KEYNOTE 1

09.30 – 10.30 Room Salle des Princes

[114] Injury prevention from a professional sports league perspective: the journey from theory to implementation
Willem Meeuwisse (Canada)

SESSION A – SYMPOSIUM 1

11.00-12.30 Room Salle des Princes

[462] Load management in elite football: Does sexy research translate to real-world prevention?

Chairs: Thor Einar Andersen (Norway) & Ben Clarsen (Norway)

  • Load management: The hottest topic in injury prevention (5 min)
    Thor Einar Andersen (Norway)
  • Load management in a professional club: Ideal conditions versus reality (15 min)
    Alan McCall (Scotland)
  • Managing workload in a national team: Like a box of chocolates? (15 min)
    Gregory Dupont (France)
  • Managing load in an elite youth academy: A fine line (15 min)
    Michel Brink (The Netherlands)
  • What’s the evidence? The first RCT of load management as prevention (15 min)
    Torstein Dalen-Lorentsen (Norway)
  • The future of load management in injury prevention: Where to now? (10 min)
    Ben Clarsen (Norway)

Panel discussion (15 min)
(Andersen, McCall, Dupont, Brink, Dalen-Lorentsen, Clarsen)

SESSION B – SYMPOSIUM 2

11.00-12.30 Room Prince Pierre

[497] Protecting the Olympians of tomorrow; should we be cardiac screening the elite paediatric athlete?

Chair: Sanjay Sharma (United Kingdom)

Introduction: Sudden death in paediatric athletes; Magnitude of the problem (15min)
Demitri Constantinou (South Africa)

  • Are we pushing kids too hard, too early? Physiological responses to training in elite paediatric athletes (15min)
    Craig Williams (United Kingdom)
  • Can we cardiologically evaluate kids using the tools made for adults? (15min)
    Maria-Carmen Adamuz (Qatar)
  • What to do with the elite paediatric athlete with suspected heart disease? Appraisal of current international guidelines (15min)
    Guido Pieles (United Kingdom)
  • Future strategies of cardiac care in elite paediatric athletes (15min)
    Mathew Wilson (Qatar)

Panel discussion: Striking a balance between child protection and developing the future Olympic superstars: Role of international sporting organisations (15min)
(Sharma, Constantinou, Williams, Adamuz, Pieles, Wilson)

SESSION C – SYMPOSIUM 3

11.00-12.30 Room Camille Blanc

[292] Primary, secondary and tertiary prevention strategies for ankle sprains: an essential update and guide for clinicians working with field- and court-sport athletes

Chair: Eamonn Delahunt (Ireland)

  • The results of epidemiological and injury mechanism research are integral to the planning of effective ankle sprain injury prevention strategies (15 min)
    Eamonn Delahunt (Ireland)
  • Preventing first-time ankle sprains in field- and court-sport athletes: what works and why? (15 min)
    Evert Verhagen (The Netherlands)
  • Braces and tape: Integrating clinical expertise and best evidence to make informed decisions for the primary and secondary prevention of ankle sprains in field- and court-sport athletes (15 min)
    Claire Hiller (Australia)
  • A guide to implementing effective therapeutic interventions to prevent ankle sprain injury recurrence and chronic ankle instability in field- and court-sport athletes (15 min)
    Phillip Gribble (USA)
  • Managing the difficult ankle: optimal surgical approaches to prevent ongoing impairments following ankle sprain injury (15 min)
    Gino Kerkhoffs (The Netherlands)

Panel discussion: Future directions for ankle sprain injury prevention research in field- and court-sport athletes and its uptake in clinical practice (15 min)
(Delahunt, Verhagen, Hiller, Gribble, Kerkhoffs)

SESSION A – HEAD-TO-HEAD DEBATE 1

14.00-15.00 Room Salle des Princes

[243] Is it time to stop recommending cardiac screening in athletes and focus on reactive care?

Chair: Kimberly Harmon (USA)

  • Setting the scene – pre-debate audience vote (5 min)
    Kimberly Harmon (USA)
  • Speaker for the affirmative: Cardiac screening – end of an error. Long live reactive care (15 min)
    Mathew Wilson (Qatar)
  • Speaker for the negative: Cardiac screening is essential and must go hand-in-hand with reactive care (15 min)
    Sanjay Sharma (United Kingdom)

Rebuttals (3 min each)
Mathew Wilson (Qatar) and Sanjay Sharma (United Kingdom)

Chair’s sum-up and post-debate audience vote (3 min)
Kimberly Harmon (USA)

Audience discussion (10 min)

SESSION B – SYMPOSIUM 4

14.00-15.00 Room Prince Pierre

[233] Injury prevention programmes in Rugby Union: across countries and into communities

Chair: Jon Patricios (South Africa)

Introduction: Why rugby? (2 min)
Jon Patricios (South Africa)

  • RugbySmart: Positively pioneering injury prevention (12 min)
    Ken Quarrie (New Zealand)
  • From “the pitch” to the pitch: World Rugby’s approach to implementing the Activate Injury Prevention Programme (12 min)
    Michael Hislop (Ireland)
  • BokSmart: Using a multipronged approach to develop targeted interventions for an ever-evolving game (12 min)
    Wayne Viljoen (South Africa)
  • Sports Concussion South Africa: Country-wide community-based concussion care (12 min)
    Jon Patricios (South Africa)

Questions and panel discussion (10 min)

SESSION C – SYMPOSIUM 5

14.00-15.00 Room Camille Blanc

[522] Contact sports on artificial grass pitches: Getting beneath the surface of injury risk – How important is the divot?

Chair: Keith Stokes (United Kingdom)

  • It’s not just how common, but how severe: The burden of injuries on grass and artificial pitches in Rugby Union (12 min)
    Keith Stokes (United Kingdom)
  • Differential injury rates on natural vs. artificial surfaces in the NFL: Lessons from American Football (12 min)
    Allen Sills (USA)
  • Biomechanical Testing of Shoe-Surface Interactions and Footwear Design Implications (12 min)
    Richard Kent (USA)
  • Strategies for injury reduction on artificial turf pitches (12 min)
    Simon Kemp (United Kingdom)

Questions and panel discussion (12 min)
(Stokes, Sills, Kent, Kemp)

SESSION D – SYMPOSIUM 6

14.00-15.00 Room Auric

[284] Do the three E’s of injury prevention (education, enforcement, engineering) work in alpine skiing and snowboarding?

