What the IOC does to protect the health of the athlete€¦ · prevention and the improvement of physical health of the athlete by : Establishing long-term research programmes on

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”

6

➢ 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



Vancouver 2010 Sochi 2014 PyeongChang 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


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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Projects

Background

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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

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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

0

1

2

3

4

5

6

7

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

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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

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Projects

40

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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

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Projects

Register your interest now

www.sportsoracle.com

IOC Certificate in

Drugs in Sport

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

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

Documents

What the IOC does to protect the health of the athlete€¦ · prevention and the improvement of physical health of the athlete by : Establishing long-term research programmes on