Medical Commission Meeting...Health Management Plan Programme for more than 1 year and no progresses...
Transcript of Medical Commission Meeting...Health Management Plan Programme for more than 1 year and no progresses...
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FIVB Medical Department 2017 Medical Commission Meeting
Medical Commission
Meeting
Lausanne – 27 January 2017
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FIVB Medical Department 2017 Medical Commission Meeting
1
Study and approval of the
agenda and Time Plan
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FIVB Medical Department 2017 Medical Commission Meeting
Medical Commission Meeting
Lausanne – January 2017
TIME PLAN
09:00 Welcome/Opening Meeting By Dr. Annie PEYTAVIN 09:15 Agenda 10:30 Coffee – Tea Break 10:45 Presentations 12:30 Lunch 14:30 Practical Workshop (Break up in Groups) 16:00 Coffee –Tea Break 16:15 Feedbacks from Groups – key points 17:45 Wrap up of the day
By Dr. Annie PEYTAVIN 18:00 End of day
*Schedule may be modified
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FIVB Medical Department 2017 Medical Commission Meeting
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List of attendance
Dr. Amr M. ELWANI EGY Executive Vice-President
Dr. PEYTAVIN Annie FRA President
Dr. BORGES DA FONSECA Bruno BRA Secretary
Prof. Dr. HOLZGRAEFE Manfred GER Member
Dr. SIRIPHOL Rueangsak THA Member
Dr. CAMELI Sergio ITA Member
Prof. Dr. KRUCZYNSKI Jacek POL Member
Dr. FIGUEROA GONZALEZ Victor Miguel DOM Member
Dr. BAHGAT Hossam Eldin Omar EGY Member
Dr. CARVALHO NARDELLI Julio Cesar BRA Team Doctor Expert
Mr. BOCK Stephen USA Legal Advisor
Mrs. VEINTIMILLA Nadège SUI FIVB Medical & Anti-Doping Manager
Mrs. LABROUSSE Sarah SUI FIVB Medical & Anti-Doping Assistant
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FIVB Medical Department 2017 Medical Commission Meeting
3
Approval of the report of
the last meeting
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FIVB Medical Department 2017 Medical Commission Meeting
WELCOME SPEECH FROM THE PRESIDENT TOGETHER WITH THE DEVELOPPMENT COMMISSION.
The President thanked the Members of the Commission for coming. He informed that he
noticed that the Commission are not used during the year but Members should use new
technology to speak to each other by Skype or Collaborate.
Nowadays, we need to be very careful in what concerns doping because it is more serious
than in the past same as for corruption, we have to take lessons from other International
Federations and don’t make the same mistakes. We must be transparent. The President
continued saying that Mr. Thomas Bach IOC President was not concerned about Volleyball
because it is a Clean Sport but we have to continue to work hard to keep it this way.
Dr. Elwani thanked his colleagues who are very professional and added that the Medical
Department works efficiently and together we will make sure to continue our efforts in order
to keep our sport clean. Dr. Elwani asked that Members be allowed to participate to WADA
or any other anti-doping seminars where FIVB should be present.
1. FIVB 9 GOALS
The President presented the 9 Goals strategy and asked each Member for its contribution.
2. APPROVAL OF THE REPORT OF THE LAST MEETING
The Report of last Meeting was approved by all members of the Medical Commission.
3. REPORT ON THE DECISION OF THE 2015 BOARD OF ADMINISTRATION MEETING
The Report on the decision of the 2015 Board of Administration was accepted
4. ACTIVITY REPORTS
The activity reports of the Secretary of the Commission and all other members of the Commission were presented and approved.
DISCUSSION
For the concern raised by Jacek Kruczynski regarding the person responsible when an injury occurs on an event, no specific procedure is to apply but
1. The responsible organizer must pay everything up to the door of the hospital emergency room (including emergency in the competition hall and transportation to the hospital)
2. At the hospital, each Delegation is responsible to cover the cost, examination, hospitalization etc. of each of its Members
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FIVB Medical Department 2017 Medical Commission Meeting
SPIKE STUDY
Dr. Nau made a comment concerning the SPIKE STUDY and proposed to support financially the publication of the thesis The study is conducted by Dr. Daan van de Pol, Prof Paul Kuijer and Prof. Mario Maas from
the Netherlands.
PROPOSALS TO THE BOARD OF ADMINISTRATION :
1. As discussed during the Medical Commission meeting the study SPIKE - Overuse Injury of
the Posterior Circumflex Humeral Artery in Elite Volleyball (PCHA) – is relevant for future
generations of volleyball players and FIVB should strongly support this study. FIVB will be
mentioned in this thesis.
1) The printing of the thesis 1300 euros
2) Attendance of Dr. Bernard Nau (oral) : 1700 euros
TOTAL 3000 euros
2. The Medical Commission kindly requests the FIVB for the allocation of 20’000 CHF for any
research science projects that will help the sport of Volleyball to develop in future years.
AGE EFFECT
PROPOSAL TO THE BOARD OF ADMINISTRATION :
The Medical Commission discussed the above mentioned study on the practice of selecting
youth players according to their momentary performance that leads to relative age effects,
which in turn leads to inefficient talent selection. Teams with no relative age effect are able to
compete in the league, having the benefit to promote players with a better perspective for
long and successful careers at an adult age.
Therefore, the Medical Commission supports the idea to send name and birthdates from all
youth players who participated in FIVB competition and European competitions that are
registered in the VIS system to Dr. Markus Tilp in charge of the study.
5. REPORT ON THE 2015 VOLLEYBALL COMPETITIONS: EXCEL TABLE
The reports of the 2015 Volleyball competitions were discussed and approved.
6. REPORT ON THE 2015 BEACH VOLLEYBALL COMPETITIONS: EXCEL TABLE
The reports of the 2014 Beach Volleyball competitions were reviewed. All reports on the 2015 Beach Volleyball competitions were approved.
7. REPORT ON CONTINENTAL MEDICAL COMMISSION ACTIVITIES
The reports of the Continental Medical Commission Activities were discussed and approved.
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FIVB Medical Department 2017 Medical Commission Meeting
ANTI-DOPING
8. REPORT ON THE FIVB 2015 ANTI-DOPING PROGRAMME
Presentation by Nadège Veintimilla of the Medical & Anti-Doping Programme 2015 and objectives for 2016, and review of the past years 2012 to 2015. Many improvements and implementations have been pointed out, like introduction of blood tests and steroid profiles, Outreach Programme, new Anti-Doping Education Programme, logo Play Clean, new sample collection providers, testing strategy improved. Provide customer services and relationships with stakeholders including National Federations.
Concerning Anti-Doping, in 2015, FIVB conducted 503 urine and 70 blood tests (In-Competition & Out of Competition), 222 tests in Beach Volleyball (136 In-Competition and 86 Out of Competition) and 281 in Volleyball (146 In-Competition and 135 Out of Competition) 30 EPO. 438 urine tests were conducted In-Competition by the Confederations. The overall Total of urine tests and blood tests for 2015 including the Confederations is 941.
Stephen Bock, FIVB Legal Affairs Manager spoke about Results Management.
9. 2016 FIVB ANTI-DOPING PROGRAMME
The FIVB Anti-Doping Programme 2016 will consist of active testing In competition and Out of competition before the Olympics with the new RTP & TP according to the ISTI and FIVB Rules. Intelligent testing and implementation of investigations. Continue with blood and urine tests including analyses defined by the TDSSA for FIVB but also for Confederations to start blood tests. Continue with the Steroid Profiles. Continue to develop Education with the new Play Clean programme, add languages. Keep going with the Outreach Program and FIVB PLAY CLEAN merchandising (T-shirts). Create FIVB banners and documents, leaflets for Anti-Doping courses, for players, coaches. Develop the Education Programs through Confederations and give assistance. Introduce the report doping in Volleyball email and report M-12.
It has been stressed that the M-1 forms must be returned to FIVB during or just after the event for Medical Delegates and for Confederations the M-1 must be entered in ADAMS at the latest 14 days after the event according to WADA Rules. All forms M-6, M-10, M-9 if possible with recommendations, must be available at the Medical Department during or just the day after the event for better efficiency and reporting.
PROPOSAL TO THE BOARD OF ADMINISTRATION :
Coaches Anti-Doping E-learning
The Medical Commission proposes that an Anti-Doping Module be included in the e-learning
programme for Coaches courses level 1 and level 2.
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FIVB Medical Department 2017 Medical Commission Meeting
MEDICAL
10. REFEREE HEALTH MANAGEMENT PROGRAMME
Dr. Manfred Holzgraefe showed a presentation concerning the Health Management
programme, it was mentioned that 68 referees were included in this programme.
However, thanks to the Health Management programme in place, 45 referees were removed
from the programme at the end of 2015. The objectives of the programme are prevention and
to keep our referees healthy. Dr. Holzgraefe mentioned that the numbers of M-4 inserted in
VIS is getting better but Referees Commissions in National Federations must help ease this
process.
PROPOSALS TO THE BOARD OF ADMINISTRATION :
1. The FIVB President insisted that for Major Competitions, only referees who respect
the FIVB Medical Regulations (Health Management Plan Programme) can attend the
event and whistle.
2. The Medical Commission proposes for the Referees who are part of the Referees
Health Management Plan Programme for more than 1 year and no progresses are
made, that the Referee Commission sends a warning letter to the referee. If no
actions are taken, a suspension letter should follow.
11. FIVB INJURY SURVEILLANCE SYSTEM - VOLLEYBALL
Dr. Roald Bahr showed a presentation relative to the Statistics over 4 years of data collection
that leads to the new study on ankle injuries with videos taken from FIVB events. This study
will continue next year on knee injuries.
12. BEACH VOLLEYBALL – NO NEEDLE POLICY – TIME OUT
PROPOSAL TO THE BOARD OF ADMINISTRATION :
Medical Time out
The Medical Commission as discussed in the last meeting proposes to the Beach Volleyball
Commission to entirely abandon the Medical time out except for bleeding issues because the
minutes given after an injury are not sufficient to recover and not used properly.
13. FIVB HEAT STRESS MONITORING PROTOCOL
This point was discussed during the workshop Point 20.
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FIVB Medical Department 2017 Medical Commission Meeting
14. FIVB ACCREDITATIONS FOR MEDICAL PERSONNEL
161 accreditations have been approved in 2015. At the end of 2016, the 4-year cycle comes
to an end, therefore each Doctor and Therapist will have to receive a new ID-card, a letter
will be sent to all National Federations.
PROPOSAL TO THE BOARD OF ADMINISTRATION :
BVB Doctors, Therapists Accreditations
The Medical Commission would like to propose that Beach Volleyball Doctors and Therapists
become FIVB accredited following the same procedure as Indoor Volleyball Doctors and
Therapists.
