7 edition doha, qatar 5 -7 may 2015...sharq village & spa – doha, qatar located in the heart...
TRANSCRIPT
IOCADVANCED TEAM PHYSICIAN COURSE
ORGANISED BY WITH THE SUPPORT OF
7TH EDITIONDOHA, QATAR5 -7 MAY 2015
3
IOC ADVANCED TEAM PHYSICIAN COURSE
Foreword by the Chairman of the IOC Medical Commission
It is my pleasure to bid you welcome to the ATPC in Doha, Qatar set in stunning surroundings in a beautiful and
relaxing venue, and backed up by the excitement, excellence and expertise of Aspetar.
The priority of the IOC Medical Commission is the protection of the health of the athlete. Central to this is the
prevention of injury and illness and increasing the standard of medical care for all those taking part in sport. Thus, for
the sake of all Olympic and potential Olympic athletes, the IOC strives to support excellence in sport and exercise
medicine. This is why the 7th ATPC in Doha is so important.
This is the fi rst ever ATPC in Asia, taking place in the Middle East, at a centre of excellence in sport medicine. This is
a perfect place to discuss hot topics in the care of athletes and prevention of injury and illness.
You can also look forward to visiting the Aspetar centre of sport and exercise medicine where you will see fi rst-hand
the application of the principles that are discussed during the course.
I am confi dent that thanks to the hard work of the organising and scientifi c committees in co-operation with Aspetar,
you the delegates will acquire new knowledge and skills to the benefi t of all athletes.
Pr. Dr. Ugur Erdener
5
IOC ADVANCED TEAM PHYSICIAN COURSE
Welcome
The Organising Committee for 2015 edition of the IOC Advanced Team Physician Course (ATPC) is very pleased to welcome our experienced faculty and delegates to Doha, Qatar.
The 7th edition follows the previous six successful ATPCs. The fi rst was organized by the Oslo Sports Trauma Research Center in Svolvær, Norway, 2008. IOC has then hosted the next courses at Stanford University, USA in 2010, in Calvi, Corsica in 2011, in Oslo, Norway in 2012, at Saltsjøbaden, Sweden in 2013 and in Mandelieu, France in 2014.
By hosting the 2015 event in Doha, through the tremendous support provided by Aspetar, we hope to make the IOC ATPC available for colleagues in the Gulf region, as well as from Africa and South Asia.The excellent feedback from previous participants has inspired us to continue developing the IOC ATPC concept to become even more valuable for experienced team physicians, as well as a select group of physiotherapists.
For the 2015 edition we will continue with what has become the trademark of the IOC ATPC, addressing current issues in sports medicine through real-life cases. The aim is to foster discussions and interaction among participants and faculty around clinical conundrums facing the team physician working with the elite athlete.
We will also have time for informal social interaction, and we know that each and every one of you will want to avail yourself of this opportunity to build an international network with experienced colleagues among faculty and delegates.
There are many situations in which the benefi t of consulting a colleague with perspectives and practical experiences other that your own could be very valuable.
A warm welcome to Doha, Qatar!
Fredrik S Bendiksen, MD
Chairman
Organising Committee
Lars Engebretsen, MD PhD
IOC Medical & Scientifi c Department
Head of Scientifi c Activities
Roald Bahr, MD, PhD
Chairman
Scientifi c Committee
6
IOC ADVANCED TEAM PHYSICIAN COURSE
Thirty experienced speakers are fully committed to ensuring that this 3-day event will be at least as successful as
the fi ve memorable previous IOC Advanced Team Physician Courses.
This will be a team physician course geared towards the practical issues of working with high-level athletes in a
team sports setting we will learn from the best! We will address controversial topics and present new evidence on
diagnosis and treatment. We will challenge existing dogma. Upon arrival at the course, delegates will receive cases
illustrating specifi c scenarios, which we will address through smallgroup discussions, plenary lectures and panel
discussions.
Our aim is to bring together 110 delegates with experience as team physicians to share new knowledge and
challenge each other in open discussions.
We have also created a social program to foster discussions and create an excellent possibility for networking
outside the scientifi c sessions. We know from previous experience that this opportunity is highly appreciated.
The IOC Advanced Team Physician Course is open to a limited number of experienced sports physical therapists.
Course vision
7
IOC ADVANCED TEAM PHYSICIAN COURSE
Course venue
Sharq Village & Spa – Doha, Qatar
Located in the heart of Doha, Sharq Village & Spa is a one of a kind hospitality experience. The Village celebrates
the traditions and heritage of Qatari culture through an authentic journey back in time. 174 rooms and suites are set
in traditional Qatari houses featuring intimate courtyards where dedicated Ladies & Gentlemen welcome and attend
to guests’ every need.
