Pages: 1 2


Since the first edition of the monograph our understanding of diseases and injuries during sports activities have expanded considerably, supplemented in some issues has changed.
This is evidenced by the fact that for the same volume of the monograph in the 2nd and 3rd editions had so much to expand the number of heads that this caused the necessity to abandon the heads of the diseases and injuries of the musculoskeletal system and of the organ of vision. Significantly increased interest to this problem for sports doctors, there appeared a large number of works devoted to the analysis of diseases and injuries during sports activities, identified many new interesting facts, the truth is mainly related to the cardiovascular system.
However, it should be recognized that a number of cardinal clinical issues related to the influence of intensive and especially the excessive exercise on the body, is still far from solution. And the main reason is the almost complete lack of interest of representatives of clinical disciplines. Although in physical education classes involved and will involve an increasing number of Soviet people of different age and state of health, the impact of exercise on the body practically is not engaged, no medical clinical specialty. In any textbook and manual no data on the impact of excessive and insufficient physical activity on the internal organs, nervous system, endocrine system, female genitals , and so on, But in the modern sense of the excessive exercise, as beyond the capabilities of the given person to the fulfillment of all it concerns not only the athletes, but our gemodinamicheski century - to the whole of modern society.
Problems inactivity with medical positions are settled mainly in Astronautics. Problems of physical inactivity in clinical almost do not dare anywhere or dare handicraft, not at the level of modern science. In clinical journals only some occasional work on the influence of excessive load on the body. Widely used in cardiology method of Bicycle ergometry used in the survey only patients, but not to study the possible negative impact of undue stress on the cardiovascular system healthy person. However, the materials presented in this monograph, convincingly testify about the possible negative influence of physical exercises with their irrational use on the body of a healthy person. But in any guide cardiology impossible to find a Chapter about the peculiarities of sports of the heart (except manuals, F. lang, published in 1936), about possible violations of the heart rhythm in healthy people with physical and emotional overload, etc., None of the manual of Nephrology, there is no indication on the so-called sports kidney or on the ability overvoltage kidneys, etc., in Any guide pulmonology not told about peculiarities of the course of acute diseases of lungs and upper respiratory tract, about the peculiarities of bronchial asthma in athletes, etc., in Any the manual of gastroenterology no analysis of the so-called hepatic pain syndrome in athletes, analysis of the characteristics of the course of peptic ulcer disease , etc.
Clinicians do not know specificity of sport (and it is quite complicated), sports physicians are not always competent enough purely clinical questions.
However, life is strongly and each year more and more requires solution of a number of basic, fundamental issues of this large and very important problem. Only deep clinical analysis can provide a true understanding of the emergence of excessive and irrational physical and emotional activities changes in all organs and body systems, their pathogenesis, and consequently, on the rational treatment and prevention.
It is necessary to develop the pathophysiology of sports, without which the clinical evaluation of changes taking place in the body of an athlete, is extremely difficult. Set forth in the present monograph the materials again allow even more than before, the reason to insist on necessity of creation of the pathophysiology of sports, for physiology of sport can't answer some urgent questions sports physician who examines the athlete in different situations. Pathophysiology of sports or exercise must be the theoretical basis on which basis it will be possible deeper clinical study of changes in the body of an athlete. It is especially important that these changes are similar to the changes occurring in individuals engaged in physical labor, including professional.