Chair: Claude Goulet (Canada)

  • Introduction of symposium and speakers (2 min)
    Claude Goulet (Canada)
  • Does risk compensation undo the protection of ski helmet use? (12 min)
    Gerhard Ruedl (Austria)
  • Educating for injury prevention: child and youth skiing and snowboarding (12 min)
    Brent E. Hagel (Canada)
  • Using the biomechanics of injury to design safer snow sports equipment and on-slope injury prevention strategies (12 min)
    Irving Scher (USA)
  • Sport injury epidemiology to support regulation implementation in alpine skiing and snowboarding (12 min)
    Claude Goulet (Canada)

Panel Discussion: Future directions for research and informing best practice in the prevention of injuries for alpine skiers and snowboarders (10 min)
(Ruedl, Hagel, Scher, Goulet)

SESSION E – SYMPOSIUM 7

14.00 – 15.00 Salle Van Dongen

[319] Innovative approaches for the prevention of running-related injuries

Chair: Leonardo Metsavaht (Brazil)

  • Problem overview: epidemiology (10 min)
    Mansueto Gomes-Neto (Brazil)
  • The complexity of running injuries and their risk factors (10 min)
    Leonardo Metsavaht (Brazil)
  • Costs for identifying running-related injury risks (10 min)
    Gustavo Leporace (Brazil)
  • Neuromuscular training to prevent running-related injuries (10 min)
    Fábio Arcanjo (Brazil)

Panel Discussion: Implementation of running-related injury prevention programs in clinical practice (20 min)

(Metsavaht, Neto, Leporace, Arcanjo)

SESSION A – SYMPOSIUM 8

15.00-16.00 Room Salle des Princes

[267] Head and shoulders, knees and toes: Injury-specific prevention in female youth sports

Chair: Carolyn Emery (Canada)

  • Keeping our girls on the field of play: The importance of injury prevention in youth female sports (5 min)
    Carolyn Emery (Canada) and Grethe Myklebust (Norway)
  • Preventing concussions in female youth sport (10 min)
    Carolyn Emery (Canada)
  • Preventing shoulder injuries in overhead female youth sports (10 min)
    Martin Asker (Sweden)
  • Preventing knee injuries in female youth team sports (10 min)
    Grethe Myklebust (Norway)
  • Preventing ankle injuries in female youth team sports (10 min)
    Kati Pasanen (Canada/Finland)

Panel discussion: Is it possible to protect our female youth sport athletes head to toe? (15 min)
(Emery, Asker, Myklebust, Pasanen)

SESSION B – SYMPOSIUM 9

15.00-16.00 Room Prince Pierre

[198] Two decades of the TRIPP model: Has implementation made its mark?

Chair: Caroline Finch (Australia)

  • Reflecting on two decades of the TRIPP model – what is it and how has it been used to make an impact? (15 min)
    Caroline Finch (Australia)
  • Implementing injury prevention in sports – are we winning? (10 min)
    James O’Brien (Austria)
  • Behavioural approaches to enhance implementation (10 min)
    Carly McKay (United Kingdom)
  • Implementation is more than an afterthought to your RCT (10 min)
    Evert Verhagen (The Netherlands)

Panel discussion: Where do we go next if we want to increase the impact of our preventive efforts (15 min)
(Finch, O’Brien, McKay, Verhagen)

SESSION C – SYMPOSIUM 10

15.00-16.00 Room Camille Blanc

[531] Towards new horizons in injury prevention for Big Air and Slopestyle events in Beijing 2022 Winter Olympics

Chair: Torbjørn Soligard (Norway/Switzerland)

  • The epidemiology of injuries in snowboarding and freestyle skiing in the Olympic Games (12 min)
    Torbjørn Soligard (Norway/Switzerland)
  • Biomechanical evaluation of Big Air Jumps: Analysis of on-slope measurements to reduce injuries (12 min)
    Irving Scher (USA)
  • IOC project Big Air / Slopestyle: Harnessing injury risk in the Beijing Winter Olympics with novel course design tools (12 min)
    Matthias Gilgien (Norway/Switzerland)
  • IOC project Big Air / Slopestyle: The link between jump design, injury risk and user satisfaction (12 min)
    Claes Högström (Norway)

Panel discussion: Injury prevention for Big Air and Slopestyle events in Beijing 2022 Winter Olympics (12 min)
(Soligard, Gilgien, Scher, Högström)

SESSION D – SYMPOSIUM 11

15.00-16.00 Room Auric

[453] Preventing overuse injuries in team sports – Yes we can! As evidenced by the hit sport – volleyball!

Chairs: Natalia Bittencourt (Brazil) & Chris Skazalski (Qatar)

Introduction: The all too common state of overuse problems in volleyball (2 min)

  • Patellar tendinopathy: can we block the spike of jumper’s knees in volleyball? (12 min)
    Johannes Zwerver (The Netherlands)
  • Navigating the risk factor identification minefield and implementing a tailored prevention program to decrease patellar tendinopathy that works! (12 min)
    Natalia Bittencourt (Brazil)
  • Monitoring training and competition load in volleyball…can we really prevent these overuse injuries? (12 min)
    Chris Skazalski (Qatar)
  • Injury prevention from the coach’s point of view, a real-world example of injury prevention and championship results (12 min)
    Kerry MacDonald (Canada)

Panel Discussion: How we can learn from the mistakes of the past to prevent future overuse injuries and complaints among our team sport athletes (10 min)
(Zwerver, Bittencourt, Skazalski, MacDonald)

SESSION A – SYMPOSIUM 12

16.30-17.30 Room Salle des Princes

[236] Injury prevention in women’s football: Difficult but not impossible!

