Handbook of Sports Medicine and Science, Sports Therapy (eBook)

Handbook of Sports Medicine and Science : Sports Therapy Services Organization and Operations 3
Contents 7
List of Contributors 8
Foreword 10
Preface 11
Chapter 1 Sports therapy—Who? What? When? Where? Why? and How? 13
Introduction 13
What is sports therapy? 13
Who practices sports therapy 14
What makes a good sports therapist (characteristics and commitment of a sports therapist)? 17
When and where is the sports therapist needed? 18
Why is sports therapy important? 18
How does one become a sports therapist? 19
Summary 20
References 20
Chapter 2 A history of sports medicine and sports therapy 21
Introduction 21
Defining “sports medicine” and “sports therapy” 21
Where and when did sports medicine and sports therapy begin? 22
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 31
Introduction 31
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 37
Introduction 37
Planning for the games 37
Understanding the therapy needs 38
Getting the right people 39
Having the right tools to do the job 42
Communication is key 45
Let the games begin 46
The finishing touches 46
“Getting the team to gel” 47
Welcoming the world to our facility 49
Following the games 51
References 52
Chapter 5 Pre-Olympic team travel: logistical and treatment considerations 53
Introduction 53
Pre-event training camp 53
Preparation for the training camp 56
Traveling to the training site/Olympic Games 57
Providing therapy services while traveling with a team 58
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) 58
How/who to seek information from regarding referrals, logistics, and supplies if traveling internationally with a team 59
Reference 59
Chapter 6 Olympic event: logistical and treatment considerations 60
Background and typical role definition within an Olympic Games environment 60
Planning—prior to departure 61
Service prioritization for recruitment 61
Coordinating services with sports-specific physiotherapy staff 63
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 68
Communication between team medical professionals and host country and team officials 69
Prioritizing service provision 69
Logistics 70
Precompetition period following official opening 71
During competition period 71
Managing service provision on a day-to-day basis 71
Venue coverage 72
NOC clinic cover for recovery/injury management 72
Venues coverage and manning NOC clinic in the village 73
Liaising with sports-specific physiotherapists for when they need help 73
Covering venues where there is no sports-specific cover 73
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 80
Introduction 80
Developing a sports medicine communication strategy 80
Collaborative communication 83
Athlete communications 84
Steps for the successful patient communication process 85
Coach communications 86
Games communications 86
Games communication strategy 87
Primary communication 87
Secondary communication 88
Sports medicine team communications 88
Public relations strategy 89
Crisis communication skills 90
References 90
Chapter 8 Considerations for working with professional athletes versus nonprofessional amateur athletes during Olympic events 91
Introduction 91
Working with athletes 92
Clinical reasoning for injury prevention and rehabilitation of athletes 92
The sport context: professionals versus amateurs 93
Working with professional athletes 94
Working with amateur athletes 95
Examples of the Brazilian sports therapist’s role in football (soccer) and volleyball 97
Official versus private therapist working with Olympic athletes 100
References 101
Chapter 9 To compete or not to compete following injury during Olympic events 103
Introduction 103
Understanding aspects in the clinical decision-making process 104
What is clinical reasoning? 104
Why is good clinical reasoning so important? 105
The role of the sports physiotherapist in relationship to physicians and other medical staff 105
The process of making a return to sport decision 107
Impact of decision on team performance or an individual athlete’s career 109
Preparation can improve clinical decision making 110
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 115
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 129
Index 135