Revista de Medicina Desportiva Julho 2020 - Page 27
Raghav T Bhatia et al. Exercise in the Severe Acute Respiratory
Syndrome Coronavirus-2 (SARS-CoV-2) era: A
question and answer session with the experts endorsed
by the section of Sports Cardiology & Exercise of the
European Association of Preventive Cardiology (EAPC).
running to ensure appropriate hamstring conditioning,
and nutritional intervention. Athletes may require
psychological support given the challenges associated
with isolation and a change in regular training routine.
While training restrictions may result in a decrease in
some physical and psychological qualities, athletes can
return in a positive state following an enforced period of
rest and recovery. On return to training, the focus should
be on progression of all aspects of training, taking into
account the status of individual athletes.
Barker-Davies RM, et al. The Stanford Hall consensus
statement for post-COVID-19 rehabilitation. Br
J Sports Med. 2020, maio. 0:1–11. doi:10.1136/bjsports-2020-102596
Keith A. Stokeset al. Returning to play after prolonged
training restrictions in professional collision sports.
Int J Sports Med. 29 de maio 2020. DOI: https://doi.
Abstract: The COVID-19 pandemic in 2020 has resulted
in widespread training disruption in many sports. Some
athletes have access to facilities and equipment, while
others have limited or no access, severely limiting their
training practices. A primary concern is that the maintenance
of key physical qualities (e. g. strength, power,
high-speed running ability, acceleration, deceleration
and change of direction), game specific contact skills (e.
g. tackling) and decision-making ability, are challenged,
impacting performance and injury risk on resumption of
training and competition. In extended periods of reduced
training, without targeted intervention, changes in body
composition and function can be profound. However,
there are strategies that can dramatically mitigate potential
losses, including resistance training to failure with
lighter loads, plyometric training, exposure to high-speed
Abstract: The highly infectious and pathogenic novel
coronavirus (CoV), severe acute respiratory syndrome
(SARS) CoV- 2, has emerged causing a global pandemic.
Although COVID-19 predominantly affects the respiratory
system, evidence indicates a multisystem disease
which is frequently severe and often results in death.
Long-term sequelae of COVID-19 are unknown, but
evidence from previous CoV outbreaks demonstrates
impaired pulmonary and physical function, reduced
quality of life and emotional distress. Many COVID-19
survivors who require critical care may develop psychological,
physical and cognitive impairments. There is a
clear need for guidance on the rehabilitation of COVID-
19 survivors. This consensus statement was developed
by an expert panel in the fields of rehabilitation, sport
and exercise medicine (SEM), rheumatology, psychiatry,
general practice, psychology and specialist pain, working
at the Defense Medical Rehabilitation Centre, Stanford
Hall, UK. Seven teams appraised evidence for the following
domains relating to COVID-19 rehabilitation requirements:
pulmonary, cardiac, SEM, psychological, musculoskeletal,
neurorehabilitation and general medical. A chair
combined recommendation generated within teams. A
writing committee prepared the consensus statement in
accordance with the appraisal of guidelines research and
evaluation criteria, grading all recommendations with
levels of evidence. Authors scored their level of agreement
with each recommendation on a scale of 0–10.
Substantial agreement (range 7.5–10) was reached for 36
recommendations following a chaired agreement meeting
that was attended by all authors. This consensus
statement provides an overarching framework assimilating
evidence and likely requirements of multidisciplinary
rehabilitation post COVID-19 illness, for a target population
of active individuals, including military personnel
Matt Taberner. Constructing a framework for Return to
Sport in elite football (PhD Academy Award). Br J Sports
Med. Epub ahead of print. Maio 2020. doi:10.1136/bjsports-2020-102300
FIFA. COVID-19: Medical considerations for a return to
footballing activity. Maio 2020.
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