Chair: Andrea Mosler (Australia)

  • Preventing injury in women’s football, a global problem (12 min)
    Andrea Mosler (Australia)
  • What really works to reduce injury risk in women’s football? (12 min)
    Markus Waldén (Sweden)
  • Prevention programmes only work if you do them; implementation strategies to reduce injury risk (12 min)
    Amy Arundale (USA)
  • Mars vs Venus, how injury prevention strategies for women’s football embrace the differences (12 min)
    Martin Hägglund (Sweden)

Panel Discussion: Future directions for researching the unresolved questions, and optimising injury prevention implementation by clinicians and stakeholders involved in elite women’s football (12 min)
(Mosler, Waldén, Arundale, Hägglund)

SESSION B – SYMPOSIUM 13

16.30-17.30 Room Prince Pierre

[295] Sleeping for success in sport

 Chair: Peter Fowler (Australia)

  • Overview: Why sleep is integral to performance (12 min)
    Peter Fowler (Australia)
  • Sleep to prevent injury and illness (12 min)
    Kieran O’Sullivan (Qatar)
  • Athlete-specific challenges to sleep: An applied perspective (12 min)
    Christa Janse van Rensburg (South Africa)
  • A ‘Sleep Toolbox’ for practitioners: How to identify and target poor sleep in athletes (12 min)
    Amy Bender (Canada)

Panel discussion (12 min)

SESSION C – SYMPOSIUM 14

16.30-17.30 Room Camille Blanc

[170] The power of athletes’ stories for evidence-based injury prevention in sports

Chair: Evert Verhagen (The Netherlands)

  • Can you hear me? The true stories that numbers won’t tell (5 min)
    Caroline Bolling (Brazil)
  • Step 1 – “As long as I can perform I am not injured” (10 min)
    Kristina Fagher (Sweden)
  • Step 2 – “It is not just me!” (10 min)
    Caroline Bolling (Brazil)
  • Step 3 – “One exercise won’t change my life” (10 min)
    Sheree Bekker (South Africa/United Kingdom)
  • Step 4 – “Yes, your intervention works. So what?!” (10 min).
    Evert Verhagen (The Netherlands)

Panel discussion: Making words and numbers count: the value of mixed-methods approaches in improving athlete health protection (15 min)
(Bolling, Verhagen , Fagher, Bekker)

SESSION D – SYMPOSIUM 15

16.30-17.30 Room Auric

[572] Primary prevention of mental health symptoms and disorders in elite athletes

Chair: Brian Hainline (USA)

  • Overview – The incidence and prevalence of mental health symptoms and disorders in elite athletes (12 min)
    Vincent Gouttebarge (The Netherlands)
  • Primary Prevention – Creating an environment that supports mental wellness in sport (12 min)
    Brian Hainline (USA)
  • Primary Prevention – Addressing toxic environments in sport (12 min)
    Margo Mountjoy (Canada)
  • Primary Prevention – Managing transition from sport: from injury to retirement (12 min)
    Rosemary Purcell (Australia)

Panel discussion: Future directions for the primary prevention of mental health symptoms and disorders in elite athletes (12 min)
(Gouttebarge, Hainline, Mountjoy, Purcell)

SESSION E – Symposium 16

16.30-17.30 Room Van Dongen

[106] Understanding, Prevention, Treatment and Rehabilitation of ACL injury – Insights from the Far East

Chair: Patrick SHU-HANG YUNG (Hong Kong)

  • Sport-specific injury mechanism of ACL – Studies from Japan (10 min)
    Yuka Kimura (Japan)
  • Prevention of ACL injuries in Asia – Community Outreach (10 min)
    Kam-Ming Mok (Hong Kong)
  • Clinical examination of ACL – Bridging knee instability with player perceptions (10 min)
    Hideyuki Koga (Japan)
  • Treatment of ACL injuries – the Korea Experience (10 min)
    Jin-Goo Kim (Korea)
  • Return-to-play decisions after rehabilitation – What is missing to prevent injuries? (10 min)
    Patrick Shu-Hang Yung (Hong Kong)

Panel Discussion: How to synthesize of East and West in ACL research (10 min)
(Kimura, Mok, Koga, Shu-Hang Yung)

SESSION A – SYMPOSIUM 17

17.30-18.30 Room Salle des Princes

[336] Big computers, big data, big gains in injury prevention?

Chair: Evert Verhagen (The Netherlands)

  • Introduction (4 min)
    Evert Verhagen (The Netherlands)
  • Is it possible to predict injury risk and performance in complex systems? (12 min)
    Adam Hulme (Australia)
  • Artificial Intelligence: What computers can see that humans cannot (12 min)
    Tyrel Stokes (Canada)
  • Decision-making: What humans know that computers do not (12 min)
    Ian Shrier (Canada)

Panel discussion: What is the role of artificial intelligence in sport medicine research? (20 min)

SESSION B – SYMPOSIUM 18

17.30-18.30 Room Prince Pierre

[513] ACL-injury prevention: From risk factor identification to practical use – where are we (and what is missing)?

Chair: Jesper Bencke (Denmark)

  • Introduction: From scientist to coach perspective (2 min)
    Jesper Bencke (Denmark)
  • The importance of trunk stability as a risk factor for ACL injuries – and how to measure it (12 min)
    Ajit Chaudhari (USA)
  • Hip and knee strength as a risk factor for ACL injuries – is it important? (10 min)
    Jesper Bencke (Denmark)
  • Taking knee and hip biomechanics measurements from the lab to the field: Is it possible? (12 min)
    Tron Krosshaug (Norway)
  • Neuromuscular activation as a risk factor for ACL injuries: Importance for exercise selection (12 min)
    Mette K. Zebis (Denmark)

Panel discussion: How can science help coaches optimising and individualising injury prevention? (12 min)
(Chaudhari, Bencke, Krosshaug, Zebis)

SESSION C – SYMPOSIUM 19

17.30-18.30 Room Camille Blanc

[477] Tackle risk in contact sports: Short-term pain for long-term salvation

Chair: Simon Kemp (United Kingdom)

  • What is it about the rugby tackle that needs to inform prevention?  (12 min)
    Simon Kemp (United Kingdom)
  • Football helmets and shoulder pads – part of the problem or part of the solution? (12 min)
    Allen Sills (USA)
  • Evolution or Revolution – which is the most appropriate approach? (12 min)
    Keith Stokes (United Kingdom)
  • Engineering approaches to the “Tackling Problem” – from field to laboratory (12 min)
    Jeff Crandall (USA)

Panel discussion: Injury risk during contact events: Where do we go from here? (12 min)
(Kemp, Sills, Stokes, Crandall)

SESSION D – SYMPOSIUM 20

17.30-18.30 Room Auric

[221] Sports injury prevention and harm reduction in the global south: Socioecological considerations for contextualised research, policy, and practice

Chair: Sheree Bekker (South Africa/United Kingdom)

