Stephen Ingham

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Scientific Support to Elite Athletes
Stephen Ingham British Olympic Medical Centre
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BOMC

• Established 1987
• Physiotherapy Field Testing services introduced
  1988/89
• Service delivery to elite Olympic athletes
• Work with Governing Bodies, athletes and coaches
  to provide a planned and co-ordinated programme

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Major Clients

• Rowing
• Swimming
• Triathlon
• Athletics
• Canoeing
• Skiing

• Bobsleigh
• Badminton
• Fencing
• Judo
• Equestrian
• Biathlon

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BOMC

• 4000 elite athlete visits p.a.
• Very few National Governing Bodies have not used
  the British Olympic Medical Centre in some way

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BOMC Medical Services

• 1 General Manager
• 6 Exercise physiologists
• 6 Sports Medicine Doctors, General Physician
  (Consultant)
• 2 Physiotherapists
• Sports Psychologist, Sports Dietician
• Sports Injuries Clinic with Consultant
  Orthopaedic Surgeon General Medical Clinic
• Podiatrist with in-house orthotics,
• Blood tests, X-rays, bone scans and ultra-sound,
  CT and MRI scanning on-site

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WORLD CLASS PERFORMANCE
ATHLETE
COACH
Science and Medicine
Biomechanics
Medical Services
Nutrition
Physiotherapy
Massage
Psychology
Exercise Physiology
Perfomance Director
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Training Adaptation Curve
Detraining
Training
-ve Performance ve
Recovery/Adaptation
Time
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Physiological Support
Aim to develop physiology of the athlete for the
benefit of performance
Laboratory Testing
Field Testing
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Laboratory based support

• Height
• Mass
• Body composition
• Haemoglobin
• Haematocrit
• Lung function
• Maximum power
• Maximum force
• Stroke profile

• Incremental work profile
• VO2 and power at lactate threshold
• Power at fixed Bla
• VO2max and Power at VO2max
• LT as VO2max
• VO2 kinetics
• Power and heart rate training zones

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Oxygen Uptake
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Lactate to Heart Rate/Power Output Zones
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USS
LSS
lower steady state upper steady state maximal
lactate steady state (threshold)
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Oxygen Uptake
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Atlanta
Warm Altitude
Dec 96
Silvretta
Feb 97
Varese
Jun 97
Seville
Nov 97
Hazewinkel
Feb 98
Silvretta
May 98
Varese
Jun 98
Sierra Nevada
Dec 98
Silvretta
Mar 99
Welland
Jun 99
Sierra Nevada
Nov 99
Sierra Nevada
Silvretta -
Feb 00
Gold Coast
May 00
Jul 00
Sydney
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Field based support

• Body mass
• Waking heart rate
• Urine osmolality
• Plasma osmolality
• Blood urea
• Sleep quality

• General feeling of well being
• Blood lactate concentration
• Heart rate
• Pre and post exercise weight

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USS
LSS
lower steady state upper steady state maximal
lactate steady state (threshold)
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Cardiovascular drift
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Jet Lag
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Training Adaptation
-ve Performance ve
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What worked?

• Learning from coaches and athletes
• Continuity of support
• Establishing norms /baseline
• Doing the basics well
• Applying new ideas gradually
• Creating a thirst for knowledge
• Educating athletes

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What next

• Correlates of performance
• Boat vs Ergometer
• Movement economy
• Anaerobic energy systems
• Training individualisation

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