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Introduction

Preservation and strengthening of health of the population of our country, increase efficiency and extension of active, full of life person should be the most important elements of state policy.
Human health depends on a complex set of many social and natural factors. A huge role in this complex system plays mass health-improving events, including physical culture and sport is one of the most significant places. That is why attention to physical culture of the people should be one of the important aspects of cultural policy. The provision that the spiritual health of the people is inseparable from its physical condition, proclaimed at the dawn of the Soviet power, unfortunately, still remains only a slogan, although health promotes optimal manifestation of the most important social functions of man, and health status depends on all the fullness of the manifestation of social wealth of the individual. Still K. Marx used to say that the disease is constrained in their freedom life.
Obviously, physical training and sports, the determination of individual optimal dose of physical activity, study its influence on the organism and analysis of change require and qualified medical care. And not by chance that in the twenties of the first people's Commissar of public health N. A. Semashko said a statement: "Without medical supervision no Soviet physical education". The value of medical control over physical activity and sport increases every day. This is determined first of all by the fact that engaged in physical culture and sport is becoming more and in these classes are involved persons of different age and state of health. This should contribute to a special government resolution, which puts the task to make exercise a daily need of the Soviet people for the purpose of their General health. As for sports, it is continuously going growth of sport achievements requires a significant increase in the scope and intensity of the training process, and this, of course, increases the need for qualified medical supervision for athletes because of the potential in these conditions of overload to prevent their negative impact on the body.
The decision of the medical care issues involved in physical culture and sports entrusted to the bodies of the Ministry of health. In addressing these issues, the emphasis should be Not only sports, but also clinical medicine as a whole, as they relate to physicians of all specialties, no matter where they worked in clinics, hospitals, medical units, etc. In each of the medical specialties has its indications and contraindications for physical exercises, and doctors should know them. Addressing these issues requires a physician high clinical skills.
For admission to the sport should be diagnosed as "healthy"because with defects in health status to the sport should not be allowed. This is a very difficult and responsible diagnosis requires high enough clinical experience of the doctor. The fact that in modern sports are very large and increasing physical activity. To imagine the level of training loads, suffice it to say that weightlifter for single training raises to 20,000 kg, swimmer swims up to 12 km, runner runs up to 40 km and so on, And the number of training is sometimes 10-12 per week for 1,5 - 2 hours each.
It should be borne in mind that the volume and intensity of training loads in modern sports, in fact, determined not a doctor and not even a coach. Their determines the level of achievements in sport today. The higher it is, the bigger and more intense there should be training in order to achieve the desired result. So the doctor sport almost unable to make any fundamental changes in volume and intensity of the workout, for training with reduced loads of pointless, as it does not give results. The doctor can only make adjustments private nature or, if identified adverse effects of exercise on the body of an athlete, to forbid him to continue training on a particular date.