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T O P I C R E V I E W
Karl
Posted - Jul 30 2005 : 07:24:35 AM Medical Latest medical trends discussed in Oman
FIFA Chief Medical Officer Professor Jiri Dvorak, MD was one of the presenters at the conference. (FIFA.com)
(FIFA.com) 28 Jul 2005
The Third Asian Conference on Science and Football Medicine organised by the Asian Football Confederation (AFC) in collaboration with FIFA and hosted by Oman Football Association (OFA) in Muscat between 19-22 May witnessed the leaders from the world of the sport and medicine came together to share the latest on the scientific trends in football as well as the physical and mental health of the players. The eighty-two presentations were delivered to nearly 300 medical professionals from member nations of the AFC and shed light on vital issues like importance of screening to minimize injuries, the methods to modify training to maximize fitness, the strategy to fight against doping, the importance of nutrition and hydration for players, the impact of Ramadan on biochemical and performance indices for football players, the innovation in radiology for imaging of injuries and age determination and the latest rehabilitation techniques for players.
The four-day conclave, according to Peter Velappan, General Secretary of AFC, was the first step in a bid to define the role of sports medicine in the body's revolutionary 'Vision Asia' programme. 'Vision Asia' a brainchild of AFC President Mohammed Bin Hammam that aims to raise the standards of Asian football at all levels, be it on the field of play, administration or sports science.
The AFC was organized by Dr. Peter Velappan, Dr. Gurucharan Singh (AFC medical chairman) and a host of other medical professionals from other AFC member nations.
The FIFA Sports Medical committee and F-MARC presenters included Dr. Michel D'Hooghe, Dr. Tony Edwards (NZ), Dr. Yacine Zerguini (Algeria), and Dr. Jiri Dvorak. Dr. D'Hooghe's keynote address traced the evolution of sports medicine related to football. He said, "Football medicine, like the game itself is a team effort."
He termed nutrition, hydration and hygiene as an equally important pillars of medical care as traumatology, physiology, psychology and pharmacology. He also appealed to the audience to highlight the problems of the fight against doping. He said that doping was not only unethical for sports but it was prejudicial to the integrity of competitions. But above all it was a question of the health of those very athletes who were the soles of the spectacle. Dr. D'Hooghe even expressed deep reservations over so-called food-supplements, which as of now constitutes a 16-billion-dollar-a-year industry. He said that a recent IOC study proved that at least 25 per cent of such supplements contained banned substances, essentially, steroids and stimulants and that too without any notification.
Dr. D'Hooghe also clarified the stance of FIFA in the ongoing tussle with World Anti-Doping Agency (WADA) over doping control measures. "We don't have similar principles as far as doping control measures are concerned but that does not means our measures are any less effective. We have a vision of individual case management and not a blanket rule. We have statistics that speaks for themselves. We respect WADA as a body, but they should respect our autonomy," said Dr. D'Hooghe.
"This (FIFA strategy) is primarily through education and explanation to everyone involved in the game from players to doctors to coaches," said Dr. Dvorak. Out of 22,550 samples examined worldwide only 88 positive cases- 0.4 per cent were found and about half of the positive tests were for recreational drugs like marijuana. "The facts and figures justify our assumptions that there is no scientific evidence of doping in football to increase performance," Dvorak added.
The tragic death on the football pitch due to hidden cardiac conditions was an important issue for the AFC representatives. Dr. Tony Edwards pointed out that "Both the International Olympic Committee (IOC) and FIFA have endorsed cardiac screening in an effort to minimise the risk, but there are many other issues that can be addressed through screening and one of the most important is musculoskeletal injury prevention," said Edwards.
Injury prevention was addressed on numerous fronts, none more so that the presentation of the F-MARC 11 by Dr. Dvorak. The exercises suggested by the course focused on core stability, neuromascular control and plyometrics.He said," deficit in these areas have been associated with increased risk of injury and reduced athletic performance."
Another keynote series of presentations was by Dr. Ron Maughan of Loughborough University in the UK who area of expertise in nutrition, hydration, and performance. "If you don't have good nutrition forget about fitness training, the ability to perform exercise is impaired if the diet is inadequate and conversely the performance may be improved by dietary manipulations," he added. About the popular use of dietary supplements he said there was no good evidence that they were necessary or they would improve performance. "Many athletes make poor food choice and education is a must to ensure that all nutrition needs are met within the athlete's energy budget," he said.
Finally, his comments on hydration pointed out that "the body does not adapt to loss of water while training and dehydration increases fatigue and reduces the effectiveness of training. So it is important to practice drinking strategies to be used during competitions," He however warned the players that they should aim to ingest sufficient fluid to maintain performance but not drink so much that they gain weight during competitions.
Of particular interest to the Asian audience was the presentation by Dr. Zerguini on the effects of Ramadan on football performance. With the clear proof of the performance falloffs during the fast, it became obvious that scheduling issues during Ramadan must be addressed.