Medical Commission Meeting...Health Management Plan Programme for more than 1 year and no progresses...

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FIVB Medical Department 2017 Medical Commission Meeting

Medical Commission

Meeting

Lausanne – 27 January 2017

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1

Study and approval of the

agenda and Time Plan

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Medical Commission Meeting

Lausanne – January 2017

TIME PLAN

09:00 Welcome/Opening Meeting By Dr. Annie PEYTAVIN 09:15 Agenda 10:30 Coffee – Tea Break 10:45 Presentations 12:30 Lunch 14:30 Practical Workshop (Break up in Groups) 16:00 Coffee –Tea Break 16:15 Feedbacks from Groups – key points 17:45 Wrap up of the day

By Dr. Annie PEYTAVIN 18:00 End of day

*Schedule may be modified

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2

List of attendance

Dr. Amr M. ELWANI EGY Executive Vice-President

Dr. PEYTAVIN Annie FRA President

Dr. BORGES DA FONSECA Bruno BRA Secretary

Prof. Dr. HOLZGRAEFE Manfred GER Member

Dr. SIRIPHOL Rueangsak THA Member

Dr. CAMELI Sergio ITA Member

Prof. Dr. KRUCZYNSKI Jacek POL Member

Dr. FIGUEROA GONZALEZ Victor Miguel DOM Member

Dr. BAHGAT Hossam Eldin Omar EGY Member

Dr. CARVALHO NARDELLI Julio Cesar BRA Team Doctor Expert

Mr. BOCK Stephen USA Legal Advisor

Mrs. VEINTIMILLA Nadège SUI FIVB Medical & Anti-Doping Manager

Mrs. LABROUSSE Sarah SUI FIVB Medical & Anti-Doping Assistant

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3

Approval of the report of

the last meeting

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WELCOME SPEECH FROM THE PRESIDENT TOGETHER WITH THE DEVELOPPMENT COMMISSION.

The President thanked the Members of the Commission for coming. He informed that he

noticed that the Commission are not used during the year but Members should use new

technology to speak to each other by Skype or Collaborate.

Nowadays, we need to be very careful in what concerns doping because it is more serious

than in the past same as for corruption, we have to take lessons from other International

Federations and don’t make the same mistakes. We must be transparent. The President

continued saying that Mr. Thomas Bach IOC President was not concerned about Volleyball

because it is a Clean Sport but we have to continue to work hard to keep it this way.

Dr. Elwani thanked his colleagues who are very professional and added that the Medical

Department works efficiently and together we will make sure to continue our efforts in order

to keep our sport clean. Dr. Elwani asked that Members be allowed to participate to WADA

or any other anti-doping seminars where FIVB should be present.

1. FIVB 9 GOALS

The President presented the 9 Goals strategy and asked each Member for its contribution.

2. APPROVAL OF THE REPORT OF THE LAST MEETING

The Report of last Meeting was approved by all members of the Medical Commission.

3. REPORT ON THE DECISION OF THE 2015 BOARD OF ADMINISTRATION MEETING

The Report on the decision of the 2015 Board of Administration was accepted

4. ACTIVITY REPORTS

The activity reports of the Secretary of the Commission and all other members of the Commission were presented and approved.

DISCUSSION

For the concern raised by Jacek Kruczynski regarding the person responsible when an injury occurs on an event, no specific procedure is to apply but

1. The responsible organizer must pay everything up to the door of the hospital emergency room (including emergency in the competition hall and transportation to the hospital)

2. At the hospital, each Delegation is responsible to cover the cost, examination, hospitalization etc. of each of its Members

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SPIKE STUDY

Dr. Nau made a comment concerning the SPIKE STUDY and proposed to support financially the publication of the thesis The study is conducted by Dr. Daan van de Pol, Prof Paul Kuijer and Prof. Mario Maas from

the Netherlands.

PROPOSALS TO THE BOARD OF ADMINISTRATION :

1. As discussed during the Medical Commission meeting the study SPIKE - Overuse Injury of

the Posterior Circumflex Humeral Artery in Elite Volleyball (PCHA) – is relevant for future

generations of volleyball players and FIVB should strongly support this study. FIVB will be

mentioned in this thesis.

1) The printing of the thesis 1300 euros

2) Attendance of Dr. Bernard Nau (oral) : 1700 euros

TOTAL 3000 euros

2. The Medical Commission kindly requests the FIVB for the allocation of 20’000 CHF for any

research science projects that will help the sport of Volleyball to develop in future years.

AGE EFFECT

PROPOSAL TO THE BOARD OF ADMINISTRATION :

The Medical Commission discussed the above mentioned study on the practice of selecting

youth players according to their momentary performance that leads to relative age effects,

which in turn leads to inefficient talent selection. Teams with no relative age effect are able to

compete in the league, having the benefit to promote players with a better perspective for

long and successful careers at an adult age.

Therefore, the Medical Commission supports the idea to send name and birthdates from all

youth players who participated in FIVB competition and European competitions that are

registered in the VIS system to Dr. Markus Tilp in charge of the study.

5. REPORT ON THE 2015 VOLLEYBALL COMPETITIONS: EXCEL TABLE

The reports of the 2015 Volleyball competitions were discussed and approved.

6. REPORT ON THE 2015 BEACH VOLLEYBALL COMPETITIONS: EXCEL TABLE

The reports of the 2014 Beach Volleyball competitions were reviewed. All reports on the 2015 Beach Volleyball competitions were approved.

7. REPORT ON CONTINENTAL MEDICAL COMMISSION ACTIVITIES

The reports of the Continental Medical Commission Activities were discussed and approved.

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ANTI-DOPING

8. REPORT ON THE FIVB 2015 ANTI-DOPING PROGRAMME

Presentation by Nadège Veintimilla of the Medical & Anti-Doping Programme 2015 and objectives for 2016, and review of the past years 2012 to 2015. Many improvements and implementations have been pointed out, like introduction of blood tests and steroid profiles, Outreach Programme, new Anti-Doping Education Programme, logo Play Clean, new sample collection providers, testing strategy improved. Provide customer services and relationships with stakeholders including National Federations.

Concerning Anti-Doping, in 2015, FIVB conducted 503 urine and 70 blood tests (In-Competition & Out of Competition), 222 tests in Beach Volleyball (136 In-Competition and 86 Out of Competition) and 281 in Volleyball (146 In-Competition and 135 Out of Competition) 30 EPO. 438 urine tests were conducted In-Competition by the Confederations. The overall Total of urine tests and blood tests for 2015 including the Confederations is 941.

Stephen Bock, FIVB Legal Affairs Manager spoke about Results Management.

9. 2016 FIVB ANTI-DOPING PROGRAMME

The FIVB Anti-Doping Programme 2016 will consist of active testing In competition and Out of competition before the Olympics with the new RTP & TP according to the ISTI and FIVB Rules. Intelligent testing and implementation of investigations. Continue with blood and urine tests including analyses defined by the TDSSA for FIVB but also for Confederations to start blood tests. Continue with the Steroid Profiles. Continue to develop Education with the new Play Clean programme, add languages. Keep going with the Outreach Program and FIVB PLAY CLEAN merchandising (T-shirts). Create FIVB banners and documents, leaflets for Anti-Doping courses, for players, coaches. Develop the Education Programs through Confederations and give assistance. Introduce the report doping in Volleyball email and report M-12.

It has been stressed that the M-1 forms must be returned to FIVB during or just after the event for Medical Delegates and for Confederations the M-1 must be entered in ADAMS at the latest 14 days after the event according to WADA Rules. All forms M-6, M-10, M-9 if possible with recommendations, must be available at the Medical Department during or just the day after the event for better efficiency and reporting.


Coaches Anti-Doping E-learning

The Medical Commission proposes that an Anti-Doping Module be included in the e-learning

programme for Coaches courses level 1 and level 2.

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MEDICAL

10. REFEREE HEALTH MANAGEMENT PROGRAMME

Dr. Manfred Holzgraefe showed a presentation concerning the Health Management

programme, it was mentioned that 68 referees were included in this programme.

However, thanks to the Health Management programme in place, 45 referees were removed

from the programme at the end of 2015. The objectives of the programme are prevention and

to keep our referees healthy. Dr. Holzgraefe mentioned that the numbers of M-4 inserted in

VIS is getting better but Referees Commissions in National Federations must help ease this

process.

PROPOSALS TO THE BOARD OF ADMINISTRATION :

1. The FIVB President insisted that for Major Competitions, only referees who respect

the FIVB Medical Regulations (Health Management Plan Programme) can attend the

event and whistle.

2. The Medical Commission proposes for the Referees who are part of the Referees

Health Management Plan Programme for more than 1 year and no progresses are

made, that the Referee Commission sends a warning letter to the referee. If no

actions are taken, a suspension letter should follow.

11. FIVB INJURY SURVEILLANCE SYSTEM - VOLLEYBALL

Dr. Roald Bahr showed a presentation relative to the Statistics over 4 years of data collection

that leads to the new study on ankle injuries with videos taken from FIVB events. This study

will continue next year on knee injuries.

12. BEACH VOLLEYBALL – NO NEEDLE POLICY – TIME OUT


Medical Time out

The Medical Commission as discussed in the last meeting proposes to the Beach Volleyball

Commission to entirely abandon the Medical time out except for bleeding issues because the

minutes given after an injury are not sufficient to recover and not used properly.

13. FIVB HEAT STRESS MONITORING PROTOCOL

This point was discussed during the workshop Point 20.

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14. FIVB ACCREDITATIONS FOR MEDICAL PERSONNEL

161 accreditations have been approved in 2015. At the end of 2016, the 4-year cycle comes

to an end, therefore each Doctor and Therapist will have to receive a new ID-card, a letter

will be sent to all National Federations.


BVB Doctors, Therapists Accreditations

The Medical Commission would like to propose that Beach Volleyball Doctors and Therapists

become FIVB accredited following the same procedure as Indoor Volleyball Doctors and

Therapists.

15. FIVB SPORT SCIENCE AWARD ?


The Medical Commission proposes to have a Science Award every 2 years and it could be

the opportunity to create a FIVB Scientific Working Group to work on this type of activity.

