4th ioc advanced team physician course oslo, norway · pdf fileioc atpc 2012 program 3 uems...

4th IOC Advanced Team Physician CourseOslo, Norway • May 30–June 1, 2012

Organized by the Oslo Sports Trauma Research Center and Olympiatoppen, the Norwegian Olympic Training Center

WELCOME

The Organising Committee for 2012 IOC Advanced Team Physician Course (ATPC) is very pleased to welcome our experienced faculty and delegates to the 4th Course in Soria Moria, Oslo.

This is the second time we have hosted this event in Norway. The first Advanced TeamPhysician Course took place in Svolvær in 2008, organised by the Oslo Sports TraumaResearch Centre. Last year’s IOC ATPC, held in Calvi, Corsica, was a great success andgave us the inspiration to continue developing the ATPC concept for it to become evenmore valuable for experienced team physicians and a select group of physical therapists.

This year, we have sharpened the programme with pre-prepared cases to be presentedand discussed. The aim is to foster good discussions and interaction among allparticipants.

We will have some time for informal social interaction, and we hope that each one of youwill take the opportunity to build a true international network with experienced colleagues.There are many situations in which the benefit of consulting a colleague with perspectivesand practical experiences other than your own could be very valuable. Do take advantageof this opportunity during the IOC ATPC.

A warm welcome to Soria Moria, Oslo.

Fredrik S. Bendiksen, MDChairman - Organizing Committee

Roald Bahr, MD,PhDChairman - Program Committee

Fredrik S.Bendiksen, MD

Roald Bahr,MD, PhD

IOC ATPC 2012 PROGRAM � 3

UEMS

European accreditation for the

4th IOC Advanced Team Physician Course(Oslo, Norway, 30.05.-1.06.2012)Event code: 7499

has been granted with 15 European CME credits (ECMEC) by the Eu-ropean Accreditation Council for Continuing Medical Education(EACCME).

4 � IOC ATPC 2012 PROGRAM

Program-at-a-glanceTUESDAY MAY 29th WEDNESDAY MAY 30th

08.00

08.30 Welcome

09.00 Session 1: Working as a team physician – challenges & strategies

09.45

10.00 Arrival & Registration

10.15

10.30 Coffee break

11.00 Session 2: Working as a team physician – pearls and pitfalls

11.45

12.00

12.30 LUNCH

13.00

13.30 Session 3: Managing concussions in a team setting

14.30

15.00 Coffee break

15.30 Session 4: The groin/hip enigma in sports

17.00 Session 5: Managing the overhead throwing athlete

19.00 DINNER (Soria Moria hotel & Holmenkollen ski jump)

20.00 WELCOME DINNER Soria Moria hotel

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This will be a team physician course geared towards the practical issues of work-ing with high-level athletes in a team sports setting! We will learn from the best!We will address controversial topics where agreement may not exist and newevidence on diagnosis and treatment. We will challenge existing dogma. Uponarrival in Oslo, participants will receive cases illustrating specific scenarios, whichwe will address through small-group discussions, plenary lectures and panel discussions.

Course vision


THURSDAY MAY 31st FRIDAY JUNE 1st

Session 10: Pharmacological treatment 08.00of common sports injuries

Session 6: The underperforming athlete: 08.30causes and management

09.00

Coffee break 09.45

Coffee break 10.00

Session 11: The hamstring problem in sports 10.15

Session 7: Managing the overhead 10.30throwing athlete: elbow

11.00

Coffee break 11.45

LUNCH Session 12: Return to sport: 12.00How do we make the best medical decisions?

12.30

Session 8: Protecting health and preventing 13.00illness in athletes

LUNCH – Departure from hotel 13.30

Coffee break – Transfer to Oslo airport 14.30

Session 9: Novel approaches to the treatment 15.00of tendinopathy – the case of the patellar tendon

15.30

Departure for Oslo Harbor 17.00– Boat trip on Oslo Fjord

19.00

20.00

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Location: Soria Moria Hotel, Oslo – situated above the famous Holmen-kollen ski jump, Norway's most visited tourist attraction and one of one of theworld's most famous sporting arenas. Welcome to Soria Moria, the conferencehotel on the roof of Oslo. The hotel's location at the gateway to Nordmarka offerseasy access to Oslo’s vast national park area, yet is just 20 minutes by tram tothe center of Oslo. Soria Moria provides an ideal framework for the meeting, withexcellent conference facilities in inspiring surroundings.

