3. Epidemiology
Tells us: major illnesses and causes of death,
identify areas of need, determine priority areas,
monitor use of health service
Does not tell us: explain why inequities exist,
sociocultural impact on health, provide a holistic
approach, does not focus on all components of
health
5. Medicare
Provides access to free treatment as a public
patient in public hospital
Subsidised treatment by medical practitioners
e.g. GP’s
Increases equity and access to services for
people of low SES
Broad range of high quality health care provided
including emergency health care
Availability of bulk billing
BENEFITS
6. Private Health Insurance
Choice of hospital services
Health cover while overseas
Private rooms in hospital where available
Subsidised ancillary cover e.g. physiotherapy,
chiropractic care
Shorter waiting lists for surgery
Decreased demand on public facilities
Peace of mind BENEFITS
7. Priority Areas
Are selected according to:
• principles of social justice
• priority population groups
• prevalence of condition
• potential for prevention and early intervention
• costs to individuals and the community
SPP PIC
8. Health Priority Areas
Cardiovascular disease
Cancer (Lung, Skin, Breast)
Injury
Mental health
Diabetes mellitus
Respiratory Disease: Asthma
9.
10. Health Promotion
Cardiovascular disease: Swap it, don’t stop it
Cancer (Lung, Skin, Breast): Daffodil Day
Injury (Motor Vehicle) Don’t Rush campaign
Mental health R U OK? Day September 11th
Diabetes mellitus: National Diabetes Week: July
10-16
Respiratory Disease: Asthma: World Asthma
Day May 1
WHY? Raise awareness. Teach skills. Encourage medical check
ups. Individuals make better decisions
11. Need to know
Why they have been selected?
Risk factors
Protective factors Balanced diet
Regular exercise
No smoking
Limit drinking
Regular check ups
12. Health Priority Populations
Aboriginal & Torres Strait Islanders
Socioeconomically Disadvantaged
Rural & Remote
Overseas Born People
Elderly
People with disabilties
13. INEQUITIES
THEY
EXPERIENCE
Need to be able
sociocultural determinants of health, including
family, peers, media, religion and culture
socioeconomic determinants of health, including
employment, education and income
environmental determinants of health, including
geographical location, and access to health
services and technology.
Major issues – illness & diseases
Health promotion
14. Ottawa Charter
Build healthy public policy
Create supportive environments for health
Strengthen community action for health
Develop personal skills, and
Reorient health services.
Jarkarta
Declaration?
Used as a checklist for health promotion to
evaluate and monitor
Be able to relate to ANY HP
15. Growing & Ageing
Population
Growing = migration
Ageing = less children, living longer
Need to evaluate and adapt service to meet
needs
RETRAIN, INCREASE INFRASTRUCTURE,
VOLUNTEERS
EXAMPLES??
17. Energy Systems
ATP-PC
LACTIC ACID SYSTEM
AEROBIC WITH
OXYGEN
• Duration
• Fuel Source
• Cause of Fatigue
• By-Product
• Recovery
• Example of activity
18. NRG Extras
Pyruvic Acid: Glycolysis breakdowns
carbohydrates into pyruvic acid and results in a
the production of two ATP molecules.
Krebs Cycle: 2nd phase of aerobic metabolism.
That further breakdown pyruvic acid into acetyl
Cozyme A – a cataylst which produce 2 ATP
molecules and by products C02 (exhaled by
lungs) and Hydrogen which…
Eletctron Transport System a series of chemical
reactions that combines H molecules &
produced sufficient energy to power resynthesis
of ATP.
19. Types of training
4 types of training (and training methods)
• Aerobic (continuous, fartlek, aerobic interval,
circuit)
• Anaerobic (anaerobic interval)
• Flexibility (static, ballistic, PNF, Dynamic)
• Strength (isometric, isotonic, isokinetic)
20. Progressive Overload
The principle of progressive
overload implies that a
training effect is produced
when the system or tissue
is worked at a greater level
Principles of Training
that it is normally
accustomed to working
Principles
of Training
Reversibility
Principal of
training
states that
the effects of
training are
reversible
Warm up & Cool down
Warming up and cooling down
are important components of all
training and performance
sessions. The warm up aims to
prepare the body in readiness
for the activity
Variety
The principle of variety
states that athletes
need to be challenged
by not only the activity
but also by the
implementation of the
activities
Training Threshold
The principle of training
thresholds relates to
levels of exercise
intensity that are
sufficient to produce a
training effect.
Specificity
The principle of specificity
implies that the greatest gains
are made when activity in the
training program replicates the
movements in the game or
activity.