16. FIVB MEDICAL AND ANTI-DOPING REGULATIONS 2016


Injury Prevention devices

The Medical Commission proposes to modify the wording in the Regulations as below and

add the last sentence:

FIVB Medical & Anti-Doping Regulations

INJURY PREVENTION DEVICES PLAYERS ARE USING

a) Compression pads are approved, but require being of the same colour design of the

uniform.

b) No padding is allowed in the forearm, as it provides advantages to the players’

performances.

c) Neutral colours, black or white are acceptable.

d) Teams using compression pads must be uniform in colour/design for all players.

e) Gloves are not accepted, except in case of medical necessity especially in the case of skin

disease.

NEW The Injury Prevention devices must be verified during the Preliminary Enquiry

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17. LIST OF PROPOSALS TO THE BOARD OF ADMINISTRATION

1. Medical Congress should be organized in 2018; the event site and the budget

must be decided as soon as possible.

2. Medical Time out

The Medical Commission as discussed in the last meeting proposes to the Beach

Volleyball Commission to entirely abandon the Medical time out except for

bleeding issues because the minutes given after an injury are not sufficient to

recover and not used properly.

3. Referees

a. The FIVB President insisted that for Major Competitions, only referees

who respect the FIVB Medical Regulations (Health Management Plan

Programme) can attend the event and whistle.

b. The Medical Commission proposes for the Referees who are part of the

Referees Health Management Plan Programme for more than 1 year and

no progresses are made, that the Referee Commission sends a warning

letter to the referee. If no actions are taken, a suspension letter should

follow.

4. Science Award : The Medical Commission proposes to have a Science Award

every 2 years and it could be the opportunity to create a FIVB Scientific Working

Group to work on this type of activity.

5. Injury Prevention devices

The Medical Commission proposes to modify the wording in the FIVB Medical & Anti-

Doping Regulations as below and add the last sentence:

INJURY PREVENTION DEVICES PLAYERS ARE USING

a) Compression pads are approved, but require being of the same colour design of

the uniform.

b) No padding is allowed in the forearm, as it provides advantages to the players’

performances.

c) Neutral colours, black or white are acceptable.

d) Teams using compression pads must be uniform in colour/design for all players.

e) Gloves are not accepted, except in case of medical necessity especially in the

case of skin disease.

NEW The Injury Prevention devices must be verified during the Preliminary

Enquiry

__________________________________________________________________________________


6. Science Projects a. As discussed during the Medical Commission meeting the study SPIKE

Overuse Injury of the Posterior Circumflex Humeral Artery in Elite

Volleyball (PCHA) - study is relevant for future generations of volleyball

players and FIVB should strongly support this study. FIVB will be

mentioned in this thesis.

The printing of the thesis 1300 euros

Attendance of Dr. Bernard Nau (oral) : 1700 euros

TOTAL 3000 euros

b. The Medical Commission kindly requests the FIVB for the allocation of

20’000 CHF for any research science projects that will help the sport of

Volleyball to develop in future years.

7. The Medical Commission supports the idea to send name and birthdates from all

youth players who participated in FIVB competition and European competitions

that are registered in the VIS system to Dr. Markus Tilp in charge of the Age effect

study.

8. BVB Doctors, Therapists Accreditations

The Medical Commission would like to propose that Beach Volleyball Doctors and

Therapists become FIVB accredited following the same procedure as Indoor

Volleyball Doctors and Therapists.

9. Coaches Anti-Doping E-learning

The Medical Commission proposes that an Anti-Doping Module be included in the

e-learning programme for Coaches courses level 1 and level 2.

10. Alcohol Tests at random

The Medical Commission proposes that the Alcohol Tests be randomly selected

as mentioned in the Medical & Anti-Doping Regulations.

- For Volleyball : 2 matches per day at random will be controlled

- For Beach Volleyball : the afternoon sessions will be controlled

11. Medical Delegate on each event when doping tests are foreseen.

The Medical Commission kindly requests that a Medical Delegate be present on

each event including Beach Volleyball Major events especially when doping tests

are foreseen.

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18. WORKSHOP

The Medical Commission Members were divided in 3 groups (red, blue, green).

Red Group

1. Science projects are on their way so we should encourage the BOA to make them

happen.

2. A Medicine Congress should be organized in 2018; the event site and the budget must be

decided as soon as possible.

3. The revised Volleyball Medicine Handbook by Dr. Reeser and Dr. Bahr will be published

by Wiley Blackwell before the end of 2016.

A specific Volleyball medicine journal existed in the USA that was held by Dr. Jonathan

Reeser; we should follow up and see if it still exists.

4. The injury Surveillance System will continue in the following years.

5. The Application “Get Set” for Injury prevention should be implemented, continued and

expanded but we should wait for the IOC funding to expand the project.

6. The Heat Stress Monitoring has been followed during the last 7 years and will continue.

7. Hyperandrogenism Regulations, we should keep monitor the development with the IOC

and CAS.

8. Education for Doctors-Therapists on Volleyball Is on its way through science projects like

ISS, Get set app etc.

Blue Group

1. In all events where doping tests are foreseen, a Medical Delegate must be present

because legal issues can be raised if procedures are not properly followed.

2. A procedure for TUE should be put on the FIVB website (what is a TUE and how to

request a TUE)

3. The TUE Committee remains the same: Dr. Annie Peytavin, Chairwomen – Dr. Bruno

Borges and Dr. Avila as Members. Dr. Ndoye will be the substitute is case the player is from

the same nationality as a TUE Member.

4. Testing Pre-Olympic: Olympic Qualifications must be tested for Volleyball and Beach

Volleyball, for Men and Women.

The players qualified for the Olympic Games should have Out of competition tests between

the Qualifications and the Olympic Games.

5. Outreach Programme : Underage events in BVB, Lucerne, Cobo Frio, Larnaca and Doha

in Volleyball.

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6. Coaches and Anti-Doping Education: a specific Module for Level 1 and Level 2 Coaches

courses must be included in the E-learning programme.

7. Therapists and Doctors Accreditations: Beach Volleyball Doctors and Therapists should

become FIVB accredited following the same procedure as Indoor Volleyball Doctors and

Therapists.

Green Group

1. Abandon entirely the Medical time out except for bleeding issues because the minutes

given after an injury are not sufficient to recover and not used properly, like the proposal in

2015.

2. M-6: all referees should be controlled on each event

3. Psychological tests for referees: CEV and NORCECA are testing referees in their

respective Confederation; we should wait for the result of their experience.

4. For the Referees who are part of the Referees Health Management Plan Programme for

more than 1 year and no progresses are made, the Referee Commission should send a

warning letter to the referee. If no actions are taken, a suspension letter should follow.

5. The FIVB President insisted that for Major Competitions, only referees who respect the

FIVB Medical Regulations (Health Management Plan Programme) can attend the event and

whistle.

6. Alcohol Tests must be randomly selected as mentioned in the Medical & Anti-Doping

Regulations. We propose to add in the Regulations:



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4

Report of the decisions of

- The 2016 BOA meeting

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MEDICAL COMMISSION DECISIONS 1. To study further the proposal to hold a Medical Congress in 2018, including an analysis of the cost effectiveness of the project. 2. The Coaching and Technical Commissions to consider whether it would be judicious to abandon the Medical time out except for bleeding issues because the minutes given after an injury are not sufficient to recover and not used properly. 3. Referees:

a) The FIVB President insisted that for Major Competitions, only referees who respect the FIVB Medical Regulations (Health Management Plan Programme) can attend the event and whistle.

b) The Medical Commission proposes for the Referees who are part of the Referees

Health Management Plan Programme for more than 1 year and no progress is made, that the Refereeing Commission sends a warning letter to the referee. If no actions are taken, a suspension letter should follow.

4. Science Award: The proposal to have a Science Award every 2 years to be studied further. 5. Injury Prevention Devices: The wording in the FIVB Medical & Anti-Doping Regulations concerning Injury Prevention Devices to be modified by adding the last sentence: INJURY PREVENTION DEVICES PLAYERS ARE USING

a) Compression pads are approved, but require being of the same colour design of the uniform

b) No padding is allowed in the forearm, as it provides advantages to the players’ performances

c) Neutral colours, black or white are acceptable

d) Teams using compression pads must be uniform in colour/design for all players

e) Gloves are not accepted, except in case of medical necessity especially

f) in the case of skin disease

g) The Injury Prevention devices must be verified during the Preliminary Enquiry

6. Science Projects: The proposals to finance the study of the SPIKE Overuse Injury of the Posterior Circumflex Humeral Artery in Elite Volleyball (PCHA) and to allocate CHF 20’000 for any research science projects that will help the sport of Volleyball to develop in future years must both be analysed further.

__________________________________________________________________________________


7. Alcohol Tests at random: Alcohol Tests to be randomly selected as mentioned in the Medical & Anti-Doping Regulations.



8. Medical Delegate on each event when doping tests are foreseen:

To study further the idea of having a Medical Delegate present at each event including

Beach Volleyball Major events, especially when doping tests are foreseen and to have more

local FIVB registered medical doctors to work in official FIVB events.

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5

Congress

Medical Commission

01 Medical & Anti-Doping Regulations

Image will be placed here and integrated by the FIVB

02 Injury Prevention Devices

The wording in the FIVB Medical & Anti-Doping Regulations concerning Injury Prevention Devices has been modified and the last sentence has been added :

INJURY PREVENTION DEVICES PLAYERS ARE USING a) Compression pads are approved, but require being of the same colourdesign of the uniform. b) No padding is allowed in the forearm, as it provides advantages to the players’ performances. c) Neutral colours, black or white are acceptable. d) Teams using compression pads must be uniform in colour/design for all players. e) Gloves are not accepted, except in case of medical necessity especially in the case of skin disease. NEW The Injury Prevention devices must be verified during the Preliminary Enquiry.

03 Referees Alcohol Tests at random

Alcohol Tests to be randomly selected as mentioned in the Medical & Anti-Doping Regulations.

For Volleyball : 2 matches per day at random will be controlled

For Beach Volleyball : the afternoon sessions will be controlled

https://www.youtube.com/watch?v=BFOBfc1B8P8

https://www.youtube.com/watch?v=BFOBfc1B8P8

04 Referees Health Management Plan Programme

The FIVB President insisted that for Major Competitions, onlyreferees who respect the FIVB Medical Regulations (HealthManagement Plan Programme) can attend the event and whistle.

