical Activity; 2022, 20, 3; 36-40
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Cardiopulmonary exercise tests of adolescent elite sport climbers – a comparison of the German junior national team in sport climbing and Nordic skiing
    Autorzy:
    Schöffl, Isabelle
    Wüstenfeld, Jan
    Jones, Gareth
    Dittrich, Sven
    Lutter, Chris
    Schöffl, Volker
    Powiązania:
    https://bibliotekanauki.pl/articles/2098221.pdf
    Data publikacji:
    2021-02-25
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    cardiopulmonary exercise testing
    adolescent athlete
    VO2peak
    cardiopulmonary capacity in climbing
    Opis:
    Introduction: All the research investigating the cardiopulmonary capacity in climbers is focused on predictors for climbing performance. The effects of climbing on the cardiovascular system in adolescents climbing at an elite level (national team) have not been evaluated.Material and methods: Retrospective analysis of the cardiopulmonary exercise test (CPET) performed on a cycle ergometer during the annual medical examination of the entire German Junior National climbing team on one occasion and for a selected subgroup on two occasions spaced two years apart. The data from the subgroup was compared to an age- and gender-matched control of Nordic skiers from the German Junior National Nordic skiing team.Results: 47 climbers (20 girls, 27 boys) were examined once. The VO2peak achieved by the athletes was 41.3 mL kg−1 min−1 (boys) and 39.8 mL kg−1 min−1 (girls). 8 boys and 6 girls were tested twice over a period of 27.5 months. The parameters of the exercise test measured on both occasions were significantly lower than those of the 8 male and 6 female Nordic skiers. There was no change with respect to any variables (e.g. VO2peak, peak work load, peak heart rate, peak lactate or O2 pulse) over the examined period.Conclusions: The elite climbers investigated in this study showed comparable VO2peak values to athletes from team and combat sports. The Nordic skiers to which they were compared showed significantly higher values consistant with the fact that this is an endurance sport. Even though the cardiopulmonary measurements of the Nordic skiers still improved after two years of training, no adaptations could be observed in the elite climbers.
    Źródło:
    Health Promotion & Physical Activity; 2021, 14, 1; 1-8
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Risk Management and First Aid Knowledge of Trekkers in Nepal
    Autorzy:
    Lechner, K.
    Scharfenberg, C.
    Hettlich, E.M.
    Giet, S.
    Morrison, Audry
    Schöffl, Volker
    Küpper, Thomas
    Powiązania:
    https://bibliotekanauki.pl/articles/2098189.pdf
    Data publikacji:
    2020-12-07
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    trekking
    alpinizm
    aklimatyzacja
    zarządzanie ryzykiem
    choroba wysokościowa
    mountaineering emergencies
    acute mountain sickness
    acclimatization
    risk management
    Opis:
    Background: Trekking in Nepal is popular and generally safe. However preventable trekking injuries and deaths are often the result of poor risk managementand lack of skills – i.e. acute mountain sickness (AMS) and specific First Aid (FA). Shlim and Gallie’s reviews in 1992 and 2004 of trekking deaths here found a fivefold higher risk for fatal outcomes in organized trekking tours (OT) compared to independently organised trekkers (IT), including preventable deaths (i.e. AMS). Our survey sought to identify the AMS, FA and risk management knowledge/skills of OT and IT whilst trekking in Nepal. Methods: Based on previous pilot studies at the Khumbu region in Nepal, and on risk management information provided by leading German trekking operators, a survey was conducted using two questionnaires: one each for OT and IT.The study site was Manang (3,500m) in Annapurna region, Nepal. All trekkers passing through this site who volunteered their participation were included. For evaluation descriptive statistical methods and non-parametric tests were used. Results: 442 questionnaires were completed (155 OT; 287 IT). Mean agewas 36.4 +/– 12.0y and 61% were male. Mountaineering experience was low and FA training was scarce in both groups. IT (92.7%) followed acclimatization recommendations and 59.2% carried AMS medication, compared respectively to OT at 63.2% and 25.2%. Only 27.1% of OT had repatriation plans for a medical emergency. Conclusions: Most of OT and IT were inexperienced in mountaineering and in mountain emergencies. The preparedness of OT overall was inadequate and over-reliant on the organisers whose skills may also be inadequate when responding to an emergency. Responsible trekking should require that more than one person in a group have adequate, up-to-date riskassessment/management and FA skills specific to the trek, and in particular an understanding of altitude profile, AMS, and individual abilities.
