Husband & father by devotion, physician by vocation, sporty by conviction. SportsMedicine, MD, PhD in
@FCBarcelona
Fitness, Triathlon, Trail Run & Country Music
60-75 min/day of moderate/high intensity physical activity eliminates the risks associated with high total sitting time
@TheLancet
Sometimes “epic messages” have
scientific evidence 🏋🏻♂️👨🏻🎓 and maybe this is the reason why I have this well-known quote in my cell phone case 👍😉
Sois referentes en el fútbol femenino y habéis llevado al
@FCBfemeni
a lo más alto. Ha sido un enorme placer acompañaros durante parte de vuestro recorrido. Gracias por los grandes momentos
@sandra_panos1
y
@mariona8co
🙌 (que no han sido pocos! 😉)
#siempreenmiequipo
Caballeros, ha sido un auténtico placer. Os deseo lo mejor en vuestra nueva andadura ⚽️🇺🇸 Preparación, dedicación y ganas os sobran
@AndresGGz
@giraldez_jona
@tonigordo1
🤝
Aunque ya se publicó hace bastantes años, el TOST ("taking off the shoe" test) es un test sencillo, reproducible y fiable para el diagnóstico de lesiones musculares de los isquiotibiales.
📚
Hop Test Battery: evaluation of asymmetries between injured and uninjured knee in chronic ACL injury and after ACL-R:
1️⃣ Vertical jump
2️⃣ Hop for distance
3️⃣ Drop & Double hop
4️⃣ Square hop
5️⃣ Side hop
Sensitivity and accuracy: ACL injury (87 and 84%), ACL-R (91 and 88%)
El mayor factor de riesgo para una lesión muscular es una lesión reciente (<8 semanas) en el mismo grupo muscular y este riesgo se extiende hasta las 15 semanas tras la vuelta a la competición
De
@DrJohnOrchard
en
@BJSM_BMJ
Modifiable and non-modifiable risk factors for patellofemoral pain and ACL injury in young physically active girls. Wonderful summary table in
@BJSM_BMJ
by
@Hewett1Tim
📚
Great slide about the level of evidence of different supplements for health, performance, recovery and adaptation. By
@Jeukendrup
in
#Bar
çaNutrition
#SportsScienceWeek
Running distance above 5.5 m/s (19.8 km/h) represents the most sensitive external load monitoring variable to predict post match acute and residual fatigue in football. Open access in
@SportsMedicineJ
📚
“Los niños realizan en sus juegos entrenamientos HIIT y muestran su perfil fisiológico de predominio oxidativo o aeróbico. Dejémosles tiempo, espacio y la compañía de otros niños para jugar y construirán espontáneamente un entrenamiento HIIT”
@ChicharroJL
Cuánta razón!!! 👏👏👏
Precisamente por esto es fundamental el readaptador en el fútbol. Devolver al jugador al grupo con su máximo nivel de performance no es fácil pero así se requieren menos sesiones "preparatorias" con el resto del equipo para su vuelta a la competición.
Rotura de la placa plantar ➡️ Causa de metatarsalgia intensa con una palpación muy dolorosa de la cara plantar de la articulación metatarsofalángica afectada
Un enorme privilegio haber compartido contigo todo este tiempo. Has sido, eres y serás maestro, compañero y amigo. La cohesión en los momentos difíciles queda para la toda la vida. Gracias
@TilLluis
La tasa de ruptura de la plastia del LCA en adolescentes es seria (34.6%). De éstas, un 66.6% se dan incluso después de 2 años de la intervención ‼️ En
@OJSM_SportsMed
En microciclos largos (1 partido fútbol/semana) el trabajo excéntrico con finalidad preventiva encajaría mejor en el MD+1 que en el MD+3 puesto que en el segundo escenario los marcadores de daño muscular y fatiga persisten todavía elevados en el día previo al partido (MD+5) ⚽️🔝
Tendinopatía aquílea “insercional” vs “no insercional” no son entidades idénticas ➡️ Evidencia actual acerca de las modalidades no quirúrgicas de tratamiento ➡️ “El ejercicio excéntrico no es café para todos”
@ProfJillCook
Triceps coxae (superior gemellus, obturator internus and inferior gemellus) lying between the piriformis (superiorly) and quadratus femoris (inferiorly) as a cause of Deep Gluteal Syndrome in a football player with buttock pain when kicking for a long pass
La toma de 15 g de gelatina con vit C combinada con un ejercicio intermitente aumentó un 153% la síntesis de colágeno (incremento del propéptido N-terminal del procolágeno 1 en plasma). Beneficioso en la readaptación de lesiones del tejido conectivo?
