Dr P.E.: I was listening one of your lectures on Youtube, what you give to coaches, when you told a data, which suprised me very much: more than 66% of sports injuries are caused by fatigue injuries or fractures.
„Yes, it is right. There are two types of sport injuries. One in the accident, with acute injuries, for example crash and break his tibia or fall off the horse and break his clavicle. This is one part of the injuries. The other part is when the series loads add up over the body’s capacity of regeneration and cause several lesions.This is the overload injuries. Many of their names are related to the sport, in which the most commonly occurring, like tennis elbow, jumper’s knee, adductor strain, footballer’s ankle. This is interesting and good to know, because the prognosis, treatment and outcome is totally different, because the two types have different pathophysiological essence. Overloading injuries danger mostly the active sportsmen, because
These injuries account for two-thirds of all injuries to acute accidents. There are many questions and uncertainties about the diagnosis and treatment of overload injuries. While the accident is mostly based on evidences and everyone knows what to do with a broken limb, however not clearly clear to many athletes, coaches, masseurs and physiotherapists what to do with a tennis or golf elbow or a swimmer’s shoulder or with an aching Achilles tendon. So, the attendance of the locomotor system’s problem, which is more affected by the athletes, is insecure, mostly based on experiences, so empirical. My friend said that, my competitor thinks, my coach, who has been in similar situation told me that … These are what we hear doctors and experts. So the aim would be to prevent it and on the other hand, to handle it properly by using truly evidence-based treatment to achieve perfect medical result.
Dr. P. E.: Yes, we can handle classic injuries, there are many reliable therapies available, but we must also be effective in preventing tiredness injuries.
„Prof. B.: A lot of information helps professionals in prevention. For example all sports injuries have so-called predisposing factors, risk factors. They also have two main groups, there are the internal risk factors, the athlete’s structure, the characteristics of his condition, the condition of his former injury, this is the physical part. In addition, the psychological, psychosocial, introverted, extroverted, types of problems can be affected. In addition, there are external risk factors, such as the material of the ground, sports equipment, clothing, sports shoes, outdoor temperatures, the beginning or the middle of the season. These are known and learned things, and there are many of them that can be modified, controlled, less that can not be influenced. For example, being a man or a woman can not be influenced. There are injuries that women suffer more often than men, such as the anterior cruciate ligament tear. There are also anatomical, hormonal causes of this. Professionals who deal with athletes, physical education teachers, trainers, kinesiologists, physiotherapists would be the main task of knowing these prone factors, because by eliminating or modifying them, many sports injuries could be prevented. It is also necessary to know that by eliminating the internal risk factors that I have mentioned – anatomical deviations, previous injuries, body conditions – it is possible to overcome the overload injuries. The weather, the ground, the sports shoes can prevent accidents. So people such as physiotherapists who have studied anatomy, have been studying people and knowing these changes, from pes planus to pelvic distorsions, knee axial changes to hypermobil joints, and incorporated into their work, would take it and give advice , treatments, prevention will greatly improve. Here are the screenings, prevention programs, and aptitude tests.”
Dr. P. E: Yes, screening programs have great importance. There are countless testing and testing methods available for physiotherapists and physicians. I like the FMS functional model. I like it because it is easy for the lay people to understand the evaluation of the motion and results we get that we know what to do with to avoid injuries.
„ Prof. B.: I think these are very important things. The emphasis should be on prevention. It is much easier to prepare for an injury’s prevention, less burdensome for humans than treating an injury, or a post-operative recovery, a return to everyday routine, movement.
In the future, the independent University of Physical Education, which is one of the most recognized sports science institutes in the world, will play a major role in preventing sports injuries. The Department of Sport Surgery and Sport Rehabilitation at the University conducts serious scientific work for the sport profession. And of course, do not forget about small private health centers like the Balance Movement Center where specialists with deep humility and dedication to their professions and patients learn from their own strength, train themselves, walk the world for new knowledge.”
Dr. P. E.: Medical conferences are coming together in the autumn, where we will not leave your lectures. A week later arthroscopic conference, do you give a lecture now?
„Prof. B.: No, because I’m going to be in the other part of the world at a conference. Exercise Medicine will be held in Malaysia, “The Movement Medicine” world conference. Which Society organizes this series of conferences in the world has 29 million members. At this conference I am invited to be a lecturer in “Safety and Physical Activity” issue. In addition, several universities have asked me if I’m there, would not I be presenting a lecture on different topics. And I will surely bring home new knowledge, information that I can give away to young people, to the profession.
The interesting part of the conference that members of the royal family also appear. They are sitting in a huge armchair on the podium and one last time the princess was sitting next to me. To my surprise when we talked, she turned out to be a marathon runner. Every five in the morning she wakes up and goes to run 15-20 km. That is why it is in favor of organizing a congressional series on physical activity in Malaysia.”
Thank you very much for the conversation and I wish you a good trip!