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e52 Abstracts / Journal of Science and Medicine in Sport 20S (2017) e32–e66

joint pain, muscle pain and inflammation and injury locations were 118
knees/legs, shoulder, spine/back and ankle. This indicates mus-
culoskeletal problems are predominant with this age group and Medical training for the 2015 Pacific games:
suggests some injury prevention strategies for both sexes based Immediate benefits and long term legacy
on enhancing musculoskeletal fitness, joint stability, inflammatory M. Brown 1,2,3,∗ , C. Milne 2,4 , A. Alsop 5 ,
control and dynamic movement equilibrium. M. Constantinou 3,6
1 Sports Medicine Australia, Australia
http://dx.doi.org/10.1016/j.jsams.2017.01.139
2 Oceania National Olympic Committees Medical
117 Commission, Australia
3 Griffith University, Australia
Ballistic projectile motion is essential during 4 Anglesea Medical, Australia
power training to enhance shot-put 5 Papua New Guinea Sports Foundation, Australia
performance 6 Australian Catholic University, Australia

A. Sakamoto 1,∗ , A. Kuroda 2 , K. Sakuma 2


Background: Major sports events require sufficient numbers
1 Juntendo University, Institute of Health and Sports of appropriately skilled medical personnel to provide competent
Science & Medicine, Japan immediate response and follow-up management of athletes with
2 Juntendo University, Graduate School of Health and sports related injuries and medical conditions. The Pacific Games is
Sports Science, Japan a major multi-sport event affiliated with the Olympic movement.
The Olympic Movement Medical code requires the host nation to
Background: Shot-put athletes undergo bench press exercise, provide a medical program sufficient to ensure the safety of all com-
which provides similar kinetic and kinematic outflows of shot-put petitors. The 2015 Pacific Games (PG2015) hosted by Papua New
event. To develop both strength and speed components of power, Guinea (PNG) included over 3000 athletes from 24 countries partic-
not only heavy resistance but also light resistance is chosen dur- ipating in 28 sports over 14 days. A needs analysis conducted by the
ing training, where the lifting is performed in a fast repetitive Pacific Games Organising Committee (PGOC) identified there were
fashion. At light intensities, greater accelerations can be achieved insufficient numbers of health professionals in PNG with experi-
at the beginning of the concentric phase, followed by significant ence in sports medicine and on-field injury management to provide
decelerations for the transition to the subsequent eccentric phase. the required medical coverage. A training program in on-field injury
This enlarged deceleration phase limits the concentric effort and management and return to play decision making to upskill local
maximum speed achieved, which will ultimately reduce the event predominately hospital based PGOC volunteer Doctors, Physiother-
specificity and training effectiveness. To minimize the decelera- apists, Nurses and other athlete support personnel was deemed
tion, projectile motions have been advocated. This study aimed to necessary.
quantify the maximum concentric velocity of the elbow achieved Methods: Following a skills gap analysis a multi-component
during non-throw bench press (NT-BP), bench press throws using training and mentoring program consisting primarily of Sports
a Smith machine (T-BP) and shot-put event (SP). 12-wk of train- Medicine Australia (SMA).
ing using either NT-BP or T-BP was undertaken by competitive SP Safer Sport Program (SSP) courses was developed and delivered
athletes, along with their normal training, to evaluate the training during the 12 months preceding the Games. An additional 4 day
effectiveness. program on basic principles of sports medicine for health profes-
Methods: Nine shot-put athletes performed bench press at 50, sionals was delivered by members of the Oceania National Olympic
40 and 30% 1RM (5 reps each) with and without projectile motions, Committees Medical Commission (ONOCMC) immediately before
and seated shot-put (S-SP) and shot-put (10 times each), with a the Games and supplemented by mentoring during the Games.
wireless electro-goniometer attached at the elbow. From these Competency based assessment of practical skills and a qualita-
tests, peak concentric joint angular velocity was quantified. 12- tive evaluation of participant confidence to deal effectively with
week of training (2 sessions/wk, 50 → 40 → 30%1RM; 20-s 2 sets on-field injury scenarios and return to play decision making were
for each intensity at maximum effort) was undertaken with either undertaken post training.
T-BP (n = 5) or NT-BP (n = 4), along with their normal training (a Results: Over 300 medical program volunteers attended sports
combination of 75–100% 1RM resistance training and plyometric medicine courses during the 12 months preceding the event. 117
training). 1RM and shot-put distance were evaluated before and participants, including 24 medical students, achieved the required
after the training program. competence for SMA Level 1 Sports Trainer Accreditation. 58
Results: Peak concentric angular velocity at 50–30% 1RM was Doctors, Physiotherapists, Nurses and medical students also partic-
419.1–502.8◦ /s for NT-BP and 704.1–854.7◦ /s for T-BP, and was ipated in the ONOCMC basic principles of sports medicine program.
1121.3◦ /s for S-SP and 1539.1◦ /s for SP. After the T-BP training, Qualitative evaluation indicated improved confidence and pre-
1RM, S-SP distance and SP distance were all improved by 10.0% paredness of participants to manage injured athletes on-field.
(p = 0.000), 11.7% (p = 0.000) and 3.0% (p = 0.002), respectively. NT- Discussion: The SMA SSP courses provided suitable first respon-
BP, however, produced no performance changes. der training for on-field injury assessment and crisis management
Discussion: Projectile motions not only rendered the training at a major multi-sport event. The ONOCMC program provided
velocity closer to the sporting event resulting in improved shot-put sufficient training for health professionals to transfer existing clin-
distance, but also enabled light resistance to improve the maxi- ical knowledge to the sports event environment. Both programs
mum strength. It was also implied that their normal training merely are anticipated to provide long term legacy benefits to the local
maintained the current level of performance, with non-throw fast community. The medical team training program used at PG2015
training adding no further improvement. provides a suitable model for future hosts of major multi-sport
events.
http://dx.doi.org/10.1016/j.jsams.2017.01.140
http://dx.doi.org/10.1016/j.jsams.2017.01.141

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