Meta-analysis with 26 studies show that flavonoid polyphenol supplementation 🍒🫐🍇🍓 can enhance recovery of muscle strength by 7% and reduce muscle soreness by 4% through upregulation of cell signalling stress response pathways. In
@SportsMedicineJ
To understand the anatomy of the deltoid ligament and the difference between superficial and deep layers, these pics from
@RadsourceLLC
are quite excellent
Once again high-loading interventions are the key to manage tendinopathies.
In this study published by
@SportsMedicineJ
CSA and tendon stiffness increased in Achilles tendinopathy after 12 weeks.
165 professional football players. 21 hamstring injuries. Fast muscle fibre typology ⬆️5.3-fold higher risk of injury. By
@eline_lievens
et al in
@SportsMedicineJ
📚
Hamstring injuries increased in the last 21 seasons both in trainings and in matches and currently represent 24% of all injuries in men's professional football. A real "epidemic situation". In
@BJSM_BMJ
by
@JanEkstrand
@HockanB
@MarkusWalden
@MHgglund
@acea_ngel
Así es! La movilización temprana hace que las stem-cells se diferencien hacia mioblastos (regeneración) y se gane terreno a la producción de colágeno cicatricial de tipo III (reparación). Ya hay estudios que demuestran un RTP más rápido cuando se trabaja en esa línea.
Vitamin D in Athletes: more than a simple "vitamin"... Muscle repair & remodeling, immunity, cardiac structure & function, bone health & fracture risk. Recent update from
@SportsMedicineJ
➡️ and a personal summary of this excellent paper
La especialización temprana no solo tiene consecuencias negativas sobre la futura lesionabilidad sino que también puede tenerlas con el “burnout”. Metanálisis en
@OJSM_SportsMed
con un total de 1429 deportistas (edad media 15,6 años; rango: 12,5-17,2).
Lateral Fibulotalocalcaneal Ligament Complex: a new entity recently described in
@KSSTA
📝 Inferior ATFL fascicle and CFL are connected by arciform fibers forming a functional and anatomical entity.
📚
Ruptures of the Kaplan Fibers contribute to anterolateral rotatory instability in ACL injuries and may facilitate surgical decision making for additional anterolateral procedures in ACL-R. In
@AJSM_SportsMed
Strongly believe that an “Individual Profile of HSR” could be a red light alarm🚨to identify a risk of muscle injuries in football players. Sports Science of
@BarcaInnoHub
almost 9 years working in this way
#FFMED
Second ACL injury is around 30% in young female football players within 2 years after ACL-R. In professional male players incidence is almost 20% at a median follow-up of 4 years 🚨 Take it into account! In
@BJSM_BMJ
Actividad física y rendimiento académico en niños van de la mano 🏸👨🎓Promover el interés por el ejercicio hará mejores estudiantes a nuestros niños. Convencido no, convencidísimo.
📚
Escafoides tarsiano accesorio. Se identifica en deportistas jóvenes, sintomático (el tipo II) y habitualmente bilateral. Junto a mi compañera en el Departamento Médico del FCB
@EvaFVB
0.3 g prot/kg every 3h throughout the day (also before to sleep... think in the protein synthesis during sleeping time) 🔁 ~20-25 g prot every 3h.
