TY  - JOUR
A1  - Mayer, Frank
A1  - Bonaventura, Klaus
A1  - Cassel, Michael
A1  - Müller, Steffen
A1  - Weber, Josefine
A1  - Scharhag-Rosenberger, Friederike
A1  - Carlsohn, Anja
A1  - Baur, Heiner
A1  - Scharhag, Jürgen
T1  - Medical results of preparticipation examination in adolescent athletes
JF  - British journal of sports medicine : the journal of sport and exercise medicine
N2  - Background Preparticipation examinations (PPE) are frequently used to evaluate eligibility for competitive sports in adolescent athletes. Nevertheless, the effectiveness of these examinations is under debate since costs are high and its validity is discussed controversial.
 Purpose To analyse medical findings and consequences in adolescent athletes prior to admission to a sports school.
 Methods In 733 adolescent athletes (318 girls, 415 boys, age 12.3+/-0.4, 16 sports disciplines), history and clinical examination (musculoskeletal, cardiovascular, general medicine) was performed to evaluate eligibility. PPE was completed by determination of blood parameters, ECG at rest and during ergometry, echocardiography and x-rays and ultrasonography if indicated. Eligibility was either approved or rated with restriction. Recommendations for therapy and/or prevention were given to the athletes and their parents.
 Results Historical (h) and clinical (c) findings (eg, pain, verified pathologies) were more frequent regarding the musculoskeletal system (h: 120, 16.4%; c: 247, 33.7%) compared to cardiovascular (h: 9, 1.2%; c: 23, 3.1%) or general medicine findings (h: 116, 15.8%; c: 71, 9.7%). ECG at rest was moderately abnormal in 46 (6.3%) and severely abnormal in 25 athletes (3.4%). Exercise ECG was suspicious in 25 athletes (3.4%). Relevant echocardiographic abnormalities were found in 17 athletes (2.3%). In 52 of 358 cases (14.5%), x-rays led to diagnosis (eg, Spondylolisthesis). Eligibility was temporarily restricted in 41 athletes (5.6%). Three athletes (0.4%) had to be excluded from competitive sports. Therapy (eg, physiotherapy, medication) and/or prevention (sensorimotor training, vaccination) recommendations were deduced due to musculoskeletal (t:n = 76,10.3%; p:n = 71,9.8%) and general medicine findings (t:n = 80, 10.9%; p:n = 104, 14.1%).
 Conclusion Eligibility for competitive sports is restricted in only 5.5% of adolescent athletes at age 12. Eligibility refusals are rare. However, recommendations for therapy and prevention are frequent, mainly regarding the musculoskeletal system. In spite of time and cost consumption, adolescent preparticipation before entering a career in high-performance sports is supported.
Y1  - 2012
U6  - https://doi.org/10.1136/bjsports-2011-090966
SN  - 0306-3674
VL  - 46
IS  - 7
SP  - 524
EP  - 530
PB  - BMJ Publ. Group
CY  - London
ER  - 
TY  - CHAP
A1  - Otto, Christoph
A1  - Scharhag-Rosenberger, Friederike
A1  - Carlsohn, Anja
A1  - Scharhag, Jürgen
A1  - Mayer, Frank
T1  - Differences in using the same supramaximal verification test protocol for treadmill and cycle ergometry
T2  - Medicine and science in sports and exercise : official journal of the American College of Sports Medicine
Y1  - 2012
SN  - 0195-9131
VL  - 44
SP  - 295
EP  - 295
PB  - Lippincott Williams & Wilkins
CY  - Philadelphia
ER  - 
TY  - CHAP
A1  - Scharhag, Jürgen
A1  - Hotzkow, Kristin
A1  - Kopinski, Stephan
A1  - Barche, Martin
A1  - Mayer, Frank
T1  - Echocardiographic 3d speckle tracking values on cardiac wall motion in elite adult, adolescent and pediatric athletes
T2  - Medicine and science in sports and exercise : official journal of the American College of Sports Medicine
Y1  - 2012
SN  - 0195-9131
VL  - 44
SP  - 241
EP  - 241
PB  - Lippincott Williams & Wilkins
CY  - Philadelphia
ER  - 
TY  - CHAP
A1  - Scharhag-Rosenberger, Friederike
A1  - Carlsohn, Anja
A1  - Schüler, Stefan
A1  - Lundby, Carsten
A1  - Mayer, Frank
A1  - Scharhag, Jürgen
T1  - Physiological changes over four maximal incremental cycling tests within one day
T2  - Medicine and science in sports and exercise : official journal of the American College of Sports Medicine
Y1  - 2012
SN  - 0195-9131
VL  - 44
SP  - 933
EP  - 934
PB  - Lippincott Williams & Wilkins
CY  - Philadelphia
ER  -