President of Uzbekistan Islam Karimov signed a Decree "On the establishment of the Republican Scientific and Practical Center for Sports Medicine under the National Olympic Committee of the Republic of Uzbekistan" (No. PP-1994 of July 3, 2013). The decision was made in order to create the necessary conditions for the further development of sports medicine in the Republic and the widespread introduction of its advanced achievements in the process of comprehensive physical and psychological training of athletes – members of the national teams of the country for the Olympic, Asian Games, World and Asian championships, and other international competitions. In accordance with the resolution, the Republican Scientific and Practical Center for Sports Medicine (RNPCSM) is being created under the National Olympic Committee of Uzbekistan. The Center is the main specialized medical institution implementing a unified state policy in the field of sports medicine, providing medical-biological and medical-psychological training of athletes – members of the national teams of the country for competitions, as well as performing the functions of the national anti-doping service.
Within the framework of cooperation between the National Olympic Committees of Uzbekistan and Russia, a number of programs were held. Within its framework, from August 27 to September 3 of this year, experienced doctors of the narrow circle of the innovation center at the NOC of Russia conducted a survey of representatives of our national team in sports.
About the ongoing work in the field of medicine for representatives of our national team preparing for the Olympic Games in Tokyo
Our state is creating all the opportunities for decent preparation for the XXXII Summer Olympic Games, which will be held next year in Tokyo (Japan). As you know, special attention is required for the training of representatives of our national team in comfortable conditions, conducting training camps with foreign teams, especially providing them with medical and pharmacological means.
The correct use of medical means in modern sports is the main part of success. The control of substances not included in the list of the World Anti-Doping Agency (WADA), and the correct submission of pharmacological drugs is the biggest responsibility that every doctor working in our national teams bears. The National Olympic Committee of Uzbekistan, together with the Ministry of Health, is doing a lot of work to provide national teams with experienced sports doctors, nutritionists, psychologists. Currently, such medical specialists work in almost all sports. Below you can see the status of providing national teams with specialists on this issue:
Names of the Federation (Association)
|1||Cycling||Аблялимов Рустам||Усова Анна||Хайдаров Шавкат|
|2||Sports wrestling||Абаева Л.||Узокова Дилором.||Жалолов Нозимхон|
|3||Judo||Каюмов Азиз||Дорфман Мария,
|4||Weightlifting||Жумаев Ж.||Бегматов Абдулла.||Отажонов Илхом|
|5||Karate WKF||Ахмедов Бахриддин.||Атабекова Камола||Жалолов Нозимхон|
|6||Taekwondo WTF||Павел Ли||Ходжа-Нурова Муфиза||Собирова Дилдора|
|7||Fencing||Саидганиходжаев Ф.||Иванова Ирина||Махмудова Ирода|
|8||Swimming||Хаятов Жалол Азимов Мурод||Газиева Зухра||Хайдаров Шавкат|
|9||Rowing & canoe||Хамраев Марат Умаров Ойбек||Кирьянов Антон.||Жалолов Нозимхон|
|10||Gymnastic||С. Святская||Набижонова Зиёда.||Отажонов Илхом|
|11||Athletics||Эрматов Боратжон.||Андреева Наира.||Махмудова Ирода.|
|12||Shooting||Миметова Л.||–||Тошматова Гулчехра|
|13||Tennis||Абдазов||Гаппаров Зохид.||Жалолов Нозимхон|
|14||Table tennis||Сабитов А.||Атабаева Умида.||Махмудова Ирода.|
|15||Archery||Сафаров Мирзиёд||Саидкамалов Абдулла.||Собирова Дилдора|
|16||Pentathlon||–||Гулямова Камила||Собирова Дилдора.|
|18||Paralympic Association||Бойтемирова Зарифа||Пулатов Одилбек||Махмудова Ирода|
Each specialist attached above is obliged to always pay attention to the following aspects in the course of his activity;
Approved daily work plan;
Systematic study of foreign experience;
Keep up to date with the latest developments in the world of sports medicine;
Systematic monitoring of the list of drugs published by WADA;
Tracking the health status of athletes before and after each workout;
Formation of a list of food products that will be provided to athletes during the upcoming Olympics in Tokyo.