  • Introduction (2min)
    Sheree Bekker (South Africa/United Kingdom)
  • Ensuring the global relevance of sports injury prevention and harm reduction: The imperative for contextualised research, policy, and practice (8min)
    Sheree Bekker (South Africa/United Kingdom)
  • Overcoming cultural stigma to promote safety and fair play for recreational athletes with impairment in sub-Saharan Africa: the Ghanaian and Kenyan experience (10min)
    Yetsa Tuakli-Wosornu (Ghana/USA)
  • The landscape of adopting, adapting and implementing sports injury prevention programs in sub-Saharan Africa: The Nigerian and South African experience
    Ummukulthoum Bakare (Nigeria/South Africa) (10min)
  • The complexity of injury prevention: The Brazilian experience (10min)
    Luciana De Michelis Mendonça (Brazil)

Discussion (20min)
(Bekker, Tuakli-Wosornu, Bakare, De Michelis Mendonça)

SESSION E – SYMPOSIUM 21

17.30-18.30 Room Van Dongen

[575] The Holy Grail: The primary prevention of both athlete injury + illness in sport: Relative Energy Deficiency in Sport (RED-S)

Chair: Margo Mountjoy (Canada)

  • Introduction: What is RED-S? (5 min)
    Margo Mountjoy (Canada)
  • Primary prevention of low energy availability: Fueling + body composition management (10 min)
    Louise Burke (Australia)
  • Primary prevention of eating disorders/ disordered eating (10 min)
    Jorunn Sundgot-Borgen (Norway)
  • Primary prevention through athlete screening for RED-S (10 min)
    Kathryn Ackerman (USA)
  • Primary prevention of RED-S through sport rule changes (10 min)
    Margo Mountjoy (Canada)

Discussion (15 min)
(Mountjoy, Burke, Ackerman, Sundgot-Borgen)

KEYNOTE 2

08.30 – 09.15 Room Salle des Princes

[269] Injury prevention in youth sport: Why are we so afraid of change?

Carolyn Emery (Canada)

SESSION A – SYMPOSIUM 22

09.30-11.00 Room Salle des Princes

[330] From Copenhagen to Dublin via Oslo: Collaborating to tackle primary, secondary and tertiary groin injury prevention in sports

Chairs: Thor Einar Andersen (Norway) & Per Hölmich (Denmark)

  • Introduction (5 min)
  • Agreement and disagreement in terminology: How to move forward? (12 min)
    Andrew Franklyn Miller (Ireland)
  • What are the symptoms and impairments? (12 min)
    Thor Einar Andersen (Norway)
  • Primary prevention: Is strengthening of the adductors enough? (12 min)
    Joar Harøy (Norway)
  • Screening for secondary prevention: What are the options? (12 min)
    Kristian Thorborg (Denmark)
  • What is the role of movement control and 3D-biomechanics in secondary prevention? (12 min)
    Enda King (Ireland)
  • Tertiary prevention: Conservative or surgical? (10 min)
    Per Hölmich (Denmark)

Panel Discussion: Future directions for research informing best practice in the prevention of groin pain in athletes (GPA) (15 min)
(Miller, Andersen, Harøy, Thorborg, King, Hölmich)

SESSION B – SYMPOSIUM 23

09.30-11.00 Room Prince Pierre

[136] Prevention of sudden cardiac death: Crossing the implementation gap

Chair: Jonathan Drezner (USA)

  • Overview: Challenges and controversies in the prevention of sudden cardiac death (5 min)
    Jonathan Drezner (USA)
  • Cardiac screening in young athletes: Defining an evidence-based protocol (15 min)
    Sanjay Sharma (United Kingdom)
  • Incidence of SCD: Which athletes should we consider “high” risk? (15 min)
    Kimberly Harmon (USA)
  • ECG screening: Establishing priorities when resources are limited (15 min)
    Mats Börjesson (Sweden)
  • Crossing the implementation gap for cardiac screening through education and innovative models of health care delivery (15 min)
    Jonathan Drezner (USA)

Panel discussion: Future directions for cardiac screening and sports cardiology training (25 min)
(Drezner, Sharma, Harmon, Börjesson)

SESSION C – SYMPOSIUM 24

09.30-11.00 Room Camille Blanc

[321] Injuries in runners: Epidemiology, risks and prevention

Chair: Evert Verhagen (Netherlands)

  • On your marks, ready, go! What is the injury problem in running (12 min)
    Evert Verhagen (Netherlands)
  • In one mind – the psychology of injury prevention and running performance (12 min)
    Toomas Timpka (Sweden)
  • Novel risk factors associated with running injuries: An important step in designing intervention for prevention (12 min)
    Martin Schwellnus (South Africa)
  • Do running shoe features influence injury risk? (12 min)
    Laurent Malisoux (Luxembourg)
  • Viewpoints on advanced statistical analyses of running-related injury data: pathways and pitfalls (12 min)
    Rasmus Nielsen (Denmark)
  • Education and e-Health in the prevention of running-related injuries (10 min)
    Hespanhol Jr (Brazil)

Panel Discussion: What are the white spots in our knowledge on running injuries and their prevention and what should we focus on in the next decade? (20 min)
(Verhagen, Timpka, Schwellnus, Malisoux, Nielsen, Hespanhol Jr)

SESSION A – SYMPOSIUM 25

11.30-13.00 Room Salle des Princes

[440] Hamstring injury prevention IS possible… Maybe. Kind of. Ish.

Chairs: Tania Pizzari (Australia) & Hans Tol (Netherlands/Qatar)

  • Introduction (3min)
    Hans Tol (Netherlands/Qatar)
  • Risk factors for hamstring injuries: Same old same old? (10min)
    Tania Pizzari (Australia)
  • When you can’t run slower: Can elite athlete monitoring prevent hamstring injuries in sprinters? (15min)
    Noel Pollock (United Kingdom)
  • Workload associated with risk of hamstring injury: Stating the obvious, but where’s the evidence? (12min)
    Nicol van Dyk (Qatar)
  • Implementation of successful prevention systems: Challenges and opportunities (15min)
    Martin Wollin (Australia)
  • “Put me in coach, I’m ready!” Refocusing return to sport and how prevention practices might influence our decision making (15min)
    Arnlaug Wangensteen (Norway)
  • Can we prevent hamstring re-injuries? (10min)
    Hans Tol (Netherlands/Qatar)

Panel discussion: Future directions for hamstring injury prevention and implementation (10 min)
(Pizzari, Tol, Pollock, van Dyk, Wangensteen, Wollin)