15. FIVB SPORT SCIENCE AWARD ?
PROPOSAL TO THE BOARD OF ADMINISTRATION :
The Medical Commission proposes to have a Science Award every 2 years and it could be
the opportunity to create a FIVB Scientific Working Group to work on this type of activity.
16. FIVB MEDICAL AND ANTI-DOPING REGULATIONS 2016
PROPOSAL TO THE BOARD OF ADMINISTRATION :
Injury Prevention devices
The Medical Commission proposes to modify the wording in the Regulations as below and
add the last sentence:
FIVB Medical & Anti-Doping Regulations
INJURY PREVENTION DEVICES PLAYERS ARE USING
a) Compression pads are approved, but require being of the same colour design of the
uniform.
b) No padding is allowed in the forearm, as it provides advantages to the players’
performances.
c) Neutral colours, black or white are acceptable.
d) Teams using compression pads must be uniform in colour/design for all players.
e) Gloves are not accepted, except in case of medical necessity especially in the case of skin
disease.
NEW The Injury Prevention devices must be verified during the Preliminary Enquiry
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FIVB Medical Department 2017 Medical Commission Meeting
17. LIST OF PROPOSALS TO THE BOARD OF ADMINISTRATION
1. Medical Congress should be organized in 2018; the event site and the budget
must be decided as soon as possible.
2. Medical Time out
The Medical Commission as discussed in the last meeting proposes to the Beach
Volleyball Commission to entirely abandon the Medical time out except for
bleeding issues because the minutes given after an injury are not sufficient to
recover and not used properly.
3. Referees
a. The FIVB President insisted that for Major Competitions, only referees
who respect the FIVB Medical Regulations (Health Management Plan
Programme) can attend the event and whistle.
b. The Medical Commission proposes for the Referees who are part of the
Referees Health Management Plan Programme for more than 1 year and
no progresses are made, that the Referee Commission sends a warning
letter to the referee. If no actions are taken, a suspension letter should
follow.
4. Science Award : The Medical Commission proposes to have a Science Award
every 2 years and it could be the opportunity to create a FIVB Scientific Working
Group to work on this type of activity.
5. Injury Prevention devices
The Medical Commission proposes to modify the wording in the FIVB Medical & Anti-
Doping Regulations as below and add the last sentence:
INJURY PREVENTION DEVICES PLAYERS ARE USING
a) Compression pads are approved, but require being of the same colour design of
the uniform.
b) No padding is allowed in the forearm, as it provides advantages to the players’
performances.
c) Neutral colours, black or white are acceptable.
d) Teams using compression pads must be uniform in colour/design for all players.
e) Gloves are not accepted, except in case of medical necessity especially in the
case of skin disease.
NEW The Injury Prevention devices must be verified during the Preliminary
Enquiry
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FIVB Medical Department 2017 Medical Commission Meeting
6. Science Projects a. As discussed during the Medical Commission meeting the study SPIKE
Overuse Injury of the Posterior Circumflex Humeral Artery in Elite
Volleyball (PCHA) - study is relevant for future generations of volleyball
players and FIVB should strongly support this study. FIVB will be
mentioned in this thesis.
The printing of the thesis 1300 euros
Attendance of Dr. Bernard Nau (oral) : 1700 euros
TOTAL 3000 euros
b. The Medical Commission kindly requests the FIVB for the allocation of
20’000 CHF for any research science projects that will help the sport of
Volleyball to develop in future years.
7. The Medical Commission supports the idea to send name and birthdates from all
youth players who participated in FIVB competition and European competitions
that are registered in the VIS system to Dr. Markus Tilp in charge of the Age effect
study.
8. BVB Doctors, Therapists Accreditations
The Medical Commission would like to propose that Beach Volleyball Doctors and
Therapists become FIVB accredited following the same procedure as Indoor
Volleyball Doctors and Therapists.
9. Coaches Anti-Doping E-learning
The Medical Commission proposes that an Anti-Doping Module be included in the
e-learning programme for Coaches courses level 1 and level 2.
10. Alcohol Tests at random
The Medical Commission proposes that the Alcohol Tests be randomly selected
as mentioned in the Medical & Anti-Doping Regulations.
- For Volleyball : 2 matches per day at random will be controlled
- For Beach Volleyball : the afternoon sessions will be controlled
11. Medical Delegate on each event when doping tests are foreseen.
The Medical Commission kindly requests that a Medical Delegate be present on
each event including Beach Volleyball Major events especially when doping tests
are foreseen.
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FIVB Medical Department 2017 Medical Commission Meeting
18. WORKSHOP
The Medical Commission Members were divided in 3 groups (red, blue, green).
Red Group
1. Science projects are on their way so we should encourage the BOA to make them
happen.
2. A Medicine Congress should be organized in 2018; the event site and the budget must be
decided as soon as possible.
3. The revised Volleyball Medicine Handbook by Dr. Reeser and Dr. Bahr will be published
by Wiley Blackwell before the end of 2016.
A specific Volleyball medicine journal existed in the USA that was held by Dr. Jonathan
Reeser; we should follow up and see if it still exists.
4. The injury Surveillance System will continue in the following years.
5. The Application “Get Set” for Injury prevention should be implemented, continued and
expanded but we should wait for the IOC funding to expand the project.
6. The Heat Stress Monitoring has been followed during the last 7 years and will continue.
7. Hyperandrogenism Regulations, we should keep monitor the development with the IOC
and CAS.
8. Education for Doctors-Therapists on Volleyball Is on its way through science projects like
ISS, Get set app etc.
Blue Group
1. In all events where doping tests are foreseen, a Medical Delegate must be present
because legal issues can be raised if procedures are not properly followed.
2. A procedure for TUE should be put on the FIVB website (what is a TUE and how to
request a TUE)
3. The TUE Committee remains the same: Dr. Annie Peytavin, Chairwomen – Dr. Bruno
Borges and Dr. Avila as Members. Dr. Ndoye will be the substitute is case the player is from
the same nationality as a TUE Member.
4. Testing Pre-Olympic: Olympic Qualifications must be tested for Volleyball and Beach
Volleyball, for Men and Women.
The players qualified for the Olympic Games should have Out of competition tests between
the Qualifications and the Olympic Games.
5. Outreach Programme : Underage events in BVB, Lucerne, Cobo Frio, Larnaca and Doha
in Volleyball.
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FIVB Medical Department 2017 Medical Commission Meeting
6. Coaches and Anti-Doping Education: a specific Module for Level 1 and Level 2 Coaches
courses must be included in the E-learning programme.
7. Therapists and Doctors Accreditations: Beach Volleyball Doctors and Therapists should
become FIVB accredited following the same procedure as Indoor Volleyball Doctors and
Therapists.
Green Group
1. Abandon entirely the Medical time out except for bleeding issues because the minutes
given after an injury are not sufficient to recover and not used properly, like the proposal in
2015.
2. M-6: all referees should be controlled on each event
3. Psychological tests for referees: CEV and NORCECA are testing referees in their
respective Confederation; we should wait for the result of their experience.
4. For the Referees who are part of the Referees Health Management Plan Programme for
more than 1 year and no progresses are made, the Referee Commission should send a
warning letter to the referee. If no actions are taken, a suspension letter should follow.
5. The FIVB President insisted that for Major Competitions, only referees who respect the
FIVB Medical Regulations (Health Management Plan Programme) can attend the event and
whistle.
6. Alcohol Tests must be randomly selected as mentioned in the Medical & Anti-Doping
Regulations. We propose to add in the Regulations:
- For Volleyball : 2 matches per day at random will be controlled
- For Beach Volleyball : the afternoon sessions will be controlled
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FIVB Medical Department 2017 Medical Commission Meeting
4
Report of the decisions of
- The 2016 BOA meeting
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FIVB Medical Department 2017 Medical Commission Meeting
MEDICAL COMMISSION DECISIONS 1. To study further the proposal to hold a Medical Congress in 2018, including an analysis of the cost effectiveness of the project. 2. The Coaching and Technical Commissions to consider whether it would be judicious to abandon the Medical time out except for bleeding issues because the minutes given after an injury are not sufficient to recover and not used properly. 3. Referees:
a) The FIVB President insisted that for Major Competitions, only referees who respect the FIVB Medical Regulations (Health Management Plan Programme) can attend the event and whistle.
b) The Medical Commission proposes for the Referees who are part of the Referees
Health Management Plan Programme for more than 1 year and no progress is made, that the Refereeing Commission sends a warning letter to the referee. If no actions are taken, a suspension letter should follow.
4. Science Award: The proposal to have a Science Award every 2 years to be studied further. 5. Injury Prevention Devices: The wording in the FIVB Medical & Anti-Doping Regulations concerning Injury Prevention Devices to be modified by adding the last sentence: INJURY PREVENTION DEVICES PLAYERS ARE USING
a) Compression pads are approved, but require being of the same colour design of the uniform
b) No padding is allowed in the forearm, as it provides advantages to the players’ performances
c) Neutral colours, black or white are acceptable
d) Teams using compression pads must be uniform in colour/design for all players
e) Gloves are not accepted, except in case of medical necessity especially
f) in the case of skin disease
g) The Injury Prevention devices must be verified during the Preliminary Enquiry
6. Science Projects: The proposals to finance the study of the SPIKE Overuse Injury of the Posterior Circumflex Humeral Artery in Elite Volleyball (PCHA) and to allocate CHF 20’000 for any research science projects that will help the sport of Volleyball to develop in future years must both be analysed further.
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FIVB Medical Department 2017 Medical Commission Meeting
7. Alcohol Tests at random: Alcohol Tests to be randomly selected as mentioned in the Medical & Anti-Doping Regulations.
- For Volleyball : 2 matches per day at random will be controlled
- For Beach Volleyball : the afternoon sessions will be controlled
8. Medical Delegate on each event when doping tests are foreseen:
To study further the idea of having a Medical Delegate present at each event including
Beach Volleyball Major events, especially when doping tests are foreseen and to have more
local FIVB registered medical doctors to work in official FIVB events.
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FIVB Medical Department 2017 Medical Commission Meeting
5
Congress
Medical Commission
01 Medical & Anti-Doping Regulations
Image will be placed here and integrated by the FIVB
02 Injury Prevention Devices
The wording in the FIVB Medical & Anti-Doping Regulations concerning Injury Prevention Devices has been modified and the last sentence has been added :
INJURY PREVENTION DEVICES PLAYERS ARE USING a) Compression pads are approved, but require being of the same colourdesign of the uniform. b) No padding is allowed in the forearm, as it provides advantages to the players’ performances. c) Neutral colours, black or white are acceptable. d) Teams using compression pads must be uniform in colour/design for all players. e) Gloves are not accepted, except in case of medical necessity especially in the case of skin disease. NEW The Injury Prevention devices must be verified during the Preliminary Enquiry.