21. Physiological
Adaptations/Response to
Training
Heart Rate
Resting Heart Rate
Stroke Volume
Cardiac Output
Oxygen Uptake
Lung Capacity
Haemoglobin Levels
Muscle Hypertrophy
Fast vs Slow Twitch Fibres
22. What you need to be able
to do…
Relate
Types of
Training
Principles of
Training
Physiological
Adaptations
GIVE EXAMPLES OF ACTUAL
ACTIVITIES
24. Anxiety & Arousal
Trait Anxiety is a person’s general level of anxiety linked
to daily living.
State Anxiety is situational, it relates to how a
person responds to a certain situation.
Arousal is a specific level of anxiety and can be
experienced prior to and during performance.
25.
26. Inverted U
A Under-aroused
Performance may suffer from factors such as lack of
motivation, disinterest, poor concentration and inability to
cope with distractions.
B Optimal arousal
Balance between level of motivation and ability to control
muscular tension, which could be increasing as a result of
the desire to perform well.
C Over-arousal
Feelings characterised by anxiousness and apprehension,
resulting in excessive concern about performance.
Increased muscle tension, possible mental confusion as
individual tries to process messages during skill execution,
resulting in poor performance.
‘Easier’ activities or activities using more muscle groups require a higher
arousal level that needs to be sustained for length of activity
27. Factors that impact arousal
Factors that impact arousal:
• Self-expectation: how the individual expects to perform
• Expectation by others: how a person perceives others,
such as their coach or parents, expects them to perform
• Experience: which determines how the individual handles
the increased pressure at higher levels of competition
• Financial pressures: such as whether the individual's
livelihood depends on their performance
• Level of competition: whether the individual is playing a
round or a final
• Degree of difficulty: with higher levels of arousal generally
being associated with more difficult tasks
• Skills finesse: fine motor skills (for example, shooting and
balancing) generating higher levels of arousal than
produced by gross motor skills (for example, running).
28. Managing Anxiety
Techniques
Relaxation
Concentration
Visualisation
Self-Talk
Know examples & how they work
29. Nutrition
PRE
•Balanced diet
•Hydration
•Carb loading
•Tapering
DURING
•Hydrate
•Light meals
•Carbs – glycogen
•Avoid salt/high fat
POST
• Proactive
recovery
• Refuel
• Rehydrate
• Active rest
KNOW AMOUNTS & EXAMPLES OF FOODS
30. Supplements
Sufficient amount from a balanced and varied
diet but can IMPROVE PERFORMANCE
Vitamins/Minerals eg. Iron/Calcium – maximises
haemoglobin (energy)/ strengthen bones
Protein – assists recovery/ builds muscle
Creatine – maximises energy for power
movements, improves resynthesises of ATP
Caffeine – increase concentration, metabolises
fat. Improves aerobic & anaerobic function
31. Recovery
The ability to recover after competition and training is
essential in ensuring that optimal performances can be
maintained.
Physiological strategies: remove by-products eg. cool-down,
refuel
Neural Strategies replenish nervous system eg.
hydrotherapy, massage
Tissue Damage Strategies aim to minmise tissue damage
& promote healing eg. Crynotherapy (ice bath), hot/cold
immersion
Psychological Strategies disengage the athlete from
performance to reduce anxiety eg. relaxation, meditation
33. Nature of Skill
Open vs Closed skills
Gross vs Fine
Discrete, serial, continuous
Self paced vs externally paced
Be able to classify specific sport skills
34. Practice Methods
Massed practice is preferable for:
• highly skilled performers
• highly motivated performers.
FOR TRAINING
SESSIONS
Distributed practice is preferable for:
• the novice
• in situations where energy demands are high
• when the task is difficult or boring.
35. Practice Methods
Whole method
• practising a skill in its entirety
eg. softball serve
FOR TEACHING
SKILLS
Part methodis preferable for:
• breaking the skill in to sub-skills and
teaching parts individually before bringing
it togethers eg. volleyball serve
36. FEEDBACK
Feedback provides information about the
performance that allows the learner to adjust and
improve or continue efficient performance.
PURPOSE
reinforcing the correct or desired response
motivating the performer to improve or maintain
the performance
correcting the action as a result of information
received about the errors.