SESSION B – SYMPOSIUM 26

11.30-13.00 Room Prince Pierre

[469] Evidence based prevention of illness associated with long-haul travel in elite athletes: Sorting the wheat from the chaff

Chair: Wayne Derman (South Africa)

  • Introduction and overview (10 min)
    Wayne Derman (South Africa)
  • Evidence-based strategies for management and mitigation of long-haul jet lag in athletes (15 min)
    Christa Janse Van Rensburg (South Africa)
  • Pharmacological and pharmaceutical approaches to illness prevention: From A to Zinc: The evidence base (15 min)
    Nick Webborn (United Kingdom)
  • What the team physician needs to know about vaccination and illness prevention: an evidence based approach (15 min)
    Tim Meyer (Germany)
  • How to fly long and stay healthy: The evidence from travel medicine research (15 min)
    Wayne Derman (South Africa)

Panel discussion/questions (20 min)
(Janse Van Rensburg, Webborn, Derman, Meyer)

SESSION C – SYMPOSIUM 27

11.30-13.00 Room Camille Blanc

[271] Injury prevention in youth sport: Where does the future lie?

Chair: Carolyn Emery (Canada)

  • Laying the framework for discussion of approaches to injury prevention in youth sport (5 min)
    Carolyn Emery (Canada)
  • Training strategies: The key to injury prevention in youth (12 min)
    Kati Pasanen (Canada/Finland)
  • Targeting sport specialization in youth sport: Isn’t it clear? (12 min)
    Chris Whatman (New Zealand)
  • Protective equipment in youth sport: Issues and recommendations (12 min)
    Brent Hagel (Canada)
  • Apps and social media are the ticket to changing the culture for injury prevention in youth sport (12 min)
    Evert Verhagen (Netherlands)
  • Rule changes in youth sport: Evidence informing policy (12 min)
    Carolyn Emery (Canada)
  • 5 min 5 slides: Highlighting 5 targets in injury prevention in youth sport (5 min)
    Carolyn Emery (Canada)

Panel discussion: Where does the future lie in injury prevention in youth sport? (20 min)
(Emery, Pasanen, Hagel, Whatman, Verhagen)

KEYNOTE 3

14.30-15.30 Room Salle des Princes

[565] Tropical paradise or danger zone? Beat the heat to protect athletes in a sweltering 2020 Tokyo

Sébastien Racinais (Qatar)

SESSION A – SYMPOSIUM 28

17.00-18.00 Room Salle des Princes

[105] The value of longitudinal data for the prevention of injury and illness. Lessons learned from international surveillance programs

Chair: Ian Shrier (Canada)

  • Introduction (4 min)
    Ian Shrier (Canada)
  • Evaluating the implementation and results from prevention programs in Danish children age 6-11 years over 5.5 years (12 min)
    Niels Wedderkopp (Denmark)
  • Keeping your athletes available throughout a season: The value and benefits of timely feedback informed by injury and illness monitoring (12 min)
    Evert Verhagen (Netherlands)
  • Informing and maintaining policy change through research findings: Experiences with body checking in Canadian youth hockey (12 min)
    Carolyn Emery (Canada)

Panel Discussion: How to reap athlete benefits from longitudinal data (20 min)

SESSION B – SYMPOSIUM 29

17.00-18.00 Room Prince Pierre

[219] #MeTooSport – the prevention of non-accidental violence in sport settings: It’s not just about one bad apple

Chairs: Sheree Bekker (South Africa/United Kingdom) & Margo Mountjoy (Canada)

  • Introduction: #MeTooSport: The contemporary cultural context of the prevention of non-accidental violence in sport settings (5min)
    Sheree Bekker (South Africa/United Kingdom)
  • The vulnerability of disability: Prevalence and prevention of harassment and abuse in athletes with impairment (10min)
    Yetsa Tuakli-Wosornu (Ghana/USA)
  • Injury prevention through safeguarding: The work of the International Olympic Committee (10min)
    Susan Greinig (Switzerland)
  • The imperative for systemic change: understanding, contextualising, and influencing a culture of safeguarding in sport settings (10min)
    Sheree Bekker (South Africa/United Kingdom)
  • “Only by speaking out can we create lasting change”: Lessons from the Nassar tragedy for sports medicine (10 min)
    Margo Mountjoy (Canada)

Discussion (15min)

SESSION C – SYMPOSIUM 30

17.00-18.00 Room Camille Blanc

[272] Knowledge translation: Bridge between the evidence and real-world injury prevention impact

Chair: Kathrin Steffen (Norway)

  • Introduction: From lab to the fields of play (5 min)
    Kathrin Steffen (Norway)
  • From evidence to impact: How to get the message out to increase adoption of injury prevention programmes in the real world (10 min)
    Nirmala Perera (Australia/Sweden)
  • Getting evidence into practice: The meaning of `context’ for implementation of injury prevention programmes (10 min)
    Kathrin Steffen (Norway)
  • Using the science of language to explicate the language of science: The role of communication and social psychology in implementation (10 min)
    Carly McKay (United Kingdom)
  • Nation-wide implementation of an injury prevention exercise programme: Is there a real-world impact? (10 min)
    Martin Hägglund (Sweden)

Panel discussion: “Down the rabbit hole – curiouser and curiouser” – practical tips to mitigate implementation challenges, opportunities and future direction for real world injury prevention outcomes (15 min)
(Steffen, Perera, McKay, Hägglund)

SESSION D – SYMPOSIUM 31

17.00-18.00 Room Auric

[51] Prevention of injury in the overhead throwing athlete: Prediction, prevention, and workload

Chair: Jason Zaremski (USA)

  • Epidemiology of injury in the overhead throwing athlete (4 min)
    Jason Zaremski (USA)
  • The etiology of throwing injury in an overhead throwing athlete: What are the contributing factors? (12 min)
    Merete Møller (Denmark)
  • Measuring true volume of workload in baseball pitchers and applications to workload in overhead throwing athletes (10 min)
    Jason Zaremski (USA)
  • Shoulder throwing injury prevention in handball players: The Oslo Sports Trauma Research Center experience (12 min)
    Stig Andersson (Norway)
  • Factors that may predict injury in overhead throwing athletes: the range of motion debate (12 min)
    Rodney Whiteley (Qatar)

Panel discussion: Future directions for research and implementation for best practice in the prevention of overuse throwing injury in sport will be discussed during the panel discussion (10 min)
(Møller, Zaremski, Andersson, Whiteley)