03 Referees Alcohol Tests at random
Alcohol Tests to be randomly selected as mentioned in the Medical & Anti-Doping Regulations.
For Volleyball : 2 matches per day at random will be controlled
For Beach Volleyball : the afternoon sessions will be controlled
https://www.youtube.com/watch?v=BFOBfc1B8P8
04 Referees Health Management Plan Programme
The FIVB President insisted that for Major Competitions, onlyreferees who respect the FIVB Medical Regulations (HealthManagement Plan Programme) can attend the event and whistle.
The Medical Commission proposed for the Referees who are part ofthe Referees Health Management Plan Programme for more than 1year and no progress is made, that the Refereeing Commissionsends a warning letter to the referee. If no actions are taken, asuspension letter should follow.
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FIVB Medical Department 2017 Medical Commission Meeting
6
Activity Reports
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FIVB Medical Department 2017 Medical Commission Meeting
6.1
Report by the
Commission President (no President in 2016)
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FIVB Medical Department 2017 Medical Commission Meeting
6.2
Report by the
Commission Secretary
and Assistant Secretary
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Dr. Bruno BORGES DA FONSECA (BRA)
Secretary, FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities, Medical Delegates at the following events:
2016 Events
1 March FIVB BVB Grand Slam Rio, Brazil
2 April FIVB BVB Fortaleza Open, Brazil
3 June FIVB BVB Hamburg Major, Germany
4 July FIVB World League Finals Group 1, Krakow, Poland
5 August XXXI Summer Olympic Games, Rio de Janeiro, Brazil
6 October FIVB Men’s Club World Championship, Betim, Brazil
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Dr. Annie PEYTAVIN (FRA)
Assistant Secretary, FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities:
2016 Events
1 World Grand Prix Final Group 1, Thailand
2 Olympic Games, BVB, Rio de Janeiro
3 In charge of accreditation for team’s Doctors and physiotherapists of teams
4 Member of TUE Committee in collaboration with Dr. Avila and Dr. da Fonseca
5 Member of hearing-disciplinary panel for 3 cases
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FIVB Medical Department 2017 Medical Commission Meeting
6.3
Report by the
Commission Members
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Dr. Fernando AVILA ESPAÑA (ESP)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities:
2016 Events
1 28 January FIVB Medical Commission Meeting
2 6 February Annual Meeting CEV Medical Commission in Luxembourg
3 10-17 May Medical Delegate, FIVB Beach Volleyball U21 World Championship, Lucerne, Switzerland
4 21-27 June Medical Delegate, CEV Beach Volleyball Final Continental Cup Stavanger, Norway
5 1-2 July Medical Delegate, CEV Volleyball European League Final Men, Varna, Bulgaria
6 6-10 July FIVB Final World League Group 2, Porto, Portugal
Member TUE Committee with 23 resolutions
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Dr.Hossam BAHGAT (EGY)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities:
2016 Events
1 January FIVB Medical Commission Meeting
2 February Medical Delegate FIVB BVB Kish Island, Iran
3 May Medical Delegate FIVB Women's Olympic Qualification Tokyo, Japan
4 July Medical Delegate FIVB World Continental Cup Olympic Qualification Sochi, Russia
5 August Medical Supervisor Rio Olympic Games Volleyball
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Prof. Dr. Manfred HOLZGRAEFE (GER)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities:
2016 Events
1 January CEV European Olympic Qualification, Berlin, Germany
2 June FIVB BVB Grand Slam, Olsztyn, Poland
3 July FIVB WL Finals Group 3, Frankfurt, Germany
4 August XXXI Summer Olympic Games, Rio de Janeiro, Brazil
5 October FIVB Women’s Club World Championship, Manila, Philippines
President of the CEV Medical commission
Coordinator Health Management Programme for referees
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Dr. Bernard NAU (HAI)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities:
2016 Events
1 January FIVB Medical Commission Meeting
2 February NORCECA Medical Commission Meeting
3 June Men's World Olympic Qualification, Mexico
4 June FIVB World Grand Prix Final Group 3
5 July NORCECA Women's U20 Continental Championship
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Prof. Dr. Jacek KRUCZYNSKI (POL)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities:
2016 Events
1 July FIVB BVB U19 World Championship, Larnaka, Cyprus
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Prof. Dr. Roald BAHR (NOR)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been involved in the following activities:
2016 Events
1
Implementation of the FIVB Heat Stress Monitoring Protocol for the Beach Volleyball World Tour & completion of 2016 report
2
Follow-up of FIVB Injury Surveillance System and preparation for publication of the second report based on the FIVB Injury Surveillance System in the British Journal of Sports Medicine “Mechanisms for acute ankle injuries in world-class volleyball players – a systematic video analysis of 20 cases”
3
Review of the FIVB Pre-Olympic Antidoping Testing Program for the FIVB President
4
Member of the FIVB Anti-Doping Hearing Panel for the following 7 cases: - Mr. Fabien Whitfield (Trinidad and Tobago) - Ms. Maria Antonelli (Brasil) - Ms. Natalia Akilova (Kazakstan) - Mr. Boris Firsov (Russia) - Mr. Daniel Koncal (Slovakia) - Mr. Alexander Markin (Russia) - Ms. Sheila Ocasio Clemente (Puerto Rico)
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Prof. Dr. Mamadou NDOYE (SEN)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities:
2016 Events
1 January FIVB Medical Commission meeting
2 April FIVB Medical Delegate BVB Qatar World Tour Open
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Dr. Victor FIGUEROA (DOM)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been involved in the following activities:
2016 Events
1 May FIVB Women’s World Olympic Qualification, Puerto Rico
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Dr. Sergio CAMELI (ITA)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities:
2016 Events
1 June FIVB World Grand Prix Finals Group 2, Varna, Bulgaria
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FIVB Medical Department 2017 Medical Commission Meeting
ACTIVITY REPORT
2016
By Dr. Ufuk DEMIRKILIC (TUR)
FIVB Medical Commission Member
Since the last meeting of the FIVB Medical Commission in January 2016, I have been
involved in the following activities:
NO ASSIGNMENT
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FIVB Medical Department 2017 Medical Commission Meeting
7
Report on 2016 Volleyball
competitions
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FIVB Medical Department 2017 Medical Commission Meeting
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16
Wom
en's
World O
lym
pic
Qualif
Tourn
am
ent
Toky
oJP
NH
ossam
Bah
gat
*Adequate
medic
al f
acili
ties a
nd p
ers
onel
*1 N
ED
pla
yer
n°5
spra
in a
nkl
e, R
T
28 M
ay-
5 J
une 1
6M
en's
World O
lym
pic
Qualif
Tourn
am
ent
Toky
oJP
NM
an
fre
d H
olz
gra
efe
*Exc
elle
nt fa
cili
ties a
nd a
ntid
opin
g p
ers
onal
*Refe
ree S
em
inar
was g
ood, th
e m
edic
al d
ele
gate
spoke
about Zik
a, nutr
ition a
nd the m
eanin
g o
f health
(phys
ical
fitness)
*Need n
ew
M-2
form
for
new
challe
nge r
efe
ree
*For
the d
opin
g c
ontr
ol,
in the futu
re for
the n
ew
num
bering 0
0-9
9, w
e n
eed a
new
pro
cedure
20-2
2 M
ay
16
Wom
en's
World O
lym
pic
Qualif
Tourn
am
ent
San J
uan
PU
RV
icto
r F
igu
ero
a
*Exc
elle
nt w
ork
s
*All
refe
rees in
good c
onditi
ons
*Adequate
medic
al f
acili
ties a
nd p
ers
onel
3-5
June 1
6M
en's
World O
lym
pic
Qualif
Tourn
am
ent
Mexi
co
ME
XB
ern
ard
Nau
*Adequate
medic
al f
acili
ties a
nd p
ers
onel
*Pla
yer
Medic
al A
rea a
nd S
pecta
tor
First A
id w
ere
ava
ilable
in c
om
petit
ion h
all
*Adequate
am
ounts
of fo
od a
nd b
eve
rage w
ere
ava
ilable
for
the p
laye
rs
17-1
9 J
une 1
6W
orld G
d P
rix
Gro
up 2
Fin
al
Varn
aB
UL
Se
rgio
Cam
eli
*Good -
no s
pecifi
c c
om
ments
17-1
9 J
une 1
6W
orld G
d P
rix
Gro
up 3
Fin
al
Alm
aty
KA
ZB
ern
ard
Nau
*Adequate
medic
al f
acili
ties a
nd p
ers
onel,
fullf
illed F
IVB
Medic
al R
egula
tions
*Adequate
am
ounts
of fo
od a
nd b
eve
rage w
ere
ava
ilable
for
the p
laye
rs
1-3
July
16
World L
eague G
roup 3
Fin
al
Fra
nkf
urt
GE
RM
an
fre
d H
olz
gra
efe
*Paperless d
opin
g c
ontr
ol w
ith M
-form
s
*The v
ariatio
n o
f th
e food c
ould
be b
etter
*The o
rganiz
atio
n w
as o
k
6-1
0 J
uly
16
World G
d P
rix
Gro
up 1
Fin
al
Bangko
kT
HA
An
nie
Pe
ytav
in
*Adequate
medic
al f
acili
ties a
nd p
ers
onel p
erm
anently
in the s
port
hall
*Sta
ff w
ere
num
ero
us a
nd v
ery
exp
erienced
*2 p
laye
rs h
ave
been to h
ospita
l but no m
ajo
r in
juries
9-1
0 J
uly
16
World L
eague G
roup 2
Fin
al
Mato
sin
hos
PO
RF
ern
an
do
Av
ila
*Adequate
facili
ties a
nd s
taff
*Turk
ish team
receiv
ed m
eals
with
Pork
meat
13-1
7 J
uly
16
World L
eague G
roup 1
Fin
al
Kra
kow
PO
LB
run
o B
org
es
*Good m
edic
al s
erv
ices a
nd facili
ties
*Am
bula
nces w
ith e
quip
ment fo
r card
iopulm
onary
resuscita
tion a
nd tra
um
a in
the v
enue
*Adequate
Dopin
g c
ontr
ol s
tatio
n
5-2
1 A
ugust 16
WO
ME
N O
lym
pic
Gam
es
Rio
B
RA
Ho
ssam
Bah
gat
*Exc
elle
nt fa
cili
ties a
nd q
ualif
ied d
opin
g p
ers
onal
*M-1
0 d
one b
y all
team
exe
pt K
OR
and S
RB
because they
did
not have
a team
docto
r
*No c
om
pla
in a
bout th
e m
eals
serv
ed in
the O
lym
pic
Vill
age
*Well
equip
ped in
term
of C
linic
and H
ospita
l
5-2
1 A
ugust 16
ME
N O
lym
pic
Gam
es
Rio
B
RA
Man
fre
d H
olz
gra
efe
*Very
good M
edic
al S
erv
ices a
nd F
acili
ties, G
ood o
rganis
atio
ns w
ith a
bout m
ore
than 3
00 m
edic
al i
nte
rventio
ns
*Dopin
g C
ontr
ol P
repara
tion w
as v
ery
bad, only
1 D
CO
(w
om
an).
