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Handbook of Sports Medicine and Science : Sports Therapy Services Organization and Operations
3
Contents
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List of Contributors
8
Foreword
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Preface
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Chapter 1 Sports therapy—Who? What? When? Where? Why? and How?
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Introduction
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What is sports therapy?
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Who practices sports therapy
14
What makes a good sports therapist (characteristics and commitment of a sports therapist)?
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When and where is the sports therapist needed?
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Why is sports therapy important?
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How does one become a sports therapist?
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Summary
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References
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Chapter 2 A history of sports medicine and sports therapy
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Introduction
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Defining “sports medicine” and “sports therapy”
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Where and when did sports medicine and sports therapy begin?
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Ancient times
23
Modern times—organizational development
26
Summary
29
Recommended readings
29
Chapter 3 The role and importance of the sports therapist: pre-event, event, and post-event
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Introduction
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The athlete’s perspective
31
Chief medical officer’s (CMO) perspective
32
Forming a medical team
32
The Olympic Village
33
The physician’s perspective
33
Preparation of equipment
34
Health screening
34
The athlete’s confidence in the physician
34
The Olympic therapist’s perspective
35
Preparations before the Olympic Games
35
Equipment
36
24-hour service during the Olympic Games
36
Traveling with teams—Is the therapist just “a therapist”?
36
Other roles of the therapists
36
Chapter 4 Hosting international Olympic events: providing host therapy services at major games
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Introduction
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Planning for the games
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Understanding the therapy needs
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Getting the right people
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Having the right tools to do the job
42
Communication is key
45
Let the games begin
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The finishing touches
46
“Getting the team to gel”
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Welcoming the world to our facility
49
Following the games
51
References
52
Chapter 5 Pre-Olympic team travel: logistical and treatment considerations
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Introduction
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Pre-event training camp
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Preparation for the training camp
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Traveling to the training site/Olympic Games
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Providing therapy services while traveling with a team
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Working with other health professionals “at a distance” or in different jurisdictions (e.g., traveling with a team when the therapist is the only support)
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How/who to seek information from regarding referrals, logistics, and supplies if traveling internationally with a team
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Reference
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Chapter 6 Olympic event: logistical and treatment considerations
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Background and typical role definition within an Olympic Games environment
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Planning—prior to departure
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Service prioritization for recruitment
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Coordinating services with sports-specific physiotherapy staff
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Managing expectations based on accreditation and access limitations
63
Travel
64
Planning amount, type, and freight of equipment
64
Information gathering visit
66
Communication
66
Planning—on arrival
67
Unpacking, stock check, and clinic setup
67
Volunteer domestic services provision
67
Check each venue and meet emergency personnel
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Communication between team medical professionals and host country and team officials
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Prioritizing service provision
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Logistics
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Precompetition period following official opening
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During competition period
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Managing service provision on a day-to-day basis
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Venue coverage
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NOC clinic cover for recovery/injury management
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Venues coverage and manning NOC clinic in the village
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Liaising with sports-specific physiotherapists for when they need help
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Covering venues where there is no sports-specific cover
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Responding to changing circumstances
73
Concluding stages
74
Packing up
74
Staff appraisal
75
Debrief report
75
Suggested reading
79
Chapter 7 The importance of communication: understanding the importance of the event to the athlete, coach, and others
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Introduction
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Developing a sports medicine communication strategy
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Collaborative communication
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Athlete communications
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Steps for the successful patient communication process
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Coach communications
86
Games communications
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Games communication strategy
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Primary communication
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Secondary communication
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Sports medicine team communications
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Public relations strategy
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Crisis communication skills
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References
90
Chapter 8 Considerations for working with professional athletes versus nonprofessional amateur athletes during Olympic events
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Introduction
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Working with athletes
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Clinical reasoning for injury prevention and rehabilitation of athletes
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The sport context: professionals versus amateurs
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Working with professional athletes
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Working with amateur athletes
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Examples of the Brazilian sports therapist’s role in football (soccer) and volleyball
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Official versus private therapist working with Olympic athletes
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References
101
Chapter 9 To compete or not to compete following injury during Olympic events
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Introduction
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Understanding aspects in the clinical decision-making process
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What is clinical reasoning?
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Why is good clinical reasoning so important?
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The role of the sports physiotherapist in relationship to physicians and other medical staff
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The process of making a return to sport decision
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Impact of decision on team performance or an individual athlete’s career
109
Preparation can improve clinical decision making
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Impact of the short time available to work within injury constraints and rehabilitation processes at an Olympic Game
110
Communication of decisions with athlete, coach, team officials
111
Conflict of interest
112
Press and media scrutiny
112
Key concerns of the sports therapist at major events/competitions
112
The athletes’ follow-up
113
References
114
Chapter 10 Sports nutrition and therapy
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Introduction
115
Repair and regeneration of injured tissues
115
Nutritional strategies to protect muscle protein balance
116
Nutrients with anti-inflammatory properties
120
Bone and connective tissue
121
Adjusting energy and nutrient intake to altering requirements
122
Communication between nutritionist/dietician and sports therapy team
125
Reference
127
Further readings
127
Appendix: Olympic sports medicine contacts
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Index
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