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Stops against abusive sports-indications!

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Some physical characteristics or child's health concerns are too often subject to abuses against-indications sports. Scoliosis, the ball joint pain, asthma, "heart murmur" or obesity are characteristic examples. Often, these problems do not affect the performance. More rarely, the sporting performance is not as good as the physical effort draws on a somewhat faulty function of the body. But in these circumstances, sport manages to cause the body to compensate, rehabilitates see corrects his disability. So detect these features proves essential. In most cases, we can reassure parents and the child and encourage all forms of physical activity. Often it is good to give some tips to help choose the discipline or to modulate its practice. More rarely, parallel to the sport, a dietary monitoring, medical or physiotherapy treatment should be initiated. So these children can enjoy all the benefits of exercise: they train their heart, they denser bones, they strengthen their back, they grind their joints and burn calories. They enjoy move and grow with their friends. Sometimes, during competitions, they say in the success. Better yet, these sports "special" treat themselves through physical activity or find that they are like any other.
 
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SPORT AND PHYSICAL CHARACTERISTICS
 
Scoliosis and scoliotic deviation
 
In case of spinal scoliosis tilts, latch and turns like a spiral. On the contrary, scoliosis is a lateral deviation. The latter does not require any treatment. It allows all sports especially when compensating for a length discrepancy of lower limbs less than 1.5 centimeters. However, scoliosis deserves an annual or biannual monitoring especially in puberty. When it is below 13 °, sport is the therapeutic one. We must not confine children to swimming and "Expansion sports" like basketball or volleyball. Even in disciplines like tennis rotation proved beneficial. Only judo is to practice moderation because it causes falls and needed to wear his opponents asymmetrically. When scoliosis is between 13 and 25 °, the sport is associated with a targeted rehabilitation. Both physical activities help maintain good flexibility of the spine and chest, strengthen and improve the coordination of the muscles along the spine. The sports teacher takes care to integrate its meeting some specific exercises while avoiding the pain in the vicinity of the vertebrae. It Unfortunately, exercise is not intended to limit the development of scoliosis. In case of rapid deterioration or above 25 ° angulation, expert advice is essential as wearing a corset is possible. The latter may be removed during sports leisure practices that are beneficial.
 
The joints pain
 
In front of the knee, the patella slides in a corridor dug bone in the femur. When rubs or bumps during its journey, it becomes painful. During childhood, physical activity contributes to the formation of this joint; the contraction of the muscle of the thigh mold a deeper groove. So the ball is better fitted and its path is more harmonious. At puberty in young girls, ligaments gaining flexibility and hips widen. The patella is less well maintained and slides out of its bony corridor. The sport improves strength, endurance and muscle coordination guiding the ball. The educator strives to offer physical activity does not cause pain. It avoids the knee or squatting positions and proscribed walking duck. It does not propose imposing prolonged exercise posture maintaining flexion such as cracks and "chair". It directs the child to crawl rather than breaststroke. He advises cycling in reeling in small gears.
 
 
Asthma.
 
Asthma causes a restriction of the bronchial tubes that gene expiration. Sport sometimes favors the occurrence of crises by increasing the flow of air that irritates, cools and dries the airways. This phenomenon readily occurs at the end of intense and continuous effort, when the air is cold, dry, polluted or holders of allergenic substances. The teacher offers rather intermittent activities such as tennis or team sports. During endurance activities, check that the child remains below the threshold of breathlessness. If climate-risk conditions, it may occasionally exempt the child. Medical treatment is often proposed. The educator ensures the proper medical supervision and administration of the spray before the meeting. In these conditions sport is a true respiratory rehabilitation that help decrease her medication. Under the supervision of the teacher, the child tries to breathe through the nose maximum to warm the air entering the lungs. He learns to breathe slowly to avoid crushing the small bronchi. The warm up should be very gradual and discontinuous. Indeed, stopping the effort sometimes causes a small crisis followed by a period without crisis called "refractory period". We take this moment to make the workout. In practice, after 5 minutes of trotting, the educator program 2 to 3 sets of 30 second accelerations followed by 1 to 2 minutes of passive recovery. Swimming in a weakly chlorinated water proves ideal because the air is hot and humid and our young athlete learns to blow against resistance. However, diving is strictly against inappropriate. In a crisis occurring in depth, the lungs of air distendrait prisoner during ascent and cause extremely serious alveolar lesions.
 
The heart murmur
 
A harmless breath is seen during cardiac auscultation in 70% of children. Indeed, the ejection of blood by a strong heart through narrow vessels still causes some audible turbulence. A pathological breath is also understood in cases of rare heart defects. This may be either a blockage of the discharge orifice of the heart or of a leak by malformation of the valves separating the chambers of the heart. We must discuss these hypotheses when the breath is not changed when the child breathes or changes position and especially when it is associated with palpitations, discomfort or loss of consciousness. When in doubt, an ultrasound enables precise analysis of the morphology of the heart. If the breath is harmless, the heart muscle is completely healthy, there is no restriction sports! The educator takes care to reassure the child! If it sometimes perceives a "breath," the teacher reminds him that this is a natural phenomenon in an intense training unrelated to its "breath" in the heart.
 
 

Doctor Stéphane CASCUA. - 4 mars 2011.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.

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