No m
ate
rials
were
pre
pare
d in
adva
nce
4-9
Octo
ber
16
Wom
en's
Clu
b W
orld
Cham
pio
nship
Manill
aP
hili
ppin
es
Man
fre
d H
olz
gra
efe
*Medic
al s
erv
ices p
erf
ectly
org
aniz
ed
*Adequate
medic
al f
acili
ties
*Very
good a
sia
n a
nd e
uro
pean c
uis
ine
4-9
Octo
ber
16
Men's
Clu
b W
orld
Cham
pio
nship
Bettim
BR
AB
run
o B
org
es
*Apro
priate
medic
al s
erv
ices a
nd facili
ties
*Adequate
anti-
dopin
g c
ontr
ol s
tatio
n w
ith e
xperienced D
CO
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
8
Report on 2016 FIVB
Beach Volleyball
competitions
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
Da
tes
E
ve
nts
Cit
yC
ou
ntr
yD
ele
ga
teM
-9
Gen
era
l C
om
men
ts /
Re
co
mm
en
dati
on
s
14-1
9 F
ebru
ary
16
Open
Kis
h I
sla
nd
sIR
IH
oss
am
Bah
gat
*Good m
edic
al serv
ices a
nd f
acili
tie
s
8-1
3 M
arc
h 1
6G
rand S
lam
R
io d
e J
aneiro
BR
AB
run
o B
org
es
*Am
bula
nce
s w
ith e
quip
ment
for
card
iopulm
ona
ry r
esuscita
tion
in t
he v
enue a
nd
th
e S
am
arita
no H
ospital
as r
efe
rence
*Good m
edic
al serv
ices a
nd f
acili
tie
s
*Dopin
g C
ontr
ol sta
tion
sm
all
/ N
o r
efr
ige
rato
r /
Th
e b
ath
roo
m o
uts
ide o
f d
op
ing
contr
ol sta
tion
/ A
ir
cond
itio
nin
g d
id n
ot
work
pro
pe
rly /
1 g
erm
an a
thle
te c
om
pla
ined
*1 c
ase o
f m
ala
ise b
y h
ypert
herm
ia
*2 R
efe
ree
s w
ith H
yp
ert
ensio
n A
ND
3 r
efe
ree
s w
th B
MI
over
30
3-8
April 16
Open
Do
ha
QA
TM
am
ad
ou
Nd
oye
*Good f
acili
ties a
nd a
deq
uate
cond
itio
ns
*no info
rmation r
eceiv
ed b
efo
re t
he e
vent
*1 p
laye
r fo
rfe
ite
d a
t sem
i final cause
str
ain
on
lîg
am
ent
on h
is le
ft k
nee
26-3
0 A
pril 16
Open
Fort
ale
za
BR
AB
run
o B
org
es
*Facititie
s p
rovid
es w
as n
ot
excelle
nt,
too s
ma
ll and
no c
onditio
nin
g a
ir
*No c
hapero
nes
*1 p
layer
dro
opin
g o
ut
the f
inal m
atc
h a
s h
e h
ad h
ea
t str
ess (
hypert
herm
ia)
11-1
6 M
ay 1
6U
-21 W
CH
Luzern
SU
IF
ern
an
do
Avil
a*A
de
quate
medic
al sta
ff a
nd f
acili
tie
s
*Dopin
g a
rea 5
min
ute
s f
ar
from
the v
enu
e
7-1
3 J
une 1
6M
ajo
r T
ourn
am
ents
Ha
mbu
rgG
ER
NO
Me
dic
al
De
leg
ate
14-1
9 J
une 1
6G
rand S
lam
O
lszty
nP
OL
Man
fred
Ho
lzg
raefe
*Excelle
nt
medic
al sta
ff a
nd
facili
tie
s
*1 p
layer
inju
red a
t rig
ht
should
er,
sto
pe
d c
om
petition t
o g
o h
om
e f
or
exa
min
ation
5-1
0 J
uly
16
Ma
jor
To
urn
am
ents
Gsta
ad
SU
IN
O M
ed
ical
De
leg
ate
5-1
0 J
uly
16
FIV
B W
CC
Oly
mp
ic Q
ualif
So
chi
RU
SH
oss
am
Bah
gat
*Ade
quate
medic
al sta
ff a
nd f
acili
tie
s
*Dopin
g a
rea 5
min
ute
s f
ar
from
the v
enu
e
----
----
----
----
----
----
----
----
----
----
----
----
----
----
----
----
-
Com
ments
fro
m P
WC
- D
C O
ffic
er
Form
:
*Pre
para
tio
n f
or
the e
vent
was q
uite d
ifficult
*Mr.
Bag
hat
info
rmed u
s t
hat
on t
he 1
st
day 8
fe
male
te
sts
and
2 m
ale
te
sts
we
re p
lann
ed.
Unfo
rtunate
ly f
rom
6 r
eq
ueste
d c
hapero
nes (
3m
/3f)
only
2 m
ale
s w
ere
pre
sen
t. B
oth
we
re o
nly
spea
kin
g
Russia
n.
*Mr.
Bag
hat
denie
d t
o c
onduct
testing
paperless a
nd
pro
vid
ed
25 F
IVB
paper.
*A f
ew
ath
lete
s c
om
pla
ined t
hat
they w
ere
not
able
to c
om
munic
ate
with t
heir c
hap
ero
nes.
Bu
t due t
o
short
ways b
ew
teen f
ield
s a
nd
con
tro
l sta
tion
this
was n
ot
a b
ig p
rob
lem
.
*On t
he 2
nd d
ay w
e h
ad 3
chap
ero
ne
s (
only
Russia
n s
peakin
g)
alto
ug
h 2
would
ha
ve
bee
n s
uff
icie
nt.
*We r
especte
d t
he c
urr
ent
sta
ndin
gs c
oncern
ing
possib
le g
old
en
sets
and
waited w
ith
th
e n
otifica
tions
until th
e m
atc
he
s w
ere
co
mple
ted
.
5-2
1 A
ug
ust
16
WO
ME
N O
lym
pic
Ga
mes
Rio
B
RA
An
nie
Payta
vin
5-2
1 A
ug
ust
16
ME
N O
lym
pic
Gam
es
Rio
B
RA
Bru
no
Bo
rges
26-3
1 J
uly
16
U-1
9 W
CH
Larn
aka
CY
PJacek
Kru
czyn
ski
*Ade
quate
medic
al fa
cili
ties
*Qualif
ied m
edic
al pers
onel
*Heat
pro
ble
ms f
or
pla
yers
due t
o h
igh
WB
GT
*Good h
ealth o
f re
fere
es
*1 p
layer
has b
een h
ospitaliz
ed d
ue
to
Pu
lmo
ny E
mbolis
m d
uring
th
e f
ligh
t to
Larn
aca
25-3
0 O
cto
ber
16
WT
Fin
als
Toro
nto
CA
NN
O M
ed
ical
De
leg
ate
BE
AC
H V
OL
LE
YB
AL
L M
-9 G
en
era
l C
om
me
nts
* 3
appro
pia
te m
edic
al depart
me
nt
with
do
cto
rs,
nurs
es a
nd p
his
ios
* T
he m
edic
al depart
ment
with a
ll ty
pes o
f e
qu
ipm
ent,
for
ca
rdio
pu
lmo
nary
re
suscita
tion
an
d t
raum
a.
3
am
bula
nces in t
he v
enue
* D
opin
g C
ontr
ol S
tation
adeq
uate
in s
ize w
ith
wa
itin
g r
oom
, 2
pro
cessin
g r
oom
and s
up
port
room
. W
ith
refr
igera
tor
and a
ir c
ond
itio
nin
g.
The D
CO
with
good
experience.
At
firs
t, t
he n
am
es o
f ath
lete
s a
lread
y h
ad b
ee
n in
mis
sio
n o
rder.
Annie
an
d I
talk
ed w
ith
Sta
tion
Ma
nag
er
to c
hang
e t
he s
ele
ct
way,
for
dra
win
g o
f lo
ts.
To
sem
ifin
als
and
fin
als
were
th
is w
ay.
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
9
Report on Continental
Medical Commission
activities
AVC, CAVB, CEV, CSV,
NORCECA
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
AVC Medical Commission
ACTIVITY REPORT
2016 ______________________________________________________________________________________________________________________________________
1. MEETING
AVC Medical Committee conducted the annual meeting in Bangkok, Thailand on March 6,
2016.
The meeting acknowledged the information from FIVB Medical Commission Meeting. The meeting also discussed about the problems found in previous championships in the matters of:
Lack of alcohol test device and a lot of number of tests;
Responsibility to make a decision for alcohol test;
No specialized doping personnel;
No Arabic food and unhealthy, poor hygiene and not good quality;
No doping control room in competition hall and no certified doping personnel (chaperone);
A case of female hyperandrogenism in the 28th Southeast Asian Games 2015 was raised and discussed.
2. AVAILABILITY IN 2016 AVC EVENTS The meeting requested the availability of MC members to be assigned as Medical Delegate of 6 AVC events in 2016. 3. ANTI-DOPING TESTS In 2016, 75 anti-doping tests were conducted in 6 volleyball events, 8 anti-doping tests in 1
beach volleyball event, total 83 tests.
3.1 18th Asian Men’s U20 Volleyball Championship, 9 – 17 July 2016, Koahsiung, Chinese Taipei 16 tests
3.2 18th Asian Women’s U19 Volleyball Championship, 23– 31
July 2016, Nakhon Ratchasima, Thailand 15 tests
3.3 2016 Asian Men’s Club Volleyball Championship, 23– 31
August 2016, Nay Pyi Taw, Myanmar 16 tests
3.4 2016 Asian Women’s Club Volleyball Championship, 3-11
September 2016, Pasay City, Philippines 12 tests
3.5 5th AVC Cup for Women, 14-20 September 2016, Vinh Phuc, Vietnam
8 tests
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
3.6 5th AVC Cup for Men, 22-28 September 2016, Nakhon Pathom, Thailand
8 tests
3.7 2016 AVC Continental Cup, Semi Final, Phase 3 (M&W), Kalasin, Thailand
8 tests
All samples were analyzed at the National Doping Control Center, Mahidol University in
Bangkok, Thailand (WADA Accredited Laboratory).