The Medical Commission proposed for the Referees who are part ofthe Referees Health Management Plan Programme for more than 1year and no progress is made, that the Refereeing Commissionsends a warning letter to the referee. If no actions are taken, asuspension letter should follow.

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6

Activity Reports

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6.1

Report by the

Commission President (no President in 2016)

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6.2

Report by the

Commission Secretary

and Assistant Secretary

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ACTIVITY REPORT

2016

By Dr. Bruno BORGES DA FONSECA (BRA)

Secretary, FIVB Medical Commission Member

Since the last meeting of the FIVB Medical Commission in January 2016, I have been

involved in the following activities, Medical Delegates at the following events:

2016 Events

1 March FIVB BVB Grand Slam Rio, Brazil

2 April FIVB BVB Fortaleza Open, Brazil

3 June FIVB BVB Hamburg Major, Germany

4 July FIVB World League Finals Group 1, Krakow, Poland

5 August XXXI Summer Olympic Games, Rio de Janeiro, Brazil

6 October FIVB Men’s Club World Championship, Betim, Brazil

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ACTIVITY REPORT

2016

By Dr. Annie PEYTAVIN (FRA)

Assistant Secretary, FIVB Medical Commission Member


involved in the following activities:

2016 Events

1 World Grand Prix Final Group 1, Thailand

2 Olympic Games, BVB, Rio de Janeiro

3 In charge of accreditation for team’s Doctors and physiotherapists of teams

4 Member of TUE Committee in collaboration with Dr. Avila and Dr. da Fonseca

5 Member of hearing-disciplinary panel for 3 cases

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6.3

Report by the

Commission Members

__________________________________________________________________________________


ACTIVITY REPORT

2016

By Dr. Fernando AVILA ESPAÑA (ESP)

FIVB Medical Commission Member



2016 Events

1 28 January FIVB Medical Commission Meeting

2 6 February Annual Meeting CEV Medical Commission in Luxembourg

3 10-17 May Medical Delegate, FIVB Beach Volleyball U21 World Championship, Lucerne, Switzerland

4 21-27 June Medical Delegate, CEV Beach Volleyball Final Continental Cup Stavanger, Norway

5 1-2 July Medical Delegate, CEV Volleyball European League Final Men, Varna, Bulgaria

6 6-10 July FIVB Final World League Group 2, Porto, Portugal

Member TUE Committee with 23 resolutions

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ACTIVITY REPORT

2016

By Dr.Hossam BAHGAT (EGY)




2016 Events

1 January FIVB Medical Commission Meeting

2 February Medical Delegate FIVB BVB Kish Island, Iran

3 May Medical Delegate FIVB Women's Olympic Qualification Tokyo, Japan

4 July Medical Delegate FIVB World Continental Cup Olympic Qualification Sochi, Russia

5 August Medical Supervisor Rio Olympic Games Volleyball

__________________________________________________________________________________


ACTIVITY REPORT

2016

By Prof. Dr. Manfred HOLZGRAEFE (GER)




2016 Events

1 January CEV European Olympic Qualification, Berlin, Germany

2 June FIVB BVB Grand Slam, Olsztyn, Poland

3 July FIVB WL Finals Group 3, Frankfurt, Germany

4 August XXXI Summer Olympic Games, Rio de Janeiro, Brazil

5 October FIVB Women’s Club World Championship, Manila, Philippines

President of the CEV Medical commission

Coordinator Health Management Programme for referees

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ACTIVITY REPORT

2016

By Dr. Bernard NAU (HAI)




2016 Events

1 January FIVB Medical Commission Meeting

2 February NORCECA Medical Commission Meeting

3 June Men's World Olympic Qualification, Mexico

4 June FIVB World Grand Prix Final Group 3

5 July NORCECA Women's U20 Continental Championship

__________________________________________________________________________________


ACTIVITY REPORT

2016

By Prof. Dr. Jacek KRUCZYNSKI (POL)




2016 Events

1 July FIVB BVB U19 World Championship, Larnaka, Cyprus

__________________________________________________________________________________


ACTIVITY REPORT

2016

By Prof. Dr. Roald BAHR (NOR)


Since the last meeting of the FIVB Medical Commission in January 2016, I have been involved in the following activities:

2016 Events

1

Implementation of the FIVB Heat Stress Monitoring Protocol for the Beach Volleyball World Tour & completion of 2016 report

2

Follow-up of FIVB Injury Surveillance System and preparation for publication of the second report based on the FIVB Injury Surveillance System in the British Journal of Sports Medicine “Mechanisms for acute ankle injuries in world-class volleyball players – a systematic video analysis of 20 cases”

3

Review of the FIVB Pre-Olympic Antidoping Testing Program for the FIVB President

4

Member of the FIVB Anti-Doping Hearing Panel for the following 7 cases: - Mr. Fabien Whitfield (Trinidad and Tobago) - Ms. Maria Antonelli (Brasil) - Ms. Natalia Akilova (Kazakstan) - Mr. Boris Firsov (Russia) - Mr. Daniel Koncal (Slovakia) - Mr. Alexander Markin (Russia) - Ms. Sheila Ocasio Clemente (Puerto Rico)

__________________________________________________________________________________


ACTIVITY REPORT

2016

By Prof. Dr. Mamadou NDOYE (SEN)




2016 Events

1 January FIVB Medical Commission meeting

2 April FIVB Medical Delegate BVB Qatar World Tour Open

__________________________________________________________________________________


ACTIVITY REPORT

2016

By Dr. Victor FIGUEROA (DOM)


Since the last meeting of the FIVB Medical Commission in January 2016, I have been involved in the following activities:

2016 Events

1 May FIVB Women’s World Olympic Qualification, Puerto Rico

__________________________________________________________________________________


ACTIVITY REPORT

2016

By Dr. Sergio CAMELI (ITA)




2016 Events

1 June FIVB World Grand Prix Finals Group 2, Varna, Bulgaria

__________________________________________________________________________________


ACTIVITY REPORT

2016

By Dr. Ufuk DEMIRKILIC (TUR)




NO ASSIGNMENT

__________________________________________________________________________________


7

Report on 2016 Volleyball

competitions

__________________________________________________________________________________


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Gro

up 2

Fin

al

Varn

aB

UL

Se

rgio

Cam

eli

*Good -

no s

pecifi

c c

om

ments

17-1

9 J

une 1

6W

orld G

d P

rix

Gro

up 3

Fin

al

Alm

aty

KA

ZB

ern

ard

Nau

*Adequate

medic

al f

acili

ties a

nd p

ers

onel,

fullf

illed F

IVB

Medic

al R

egula

tions

*Adequate

am

ounts

of fo

od a

nd b

eve

rage w

ere

ava

ilable

for

the p

laye

rs

1-3

July

16

World L

eague G

roup 3

Fin

al

Fra

nkf

urt

GE

RM

an

fre

d H

olz

gra

efe

*Paperless d

opin

g c

ontr

ol w

ith M

-form

s

*The v

ariatio

n o

f th

e food c

ould

be b

etter

*The o

rganiz

atio

n w

as o

k

6-1

0 J

uly

16

World G

d P

rix

Gro

up 1

Fin

al

Bangko

kT

HA

An

nie

Pe

ytav

in

*Adequate

medic

al f

acili

ties a

nd p

ers

onel p

erm

anently

in the s

port

hall

*Sta

ff w

ere

num

ero

us a

nd v

ery

exp

erienced

*2 p

laye

rs h

ave

been to h

ospita

l but no m

ajo

r in

juries

9-1

0 J

uly

16

World L

eague G

roup 2

Fin

al

Mato

sin

hos

PO

RF

ern

an

do

Av

ila

*Adequate

facili

ties a

nd s

taff

*Turk

ish team

receiv

ed m

eals

with

Pork

meat

13-1

7 J

uly

16

World L

eague G

roup 1

Fin

al

Kra

kow

PO

LB

run

o B

org

es

*Good m

edic

al s

erv

ices a

nd facili

ties

*Am

bula

nces w

ith e

quip

ment fo

r card

iopulm

onary

resuscita

tion a

nd tra

um

a in

the v

enue

*Adequate

Dopin

g c

ontr

ol s

tatio

n

5-2

1 A

ugust 16

WO

ME

N O

lym

pic

Gam

es

Rio

B

RA

Ho

ssam

Bah

gat

*Exc

elle

nt fa

cili

ties a

nd q

ualif

ied d

opin

g p

ers

onal

*M-1

0 d

one b

y all

team

exe

pt K

OR

and S

RB

because they

did

not have

a team

docto

r

*No c

om

pla

in a

bout th

e m

eals

serv

ed in

the O

lym

pic

Vill

age

*Well

equip

ped in

term

of C

linic

and H

ospita

l

5-2

1 A

ugust 16

ME

N O

lym

pic

Gam

es

Rio

B

RA

Man

fre

d H

olz

gra

efe

*Very

good M

edic

al S

erv

ices a

nd F

acili

ties, G

ood o

rganis

atio

ns w

ith a

bout m

ore

than 3

00 m

edic

al i

nte

rventio

ns

*Dopin

g C

ontr

ol P

repara

tion w

as v

ery

bad, only

1 D

CO

(w

om

an).

