Topic

History

Topic Progress:

It is important to discuss an individual’s motivation for starting an exercise programme as well as their goals. It is also important to establish an understanding of their overall “wellness” and an assessment of their cardiovascular risk. One of the primary aims of this assessment is to attempt to identify conditions that may be exacerbated by playing football and other physical activity.

Click on the following tabs to read more about some of the questions you might ask when considering prescribing football and other forms of physical activity.

Injury history
An injury history is very important. Athletes with a past history of a significant musculoskeletal injury, like an anterior cruciate ligament injury, are at an increased risk of post-traumatic osteoarthritis. This may limit their ability to be physically active or predispose them to further injury.
Systems review
Gather a short amount of information regarding the other systems in the body. The main systems you should cover include:
  • CVS
  • Respiratory
  • GI
  • Neurology
  • Genitourinary
  • Renal
  • Musculoskeletal
  • Psychiatry

Social history
Are they a smoker and do they consume alcohol or other drugs? A diet history is also important. Each of these factors may increase their cardiovascular risk. There may be an opportunity to facilitate change.
Family history
Do they have a family history of CVD or sudden death during exercise? This can be an important indicator of underlying pathology.
Exercise history
What activities do they like and what have they done in the past? Selecting activities that the patient will enjoy is very important for fostering compliance.
Barriers to activity
It is critical to establish barriers to physical activity. This includes any past failures and the reasons for these. Access to facilities, time and financial constraints may all be relevant.
Although increasing age is a risk factor for cardiovascular disease, there is no evidence that age is a strong predictor of exercise-associated myocardial infarction or sudden cardiac death.

Dr Mark Fulcher

Sport and Exercise Physician