Course informationFaculty:

20 speakers

Maximum capacity: 80 participants

(first come, first served!)


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Tuesday May 29th

Individual arrivals throughout the day; transfer by shuttle from Oslo airport to Soria Moria hotel (apx. 60 min)

20.00 Welcome dinner at the Soria Moria hotel

Wednesday May 30th

08.45 – 09.00 WelcomeVice Mayor for Environment and Transport Ola Elvestuen

09.00 – 10.30 Session 1Working as a team physician – challenges and strategies

Chairs: Lars Engebretsen & Roald Bahr • Norway

Patrick Schamasch • SwitzerlandRichard Budgett • UKGordon Matheson • USA

Introduction Roald Bahr • Norway

The role of the IOC Medical Commission Patrick Schamasch • Switzerland

Preparing for the Olympic Games – lessons learned from London 2012 Richard Budgett • UK

Where are your loyalties: coach, team or athlete? Gordon Matheson • USA

10.30 – 11.00 Coffee break

11.00 – 12.30 Session 2Working as a team physician – pearls & pitfalls

Chair: Roald Bahr • Norway

Richard Budgett • UKÉanna Falvey • Irelandars Engebretsen • NorwayJón Karlsson • SwedenPatrick Schamasch • SwitzerlandBabette Pluim • NetherlandsLuis Serratosa • Spain

The smartest and the dumbest thing I have done as a team physician:Working with the British Olympic and Paralympic Teams Richard Budgett • UK

Working with a professional rugby team Éanna Falvey • Ireland

Working with the Norwegian Olympic Team Lars Engebretsen • Norway

Working with a semi-professional soccer team Jón Karlsson • Sweden

Working within the IOC Patrick Schamasch • Switzerland

Working with a Davis Cup tennis team Babette Pluim • Netherlands

Working with a professional soccer team Luis Serratosa • Spain

Panel discussion

12.30 – 13.30 Lunch break

PROGRAM


13.30 – 15.00 Session 3Managing concussions in a team setting

Chair: Markus Waldén • Sweden

Paul McCrory • AustraliaÉanna Falvey • IrelandGordon Matheson • USA

Introduction of learning objectives and two cases illustrating key issues• explain the rapid changes that have taken place in clinical managementandregulatory policy related to concussion management

• use the SCAT2 and Pocket SCAT2 tools appropriately• interpret the clinical management of patients with concussion within the context of multiple outside influences

Small-group discussions

The Zurich Concussion Consensus Guidelines Paul McCrory • Australia

Acute sideline assessment and the role of the SCAT2 Éanna Falvey • Ireland

Management of concussion in the US; how the science, media, legislation and lawyersaffect management strategies Gordon Matheson • USA

Guidelines for safe return to play; controversies and long term risks Paul McCrory • Australia

Open Forum: Review of cases and learning objectives

15.00 – 15.30 Coffee break

15.30 – 17.00 Session 4The groin/hip enigma in sports

Chair: Karim Khan • Canada

Per Hölmich • DenmarkÉanna Falvey • IrelandMarc Philippon • USA

Introduction of learning objectives and two cases illustrating key issues• Summarize the evidence for the biomechanical stressors which predispose the athlete to groin pain

Soria Moria hotell


• Discuss a standardized and evidence-based approach to diagnose groin pain• Accurately diagnose femoroacetabular impingement and list the indications for surgical treatment


The biomechanics of groin pain – the evidence base for current practice and the myth of osteitis pubis! Éanna Falvey • Ireland

Soft tissue problems of the groin - well established diagnoses or entities? Per Hölmich • Denmark

The approach to differential diagnosis and treatment of hip pain Marc Philippon • USA


