Medical resource for basketball Team physicians

Transcription

1 Medical resource for basketball Team physicians Prepared by the FIBA Medical Commission November 2017

2 Table of Contents Introduction by FIBA Secretary General... 4 FIBA Medical Commission... 5 History... 5 Achievements of the FIBA Medical Commission... 6 Presidents... 6 Roles and responsibilities of a National Basketball Team Doctor...7 Introduction... 7 Qualifications... 7 Responsibilities... 8 Injuries... 8 Injury prevention... 8 Medical Records... 8 Antidoping... 8 Team relationships... 9 Returntoplay decisions... 9 FIBA Regulations: Medical Article 4 Teams Article 5 Players: Injury Article 19 Substitution Ethical Considerations for a Team Physician Introduction Medical ethics in general Professional qualifications Standards of Medical Care Informed consent Confidentiality Practicing medicine in the basketball environment The physicianathlete patient relationship The physicianteam relationship Conflict of interest Competing Obligations References Basketball Injuries Introduction Definition of Injury Classification of Injuries Acute Injuries... 22

3 Overuse Injuries Common Basketball Injuries Ankle Injuries Finger Injuries Knee Injuries Basketball Concussion Management Guidelines Introduction Diagnosis Game management Emergency care Return to play Difficult concussion AntiDoping Introduction Prohibited List Testing and investigations Laboratories Therapeutic Use Exemptions (TUEs) TUE Application Process Protection of Privacy and Personal Information General testing principles Adverse Analytical Findings AntiDoping Facility Dietary supplements Team Travel Introduction Travel Plan PreDeparture Preparation Predeparture Briefing Public Health Issues and Vaccinations Travelrelated Stress, Fatigue and Jetlag Travelrelated stress and Fatigue Jet Lag Traveller s Diarrhoea Altitude Classification of Altitude and Clinical Characteristics Clinical Manifestation and Management Prevention of Basketball Injuries Introduction General causes, preventive strategies Prevention of common basketball injuries Ankle... 41

4 Knee Lower back Head and face Hand, wrist and fingers Deep venous thrombosis and pulmonary embolism in basketball: prevention Introduction, objectives and definitions Aetiology, risk factors and Incidence Diagnostic: risk assessment, clinical evaluation and complementary explorations Clinical evaluation PE symptoms and signs Complementary explorations Treatment Return to play Prevention Cardiac screening Basketball Recommendations Sudden Cardiac Death and the Cardiac Screening of International Basketball Players. 50 Preamble Cardiac Screening ECG Interpretation Recommendations Echocardiographic Assessment of Athletes... 53

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23 Common Basketball Injuries Acute Overuse Ankle Sprains Muscle Strains Finger Injuries Knee Ligament Injuries Patellar Tendinopathy Patellofemoral Pain Achilles Tendinopathy Rotator Cuff Tendinopathy Lower back conditions

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28 A player diagnosed with concussion cannot return to play in that game and must be medically cleared before fully training or playing

29 Immediate and obvious signs of concussion, directly observed or on video review 1. Loss of consciousness or prolonged immobility 2. No protective action in fall to floor 3. Impact seizure or tonic posturing one or more limbs 4. Confusion, disorientation 5. Memory impairment 6. Balance disturbance or ataxia 7. Player reports concussion symptoms 8. Dazed, blank stare, not their normal selves 9. Behaviour change atypical of the player The player should be immediately removed from play and take no further part in the game

30 Graded return to play each stage to take a full day 1. No return to play and at least 24 hours relative rest 2. Light aerobic exercise and easy basketball skills such as free throws and shooting 3. Light training for a limited time and with no body contact, e.g. half court scrimmage for 20 to 30 minutes followed by basketball skills 4. Fill scrimmage with a medical clearance to train and play 5. Return to play Any return of symptoms requires a return to the previous level of activity for 24 hours Baseline testing Baseline testing of cognitive function and balance is recommended for elite and professional basketball players. Typically this involves online cognitive tools such as CogState or ImPACT as well as the SCAT balance testing. For subelite basketball it is reasonable to initiate these types of tests as a part of rehabilitation without preconcussion baseline testing.

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