No m

ate

rials

were

pre

pare

d in

adva

nce

4-9

Octo

ber

16

Wom

en's

Clu

b W

orld

Cham

pio

nship

Manill

aP

hili

ppin

es

Man

fre

d H

olz

gra

efe

*Medic

al s

erv

ices p

erf

ectly

org

aniz

ed

*Adequate

medic

al f

acili

ties

*Very

good a

sia

n a

nd e

uro

pean c

uis

ine

4-9

Octo

ber

16

Men's

Clu

b W

orld

Cham

pio

nship

Bettim

BR

AB

run

o B

org

es

*Apro

priate

medic

al s

erv

ices a

nd facili

ties

*Adequate

anti-

dopin

g c

ontr

ol s

tatio

n w

ith e

xperienced D

CO

__________________________________________________________________________________


8

Report on 2016 FIVB

Beach Volleyball

competitions

__________________________________________________________________________________


Da

tes

E

ve

nts

Cit

yC

ou

ntr

yD

ele

ga

teM

-9

Gen

era

l C

om

men

ts /

Re

co

mm

en

dati

on

s

14-1

9 F

ebru

ary

16

Open

Kis

h I

sla

nd

sIR

IH

oss

am

Bah

gat

*Good m

edic

al serv

ices a

nd f

acili

tie

s

8-1

3 M

arc

h 1

6G

rand S

lam

R

io d

e J

aneiro

BR

AB

run

o B

org

es

*Am

bula

nce

s w

ith e

quip

ment

for

card

iopulm

ona

ry r

esuscita

tion

in t

he v

enue a

nd

th

e S

am

arita

no H

ospital

as r

efe

rence

*Good m

edic

al serv

ices a

nd f

acili

tie

s

*Dopin

g C

ontr

ol sta

tion

sm

all

/ N

o r

efr

ige

rato

r /

Th

e b

ath

roo

m o

uts

ide o

f d

op

ing

contr

ol sta

tion

/ A

ir

cond

itio

nin

g d

id n

ot

work

pro

pe

rly /

1 g

erm

an a

thle

te c

om

pla

ined

*1 c

ase o

f m

ala

ise b

y h

ypert

herm

ia

*2 R

efe

ree

s w

ith H

yp

ert

ensio

n A

ND

3 r

efe

ree

s w

th B

MI

over

30

3-8

April 16

Open

Do

ha

QA

TM

am

ad

ou

Nd

oye

*Good f

acili

ties a

nd a

deq

uate

cond

itio

ns

*no info

rmation r

eceiv

ed b

efo

re t

he e

vent

*1 p

laye

r fo

rfe

ite

d a

t sem

i final cause

str

ain

on

lîg

am

ent

on h

is le

ft k

nee

26-3

0 A

pril 16

Open

Fort

ale

za

BR

AB

run

o B

org

es

*Facititie

s p

rovid

es w

as n

ot

excelle

nt,

too s

ma

ll and

no c

onditio

nin

g a

ir

*No c

hapero

nes

*1 p

layer

dro

opin

g o

ut

the f

inal m

atc

h a

s h

e h

ad h

ea

t str

ess (

hypert

herm

ia)

11-1

6 M

ay 1

6U

-21 W

CH

Luzern

SU

IF

ern

an

do

Avil

a*A

de

quate

medic

al sta

ff a

nd f

acili

tie

s

*Dopin

g a

rea 5

min

ute

s f

ar

from

the v

enu

e

7-1

3 J

une 1

6M

ajo

r T

ourn

am

ents

Ha

mbu

rgG

ER

NO

Me

dic

al

De

leg

ate

14-1

9 J

une 1

6G

rand S

lam

O

lszty

nP

OL

Man

fred

Ho

lzg

raefe

*Excelle

nt

medic

al sta

ff a

nd

facili

tie

s

*1 p

layer

inju

red a

t rig

ht

should

er,

sto

pe

d c

om

petition t

o g

o h

om

e f

or

exa

min

ation

5-1

0 J

uly

16

Ma

jor

To

urn

am

ents

Gsta

ad

SU

IN

O M

ed

ical

De

leg

ate

5-1

0 J

uly

16

FIV

B W

CC

Oly

mp

ic Q

ualif

So

chi

RU

SH

oss

am

Bah

gat

*Ade

quate

medic

al sta

ff a

nd f

acili

tie

s

*Dopin

g a

rea 5

min

ute

s f

ar

from

the v

enu

e

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

-

Com

ments

fro

m P

WC

- D

C O

ffic

er

Form

:

*Pre

para

tio

n f

or

the e

vent

was q

uite d

ifficult

*Mr.

Bag

hat

info

rmed u

s t

hat

on t

he 1

st

day 8

fe

male

te

sts

and

2 m

ale

te

sts

we

re p

lann

ed.

Unfo

rtunate

ly f

rom

6 r

eq

ueste

d c

hapero

nes (

3m

/3f)

only

2 m

ale

s w

ere

pre

sen

t. B

oth

we

re o

nly

spea

kin

g

Russia

n.

*Mr.

Bag

hat

denie

d t

o c

onduct

testing

paperless a

nd

pro

vid

ed

25 F

IVB

paper.

*A f

ew

ath

lete

s c

om

pla

ined t

hat

they w

ere

not

able

to c

om

munic

ate

with t

heir c

hap

ero

nes.

Bu

t due t

o

short

ways b

ew

teen f

ield

s a

nd

con

tro

l sta

tion

this

was n

ot

a b

ig p

rob

lem

.

*On t

he 2

nd d

ay w

e h

ad 3

chap

ero

ne

s (

only

Russia

n s

peakin

g)

alto

ug

h 2

would

ha

ve

bee

n s

uff

icie

nt.

*We r

especte

d t

he c

urr

ent

sta

ndin

gs c

oncern

ing

possib

le g

old

en

sets

and

waited w

ith

th

e n

otifica

tions

until th

e m

atc

he

s w

ere

co

mple

ted

.

5-2

1 A

ug

ust

16

WO

ME

N O

lym

pic

Ga

mes

Rio

B

RA

An

nie

Payta

vin

5-2

1 A

ug

ust

16

ME

N O

lym

pic

Gam

es

Rio

B

RA

Bru

no

Bo

rges

26-3

1 J

uly

16

U-1

9 W

CH

Larn

aka

CY

PJacek

Kru

czyn

ski

*Ade

quate

medic

al fa

cili

ties

*Qualif

ied m

edic

al pers

onel

*Heat

pro

ble

ms f

or

pla

yers

due t

o h

igh

WB

GT

*Good h

ealth o

f re

fere

es

*1 p

layer

has b

een h

ospitaliz

ed d

ue

to

Pu

lmo

ny E

mbolis

m d

uring

th

e f

ligh

t to

Larn

aca

25-3

0 O

cto

ber

16

WT

Fin

als

Toro

nto

CA

NN

O M

ed

ical

De

leg

ate

BE

AC

H V

OL

LE

YB

AL

L M

-9 G

en

era

l C

om

me

nts

* 3

appro

pia

te m

edic

al depart

me

nt

with

do

cto

rs,

nurs

es a

nd p

his

ios

* T

he m

edic

al depart

ment

with a

ll ty

pes o

f e

qu

ipm

ent,

for

ca

rdio

pu

lmo

nary

re

suscita

tion

an

d t

raum

a.

3

am

bula

nces in t

he v

enue

* D

opin

g C

ontr

ol S

tation

adeq

uate

in s

ize w

ith

wa

itin

g r

oom

, 2

pro

cessin

g r

oom

and s

up

port

room

. W

ith

refr

igera

tor

and a

ir c

ond

itio

nin

g.

The D

CO

with

good

experience.

At

firs

t, t

he n

am

es o

f ath

lete

s a

lread

y h

ad b

ee

n in

mis

sio

n o

rder.

Annie

an

d I

talk

ed w

ith

Sta

tion

Ma

nag

er

to c

hang

e t

he s

ele

ct

way,

for

dra

win

g o

f lo

ts.

To

sem

ifin

als

and

fin

als

were

th

is w

ay.

__________________________________________________________________________________


9

Report on Continental

Medical Commission

activities

AVC, CAVB, CEV, CSV,

NORCECA

__________________________________________________________________________________


AVC Medical Commission

ACTIVITY REPORT

2016 ______________________________________________________________________________________________________________________________________

1. MEETING

AVC Medical Committee conducted the annual meeting in Bangkok, Thailand on March 6,

2016.

The meeting acknowledged the information from FIVB Medical Commission Meeting. The meeting also discussed about the problems found in previous championships in the matters of:

Lack of alcohol test device and a lot of number of tests;

Responsibility to make a decision for alcohol test;

No specialized doping personnel;

No Arabic food and unhealthy, poor hygiene and not good quality;

No doping control room in competition hall and no certified doping personnel (chaperone);

A case of female hyperandrogenism in the 28th Southeast Asian Games 2015 was raised and discussed.

2. AVAILABILITY IN 2016 AVC EVENTS The meeting requested the availability of MC members to be assigned as Medical Delegate of 6 AVC events in 2016. 3. ANTI-DOPING TESTS In 2016, 75 anti-doping tests were conducted in 6 volleyball events, 8 anti-doping tests in 1

beach volleyball event, total 83 tests.

3.1 18th Asian Men’s U20 Volleyball Championship, 9 – 17 July 2016, Koahsiung, Chinese Taipei 16 tests

3.2 18th Asian Women’s U19 Volleyball Championship, 23– 31

July 2016, Nakhon Ratchasima, Thailand 15 tests

3.3 2016 Asian Men’s Club Volleyball Championship, 23– 31

August 2016, Nay Pyi Taw, Myanmar 16 tests

3.4 2016 Asian Women’s Club Volleyball Championship, 3-11

September 2016, Pasay City, Philippines 12 tests

3.5 5th AVC Cup for Women, 14-20 September 2016, Vinh Phuc, Vietnam

8 tests

__________________________________________________________________________________


3.6 5th AVC Cup for Men, 22-28 September 2016, Nakhon Pathom, Thailand

8 tests

3.7 2016 AVC Continental Cup, Semi Final, Phase 3 (M&W), Kalasin, Thailand

8 tests

All samples were analyzed at the National Doping Control Center, Mahidol University in

Bangkok, Thailand (WADA Accredited Laboratory).

__________________________________________________________________________________


CAVB Medical Commission

ACTIVITY REPORT

2016 ______________________________________________________________________________________________________________________________________

No information received

__________________________________________________________________________________


CEV Medical Commission

ACTIVITY REPORT

2016 ______________________________________________________________________________________________________________________________________

Activity report - November 2015 - September 2016

1. Competitions

18 CEV competitions were included in the CEV anti-doping programme.

10 Volleyball competitions - total of 64 tests

8 Beach Volleyball competitions - total of 40 tests

In total, 104 tests - all negative

__________________________________________________________________________________


2. Innovations

Anti-doping Education

All National Federations were informed via a circular letter about the possibility to take part in

the FIVB "Outreach Programme" for young players, which is being promoted in cooperation

with their respective NADOs and WADA.

This educational programme is highly recommended to young players for raising awareness

of doping in their age group categories and the various countries concerned.

3. Development activities

In cooperation with the FIVB Medical Commission, the European Medical Commission is

involved in an ongoing survey which looks at the incidence of injuries in Volleyball and Beach

Volleyball and so far, the percentage is still very low.

A question remains open regarding chronic injuries in high-performance Volleyball.

