what the ioc does to protect the health of the athlete€¦ · prevention and the improvement of...
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Professor Lars Engebretsen MD, PhD
Head of IOC Medical Research
What the IOC does to protect the health of the athlete
Cochair of the Oslo Sports Trauma Research Center
Past Chair and Professor of the OrthopedicDepartment at the University of Oslo
Past Chair and Consultant at the Norwegian Olympic Center
Head of three research groups in Cartilage, Kneeligaments and Injury Prevention
Head of Medical Scientific activities in the IOC
Past President of ESSKA
Editor of BJSM IPHP
Deputy Editor JBJS (Am)
Been in Sports Traumatology as a
clinician researcher since 1984
IOC Head of Scientific
Activities
Mission statement (start October 2007)
➢ Develop the IOC’s scientific activities in the field of sports sciences so as to position the IOC
as THE reference in sports medicine and sports science
➢ Increase the positioning of the IOC on the protection of athletes’ health by developing
research and analysis in the field of sports medicine
➢ Act as the interface between the scientific community on the one hand (scientific societies
etc.) and the sporting community on the other hand (NOCs, IFs, etc.)
Organisational Chart
4
IOC Medical and Scientific Commission
IOC Medical & ScientificDepartment
IF MedicalChairpersons
Group
Continental Group
GamesGroup
Medical & Scientific
Group
OCOG & YOGOC
Initiatives to protect the health of the atlethes
“Through these initiatives, the IOC will increasingly emphasise
protection of the athletes’ health and the prevention of injuries”
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➢ IOC Beijing, Vancouver, London, Sochi, Rio and PyeongChang injury and illness surveillance study
➢ 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 SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ IOC Olympic Games Sports Med Academy
➢ IOC Sport medicine research grants
Projects
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
Why is the IOC monitoring
the athletes´ health?
Aim
• To describe the risk of injury and illnesses occurring during Summer, Winter and Youth Olympic Games• Across sports, gender, age
• To compare data between Olympic Games
• To identify high risk/low risk sports and events • Can the sport (IOC/IF) learn from these experiences?
• Injury & illness data assist in prevention strategies
Welcome!PyeongChang 2018
IOC Medical Research Group
Lars Engebretsen
Torbjorn Soligard
Alexandre Lopes
Natalia Salmina
Marie-Elaine Grant
Deborah Palmer
Kathrin Steffen
• 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
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
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
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
BJSM publications:
XXX 09/07/2019 18
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
Implications
Development of preventive measures need
to be tailored for each sport
Incoming sports:
Skateboard
Surfing
Speed climbing
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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➢ IOC Beijing, Vancouver, London, Sochi, Rio and PyeongChang injury and illness surveillance study
➢ 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 SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ IOC Olympic Games Sports Med Academy
➢ IOC Sport medicine research grants
Projects
Background
2
2
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.
Prevention of injuries
and protection of
athlete health !
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 New Research Centers
from 2015 and 2018:
IOC is perfectly placed
26
➢ IOC Beijing, Vancouver, London, Sochi, Rio and PyeongChang injury and illness surveillance study
➢ 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 SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ IOC Olympic Games Sports Med Academy
➢ IOC Sport medicine research grants
Projects
In 2009, the IOC joined BJSM and
created special issues on Injury
Prevention and Health Protection
#40
British Journal
of Sports
Medicine –
Injury
Prevention &
Health
Protection
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8
2009 2010 2011 2012 2013 2014 2015
BJSM´s IF in 2018 = 11.6
#1 sports med journals
BJSM IPHP papers cite as
high as BJSM papers
33
➢ IOC Beijing, Vancouver, London, Sochi, Rio and PyeongChang injury and illness surveillance study
➢ 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 SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ IOC Olympic Games Sports Med Academy
➢ IOC Sport medicine research grants
Projects
82 workshops
318 abstracts
IOC World Congress in Injury and Illness Prevention in Sport, March 12-14 2020:
Call for Keynote Speakers and Symposia November 2018
#IOCprev2020
CALL FOR PROPOSALS IS NOW OPEN
Submit your proposal on the website:
www.ioc-preventionconference.org
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
2020: Budapest, Hungary
2021: Hong Kong
IOC Advanced Team Physician Courses
39
➢ IOC Beijing, Vancouver, London, Sochi, Rio and PyeongChang injury and illness surveillance study
➢ 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 SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ IOC Olympic Games Sports Med Academy
➢ IOC Sport medicine research grants
Projects
40
41
➢ IOC Beijing, Vancouver, London, Sochi, Rio and PyeongChang injury and illness surveillance study
➢ 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 SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ IOC Olympic Games Sports Med Academy
➢ IOC Sport medicine research grants
Projects
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
• Methodology in surveillance 2019
• Respiratory issues in elite athletes 2020
International Federations Medical Commission Chairpersons Meeting – Athlete mental health | Lausanne, 7th December 2018
Athlete mental health
Update from the IOC Consensus Group
International Federations Medical Commission Chairpersons Meeting – Athlete mental health | Lausanne, 7th December 2018
45
➢ IOC Beijing, Vancouver, London, Sochi, Rio and PyeongChang injury and illness surveillance study
➢ 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 SHA and Body composition group
➢ IOC Advanced Sports Medicine Diploma
➢ IOC Olympic Games Sports Med Academy
➢ IOC Sport medicine research grants
Projects
Register your interest now
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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!
Mission: Protecting the
health of the athlete