Before attaching these specialists, the work of medical workers working in each federation and in it is studied according to the following criteria:
To study the state of provision of federations with sports doctors, psychologists and nutritionists;
Development of documents regulating their activities;
Study of educational programs, experience of leading foreign specialists in innovative developments in the field of sports medicine, dietetics and psychology;
Development of online training programs based on the direction of specialists;
Providing athletes with medicines, their storage and recommendation.
Undoubtedly, the role of foreign sports medicine specialists in improving the experience of domestic specialists in this area is invaluable. In this direction, experienced sports doctors from Russia and Germany come to our country, exchange experience with Uzbek colleagues, participate in seminars organized in a number of countries to improve the skills of our doctors.
It would not be an exaggeration to say that currently the entire world sport is fighting against doping. In turn, the prevention of the use of prohibited drugs by our athletes, control over the content of their menu is the main task facing our doctors. In this regard, the national anti-doping agency regularly monitors the tests of our athletes for the use of prohibited drugs. A working group was created on this issue, which included representatives of the NOC, the Dori-Darmon company, the Tashkent Pharmaceutical Institute and experienced industry specialists headed by Nadir Tursunov.
It was also noted that the representatives of this working group will monitor the implementation of the following tasks:
Formation of an updated list of medicines that are most often used in the world practice of providing athletes with pharmacological means;
Maintaining a list of doping drugs in the WADA database under constant control;
Systematic replenishment and updating of the list of pharmacological drugs used for the physical recovery of athletes;
Ensuring a constant exchange of views with sports doctors working in federations for the restoration and strengthening of the health of athletes, and the formation of a database on this issue;
To study the possibilities and improve the mechanism for purchasing essential medicines needed by athletes abroad.
Another important aspect is that 6 professors-pharmacologists of higher educational institutions and 18 sports federations were involved in monitoring the above-mentioned activities and providing appropriate consultations. They were instructed to develop an action plan based on the activities of each of the federations. Agree, there may be few pharmacologists in one aspect. But these opportunity-based processes are bearing fruit. In particular, over the past 1-2 months, the problems associated with the physical condition and recovery of our athletes at international competitions have significantly decreased. The main essence of the planned program, drawn up before the Tokyo Olympics, is also aimed at preventing such situations.
As part of the preparation of our athletes for the 2020 Summer Olympic Games in Tokyo (Japan), joint activities are also being carried out with various organizations in the field of medicine. In particular, joint meetings were held with the Republican Scientific and Practical Center of Sports Tibet, the Tashkent Medical Academy, the Uzbek State University of Physical Culture and Sports, enterprises specializing in pharmacology, the Department for coordinating the activities of the NOC for Olympic sports, doctors and other medical organizations attached to federations, in order to provide our athletes with the necessary sports medicines and vitamins., a working group was also formed to improve the standards of medical examination of athletes and the provision of drugs, which is assigned the following main tasks:
Medical examination of the athletes of the national team using the latest achievements of sports medicine;
Monitor the conduct of medical examinations, taking into account the new standards, the peculiarities of the physical capabilities of the national teams;
Organization of seminars with strong foreign specialists for sports doctors, nutritionists, psychologists, pharmacologists working in national teams.
Tracking the health of our athletes is also one of the main tasks that are in the center of attention. In the Republican Scientific and Practical Center of Sports Medicine, functioning under the IOC, our athletes undergo an in-depth medical examination at least once every 2 years. There are also functional tests for our athletes and research conducted in mobile laboratories. According to the plan, 18 Olympic and 8 Paralympic teams will undergo a full medical examination during this year.
A working group on the control of food consumed by athletes has been created on the basis of a special “road map”. The daily nutrition menu of athletes is compiled based on their orientation, the main factors before and after training and competitions. The National Olympic Committee, together with the Republican Scientific and Practical Center for Sports Medicine, the Ministry of Health, the Association of Chefs of Uzbekistan and the International Center for Uzbek Culinary Art, have developed the necessary regulatory documents. According to it, the existing sports in our country are divided into:
Sports whose coordination is difficult;
Sports focused on high speed and strength;
For example, there will be a big difference in the nutrition of football players and judoists, in the menu of dishes that are served for them. In this regard, taking into account the orientation of the representatives of each of our national teams, a tour of these types was conducted. This division of sports is based on world experience, when the menu of athletes in each direction is compiled by experienced nutritionists.