SESSION E – SYMPOSIUM 32

17.00-18.00 Room Van Dongen

[541] The Effect of  the ‘ Face to Face’ education program to rugby medical on the severe head injury

Chair: Mutsuo Yamada (Japan)

  • The outline of WR education system (12 min)
    Mark Harrington (Ireland)
  • Concussion education in prehospital  immediate care in sports (12 min)
    Andrew Smith (England)
  • The effect of the concussion card on the number of severe head injuries (12 min)
    Lucy Clarke (Hong Kong)
  • The effect of concussion education on the number of severe head injuries (12 min)
    Mutsuo Yamada (Japan)

Panel discussion: The effect of concussion education and the risk of severe head injury in rugby (12 min)
(Harrington, Smith, Clarke, Yamada)

SESSION A – HEAD-TO-HEAD DEBATE 2

18.00-19.00 Room Salle des Princes

[121] Kill the sacred cow: Return to play criteria should be trashed in favour of time (biology)-based criteria

Chair: Karim Khan (Canada)

  • Setting the scene for the debate and introduction of speakers and debate format (5 min)
    Karim Khan (Canada)
  • Speaker for the affirmative: To improve our safe return to play we need to respect biological healing (15 min)
    Erik Witvrouw (Belgium)
  • Speaker for the negative: Studies show that the present RTP criteria are valid (15 min)
    Lynn Sneyder-Mackler (USA)
  • Rebuttals (3 min each)
    Erik Witvrouw (Belgium) and Lynn Sneyder-Mackler (USA)
  • Chair’s sum-up and post-debate audience vote (3 min)
    Karim Khan (Canada)

Audience discussion (10 min)

SESSION B – SYMPOSIUM 33

18.00-19.00 Room Prince Pierre

[150] Gastrointestinal issues in sport: Utilizing diet, the gut microbiota and probiotics for prevention of illness in athletes

Chair: Owen Cronin (Ireland/United Kingdom)

  • Gastrointestinal issues in our athletes: Prevalence, mechanisms and prevention through dietary habit (12 min)
    Jamie Pugh (United Kingdom)
  • Exercise effects and the elite athlete microbiome: What do we know? (12 min)
    Owen Cronin (Ireland/United Kingdom)
  • Probiotics to prevent illness in athletes: The evidence and current state of play (12 min)
    Neil Williams (United Kingdom)
  • Manipulating our microbes: Microbial strategies to improve athlete health and prevent illness in elite sport (12 min)
    Orla O’Sullivan (Ireland)

Panel Discussion: What evidence and knowledge gaps are missing? How we must co-ordinate efforts to focus research in this field and to provide a solid evidence base for our athletes (12 min)
(Pugh, Cronin, Williams, O’Sullivan)

SESSION C – SYMPOSIUM 34

18.00-19.00 Room Camille Blanc

[166] The 11+ journey: 14 years and still going strong?

Chairs: Mario Bizzini (Switzerland) & Holly Silvers-Granelli (USA)

  • Background of the 11+ programme (12 min)
    Mario Bizzini (Switzerland)
  • Understanding age, gender, level of play and adherence issues related to the 11+ (12 min)
    Holly Silvers-Granelli (USA)
  • Tailoring the 11+ to the professional football context (12 min)
    James O’Brien (Austria)
  • Prevention has to start early: The 11+ kids (12 min)
    Roland Rössler (Germany)

Panel discussion: How should the 11+ programme looks like in the future? How we deal with implementation challenges? What about the children and 11+ kids? (12 min)
(Bizzini, Silvers-Granelli, O’Brien, Rössler)

Session D – SYMPOSIUM 35

18.00-19.00 Room Auric

[573] IOC consensus on methodology for recording and reporting of data for injury and illness surveillance

programme TBD in October 2019

KEYNOTE 4

08.30-09.15 Room Salle des Princes

[96] Injury prevention: when return to play is not the way

Michael Turner (United Kingdom)

SESSION A – SYMPOSIUM 36

09.30-11.00 Room Salle des Princes

[248] Tokyo 2020: Protecting the athlete from environmental and logistical challenges

Chair: Lee Taylor (Qatar)

  • Introduction: Environmental and logistical challenges to athlete health (3 min)
    Lee Taylor (Qatar)
  • Jetlag and travel fatigue prevention and treatment at the games (12 min)
    Christa Janse van Rensburg (South Africa)
  • Illness during travel and at the games: how to prevent illness? (12 min)
    Martin Schwellnus (South Africa)
  • Air quality/pollution challenges to athlete health at the games: Prevention and treatment (12 min)
    Valerie Bougault (France)
  • Water quality/pollution challenges to athlete health at the games: Prevention and treatment (12 min)
    Margo Mountjoy (Canada)
  • Challenges to athlete health at the hottest modern Olympics in history (12 min)
    Sébastien Racinais (Qatar)
  • Countermeasures to prevent illness and preserve performance in hot and humid conditions (12 min)
    Lee Taylor (Qatar)

Panel discussion (15 min)
(Taylor, Janse van Rensburg, Schwellnus, Bougault, Mountjoy, Racinais)

SESSION B – SYMPOSIUM 37

09.30-11.00 Room Prince Pierre

[266] Concussion prevention in youth team sports: Evidence informing best practice and policy across five high risk concussion sports

Chair: Carolyn Emery (Canada)

  • The public health burden of concussion in youth team sport: Introduction of session and speakers (5 mins)
    Carolyn Emery (Canada)
  • Primary prevention of concussion in youth American Football: Tackle training, equipment, and rules (12 mins)
    Kevin Guskiewicz (USA)
  • A comprehensive approach to concussion prevention in youth ice hockey (12 mins)
    Carolyn Emery (Canada)
  • Preventing concussion in youth rugby: Dispelling the myths of tackle training, load modification, and neuromuscular training (12 mins)
    Keith Stokes (United Kingdom)
  • Best practice in concussion prevention in youth lacrosse (12 mins)
    Dawn Comstock (USA)
  • Targeting intrinsic and extrinsic risk factors for concussion in youth soccer (12 mins)
    Kathryn Schneider (Canada)
  • Highlights for best practice and policy across 5 team sports (5 mins)
    Carolyn Emery (Canada)

Panel Discussion: Future directions in the prevention of concussion in youth sport. What evidence has potential for translation across sport-specific contexts? (20 mins)
(Emery, Guskiewicz, Stokes, Comstock, Schneider)

SESSION C – SYMPOSIUM 38

09.30-11.00 Room Camille Blanc

[371] Never mention prevention!