17.00 - 18.30 Session 5Managing the overhead throwing athlete: Shoulder

Chair: Bruce Hamilton • Qatar

Babette Pluim • NetherlandsAnn Cools • BelgiumArne Kristian Aune • Norway

Introduction of learning objectives and two cases illustrating key issues• Discuss sports-related risk factors for shoulder pain in the overhead athlete and the structures ultimately affected• Work through a clinical examination algorithm• List the pros and cons associated with surgical treatment• Prescribe evidence-based prevention and rehabilitation programs


Shoulder injuries in elite sport Babette Pluim • Netherlands

Physical examination of the shoulder Ann Cools • Belgium

Surgical management of shoulder injuries Arne Kristian Aune • Norway

Injury prevention, conservative management and rehabilitation Ann Cools • Belgium


19.00 Dinner at Soria Moria hotell & Holmenkollen Ski Jump Tower/Museum

Holmenkollen Ski JumpTower/Museum


Thursday May 31st

08.30 - 10.00 Session 6The underperforming athlete: causes and management

Chair: Michael Kjær • Denmark

Richard Budgett • UKOla Rønsen • NorwayLuis Serratosa • Spain

Introduction of learning objectives and two cases illustrating key issues• Discuss the variety of conditions, medical and non-medical, that may be related to underperformance

• Confidently manage athletes with prolonged fatigue and underperformance using a multidisciplinary approach

• Learn from the practical experiences obtained over years at a high-level, high-performance, intense training volume team


What is overtraining? Richard Budgett • UK

How to assess the underperforming athlete Ola Rønsen • Norway

How we manage training and competition load in elite team sports athletes – the case of Real Madrid Luis Serratosa • Spain


10.00 - 10.30 Coffee break

10.30 - 12.00 Session 7Managing the overhead throwing athlete: Elbow

Chair: Per Hölmich • Denmark

Babette Pluim • NetherlandsAnn Cools • BelgiumDenise Eygendaal • Netherlands

Introduction of learning objectives and two cases illustrating key issues• Highlight 6 key conditions affecting the athlete with elbow pain• Execute adroit physical examination to detect the recently described pathology in the athlete’s elbow

• Prescribe evidence-based prevention and rehabilitation• Discuss recent development in minimally invasive surgery with realistic windows for post-op rehabilitation


Elbow injuries in athletes Babette Pluim • Netherlands

Physical examination of the elbow Denise Eygendaal • Netherlands

Injury prevention and conservative management of common injuries Ann Cools • Belgium

Surgical management and rehabilitation Denise Eygendaal • Netherlands


12.00 - 13.00 Lunch break

Session: Heiko Van Vliet, DJO GlobalElectro stimulation goes «Wireless».A new era in functional rehabilitation and re-athletisation


13.00 - 14.30 Session 8Protecting health and preventing illness in athletes

Chair: Babette Pluim • Netherlands

Roald Bahr • NorwayBen Clarsen • NorwayGordon Matheson • USALuis Serratosa • SpainOla Rønsen • Norway

Introduction of learning objectives• Articulate the key elements of the Periodic Health Evaluation• Use Periodic Health Evaluations and Team Injury Surveillance in a team setting• Quantify the injury risk in the preparation phase and list ways to mitigate it• Discuss lessons learned about these instruments shared by experienced clinicians working in the elite athlete setting

Injury and illness patterns in elite athletes – What can I expect when working with an Olympic team? Ben Clarsen • Norway

Screening in athletes: What are the take home messages of the IOC consensus on Periodic Health Evaluation? Gordon Matheson • USA

From postseason injury analysis through pre-season screening – risk management in the team setting Roald Bahr • Norway

Periodic Health Evaluations in practice – the Real Madrid experience Luis Serratosa • Spain

Stay healthy! How it is done in the Norwegian Olympic team Ola Rønsen • Norway

Open Forum: Review learning objectives


15.00 – 16.45 Session 9Novel approaches to the treatment of tendinopathy – the case of the patellar tendon

