Cover Page

Handbook of Sports Medicine and Science

Canoeing


EDITED BY

Don McKenzie, MD, PhD

Professor & Director
Division of Sport and Exercise Medicine
Faculty of Medicine & School of Kinesiology
The University of British Columbia, Vancouver, BC, Canada


Bo Berglund, MD, PhD

Associate Professor
Department of Medicine
Karolinska University Hospital, Solna, Sweden




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List of Contributors

Bo Berglund, MD, PhD
Associate Professor, Department of Medicine, Karolinska University Hospital, Solna, Sweden

Anna Bjerkefors, PhD, RPT
Senior Researcher, Lecturer, and Physiotherapist, Swedish School of Sport and Health Sciences (GIH), Laboratory of Biomechanics and Motor Control, Stockholm, Sweden

Robert Boushel, DSc
Professor and Director, School of Kinesiology, Faculties of Education and Medicine, The University of British Columbia, Vancouver, BC, Canada

Jose Calbet, MD, PhD
Department of Physical Education, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain

Sylvain Curinier, MS
Coach, National Canoe‐Kayak Slalom, Fédération Française de Canoë‐Kayak (FFCK), Joinville‐le‐Pont, France
Accompagnateur Coach, Diplomé de l'Executive Master, INSEP, Paris, France Practitioner, France PNL, Paris, France

Jozsef Dobos, MD
Department of Sport Surgery, National Institute of Sports Medicine, Budapest, Hungary

John Edwards, BArch, BEd
Chair, ICF Paracanoe Committee, Mississippi Hills, ON, Canada

Martin Hunter, MS, MA
Head Coach, Swedish Canoe Federation, Rosvalla, Sweden
Lecturer, School of Business, Örebro University, Örebro, Sweden

Petra Lundström, PhLic
Department of Molecular Medicine and Surgery, Karolinska Institute, Solna, Sweden

Don McKenzie, MD, PhD
Professor and Director, Division of Sport and Exercise Medicine, Faculty of Medicine & School of Kinesiology, The University of British Columbia, Vancouver, BC, Canada

Kari‐Jean McKenzie, MS, MD, FRCPC
Clinical Assistant Professor, Department of Medicine, The University of British Columbia, Vancouver, BC, Canada

Ian Mortimer, MA
Director of Development, Canoe Kayak Canada, Ottawa, ON, Canada

Hans Rosdahl, PhD
Senior Lecturer, Swedish School of Sport and Health Sciences (GIH), Stockholm, Sweden

Johanna Rosen, MSc
PhD Student, Sport Scientist, Swedish School of Sport and Health Sciences (GIH), Laboratory of Biomechanics and Motor Control, Stockholm, Sweden

A. William Sheel, PhD
Professor, School of Kinesiology, Faculty of Education, The University of British Columbia, Vancouver, BC, Canada

Jorunn Sundgot Borgen, PhD
Professor, Physical Activity and Health, Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway

Olga Tarassova, MSc
Laboratory Engineer, Swedish School of Sport and Health Sciences (GIH), Laboratory of Biomechanics and Motor Control, Stockholm, Sweden

Barney Wainwright, PhD
Research Fellow, Leeds Beckett University, Carnegie School of Sport, Leeds, UK

Penny Werthner, PhD
Professor and Dean, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada

Foreword

As President of the International Canoe Federation (ICF), it is my pleasure to welcome you to this excellent canoe‐focused publication that is part of the International Olympic Committee's Handbooks on Sports Medicine and Science series.

Canoeing has always had a strong image as a healthy sport combining the highest levels of athletic achievement with spectacular locations. Throughout history, the margin of success or failure within our sport has been slim, and nowhere is this more prevalent than at the very highest level, the Olympic Games.

Canoeing has a rich and long history within the Olympic movement, with canoe sprint being introduced in 1924 and then becoming a full medal sport by the Berlin 1936 Olympic Games.

Slalom's Olympic journey started later when it debuted at the 1972 Munich Olympic Games. It then returned when the Games moved to Barcelona in 1992 and has been one of the core sports ever since.

