The main objectives of sports medicine.

Providing access to physical culture and sport in accordance with existing medical conditions and contraindications.

Participation in issues of sports orientation and selection.

The implementation of systematic monitoring of the functional state of the organism engaged in the process of training and competition.

Analysis of diseases, injuries, and specific injuries occur when irrational physical culture and sports. Development of methods for their early rehabilitation and prevention.

Substantiation of rational modes of exercises for different cohorts involved, means of enhancing recovery and athletic performance.

Development, approbation and introduction of biomedical tools and optimization techniques postnagruzka repair, and then to improve athletic performance.

Determining the most appropriate sanitary and hygiene conditions for physical education and implementation of measures aimed at elimination of factors with adverse effects on the person in the process with exercise.

Medical control over physical activity and sports is carried out in accordance with the following regulations.

ASSISTANCE IN CONDUCTING SPORTS EVENTS.

2. Medical care engaged in physical culture and sports.

Appendix No. 2. 2.1 the Order of medical support.

2.1 the Order of medical support.

5.1 Medical support of the persons engaged in physical culture and sport, is carried out in the following order.

5.1.1 Specialists of relevant clinics surveyed children of preschool and school age, students of other educational institutions for admission to employment in the groups of initial preparation; specialists in medical and sports organizations and divisions in the groups of sports perfection.

5.1.2 Organizations and entities of medical-sports service regardless of departmental subordination and organizational-legal form taking into account of the extract from medical records medical institutions providing medical assistance to a citizen on a permanent basis (at the place of residence or by compulsory insurance policy) for admission to employment and competition, examined and observed people engaged in sports and physical culture.

2.2 medical examination of athletes.

Medical examination of the athletes includes a uniform list of types, amounts, dynamics and multiplicity of medical examinations, the use of modern testing and diagnostics. The program is mandatory for all medical institutions performing medical monitoring of athletes, regardless of departmental subordination and legal form of the specified organization. The program is standardized to 5 groups of sports (cyclic, speed-strength, combat sports, sports games, difficult coordination) and sports skills.

The program includes.

in-depth medical examination.

stage of a comprehensive survey.

current, including medical-pedagogical examination.

the survey in the period of competitive activity.

In-depth medical examinations (EMA) include.

preliminary or primary in determining admission to the sport.

periodicals with the aim of assessing the impact of the lessons on the selected sports for health, growth of functional possibilities of organism, level of physical development. EMA is held once a year in the existing curriculum.

Stage to determine the cumulative changes occurring in the body of the athlete at the completion of each phase of the annual training cycle(preparatory, precompetitive, competitive, restorative.

Landmark medical examinations at various stages of the training cycle (2-4 times per year) in reduced volume with the objectives.

Current – after diseases, injuries, before the competition are carried out throughout the year operational control over the condition and dynamics of the body’s adaptation to training loads.

Medical examination conducted in terms of competitive activities, implemented during the major and target competitions with the aim of determining the true changes in health and functional preparation of sportsmen in the process of extreme activities, growth opportunities, sporting achievements, use of the system recovery tools and improve efficiency and are specific to each sport.

Appendix No. 5. 3. Program medical examination.

3. Medical examination of students of educational institutions for physical education.

3.1. Medical examination.

3.1.1. The task of the pediatrician or physician; 3.1.2. Doctors; ophthalmologist, dentist, otolaryngologist, surgeon, gynecologist; 3.1.3. If there are indications for consultation with other specialists.

3.3. Functional test and determination of overall physical health.

3.4. Fluorography of the chest.

3.6. General analysis of blood.

3.7. The General analysis of urine.

3.8. In the presence of medical indications shall be additional functional-diagnostic and laboratory tests.

3.9. According to the results of medical examinations in the medical records entered and copies to the patient medical report that includes.

assessment of health status.

the conclusion about physical development according to the existing standards.

admission to the physical education classes (reference to the medical group: primary, preparatory, special.

recommendations for other treatment and prevention measures.

4. Medical examination of the athletes composing the teams of administrative areas, pupils detsko-youthful sports schools and schools of sports profile.

4.1. Medical examination.

4.1.1. The doctor on sports medicine; 4.1.2. Doctors: physician, trauma surgeon, neurologist, dentist, otolaryngologist, ophthalmologist, gynecologist; 4.1.3. If there is evidence of consultation of specialists.

4.2. The study of the physical development.

4.3. Functional test and determination of overall physical health.

4.4. Fluorography of the chest.

4.6. Clinical analysis of blood.

4.7. Clinical analysis of urine.

4.8. Biochemical analysis of blood.

4.9. In the presence of medical indications shall be additional functional-diagnostic and laboratory tests.

4.10. According to the results of medical examinations and medical records entered and copies given to the coaches of a medical report that includes.

assessment of health status.

the conclusion about physical development according to the existing standards.

admission to the sports.

5. Medical examination of individuals of middle and old age, dealing with health forms of physical culture.

5.1. Medical examination.

5.1.1. The doctor on sports medicine; 5.1.2.Medical specialists: therapist, surgeon, neurologist, ophthalmologist, gynecologist, urologist; 5.1.3. If available, the testimony shall be additional expert advice.

5.2. Functional test and determination of overall physical health.

5.3. Fluorography of the chest.

5.5. Clinical analysis of blood.

5.6. Clinical analysis of urine.

5.7. Biochemical analysis of blood.

5.8. In the presence of medical indications shall be additional functional-diagnostic and laboratory tests.

5.9. According to the results of medical examinations in the medical records entered and copies handed out to the patient medical report that includes.

assessment of health status.

admission to the school health forms physical culture and sport (reference to groups of health.

recommendations for other treatment and prevention measures.

Additional requirements when conducting ULV.

A sufficient recovery period (3-5 days) after the main competition or training with a high level of psychoemotional tension.

The absence on the eve of the day of the survey loads, as measured by pedagogical criteria as average and above average (in terms of intensity.

Conducting functional research methods and load testing, primarily in the first half of the day.

Admittance to testing with maximal loads after examination by a sports medicine specialist or physician.

According to the Order MZ of the Russian Federation №337 from 20.08.01, with the admission to participation in sport and annual medical examinations for athletes must participate the following professionals.

Doctor of sports medicine.

Gynecologist (urologist.

If necessary, can also be assigned and the consultation of doctors of a different profile.

The minimum set of paraclinical examinations should include.

The study of physical development (in young athletes, the determination of the degree of puberty.

X-rays of the chest (once in a year.

ECG (at rest in the process of physical activity with the aim of identifying tolerance to it.

Analysis of the type of reaction of the cardiovascular system functional test.

General analysis of blood.

The General analysis of urine.

In the presence of medical indications shall be additional functional-diagnostic and laboratory tests.

For athletes of high qualification (master of sports of international class, MS, CCM) it is advisable to hold.

Biochemical control.

Testing overall health.

1. Bicycle stress test or running on a treadmill until the waiver for cyclic kinds of sports and games.

Complex of methods evaluating the state of the cardio-respiratory system (air cycle. sports.

1. indicators of external respiration and gas exchange; 2. Central hemodynamic parameters; 3. biochemical determinants of metabolic processes and humoral-hormonal regulation.

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