This property features the fi nest rooms and facilities in Qatar, with a 6,500 square meter Six Senses Spa and
innovative and distinctive restaurants, including a 250 seats fi sh restaurant and ‘market’, lobby lounge / Arabic café,
cigar lounge, pool bar / restaurant and rooftop shisha terrace.
Sharq Village & Spa is conveniently located only 10 minutes from downtown Doha and 10 minutes from Doha
International Airport. The design of the village is both unique and memorable, set within one hundred hectares
of landscaped gardens which leading directly to the largest private beach in Doha; a freeform and infi nity pool
completes Qatar’s fi nest recreation facilities.
8
IOC ADVANCED TEAM PHYSICIAN COURSE
Organising Committee
President
Fredrik S. BENDIKSEN
Members
Cherine TOUVET - FAHMY, Anti-Doping & Project Manager
IOC Medical & Scientifi c Department,
Head of Logistics, Social Events
Benedetta BOARETTO, Account Manager
Denise DAVIDE, Project Manager
Organising Partner, Publi Créations SAM
Scientifi c Committee
Chair
Roald BAHR
Members
Hakim CHALABI
Lars ENGEBRETSEN
Karim KHAN
Robbart Van LINSCHOTEN
International Olympic Committee
Medical and Scientifi c Department
Director in charge:
Richard BUDGETT
Organising Partner
74, Boulevard d’Italie - MC - 98000 Monaco
Tel.: +377 97 97 35 55 - Fax: +377 97 97 35 50
www.publicreations.com - E-mail: [email protected]
9
IOC ADVANCED TEAM PHYSICIAN COURSE
PROGRAMME AT A GLANCE
08.00-09.30 Session 1
Working as a team physician – challenges and strategies
Chairs: Roald BAHR (Norway/Qatar) Fredrik BENDIKSEN (Norway)
09.30-11.00 Session 2
Managing concussions in the team setting
Chairs: Karim KHAN (Qatar/Canada)Hakim CHALABI (Qatar)
Learning objectives:
• Understand the 2013 Zurich Concussion Consensus statement and the key changes that have taken place in the clinical management of sports concussion
• Be able to use the CRT and SCAT3 tools appropriately in the sideline/pitch side assessment of concussion
• Understand the critical issues (e.g. long term problems) and modifying factors that infl uence the clinical management of concussed athletes
• Understand the need to individualise therapy and be able to prescribe safe RTP programs following concussion
11.00-11.30 Coffee break
11.30-13.00 Session 3
The groin pain enigma in sports
Chairs: Willem MEEUWISSE (Canada)Nebojsa POPOVIC (Qatar)
Learning objectives:
• Understand the complexity of the various interconnections between structures in the groin
• Be aware of the complexity of diagnostic terminology used in groin injuries
• Have a structured examination routine when faced with an athlete with groin pain
• Understand the possibilities for imaging in athletic groin pain, including their limitations
• Know the evidence for the conservative treatment of athletic groin injuries
• Appreciate the time frames for the various treatment modalities in groin injuries
• Have a framework to base the decision to refer for surgery on
13.00-14.00 Lunch
14.00-15.30 Session 4
Risk management: Models, methods and making it happen!
Chairs: Lars ENGEBRETSEN (Norway/Switzerland)Robbart Van LINSCHOTEN (Qatar)
Learning objectives:
• Articulate the key elements of risk management in a team sport context
• Quantify the injury risk in your sport and list ways to mitigate it
• Appreciate the strengths and limitations of various methods of injury surveillance
• Use periodic health evaluations in a team setting• Discuss lessons learned about these
instruments shared by experienced clinicians working in elite sport
15.30-16.00 Coffee break
16.00 Departure for the Desert Camp
Arrival and registration of participants throughout all day
19.00 Welcome Dinner at the hotel,Sharq Village & Spa
07.30-09.00 Session 5
Prevention and treatment of heat illness
Chairs: Karim KHAN (Qatar/Canada)Erik WITVROUW (Qatar)
Learning objectives:
• Understand temperature regulation and the pathophysiology of heat illness
• Recognize the signs and symptoms of heat illness and implement treatment measures
• Advise athletes on what to consider when training and competing in the heat
09.00-10.30 Session 6
Novel approaches to the treatment of Achilles tendinopathy-managing the elite athlete with tendon pain
Chairs: Roald BAHR (Norway/Qatar)Rod WHITELEY (Qatar)
Learning objectives:
• Understand the pathogenesis of tendinopathy• Become familiar with the positive and negative
effects of tendon loading • Develop a clinical reasoning process that
identifi es those who should undertake conservative treatment, those who need further intervention and those who require surgical treatment.
