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Prof. Lars Engebretsen, Head of Scientific Activities
The work to protect the health of Olympic athletes
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Organisational Chart
12/
10/
2
IOC Medical and Scientific Commission
IOC Medical & ScientificDepartment
IF MedicalChairpersons
Group
Continental Group
GamesGroup
Medical & Scientific
Group
OCOG & YOGOC
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3
➢ IOC Research Centres
➢ IOC Journal Injury Prevention and Health Protection
➢ IOC Injury Prevention Conference
➢ IOC Advanced Team Physician Courses
➢ IOC Sports Med Publications
➢ IOC Consensus conference
➢ IOC IF meeting yearly – IOC/IF joint meeting on injury prevention
➢ IOC Periodic Health Exam (PHE) + EHR
➢ IOC Sports Med Courses (Olympic Solidarity)
➢ IOC Vancouver, London and Sochi injury and disease surveillance and prevention study
➢ IOC SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ IOC Olympic Games Sports Med Academy
Projects
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Background
4
By supporting selected research centres, the IOC will promote injury and disease prevention and the improvement of physical health of the athlete by :
Establishing long-term research programmes on injury and disease prevention (including studies on basic epidemiology, risk factors, injury mechanisms and intervention).
Consequences of sports injuries andsports-related illnesses
Pathophysiology, risk factors and injury mechanisms
Methods for sports injury and disease prevention
Fostering collaborative relationships with individuals,institutions and organisations to improve athletes’ health
Implementing (and collaborating with) applied, ongoing and novel research and development within the framework and long-term strategy of the IOC
Setting up knowledge translation mechanisms to share scientific research results with the field throughout the Olympic Movement and sports community and to convert these results into concrete actions to protect the health of the athletes.
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Australian Centre for Research into Injury in Sport and its Prevention, Federation University Australia, Australia
Sport Injury Prevention Research Centre, University of Calgary, Canada
Institute of Sports Medicine, Copenhagen University Hospital, Denmark
Yonsei University, Republic of Korea (South-Korea)
Amsterdam Collaboration on Health & Safety in Sports, VU University and Academic Medical Center, Netherlands
Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Norway
Clinical Sport and Exercise Medicine Research Group, University of Pretoria, South Africa
London’s Institute for Sports, Exercise and Health (ISEH) and National Centre for Sports Exercise and Medicine (NCSEM), United Kingdom
Aspetar Research & Education Department, Orthopaedic and Sports Medicine Hospital, Qatar
US Coalition for the Prevention of ILLNESS AND INJURY in Sports (US Olympic Center, University of Utah, Steadman-Philippon Clinic in Vail)
IOC Research Centers from
2015 through 2018:
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IOC is perfectly placed
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9
➢ IOC Research Centres
➢ IOC Journal Injury Prevention and Health Protection
➢ IOC Injury Prevention Conference
➢ IOC Advanced Team Physician Courses
➢ IOC Sports Med Publications
➢ IOC Consensus conference
➢ IOC IF meeting
➢ IOC Periodic Health Exam (PHE) + EHR
➢ IOC Sports Med Courses (Olympic Solidarity)
➢ IOC Vancouver, London and Sochi injury and disease surveillance and prevention study
➢ IOC SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
Projects
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In 2009, the IOC joined BJSM and
created special issues on Injury
Prevention and Health Protection
“Through these initiatives, the IOC will increasingly emphasise
protection of the athletes’ health and the prevention of injuries”
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#40
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British
Journal of
Sports
Medicine –
Injury
Prevention
& Health
Protection
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BJSM´s IF in 2018 = 7.9
#1 sports med journals
BJSM IPHP papers cite as
high as BJSM papers
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15
➢ IOC Research Centres
➢ IOC Journal Injury Prevention and Health Protection
➢ IOC Injury Prevention Conference
➢ IOC Advanced Team Physician Courses
➢ IOC Sports Med Publications
➢ IOC Consensus conference
➢ IOC IF meeting
➢ IOC Periodic Health Exam (PHE) + EHR
➢ IOC Sports Med Courses (Olympic Solidarity)
➢ IOC Vancouver and London injury and disease surveillance and prevention study
➢ IOC SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
Projects
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2008: Svinøya, Norway
2009: Stanford, USA