37. TYPES OF FEEDBACK
Internal (come from individual) vs External
(comes from external source)
Concurrent (during performance) vs Delayed
(after performance)
Knowledge of Results (numbers) vs Knowledge of
Performance (looks)
KNOW EXAMPLES, WHEN TO USE – MOST EFFECTIVE,
TYPES OF LEARNERS
38. Characteristics of skilled
performer
Kinesthetic Sense
Anticipation
Consistency
Technique
Mental Approach/Confidence
TACCK
39. Objective vs Subjective
Performance methods
Objective performance measures are those that
involve an impartial measurement, that is,
without bias or prejudice. Eg. stopwatch, criteria
Subjective performance measures are influenced
by the observer's personal judgment of how the
skill was performed eg. judges
High jump measurements are highly objective
whereas appraising sports like karate require
interpretation of special rules thus subjective
Recognise tests/results/evaluations as either
subjective or objective
40. You can make them more
objective
measurement systems - electronic timers or
touchpads
checklists - that list elements required in the
performance e.g. style and technical
components
rating scales - a degree-of-difficulty sheet that
provides a marking scale for movements
established criteria - a set of rules, procedures or
guidelines of how to assess the performance.
41. TESTS MUST BE…
VALID AND RELIABLE
Validity refers to a test's ability to measure what it is
meant to. The validity of a test can be reinforced
by comparing the results with expected values or
standards tables.
Reliability refers to the ability of a test to reproduce
similar results when conducted in similar situations
and conditions. Reliability in testing can be
improved by the use of similar procedures,
conditions and equipment as originally prescribed
KNOW TYPES OF TESTS & BE ABLE TO JUSTIFY
42. Personal vs Prescribed
Criteria
A personal judging criterion involves the judge
using their ideas, feelings, opinions, expectations
and experiences to make an assessment of a
performance. The assessment is not based on data,
but rather the judges' view and is frequently used
such as when coaches select teams. This method of
assessment is often totally subjective and is open to
discrepancy and criticism.
Prescribed judging criteria uses a set of guidelines
or checklist established by a governing body of that
sport. The more rigorous the criteria, and the more
competent the judges in applying the criteria, the
more objective is the appraisal
44. Training to improve
performance
Aerobic: uses aerobic system/endurance
Anaerobic: uses anaerobic system/power
Strength: increase muscle hypertrophy
Flexibility: increase range of movement
Be able to compare TWO
Benefits
How to apply
45. How to prescribe training?
AEROBIC
FITT principle
85% of Max HR
Max HR = 220-age
STRENGTH
Reason for training: develop
strength, tone or rehab
Heavy weight = less reps
Lighter weight = more reps
APPLY PRINCIPLES OF
TRAINING
& SAFETY MEASURES
46. Training adaptation
Formal testing can be used to determine actual
improvements. The multistage fitness test can be used to
assess aerobic fitness. Also the coach will monitor the
athlete in training sessions and compare with previous
results.
The use of cards or charts to record each of the variables
involved. It can be effective to use a heart rate monitor as
the rest periods would allow the work intensity to be
recorded.
KNOW SKILL RELATED TESTS
HEALTH RELATED TESTS
HOW THEY WORK/DESCRIBE
47.
48. Training Year
Phases of competition (pre-season, season and off season
phases
Sub phases (macro and micro cycles)
Peaking
Tapering
Sport-specific sub phases (fitness, components, skill
requirements)
• HOW TO
APPLY
• BENEFITS
• WHY DO IT
49. ELEMENTS WHEN DESIGNING
A TRAINING
SESSION/PROGRAM
Health & Safety Conditions: ensure safety of athlete
Overview of session: Understanding the breakdown/
expectations
Warm up/cool down: Prevent injury
Skill instruction/practice: focus on
specifics/game/strategy
Conditioning: fitness
Evaluation: feedback/ areas to work on
GIVE
EXAMPLES
50. Overtraining
Session too long, too frequent
Too strenuous
Excess competition
Inadequate recovery HOW TO COMBAT
THIS?
51. Physiological Symptoms of Overtraining:
elevated resting pulse/heart rate
frequent minor infections and increased susceptibility to colds and flu's
increases in minor injuries
chronic muscle soreness or joint pain
exhaustion
lethargy
weight loss and appetite loss
insatiable thirst or dehydration
intolerance to exercise
decreased performance
delayed recovery from exercise.
HOW TO COMBAT
THIS?
53. Benefits Limitations
Drug-testing procedures are highly sophisticated and
reliable
People who manufacture and use banned
substances or practices are often able to stay ahead
of testing procedures by authorities
Drug testing involves the testing of urine of athletes.
This can be done:
• randomly
• in bulk (large number of athletes at once)
• according to their finishing positions
Athletes may suggest a test is unfair because the
athletes themselves are responsible for knowing
what is banned, despite the fact
that additions are made almost daily to the list of
banned substances.