• Identify tendons where further interventions such as Doppler-guided sclerosis, platelet-rich plasma injections, shock-wave therapy are appropriate.
• Recognise the role of surgery and the importance of post-surgical management
10.30-11.00 Coffee break
11.00-12.30 Session 7
Pharmacological treatment options for acute sports injuries
Chairs: Fredrik BENDIKSEN (Norway)Paul DIJKSTRA (Qatar)
Learning objectives:
• In relation to acute musculoskeletal injuries (muscle injuries or fractures), recite the pharma-cology, contraindications, side effects and risks associated with the injection of local anesthetics/glucocorticoids/PRP, and prescription of NSAIDs
12.30-13.30 Lunch
13.30-15.00 Session 8
Hamstring injuries: Optimal treatment – minimizing the risk of re-injury
Chairs: Michael KJAER (Denmark)Mathew WILSON (Qatar)
Learning objectives: • Understand the natural repair process
of hamstring injuries• Discuss the prognostic value of muscle injury
classifi cation systems• Describe an evidence-based rehabilitation
program• Discuss the concept of neuromuscular inhibition
in hamstring re-injuries
15.00 Departure for the Aspire Zone Visit
09.00-10.30 Session 9
Return to sport: How do we make the best medical decisions?
Chairs: Per HOLMICH (Denmark/Qatar)Stephen TARGETT (Qatar)
Learning objectives: • Design and implement a 3-step model for
return-to-play that optimizes the medical decision making process
• Cite the non-medical factors that are part of decision making for return to play
10.30-11.00 Coffee break
11.00-12.30 Session 10
Quantifying ‘risk’ in athletes suspected of having cardiac disease; disqualifi cation or full medical clearance?
Chairs: Martin SCHWELLNUS (South Africa)Yorck Olaf SCHUMACHER (Qatar)
Learning objectives: • Guide fellow clinicians to appropriate criteria
for ECG interpretation within athletes• Be aware of the various international risk
stratifi cation guidelines for athletes suspected or diagnosed with a cardiovascular disease
• Confi dently plan and execute a club-based emergency preparedness program
12.30-13.30 Lunch
13.30-15.00 Session 11
Management of the elite athlete with problematic ankle injuries
Chairs: Lars ENGEBRETSEN (Norway/Switzerland)Juan Manuel ALONSO (Qatar)
Learning objectives:
• Describe the evidence-based sports recovery program for ankle lesions
• Know the preventative and management algorithm of ankle sprains
• Appreciate the Team Physician’s prevention strategies for sports ankle injuries
• Understand key clinical concepts related to ankle sprains, peroneal tendinopathy and stress fractures
15.00-15.30 Coffee break
15.30-17.00 Session 12
When breathing is the challenge – managing the elite athlete with respiratory problems
Chairs: Adam WEIR (Qatar)Robbart Van LINSCHOTEN (Qatar)
Learning objectives:
• Perform the basic clinical assessment in athletes with respiratory problems
• Know the clinical entity of “asthma” relating to Sports
• Recognize “vocal cord dysfunction”• Know the different drugs used for the treatment
of respiratory problems in athletes
17.00 End of the sessions and departure
TUESDAY 5 MAY MONDAY 4 MAY WEDNESDAY 6 MAY THURSDAY 7 MAY
10
IOC ADVANCED TEAM PHYSICIAN COURSE
SCIENTIFIC PROGRAMME
Monday 4 May
Arrival and registration of participants throughout all day
19.00 Welcome Dinner at the hotel, Sharq Village & Spa
Tuesday 5 May
08.00-09.30 Session 1
WORKING AS A TEAM PHYSICIAN – CHALLENGES AND STRATEGIES
Chairs: Roald BAHR, Norway/Qatar Fredrik BENDIKSEN, Norway
Speakers:
Mohamed Ghaith Al Kuwari, Qatar Roald Bahr, Norway/Qatar Richard Budgett, Switzerland Lars Engebretsen, Norway/Switzerland Fredrik Bendiksen, Norway Karim Khan, Qatar/Canada
Programme:
08.00-08.05 Welcome Mohamed Ghaith Al Kuwari, Qatar
08.05-08.15 Welcome: The history and role of the ATPC Roald Bahr, Qatar/Norway
08.15-08.30 The scientifi c activities of the IOC Medical Commission Lars Engebretsen, Norway/Switzerland
08.30-08.45 Which qualifi cations does an Olympic Team Physician need? Richard Budgett, Switzerland