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
CAVB Medical Commission
ACTIVITY REPORT
2016 ______________________________________________________________________________________________________________________________________
No information received
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
CEV Medical Commission
ACTIVITY REPORT
2016 ______________________________________________________________________________________________________________________________________
Activity report - November 2015 - September 2016
1. Competitions
18 CEV competitions were included in the CEV anti-doping programme.
10 Volleyball competitions - total of 64 tests
8 Beach Volleyball competitions - total of 40 tests
In total, 104 tests - all negative
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
2. Innovations
Anti-doping Education
All National Federations were informed via a circular letter about the possibility to take part in
the FIVB "Outreach Programme" for young players, which is being promoted in cooperation
with their respective NADOs and WADA.
This educational programme is highly recommended to young players for raising awareness
of doping in their age group categories and the various countries concerned.
3. Development activities
In cooperation with the FIVB Medical Commission, the European Medical Commission is
involved in an ongoing survey which looks at the incidence of injuries in Volleyball and Beach
Volleyball and so far, the percentage is still very low.
A question remains open regarding chronic injuries in high-performance Volleyball.
Therefore, the European Medical Commission is planning to establish an internal working
group with Mr Dervišević (SLO) as the leader to find out the risks of chronic injuries related to
high-performance Volleyball.
4. Seminars & Workshops
The new members of the commission were given an induction into their duties regarding
medical and doping controls during competitions, and they were requested to become
familiarised with the CEV/FIVB medical regulations.
5. Next steps / Future activities
To continue the health management plan (HMP) for referees
Anti-doping education
Provision of health care for the players
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
CSV Medical Commission
ACTIVITY REPORT
2016 ______________________________________________________________________________________________________________________________________
Upon request and influence of FIVB, this year there has been a sharp increase in the CSV´s doping control program, showing that the FIVB has as one of its pillars the “clean game”, without doping. Thus, over the year, we made a control program in CSV´s major events with some doping control officers, who are highly qualified for that matter. A total of 24 tests were made as follows:
EVENT LOCATION DATE TESTS
South American Women’s Olympic Qualifier
Bariloche, Argentina January 6 to 10 8
4th Stage Continental Tour Beach Volleyball
Cartagena, Colombia March 25 to 27 8
U23 Pan American Cup
Ica/Lima, Peru September 17 to 26 8
We put ourselves available for further explanation. CSV Medical Commission Dr. Bruno Fonseca (BRA) Dr. Julio Cezar Echeverria (PER) Dr. Gisele Perez (URU)
Regards, Bruno Borges da Fonseca
President CSV Medical Commission Rio de Janeiro November 16/2016
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
NORCECA Medical Commission
ACTIVITY REPORT
2016
__________________________________________________________________________________
2016 NORCECA Doping Control Test
Indoor Volleyball Samples
Women's Continental Olympic Qualification 8
Men's Continental Olympic Qualification 8
Men's XI Pan-American Cup 8
Men's U-19 Continental Championship 12
Women's XV Pan-American Cup 14
Men's U-21 Continental Championship 8
Women's U-20 Continental Championship 8
Women's U-18 Continental Championship 8
Men's U-23 Pan American Cup 4
Women's U-23 Pan American Cup 8
86
2016 NORCECA Doping Control Test
Beach Volleyball Samples
2nd Stage Beach Volleyball 4
3rd Stage Beach Volleyball 4
4th Stage Beach Volleyball 3
5th Stage Beach Volleyball 4
NORCECA Pre-Olympic Tournament 8
7th Stage Beach Volleyball 4
9th Stage Beach Volleyball 8
10th Stage Beach Volleyball 4
Final Stage Beach Volleyball 8
47
NORCECA made a total of 133 tests during the year 2016.
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
ANTI-DOPING
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10
Report on the FIVB 2016
Anti-Doping Programme
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10.1
FIVB In-competition &
Out-of-competition testing
programme Olympic
Games
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
Out-of-competition In-competition
Beach Volleyball 93 156 249
Volleyball 178 152 330
Total 271 308 579
2016 FIVB SAMPLES COLLECTED
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10.2
RTP & Whereabouts
information
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
2017 FIVB Registered Testing Pool
N° NAME NF Club/Teams Gender BVB/VB
1 Arjona William BRA Sada Cruzeiro Volei Men VB
2 Borger Karla GER GER NF Women BVB
3 Bourne Tri USA USA NF Men BVB
4 Buthe Britta GER GER NF Women BVB
5 Carambula Adrian ITA ITA NF Men BVB
6 Claudino Fabiana BRA BRA NF Women VB
7 Dalhausser Philip USA USA NF Men BVB
8 Demir Neslihan TUR Eczacibasi Vitra Istanbul Women VB
9 Harmotto Dietzen Christa USA USA NF Women VB
10 Holtwick Katrin GER GER NF Women BVB
11 Huoi Raoqui CHN CHN NF Women VB
12 Hyden John USA USA NF Men BVB
13 Kantor Piotr POL POL NF Men BVB
14 Kirdar Gözde TUR Vakifbank Istanbul Women VB
15 Kosianenko Ekaterina RUS RUS NF Women VB
16 Kubiak Michel POL POL NF Men VB
17 Laboureur Chantal GER GER NF Women BVB
18 Lanza Filippo ITA Trentino Volley Men VB
19 Lee David USA USA NF Men VB
20 Losiak Bartosz POL POL NF Men BVB
21 Lucena Nicholas USA USA NF Men BVB
22 Ludwig Laura GER GER NF Women BVB
23 Mykhailov Maxim RUS Zenit Kazan Men VB
24 Ognjenovic Maja SRB SRB NF Women VB
25 Ranghieri Alex ITA ITA NF Men BVB
26 Ross April USA USA NF Women BVB
27 Samoilovs Aleksandr LAT LAT NF Men BVB
28 Semmler Ilka GER GER NF Women BVB
29 Smedins Janis LAT LAT NF Men BVB
30 Sude Julia GER GER NF Women BVB
31 Tirozzi Valentina ITA Pomi Casalmaggiore Women VB
32 Walkenhorst Kira GER GER NF Women BVB
33 Walsh Kari USA USA NF Women BVB
34 Zaytsev Ivan ITA ITA NF Men VB
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10.3
In-competition testing
programme by
Confederations
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
CONFEDERATION VB BVB TOTAL
AVC
18th Asian Men's U20 Volleyball Championship 16
18th Asian Women’s U19 Volleyball Championship 15
2016 Asian Men’s Club Volleyball Championship 16
2016 Asian Women’s Club Volleyball Championship 12
5th AVC Cup for Women 8
5th AVC Cup for Men 8
2016 AVC Continental Cup, semi Finals 8
Total 75 8
CAVB
Men's FIVB World Championships Qualifications
Women's World Championships Qualifications
Women's FIVB Championships Qualifications
Men's FIVB Championships Qualifications
Men's FIVB Championships Qualifications
Men's Nation Club Champion Championships
Women's Nation Club Champion Championships
Men's U23 African Nations Championships
Total
CEV
Women U19 European Championship 18
Men U20 European Championship 18
European League Women 2
European League Men 2
Olympic Games Continental Qualifications Women 6
Olympic Games Continental Qualifications Men 6
Denizbank Champions League Women 4
Denizbank Champions League Men 4
Volleyball Cup Women 2
Volleyball Cup Women 2
BVB Masters Women 4
BVB Masters Men 4
BVB U22 European Championship Women 4
BVB U22 European Championship Men 4
BVB Continental Cup Finals Women 6
BVB Continental Cup Finals Men 6
BVB European Championship Women 6
BVB European Championship Men 6
Total 64 40
CSV
South American Women's Olympic Qualifier 8
4ª Stage CSV BVB Continental Tour 8
U23 Pan American Cup 8
Total 16 8
NORCECA
Women's Continental Olympic Qualification 8
Men's Continental Olympic Qualification 8
Men's XI Pan-American Cup 8
Men's U-19 Continental Championship 12
Women's XV Pan-American Cup 14
Men's U-21 Continental Championship 8
Women's U-20 Continental Championship 8
Women's U-18 Continental Championship 8
Men's U-23 Pan American Cup 4
Women's U-23 Pan American Cup 8
2nd Stage Beach Volleyball 4
3rd Stage Beach Volleyball 4
4th Stage Beach Volleyball 3
5th Stage Beach Volleyball 4
NORCECA Pre-Olympic Tournament 8
7th Stage Beach Volleyball 4
9th Stage Beach Volleyball 8
10th Stage Beach Volleyball 4
Final Stage Beach Volleyball 8
Total 86 47
TOTAL 241 103 344
24
133
CONFEDERATIONS 2016 - Sample Collected
83
0
104
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
CONFEDERATION VB BVB TOTAL
AVC
18th Asian Men's U20 Volleyball Championship 16
18th Asian Women’s U19 Volleyball Championship 15
2016 Asian Men’s Club Volleyball Championship 16
2016 Asian Women’s Club Volleyball Championship 12
5th AVC Cup for Women 8
5th AVC Cup for Men 8
2016 AVC Continental Cup, semi Finals 8
Total 75 8
CAVB
Men's FIVB World Championships Qualifications
Women's World Championships Qualifications
Women's FIVB Championships Qualifications
Men's FIVB Championships Qualifications
Men's FIVB Championships Qualifications
Men's Nation Club Champion Championships
Women's Nation Club Champion Championships
Men's U23 African Nations Championships
Total
CEV
Women U19 European Championship 18
Men U20 European Championship 18
European League Women 2
European League Men 2
Olympic Games Continental Qualifications Women 6
Olympic Games Continental Qualifications Men 6
Denizbank Champions League Women 4
Denizbank Champions League Men 4
Volleyball Cup Women 2
Volleyball Cup Women 2
BVB Masters Women 4
BVB Masters Men 4
BVB U22 European Championship Women 4
BVB U22 European Championship Men 4
BVB Continental Cup Finals Women 6
BVB Continental Cup Finals Men 6
BVB European Championship Women 6
BVB European Championship Men 6
Total 64 40
CSV
South American Women's Olympic Qualifier 8
4ª Stage CSV BVB Continental Tour 8
U23 Pan American Cup 8
Total 16 8
NORCECA
Women's Continental Olympic Qualification 8
Men's Continental Olympic Qualification 8
Men's XI Pan-American Cup 8
Men's U-19 Continental Championship 12
Women's XV Pan-American Cup 14
Men's U-21 Continental Championship 8
Women's U-20 Continental Championship 8
Women's U-18 Continental Championship 8
Men's U-23 Pan American Cup 4
Women's U-23 Pan American Cup 8
2nd Stage Beach Volleyball 4
3rd Stage Beach Volleyball 4
4th Stage Beach Volleyball 3
5th Stage Beach Volleyball 4
NORCECA Pre-Olympic Tournament 8
7th Stage Beach Volleyball 4
9th Stage Beach Volleyball 8
10th Stage Beach Volleyball 4
Final Stage Beach Volleyball 8
Total 86 47
TOTAL 241 103 344
24
133
CONFEDERATIONS 2016 - Sample Collected
83
0
104
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10.4
Anti-Doping rule
violations (FIVB,
Continental, National,
Missed tests)
FIVB DECISIONS:
Nationality Last Name First NameVolleyball /
Beach VolleyballSubstance In competition / OOC Test date Suspension Start End
IRI Hoshmand Saber Beach Volleyball
Boldenone
metabolite and
metandienone
metabolite (S.1.1A)
Kish Island Open,
FIVB competition17.02.2016 4 years 24.03.2016 23.03.2020
KAZ Akilova Natalya Volleyball Meldonium (S.4) OOC 12.05.2016 n/a (no fault) n/a n/a
RUS Markin Alexander Volleyball Meldonium (S.4) CEV competition 09.01.2016 n/a (no fault) n/a n/a
RUS Firsov Boris Volleyball Meldonium (S.4) CEV competition 02.04.2016 n/a (no fault) n/a n/a
NATIONAL DECISIONS:
Nationality Last Name First NameVolleyball /
Beach VolleyballSubstance In competition / OOC Test date Suspension Start End
CZE Barak Jan Volleyball Hydrochlorothiazide In competition 16.01.2016 3 months 18.02.2016 17.05.2016
IND Kumar Krishan Volleyball Norandrosterone In competition 18.03.2016 4 years 03.05.2016 02.05.2020
USA Holt Max Volleyball Meldonium (S.4) OOC 10.06.2016 n/a (no fault) n/a n/a
BRA De Souza Leal Rafael Volleyball Stanozolol In competition 22.10.2016 4 years 14.12.2016 13.12.2020
16.12.2016
2016 Anti-Doping Rule Violations (ADRVs)
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10.5
TUEs
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
N
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n
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10.6
Steroidal Profile
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10.7
Education Programme
FIVB PLAY CLEAN
- Statistics (old & new)
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
2013 2014 2015
Real Winner Real Winner Real Winner + Play Clean
Players 2405 4000 5000
Total users 4006 7211 7346
Statistics 2013-2015
Since the beginning of the Play Clean
Programme, we have the following data:
Users 17552
Completed all Modules 15862
Play Clean
June 2015-December 2016
2013-2014 Real Winner
StatusUsers
2013
Users
2014
Volleyball International level athlete 1235 2420
Beach Volleyball International level athlete 1170 1580
Volleyball National level athlete 458 1312
Beach Volleyball National level athlete 74 125
Coach - Support personnel 836 1456
FIVB registered user 149 126
I am just visiting this site 84 192
Total users 4006 7211
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10.8
Outreach Programme
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
Outreach programme continues to educate athletes and officials
Tokyo, Japan, June 3, 2016 – The FIVB has once again committed to making volleyball a drug-free sport with a second anti-doping outreach programme organised in Japan, this time for players and officials at the Men’s World Olympic Qualification Tournament. A total of 67 athletes and support staff participated in the event on May 30, with FIVB Medical Commission member Prof. Manfred Holzgraffe helping conduct proceedings alongside the Japan Volleyball Association, the World Anti-Doping Agency and the Japan Anti-Doping Agency.