Therefore, the European Medical Commission is planning to establish an internal working

group with Mr Dervišević (SLO) as the leader to find out the risks of chronic injuries related to

high-performance Volleyball.

4. Seminars & Workshops

The new members of the commission were given an induction into their duties regarding

medical and doping controls during competitions, and they were requested to become

familiarised with the CEV/FIVB medical regulations.

5. Next steps / Future activities

To continue the health management plan (HMP) for referees

Anti-doping education

Provision of health care for the players

__________________________________________________________________________________


CSV Medical Commission

ACTIVITY REPORT

2016 ______________________________________________________________________________________________________________________________________

Upon request and influence of FIVB, this year there has been a sharp increase in the CSV´s doping control program, showing that the FIVB has as one of its pillars the “clean game”, without doping. Thus, over the year, we made a control program in CSV´s major events with some doping control officers, who are highly qualified for that matter. A total of 24 tests were made as follows:

EVENT LOCATION DATE TESTS

South American Women’s Olympic Qualifier

Bariloche, Argentina January 6 to 10 8

4th Stage Continental Tour Beach Volleyball

Cartagena, Colombia March 25 to 27 8

U23 Pan American Cup

Ica/Lima, Peru September 17 to 26 8

We put ourselves available for further explanation. CSV Medical Commission Dr. Bruno Fonseca (BRA) Dr. Julio Cezar Echeverria (PER) Dr. Gisele Perez (URU)

Regards, Bruno Borges da Fonseca

President CSV Medical Commission Rio de Janeiro November 16/2016

__________________________________________________________________________________


NORCECA Medical Commission

ACTIVITY REPORT

2016

__________________________________________________________________________________

2016 NORCECA Doping Control Test

Indoor Volleyball Samples

Women's Continental Olympic Qualification 8

Men's Continental Olympic Qualification 8

Men's XI Pan-American Cup 8

Men's U-19 Continental Championship 12

Women's XV Pan-American Cup 14


Women's U-20 Continental Championship 8


Men's U-23 Pan American Cup 4

Women's U-23 Pan American Cup 8

86

2016 NORCECA Doping Control Test

Beach Volleyball Samples

2nd Stage Beach Volleyball 4

3rd Stage Beach Volleyball 4

4th Stage Beach Volleyball 3


NORCECA Pre-Olympic Tournament 8




Final Stage Beach Volleyball 8

47

NORCECA made a total of 133 tests during the year 2016.

__________________________________________________________________________________


ANTI-DOPING

__________________________________________________________________________________


10

Report on the FIVB 2016

Anti-Doping Programme

__________________________________________________________________________________


10.1

FIVB In-competition &

Out-of-competition testing

programme Olympic

Games

__________________________________________________________________________________


Out-of-competition In-competition

Beach Volleyball 93 156 249

Volleyball 178 152 330

Total 271 308 579

2016 FIVB SAMPLES COLLECTED

__________________________________________________________________________________


10.2

RTP & Whereabouts

information

__________________________________________________________________________________


2017 FIVB Registered Testing Pool

N° NAME NF Club/Teams Gender BVB/VB

1 Arjona William BRA Sada Cruzeiro Volei Men VB

2 Borger Karla GER GER NF Women BVB

3 Bourne Tri USA USA NF Men BVB

4 Buthe Britta GER GER NF Women BVB

5 Carambula Adrian ITA ITA NF Men BVB

6 Claudino Fabiana BRA BRA NF Women VB

7 Dalhausser Philip USA USA NF Men BVB

8 Demir Neslihan TUR Eczacibasi Vitra Istanbul Women VB

9 Harmotto Dietzen Christa USA USA NF Women VB

10 Holtwick Katrin GER GER NF Women BVB

11 Huoi Raoqui CHN CHN NF Women VB

12 Hyden John USA USA NF Men BVB

13 Kantor Piotr POL POL NF Men BVB

14 Kirdar Gözde TUR Vakifbank Istanbul Women VB

15 Kosianenko Ekaterina RUS RUS NF Women VB

16 Kubiak Michel POL POL NF Men VB

17 Laboureur Chantal GER GER NF Women BVB

18 Lanza Filippo ITA Trentino Volley Men VB

19 Lee David USA USA NF Men VB

20 Losiak Bartosz POL POL NF Men BVB

21 Lucena Nicholas USA USA NF Men BVB

22 Ludwig Laura GER GER NF Women BVB

23 Mykhailov Maxim RUS Zenit Kazan Men VB

24 Ognjenovic Maja SRB SRB NF Women VB

25 Ranghieri Alex ITA ITA NF Men BVB

26 Ross April USA USA NF Women BVB

27 Samoilovs Aleksandr LAT LAT NF Men BVB

28 Semmler Ilka GER GER NF Women BVB

29 Smedins Janis LAT LAT NF Men BVB

30 Sude Julia GER GER NF Women BVB

31 Tirozzi Valentina ITA Pomi Casalmaggiore Women VB

32 Walkenhorst Kira GER GER NF Women BVB

33 Walsh Kari USA USA NF Women BVB

34 Zaytsev Ivan ITA ITA NF Men VB

__________________________________________________________________________________


10.3

In-competition testing

programme by

Confederations

__________________________________________________________________________________


CONFEDERATION VB BVB TOTAL

AVC

18th Asian Men's U20 Volleyball Championship 16

18th Asian Women’s U19 Volleyball Championship 15

2016 Asian Men’s Club Volleyball Championship 16

2016 Asian Women’s Club Volleyball Championship 12

5th AVC Cup for Women 8

5th AVC Cup for Men 8

2016 AVC Continental Cup, semi Finals 8

Total 75 8

CAVB

Men's FIVB World Championships Qualifications

Women's World Championships Qualifications

Women's FIVB Championships Qualifications

Men's FIVB Championships Qualifications

Men's FIVB Championships Qualifications

Men's Nation Club Champion Championships

Women's Nation Club Champion Championships

Men's U23 African Nations Championships

Total

CEV

Women U19 European Championship 18

Men U20 European Championship 18

European League Women 2

European League Men 2

Olympic Games Continental Qualifications Women 6

Olympic Games Continental Qualifications Men 6

Denizbank Champions League Women 4

Denizbank Champions League Men 4

Volleyball Cup Women 2

Volleyball Cup Women 2

BVB Masters Women 4

BVB Masters Men 4

BVB U22 European Championship Women 4

BVB U22 European Championship Men 4

BVB Continental Cup Finals Women 6

BVB Continental Cup Finals Men 6

BVB European Championship Women 6

BVB European Championship Men 6

Total 64 40

CSV

South American Women's Olympic Qualifier 8

4ª Stage CSV BVB Continental Tour 8

U23 Pan American Cup 8

Total 16 8

NORCECA

Women's Continental Olympic Qualification 8

Men's Continental Olympic Qualification 8

Men's XI Pan-American Cup 8


Women's XV Pan-American Cup 14




Men's U-23 Pan American Cup 4

Women's U-23 Pan American Cup 8

2nd Stage Beach Volleyball 4

3rd Stage Beach Volleyball 4



NORCECA Pre-Olympic Tournament 8




Final Stage Beach Volleyball 8

Total 86 47

TOTAL 241 103 344

24

133

CONFEDERATIONS 2016 - Sample Collected

83

0

104

__________________________________________________________________________________


10.4

Anti-Doping rule

violations (FIVB,

Continental, National,

Missed tests)

FIVB DECISIONS:

Nationality Last Name First NameVolleyball /

Beach VolleyballSubstance In competition / OOC Test date Suspension Start End

IRI Hoshmand Saber Beach Volleyball

Boldenone

metabolite and

metandienone

metabolite (S.1.1A)

Kish Island Open,

FIVB competition17.02.2016 4 years 24.03.2016 23.03.2020

KAZ Akilova Natalya Volleyball Meldonium (S.4) OOC 12.05.2016 n/a (no fault) n/a n/a

RUS Markin Alexander Volleyball Meldonium (S.4) CEV competition 09.01.2016 n/a (no fault) n/a n/a

RUS Firsov Boris Volleyball Meldonium (S.4) CEV competition 02.04.2016 n/a (no fault) n/a n/a

NATIONAL DECISIONS:

Nationality Last Name First NameVolleyball /

Beach VolleyballSubstance In competition / OOC Test date Suspension Start End

CZE Barak Jan Volleyball Hydrochlorothiazide In competition 16.01.2016 3 months 18.02.2016 17.05.2016

IND Kumar Krishan Volleyball Norandrosterone In competition 18.03.2016 4 years 03.05.2016 02.05.2020

USA Holt Max Volleyball Meldonium (S.4) OOC 10.06.2016 n/a (no fault) n/a n/a

BRA De Souza Leal Rafael Volleyball Stanozolol In competition 22.10.2016 4 years 14.12.2016 13.12.2020

16.12.2016

2016 Anti-Doping Rule Violations (ADRVs)

__________________________________________________________________________________


10.5

TUEs

__________________________________________________________________________________


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__________________________________________________________________________________


10.6

Steroidal Profile

__________________________________________________________________________________


10.7

Education Programme

FIVB PLAY CLEAN

- Statistics (old & new)

__________________________________________________________________________________


2013 2014 2015

Real Winner Real Winner Real Winner + Play Clean

Players 2405 4000 5000

Total users 4006 7211 7346

Statistics 2013-2015

Since the beginning of the Play Clean

Programme, we have the following data:

Users 17552

Completed all Modules 15862

Play Clean

June 2015-December 2016

2013-2014 Real Winner

StatusUsers

2013

Users

2014

Volleyball International level athlete 1235 2420

Beach Volleyball International level athlete 1170 1580

Volleyball National level athlete 458 1312

Beach Volleyball National level athlete 74 125

Coach - Support personnel 836 1456

FIVB registered user 149 126

I am just visiting this site 84 192

Total users 4006 7211

__________________________________________________________________________________


10.8

Outreach Programme

__________________________________________________________________________________


Outreach programme continues to educate athletes and officials

Tokyo, Japan, June 3, 2016 – The FIVB has once again committed to making volleyball a drug-free sport with a second anti-doping outreach programme organised in Japan, this time for players and officials at the Men’s World Olympic Qualification Tournament. A total of 67 athletes and support staff participated in the event on May 30, with FIVB Medical Commission member Prof. Manfred Holzgraffe helping conduct proceedings alongside the Japan Volleyball Association, the World Anti-Doping Agency and the Japan Anti-Doping Agency.

