Enhancing PerformanceWhat can Sports Medicine do for your National Federation?

Dr. Margo MountjoyFINA Bureau

Aquatic Sports Medicine

Performance

Prevention

Protection

ATHLETE

coach

family

high performance

team

National Federation

Athlete Centred

Athlete

Team Doc

Physio‐therapist

SportsPsych

Nutrition

Medical PerformanceEnhancement Team

Team Physician’s Role in Maximizing Performance

Diagnosing & TreatingPhysical Injuries & Illnesses

#1 Maximizing Performance

Maximizing Performance:Responding to Injuries & Illnesses

Early assessment

Quick access to diagnostic imaging

Appropriate & effective treatments

Emergency intervention

#2 Maximizing PerformanceAddressing Psychological Needs

Development of Long Term Athlete Development Program 

#3 Maximizing Performance

Scientifically based training guidelines

InsAquatic Sports Medicine

Performance

Prevention

Protection

#1 Pre‐Season Evaluations

Medical examination

Strength

Flexibility

Nutritional analysis

Balanced program planning

Psychological review

Prevention

RegionUp.

limbsLow.

Limbs Trunk AndroïdGynoï

d TotalTissue (%Fat) 18.40% 18.70% 13.50% 14.30% 24.10% 16.40%

Region (%Fat) 17.60% 17.90% 13.10% 14.00% 23.50% 15.70%Tissue 5'138 g 17'463 g 20'978 g 2'922 g 7'944 g 46'732 g

Fat 945 g 3'264 g 2'822 g 417 g 1'914 g 7'685 gLean 4'193 g 14'198 g 18'156 g 2'505 g 6'030 g 39'047 gBMC 234 g 822 g 566 g 43 g 215 g 2'089 gTotal 5.4 kg 18.3 kg 21.5 kg 3.0 kg 8.2 kg 48.8 kg

RMR (Resting Metabolic Rate)1,290 cal/day

# 2 Sport Science

Integration of sportscience research into practice

Injury Prevention

Collaborate with coaches to decrease recurrence through correction of stroke biomechanics 

Integration of Sport Science

#3 Institution of Injury Prevention Programs

To minimize time‐loss from training & competition

Shoulder over‐use injuries

25% aquatic athletes86% breast strokers

Swimmer’sKnee

Lumbar Injuries

Travel Medicine

# 4 Illness Prevention

#5 Monitoring:  Surveillance Programs

overtraining

eating disorders

physical injuries

female athlete triad 

concussion

Prevention

#6  Return to Play Guidelines

Evidence based safe, efficient RTP guidelines

Prevention of Secondary Injuries

Foster teamwork

• Picture of team in Rome

#7 Injury Prevention through Supporting Research

Prevention

Injury Surveillance Injury Prevention

1) Establishing the extent of the sport 

injury

2) Establishing the cause of the injury

3) Introducing preventive measures

4) Assess the effectiveness of the 

prevention interventions (Step #1)

Example: 

2004 Athens Water Polo Injury Incidence

Injury Breakdown

head (56%)

upper extremity(28%)

trunk (11%)

lower extremity (6%)

Results from Research

Head injuries educational program

FINA Injury & Illness Prevention Study

ACUTE INJURY RESULTS171 acute injuries

6.6% of registered athletes

7.2/1000 in competition

0.8% time loss injury

1.1/1000 in competition

50% training / competition

Upper extremity34.5%

#1 shoulder

Lower Extremity26.9%

Trunk22.2%

Head / Neck10.5%

INJURY LOCATION

Overuse: 37.5%

Non‐contact trauma:  15.3%

Contact with athlete 14.7%

INJURY MECHANISM

Prevention Programs

Shoulder preventionTraining program

Chronic injury Prevention education

InsAquatic Sports Medicine

Performance

Prevention

Protection

#1 Anti‐Doping Educational Program

Protection

Protect the health of the athlete

Protect the integrity of sport

Protect the National Federation

#2 Sexual Harassment

andAbuse in Sport

Protection

Prevention policies & procedures 

for athlete protection

#3 Protection:

FINA Medical Code of Ethics

Protect athletes from unethical treatment

Prevent organizationsfrom mis‐treating athletes

Enhancing Performance: Role of Sports Medicine in National Federations

Performance

Prevention

Protection

Thank you for your attention!

Dr. Margo Mountjoy FINA Bureau:  Sports Medicine Liaison