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THE COMPLEX MEDICAL PROBLEMS - Q&A
Friday, Sept. 22, 2017 · 12:33 p.m. · 12m 55s
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thank you very much for this extra it's actually and i know we are a little bit short on time but
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the way they take five to ten minutes of discussion
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whatever is starving should go out and start eating
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and i think it's worthwhile to have some questions asked to to to these experts
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would you mind to come down
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so let's question
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okay
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yep
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uh_huh
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i started yeah um my question i mean for a ah m. and how many
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it might provide tan but um yeah option that many
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um i'll they actually it had concerning how she
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guess i what we call than normal but anyway it's
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yeah right and i i think the h.
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so my question is actually why don't we still use those references or guidelines
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for kelly plates if there are i guess they know how they
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mm on e.
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and i i don't think we do you use in
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not where i work anyway and then use really sweet sees we no
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way we don't we we use what we can use effects and
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and joe metric guidelines is that use has a lot of and what it otherwise
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and i say and do today's metabolic adaptations maybe
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have faith if you have any deficiency x.
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hi sunny high fat percentage in life i think mass said that perhaps
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would be will say a sign up in having any deficiency
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so i don't think that we should use that you know i i thank you cut offs or thresholds because
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and besides the on the way it and of course the extreme
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nobody fan body fat we can use as well as indications
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but otherwise i think we should look at the african the
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development individually and to see what where is the
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for that case and where is the optimal level and of course it depends on age
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and all set of course agenda and and i think when
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we work with young athletes it's it's really really important
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uh not to get that
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can be effective faster that way because if we take the
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the the young gals for instance when i do get
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and what they do grow and they do in that period of time perhaps
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your give it away for this bill would be just if we just see even be
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and in order to get into grow into that your body everything goes fine
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i think it noise problem is that we we we we yeah and
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we don't let them go into themselves we know we we
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take care that in in i said i think that is the problem to other questions
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there is i had yeah up there maybe in between i ask another question cell
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two and christopher human well what do you think about these
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narrow cognitive testing to hand and a screen to
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um yeah there's a big discussion about non medical
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legal versus the real medical usefulness all
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basically using simple thought using simplifying your psychological testing which i actually
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can be you you you don't on the computer based uh
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this um so this is testing him you didn't don't regularly for example at
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the beginning of the season in mid season or offer concussion um
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it probably doesn't have a very high you true objective around you in terms of
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the risk of actually for example post concussion syndrome if
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um you know if the the the values you more than they they
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should be uh uh my impression but this is very person
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it's not for use north america than in europe and there is probably a bias in terms of
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the medical you aspect of it but yeah i might be interested in your comment on that
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but certainly to have those tools which are easily accessible um and
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to be able to do well put your psychological testing
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question then open up the door to do for the neural psychological
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testing with your psychologist if there are no he commented issues
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probably which is where the usefulness all these tools or um and um my feelings there is just fine by us uh
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the reason and we have to people's tests is to see how the change from baseline that's not
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like the baseline tells you anything you just told where they're uh there's no right or wrong
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but i think i tracking has such an exciting um future by tracking
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is a little sort of virtual reality call with that yeah
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put into an eye for that um basically if it's normal you don't have a good question if it's abnormal
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do it separates out the distributor from the central nervous
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system component of concussion we haven't seen it yet
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but so much of what we've had has been consensus space which is it was
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played out earlier is a lower evidence of of of lower quality of evidence
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but i track i think is going to be it's gonna help all of us we're gonna
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be able to do this and and and feel real good from a liability is was
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a diagnostic standpoint or think that there wasn't a lady over there yeah it's yeah it's for
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an unknown in i want to know how do you practically calculate the low energy
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the ability and the expenditure during sport because that's where i find i find a problem
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good yeah i'm sorry i if it is i full of full it's you know
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we have so much science when we mentioned both in eighteen take the
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well basically you try that knew that and also for exercising is expand it says say definitely
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inside we use the the the more friends these are the rest miss about it right
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and we we do have our my rates yeah in and that was i think is one of the
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no it's useful tools but of course not within the settings
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how that uh equipment but that would be one way
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and of course always say i think there are a lot of the series in his neck
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i think uh you were some isn't as important people when it comes
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to this because there is no one in the medical team
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whose so 'cause i use to the athletes so you can see
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changes and i mean changes space not if they don't
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proceeding there it's performance i'm always they change in body weight what if i
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were will say the psychological part of it that i get more
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in a it's sad or with clay slant that say i think there are other things that you can look at
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if you don't have the equipment on a mission if we don't we don't estimate any dependability that's seven
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yeah any and any other class it yeah i got it i
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know asker and in between question to matters in hand
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and you you tone aspect many can i of heart
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and coronary artery disease even in the n. h.