08.45-09.05 Lessons learned from the 2014 Olympic Games - the NOC CMO perspective Fredrik Bendiksen, Norway
09.05-09.30 Working as a team physician - what they don’t teach you in medical school Karim Khan, Qatar/Canada
11
IOC ADVANCED TEAM PHYSICIAN COURSE
09.30-11.00 Session 2
MANAGING CONCUSSIONS IN THE TEAM SETTING
Chairs: Karim KHAN, Qatar/Canada Hakim CHALABI, Qatar
Speakers:
Winne Meeuwisse, Canada Michael Makdissi, Australia
Learning objectives:
Participants will be able to:
• Understand the 2013 Zurich Concussion Consensus statement and the key changes that have taken place in the clinical management of sports concussion
• Be able to use the CRT and SCAT3 tools appropriately in the sideline/pitch side assessment of concussion
• Understand the critical issues (e.g. long term problems) and modifying factors that infl uence the clinical management of concussed athletes
• Understand the need to individualise therapy and be able to prescribe safe RTP programs following concussion
Programme:
09.30-09.35 Introduction of two cases illustrating key issues
09.35-09.45 Small-group discussions
09.45-10.00 The Zurich Concussion Consensus Guidelines - what is new? Winne Meeuwisse, Canada - Michael Makdissi, Australia
10.00-10.15 What do you do with the diffi cult cases? Is this a complex injury, or an injury complex? Michael Makdissi, Australia
10.15-10.30 The role of active rehabilitation - taking a targeted approach to therapy Winne Meeuwisse, Canada
10.30-10.45 Hands on with the SCAT3 - workshop participation Michael Makdissi, Australia - Winne Meeuwisse, Canada
10.45-11.00 Panel: Review of cases and learning objectives
11.00-11.30 Coffee break
12
IOC ADVANCED TEAM PHYSICIAN COURSE
11.30-13.00 Session 3
THE GROIN PAIN ENIGMA IN SPORTS
Chairs: Willem MEEUWISSE, Canada Nebojsa POPOVIC, Qatar
Speakers:
Adam Weir, Qatar Robbart van Linschoten, Qatar Philip Robinson, UK Per Hölmich, Denmark/Qatar
Learning objectives:
Participants will be able to:
• Understand the complexity of the various interconnections between structures in the groin
• Be aware of the complexity of diagnostic terminology used in groin injuries
• Have a structured examination routine when faced with an athlete with groin pain
• Understand the possibilities for imaging in athletic groin pain, including their limitations
• Know the evidence for the conservative treatment of athletic groin injuries
• Appreciate the time frames for the various treatment modalities in groin injuries
• Have a framework to base the decision to refer for surgery on
Programme:
11.30-11.35 Introduction of two cases illustrating key issues
11.35-11.45 Small-group discussions
11.45-12.00 Groin pain: anatomy and diagnosis - what do I need to know as a team physician? Adam Weir, Qatar
12.00-12.15 Clinical examination of groin pain in athletes Robbart van Linschoten, Qatar
12.15-12.30 Imaging in groin pain - what do I need to know as a team physician? Philip Robinson, UK
12.30-12.45 Treatment of groin injuries Per Hölmich, Denmark/Qatar
12.45-13.00 Panel: Review of cases and learning objectives
13.00-14.00 Lunch
13
IOC ADVANCED TEAM PHYSICIAN COURSE
14.00-15.30 Session 4
RISK MANAGEMENT: MODELS, METHODS AND MAKING IT HAPPEN!
Chairs: Lars ENGEBRETSEN, Norway/Switzerland Robbart Van LINSCHOTEN, Qatar
Speakers:
Roald Bahr, Norway/Qatar Ben Clarsen, Norway Stephen Targett, Qatar
Learning objectives:
Participants will be able to:
• Articulate the key elements of risk management in a team sport context
• Quantify the injury risk in your sport and list ways to mitigate it
• Appreciate the strengths and limitations of various methods of injury surveillance
• Use periodic health evaluations in a team setting
• Discuss lessons learned about these instruments shared by experienced clinicians working in elite sport
Programme:
14.00-14.10 Small-group discussions: What are you currently doing to prevent injury/illness in your team?
