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  • Zach

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    Handbook of

    Sports Medicine

    and Science

    Sports Therapy Services Organization and Operations

    An IOCMedical CommissionPublication

    CITIUS ALTIUS FORTIUS

    EDITED BYJames E. Zachazewski & David J. Magee

  • Handbook of Sports Medicineand Science

    Sports Therapy ServicesOrganization and Operations

  • Handbook of Sports Medicineand Science

    Sports Therapy ServicesOrganization and Operations

    EDITED BY

    James E. Zachazewski, PT, DPT, SCS, ATCClinical Director

    Department of Physical and Occupational TherapyMassachusetts General Hospital

    Boston, MA;Adjunct Assistant Clinical Professor

    Graduate Programs in Physical TherapyMGH Institute of Health Professions

    Charlestown, MAUSA

    David J. Magee, PhD, BPTProfessor

    Department of Physical TherapyFaculty of Rehabilitation Medicine

    University of AlbertaEdmonton, AB, Canada

    A John Wiley & Sons, Ltd., Publication

  • C 2012 International Olympic CommitteePublished by John Wiley & Sons, Ltd

    Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wileys global Scientific,Technical and Medical business with Blackwell Publishing.

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    Designations used by companies to distinguish their products are often claimed as trademarks. All brandnames and product names used in this book are trade names, service marks, trademarks or registeredtrademarks of their respective owners. The publisher is not associated with any product or vendor mentionedin this book. This publication is designed to provide accurate and authoritative information in regard to thesubject matter covered. It is sold on the understanding that the publisher is not engaged in renderingprofessional services. If professional advice or other expert assistance is required, the services of a competentprofessional should be sought.

    Library of Congress Cataloging-in-Publication Data

    Sports therapy / edited by James E. Zachazewski, David J. Magee.p. ; cm. Handbook of sports medicine and science

    Includes bibliographical references and index.ISBN 978-1-118-27577-1 (pbk. : alk. paper)I. Zachazewski, James E. II. Magee, David J. III. International Olympic Committee. IV. Series:

    Handbook of sports medicine and science.[DNLM: 1. Athletic Injuriestherapy. 2. Athletes. 3. Internationality. 4. Sports

    Medicinemethods. QT 261]

    617.1027dc232012020850

    A catalogue record for this book is available from the British Library.

    Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may notbe available in electronic books.

    Cover image: C IOC: Photographers Field Hockey, Huet; Tennis, Tobler; Ice Hockey, Nagaya;Weight Lifting, Kishimoto; Gymnast, JuilliartCover design by Opta Design

    Set in 8.75/12pt Stone Serif by Aptara R Inc., New Delhi, India

    1 2012

    http://www.wiley.com/wiley-blackwell

  • Contents

    List of Contributors, vi

    Foreword, viii

    Preface, ix

    1 Sports therapyWho? What? When? Where?Why? and How?, 1James E. Zachazewski and David J. Magee

    2 A history of sports medicine and sportstherapy, 9James E. Zachazewski, Arthur J. Boland,and Nicola Phillips

    3 The role and importance of the sportstherapist: pre-event, event, andpost-event, 19Suzanne Werner, Peter Drugge, Tommy Eriksson,Asa Lonnqvist, Ulrika Tranaeus, andLotta Willberg

    4 Hosting international Olympic events:providing host therapy services atmajor games, 25Randy Goodman

    5 Pre-Olympic team travel: logistical andtreatment considerations, 41Masaki Katayose and David J. Magee

    6 Olympic event: logistical and treatmentconsiderations, 48Nicola Phillips and Caryl Becker

    7 The importance of communication:understanding the importance of the eventto the athlete, coach, and others, 68Bill Moreau and Peter Toohey

    8 Considerations for working with professionalathletes versus nonprofessional amateurathletes during Olympic events, 79Sergio T. Fonseca, Juliana Melo Ocarino,Thales Rezende Souza, Anderson Aurelioda Silva, Jose Roberto Prado Jr, Natalia FrancoNetto Bittencourt, and Luciana De MichelisMendonca

    9 To compete or not to compete followinginjury during Olympic events, 91Tony Ward

    10 Sports nutrition and therapy, 103Louise Burke and Ron Maughan

    Appendix: Olympic sports medicinecontacts, 117James Green II and Gayle Olson

    Index, 123

    v

  • List of Contributors

    Anderson Aurelio da Silva, MScDepartment of Physical TherapySchool of Physical Education, Physical Therapy &Occupational TherapyUniversidade Federal De Minas GeraisBelo Horizonte, MG, Brazil