The programme is designed to increase the participants’ knowledge of anti-doping matters, and through a quiz, give the FIVB and partners a better view of the level of understanding among players and officials of current doping laws. They also took the time to leave video messages encouraging other athletes to Play Clean.
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
BEACH VOLLEYBALL
1) BVB OPEN Qatar, 04-08 April 2016
VOLLEYBALL
2) Women’s World Olympic Qualification Tournaments, Japan, 15-22 May 2016
3) Men’s World Olympic Qualification Tournaments, Japan, 28 May-05 June 2016
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
10.9
Communication & Twitter
account
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
Anti-doping and sports medicine on Medical Commission agenda
The FIVB Medical Commission met at the International Volleyball Federation headquarters on Wednesday
Lausanne, Switzerland, January 26, 2016 - The FIVB Medical Commission met at the
International Volleyball Headquarters in Lausanne on Wednesday to review work carried out
over the last year as part of the federation's core commitment to promoting a clean sport.
Anti-doping and sports medicine were discussed, as were plans to intensify testing and
develop partnerships with national anti-doping organisations in the build-up to the Rio 2016
Olympic Games.
The Commission reviewed the main pillars of the FIVB’s anti-doping programme, including
testing, examining Anti-Doping Rule Violations (ADRVs) and Therapeutic Use Exemptions
(TUEs), education and communication. Issues and statistics specific to both in-competition
and out of competition tests were discussed. This was followed by a study of the ADRVs -
there were none for the FIVB in 2015 - and of the 16 TUEs approved.
The FIVB has continued to educate and communicate around anti-doping in 2015. The FIVB
Play Clean programme, an e-learning tool on the 2015 World Anti-Doping Code, helped to
educate over 5000 beach volleyball and volleyball athletes and support personnel in 2015.
Education Outreach Programmes were organised at the FIVB Beach Volleyball World
Championships The Netherlands 2015, the FIVB Volleyball Women's U23 World
Championship in Turkey and the FIVB Volleyball World Cup in Japan. Dominican Republic
volleyball player Jineiry Martinez’s also participated in the successful Play True 2020
initiative.
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
Play Clean Ambassador Fabi talks about education - watch the video.
The FIVB continues to communicate around medical issues via dedicated pages on fivb.com
and on the FIVB Medical Twitter account.
The focus of the Medical Commission meeting then turned to the FIVB’s medical programme
in 2015.
The commission members heard a report on the Referees Health Management Plan, which
is in place for volleyball and beach volleyball referees. Alcohol tests for referees are carried
out by the Medical Commission too. Watch the video below for more information.
Other topics covered included the injury surveillance BJSM publication and a heat stress
monitoring project, as well as a review of accredited medical personnel.
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
FIVB Disciplinary Panel rules on Alexander Markin
Lausanne, Switzerland, April 28, 2016 - The FIVB Disciplinary Panel issued its decision on Thursday in the case involving Mr. Alexander Markin of Russia, who tested positive for meldonium following the semifinal match against Germany at the 2016 European Olympic Qualification tournament on January 9, 2016.
In its decision, the FIVB Disciplinary Panel followed the guidance of the World Anti-Doping Agency (WADA), which issued a Notice on April 13, 2016 regarding how to handle meldonium cases. In its Notice, WADA recommended that an anti-doping rule violation must be found in cases in which meldonium was present in an athlete’s sample after January 1, 2016 but a decision-making body could make a finding that the athlete bore no fault or negligence if the concentration of meldonium found in the athlete’s sample was below 1 microgram per millilitre (?g/mL) and the test was taken before March 1, 2016. According to WADA, if these two criteria were satisfied, the athlete’s intake would be “compatible with an intake prior to January, 2016”, i.e. before meldonium became a prohibited substance. A finding of no fault or negligence allows a decision-making body to eliminate a sanction against the athlete. In Mr. Markin’s case, the concentration of meldonium in Mr. Markin’s sample was 0.3 micrograms and the test occurred on January 9, 2016. Therefore, the two criteria provided by WADA were satisfied. The FIVB Disciplinary Panel concluded that Mr. Markin committed an anti-doping rule violation but bore no fault or negligence in this case. The FIVB Disciplinary Panel therefore lifted his provisional suspension and decided that he would be subject to no additional sanctions taking the approach recommended by WADA. Additionally, in light of this finding, the FIVB Disciplinary Panel also decided that the Russian national team’s qualification for the 2016 Olympic Games would stand due to the fact that there was no evidence that the presence of meldonium in Mr. Markin’s system could have enhanced his performance, thus, the results of the Russian team because the concentration was too low to have any performance-enhancing effect. The FIVB Disciplinary Panel noted that the disqualification of the results of the team based on the anti-doping rule violation of one athlete is discretionary and is not an automatic consequence under the applicable rules. The FIVB Disciplinary Panel issuing this decision was composed of the FIVB Disciplinary Panel Vice-Chair Ms Margaret Ann Fleming (Scotland), FIVB Disciplinary Panel member Mr. Mounir Ben Slimane (Tunisia) and FIVB Medical Commission member Prof. Dr. Roald Bahr (Norway). A copy of the decision can be found on here
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
Putting athlete health first - Heat stress protocol
Kay Matysik receives medical attention during the final of the Fortaleza Open
Lausanne, Switzerland, May 4, 2016 - Kay Matysik may have been disappointed to forfeit the Fortaleza Open gold medal match on Sunday, but was able to do so in line with the measures put in place by the FIVB to ensure the health of players in extreme temperatures. Matysik and his long-time partner Jonathan Erdmann pulled out towards the end of the tie-break so as to avoid any long-term damage and in doing so allowed Brazil’s Oscar Brandao and Andre Stein to claim their first FIVB Beach Volleyball World Tour gold medals. In 2009 the FIVB began a three-year study into how heat affects players based on the 32.3-degrees Celsius Wet Globe Bulb Temperature (WGBT) that measures air temperature, humidity, wind speed and sunlight strength and which is the temperature at which the US Navy advises the cessation of physical activity. During the study referees took four temperature measurements before matches with the referee to include any forfeitures in his report, though over the three-year study no forfeits occurred. There continued to be the recording of figures over the 2015 season, with no cases of heat exhaustion and so there is the recommendation that players, including under-age categories, who are well acclimatized to exercise under hot and humid conditions, can compete under conditions well above a WBGT of 32. "With seven years of data from 119 FIVB events, the heat stress protocol will continue to play a vital part in ensuring the health and well-being of beach volleyball players on the World Tour and at the FIVB Beach Volleyball World Championships," FIVB Executive Vice-President in charge of the Medical Commission Dr. Amr Elwani said. "It is very important we have these regulations in place, especially for the safety of our athletes. They are playing some outstanding beach volleyball in very testing conditions but it is very important that the regulations in place allow them to continue to play but also protect them and their health in extreme conditions." Related information: - FIVB Heat Stress Monitoring Protocol Report - New guidelines are needed to manage heat stress in elite sports – The Fédération Internationale de Volleyball (FIVB) Heat Stress Monitoring Programme
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
Outreach programme continues to educate athletes and officials
Tokyo, Japan, June 3, 2016 – The FIVB has once again committed to making volleyball a drug-free sport with a second anti-doping outreach programme organised in Japan, this time for players and officials at the Men’s World Olympic Qualification Tournament. A total of 67 athletes and support staff participated in the event on May 30, with FIVB Medical Commission member Prof. Manfred Holzgraffe helping conduct proceedings alongside the Japan Volleyball Association, the World Anti-Doping Agency and the Japan Anti-Doping Agency.