Where you can find ~30 g of high-quality protein for each one of these single meals?
@OllyWitard
@PRsportvoeding
#BarcaNutrition
The goal in hamstring rehab in football is to return the player to the team with the same pre-injury level in maximal speed, high-speed running and sprinting distance, but reality is quite different...
By
@RodWhiteley
et al. in Scand J Med Sci Sports
Amazing bilateral rectus femoris central tendon injury. Only fatigue and overuse symptoms were referred. Together with my mates in FC Barcelona Medical Department
@DocXValle
and
@mechomeca
Petit gran homenatge del
@COMBarcelona
als pioners de la Medicina de l’Esport a casa nostra. Aquells que van posar els fonaments del que avui és la nostra Especialitat, la que tant estimem i per la que tant lluitem ❤️👨⚕️👩🏻⚕️⛹🏻♀️🏊🏻♂️🤽🏻♀️⛹🏻♂️
Rate of return to preinjury level of sport after 1st ACL-R is 83% (in professional football is 65% 👉 ) but after a 2nd ACL-R return to preinjury level is only 40%.
Fear is the most common reason cited.
From
@AJSM_SportsMed
Accessory rectus femoris muscle belly in two football players. Anatomical variations in the quadriceps muscle group sometimes are identified as a casual finding. Together with my mates
@PrisJarrinMD
and
@mechomeca
Thanks
@Dr_Ramon_Balius
for your valuable contribution.
De acuerdo a la clasificación de lesiones del gastrocnemio medial propuesta por
@carlespedret
y
@Dr_Ramon_Balius
aquí una de tipo 2A en la que se aprecia un pequeño gap de la aponeurosis del gemelo interno (<50% del total).
Once again... A key message in sports muscle injury rehabilitation 👉 START EARLY (“Early” means “as soon as possible”, not “abruptly”)
By
@RodWhiteley
in
#Bar
çaPhysiotherapy
#SportsScienceWeek
Non-structural muscle injuries are not detected by MRI/US but can have functional sequelae. Understimating them could lead to their exacerbation into structural injuries and force the player to stop for several weeks. Biomarkers are needed for a rescue!
El puente gluteo con elevación de talones ⬆️ 4,4% la activación del gluteo mayor con respecto al puente gluteo convencional pero ⬇️ un 5,3% la activación del semitendinoso
Overall injury incidence ⬇️ gradually in the last 18 years, from 2001/02 to 2018/19, (3% per season for both training and match injuries) while the rate of muscle injuries remains constant. By
@JanEkstrand
@HockanB
#ArminSpreco
&
@RoaldBahr
in
@BJSM_BMJ
Nice discussion today with
@DocXValle
Pectineus injury vs Obturator Externus injury 👉Difficult (for me) to establish which one is the injured muscle only by physical examination. Two muscles close one to each other and more discomfort than real pain 😉
Oral health, that is often poor in elite athletes and is consistently associated with performance impacts, is preventable with well-evidenced effective low-cost strategies. From
@BJSM_BMJ
📚
High Intensity Interval Training (HIIT) and Moderate Intensity Continuous Training (MICT) both reduce body fat percentage, but HIIT provided 28.5% greater reductions in total absolute fat mass (kg) than MICT 🏃🏻♂️🏋🏻♂️🧨🔥
En 2003 la FIFA autorizó el uso de hierba artificial de 3era generación para competiciones oficiales. Acorde a los estudios publicados desde entonces no parece existir una mayor incidencia lesional general con respecto a la hierba natural 👍⚽️
“Aquellos que piensan que no tienen tiempo para hacer ejercicio tarde o temprano tendrán que encontrar tiempo para la enfermedad”
“Those who think they have no time for bodily exercise will sooner or later have to find time for illness”
Edward Stanley
#exerciseismedicine
Maybe in the same way that hamstring tendon may regenerate after harvesting 👉 plantaris tendon can regenerate after surgical removal... This guy was intervented several years ago and nowadays a neotendon is shown in the MRI as a casual finding.