Both disciplines have benefited greatly from their connection to the world's largest sporting celebration, as have the other seven disciplines that operate under the banner of our International Federation.

However, long before any athlete wins the honor to represent their nation at the highest level, they will need to dedicate their life to their chosen sport, each day honing their skills, refining their diet, and building their strength to compete with the world's best.

It is this part of an athlete's life that goes unseen – the hours, days, weeks, months, and years of preparation that make an Olympic champion. This is where this publication sits, taking world‐leading medical research and distilling it into a practical application for everyone within our sport to benefit.

On behalf of the entire international canoe community, the ICF authorities, and our many canoeists, I would like to extend my gratitude and compliments to the authors. Their contribution and ability to gather and then articulate such a complex body of research in a manner suitable for all is an amazing achievement and will inevitably help to further enhance the global development of our sport.

I congratulate and thank all those involved with this outstanding publication.

With my compliments,

Signature of José Perurena, ICF President and IOC Member.

José Perurena
ICF President and IOC Member

Foreword

Canoeing and kayaking have been an important part of the Olympic competitions for 70 years, for both men and women. At the Rio 2016 Olympic Games, competitions were held for men and women in four events for slalom (3M–1W) and 12 for sprint (8M–4W); and six events for kayak were held in the 2016 Paralympic Games.

The aim of this Handbook is to present the latest research dealing with the medicine and science of canoeing, organized by topic area chapters and presented with practical applications. Dr. Don McKenzie (Canada) was selected as editor for the project, and he successfully assembled a team of contributing authors who provided authoritative coverage of all aspects of the medicine and science of canoe/kayak competition.

The Handbook will most certainly constitute an invaluable working tool and source of guidance for medical doctors, related health personnel, and coaches who work with the athletes who participate at the international, national, and regional levels of competition. By joining the International Olympic Committee (IOC) Medical and Scientific Commission's Handbooks of Sports Medicine and Science series, this Handbook will serve as an important source of sports medicine and sports science information for many years to come.

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Thomas Bach
IOC President

Preface

Few activities connect you to the environment like canoeing. As a sport, competitive canoe and kayak racing is unique, given the range of craft and water conditions. The International Canoe Federation is the governing body and provides leadership in nine disciplines. ParaCanoe, sprint, and slalom are well known due to their inclusion in the Olympic program. In these events, success is decided by objective measurement of time to complete a distance or course. The physical and mental preparation to compete is extreme, and these athletes challenge the limits of human performance. Control and integration of many factors are necessary to reach the podium.

The other disciplines are no less demanding. Marathon events require technical skill, tactics, and endurance over many kilometers. Freestyle competition involves acrobatics performed in whitewater on stationary river features. Points are given for spins, turns, and flips accumulated in a 60‐second routine. Wild water competition represents the purity of effort, while racing downriver in class 2 to 4 whitewater. In Canoe ocean racing, competitors race in surfskis, sea kayaks, and single and six‐person outriggers exposed to the wind and waves of the open ocean. There is a distinctive field of play and competition between teams in Canoe polo. Teams of five‐paddlers strive to score a ball into a net suspended above the water at each end of the pitch. Dragon boat has links to the cultural and traditional components of Canoeing. Originating in China more than 2000 years ago, current racing involves teams of 10 or 20 paddlers competing over distances from 200 to 2000 m.

This Handbook represents the efforts of experts in all areas of medicine and science applied to Canoeing. It provides general information on the history and development of Canoeing as well as specific chapters with concise, but detailed, information on sport science and the clinical aspects of Canoe sport. It is hoped that this Handbook will provide useful information to the athlete, coach, and support personnel as well as the reader interested in competitive and recreational canoeing.

It is a privilege to be included in the IOC series of Handbooks of Sports Medicine and Science. On behalf of the authors, we are indebted to Dr. Skip Knuttgen, paddler, scientist, and friend, who has guided us through the muddy waters of creating this Handbook. His expertise speaks for itself, and we owe him our gratitude.

Don McKenzie
2018