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Key Medical Issues for Tennis Players

  • Bradley G. Changstrom
  • Babette M. PluimEmail author
  • Neeru Jayanthi
Chapter

Abstract

In addition to the musculoskeletal injury emphasis described in other chapters of this book, there is a tremendous stress to the entire body during tennis play. This requires high-level medical care for the competitive tennis player against illness and overtraining syndromes. This chapter overviews these key medical issues.

References

  1. 1.
    Pluim BM, Staal JB, Marks BL, et al. Health benefits of tennis. Br J Sports Med. 2007;41:760–8.CrossRefGoogle Scholar
  2. 2.
    Oja P, Kelly P, Pedisic Z, et al. Associations of specific types of sports and exercise with all-cause and cardiovascular-disease mortality: a cohort study of 80 306 British adults. Br J Sports Med. 2017;51:812–7.  https://doi.org/10.1136/bjsports-2016-096822.CrossRefPubMedGoogle Scholar
  3. 3.
    Pluim BM, Earland J, Pluim NE. The development of healthy tennis clubs in the Netherlands. Br J Sports Med. 2014;48:898–904.CrossRefGoogle Scholar
  4. 4.
    Levine BD, Baggish AL, Kovacs RJ, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: task force 1: classification of sports: dynamic, static, and impact. J Am Coll Cardiol. 2015;66:2350–5.CrossRefGoogle Scholar
  5. 5.
    Maron B, Zipes D, Ackerman M. 36th Bethesda conference: eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol. 2005;45:1312.CrossRefGoogle Scholar
  6. 6.
    Osborn RQ, Taylor WC, Oken K, et al. Echocardiographic characterisation of left ventricular geometry of professional male tennis players. Br J Sports Med. 2007;41:789–92. discussion 792CrossRefGoogle Scholar
  7. 7.
    Kovacs MS. Applied physiology of tennis performance. Br J Sports Med. 2006;40:381–5. discussion 386CrossRefGoogle Scholar
  8. 8.
    Haskell WL, Lee I-M, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116:1081–93.CrossRefGoogle Scholar
  9. 9.
    Jayanthi N, Sallay P, Hunker P, Przybylski M. Skill-level related injuries in recreational competition tennis players. Med Sci Tennis. 2005;10:12–5.Google Scholar
  10. 10.
    Changstrom B, Jayanthi N. Clinical evaluation of the adult recreational tennis player. Curr Sports Med Rep. 2016;15:437–45.CrossRefGoogle Scholar
  11. 11.
    Marks BL. Health benefits for veteran (senior) tennis players. Br J Sports Med. 2006;40:469–76. discussion 476CrossRefGoogle Scholar
  12. 12.
    Groppel J, DiNubile N. Tennis: for the health of it! Phys Sportsmed. 2009;37:40–50.CrossRefGoogle Scholar
  13. 13.
    Pluim BM, Staal JB, Marks BL, et al. Health benefits of tennis. J Med Sci Tennis. 2014;19:55–68.Google Scholar
  14. 14.
    Kovacs M, Pluim B, Groppel J, et al. Health, wellness and cognitive performance benefits of tennis. J Med Sci Tennis. 2016;21:14–21.Google Scholar
  15. 15.
    Blair SN, Kohl HW, Barlow CE, et al. Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men. JAMA. 1995;273:1093–8.CrossRefGoogle Scholar
  16. 16.
    Leitzmann MF, Park Y, Blair A, et al. Physical activity recommendations and decreased risk of mortality. Arch Intern Med. 2007;167:2453.CrossRefGoogle Scholar
  17. 17.
    Jetté M, Landry F, Tiemann B, Blümchen G. Ambulatory blood pressure and Holter monitoring during tennis play. Can J Sport Sci. 1991;16:40–4.PubMedGoogle Scholar
  18. 18.
    Vodak PA, Savin WM, Haskell WL, Wood PD. Physiological profile of middle-aged male and female tennis players. Med Sci Sports Exerc. 1980;12:159–63.CrossRefGoogle Scholar
  19. 19.
    Swank AM, Condra S, Yates JW. Effect of long term tennis participation on aerobic power, body composition, muscular strength, flexibility and serum lipids. Sport Med Train Rehabil. 1998;8:99–112.CrossRefGoogle Scholar
  20. 20.