2011: Calvi, Corsica
2012: Soria Moria, Norway
2013: Saltsjøbaden, Sweden
2014: Mandelieu, France
2015: Doha, Qatar
2016: Stellenbosch, South Africa
2017: Antalya, Turkey
2018: Marakesh, Marocco
2019: Tokyo, Japan
IOC Advanced Team Physician
Courses
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IOC World Congress in Injury and Illness Prevention in Sport, March 12-14 2020:
Call for Keynote Speakers and Symposia November 2018
82 workshops
318 abstracts
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19
➢ IOC Research Centres
➢ IOC Journal Injury Prevention and Health Protection
➢ IOC Injury Prevention Conference
➢ IOC Advanced Team Physician Courses
➢ IOC Sports Med Publications
➢ IOC Consensus conference
➢ IOC IF meeting
➢ IOC Periodic Health Exam (PHE) + EHR
➢ IOC Sports Med Courses (Olympic Solidarity)
➢ IOC Vancouver and London injury and disease surveillance and prevention study
➢ IOC SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
Projects
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20
All book will be in the e-books format
and all previous issues will be
available on the net
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22
➢ IOC Research Centres
➢ IOC Journal Injury Prevention and Health Protection
➢ IOC Injury Prevention Conference
➢ IOC Advanced Team Physician Courses
➢ IOC Sports Med Publications
➢ IOC Consensus conferences
➢ IOC IF meeting
➢ IOC Periodic Health Exam (PHE) + EHR
➢ IOC Sports Med Courses (Olympic Solidarity)
➢ IOC Vancouver and London injury and disease surveillance and prevention study
➢ IOC SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
Projects
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IOC Consensus Meetings
• Sports Nutrition (2003)
• Sex Reassignment in Sports (2003)
• Sudden Cardiovascular Death in Sports (2004)
• Training the Elite Child Athlete (2005)
• Female Athlete Triad (2005)
• Sexual Harassment & Abuse in Sport (2006)
• Molecular Basis of Connective Tissue and Muscle
Injuries in Sport (2007)
• Non-contact ACL Injury in the Female Athlete (2008)
• Concussion in Sport (2008)
• Asthma in Elite Athletes (2008)
• Fasting in Sports (2009)
• Periodic Health Evaluation of Elite Athletes (2009)
• Age Determination in High-Level Young Athletes
(2009)
• Sports Nutrition (2010
• Hyperandrogenism and Sport (2010 ,2013, 2016)
• The Use of Platelet-Rich Plasma in Sports Medicine
(2010)
• Fitness and Health in Young People through Physical
Activity and Sport (2011)
• Thermoregulatory and altitude challenges in the high-
level athlete (2011)
• Body Composition, Health and Performance in Sport
(2012)
• NCDs and prevention 2013
• Triad update 2013
Youth Athlete Development Nov 2014
• Health consequences of a saturated sports calendar
2015-16
• Pregnancy and the elite athlete 2015-16
• Pain and medications in sports 2016
• Concussion 2016
• Nutritional suplements 2017
• Knee injuries in children 2017
• Mental health in elite athletes 2018
• Sports injury epidemiology methods 2019
• Concussion 2020
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The IOC ACL in children
consensus group 2017
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Pediatric ACL
injuries
- Setting the stageIOC Consensus meeting
Lausanne 2017
Guri Ekås (MD)
Clare Ardern (PT/PhD)
Hege Grindem (PT/PhD)
Prof. Lars Engebretsen (MD/PhD)
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27
➢ IOC Research Centres
➢ IOC Journal Injury Prevention and Health Protection
➢ IOC Injury Prevention Conference
➢ IOC Advanced Team Physician Courses
➢ IOC Sports Med Publications
➢ IOC Consensus conference
➢ IOC IF meeting
➢ IOC Periodic Health Exam (PHE) + EHR
➢ IOC Sports Med Courses (Olympic Solidarity)
➢ IOC Beijing, Vancouver, London, Sochi, Rio and Pyeongchang injury and ilness surveillance study
➢ IOC SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
Projects
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Surveillance:
IOC Injury & illnesses surveillance during Olympic
Summer and Winter Games:
2008 Beijing
2010 Vancouver
2012 London
2014 Sochi
2016 Rio
2018 Pyongchang
During Youth Olympic Winter Games
2012 Innsbruck
2016 Lillehammer
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• New or recurring musculoskeletal complaints or concussions (injuries) or
illnesses
• Occurring in the period of the Olympic Games
• Medical attention, regardless of the consequences with respect to absence
from competition or training
Definition of injury and illness
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IOC Medical Research Group
Lars Engebretsen
Torbjorn Soligard
Alexandre Lopes
Natalia Salmina
Marie-Elaine Grant
Deborah Palmer
Kathrin Steffen
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• 3340 athletes (40%females)
• 15 sports – athletes distributed to
– 18% Hockey
– 11% Alpine
– 10% Cross country skiing
– 9 % Freestyle skiing
– 8% Snowboard
– …….