The programme is designed to increase the participants’ knowledge of anti-doping matters, and through a quiz, give the FIVB and partners a better view of the level of understanding among players and officials of current doping laws. They also took the time to leave video messages encouraging other athletes to Play Clean.

http://www.fivb.org/visasp/GetPhoto.aspx?type=press&no=61637

http://www.fivb.org/Vis2009/Images/GetImage.asmx?No=201620903


__________________________________________________________________________________


BEACH VOLLEYBALL

1) BVB OPEN Qatar, 04-08 April 2016

VOLLEYBALL

2) Women’s World Olympic Qualification Tournaments, Japan, 15-22 May 2016

3) Men’s World Olympic Qualification Tournaments, Japan, 28 May-05 June 2016

__________________________________________________________________________________


10.9

Communication & Twitter

account

__________________________________________________________________________________


__________________________________________________________________________________


Anti-doping and sports medicine on Medical Commission agenda

The FIVB Medical Commission met at the International Volleyball Federation headquarters on Wednesday

Lausanne, Switzerland, January 26, 2016 - The FIVB Medical Commission met at the

International Volleyball Headquarters in Lausanne on Wednesday to review work carried out

over the last year as part of the federation's core commitment to promoting a clean sport.

Anti-doping and sports medicine were discussed, as were plans to intensify testing and

develop partnerships with national anti-doping organisations in the build-up to the Rio 2016

Olympic Games.

The Commission reviewed the main pillars of the FIVB’s anti-doping programme, including

testing, examining Anti-Doping Rule Violations (ADRVs) and Therapeutic Use Exemptions

(TUEs), education and communication. Issues and statistics specific to both in-competition

and out of competition tests were discussed. This was followed by a study of the ADRVs -

there were none for the FIVB in 2015 - and of the 16 TUEs approved.

The FIVB has continued to educate and communicate around anti-doping in 2015. The FIVB

Play Clean programme, an e-learning tool on the 2015 World Anti-Doping Code, helped to

educate over 5000 beach volleyball and volleyball athletes and support personnel in 2015.

Education Outreach Programmes were organised at the FIVB Beach Volleyball World

Championships The Netherlands 2015, the FIVB Volleyball Women's U23 World

Championship in Turkey and the FIVB Volleyball World Cup in Japan. Dominican Republic

volleyball player Jineiry Martinez’s also participated in the successful Play True 2020

initiative.

http://playclean.fivb.com/

http://playclean.fivb.com/

http://playtrue2020-sp4t.jp/

http://playtrue2020-sp4t.jp/

__________________________________________________________________________________


Play Clean Ambassador Fabi talks about education - watch the video.

The FIVB continues to communicate around medical issues via dedicated pages on fivb.com

and on the FIVB Medical Twitter account.

The focus of the Medical Commission meeting then turned to the FIVB’s medical programme

in 2015.

The commission members heard a report on the Referees Health Management Plan, which

is in place for volleyball and beach volleyball referees. Alcohol tests for referees are carried

out by the Medical Commission too. Watch the video below for more information.

Other topics covered included the injury surveillance BJSM publication and a heat stress

monitoring project, as well as a review of accredited medical personnel.

http://www.fivb.org/EN/Medical/index.asp

https://twitter.com/fivbmedical

http://www.fivb.org/EN/Medical/publications.asp

__________________________________________________________________________________


FIVB Disciplinary Panel rules on Alexander Markin

Lausanne, Switzerland, April 28, 2016 - The FIVB Disciplinary Panel issued its decision on Thursday in the case involving Mr. Alexander Markin of Russia, who tested positive for meldonium following the semifinal match against Germany at the 2016 European Olympic Qualification tournament on January 9, 2016.

In its decision, the FIVB Disciplinary Panel followed the guidance of the World Anti-Doping Agency (WADA), which issued a Notice on April 13, 2016 regarding how to handle meldonium cases. In its Notice, WADA recommended that an anti-doping rule violation must be found in cases in which meldonium was present in an athlete’s sample after January 1, 2016 but a decision-making body could make a finding that the athlete bore no fault or negligence if the concentration of meldonium found in the athlete’s sample was below 1 microgram per millilitre (?g/mL) and the test was taken before March 1, 2016. According to WADA, if these two criteria were satisfied, the athlete’s intake would be “compatible with an intake prior to January, 2016”, i.e. before meldonium became a prohibited substance. A finding of no fault or negligence allows a decision-making body to eliminate a sanction against the athlete. In Mr. Markin’s case, the concentration of meldonium in Mr. Markin’s sample was 0.3 micrograms and the test occurred on January 9, 2016. Therefore, the two criteria provided by WADA were satisfied. The FIVB Disciplinary Panel concluded that Mr. Markin committed an anti-doping rule violation but bore no fault or negligence in this case. The FIVB Disciplinary Panel therefore lifted his provisional suspension and decided that he would be subject to no additional sanctions taking the approach recommended by WADA. Additionally, in light of this finding, the FIVB Disciplinary Panel also decided that the Russian national team’s qualification for the 2016 Olympic Games would stand due to the fact that there was no evidence that the presence of meldonium in Mr. Markin’s system could have enhanced his performance, thus, the results of the Russian team because the concentration was too low to have any performance-enhancing effect. The FIVB Disciplinary Panel noted that the disqualification of the results of the team based on the anti-doping rule violation of one athlete is discretionary and is not an automatic consequence under the applicable rules. The FIVB Disciplinary Panel issuing this decision was composed of the FIVB Disciplinary Panel Vice-Chair Ms Margaret Ann Fleming (Scotland), FIVB Disciplinary Panel member Mr. Mounir Ben Slimane (Tunisia) and FIVB Medical Commission member Prof. Dr. Roald Bahr (Norway). A copy of the decision can be found on here


http://www.fivb.org/EN/Medical/AntiDopingProgramme.asp

__________________________________________________________________________________


Putting athlete health first - Heat stress protocol

Kay Matysik receives medical attention during the final of the Fortaleza Open

Lausanne, Switzerland, May 4, 2016 - Kay Matysik may have been disappointed to forfeit the Fortaleza Open gold medal match on Sunday, but was able to do so in line with the measures put in place by the FIVB to ensure the health of players in extreme temperatures. Matysik and his long-time partner Jonathan Erdmann pulled out towards the end of the tie-break so as to avoid any long-term damage and in doing so allowed Brazil’s Oscar Brandao and Andre Stein to claim their first FIVB Beach Volleyball World Tour gold medals. In 2009 the FIVB began a three-year study into how heat affects players based on the 32.3-degrees Celsius Wet Globe Bulb Temperature (WGBT) that measures air temperature, humidity, wind speed and sunlight strength and which is the temperature at which the US Navy advises the cessation of physical activity. During the study referees took four temperature measurements before matches with the referee to include any forfeitures in his report, though over the three-year study no forfeits occurred. There continued to be the recording of figures over the 2015 season, with no cases of heat exhaustion and so there is the recommendation that players, including under-age categories, who are well acclimatized to exercise under hot and humid conditions, can compete under conditions well above a WBGT of 32. "With seven years of data from 119 FIVB events, the heat stress protocol will continue to play a vital part in ensuring the health and well-being of beach volleyball players on the World Tour and at the FIVB Beach Volleyball World Championships," FIVB Executive Vice-President in charge of the Medical Commission Dr. Amr Elwani said. "It is very important we have these regulations in place, especially for the safety of our athletes. They are playing some outstanding beach volleyball in very testing conditions but it is very important that the regulations in place allow them to continue to play but also protect them and their health in extreme conditions." Related information: - FIVB Heat Stress Monitoring Protocol Report - New guidelines are needed to manage heat stress in elite sports – The Fédération Internationale de Volleyball (FIVB) Heat Stress Monitoring Programme


http://www.fivb.org/EN/Medical/Document/FIVB_Heat_Stress_Monitoring_Protocol_Report_2014.pdf

http://bjsm.bmj.com/content/early/2012/06/08/bjsports-2012-091102

http://bjsm.bmj.com/content/early/2012/06/08/bjsports-2012-091102

__________________________________________________________________________________


Outreach programme continues to educate athletes and officials

Tokyo, Japan, June 3, 2016 – The FIVB has once again committed to making volleyball a drug-free sport with a second anti-doping outreach programme organised in Japan, this time for players and officials at the Men’s World Olympic Qualification Tournament. A total of 67 athletes and support staff participated in the event on May 30, with FIVB Medical Commission member Prof. Manfred Holzgraffe helping conduct proceedings alongside the Japan Volleyball Association, the World Anti-Doping Agency and the Japan Anti-Doping Agency.

The programme is designed to increase the participants’ knowledge of anti-doping matters, and through a quiz, give the FIVB and partners a better view of the level of understanding among players and officials of current doping laws. They also took the time to leave video messages encouraging other athletes to Play Clean.



__________________________________________________________________________________


11

FIVB Anti-Doping

Programme 2017

__________________________________________________________________________________


11.1

FIVB Registered Testing

Pool(s)

ADAMS

Team Whereabouts

Education

__________________________________________________________________________________


11.2

Continue the use of

Twitter

__________________________________________________________________________________


11.3

Informed Sports.com

__________________________________________________________________________________


__________________________________________________________________________________


MEDICAL

__________________________________________________________________________________


12

IOC – ASOIF

Recommendations to

athletes and global health

Lausanne, November 2016

INTERNATIONAL FEDERATION PRIORITIES AND ACTIVITIES WITH RESPECT TO ATHLETE AND GLOBAL HEALTH

ASSOCIATION OF SUMMER OLYMPICINTERNATIONAL FEDERATIONS

Objective

The purpose of this survey is to identify areas of

priority and activity for International Federations

(IFs) with respect to athlete health and safety and

for global health.

Purpose

The results of this survey will serve to direct

and frame the activities of the ASOIF Medical and

Science Consultative Group (AMSCG), and will

influence the planning and priorities of the International

Federations and the International Olympic Committee’s

Medical and Scientific Commission.

Methodology and Response Rate

The study was developed in the form of a survey

by the Association of Summer Olympic International

Federations (ASOIF) in consultation with the

AMSCG under the chairmanship of Dr. Margo

Mountjoy (CAN), Bureau Liaison to the FINA

Sports Medical Committee and a member of the IOC

Medical Commission – Games Group. This survey

was conducted from 14 March – 29 April 2016 in the

form of an online questionnaire. It surveyed the 28

International Federations that are members of ASOIF.