14.10-14.30 From postseason injury analysis through pre-season screening - risk management in the team setting Roald Bahr, Norway/Qatar
14.30-14.50 Periodic Health Evaluations: The Aspetar model Stephen Targett, Qatar
14.50-15.10 Injury and illness surveillance in elite athletes - the Norwegian Olympic team experience Ben Clarsen, Norway
15.10-15.30 Key messages from group discussions
15.30-16.00 Coffee break
16.00 Departure for the dinner at the Desert Camp hosted by
14
IOC ADVANCED TEAM PHYSICIAN COURSE
Wednesday 6 May
07.30-09.00 Session 5
PREVENTION AND TREATMENT OF HEAT ILLNESS
Chairs: Karim KHAN, Qatar/Canada Erik WITVROUW, Qatar
Speakers:
Martin Schwellnus, South Africa Juan-Manuel Alonso, Qatar Sebastien Racinais, Qatar Julien Périard, Qatar
Learning objectives:
Participants will be able to:
• Understand temperature regulation and the pathophysiology of heat illness
• Recognize the signs and symptoms of heat illness and implement treatment measures
• Advise athletes on what to consider when training and competing in the heat
Programme:
07.30-07.35 Introduction of two cases illustrating key issues
07.35-07.45 Small-group discussions
07.45-08.05 Defi nition and clinical presentation of heat illness: What does it include? Martin Schwellnus, South Africa
08.05-08.25 Treating athletes with heat-related issues Juan-Manuel Alonso, Qatar
08.25-08.35 Minimizing the risk heat illness through heat acclimation Sebastien Racinais, Qatar
08.35-08.45 Strategies to reduce the risk and development of hyperthermia Julien Périard, Qatar
08.45-09.00 Panel: Review of cases and learning objectives
15
IOC ADVANCED TEAM PHYSICIAN COURSE
09.00-10.30 Session 6
NOVEL APPROACHES TO THE TREATMENT OF ACHILLES TENDINOPATHY-MANAGING THE ELITE ATHLETE WITH TENDON PAIN
Chairs: Roald BAHR, Norway/Qatar Rod WHITELEY, Qatar
Speakers:
Erik Witvrouw, Qatar Michael Kjær, Denmark Johannes Tol, Qatar/The Netherlands Jón Karlsson, Sweden
Learning objectives:
Participants will be able to:
• Understand the pathogenesis of tendinopathy
• Become familiar with the positive and negative effects of tendon loading
• Develop a clinical reasoning process that identifi es those who should undertake conservative treatment, those who need further intervention and those who require surgical treatment.
• Identify tendons where further interventions such as Doppler-guided sclerosis, platelet-rich plasma injections, shock-wave therapy are appropriate.
• Recognise the role of surgery and the importance of post-surgical management
Programme:
09.00-09.05 Introduction of two cases illustrating key issues
09.05-09.15 Small-group discussions
09.15-09.30 What is Achilles tendinopathy and why does it happen? Michael Kjær, Denmark
09.30-09.40 Is there an optimal Achilles tendon loading program (eccentric, concentric or a combination)? Erik Witvrouw, Qatar
09.40-09.50 Does shock-wave therapy work? Michael Kjær, Denmark
09.50-10.05 Does injection treatment work (PRP, sclerosing agents, high volume, autologous cultured tenocytes, etc.)? Johannes Tol, Qatar/The Netherlands
10.05-10.15 Does surgery of the plantaris tendon work? Jón Karlsson, Sweden
10.15-10.30 Panel: Case discussions - which is the fi rst option, and which the last line of defense?