The necessary tasks were also given to the sports psychologists assigned to the federations and the working group on coordinating their activities. In particular, the development of scientific and methodological programs for them, the preparation of training programs in this area, the exchange of experience with Russian specialists on the concluded memoranda.
Training courses for sports psychologists in federations have been created
The National Olympic Committee of Uzbekistan also organizes seminars with the Republican Scientific and Practical Center of Sports Medicine to improve the skills of sports psychologists, exchange views on innovations and knowledge in this field. Within the framework of this program, short-term intensive training courses on “Sports psychology”are organized for sports psychologists working in federations(associations)for Olympic sports at the center for scientific and methodological support, retraining and advanced training of specialists in physical culture and sports.
Our psychologists have enriched their knowledge and skills thanks to experienced professors at these courses. We can say that such courses are just the beginning, and in the future it is planned to organize master classes, scientific seminars with foreign sports psychologists.
The main tasks and activities of the RNPCSM are defined:
- conducting scientific research in the field of sports medicine, developing and implementing standards for the diagnosis and correction of the functional state of athletes, taking into account the specifics of the sport, permissible physical exertion, advanced methods of prevention and treatment of sports pathology, medical support of athletes in preparation for competitions;
- development and implementation of modern methods of medical and biological selection of young gifted and promising athletes, taking into account their individual genetic and phenotypic capabilities;
- study of the influence of medicines, regimen and diet on the physiological state of athletes in various periods of preparation for competitions, with the development of individual training programs for athletes in sports;
- development and implementation of an effective anti-doping control system, as well as programs and application of control methods in sports of drugs and other substances that have a pharmacological effect in the sports sphere;
- research and optimization of individual sports physical activity of athletes, taking into account the planning of competitions and training;
- monitoring and correction of the dynamics of the level of health of athletes, aimed at ensuring the growth of their body's fitness and maximum functional readiness for responsible international competitions;
- providing psychological preparation of athletes for performances at international competitions, as well as carrying out the necessary psychological correction;
- prevention, diagnosis and treatment of sports injuries, pathologies and syndromes in athletes, including using the medical and diagnostic base of other specialized medical institutions of the republic;
- expansion and strengthening of international cooperation with leading foreign institutions in the field of sports medicine and anti-doping control for the exchange and introduction of advanced methods and technologies in these areas in the country;
- assistance in improving the skills of medical workers of sports federations, clubs and teams, providing them with methodological assistance on scientific and organizational, consultative and diagnostic, therapeutic and preventive and rehabilitation work.
To date, several regulatory documents have been developed for the purpose of constant study, checking the physiological and psychological state of health of our athletes and providing the necessary recommendations. In particular, on the basis of a joint decision of the Ministry of Health, the Ministry of Physical Culture and Sports of the Republic of Uzbekistan and the National Olympic Committee, approved on December 30, 2019, medical services are provided on the basis of the regulations for conducting medical and complex functional examinations of members of the national team.
Medical services are provided on the basis of the schedule of in-depth medical examinations of members of national national teams in sports federations of Uzbekistan, mobile laboratory examinations (mobile laboratories) and complex functional examinations approved by the President of the National Olympic Committee of Uzbekistan on January 3 of this year during the training camp.
In order to ensure the implementation of the Decree of the President of the Republic of Uzbekistan dated January 29, 2020 No. UP-5537 “on the formation of the republican special commission for the preparation of a program of measures to prevent the penetration and spread of a new type of coronavirus in the Republic of Uzbekistan”and the order of the executive committee of the National Olympic Committee of Uzbekistan, the center has developed and is aimed at implementing the order of sports federations and associations dated March 4 of this year No. 9 On measures aimed at preventing the penetration and spread of a new type of coronavirus infection.
According to the schedule of the center, approved on October 2, 2019, coordinators consisting of doctors are attached to each sports federation. The Center, together with the management and coordinators, visits all Federations and conducts regular inspections of the sanitary and epidemiological situation, conditions created for athletes, medical offices and canteens.
On the basis of the order of the National Olympic Committee of Uzbekistan No. 552/01 dated August 16, 2019, job descriptions of a sports doctor, psychologist and nutritionist of sports federations for Olympic sports were developed.
Also, this order issued and centrally brought to the doctors of the Federation logs of daily medical examinations of an athlete by sports doctors of the Federation; accounting of medical services provided to an athlete; accounting of medicines and medical supplies provided to an athlete.