Pyeongchang 2016 Injury & Illness Surveillance
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• NOC medical staff through EMR
• 90-95% yet (better than in previous Games at this time)
– 56 countries with ≥4 athletes included (equals 94% of all athletes)
• Clinic/venue EMRs
– We want to daily export data from the EMR – system and cross-
checked data entries for duplicates with the NOC encounters
2 sources to collect surveillance data from
XXX10/12/201
832
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Injured athletes (%) per sport (all)
Vancouver 2010, Sochi 2014 & PyeongChang 2018
Snowboard
cross
Ski c
ross
Snowboard
slopes
tyle
Ski h
alfpipe
Snowboard
big air
Alpine skii
ng
Ski s
lopestyl
e
Snowboard
halfpipe
Luge
Moguls
Short
track
Ice hock
ey
Spee
d skati
ng
Aerials
Bobsleigh
Figure
skatin
g
Curling
Skele
ton
Ski ju
mping
Cross-
country
skiin
g
Snowboard
slalo
m
Biathlon
Nordic
com
bined
Inju
red a
thle
tes
(%)
0%
10%
20%
30%
40%
50%
60%
0%
10%
20%
30%
40%
50%
60%
All=>1 day>7 days
All=>1 day>7 days
All=>1day>7 days
Vancouver 2010 Sochi 2014 PyeongChang 2018
For internal use until scientific report published fall 2018
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Ill athletes (%) per sport (all)
Vancouver 2010, Sochi 2014 & PyeongChang 2018
Biathlon
Curling
Bobsleigh
Snowboard
slalo
m
Short
track
Ski h
alfpipe
Cross-
country
skiin
g
Ski s
lopestyl
eLu
ge
Nordic
com
bined
Alpine skii
ng
Spee
d skati
ng
Snowboard
big air
Skele
ton
Snowboard
halfpipe
Snowboard
cross
Ski ju
mping
Figure
skatin
g
Snowboard
slopes
tyle
Aerials
Ice hock
ey
Moguls
Ski c
ross
Ill a
thle
tes
(%)
0%
10%
20%
30%
0%
10%
20%
30%
All illnesses=>1 day
All illnesses=>1 day
All illnesses=>1 day
Vancouver 2010 Sochi 2014 PyeongChang 2018
For internal use until scientific report published fall 2018
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Injuries and illnesses in 6 consecutive Olympic
Games
Beijing 2008 Vancouver 2010 London 2012 Sochi 2014 Rio 2016 PyeongChang 2018
Injured/ill
athletes (%)
4%
6%
8%
10%
12%
14%
16%
4%
6%
8%
10%
12%
14%
16%
Injured
Ill
9.6
11.2
12.9
14.0
9.8
12.6
7.2 7.2
8.9
5.4
9.4
For internal use until scientific report published fall 2018
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Take-home message
10-14% of athletes injured and 7-9% ill during
Games
Injuries and illnesses vary substantially
between sports, winter/summer, and gender
Respiratory track infections are the most
common illness
Little valid knowledge on burden of overuse
injury risk
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Implications
Development of preventive measures need
to be tailored for each sport
Continued focus among sport bodies/IFs to
institute and further develop injury and
illness surveillance systems
Not just during the Game, but also up to the
Games
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38
➢ IOC Research Centres
➢ IOC Journal Injury Prevention and Health Protection
➢ IOC Injury Prevention Conference
➢ IOC Advanced Team Physician Courses
➢ IOC Sports Med Publications
➢ IOC Consensus conference
➢ IOC IF meeting
➢ IOC Periodic Health Exam (PHE) + EHR
➢ IOC Sports Med Courses (Olympic Solidarity)
➢ IOC Vancouver, Beijing and London injury and disease surveillance and prevention study
➢ IOC SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ NEW!!!!! IOC Get set ap
➢ NEW!!!!! IOC program of postgraduate study in Sports Physical Therapy
Projects
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40
➢ IOC Research Centres
➢ IOC Journal Injury Prevention and Health Protection
➢ IOC Injury Prevention Conference
➢ IOC Advanced Team Physician Courses
➢ IOC Sports Med Publications
➢ IOC Consensus conference
➢ IOC IF meeting
➢ IOC Periodic Health Exam (PHE) + EHR
➢ IOC Sports Med Courses (Olympic Solidarity)
➢ IOC Vancouver, Beijing and London injury and disease surveillance and prevention study
➢ IOC SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ IOC Diploma program of postgraduate study in Sports Physical Therapy
➢ NEW!!!!! IOC Sports Medicine Research Fund
Projects
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IOC Certificate in
Drugs in Sport
NEW – Started in 2018
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24 Lectures
6 Month Program
Topics include
Pharmacology in sports medicine
Providing healthcare within anti-doping regulations and procedures
Clinical use of medications and supplements
Doping prevention strategies for healthcare providers
Healthcare providers at major sporting events
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Mission: Protecting the
health of the athlete
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Although acute sports injuries
are a significant concern
—for the injured athlete, for sports
organizations, and society, we have ways
to prevent them!
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Heard about the appGet Set – Train Smarter?
- A free app on injury prevention training
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Exercise programs
for 51 Olympic
summer + winter
sports
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6 body parts
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Shoulder instability
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Nordic Hamstrings
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Abdomen-spine stability
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Challenging knee flexion
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Download today!
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#IOCprev2020
CALL FOR PROPOSALS IS NOW OPEN
Submit your proposal on the website:
www.ioc-preventionconference.org