10.30-11.00 Coffee break
16
IOC ADVANCED TEAM PHYSICIAN COURSE
11.00-12.30 Session 7
PHARMACOLOGICAL TREATMENT OPTIONS FOR ACUTE SPORTS INJURIES
Chairs: Fredrik BENDIKSEN, Norway Paul DIJKSTRA, Qatar
Speakers:
John Orchard, Australia Michael Kjær, Denmark Robbart van Linschoten, Qatar Lars Engebretsen, Norway/Switzerland Karim Khan, Qatar/Canada Adam Weir, Qatar/The Netherlands
Learning objectives:
Participants will be able to:
• In relation to acute musculoskeletal injuries (muscle injuries or fractures), recite the pharmacology, contraindications, side effects and risks associated with the injection of local anesthetics/glucocorticoids/PRP, and prescription of NSAIDs
Programme:
11.00-11.05 Introduction of two cases illustrating key issues
11.05-11.15 Small-group discussions
11.15-11.25 Is there a place for local anesthetics in the treatment of acute musculoskeletal injuries? John Orchard, Australia
11.25-11.35 Is there a place for cortisone injections in the treatment of acute musculoskeletal injuries? Michael Kjær, Denmark
11.35-11.45 Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of acute muscle tears? Robbart van Linschoten, Qatar
11.45-11.55 Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of fractures? Lars Engebretsen, Norway/Switzerland
11.55-12.05 Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of acute ligament tears? Karim Khan, Qatar/Canada
12.05-12.15 Platelet-rich plasma injections for acute musculoskeletal injuries: Do they work? Adam Weir, Qatar/The Netherlands
12.15-12.30 Panel: Review of cases and learning objectives
17
IOC ADVANCED TEAM PHYSICIAN COURSE
12.30-13.30 Lunch
13.30-15.00 Session 8
HAMSTRING INJURIES: OPTIMAL TREATMENT - MINIMIZING THE RISK OF RE-INJURY
Chairs: Michael KJAER, Denmark Mathew WILSON, Qatar
Speakers:
Rod Whiteley, Qatar Erik Witvrouw, Qatar Carl Askling, Sweden Johannes Tol, Qatar/The Netherlands Gino Kerkhoffs, The Netherlands Roald Bahr, Norway/Qatar
Learning objectives:
Participants will be able to:
• Understand the natural repair process of hamstring injuries
• Discuss the prognostic value of muscle injury classifi cation systems
• Describe an evidence-based rehabilitation program
• Discuss the concept of neuromuscular inhibition in hamstring re-injuries
Programme:
13.30-13.35 Introduction of two cases illustrating key issues
13.35-13.45 Small-group discussions
13.45-13.55 Are there evidence-based criteria to progress through a rehab program and safely return to sport? Rod Whiteley, Qatar
13.55-14.05 Hamstring re-injuries - where, why and how (to treat)? Erik Witvrouw, Qatar
14.05-14.15 Can we minimise the re-injury rate with lengthening exercises based rehab programs? Carl Askling, Sweden
14.15-14.25 Can we predict return to play and re-injury? Johannes Tol, The Netherlands/Qatar
14.25-14.35 To operate or not to operate complete hamstring avulsions Gino Kerkhoffs, The Netherlands
14.35-14.45 No strain with daily gain - how to prevent hamstring injuries Roald Bahr, Norway/Qatar
14.45-15.00 Panel: Review of cases and learning objectives
15.00 Departure for the Aspire Zone Visit
18
IOC ADVANCED TEAM PHYSICIAN COURSE
Thursday 7 May
09.00-10.30 Session 9
RETURN TO SPORT: HOW DO WE MAKE THE BEST MEDICAL DECISIONS?
Chairs: Per HOLMICH, Denmark/Qatar Stephen TARGETT, Qatar
Speakers:
Willem Meeuwisse, Canada Martin Schwellnus, South Africa John Orchard, Australia Håvard Moksnes, Norway Roald Bahr, Norway/Qatar
Learning objectives:
Participants will be able to:
• Design and implement a 3-step model for return-to-play that optimizes the medical decision making process
• Cite the non-medical factors that are part of decision making for return to play
Programme:
09.00-09.05 Introduction of two cases illustrating key issues
09.05-09.15 Small-group discussions
09.15-09.25 A decision-based model for return to play in sport Roald Bahr, Norway/Qatar
09.25-09.35 What is the best practice for medical decision making in return to play? Martin Schwellnus, South Africa
09.35-09.45 Can imaging help make return to play decisions? John Orchard, Australia
09.45 -10.00 How can functional testing help make return to play decisions? Håvard Moksnes, Norway
10.00-10.15 Consideration of risk modifi ers - involvement of the athlete, coach and team management in the return-to-play decision process Willem Meeuwisse, Canada
10.15-10.30 Panel: Panel discussion - Clearance for sports: Ethical dilemmas illustrated by cases
10.30-11.00 Coffee break
19
IOC ADVANCED TEAM PHYSICIAN COURSE
11.00 -12.30 Session 10
QUANTIFYING ‘RISK’ IN ATHLETES SUSPECTED OF HAVING CARDIAC DISEASE; DISQUALIFICATION OR FULL MEDICAL CLEARANCE?