The programme is designed to increase the participants’ knowledge of anti-doping matters, and through a quiz, give the FIVB and partners a better view of the level of understanding among players and officials of current doping laws. They also took the time to leave video messages encouraging other athletes to Play Clean.
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
11
FIVB Anti-Doping
Programme 2017
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
11.1
FIVB Registered Testing
Pool(s)
ADAMS
Team Whereabouts
Education
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
11.2
Continue the use of
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
11.3
Informed Sports.com
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
MEDICAL
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
12
IOC – ASOIF
Recommendations to
athletes and global health
Lausanne, November 2016
INTERNATIONAL FEDERATION PRIORITIES AND ACTIVITIES WITH RESPECT TO ATHLETE AND GLOBAL HEALTH
ASSOCIATION OF SUMMER OLYMPICINTERNATIONAL FEDERATIONS
Objective
The purpose of this survey is to identify areas of
priority and activity for International Federations
(IFs) with respect to athlete health and safety and
for global health.
Purpose
The results of this survey will serve to direct
and frame the activities of the ASOIF Medical and
Science Consultative Group (AMSCG), and will
influence the planning and priorities of the International
Federations and the International Olympic Committee’s
Medical and Scientific Commission.
Methodology and Response Rate
The study was developed in the form of a survey
by the Association of Summer Olympic International
Federations (ASOIF) in consultation with the
AMSCG under the chairmanship of Dr. Margo
Mountjoy (CAN), Bureau Liaison to the FINA
Sports Medical Committee and a member of the IOC
Medical Commission – Games Group. This survey
was conducted from 14 March – 29 April 2016 in the
form of an online questionnaire. It surveyed the 28
International Federations that are members of ASOIF.
The facilitation and technical implementation of
the online survey was outsourced to professional
services company PricewaterhouseCoopers (PwC).
All 28 ASOIF members responded to the survey.
Statistical analysis was conducted by McMaster
University Medical School, (CAN).
For analysis of trends over time, a comparison
was made of the current data with a survey
on International Federation health promotion
conducted in 2012 by Mountjoy and Junge1.
Results
1. Health priorities of the
International Federations
The priorities of the International Federations
with respect to health can be found in Figure 1.
While 96% of International Federations identified
the “fight against doping” as the highest priority,
it was ranked 2nd behind “the perception of your
sport as a safe sport”; followed by “the health
of your athletes”. The lowest priorities of the
International Federation were “increasing the
number of elite athletes”, and the “health of the
general population”.
Very important
Figure 1 – Importance of health priorities for IFs
Not important at all Low importance Neither nor Important
0 100
4%
4% 4%
4%
7%
11%
11%
11%
14%
14%
25%
36%
36%
36%
39%
43%
46%
96%
14%
21%
86%
79%
68%
64%
57%
54%
50%
46%
36%
25%61%
Fighting against doping
ranked 2nd most important issue by IFs
Protecting athletes against harassment
and abuse
Your sport is perceived to be a safe sport
ranked most important issue by IFs
Increasing the number of recreational athletes
Health of your elite athletes
ranked 3rd most important issue by IFs
Increasing the number of spectators
Health of recreational athletes in your sport
Performance of elite athletes in your sport
Your sport is perceived to be an
enjoyable physical activity
Health of the general population
Increasing the number of elite athletes
PR
IOR
ITIE
S
%
(Br J Sport Med. 2013; 47: 1023-7)
2. International Federation health-related
programmes, guidelines or research activities
Figure 2 demonstrates the International Federation
programmes, guidelines or research activities of
various health-related topics. Inherent in a survey
format is the potential for self-report bias and the
missing evaluation of the quantity and quality of
the activities/programmes.
Of interest to note, despite highly prioritizing the
“health of your athletes”, International Federations
are not addressing all aspects of athlete health
such as:
Mental health
Harassment and abuse
Relative energy deficiency in sport
(RED-S)
Eating disorders/disordered eating.
20 40 60 80 1000
AC
TIV
ITIE
S
%
93% Injury prevention by regulation for equipment/venues
93% First aid/minimum safety standards at events
85% Injury surveillance during IF championships/events
70% Implementation of the Olympic Movement Medical Code
67% Pre-participation medical examination
67% Nutrition/hydration
63% Environmental conditions
56% Athlete ineligibility and Return-to-play after injury
52% Nutritional supplementation use
48% Injury prevention by exercise-based programmes
44% Disorders of sexual development (hyperandrogenism)
44% Sport specific concussion management
41% Team physician certification
41% Medical licensing at IF championships/events
41% Rest days between competitions
41% Rule changes based on sport-specific science
30% Injury prevention by Fair Play campaigns or similar
30% Training/competing during pregnancy
26% Drug importation at IF championships/events
26% Post elite career management
26% Age determination
22% Eating disorders/disordered eating
22% Protection of the athlete from harassment and abuse
15% Mental health of your athletes
15% Technology based health risks
11% Prevention of chronic diseases in the general population
7% Relative Energy Deficiency in sport (RED-S)
7% Other
Figure 2 Percentage of IF self-reporting programmes, guidelines or research activities
on various health-related topics
Sample size = 27 Summer Olympic IFs (96%)
-25 -20 -15 -10 -5 0
3. Have International Federations changed
over time? A comparison with 2012
a) Health-related priorities
Figure 3 shows the change in health-related
priorities of the International Federations from 2012
– 2016. It is interesting to note a decrease in the
priority of the International Federation in the
following topics:
Image as an enjoyable physical activity
Health of recreational athletes in your sport
Increasing the number of recreational athletes
Increasing the number of spectators.
However, the most important and statistically
significant decrease in International Federation
priority is in the topic of “health of the general
population”, despite the final recommendation
of the 2012 study being:
“International Federations should use
the unique chance to contribute to the
health of the general population by the
promotion of physical activity through
their sport.”
A possible explanation of this significant
negative change in International Federation
attention away from prioritizing global health
could be attributed to the recent focus on
negative issues such as doping challenges,
betting and match fixing.
Figure 3. Comparison of health-related priorities for IFs between 2012 and 2016.
Note:
The categories relating to: image as safe sport, top performance of sport athletes, health of elite athlete, increasing number
of elite athletes, and fight against doping showed no change from 2012 to 2016
Health of recreational athletes
Increasing spectators
Image as enjoyable physical activity
Increasing number of recreational athletes
Health of general population
PR
IOR
ITIE
S
%
-4%
-7%
-7%
-7%
-22%
Health-related priorities
b) Health-related programmes, guidelines
and research activities
Figure 4 shows the percentages of International
Federations that report activities in the various listed
health-related topics in comparison with the results
from the 2012 survey. Of importance is to note the
changes in the following relevant trends:
Despite prioritising athlete health highly, there
is a negative trend, or decreasing activity in:
Injury prevention by exercise-based
programmes
Injury prevention by Fair Play campaigns
or similar.
A positive trend, or increasing activity in:
Return-to-play after injury
First aid (e.g. on pitch physician, AED)
Training/competing during pregnancy.
The most important findings – of
statistical significance – are the positive
change (increase) in the International
Federation activity in the area of
“Post elite career management” and the
negative change (decrease) in the
International Federation activity in the area
of “Prevention of chronic diseases in the
general population”.
Figure 4. Changes in IF health-related programmes, guidelines and/or research activities from
2012-2016
-20 0 20 40 60 80 100
-19%
-15%
-15%
-11%
-11%
-4%
-4%
0%
7%
11%
15%
15%
19%
19%
93%First aid (e.g. on pitch physician, AED)
Return-to-play after injury
Post elite-career management
Training/competing during pregnancy
Disorders of sexual development
Pre-participation medical examination
Injury prevention by regulation
Rest days between competitions
Injury surveillance during championships
Mental health of your athletes
Environmental conditions (e.g. temperature, altitude)
Nutrition/hydration
Injury prevention by Fair Play campains
Prevention of chronic diseases in general population
Injury prevention by exercise programmes
AC
TIV
ITY
%
Health-related programme
Conclusions and Recommendations:
1. Athlete health: While it is encouraging to see
International Federations prioritise the health
of the elite athlete, International Federations
should focus on all aspects of athlete health to
ensure athlete health both during and after sport.
A more robust and comprehensive athlete health
program would ultimately result in improvement
of athlete sport performance.
2. Recreational athlete health: International
Federations have not identified recreational health
as a priority. Attention to this large group of
individuals world-wide would benefit sport through
the increase in healthy participating athletes, as
well as the fan base and sport market.
3. Health of the general population: According
to the Olympic Charter, International
Federations have an obligation to develop
sport for all, and a unique opportunity
to positively influence global health through
the promotion of their sport to improve
global health.
Despite the wide-spread knowledge of the
importance of the promotion of physical
activity (or sport) on the health of the
global population, the decreasing priority
and programming of the International
Federations on global health through
physical activity promotion is disturbing.
The barriers to International Federation
promotion of health in both the elite athlete
and global populations should be identified and
robust effective solutions developed to deliver
International Federation programs to improve
both athlete and global health.
Through the promotion of health, International Federations have the power to create a positive image of sport and a long-lasting legacy of improving global health: “THE POWER OF SPORT TO DRIVE WORLD HEALTH”
ASSOCIATION OF SUMMER OLYMPICINTERNATIONAL FEDERATIONS
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
13
Referees
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
13.1
Olympic Games
Seminar for referees
Rio 2016 Olympic Games
Referee Preparation Seminar
Medical matters
How to deal in daily life
By Annie PEYTAVIN
04 July 2016
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
“H O W T O D E AL W I T H T H E O R Y I N D AI L Y L I F E”
• 1) Nutrition
• 2) Fluids
• 3) Physical fitness
• 4) Rest and Jetlag
• 4) General recommendation
• 5) Time to Question
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Nutrition in daily life
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Vegetables and fruits
• Eat 5 portions of fruits or vegetables per day
– A portion is 80/100g
– The quantity your hand may contain
– One tomato, one apple, 2 or 3 apricots, 3 or 4 strawberries, a
hand of greens, a cup of soup…
• They are rich in vitamins, fiber
• They bring water
• On any preparation:
– Fresh or frozen,
– Cooked or uncooked
– Juice or by pieces
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Diary
• 3 per day
– Glass of Milk or equivalent in breakfast for example
– Cheese (30g)
– Yoghurt (125g)
• Why: for calcium and Vit. D important for muscle contraction
• Butter and cream, even produced from milk are not considered as
diary but as fat
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Carbohydrates
• At each meal:
– As sides with meat or fish or main dishes
– Breakfast: cereals but pay attention to
added sugar
– Pasta, rice, potatoes or bread
– They may be prepared with vegetables
– Pay attention to sauce
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Proteins
• Once or twice a day
• Meat, fish or eggs
• One portion = 100g of meat or fish , 2 eggs
• « Fatty » fishes are rich in Omega 3
– like salmon, mackerel or sardines
– good for vascular protection
• Prefer cooked in oven or steamed than fried.
