Abstract:
:Elite athletes endeavour to train and compete even when ill or injured. Their motivation may be intrinsic or due to coach and team pressures. The sports medicine physician plays an important role to risk-manage the health of the competing athlete in partnership with the coach and other members of the support team. The sports medicine physician needs to strike the right ethical and operational balance between health management and optimising performance. It is necessary to revisit the popular delivery model of sports medicine and science services to elite athletes based on the current reductionist multispecialist system lacking in practice an integrated approach and effective communication. Athlete and coach in isolation or with a member of the multidisciplinary support team, often not qualified or experienced to do so, decide on the utilisation of services and how to apply the recommendations. We propose a new Integrated Performance Health Management and Coaching model based on the UK Athletics experience in preparation for the London Olympic and Paralympic Games. The Medical and Coaching Teams are managed by qualified and experienced individuals operating in synergy towards a common performance goal, accountable to a Performance Director and ultimately to the Board of Directors. We describe the systems, processes and implementation strategies to assist the athlete, coach and support teams to continuously monitor and manage athlete health and performance. These systems facilitate a balanced approach to training and competing decisions, especially while the athlete is ill or injured. They take into account the best medical advice and athlete preference. This Integrated Performance Health Management and Coaching model underpinned the Track and Field Gold Medal performances at the London Olympic and Paralympic Games.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Dijkstra HP,Pollock N,Chakraverty R,Alonso JMdoi
10.1136/bjsports-2013-093222subject
Has Abstractpub_date
2014-04-01 00:00:00pages
523-31issue
7eissn
0306-3674issn
1473-0480pii
48/7/523journal_volume
48pub_type
杂志文章abstract:BACKGROUND:Groin pain in athletes is frequent and many different treatment options have been proposed. The current level of evidence for the efficacy of these treatments is unknown. OBJECTIVE:Systematically review the literature on the efficacy of treatments for groin pain in athletes. METHODS:Nine medical databases ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2014-094256
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVES:To study the long term effect of tibial shaft fractures treated by immobilisation in a long leg cast on the calf muscle bulk. METHODS:Computed tomography scans were performed at fixed points on the lower legs of 23 non-professional athletes who sustained closed tibial fractures 16 years previously. Length o...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.020743
更新日期:2006-06-01 00:00:00
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更新日期:1994-03-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.043364
更新日期:2009-07-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
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更新日期:2017-12-01 00:00:00
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doi:10.1136/bjsm.2008.049411
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pub_type: 杂志文章
doi:10.1136/bjsports-2011-090230
更新日期:2011-12-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2013-092386
更新日期:2013-11-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2014-093561
更新日期:2014-05-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2019-100715
更新日期:2019-06-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.27.2.87
更新日期:1993-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/bjsm.2005.018564
更新日期:2005-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/bjsm.2007.035733
更新日期:2007-10-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1995-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/bjsm.37.2.160
更新日期:2003-04-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.048082
更新日期:2008-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-09-01 00:00:00
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doi:10.1136/bjsports-2016-096990
更新日期:2018-07-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
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更新日期:2010-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/bjsm.35.1.38
更新日期:2001-02-01 00:00:00
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更新日期:2008-06-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1136/bjsports-2012-091786
更新日期:2014-03-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析
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更新日期:2019-07-01 00:00:00
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更新日期:2019-06-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2019-09-01 00:00:00
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更新日期:2016-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/bjsm.2008.056416
更新日期:2009-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-02-01 00:00:00