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would i mean the next step for me would be
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screening cardiovascular risk factors what to think about
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i think not many die the only few would die but these few may die of coronary artery
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disease and of course is maybe related for example to form a lot because to redeem your
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but even the uh when the numbers are so low we afford to do to screen would be so
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high on on the other hand what one can do of course when we have a sports look
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it would be easy uh if you take blood from the ah but anyway so it would
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be easy and not very costly to include good to include to for example cholesterol profile
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because in some regions of the world but with the high problems of particles through email
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this could be a key but on the other hand the awesome family history so
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i asked him did somebody in your family especially your father and your mother
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dice prior to fifty five gives you a double risk still bases valuable information
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okay that was another question you have a a necessity you can materials so it's interesting to talking
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english beta it's question for huge in when you
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think to stop this green i'm adolescent athlete
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in u. c. g. in a in a show is is like being a small pool on the water
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and then you have an athlete being young being female being black i'm sure
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from a busy teach is e. g. when you think makes sense to stop
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about and do i have to to repeat to use e. g. when
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yeah this this is only only a eminence based and not evidence
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based maybe since all this can be discussed in anyway but
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i think if what least for the example switch of the so it's one if if you are a squat athlete
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belong to a team and this team has a so screening rule you should stop the doing but
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and of course a ten year old she must maybe it's not the best way to start
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a new c. g. screening but uh if i showed you from the data from australia
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with the age of sixteen or the risk is is is it in increasing
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and then of course you can pick the high risk sports like soccer
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uh and and ice hockey which where it's a little bit
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more problem a problem then then another sports all
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around the age of sixteen and then of course it has to be repeated because these is changes in
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she may make common goal every see every other year but i would say in show them that's not much use
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if i would have a a last question maybe to court you talked
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about their informed consent which i think is is a challenging
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and that they should ah we have also the problem with you
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with i mean they are like a fourteen year old
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how do you find informed come saying in a fourteen year old
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are you well how do you find it a lot to make out the thing
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well i think that's what the focus our research should be it is what are the risks
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because that's what we owe to the participant to the uh to the patient
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is letting them know what the risks are without the risks um
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we're we're we're doing we're just picking up the pieces after the accidents happen
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but if if people know the risks we still might be picking up the
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pieces but it lets them make their own decision uh otherwise i mean
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why do we do that in any other area what we have checked that's what is
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world health organisation of a checklist for major surgery what we use checklists yeah and
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in the aircraft industry if we don't have the information to provide patients um which is what
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we do in the rest of healthcare then um i think that's a big limitation
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how to do it well we need to start developing some just like we've done with concussion when you return someone to support
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when is the rest same thing with disordered eating we we can start developing the
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frame them out and then a more data on it as we progress
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yeah not yesterday i can comment on this in switzerland when you when you start coming in but been skiing see
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uh the parents have to sign something where those that but it's a high risk
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portland you you may die from baseball but the them sign courses touch
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oh yeah and some of the insurance companies don't cover high risk sports
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okay and i think it was one false actually i
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thank everybody for coming here and be in these experts for
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us and good appetite twelve back here in an hour
Conference Program
Opening address
Boris GOJANOVIC
Sept. 21, 2017 · 1:22 p.m.
244 views
Biological Maturation and the Path to Success: Before and After the Fact
Manuel COELHO-E-SILVA, Biological Maturation and the Path to Success: Before and After the Fact
Sept. 21, 2017 · 1:31 p.m.
977 views
Designing pathways to success – part kaleidoscope, part microscope
Jason GULBIN, Designing pathways to success – part kaleidoscope, part microscope
Sept. 21, 2017 · 1:53 p.m.
930 views
Talent ID and Development: Why doing the “right thing” is not always the “best thing
Ross TUCKER , Talent ID and Development: Why doing the “right thing” is not always the “best thing
Sept. 21, 2017 · 2:16 p.m.
749 views
BIOLOGICAL DEVELOPMENT AND PATHWAYS TO SUCCESS - Q&A
Panel
Sept. 21, 2017 · 2:41 p.m.
202 views
Resistance training during long-term athlete development
Urs GRANACHER
Sept. 21, 2017 · 2:52 p.m.
