Introduction to Sports Medicine
Study Course Implementer
LSPA, Brivibas street 333, Riga, LV-1006 kalvis.ciekurs@rsu.lv
About Study Course
Objective
To develop a comprehensive understanding of the place of sports physician and sports medicine in the health care system for students of the medical programme, as well as to provide basic knowledge and initial skills in assessing physical load, interpreting functional indicators and providing individualised load recommendations appropriate to the patient’s state of health. The course provides an understanding of the principles of restoring work capacity and functional capacity after injury or illness, basic issues of sports pharmacology and anti-doping, as well as recognition and initial management of medical conditions specific to sports and physical activity. In addition, the course introduces principles for the organisation and provision of medical assistance in the training and competition environment, including risk assessment of emergency situations, action algorithms, planning of medical provision and cooperation in a multidisciplinary team.
Preliminary Knowledge
Human physiology, basics of biochemistry, basics of pathphysiology, basics of pharmacology; preferably oral disease and traumatology/orthopaedic propedeytics.
Learning Outcomes
Knowledge
1.Explain the role of the sports doctor and sports medicine in the health care system, the model of cooperation with other specialities and sports support staff, basic principles for the provision of medical assistance in competition/training environment: the need for risk assessments, medical security plans, medical team roles, equipment and documentation.
2.Explain the physiological basics of exercise and clinically relevant risk factors for a physically active patient/athlete by determining the clinical relevance of functional indicators and simple functional tests and the relationship to fitness and work capacity.
3.Justifies the basic principles of exercise recommendation (FITT, progression, safety limitations, monitoring), typical clinical scenes and baseline management of the most frequent sports injuries and congestion complaints, physical activity-specific medical conditions and principles of their initial action (e.g. heat diseases, dehydration, load respiratory problems).
4.The basic principles for restoring functional and work capacity (rehabilitation) after an injury or illness, including basic issues of sports pharmacology, shall be analysed: effects of the most common drug groups on load tolerance, safety, adverse reactions and interactions in a physically active patient, as well as basic anti-doping principles, physician responsibility, risk situations (prescription drugs, supplements).
Skills
1.Knows how to obtain a targeted sports/activity history and perform a landmark clinical evaluation on a physically active patient/athlete, identify and reasonably decide on the need for referrals/examinations.
2.Analyze commonly used functional parameters (e.g. HR, RPE, blood pressure under load) and results of simple functional tests in a clinical context by developing individualized load recommendations (FITT), defining progression, safety limitations, and monitoring criteria.
3.Apply appropriate treatment tactics to the most common sports injuries and congestion complaints (differential diagnosis, first aid/acute management steps, referral criteria) by analysing sports-specific medical conditions and applying initial action algorithms (e.g. heat disease, dehydration, load-induced respiratory problems), as well as formulate the basic principles of the functional/work capacity recovery plan after injury or illness and define return criteria in simple clinical cases.
4.Advise patient on drug safety during exercise (risks, cautions, interactions) and on anti-doping risks (including supplements, TUEs).
5.Develop a competitive medical provision plan for a specific event (risk assessment, personnel, equipment, communication, escalation) and apply priority action to emergency situations in a competitive environment, following algorithms and escalation criteria (colapse, sudden cardiac arrest/AED, severe injury, heat disease).
Competences
1.Able to integrate sports medicine and “load-dosing” approaches into patient care by choosing a safe and appropriate exercise for prevention and treatment.
2.Able to make clinically sound decisions on load safety, return to activity/sport and the need to involve other specialists based on risk stratification and hazard recognition.
3.Be able to cooperate with a multidisciplinary sports medicine team through clear communication of limitations, recommendations and a care plan for the patient/athlete and the parties involved.
4.Manage and ensure patient safety in the sports environment by applying the principles of organisation of competition medical assistance and behavioural algorithms in emergency situations.
5.Able to respect the principles of professional responsibility and ethics in sports pharmacology and anti-doping (safety, information, documentation).
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Doping in sport |
20.00% from total grade
|
Test
|
|
Give pretext on the use of doping substances, methods and means in sport (mentioning a specific-chosen sport and selected doping). |
||
|
2.
The most characteristic injuries in the sport of choice, their treatment and rehabilitation - a return to the coaching process |
30.00% from total grade
|
Test
|
|
Describe a selected injury (multi-injury) or illness in one of the sports. Give insight into diagnosis (plan), treatment (acute and chronic) and rehabilitation of trauma or illness. With examples of time cut. |
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Evaluation of physical abilities - functional indicators - in selected sport |
20.00% from total grade
|
Test
|
|
Apply the proposed test protocols - perform a functional assessment in the laboratory - interpreting the findings and making recommendations to the patient/athlete. |
||
|
2.
Test |
30.00% from total grade
|
Test
|
|
General questions about sports medicine, action in various acute situations, organizing necessary sports events, etc. |
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Study Course Theme Plan
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
The role of sports medicine in the healthcare system and the principles of medical assistance in the sporting environment.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
The role of sports medicine in the healthcare system and the principles of medical assistance in the sporting environment.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
History of sports medicine, functional evaluation and load dosing for different patient groups
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Typical sports injuries, red flags, sports/physical load specific medical conditions, concussion protocols
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Increasing the load after illness and injury. Guiding principles of return to sport
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Sports pharmacology, anti-doping issues, TUE (therapeutic use authorisation)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Competitive Medicine I: Medical Security Plan
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Competition Medicine II: Emergency and action algorithms on the pitch
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Sports history targeted + risk screening
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Functional tests and load dosing in practice
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Functional tests and load dosing in practice
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Acute MSK injury: inspection, first tactic, immobilization, SCAT (concussion screening)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Acute MSK injury: inspection, first tactic, immobilization, SCAT (concussion screening)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Overload and a return to sport: criterion thinking
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Overload and a return to sport: criterion thinking
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Sports pharmacology, anti-doping issues, TUE (therapeutic use authorisation)
|
Bibliography
Required Reading
Lāriņs V. Sporta medicīna. Jumava, 2022
Brukner P., Khan K. Brukner & Khan’s Clinical Sports Medicine, Injuries. Volume I, Mcgraw Medical, 2026
ACSM's guidelines for exercise testing and prescription. 12th Edition, Philadelphia : Wolters Kluwer Health/Lippincott Williams & Wilkins, 2025
Brukner P., Khan K. Brukner & Khan’s Clinical Sports Medicine, The Medicine of Exercise. Volume II, Mcgraw Medical, 2025
Pitsiladis, Y. P., Yung, P. S. H., Hutchinson, M. R., & Pigozzi, F. Sports physician handbook: International Federation of Sports Medicine (FIMS) (4th ed.). Academic Press, 2025