Chair: Martin Asker (Sweden)

  • How would you train if you weren´t governed by fear of injury? (12 mins)
    TBA
  • Injury prevention programmes are bargains, but very few are buying them: Why? (12 mins)
    Merete Møller (Denmark)
  • I choose a throwing performance programme over injury prevention training every day of the week! (12 mins)
    Martin Asker (Sweden)
  • Don’t do hamstring injury prevention training, it will just decrease your performance! (12 mins)
    Tania Pizzari (Australia)
  • If I do the Copenhagen Adduction Exercise, I’ll be sore for a week, so no thank you! (12 mins)
    Andreas Serner (Denmark/Qatar)
  • 30 years of research and clinical experience on the bumpy road of injury prevention – what do we see on the horizon (12 mins)
    Rod Whiteley (Qatar)

Panel discussion: Adherence to injury prevention strategies that have proven efficacy is a challenge for sports medicine practitioners. How can we improve the practical translation from research to real world settings? How can we enhance implementation of injury prevention in sport? (18 mins)
(Møller, Asker, Pizzari, Serner, Whiteley)

SESSION A – SYMPOSIUM 39

11.30-13.00 Room Salle des Princes

[146] Training load and injury

Chair: Karim Chamari (Qatar)

  • Introduction (3 mins)
    Karim Chamari (Qatar)
  • Training load monitoring: Objective and subjective tools – feasibility in the field (12 mins)
    Karim Chamari (Qatar)
  • Training load data analysis: What variables, what stats, what tools? What does it all mean when I just want to prevent injuries? (12 mins)
    Rod Whiteley (Qatar)
  • From research to the football World Cup: lessons learned from implementing training load monitoring in elite football players (12 mins)
    Greg Dupont (France)
  • Navigating the complex relationship between training load and groin injury in professional male football players (12 mins)
    Andrea Mosler (Australia)
  • Training load specifics for tendons – prevention of injuries and re-injuries when there is ‘pathology’, pain, or a ‘normal’ tendon? (12 mins)
    Jill Cook (Australia)
  • Modifying training loads to reduce the risk of further injury for athletes following knee surgery (12 mins)
    Kay Crossley (Australia)

Discussion (15 mins)

SESSION B – SYMPOSIUM 40

11.30-13.00 Room Prince Pierre

[362] The injury prevention (r)evolution – a primer for tomorrow

Chairs: Nicol van Dyk (Qatar) & Johann Windt (USA)

  • Introduction: Back to the future for prevention? (5 mins)
    Nicol van Dyk (Qatar)
  • Injury surveillance has changed dramatically: What will it look like in 2024? (10min)
    Ben Clarsen (Norway)
  • Technology will change the game – and it already has (15min)
    Lorena Torres (USA)
  • Don’t bring your opinion to a data fight: Analytics will enhance our prevention strategies (15 mins)
    Johann Windt (USA)
  • Scaling up our prevention capacity – the key is context (15 mins)
    Carly McKay (UK)
  • Will future coaches be better partners to effectively drive injury prevention efforts? 5 ways you can make sure they are (15min)
    Kerry MacDonald (Canada)

Panel discussion and case study: We will illustrate an injury prevention strategy/intervention using a practical example (15 mins)
(van Dyk, Clarsen, Torres, Windt, McKay, MacDonald)

SESSION C – SYMPOSIUM 41

11.30-13.00 Room Camille Blanc

[255] Injury prevention – what can you learn from our biggest mistakes?

Chair: Michael Turner (United Kingdom)

  • Epidemiological headaches (15 mins)
    Evert Verhagen (The Netherlands)
  • Injury prevention in youth sport: It isn’t just about the research findings (15 mins)
    Carolyn Emery (Canada)
  • Sports medicine solutions that failed (15 mins)
    Babette Pluim (The Netherlands)
  • Trust your physio, we don’t make mistakes (15 mins)
    Caroline Bolling (Brazil)
  • Popular injury prevention myths that aren’t supported by science (15 mins)
    Michael Turner (United Kingdom)

Panel Discussion (15 mins)
(Bolling, Emery, Pluim, Verhagen, Turner)

SESSION A – SYMPOSIUM 42

14.30-15.30 Room Salle des Princes

[354] Heat injury and illness prevention for Tokyo 2020: What is the IOC doing?

Chair: Yannis Pitsiladis (United Kingdom)

  • From risk analyses to evidenced based practice (12 min)
    Sébastien Racinais (Qatar)
  • Timing analyses for appropriate scheduling (12 min)
    Stéphane Bermon (Monaco)
  • Anticipating the treatment needs (12 min)
    Douglas Casa (USA)
  • Wearable technologies: Future challenges and opportunities for implementation in athlete healthcare (12 min)
    Yannis Pitsiladis (United Kingdom)

Panel Discussion: Success, challenge and legacy of the IOC adverse weather impact expert working group for the Olympics Games Tokyo 2020 (12 min)
(Racinais, Bermon, Casa, Pitsiladis)

SESSION B – SYMPOSIUM 43

14.30-15.30 Room Prince Pierre

[181] Implementing change in performance and prevention: Persuasion, Perseverance, Passion

Chairs: Nicola Phillips (United Kingdom) & Mario Bizzini (Switzerland)

  • Setting the scene for leadership in practice change (5 min)
    Nicola Phillips (United Kingdom)
  • The 11+ story: how F-MARC changed practice on a global basis (10 min)
    Mario Bizzini (Switzerland)
  • Changing practice in a performance environment – Australian Ballet  (10 min)
    Susan Mayes (Australia)
  • Leading a change in practice for reducing injuries in a team setting (10 min)
    Mo Gimpel (United Kingdom)
  • Increasing professional engagement in change – setting the tone (10 min)
    Emma Stokes (Qatar/Ireland)

Panel discussion: How do we change mindsets to adopt a different approach for injury prevention? (15min)

SESSION C – SYMPOSIUM 44

14.30-15.30 Room Camille Blanc

[568] Injury prevention in handball: What have we learned and where are we going?