An example of how in some cases a ruptured ACL can start a healing process. Three months between these two pictures. Together with Dr Xavier Alomar, radiologist in
@creublanca
Association between ACL rupture & Meniscal Ramp Lesion in a handball player, but MRI has low sensitivity to detect the second one... if yes, there is a thin fluid signal between the posterior horn of the medial meniscus and the posteromedial capsule. Together with
@mechomeca
Patients with generalised joint hypermobility undergoing ACL-R have 5-times greater odds of sustaining a second ACL within 12 months of RTS. Most of them are female athletes... Different focus in rehab?🤔RTS longer than 12 months?🤔 In
@BJSM_BMJ
Calcaneal stress fracture can be confused with plantar fascitiis, Baxter nerve entrapment, insertional Achilles tendonitis, atrophic hell pad, retrocalcaneal bursitis and thus be underdiagnosed and undertreated
The words “fit” and “healthy” are often used synonymously but the terms have entirely separate meanings. For optimal performance, athletes must be "fit & healthy". Interesting reflection from
@SportsMedicineJ
📚
Parece lógico q quienes se lesionan por 1ª vez el LCA tengan expectativas d vuelta al deporte al mismo nivel q el previo a la lesión más altas (88%) q los q requieren una revisión quirúrgica del mismo (63%) o presentan una 2ª lesión del LCA (80%)
Years ago
@Dr_Ramon_Balius
coined the term "zipper" in long head biceps femoris injuries and taught us the difference in terms of prognosis between a deep distal "zipper" injury and a superficial distal "zipper" injury. LhBF (long head BF) and ShBF (short head BF).
Nervio supraescapular (C5, C6 y en ocasiones C4). Inerva los músculos supraespinoso e infraespinoso. Zonas de compresión: escotadura supraescapular y escotadura espinoglenoidea. Clínica de omalgia, debilidad y a la larga atrofia del supraespinoso y el infraespinoso.
Posterolateral Corner of the Knee:
Anatomy of the three major static stabilizers of the "dark side of the knee"
Recommended paper from
@thekneedoc
&
@jachahla
📚
And my personal contribution after an interesting reading.
Iliac crest contusion with muscle damage. A common sport injury in contact sports ⛹🏻♀️🤾♂️ Together with my mates in FCB Medical Department
@DocXValle
&
@dfflorit
Mucho ánimo a mis amigos del
@cdnumancia
y de la
@SDAlmazanoficia
que este fin de semana se juegan mucho para buscar ese ansiado y merecido ascenso de categoría 💪⚽️
La hiperbilirrubinemia es un hallazgo frecuente en el deportista de alto nivel reflejando su papel como potente antioxidante, no como marcador de patología. En
@SportsMedicineJ
Open. Algo que llevamos tiempo observando junto a
@MireiaPorta
y
#To
ñaLizarraga en nuestros futbolistas
Muchísimas gracias
@DrEsparzaRos
por invitarnos a participar en el
@UCAMTraumaDepor
El cariño con el que nos recibís hace que siempre salga todo a la perfección.
Sometimes a simple medical imaging test can give enough details about an injury ➡️ An X-ray reveals interesting information about a syndesmotic ankle iniury
Ischiofemoral impingement is defined by unspecific hip pain associated with narrowing of the space between ischial tuberosity (IT) and lesser trochanter (Lt) causing a lesion in the quadratus femoris muscle (Qf). Together with
@mechomeca
Comparing the effects of HIIT vs SSG... Both enhance the key performance of youth soccer players in a time-efficient manner, leaving more time for training sport-specific skills such as technique and tactics. From
@SportsMedicineJ
📚
Wonderful running with my mate
@Rollo_I
in Carretera de les Aigües. A different way to do a working meeting 🏃🏻♂️😉 but Ian please, next time let me know about your real🔝athletic level