international paralympic committee optimizing tue ... · 2015/2016 statistics # substances /...
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InternationalParalympic Committee
Optimizing TUE ManagementInternational Paralympic CommitteePeter Van de Vliet
Medical & Scientific Director
International Paralympic Committee
2015/2016 statistics
103
1997
7
0
50
100
150
200
250
2015 2016
Approved Rejected
Major Event Organizer
International Federation (10 Sports)
2015/2016 statistics
# substances / application : 1.20
Rejection rate: 6% (2015) – 3% (2016)
TUE prevalence in Para Sports?
155 applications Rio Paralympic Games TUE / 4328 athletes => 3.58%
2016 statistics (MEO + IF)
0
10
20
30
40
50
60
Approved
0
10
20
30
40
50
60
Not Recognized / Rejected
2016 statistics (MEO + IF)
0
5
10
15
20
25
30
35
40
Athletics Swimming Shooting Cycling Sitting Volley WheelchairBasketball
Approved Rejected
TUE Management
IPC Anti-Doping Code – Preamble
“The IPC Medical Committee is responsible to assess or review each TUE application submitted in accordance with the Code and to administer the requirements of article 4.4 of the Code”
Rehabilitation Experts
Sports Medicine Specialists
Long-term engagement with Para athletes through National Paralympic Committees
-> 4 year term, volunteer engagement
TUE Management
Lists International Level Athlete
Automatic Recognition Criteria
Exceptions
– Certain substances / methods,
e.g. anabolic agents, hormones, cannabinoids, meldonium, M1-3, Beta-blockers (shooting)
– Certain IF / NADO
paralympic.org/the-ipc/anti-doping/tue
Challenges
Para-Athletes are Athletes
However,
– Access to Sport Medicine Specialists vs. Family/General Practitioners?
– Access to Education and Awareness vs. priorities NADOs/world wide reach IFs?
– Access to resources through National Paralympic Committees?
Operational Factors
– Language
– Quality of applications
– Use of ADAMS
Challenges
Pain Management
Pain syndromes are common - Multiple classes of medications (prohibited/non-prohibited)
Complex and multimodal individualized treatment
WADA TUE Guidelines make it difficult to obtain a TUE for side effects of opioid use (need to establish organic etiology)
Medical Marijuana (Cannabinoids)
Regularly prescribed in countries with legalized status for pain management
Travelling problems! (importation – possession)
-> oral alternatives instead of inhaled or vaporized forms
Challenges
Testosterone
Hypogonadism ~ radiation exposure (cancer treatment)
Movement Disorders – treatment with Botolinum Toxin, Dopamine, Baclofen
-> impact on quality of life >>> performance enhancement capacity
Moving Forward
Need for diversified research towards Para athletes
Education
TUE Committee expertise
s
WADA TUEC expanded with Para athlete expertise in consultation with the IPC
Thank you
Photos ©: Lieven Coudenys, Getty Images, Marcus Hartmann, IPC, Rob Prezioso