Chairs: Lior Laver (United Kingdom/Israel), Grethe Myklebust (Norway)

  • Laying the ground for the next step in injury prevention in Handball – The Handball Consensus statement on injury and illness data collection (12 min)
    Lior Laver (United Kingdom/Israel)
  • Injury prevention strategies for the lower extremities in handball: More than just a throwing sport! (12 min)
    Grethe Myklebust (Norway)
  • Risk factors and injury prevention for the upper extremities in handball (12 min)
    Martin Asker (Sweden)
  • The role of load management in injury prevention in handball (12 min)
    Merete MØller (Denmark)

Discussion (12 min)

SESSION D – SYMPOSIUM 45

14.30-15.30 Room Auric

[218] It’s not complicated: Injury prevention in sport through a complex systems approach

Chairs: Sheree Bekker (South Africa/United Kingdom) & Nicol van Dyk (Qatar)

  • Introduction (5min)
    Nicol van Dyk (Qatar)
  • The evolution of injury prevention models in the past 30 years (10min)
    Winne Meeuwisse (Canada)
  • Risk factor identification to injury pattern recognition – key principles in complex systems theory (10min)
    Natalia Bittencourt (Brazil)
  • Small big data – How to apply complex approaches at an individual level (10min)
    Nicol van Dyk (Qatar)
  • What works in Melbourne on a muggy Monday won’t work in Soweto on a sunny Saturday: considerations for successful implementation in complex settings (10min)
    Sheree Bekker (South Africa/United Kingdom)

Panel discussion (15min)
(Meeuwisse, Bittencourt, van Dyk, Bekker)

SESSION E – SYMPOSIUM 46

14.30-15.30 Room Van Dongen

[361] Prevention of long-standing groin pain in athletes

Chair: Per Hölmich (Denmark)

  • Prevention with athletic exercise based on pathology (12mins)
    Sadao Niga (Japan)
  • Prevention of core muscle injuries in athletes (12mins)
    Alexander Poor (USA)
  • Cross-motion swing produces effective pelvic motion for prevention by three-dimensional movement analysis (12mins)
    Mitsunori Kaya (Japan)
  • Development of clinical entities, treatment, and prevention (12mins)
    Per Hölmich (Denmark)

Panel discussion: Future strategies for long-standing groin pain prevention (12 mins)
(Niga, Poor, Kaya, Hölmich)

SESSION A – SYMPOSIUM 47

15.30-16.30 Room Salle des Princes

[467] Injury prevention apps – clap or scrap?

Chair: Tron Krosshaug (Norway)

  • Introduction (5 mins)
    Tron Krosshaug (Norway)
  • GET SET – the IOC/OSTRC app: The importance of user involvement (10 mins)
    Kathrin Steffen (Norway)
  • Real-world injury reduction after implementation of the Knee Control exercise based injury prevention programme: An app success story (10 mins)
    Markus Waldén (Sweden)
  • Taking it to the next level. Sophisticated 3D animations for injury prevention delivery (5 mins)
    Tron Krosshaug (Norway)
  • Injury prevention through apps, how to reach our audience? (10 mins)
    Evert Verhagen (The Netherlands)

Panel Discussion: Injury prevention through mobile apps – how can we improve? (20 mins)
(Verhagen, Steffen, Waldén, Krosshaug)

SESSION B – SYMPOSIUM 48

15.30-16.30 Room Prince Pierre

[174] Protecting respiratory health in athletes: What can we do better?

Chairs: Mike Loosemore (United Kingdom) & James Hull (United Kingdom)

  • Introduction (5min)
    Mike Loosemore (United Kingdom)
  • Respiratory problems in athletic individuals: What’s hot and what’s not? (10 min)
    James Hull (United Kingdom)
  • Allergy and pollution exposure when exercising: Can we do better to protect respiratory health? (10 min)
    Michael Koehle (Canada)
  • Respiratory tract infections: The good, the bad and the ugly (10 min)
    Martin Schwellnus (South Africa)
  • Delivery of optimal respiratory health in a world-class performance system: Can it be done? (10 min)
    Mike Loosemore (United Kingdom)

Panel Discussion: Future directions in respiratory health: how can we help improve the most important medical problem in athletes (15 min)
(Loosemore, Hull, Koehle, Schwellnus)

SESSION C – SYMPOSIUM 49

15.30-16.30 Room Camille Blanc

[227] Preventing primary cam morphology and femoroacetabular impingement syndrome in the young athlete: Is the ‘hop’ really the hip’s demise?

Chairs: Paul Dijkstra (Qatar) & Andrea Mosler (Australia)

  • Our confusing hip language is undermining prevention and protection (12 mins)
    Clare Ardern (Sweden)
  • To prevent and protect the hip, we have to understand primary cam morphology, its cause and prognosis – but can we yet? (12 mins)
    Paul Dijkstra (Qatar)
  • Screening and intervention to prevent primary cam morphology – is too much sports medicine creating a mountain out of a molehill? (12 mins)
    Andrea Mosler (Australia)
  • Protecting the athlete with primary cam morphology from developing femoroacetabular impingement syndrome and osteoarthritis (12mins)
    Antony Palmer (United Kingdom)

Panel Discussion: This discussion will focus on the current state of evidence on protecting athletes from developing cam morphology, femoroacetabular impingement syndrome and early hip osteoarthritis. The importance of multi-center collaboration for clinical research, to reach consensus on sharing data and experiences, and develop the foundations for a prospective Individual Patient Data Meta-analysis will also be discussed (12 mins)
(Ardern, Dijkstra, Mosler and Palmer)

SESSION D – SYMPOSIUM 50

15.30-16.30 Room Auric

 [574] Health Impact of Life-Long Participation in Olympic Sport   

Chairs: Yannis Pitsiladis  (United Kingdom) 

  • Too much of good thing? The cardiovascular profile of older habitual high volume training endurance athletes (12 min)
    Jeroen Swart (South Africa)
  • The Benefits and consequences of a life in competitive sport: A musculoskeletal perspective (12 min)
    James Bilzon (United Kingdom)
  • The health impact of life-long participation in Olympic sport: Lessons from Tokyo 1964   (12 min)
    Michiko Dohi (Japan)
  • The legacy of the Olympic Games and major sporting events: new horizons for life expectancy and health (12 min)
    Victoriya Badtieva (Russia)

Questions and panel discussion (12 min)

KEYNOTE 5

17.00-17.45 Room Salle des Princes

 [483] Understanding the basis of success: How fewer injuries will help you win the trophies

Martin Hägglund (Sweden)