Chairs: Martin SCHWELLNUS, South Africa Yorck Olaf SCHUMACHER, Qatar
Speakers:
Sanjay Sharma, UK Victoria Watt, Qatar Mathew Wilson, Qatar
Learning objectives:
Participants will be able to:
• Guide fellow clinicians to appropriate criteria for ECG interpretation within athletes
• Be aware of the various international risk stratifi cation guidelines for athletes suspected or diagnosed with a cardiovascular disease
• Confi dently plan and execute a club-based emergency preparedness program
Programme:
11.00-11.05 Introduction of two cases illustrating key issues
11.05-11.15 Small-group discussions
11.15-11.35 Which criteria to use when interpreting an athlete’s electrocardiogram? Sanjay Sharma, UK
11.35-11.55 Critical appraisal of current guidelines for management of athletes with established or suspected cardiovascular disease Victoria Watt, Qatar
11.55-12.15 Slipped through the net - planning for and managing the cardiac arrest on the fi eld of competition Mathew Wilson, Qatar
12.15-12.30 Panel: Review of cases and learning objectives
12.30-13.30 Lunch
20
IOC ADVANCED TEAM PHYSICIAN COURSE
13.30-15.00 Session 11
MANAGEMENT OF THE ELITE ATHLETE WITH PROBLEMATIC ANKLE INJURIES
Chairs: Lars ENGEBRETSEN, Norway/Qatar Juan Manuel ALONSO, Qatar
Speakers:
Gino Kerkhoffs, The Netherlands Rod Whiteley, Qatar Pieter d’Hooghe, Qatar Jón Karlsson, Sweden Gert Jan Goudswaard, Qatar
Learning objectives:
Participants will be able to:
• Describe the evidence-based sports recovery program for ankle lesions
• Know the preventative and management algorithm of ankle sprains
• Appreciate the Team Physician’s prevention strategies for sports ankle injuries
• Understand key clinical concepts related to ankle sprains, peroneal tendinopathy and stress fractures
Programme:
13.30-13.35 Introduction of two cases illustrating key issues
13.35-13.45 Small-group discussions
13.45-13.57 How to spot the problematic ankle sprain Gino Kerkhoffs, The Netherlands
13.57- 14.09 How can ankle sprains be prevented in elite sports? Rod Whiteley, Qatar
14.09-14.21 When and how can a tarsal/metatarsal stress fracture be cleared for sports? Pieter d’Hooghe, Qatar
14.21-14.33 Are the peroneals still the ugly duck in ankle tendinopathy? Jón Karlsson, Sweden
14.33-14.45 Sports recovery after ankle lesions - a team physician’s approach Gert Jan Goudswaard, Qatar
14.45-15.00 Panel: Review of cases and learning objectives
21
IOC ADVANCED TEAM PHYSICIAN COURSE
15.00-15.30 Coffee break
15.30-17.00 Session 12
WHEN BREATHING IS THE CHALLENGE – MANAGING THE ELITE ATHLETE WITH RESPIRATORY PROBLEMS
Chairs: Adam WEIR, Qatar Robbart Van LINSCHOTEN, Qatar
Speakers:
Martin Schwellnus, South Africa Paul Dijkstra, Qatar Yorck Olaf Schumacher, Qatar
Learning objectives:
Participants will be able to:
• Perform the basic clinical assessment in athletes with respiratory problems
• Know the clinical entity of “asthma” relating to Sports
• Recognize “vocal cord dysfunction”
• Know the different drugs used for the treatment of respiratory problems in athletes
Programme:
15.30-15.35 Introduction of two cases illustrating key issues
15.35-15.45 Small-group discussions
15.45-16.05 Assessment of respiratory problems in athletes - what does the team physician need to know? Martin Schwellnus, South Africa
16.05-16.25 Upper respiratory tract symptoms - diagnosis, causes and treatment Paul Dijkstra, Qatar
16.25-16.45 Lower respiratory tract symptoms - asthma or …? Yorck Olaf Schumacher, Qatar
16.45-17.00 Panel: Review of cases and learning objectives
17.00 End of the sessions and departure transfers to the Airport
22
IOC ADVANCED TEAM PHYSICIAN COURSE
SPEAKERS
Mohamed Ghaith AL KUWARI, MD Director General
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Juan Manuel ALONSO, MD PhD
Chair, IAAF Medical and Anti-doping Commission
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Carl ASKLING, PHD, PT
The Swedish School of Sport and Health Sciences and
the Section of Orthopaedics and Sports Medicine,
Department of Molecular Medicine and Surgery,
Karolinska Institutet, Stockholm, Sweden
Roald BAHR, MD PhD Professor
Oslo Sports Trauma Research Center & Norwegian Olympic
Training Center, Oslo, Norway & Aspetar Orthopaedic & Sports
Medicine Hospital, Doha, Qatar
Fredrik S. BENDIKSEN, MD
Norwegian Olympic Training Center, Oslo, Norway
Richard BUDGETT, MD Medical Director
Director in charge of the Medical & Scientifi c Dpt.