Chair: Paul McCrory • Australia

Roald Bahr • NorwayMichael Kjær • DenmarkKarim Khan • CanadaAasne Hoksrud • NorwayLars Engebretsen • NorwayJón Karlsson • Sweden

Introduction and two cases illustrating key issues• Define tendinopathy, its pathogenesis and mechanotherapy• Discuss the relative merit of eccentric exercise prescription, Doppler-guided sclerosis,platelet-rich plasma injections, shock-wave therapy and contemporary surgery


What is tendinopathy and why does it happen? Michael Kjær • Denmark

What is mechanotransduction? Karim Khan • Canada

Does eccentric training work? Roald Bahr • Norway

Does ultrasound-& Doppler-guided sclerosis work? Aasne Hoksrud • Norway

Do platelet-rich plasma injections work? Lars Engebretsen • Norway

Does shock-wave therapy work? Michael Kjær • Denmark

Does surgery work? Jón Karlsson • Sweden

Open Forum: Case discussions: which is the first option, and which the last line of defense? Review of learning objectives

17.00 Departure for Oslo Harbor – boat trip on the Oslo Fjord


Friday June 1st

08.00 - 09.45 Session 10Pharmacological treatment of common sports injuries

Chair: Michael Kjær • Denmark

Gordon Matheson • USAJens Ivar Brox • NorwayKarim Khan • CanadaLars Nordsletten • NorwayLars Engebretsen • Norway

Introduction of learning objectives and two cases illustrating key issues• In relation to MSK injuries, recite the pharmacology, contraindications, side effects and risks associated with the injection of local anesthetics/glucocorticoids/PRP, and prescription of NSAIDs (for muscle or fracture)


Is there a place for local anesthetics in the treatment of acute sports injuries? Gordon Matheson • USA

Is there a place for cortisone injections in the treatment of musculoskeletal injuries? Jens Ivar Brox • Norway

Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of acute muscle tears? Karim Khan • Canada

Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of fractures?Lars Nordsletten • Norway

Platelet-rich plasma injections for acute sports injuries: do they work? Lars Engebretsen • Norway




10.15 - 11.45 Session 11The hamstring problem in sports

Chair: Jón Karlsson • Sweden

Markus Waldén • SwedenCarl Askling • SwedenBruce Hamilton • QatarRoald Bahr • Norway

Introduction of learning objectives and two cases illustrating key issues• Use the evidence-base for intervention in hamstring injury to prescribe preventive and treatment programs for specific categories of patients

• Integrate novel clinical tests with imaging results to guide the clinical element of the return to sport decision

• Differentiate primary prevention from prevention of recurrent hamstring strain


Hamstring injury – still a growing problem in elite sports? Markus Waldén • Sweden

The role of 'intervention' in hamstring injury, an examination of the evidence base and rationale behind some common interventions Bruce Hamilton • Quatar

Different types of hamstring strains require different rehabilitation protocols Specific exercises and a specific test before return to sport Carl Askling • Sweden

This is how you can prevent hamstring strains in your team Roald Bahr • Norway



12.00 - 13.30 Session 12Return to sport: How do we make the best medical decisions?

Chair: Karim Khan • Canada

Paul McCrory • AustraliaLars Engebretsen • NorwayOla Rønsen • NorwayBabette Pluim • NetherlandsJón Karlsson • SwedenGordon Matheson • USA

Introduction of learning objectives and five cases:• Design an approach for return-to-play decisions that optimizes the medical decision making process

• Cite the non-medical factors that are part of decision making for return to play

Concussion in a soccer player Paul McCrory • Australia

Hamstring strain in an elite hurdler Lars Engebretsen • Norway

Upper respiratory infection in an elite cross-country skier Ola Rønsen • Norway

Female athlete with disordered eating Babette Pluim • Netherlands

Achilles tendon pain in professional soccer player Jón Karlsson • USA

Which are the medical factors that go into return to play decisions? Lars Engebretsen • Norway

Which are the non-medical factors that go into return to play decisions? Gordon Matheson • USA