• Avoid breaded and pay attention to sauce
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Avoid any kind of sugar
• Cakes
– If you like to have a sweet at the end of a meal prefer fruit
– For snack prefer a piece of cheese with bread or some
cereals, or a banana or an apple
• Pay attention of sugar in coffee or tea
• Prefer to drink water than sodas
– One soda = 6 pieces of sugar
– Soda “zero” are sugar free but there are sweeten substitutes,
so you continue to be sugar addicted.
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
FLUIDS
Body contains a lot of water 60% and it’s like a sponge that should stay humid:
• Muscles 73-75%
• Brain 76%
• Bones 25%
• Fat 30%
• Blood 80%
Importance of water:
• Regulate body temperature
• Elimination of wastes
• Transportation of oxygen and nutriments into cells
Loss of fluid by:
• Urine
• Sweat
• Stools especially in case of diarrhea
Loss of 5 to 7% means a very deep weakness and 20% is deadly:
• Impaired ability to make a decision
• Increased rate of perceived exertion
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
What to Drink - Eat ?
Before exercise: Be balanced
• Drink 500ml of water in the hour prior to exercise
• No need of nutriments at that moment
During physical exercise: Limit loss
• Drink regularly even if you don’t feel thirsty
• Warmer is the weather more drink you should take
• Nevertheless even if it’s cold you have to drink
After exercise: Rehydrate
• Drink glass after glass but don’t try to compensate in one intake
• Have a shower or a bath
• If weather is very hot or exercise very long and intensive: estimate your sweat loss (weigh
you before and after exercise)
• Eat preferably some fruits or vegetables after exercise, carbohydrates may be balanced by
food
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
PHYSICAL FITNESS
How to prepare yourselves
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Physical preparation
At least 45 minutes of exercise per day :
• Don’t use lifts as much as possible
• Try to use public transportation
• Make your shopping by walking
In addition
Run 3 times a week:
• 20 mn jogging cool, 70/75% of Max Heart Rate (MHR) as warming up
• 10 times 20 sec running high speed (90% MHR) alternatively with 40 sec of
recovery by jogging*
• Then 15 mn like warming up
• Then 2 mn walking as cooling down
*You may increase time of running and decrease time of recovery (30 sec running
and 30 sec recovery… 40 and 20…)
** MHR = 220-Age
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Stretching and strengthening
Keep cool as much as possible
Strengthen your core muscles
Relax muscles by stretching regularly especially all
posterior/back chains :
Strengthen abdomen and back
From 20 to 40mn
3 times a week
From 20 sec up to 60 sec
10 times alternatively with recovery
And if you are doing easily the « board »
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Rest and Jetlag
At home:
• Each person has his own rhythm of life
• Adapt to your own needs
• Go to sleep around the same time each
evening
• Stay far away from smartphone or tablets
• Take a nap, if possible
• Sleep in dark as much as possible
• Noiseless environment, no pets
• Pay attention to room temperature
• Avoid any stressful activity 2 hours prior
to go to sleep
If you have a poor sleep, before to take some pills try this:
• Keep to a regular sleep schedule even during week end
• Relax before bedtime with hot bath, reading…
• Don’t have heavy meals or don’t drink alcohol
• No caffeine at least 8 hours before going to bed
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Jetlag symptoms
1. Disturbed sleep pattern
2. Feeling disoriented
3. Constipation
4. Indigestion
5. Headaches
6. Nausea
7. Sweating
8. Anxiety
9. For women: Irregular period
Each person has different biological clock:
• work adaptation in morning or evening
60% of people prefer to go to west
30% to East
10% are not disturbed
Long trip:
Before flight: avoid sleep debt
During flight:
• Rest but don’t sleep the whole flight
• Adapt your watch to destination
• Eat light meals, avoid
• Avoid alcohol
• Stay hydrated : drink a glass of water each hour
• Avoid sparkling drinks
• Walk regularly during flight
Dealing with travels
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Rest and Jetlag
Competition with less than 2 hours of time difference
• Sleep as much you can
• Try to respect the same rhythm as at home
• Day of competition, have a map if you are used to have
Competition with more than 2 hours of time difference
• During trip try to adapt to the new time schedule
• The longest adaptation is digestive, so try to adapt immediately time for meals
• You have to go outside for walking: Day light is very important
Usually people needs 1 day /h of difference for recovery but it’s depending of your
own rhythm and the direction
Be rested right before the trip: more tired you are more difficult will be adaptation to
jetlag
Avoid long term sleeping pills
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Final Recommendations
1. Adapt your diet:
– Eat regularly,
– priority of light foods, carbohydrates and salads
– not too much at a time especially at diner.
2. Drink regularly but water or few soft drinks, avoid alcohol.
3. Exercise regularly. During trips go to fitness center at hotel
4. Stretch and take time to relax
4. Rest as much as possible and prepare you to jetlag.
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
13.2
Health Management
Programme
VB and BVB Referees
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
May 2015 July 2016 May 2015 July 2016 2015 2016
AVC 39 40 AVC 233 221 272 261
CAVB 29 37 CAVB 152 124 181 161
CEV 107 107 CEV 373 359 480 466
CSV 17 28 CSV 58 52 75 80
NORCECA 38 33 NORCECA 98 81 136 114
Total M-4 230 245 Total M-4 914 837 1144 1082
AVC 3 13 AVC 128 145 131 158
CAVB 6 6 CAVB 55 87 61 93
CEV 1 1 CEV 1 14 2 15
CSV 1 5 CSV 10 16 11 21
NORCECA 4 9 NORCECA 8 25 12 34
Total Missing M-4 15 34 Total Missing M-4 202 287 217 321
Grand Total 245 279 Grand Total 1116 1124 1361 1403
Statistics M-4 2016
M-4
mis
sin
g
M-4
re
ceiv
ed
M-4
mis
sin
g
M-4
re
ceiv
ed
VBBVB TOTAL M-4
2015 2016
AVC 403 419
CAVB 242 254
CEV 482 481
CSV 86 101
NORCECA 148 148
Total 1361 1403
TOTAL/CONFEDERATION
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
Co
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BV
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20
15
64
13
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
14
Dr. Mattia Piffaretti
presentation
“Jetlag prophylaxis”
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
15
M-3 form:
- VB 2 months before the
event?
- BVB once a year?
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
16
FIVB Injury Surveillance
System
PRE-PARTICIPATION EXAMINATION (PPE) IN INTERNATIONAL SPORTS FEDERATIONS Sent on 1 Feb 2016 to 25 ISFs
Responses by 10 March 2016: 5 (response rate 25%)
Responses after personal reminders: 20 (response rate by 31 May 80%)
PARTICIPATING SPORTS: Air Sports (FAI), Aquatics (FINA), Archery (WA), Athletics (IAAF),
Basketball (FIBA), Canoe/ Kayak (ICF), Cycling (UCI), Fencing (FIE), Football (FIFA), Ice
Hockey (IIHF), Luge (FIL), Modern Pentathlon, Sailing (ISAF), Skiing (FIS), Field Hockey
(FIH), Rowing (FISA), Rugby (World Rugby), Tennis (ITF), Triathlon (ITU), Volleyball
(FIVB)
Individual sport: 13 Team sport: 13
1. PPE RECOMMENDATIONS Do you generally recommend the PPE to your member organisations? Yes: 17 (85%) No: 3 If yes*: At all levels of competition
Only at elite (national, international) level
Men Women Youth
5 (29%) 10 (58%) 9 9 6 *several or no response per ISF
Frequency Annually Every two years Every three years
7 5 1 (for ECG only) Method* Self-administered questionnaire (non-supervised)
Nurse-administered questionnaire
History and physical examination by physician
History and physical examination and 12-lead resting ECG
5 (29%) 0 3 11 (64%) (1 moving towards)
* Some ISFs have different requirements at different levels/age, e.g. for ECG.
Any specific recommendations for history / examination / other tests: Check for Marfan’s sign in cardiac screening (FIBA) Echocardiography in addition (FIFA) Exercise test ECG (FIE)
2. PPE REQUIREMENTS AT ISF EVENTS Do you demand a PPE for accreditation/ participation in your events? Yes: 9 (45%) No: 11 (55%) (but 2 consider to do so after having received FISA approach)
ISF PPE questionnaire, FIMS Interfederal Commission, 2016
If yes: At all levels of competition
Only at elite (national, international) level
Men Women Youth
4 5 4 4 3 No earlier than <1 year prior to event <6 months prior to event <3 months prior to event
3 4 Method* Self-administered questionnaire (non-supervised)
Nurse-administered questionnaire
History and physical examination by physician
History and physical examination and 12-lead resting ECG
We provide a standard PPE examination form
3 0 3 7 Paper: 3 Electronic: 5
*several responses per ISF
Shared their questionnaire: FIBA attached their PPE form; ITF attached their PPE form and additional information; FISA:provided link to their online PPE form.
Any specific recommendations for history / examination / other tests: World Rugby: Examination apart from cardiac screening is not standardised. This is a conscious decision following feedback from legal department.
3. REGULATIONS AND CONTROLS Does your ISF Collect the forms / analyse the electronic database
Offer PPE performance on site prior to events at no cost to MAs
Demand that team physicians confirm PPE completion and fit-to-play
Demand that MA Presidents confirm completion and fit-to-play
Deny accreditation for event without PPE and fit-for-play declaration
5 (56%) 2 6 5 7 (78%) Comments: UCI: http://www.uci.ch/clean-sport/medical-monitoring-162736/ ; FIVB requires Health Certificate with specific requirements for Beach Volleyball.
SUMMARY: The vast majority of responding ISFs generally recommend a PPE to their member associations, roughly one third at all levels of competition and two thirds only at elite level. The majority recommend a history with physical exam and resting ECG either annually or biannually, about a third a self-administered questionnaire. Additional examinations such as echocardiography or stress test are an exception. At their own events, 9 of the 20 ISFs demand a PPE (self-administered or history with physical exam and resting ECG, 5 ISFS have own forms)). Five of these ISFs collect the forms and 77% of them deny accreditation for the event without a PPE and fit-for-play declaration. Two ISFs were inspired to take the topic up again with their Medical Commissions following the FIMS ICF communication.
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
17
Injury prevention devices
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
18
FIVB Heat Stress
Monitoring Protocol
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
19
FIVB Accreditations for
Medical Personnel
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
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__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
20
Sport Science Award
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
21
FIVB Medical and Anti-
Doping Regulations 2017
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
FIVB Medical and Anti-Doping Regulations 2016
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
22
List of proposals for the
Board of Administration
__________________________________________________________________________________
FIVB Medical Department 2017 Medical Commission Meeting
23
Workshop