    Źródło:
    Health Promotion & Physical Activity; 2020, 13, 4; 21-24
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The Borg Scale at high altitude
    Autorzy:
    Küpper, Thomas
    Heussen, N.
    Morrison, Audry
    Schöffl, Volker
    Basnyat, Buddha
    Hillebrandt, David
    Milledge, Jim
    Steffgen, Jürgen
    Meier, Beate
    Powiązania:
    https://bibliotekanauki.pl/articles/2098238.pdf
    Data publikacji:
    2021-06-18
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    Borg Scale
    perceived exertion
    high altitude
    exercise physiology
    exercise testing
    Opis:
    Introduction: The Borg Scale for perceived exertion is well established in science and sport to keep an appropriate level of workload or to rate physical strain. Although it is also often used at moderate and high altitude, it was never validated for hypoxic conditions. Since pulse rate and minute breathing volume at rest are increased at altitude it may be expected that the rating of the same workload is higher at altitude compared to sea level.Material and methods: 16 mountaineers were included in a prospective randomized design trial. Standardized workload (ergometry) and rating of the perceived exertion (RPE) were performed at sea level, at 3,000 m, and at 4,560 m. For validation of the scale Maloney-Rastogi-test and Bland-Altmann-Plots were used to compare the Borg ratings at each intensity level at the three altitudes; p < 0.05 was defined as significant.Results: In Bland-Altmann-Plots more than 95% of all Borg ratings were within the interval of 1.96 x standard deviation. There was no significant deviation of the ratings at moderate or high altitude. The correlation between RPE and workload or oxygen uptake was weak.Conclusion: The Borg Scale for perceived exertion gives valid results at moderate and high altitude – at least up to about 5,000 m. Therefore it may be used at altitude without any modification. The weak correlation of RPE and workload or oxygen uptake indicates that there should be other factors indicating strain to the body. What is really measured by Borg’s Scale should be investigated by a specific study.
    Źródło:
    Health Promotion & Physical Activity; 2021, 15, 2; 1-8
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The impact of sleeping in an elevated upper body position during acclimatization to high altitude on acute mountain sickness and pulmonary artery systolic pressure
    Autorzy:
    Graß, Maren
    Apel, Christian
    Bertsch, Daniela
    Cerfontaine, Carina
    van der Giet, Michael
    van der Giet, Simone
    Haunolder, Miriam
    Hundt, Nina
    Jäger, Julia
    Kühn, Christian
    Museol, Sonja
    Timmermann, Lisa
    Wernitz, Knut
    Gieseler, Ulf
    Morrison, Audry
    Schöffl, Volker
    Küpper, Thomas
    Powiązania:
    https://bibliotekanauki.pl/articles/34671004.pdf
    Data publikacji:
    2024-02-28
    Wydawca:
    Akademia Tarnowska
    Tematy:
    acute mountain sickness
    pulmonary artery systolic pressure
    sleeping positions
    acclimatization
    Opis:
    Background: The effect of sleeping positions during acclimatization to high altitude on Acute Mountain Sickness (AMS) and High Altitude Pulmonary Edema (HAPE) is unknown. We tested whether sleeping with the upper body raised by 5° reduces prevalence and severity of symptoms of AMS as well as of elevated pulmonary artery systolic pressure (PASP) values as a risk factor of HAPE. Methods: Randomly assigning trekking tourist volunteers n = 44 (25 m, 19 f; mean age 42.9 yr) sleeping at 4280 m or 5170 m to the experimental group (upper body elevated by 5°), or to the control group. After exclusion of other reasons for AMS-like symptoms those assumed to be related to AMS were rated by Lake Louise Score questionnaire in the evening and the following morning of the study. Transthoracic echocardiography was performed on both occasions to estimate PASP. Results: In the study group, symptoms of AMS were significantly reduced in younger subjects (p = 0.021), prevalence of AMS was reduced in women (p = 0.156), and PASP values were significantly reduced in older subjects and men (p = 0.032; p = 0.031 respectively). Conclusion: Results suggest that sleeping with the upper body in elevated position during a high altitude ascent may benefit those suffering from AMS or at risk of HAPE due to elevated PASP values.
    Źródło:
    Health Promotion & Physical Activity; 2023, 25, 4; 1-8
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-7 z 7

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