13.30 Lunch & Departure from hotel 14.30 Transfer to Oslo airport


Organizing Committee

• Roald Bahr, MD PhD (Chair, Program Committee)• Fredrik S. Bendiksen, MD (Chair, Organizing Committee)• Lars Engebretsen, MD PhD• Cherine Fahmy, IOC• Bruce Hamilton, MD• Karim Khan, MD PhD • Anne Guri Sklet, Gyro Conference AS

Speakers

Carl Askling, PT PhD Assistant professorThe Swedish School of Sport and HealthSciences, Stockholm, Sweden

Arne Kristian Aune, MD PhD OrthopaedicSurgeon Dept. of Orthopedics and SportsMedicine, Drammen Private Hospital,Drammen, Norway

Roald Bahr, MD PhD ProfessorOslo Sports Trauma Research Center &Norwegian Olympic Training Center, Oslo, Norway

Jens Ivar Brox, MD PhD ProfessorOslo University Hospital-Rikshospitalet,Oslo, Norway

Richard Budgett, MD Chief Medical Officer2012 Summer Olympic Games, London,United Kingdom

Ben Clarsen, PT MSc PhD-studentOslo Sports Trauma Research Center &Norwegian Olympic Training Center, Oslo, Norway

Ann Cools, PT PhD Associate ProfessorDepartment of Rehabilitation Sciences andPhysiotherapy, Faculty of Medicine andHealth Sciences. Ghent University, Ghent, Belgium

Denise Eygendaal, MD PhD OrthopaedicSurgeon Department of OrthopedicSurgery, Amphia Hospital, Breda, the Netherlands

Lars Engebretsen, MD PhD ProfessorOslo Sports Trauma Research Center, OsloUniversity Hospital & Norwegian OlympicTraining Center, Oslo, Norway

Éanna Falvey, MB BCh, MRCPI, FFSEM,MMedSci (Sports & Exercise Med) Directorof Sports MedicineSports Surgery Clinic, Dublin, Ireland

Bruce Hamilton, MD, Chief of SportsMedicine Aspetar, Doha, Qatar

Aasne Hoksrud, MD PhDOslo Sports Trauma Research Center,Oslo, Norway

Per Hölmich, MD Associate ResearchProfessor Amager Hospital, Copenhagen,Denmark

Jón Karlsson, MD PhD ProfessorDepartment of Orthopaedics, SahlgrenskaUniversity Hospital, Mölndal, Sweden

Karim Khan, MD PhD ProfessorUniversity of British Columbia, Vancouver,BC, Canada & Oslo Sports TraumaResearch Center, Oslo, Norway

Michael Kjaer, Dr.Med. MD ProfessorInstitute of Sports Medicine Copenhagen,Copenhagen, Denmark

Gordon O. Matheson, MD PhD ProfessorStanford University, Stanford, California,USA

Paul McCrory, MBBS PhD AssociateProfessor. The University of Melbourne,Melbourne, Victoria, Australia

Lars Nordsletten, MD PhD ProfessorOslo Sports Trauma Research Center, OsloUniversity Hospital & Norwegian OlympicTraining Center, Oslo, Norway

Marc Philippon, MD Orthopaedic SurgeonThe Steadman Clinic, Vail, Colorado, USA

Babette Pluim MD PhD Chief Medical Adviser Royal Netherlands Lawn Tennis Association, Amersfoort, the Netherlands

Ola Rønsen MD PhDNorwegian Olympic Training Center, Oslo,Norway

Patrick Schamasch MD Medical DirectorInternational Olympic Committee,Lausanne, Switzerland

Luis Serratosa, MD PhD Real Madrid FC1st Team DoctorSanitas Real Madrid FC Sports MedicineDepartment. Madrid, Spain

Markus Waldén MD PhD OrthopaedicSurgeon & Senior ResearcherDepartment of Orthopaedics, Hässleholm-Kristianstad-Ystad Hospitals, Hässleholm& Division of Community Medicine,Department of Medical and HealthSciences, Linköping University, Linköping, Sweden

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Welcome to Oslo, NorwayMay 30–June 1, 2012

4th ioc advanced team physician course oslo, norway · pdf fileioc atpc 2012 program 3 uems...

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