The drug tests are designed to detect and deter
abuse of performance enhancing drugs by
competitors.
For many people, being observed while giving a urine
sample is not a comfortable situation. The testing
procedure can be further
complicated if the athlete involved has been taking
part in an endurance sport and is dehydrated and
therefore unable to comply.
Benefits the athletes by promoting good health
above the desire to win at all costs
Drug manufacturers are constantly researching new
and improved drugs that are less detectable
Drug testing is no longer restricted to being done at
competitions but is now carried out year round, with
random tests occurring any time, any place
Other drugs occur as natural substances in the body
and so tests for them may lack validity
Recent developments in terms of blood testing and
the requirement that manufacturers place certain
markers in drugs may prove to
be of benefit to sporting authorities. Testing
54. Ethical Issues: Drugs
Know types of drugs and
purpose
Be able to criticise
Give solutions
55. Ethical Issues: Technology
USES
Training innovation – can assist in performance at
training, and also competition. Tackle suits in football
training: decreased impact in tackles at training. Sprinting
sleds: resistance behind the athlete, which helps to
increase stride length (key component of sprinting).
Video analysis of performance – applied in a range of
coaching, viewing, and performance appraisal situations.
Video allows analysis of player movements, strategies, and
techniques, which can be used to: improve performance,
improve visualization, establish biomechanical efficiency,
and analyses strategy.
Data gathering and analysis – increased professionalism
has made this important to both performance and
improvement. Biomechanical analysis
56. Ethical Issues: Technology
Cost – unfair playing field, access
Diminishes competition – is it the
technology or the individual
Constantly developing – hard to
keep up
Training for coaches to keep up-to-
date, understand
58. Classify & Manage
Soft Tissue Injuries
Tears, Sprains, Contusion,
Skin Abrasion, Lacerations, Blisters
Inflammatory Response
RICER: immediate treatment
Assessment of Injuries
TOTAPS
For both hard or soft tissue
injury, the decided on action
Direct vs Indirect
Soft vs Hard
Overuse
Hard Tissue Injuries
Fractures
Dislocation
Immobilisation & DRABCD
59. Responses
RICER
Reduce swelling, prevent
further damage & ease pain
aka RICED
DRABCD
Immobilise area!!
first then follow DRABCD
Inflammatory response
Your body’s initial
mechanism of tissue repair
Blood & fluid flood to the
injured site, causing pain &
inflammation but starts repair
process
Managed by RICER
60. Specific Athletes
Children & Young
Athletes
ASTHMA..diabetes,
epilepsy
Overuse injury
Thermoregulation
Resistance training
(strength training)
Know how to
•Recognise signs &
symptoms
•Management strategies
Aged Athletes
Heart Conditions
Fractures/Bone
density
Flexibility/Joint
Mobility
Female Athletes
Eating disorders
Iron deficiency
Bone density
Pregnancy
IF YOU GO BLANK – SEEK MEDICAL CLEARANCE & MONITOR ATHLETE
61. Enhancing wellbeing of athlete
Environmental Considerations
Temperature regulation (biological response &
support methods)
Climatic considerations
Guidelines for fluid intake
Acclimatisation
Taping and Bandaging
Preventative taping
Taping for isolation of injury
Immediate treatment
Physical Preparation
Prescreening
Skill & Technique
Physical fitness
Warm up, stretching & cool down
Sports Policy & Environment
Rules
Modified rules
Matching opponents
Protective equipment
Safe grounds, facilities & equipment
Know how to
apply/justify &
examples
62. Tape it
Preventative taping
Reduce severity
Overuse injury
Thermoregulation
Resistance training
(strength training)
Example:
Most common - knee
Isolation
Post Injury
Limit movement
Prevent further
damage
Restrict swelling
Ease pain
Example: Most
common – Thumb &
wrist
Treatment
Reduce swelling
Support a
joint/muscle
Restrict movement
Example:
Most common -
ankle
63. Injury Rehabilitation
Rehabilitation Procedures
Progressive mobilisation
Graduated exercise
Training
Use of heat and cold
Be able to justify use
& apply.
Return to play
Indicators (pain free,
mobility)
Monitoring (pre & post test)
Psychological readiness
Specific warm up
Ethical considerations
64. Ethical considerations
Pressure to participate
Athlete as a commodity
Financial pressure
Team/Coach pressure
Take a huge risk to return
before ready
Use of painkillers
Only mask pain
Cause further damage
Use of drugs in sport