Development of Long Term Athlete Development Program
#3 Maximizing Performance
Scientifically based training guidelines
InsAquatic Sports Medicine
Performance
Prevention
Protection
#1 Pre‐Season Evaluations
Medical examination
Strength
Flexibility
Nutritional analysis
Balanced program planning
Psychological review
Prevention
RegionUp.
limbsLow.
Limbs Trunk AndroïdGynoï
d TotalTissue (%Fat) 18.40% 18.70% 13.50% 14.30% 24.10% 16.40%
Region (%Fat) 17.60% 17.90% 13.10% 14.00% 23.50% 15.70%Tissue 5'138 g 17'463 g 20'978 g 2'922 g 7'944 g 46'732 g
Fat 945 g 3'264 g 2'822 g 417 g 1'914 g 7'685 gLean 4'193 g 14'198 g 18'156 g 2'505 g 6'030 g 39'047 gBMC 234 g 822 g 566 g 43 g 215 g 2'089 gTotal 5.4 kg 18.3 kg 21.5 kg 3.0 kg 8.2 kg 48.8 kg
RMR (Resting Metabolic Rate)1,290 cal/day
# 2 Sport Science
Integration of sportscience research into practice
Injury Prevention
Collaborate with coaches to decrease recurrence through correction of stroke biomechanics
Integration of Sport Science
#3 Institution of Injury Prevention Programs
To minimize time‐loss from training & competition
Shoulder over‐use injuries
25% aquatic athletes86% breast strokers
Swimmer’sKnee
Lumbar Injuries
Travel Medicine
# 4 Illness Prevention
#5 Monitoring: Surveillance Programs
overtraining
eating disorders
physical injuries
female athlete triad
concussion
Prevention
#6 Return to Play Guidelines
Evidence based safe, efficient RTP guidelines
Prevention of Secondary Injuries
Foster teamwork
• Picture of team in Rome
#7 Injury Prevention through Supporting Research
Prevention
Injury Surveillance Injury Prevention
1) Establishing the extent of the sport
injury
2) Establishing the cause of the injury
3) Introducing preventive measures
4) Assess the effectiveness of the
prevention interventions (Step #1)
Example:
2004 Athens Water Polo Injury Incidence
Injury Breakdown
head (56%)
upper extremity(28%)
trunk (11%)
lower extremity (6%)
Results from Research
Head injuries educational program
FINA Injury & Illness Prevention Study
ACUTE INJURY RESULTS171 acute injuries
6.6% of registered athletes
7.2/1000 in competition
0.8% time loss injury
1.1/1000 in competition
50% training / competition
Upper extremity34.5%
#1 shoulder
Lower Extremity26.9%
Trunk22.2%
Head / Neck10.5%
INJURY LOCATION
Overuse: 37.5%
Non‐contact trauma: 15.3%
Contact with athlete 14.7%
INJURY MECHANISM
Prevention Programs
Shoulder preventionTraining program
Chronic injury Prevention education
InsAquatic Sports Medicine
Performance
Prevention
Protection
#1 Anti‐Doping Educational Program
Protection
Protect the health of the athlete
Protect the integrity of sport
Protect the National Federation
#2 Sexual Harassment
andAbuse in Sport
Protection
Prevention policies & procedures
for athlete protection
#3 Protection:
FINA Medical Code of Ethics
Protect athletes from unethical treatment
Prevent organizationsfrom mis‐treating athletes
Enhancing Performance: Role of Sports Medicine in National Federations
Performance
Prevention
Protection
Thank you for your attention!
Dr. Margo Mountjoy FINA Bureau: Sports Medicine Liaison