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MEDICINA DELLO SPORT
A Journal on Sports Medicine
Official Journal of the Italian Sports Medicine Federation
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,163
Medicina dello Sport 1998 December;51(4):375-81
Sport and epilepsy
Francavilla G. 1, Lubich T. 2
1 Istituto di Clinica Medica e Malattie Cardiovascolari, Cattedra di Medicina dello Sport, Palermo;
2 Istituto di Medicina dello Sport, Bologna
What leads authors to talk about a such specialistic subject is the strong desire to give a right explanation never given before because sport-doctor has never talked about. The opportunity of talking about the epilepsy was given during the “Universiadi di Sicilia ’97”. The ends of our work are four points: 1) to synthesise several “expression” of the illness end to quintile the valence of it which is estimated about 2.9 end 6.2 patients in thousand people; 2) to see the doctors guideline in forwarding the most suitable sport for an epileptic man; 3) to realise if a controlled physical training causes attacks or changes the numbers of them; 4) to understand what kinds of sports make the patients be well or not be well. So we studied the researches which are tasted in those school interested in epileptic illness. We have compared these researches with Prof. Canger’s ones end we draw some conclusions which are very important for the sporting operators.
Physical training doesn’t cause damage to epileptic man; it reduces the number of attacks and permits a reduction of pharmacological therapy.
EEG shows how the anomalous waves disappear during the training and appear during the retrieval phase of course there are some elements which cause damage to the patient during the training. They are many hours of hard training, distress of the mind, hyperventilation that causes the respiratory alkalosis, hypox, hyperhydratation, hyperthermia, hypoglycaemia and also a wrong education in food.
Forbidden sports are: parachuting, alpinism, submersion, Hangglinding, boxing and motorcycling. The sports, which aren’t forbidden as long as a trainer drives patients, are: swimming, canoeing, sailing, surfing, water-ski, gymnastics, riding, skating, and cycling.
A patient can choose to train for specific sport, considering his own clinic anamnesis. So only the doctor can tell patients which sport is the most suitable for him.
An epileptic man can also train for motor-racing provided he hasn’t had an attack for two years.
Swimming must be kept under control and the water must not be excited. Lats of breaks out of the water are ordered Contact sports are not advice, especially full-contact. It is a duty of the doctor specialized in “sport medicine” to understand the real kind of epilepsy a man suffers from; and also to forward the most suitable sport for archiving the best result and to advice against those sports which can cause damage to patients.