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IOC ADVANCED TEAM PHYSICIAN COURSE ORGANISED BY WITH THE SUPPORT OF 7 TH EDITION DOHA, QATAR 5 -7 MAY 2015

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Page 1: 7 EDITION DOHA, QATAR 5 -7 MAY 2015...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

IOCADVANCED TEAM PHYSICIAN COURSE

ORGANISED BY WITH THE SUPPORT OF

7TH EDITIONDOHA, QATAR5 -7 MAY 2015

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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

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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

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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

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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.

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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]

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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IOC ADVANCED TEAM PHYSICIAN COURSE

NOTES

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CAPE TOWN, SOUTH AFRICA

16-19 NOVEMBER 2016

IOC

ADVANCED TEAM PHYSICIAN COURSE

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IOC ADVANCED TEAM PHYSICIAN COURSE

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