    Vodak PA, Wood PD, Haskell WL, Williams PT. HDL-cholesterol and other plasma lipid and lipoprotein concentrations in middle-aged male and female tennis players. Metabolism. 1980;29:745–52.CrossRefGoogle Scholar
  21. 21.
    Ferrauti A, Weber K, Strüder HK. Effects of tennis training on lipid metabolism and lipoproteins in recreational players. Br J Sports Med. 1997;31:322–7.CrossRefGoogle Scholar
  22. 22.
    Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS. Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med. 1991;325:147–52.CrossRefGoogle Scholar
  23. 23.
    Nessler A. Sportmedizinische Befunde und Sportpraktische Erfahrungen zum Tennisunterricht in der Bewegungstheraphie von Typ-2-Diabetikern. Cologne: Deutsche Sporthochschule; 2001.Google Scholar
  24. 24.
    Marijon E, Uy-Evanado A, Reinier K, et al. Sudden cardiac arrest during sports activity in middle age. Circulation. 2015;131:1384–91.CrossRefGoogle Scholar
  25. 25.
    Houston TK, Meoni LA, Ford DE, et al. Sports ability in young men and the incidence of cardiovascular disease. Am J Med. 2002;112:689–95.CrossRefGoogle Scholar
  26. 26.
    García JPF, Barrado JG, Durán JB, et al. A cardiac rehabilitation program in a tennis training session. Rev Int Med y Ciencias la Act Fis y del Deport. 2009;9:454–65.Google Scholar
  27. 27.
    García JPF, Giraldo VMA, Barrado JJG, Casasola CD. Tennis training sessions as a rehabilitation instrument for patients after acute myocardial infarction. J Sports Sci Med. 2013;12:316–22.PubMedPubMedCentralGoogle Scholar
  28. 28.
    Jayanthi N, Pinkham C, Dugas L, et al. Sports specialization in young athletes: evidence-based recommendations. Sport Health. 2013;5:251–7.CrossRefGoogle Scholar
  29. 29.
    LaPrade RF, Agel J, Baker J, et al. AOSSM early sport specialization consensus statement. Orthop J Sports Med. 2016;4:2325967116644241.PubMedPubMedCentralGoogle Scholar
  30. 30.
    Jayanthi NA, LaBella CR, Fischer D, et al. Sports-specialized intensive training and the risk of injury in young athletes: a clinical case-control study. Am J Sports Med. 2015;43:794–801.CrossRefGoogle Scholar
  31. 31.
    Brenner JS, Council on Sports Medicine and Fitness. Sports specialization and intensive training in young athletes. Pediatrics. 2016;138:e20162148.CrossRefGoogle Scholar
  32. 32.
    Bergeron MF, Mountjoy M, Armstrong N, et al. International Olympic Committee consensus statement on youth athletic development. Br J Sports Med. 2015;49:843–51.CrossRefGoogle Scholar
  33. 33.
    Difiori JP, Benjamin HJ, Brenner J, et al. Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine. Clin J Sport Med. 2014;24:3–20.CrossRefGoogle Scholar
  34. 34.
    Jayanthi N, Dechert A, Durazo R, Luke A. Training and specialization risks in junior elite tennis players. J Med Sci Tennis. 2011;16:14–20.Google Scholar
  35. 35.
    Sorenson SC, Romano R, Azen SP, et al. Life span exercise among elite intercollegiate student athletes. Sports Health. 2015;7:80–6.CrossRefGoogle Scholar
  36. 36.
    Simon JE, Docherty CL. Current health-related quality of life is lower in former division I collegiate athletes than in non-collegiate athletes. Am J Sports Med. 2014;42:423–9.CrossRefGoogle Scholar
  37. 37.
    Patel T, Jayanthi N. Health-related quality of life of child athletes. 3rd annual pediatric medicine student research forum; 2016.Google Scholar
  38. 38.
    Jayanthi N, Feller E, Smith A. Junior competitive tennis: ideal tournament and training recommendations. J Med Sci Tennis. 2013;18:30–5.Google Scholar
  39. 39.
    LaPrade RF, Kocher MS. Let’s discuss adolescent sports injuries. Rosemont, IL: American Academy of Orthopedic Surgeons; 2016.Google Scholar
  40. 40.