International Olympic Committee, Lausanne, Switzerland
Benjamin CLARSEN, PT MSc PhD Research Fellow
Oslo Sports Trauma Research Center & Norwegian Olympic
Training Center, Oslo, Norway
Pieter d’HOOGHE, MD Orthopedic Surgeon
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Paul DIJKSTRA, MBChB, FFSEM(UK)
Sports Medicine Physician and Assistant Chief of Sports Medicine,
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Lars ENGEBRETSEN, MD PhD
Professor & Head of Medicine & ScienceInternational Olympic Committee, Lausanne, Switzerland;
Oslo Sports Trauma Research Center, Oslo University Hospital &
Norwegian Olympic Training Center, Oslo, Norway
Gert Jan GOUDSWAARD, MDAspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Per HÖLMICH, MD Associate ProfessorArthroscopic Center Amager, Sports Orthopaedic
Reserch Center-Copenhagen,
Denmark & Sports Groin Pain Center, Aspetar Orthopaedic
and Sports Medicine Hospital, Doha, Qatar
Jon KARLSSON, MD, PhDProfessor of Orthopaedics and Sports Traumatology
Sahlgrenska Academy, Gothenburg University
Gothenburg, Sweden
Gino M.M.J. KERKHOFFS, MD PhDDepartment of Orthopedic Surgery, Orthopedic Research Center
Amsterdam, Academic Medical Center, Amsterdam,
The Netherlands
Karim KHAN, MD, PhD, MBA, ProfessorAspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
& University of British Columbia, Vancouver, Canada
Michael KJÆR, MD DMSci ProfessorInstitute of Sports Medicine, Bispebjerg Hospital
University of Copenhagen, Denmark
Michael MAKDISSI, MBBS PhDOlympic Park Sports Medicine Centre
Olympic Bvd, AAMI Park
Melbourne, Australia 30044
23
IOC ADVANCED TEAM PHYSICIAN COURSE
Willem MEEUWISSE, MD, PhDProfessor, UofC Sport Medicine Centre and Co-Chair,
Sport Injury Prevention Research Centre,
Faculty of Kinesiology
University of Calgary 2500 University Dr. NW
Calgary, Alberta T2N 1N4
Havard MOKSNES, PT MSc PhD
Sport Physical TherapistOslo Sports Trauma Research Center & Norwegian Olympic
Training Center, Oslo, Norway
John ORCHARD, MD PhD Associate ProfessorSchool of Public Health, University of Sydney
Julien PÉRIARD, PhDAspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Sebastien RACINAIS, PhDAspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Philip ROBINSON, MB ChB FRCR Honorary Clinical
Associate ProfessorLeeds Teaching Hospitals and University of Leeds, UK
Yorck Olaf SCHUMACHER, Prof. Dr. med.Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Martin SCHWELLNUS, MBBCh, MSc (Med), MD,
FACSM, FFIMSProfessor of Sport and Exercise Medicine
Clinical Sport and Exercise Medicine Research Group,
Department of Human Biology
Faculty of Health Sciences, University of Cape Town,
South Africa
Sanjay SHARMA, MD PhD Professor
Department of Cardiovascular Sciences
St George’s University of London
London, SW17 0RE, UK
Stephen TARGETT, Dr
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Johannes L. TOL, MD PhD
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Robbart Van LINSCHOTEN, MD, PhD
Sports Medicine Physician, Assistant Professor
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Victoria WATT, MD Cardiologist
Department of Sports Medicine
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Adam WEIR, MBBS, PhD, Assistant Professor
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Rod WHITELEY, PT PhD
Department of Rehabilitation
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Mathew WILSON, PhD Cardiovascular Physiologist
Department of Sports Medicine
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
Erik WITVROUW, Professor, Pt, PhD
Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar
SPEAKERS
24
IOC ADVANCED TEAM PHYSICIAN COURSE
Social Programme
Tuesday 5 May
Desert Camp (organised tour starting from 4 pm) hosted by
Monday 4 May - Arrival day
Welcome dinner in Al Sharq Hotel (course venue)
Wednesday 6 May
Aspire Zone visit organised by Aspetar, followed by a dinner at St-Regis
26
IOC ADVANCED TEAM PHYSICIAN COURSE
NOTES
CAPE TOWN, SOUTH AFRICA
16-19 NOVEMBER 2016
IOC
ADVANCED TEAM PHYSICIAN COURSE
IOC ADVANCED TEAM PHYSICIAN COURSE
74, boulevard d’Italie - MC - 98000 Monaco
Tel.: +377 97 97 35 55 - Fax: +377 97 97 35 50
www.publicreations.com
E-mail: [email protected]
Organising Partner
Pho
tos
: CIO
© /
Shu
tters
tock
©