The purpose of this study is to describe the resting electrocardiogram (ECG) seen among 176 professional male footballers from Sabah Football Association Club during preparticipation evaluation. Data were analysed retrospectively from 2017 to 2019. Majority of the players were Sabah natives (n=153, 87%) while the remaining were Malay footballers (n=23, 13%). Mean age of the players was 19.9 ± 3.1, mean body mass index was 22.6 kg/m2 ± 7, mean resting heart rate was 53.6 beats per minute ± 9.4, mean systolic blood pressure was 122.3 mmHg ± 12, and mean diastolic blood pressure was 65.1 mmHg ± 8.8. Using the International Criteria for ECG Interpretation in Athletes 2017 consensus guidelines, 8.5% (n=15) had abnormal ECG while 2.8% (n=5) had borderline ECG. The most common ECG changes seen in the normal findings were sinus bradycardia (n=123, 69.9%), early repolarization (n=115, 65.3%) and left ventricular hypertrophy (n=83,47.2%). Abnormal ECGs were abnormal t wave inversion (n=7,4.0%) and pre-excitation syndrome (n=5,2.9%). All footballers with abnormal ECG findings were subjected to further evaluation by a cardiologist using echocardiography assessment and exercise stress test. They passed the cardiology assessment; thus, they were deemed fit to play. ECG is a valuable tool for pre-participation health screening prior to exercise or sports participation, as it is vital for a physician to identify any abnormal ECG to minimise the risk of sudden cardiac death during exercise due to cardiac pathology.
Sinding Larsen-Johansson syndrome is an osteochondrosis injury of patella commonly seen in adolescence age group between 10 to 14 years old. This is an interesting case of Sinding Larsen-Johansson syndrome reported in 33 years old football athlete. This is 33 years old football athlete who is active in participating many football tournaments for 18 years presented with anterior knee pain for 1 month subsequently had traumatic sports injury in one of the football matches. He was diagnosed with complete anterior cruciate ligament rupture, with medial and lateral meniscus injury. MRI confirmed the diagnosis with additional finding of chronic Sinding Larsen-Johansson syndrome. He was rested from football match, and had an intensive physiotherapy focusing on eccentric muscle strengthening exercise. The symptom of anterior knee pain was improved with improvement of the instability. This article discussed in detail on Sinding Larsen-Johansson Syndrome.
This is a study on the prevalence of injuries and illnesses among Sabah SUKMA athletes 2018. This is a retrospective study on injuries and illnesses seen among Sabah athlete who participating in SUKMA 2018 using standardized data registry. Incidence of injury and illness is 16.27 and 16.74 per 100 athletes respectively. Combat sports showed the highest incidence of injuries (45%) mainly involving head and neck region in martial arts event (Muay Thai). Commonly occurring injuries involved were muscle strains and ligament sprains. Concussion rate was 1.85 per 100 full contact athletes. Time loss percentage was 1.4%. The only important illness reported was an isolated case of mumps. There was a high number of injuries in combat sports. There were no report of severe injuries or severe concussions. This could be due to the strict implementation of protective gear during competition. Concussion rate was lower compared to many international studies. Muscle strains was seen more in high speed sprinting and kicking athletes. Contact tracing was activated and no reported Mumps outbreaks in Sabah. There is a need for athlete to learn prevention strategies in combat sports and screening of athlete for infectious diseases prior to participation in national or international sporting event.
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