    Caryl Becker, MScChief PhysiotherapistBritish Olympic AssociationLondon, UK

    Natalia Franco Netto Bittencourt, MScMinas Tenis ClubeGraduate Program in Rehabilitation SciencesUniversidade Federal de Minas GeraisBelo Horizonte, MG, Brazil

    Arthur J. Boland, MDDepartment of OrthopaedicsSports Medicine ServiceMassachusetts General HospitalBoston, MA, USA

    Louise Burke, APD, PhDHead, Sports NutritionAustralian Institute of SportAustralian Sports CommissionBruce, ACT, Australia

    Peter Drugge, PT, ATCCapio Artro ClinicStockholm, Sweden

    Tommy Eriksson, DNStockholms Naprapat Institute ABTaby, Sweden

    Sergio T. Fonseca, PhDDepartment of Physical TherapySchool of Physical Education, Physical Therapy &Occupational TherapyUniversidade Federal De Minas GeraisBelo Horizonte, MG, Brazil

    Randy Goodman, PT, DIP,Sports PT, BScClinical Specialist in Sports PhysiotherapyUniversity of British ColumbiaKelowna, BC, Canada

    James Green II, BSGraduate Programs in Physical TherapyMGH Institute of Health ProfessionsCharlestown, MA, USA

    Masaki Katayose, PT, JASA-AT, MSc, PhDDepartment of Physical TherapySchool of Health SciencesSapporo Medical UniversitySapporo, Hokkaido, Japan

    Asa LonnqvistCapio Artro ClinicStockholm, Sweden

    David J. Magee, PhD, BPTDepartment of Physical TherapyFaculty of Rehabilitation Medicine

    vi

  • List of Contributors vii

    University of AlbertaEdmonton, AB, Canada

    Ron Maughan, PhDSchool of Sport, Exercise and Health SciencesLoughborough UniversityLoughborough, UK

    Luciana De Michelis Mendonca, BScINCISAGraduate Program in Rehabilitation SciencesUniversidade Federal de Minas GeraisBelo Horizonte, MG, Brazil

    Bill Moreau, DC, CSCSManaging Director, Sports MedicineUnited States Olympic CommitteeColorado Springs, CO, USA

    Juliana Melo Ocarino, PhDDepartment of Physical TherapySchool of Physical Education, Physical Therapy &Occupational TherapyUniversidade Federal De Minas GeraisBelo Horizonte, MG, Brazil

    Gayle Olson, ATC, MSWellness CoordinatorDepartment of Physical and Occupational TherapyMassachusetts General HospitalBoston, MA, USA

    Nicola Phillips, PhD, MScPresident, International Federation of SportsPhysical TherapyCardiff UniversityCardiff, UK

    Jose Roberto Prado Jr, MScCentro Universitario Augusto MottaRio de Janeiro, RJ, Brazil

    Thales Rezende Souza, MScGraduate Program in Rehabilitation SciencesUniversidade Federal de Minas GeraisBelo Horizonte, MG, Brazil

    Peter Toohey, ATC, MSLake Placid Olympic Training CenterUnited States Olympic CommitteeLake Placid, NY, USA

    Ulrika Tranaeus, DN, MScStockholm Sports Trauma Research CenterKarolinska InstituteStockholm, Sweden

    Tony Ward, M. Sports PhysiotherapyDepartment of Physical TherapiesAustralian Institute of SportBelconnen, ACT, Australia

    Suzanne Werner, PT, ATC, PhDStockholm Sports Trauma Research CentreKarolinska Institute;Head of ResearchCapio Artro ClinicStockholm, Sweden

    Lotta Willberg, MDOrthopedic SurgeryCapio Artro ClinicStockholm Sports Trauma Research CenterKarolinska InstituteStockholm, Sweden

    James E. Zachazewski, PT, DPT,SCS, ATCClinical DirectorDepartment of Physical and Occupational TherapyMassachusetts General HospitalBoston, MA;Adjunct Assistant Clinical ProfessorGraduate Programs in Physical TherapyMGH Institute of Health ProfessionsCharlestown, MAUSA

  • Foreword

    It must be appreciated that a wide variety of profes-sionals are involved with athletes in order to pro-vide these competitors with the highest possiblequality of care. In the organization of major sportcompetitions such as the Olympic Games, carefulconsideration must be given to the planning andthe organization of all services from the immediatemedical care to be provided through to the eventualtherapies for return to competition.

    The co-editors of this handbook, Professor JamesZachazewski and Professor David Magee, have as-sembled a cohort of contributing authors who rep-resent the leading practitioners of the therapiesemployed with athletes