    Schneider A, Jayanthi N, Luke A, et al. Health and fitness status of parent-child dyads: tennis-only athletes versus multisport athletes in the competitive adolescent population. J Med Sci Tennis. 2016;21:6–13.Google Scholar
  41. 41.
    Okholm Kryger K, Dor F, Guillaume M, et al. Medical reasons behind player departures from male and female professional tennis competitions. Am J Sports Med. 2015;43:34–40.CrossRefGoogle Scholar
  42. 42.
    Hartwell MJ, Fong SM, Colvin AC. Withdrawals and retirements in professional tennis players: an analysis of 2013 United States Tennis Association Pro Circuit Tournaments. Sport Health. 2017;9(2):154–61.CrossRefGoogle Scholar
  43. 43.
    Maquirriain J, Baglione R. Epidemiology of tennis injuries: an eight-year review of Davis Cup retirements. Eur J Sport Sci. 2016;16:266–70.CrossRefGoogle Scholar
  44. 44.
    Sell K, Hainline B, Yorio M, Kovacs M. Illness data from the US Open Tennis Championships From 1994 to 2009. Clin J Sport Med. 2013;23:25–32.CrossRefGoogle Scholar
  45. 45.
    Pluim BM, Fuller CW, Batt ME, et al. Consensus statement on epidemiological studies of medical conditions in tennis, April 2009. Br J Sports Med. 2009;43:893–7.CrossRefGoogle Scholar
  46. 46.
    Otis CL, Crespo M, Flygare CT, et al. The Sony Ericsson WTA Tour 10 year age eligibility and professional development review. Br J Sports Med. 2006;40:464–8. discussion 468CrossRefGoogle Scholar
  47. 47.
    WTA Tour (2018) Women’s Tennis Association-2018 Official Rulebook. http://wtafiles.wtatennis.com/pdf/publications/2018WTARulebook.pdf. Accessed 13 June 2018.
  48. 48.
    Hainline B, Pluim B, Bullock M, et al. Australian Open, Roland Garros, Wimbledon, US Open, Shanghai Masters and Back: winning out of a suitcase. Aspetar Sport Med J. 2016;5:22–7.Google Scholar
  49. 49.
    Chen LH, Hochberg NS, Magill AJ. The pre-travel consultation. In: Centers for Disease Control and Prevention, editor. CDC yellow book. Atlanta, GA: Centers for Disease Control and Prevention; 2016. https://wwwnc.cdc.gov/travel/yellowbook/2016/the-pre-travel-consultation/the-pre-travel-consultation. Accessed 1 May 2017.Google Scholar
  50. 50.
    Milewski MD, Skaggs DL, Bishop GA, et al. Chronic lack of sleep is associated with increased sports injuries in adolescent athletes. J Pediatr Orthop. 2014;34:129–33.CrossRefGoogle Scholar
  51. 51.
    Diemert DJ. Prevention and self-treatment of traveler’s diarrhea. Clin Microbiol Rev. 2006;19:583–94.CrossRefGoogle Scholar
  52. 52.
    De Souza MJ, Nattiv A, Joy E, et al. 2014 female athlete triad coalition consensus statement on treatment and return to play of the female athlete triad: 1st international conference held in San Francisco, California, May 2012 and 2nd international conference held in Indianapolis, Indiana, May 2013. Br J Sports Med. 2014;48:289.CrossRefGoogle Scholar
  53. 53.
    Irion J, Irion G. Women’s health in physical therapy. Baltimore, MA: Lippincott, Williams & Wilkins; 2010.Google Scholar
  54. 54.
    Sundgot-Borgen J. Risk and trigger factors for the development of eating disorders in female elite athletes. Med Sci Sports Exerc. 1994;26:414–9.CrossRefGoogle Scholar
  55. 55.
    Sundgot-Borgen J, Torstveit MK. Prevalence of eating disorders in elite athletes is higher than in the general population. Clin J Sport Med. 2004;14:25–32.CrossRefGoogle Scholar
  56. 56.
    Rathod R, Hess JL, Graham M, et al. Specific health issues in female athletes. J Med Sci Tennis. 2014;19:69–77.Google Scholar
  57. 57.
    Johnson C, Powers PS, Dick R. Athletes and eating disorders: the National Collegiate Athletic Association study. Int J Eat Disord. 1999;26:179–88.CrossRefGoogle Scholar
  58. 58.