The facilitation and technical implementation of

the online survey was outsourced to professional

services company PricewaterhouseCoopers (PwC).

All 28 ASOIF members responded to the survey.

Statistical analysis was conducted by McMaster

University Medical School, (CAN).

For analysis of trends over time, a comparison

was made of the current data with a survey

on International Federation health promotion

conducted in 2012 by Mountjoy and Junge1.

Results

1. Health priorities of the

International Federations

The priorities of the International Federations

with respect to health can be found in Figure 1.

While 96% of International Federations identified

the “fight against doping” as the highest priority,

it was ranked 2nd behind “the perception of your

sport as a safe sport”; followed by “the health

of your athletes”. The lowest priorities of the

International Federation were “increasing the

number of elite athletes”, and the “health of the

general population”.

Very important

Figure 1 – Importance of health priorities for IFs

Not important at all Low importance Neither nor Important

0 100

4%

4% 4%

4%

7%

11%

11%

11%

14%

14%

25%

36%

36%

36%

39%

43%

46%

96%

14%

21%

86%

79%

68%

64%

57%

54%

50%

46%

36%

25%61%

Fighting against doping

ranked 2nd most important issue by IFs

Protecting athletes against harassment

and abuse

Your sport is perceived to be a safe sport

ranked most important issue by IFs

Increasing the number of recreational athletes

Health of your elite athletes

ranked 3rd most important issue by IFs

Increasing the number of spectators

Health of recreational athletes in your sport

Performance of elite athletes in your sport

Your sport is perceived to be an

enjoyable physical activity

Health of the general population

Increasing the number of elite athletes

PR

IOR

ITIE

S

%

(Br J Sport Med. 2013; 47: 1023-7)

2. International Federation health-related

programmes, guidelines or research activities

Figure 2 demonstrates the International Federation

programmes, guidelines or research activities of

various health-related topics. Inherent in a survey

format is the potential for self-report bias and the

missing evaluation of the quantity and quality of

the activities/programmes.

Of interest to note, despite highly prioritizing the

“health of your athletes”, International Federations

are not addressing all aspects of athlete health

such as:

Mental health

Harassment and abuse

Relative energy deficiency in sport

(RED-S)

Eating disorders/disordered eating.

20 40 60 80 1000

AC

TIV

ITIE

S

%

93% Injury prevention by regulation for equipment/venues

93% First aid/minimum safety standards at events

85% Injury surveillance during IF championships/events

70% Implementation of the Olympic Movement Medical Code

67% Pre-participation medical examination

67% Nutrition/hydration

63% Environmental conditions

56% Athlete ineligibility and Return-to-play after injury

52% Nutritional supplementation use

48% Injury prevention by exercise-based programmes

44% Disorders of sexual development (hyperandrogenism)

44% Sport specific concussion management

41% Team physician certification

41% Medical licensing at IF championships/events

41% Rest days between competitions

41% Rule changes based on sport-specific science

30% Injury prevention by Fair Play campaigns or similar

30% Training/competing during pregnancy

26% Drug importation at IF championships/events

26% Post elite career management

26% Age determination

22% Eating disorders/disordered eating

22% Protection of the athlete from harassment and abuse

15% Mental health of your athletes

15% Technology based health risks

11% Prevention of chronic diseases in the general population

7% Relative Energy Deficiency in sport (RED-S)

7% Other

Figure 2 Percentage of IF self-reporting programmes, guidelines or research activities

on various health-related topics

Sample size = 27 Summer Olympic IFs (96%)

-25 -20 -15 -10 -5 0

3. Have International Federations changed

over time? A comparison with 2012

a) Health-related priorities

Figure 3 shows the change in health-related

priorities of the International Federations from 2012

– 2016. It is interesting to note a decrease in the

priority of the International Federation in the

following topics:

Image as an enjoyable physical activity

Health of recreational athletes in your sport

Increasing the number of recreational athletes

Increasing the number of spectators.

However, the most important and statistically

significant decrease in International Federation

priority is in the topic of “health of the general

population”, despite the final recommendation

of the 2012 study being:

“International Federations should use

the unique chance to contribute to the

health of the general population by the

promotion of physical activity through

their sport.”

A possible explanation of this significant

negative change in International Federation

attention away from prioritizing global health

could be attributed to the recent focus on

negative issues such as doping challenges,

betting and match fixing.

Figure 3. Comparison of health-related priorities for IFs between 2012 and 2016.

Note:

The categories relating to: image as safe sport, top performance of sport athletes, health of elite athlete, increasing number

of elite athletes, and fight against doping showed no change from 2012 to 2016

Health of recreational athletes

Increasing spectators

Image as enjoyable physical activity

Increasing number of recreational athletes

Health of general population

PR

IOR

ITIE

S

%

-4%

-7%

-7%

-7%

-22%

Health-related priorities

b) Health-related programmes, guidelines

and research activities

Figure 4 shows the percentages of International

Federations that report activities in the various listed

health-related topics in comparison with the results

from the 2012 survey. Of importance is to note the

changes in the following relevant trends:

Despite prioritising athlete health highly, there

is a negative trend, or decreasing activity in:

Injury prevention by exercise-based

programmes

Injury prevention by Fair Play campaigns

or similar.

A positive trend, or increasing activity in:

Return-to-play after injury

First aid (e.g. on pitch physician, AED)

Training/competing during pregnancy.

The most important findings – of

statistical significance – are the positive

change (increase) in the International

Federation activity in the area of

“Post elite career management” and the

negative change (decrease) in the

International Federation activity in the area

of “Prevention of chronic diseases in the

general population”.

Figure 4. Changes in IF health-related programmes, guidelines and/or research activities from

2012-2016

-20 0 20 40 60 80 100

-19%

-15%

-15%

-11%

-11%

-4%

-4%

0%

7%

11%

15%

15%

19%

19%

93%First aid (e.g. on pitch physician, AED)

Return-to-play after injury

Post elite-career management

Training/competing during pregnancy

Disorders of sexual development

Pre-participation medical examination

Injury prevention by regulation

Rest days between competitions

Injury surveillance during championships

Mental health of your athletes

Environmental conditions (e.g. temperature, altitude)

Nutrition/hydration

Injury prevention by Fair Play campains

Prevention of chronic diseases in general population

Injury prevention by exercise programmes

AC

TIV

ITY

%

Health-related programme

Conclusions and Recommendations:

1. Athlete health: While it is encouraging to see

International Federations prioritise the health

of the elite athlete, International Federations

should focus on all aspects of athlete health to

ensure athlete health both during and after sport.

A more robust and comprehensive athlete health

program would ultimately result in improvement

of athlete sport performance.

2. Recreational athlete health: International

Federations have not identified recreational health

as a priority. Attention to this large group of

individuals world-wide would benefit sport through

the increase in healthy participating athletes, as

well as the fan base and sport market.

3. Health of the general population: According

to the Olympic Charter, International

Federations have an obligation to develop

sport for all, and a unique opportunity

to positively influence global health through

the promotion of their sport to improve

global health.

Despite the wide-spread knowledge of the

importance of the promotion of physical

activity (or sport) on the health of the

global population, the decreasing priority

and programming of the International

Federations on global health through

physical activity promotion is disturbing.

The barriers to International Federation

promotion of health in both the elite athlete

and global populations should be identified and

robust effective solutions developed to deliver

International Federation programs to improve

both athlete and global health.

Through the promotion of health, International Federations have the power to create a positive image of sport and a long-lasting legacy of improving global health: “THE POWER OF SPORT TO DRIVE WORLD HEALTH”

ASSOCIATION OF SUMMER OLYMPICINTERNATIONAL FEDERATIONS

__________________________________________________________________________________


13

Referees

__________________________________________________________________________________


13.1

Olympic Games

Seminar for referees

Rio 2016 Olympic Games

Referee Preparation Seminar

Medical matters

How to deal in daily life

By Annie PEYTAVIN

04 July 2016

Annie Peytavin – 04 July 2016Rio 2016 – Referees preparation

“H O W T O D E AL W I T H T H E O R Y I N D AI L Y L I F E”

• 1) Nutrition

• 2) Fluids

• 3) Physical fitness

• 4) Rest and Jetlag

• 4) General recommendation

• 5) Time to Question


Nutrition in daily life


Vegetables and fruits

• Eat 5 portions of fruits or vegetables per day

– A portion is 80/100g

– The quantity your hand may contain

– One tomato, one apple, 2 or 3 apricots, 3 or 4 strawberries, a

hand of greens, a cup of soup…

• They are rich in vitamins, fiber

• They bring water

• On any preparation:

– Fresh or frozen,

– Cooked or uncooked

– Juice or by pieces


Diary

• 3 per day

– Glass of Milk or equivalent in breakfast for example

– Cheese (30g)

– Yoghurt (125g)

• Why: for calcium and Vit. D important for muscle contraction

• Butter and cream, even produced from milk are not considered as

diary but as fat


Carbohydrates

• At each meal:

– As sides with meat or fish or main dishes

– Breakfast: cereals but pay attention to

added sugar

– Pasta, rice, potatoes or bread

– They may be prepared with vegetables

– Pay attention to sauce


Proteins

• Once or twice a day

• Meat, fish or eggs

• One portion = 100g of meat or fish , 2 eggs

• « Fatty » fishes are rich in Omega 3

– like salmon, mackerel or sardines

– good for vascular protection

• Prefer cooked in oven or steamed than fried.

• Avoid breaded and pay attention to sauce


Avoid any kind of sugar

• Cakes

– If you like to have a sweet at the end of a meal prefer fruit

– For snack prefer a piece of cheese with bread or some

cereals, or a banana or an apple

• Pay attention of sugar in coffee or tea

• Prefer to drink water than sodas

– One soda = 6 pieces of sugar

– Soda “zero” are sugar free but there are sweeten substitutes,

so you continue to be sugar addicted.