783 views
The development of aerobic power in young athletes
Grégoire MILLET
Sept. 21, 2017 · 3:15 p.m.
2631 views
Fueling the young athlete
Asker JEUKENDRUP
Sept. 21, 2017 · 3:36 p.m.
449 views
Training young athletes: challenges and opportunities
Marco CARDINALE
Sept. 21, 2017 · 4:01 p.m.
384 views
TRAINING THE YOUNG ATHLETE - Q&A
Panel
Sept. 21, 2017 · 4:33 p.m.
150 views
Coaching from junior to the top of the world (Lara Gut)
Patrick Flaction, Elitment
Sept. 21, 2017 · 5:20 p.m.
580 views
Keep your athletes close and their parents closer: Working effectively with parents
Olivier SCHMID
Sept. 21, 2017 · 5:52 p.m.
200 views
Combine sport and studies, are the schools doing enough ?
Florian ETTER
Sept. 21, 2017 · 6:11 p.m.
219 views
COACHING, PARENTING AND DEVELOPMENT - Q&A
Panel
Sept. 21, 2017 · 6:28 p.m.
DÉBAT PUBLIC (IN FRENCH) : Children and competitive sport, for the best or the worst ?
Panel
Sept. 21, 2017 · 8:07 p.m.
238 views
Knee ligament injuries in immature athletes
Franck CHOTEL
Sept. 22, 2017 · 7:48 a.m.
352 views
Osteochondral lesions
Franck ACCADBLED
Sept. 22, 2017 · 8:11 a.m.
988 views
The influence of athletic activities during growth on hip development
Rintje AGRICOLA
Sept. 22, 2017 · 8:35 a.m.
164 views
INJURIES WITH THE ORTHOPEDISTS - Q&A
Panel
Sept. 22, 2017 · 8:54 a.m.
Back pain in young athletes
Liba SHEERAN
Sept. 22, 2017 · 9:34 a.m.
215 views
Injuries and illnesses amongst young elite athletes – so healthy it hurts?
Christine HOLM MOSEID
Sept. 22, 2017 · 9:57 a.m.
200 views
Long term sequelae of youth overuse injuries
Mark BATT
Sept. 22, 2017 · 10:19 a.m.
OVERUSE INJURIES - Q&A
Panel
Sept. 22, 2017 · 10:40 a.m.
Concussions in young athletes : myths and reality
Christopher NEWMAN
Sept. 22, 2017 · 10:52 a.m.
Screening for heart disease in sports – nonsense or necessary?
Matthias WILHELM
Sept. 22, 2017 · 11:16 a.m.
123 views
Energy deficiency in young athletes – prevalence, consequences and screening
Anna MELIN
Sept. 22, 2017 · 11:39 a.m.
723 views
Competitive Sport & Health: hidden issues
Gordon MATHESON
Sept. 22, 2017 · 12:04 p.m.
117 views
THE COMPLEX MEDICAL PROBLEMS - Q&A
Sept. 22, 2017 · 12:33 p.m.
Injury prevention in youth : What is learned in the cradle is carried in the tomb ?
Evert VERHAGEN
Sept. 22, 2017 · 1:46 p.m.
176 views
Injury prevention programs : The 11+ Kids Project
Mario BIZZINI
Sept. 22, 2017 · 2:12 p.m.
185 views
Sports specialized training: what are the true effects and is it really all bad ?
Neeru JAYANTHI
Sept. 22, 2017 · 2:29 p.m.
141 views
What is “load” and how does it impact athletes’s risk of injury ?
Torbjorn SOLIGARD
Sept. 22, 2017 · 2:49 p.m.
344 views
Instituting a unique public health approach to ACL injury risk management
Joseph Janoski
Sept. 22, 2017 · 3:47 p.m.
Instituting a unique public health approach to ACL injury risk management - Q&A
Joseph Janoski
Sept. 22, 2017 · 3:54 p.m.
Parents’ Knowledge of Sport Psychology and Nutrition
Dr Camilla J. Knight
Sept. 22, 2017 · 3:57 p.m.
152 views
Injuries and injury risk factors in youth alpine ski racing: A two-season prospective study
Lisa, Müller
Sept. 22, 2017 · 4:09 p.m.
FREE COMMUNICATION AND BEST ABSTRACT PRESENTATION - Q&A
Panel
Sept. 22, 2017 · 4:21 p.m.
610 views
Closing Address
Frederic Koehn, President Young Athletes Forum Foundation
Sept. 22, 2017 · 6:04 p.m.
140 views