    Harris MB. Weight concern, body image, and abnormal eating in college women tennis players and their coaches. Int J Sport Nutr Exerc Metab. 2000;10:1–15.CrossRefGoogle Scholar
  59. 59.
    Coelho GM de O, de Farias MLF, de Mendonça LMC, et al. The prevalence of disordered eating and possible health consequences in adolescent female tennis players from Rio de Janeiro, Brazil. Appetite. 2013;64:39–47.CrossRefGoogle Scholar
  60. 60.
    Tomten SE, Falch JA, Birkeland KI, et al. Bone mineral density and menstrual irregularities. A comparative study on cortical and trabecular bone structures in runners with alleged normal eating behavior. Int J Sports Med. 1998;19:92–7.CrossRefGoogle Scholar
  61. 61.
    Sowers M, Randolph JF, Crutchfield M, et al. Urinary ovarian and gonadotropin hormone levels in premenopausal women with low bone mass. J Bone Miner Res. 1998;13:1191–202.CrossRefGoogle Scholar
  62. 62.
    Matkovic V, Jelic T, Wardlaw GM, et al. Timing of peak bone mass in Caucasian females and its implication for the prevention of osteoporosis. Inference from a cross-sectional model. J Clin Invest. 1994;93:799–808.CrossRefGoogle Scholar
  63. 63.
    Mountjoy M, Sundgot-Borgen J, Burke L, et al. The IOC consensus statement: beyond the Female Athlete Triad—Relative Energy Deficiency in Sport (RED-S). Br J Sports Med. 2014;48(7):491.CrossRefGoogle Scholar
  64. 64.
    Nattiv A, Loucks AB, Manore MM, et al. American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc. 2007;39:1867–82.CrossRefGoogle Scholar
  65. 65.
    Jayanthi N, Esser S. Racket sports. Curr Sports Med Rep. 2013;12:329–36.CrossRefGoogle Scholar
  66. 66.
    Sanchis-Moysi J, Dorado C, Vicente-Rodríguez G, et al. Inter-arm asymmetry in bone mineral content and bone area in postmenopausal recreational tennis players. Maturitas. 2004;48:289–98.CrossRefGoogle Scholar
  67. 67.
    Mountjoy M, Brackenridge C, Arrington M, et al. International Olympic Committee consensus statement: harassment and abuse (non-accidental violence) in sport. Br J Sports Med. 2016;50:1019–29.CrossRefGoogle Scholar
  68. 68.
    Demongeot I. Service vole-Une championne rompt le silence. Neuilly-sur-Seine: Michel Lafon; 2007.Google Scholar
  69. 69.
    Brook P. Tennis integrity unit annual review 2016. London: TIU; 2017. http://www.tennisintegrityunit.com/annual-review/2016/. Accessed 17 Jan 2017Google Scholar
  70. 70.
    Fasting K, Brackenridge C, Knorre N. Performance level and sexual harassment prevalence among female athletes in the Czech Republic. Women Sport Phys Act. 2010;19:26–32.CrossRefGoogle Scholar
  71. 71.
    Vertommen T, Schipper-van Veldhoven NH, Hartill MJ, Van Den Eede F. Sexual harassment and abuse in sport: the NOC*NSF helpline. Int Rev Sociol Sport. 2015;50:822–39.CrossRefGoogle Scholar
  72. 72.
    Denison E, Kitchen A. Out on the fields: the first international study on homophobia in sport. 2015. http://www.outonthefields.com/. Accessed 2 Feb 2017.
  73. 73.
    Tofler IR, Morse ED. The interface between sport psychiatry and sports medicine. Clin Sports Med. 2005;24(4):745–998.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Bradley G. Changstrom
    • 1
  • Babette M. Pluim
    • 2
    Email author
  • Neeru Jayanthi
    • 3
  1. 1.Division of General Internal Medicine, Department of Medicine, CU Sports MedicineUniversity of Colorado HospitalAuroraUSA
  2. 2.Royal Netherlands Lawn Tennis AssociationAmersfoortThe Netherlands
  3. 3.Orthopedics and Family Medicine, Tennis Medicine, Emory Sports Medicine CenterSociety for Tennis Medicine and Science (STMS)AtlantaUSA

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