FLUIDS

Body contains a lot of water 60% and it’s like a sponge that should stay humid:

• Muscles 73-75%

• Brain 76%

• Bones 25%

• Fat 30%

• Blood 80%

Importance of water:

• Regulate body temperature

• Elimination of wastes

• Transportation of oxygen and nutriments into cells

Loss of fluid by:

• Urine

• Sweat

• Stools especially in case of diarrhea

Loss of 5 to 7% means a very deep weakness and 20% is deadly:

• Impaired ability to make a decision

• Increased rate of perceived exertion


What to Drink - Eat ?

Before exercise: Be balanced

• Drink 500ml of water in the hour prior to exercise

• No need of nutriments at that moment

During physical exercise: Limit loss

• Drink regularly even if you don’t feel thirsty

• Warmer is the weather more drink you should take

• Nevertheless even if it’s cold you have to drink

After exercise: Rehydrate

• Drink glass after glass but don’t try to compensate in one intake

• Have a shower or a bath

• If weather is very hot or exercise very long and intensive: estimate your sweat loss (weigh

you before and after exercise)

• Eat preferably some fruits or vegetables after exercise, carbohydrates may be balanced by

food


PHYSICAL FITNESS

How to prepare yourselves


Physical preparation

At least 45 minutes of exercise per day :

• Don’t use lifts as much as possible

• Try to use public transportation

• Make your shopping by walking

In addition

Run 3 times a week:

• 20 mn jogging cool, 70/75% of Max Heart Rate (MHR) as warming up

• 10 times 20 sec running high speed (90% MHR) alternatively with 40 sec of

recovery by jogging*

• Then 15 mn like warming up

• Then 2 mn walking as cooling down

*You may increase time of running and decrease time of recovery (30 sec running

and 30 sec recovery… 40 and 20…)

** MHR = 220-Age


Stretching and strengthening

Keep cool as much as possible

Strengthen your core muscles

Relax muscles by stretching regularly especially all

posterior/back chains :

Strengthen abdomen and back

From 20 to 40mn

3 times a week

From 20 sec up to 60 sec

10 times alternatively with recovery

And if you are doing easily the « board »


Rest and Jetlag

At home:

• Each person has his own rhythm of life

• Adapt to your own needs

• Go to sleep around the same time each

evening

• Stay far away from smartphone or tablets

• Take a nap, if possible

• Sleep in dark as much as possible

• Noiseless environment, no pets

• Pay attention to room temperature

• Avoid any stressful activity 2 hours prior

to go to sleep

If you have a poor sleep, before to take some pills try this:

• Keep to a regular sleep schedule even during week end

• Relax before bedtime with hot bath, reading…

• Don’t have heavy meals or don’t drink alcohol

• No caffeine at least 8 hours before going to bed


Jetlag symptoms

1. Disturbed sleep pattern

2. Feeling disoriented

3. Constipation

4. Indigestion

5. Headaches

6. Nausea

7. Sweating

8. Anxiety

9. For women: Irregular period

Each person has different biological clock:

• work adaptation in morning or evening

60% of people prefer to go to west

30% to East

10% are not disturbed

Long trip:

Before flight: avoid sleep debt

During flight:

• Rest but don’t sleep the whole flight

• Adapt your watch to destination

• Eat light meals, avoid

• Avoid alcohol

• Stay hydrated : drink a glass of water each hour

• Avoid sparkling drinks

• Walk regularly during flight

Dealing with travels


Rest and Jetlag

Competition with less than 2 hours of time difference

• Sleep as much you can

• Try to respect the same rhythm as at home

• Day of competition, have a map if you are used to have

Competition with more than 2 hours of time difference

• During trip try to adapt to the new time schedule

• The longest adaptation is digestive, so try to adapt immediately time for meals

• You have to go outside for walking: Day light is very important

Usually people needs 1 day /h of difference for recovery but it’s depending of your

own rhythm and the direction

Be rested right before the trip: more tired you are more difficult will be adaptation to

jetlag

Avoid long term sleeping pills


Final Recommendations

1. Adapt your diet:

– Eat regularly,

– priority of light foods, carbohydrates and salads

– not too much at a time especially at diner.

2. Drink regularly but water or few soft drinks, avoid alcohol.

3. Exercise regularly. During trips go to fitness center at hotel

4. Stretch and take time to relax

4. Rest as much as possible and prepare you to jetlag.

__________________________________________________________________________________


13.2

Health Management

Programme

VB and BVB Referees

__________________________________________________________________________________


May 2015 July 2016 May 2015 July 2016 2015 2016

AVC 39 40 AVC 233 221 272 261

CAVB 29 37 CAVB 152 124 181 161

CEV 107 107 CEV 373 359 480 466

CSV 17 28 CSV 58 52 75 80

NORCECA 38 33 NORCECA 98 81 136 114

Total M-4 230 245 Total M-4 914 837 1144 1082

AVC 3 13 AVC 128 145 131 158

CAVB 6 6 CAVB 55 87 61 93

CEV 1 1 CEV 1 14 2 15

CSV 1 5 CSV 10 16 11 21

NORCECA 4 9 NORCECA 8 25 12 34

Total Missing M-4 15 34 Total Missing M-4 202 287 217 321

Grand Total 245 279 Grand Total 1116 1124 1361 1403

Statistics M-4 2016

M-4

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VBBVB TOTAL M-4

2015 2016

AVC 403 419

CAVB 242 254

CEV 482 481

CSV 86 101

NORCECA 148 148

Total 1361 1403

TOTAL/CONFEDERATION

__________________________________________________________________________________


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__________________________________________________________________________________


14

Dr. Mattia Piffaretti

presentation

“Jetlag prophylaxis”

__________________________________________________________________________________


15

M-3 form:

- VB 2 months before the

event?

- BVB once a year?

__________________________________________________________________________________


__________________________________________________________________________________


16

FIVB Injury Surveillance

System

PRE-PARTICIPATION EXAMINATION (PPE) IN INTERNATIONAL SPORTS FEDERATIONS Sent on 1 Feb 2016 to 25 ISFs

Responses by 10 March 2016: 5 (response rate 25%)

Responses after personal reminders: 20 (response rate by 31 May 80%)

PARTICIPATING SPORTS: Air Sports (FAI), Aquatics (FINA), Archery (WA), Athletics (IAAF),

Basketball (FIBA), Canoe/ Kayak (ICF), Cycling (UCI), Fencing (FIE), Football (FIFA), Ice

Hockey (IIHF), Luge (FIL), Modern Pentathlon, Sailing (ISAF), Skiing (FIS), Field Hockey

(FIH), Rowing (FISA), Rugby (World Rugby), Tennis (ITF), Triathlon (ITU), Volleyball

(FIVB)

Individual sport: 13 Team sport: 13

1. PPE RECOMMENDATIONS Do you generally recommend the PPE to your member organisations? Yes: 17 (85%) No: 3 If yes*: At all levels of competition

Only at elite (national, international) level

Men Women Youth

5 (29%) 10 (58%) 9 9 6 *several or no response per ISF

Frequency Annually Every two years Every three years

7 5 1 (for ECG only) Method* Self-administered questionnaire (non-supervised)

Nurse-administered questionnaire

History and physical examination by physician

History and physical examination and 12-lead resting ECG

5 (29%) 0 3 11 (64%) (1 moving towards)

* Some ISFs have different requirements at different levels/age, e.g. for ECG.

Any specific recommendations for history / examination / other tests: Check for Marfan’s sign in cardiac screening (FIBA) Echocardiography in addition (FIFA) Exercise test ECG (FIE)

2. PPE REQUIREMENTS AT ISF EVENTS Do you demand a PPE for accreditation/ participation in your events? Yes: 9 (45%) No: 11 (55%) (but 2 consider to do so after having received FISA approach)

ISF PPE questionnaire, FIMS Interfederal Commission, 2016

If yes: At all levels of competition

Only at elite (national, international) level

Men Women Youth

4 5 4 4 3 No earlier than <1 year prior to event <6 months prior to event <3 months prior to event

3 4 Method* Self-administered questionnaire (non-supervised)

Nurse-administered questionnaire

History and physical examination by physician

History and physical examination and 12-lead resting ECG

We provide a standard PPE examination form

3 0 3 7 Paper: 3 Electronic: 5

*several responses per ISF

Shared their questionnaire: FIBA attached their PPE form; ITF attached their PPE form and additional information; FISA:provided link to their online PPE form.

Any specific recommendations for history / examination / other tests: World Rugby: Examination apart from cardiac screening is not standardised. This is a conscious decision following feedback from legal department.

3. REGULATIONS AND CONTROLS Does your ISF Collect the forms / analyse the electronic database

Offer PPE performance on site prior to events at no cost to MAs

Demand that team physicians confirm PPE completion and fit-to-play

Demand that MA Presidents confirm completion and fit-to-play

Deny accreditation for event without PPE and fit-for-play declaration

5 (56%) 2 6 5 7 (78%) Comments: UCI: http://www.uci.ch/clean-sport/medical-monitoring-162736/ ; FIVB requires Health Certificate with specific requirements for Beach Volleyball.

SUMMARY: The vast majority of responding ISFs generally recommend a PPE to their member associations, roughly one third at all levels of competition and two thirds only at elite level. The majority recommend a history with physical exam and resting ECG either annually or biannually, about a third a self-administered questionnaire. Additional examinations such as echocardiography or stress test are an exception. At their own events, 9 of the 20 ISFs demand a PPE (self-administered or history with physical exam and resting ECG, 5 ISFS have own forms)). Five of these ISFs collect the forms and 77% of them deny accreditation for the event without a PPE and fit-for-play declaration. Two ISFs were inspired to take the topic up again with their Medical Commissions following the FIMS ICF communication.

__________________________________________________________________________________


17

Injury prevention devices

__________________________________________________________________________________


18

FIVB Heat Stress

Monitoring Protocol

__________________________________________________________________________________


19

FIVB Accreditations for

Medical Personnel

__________________________________________________________________________________


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__________________________________________________________________________________


20

Sport Science Award

__________________________________________________________________________________


21

FIVB Medical and Anti-

Doping Regulations 2017

__________________________________________________________________________________


FIVB Medical and Anti-Doping Regulations 2016

__________________________________________________________________________________


22

List of proposals for the

Board of Administration

__________________________________________________________________________________


23

Workshop

Medical Commission Meeting...Health Management Plan Programme for more than 1 year and no progresses...

Documents

Transcript of Medical Commission Meeting...Health Management Plan Programme for more than 1 year and no progresses...