Physiotherapist's role in Doping

1. Dr. Ankit Srivastava (PT)
Head, Physiotherapy Dept, Sancheti Hospital.
Asst. Prof., Sancheti College of Physiotherapy.
Director, PhysioActive: Specialty Physiotherapy Clinic.

3. “Dope” – from Dutch word ‘Dop’ – an
alcoholic beverage from grape skins, used by
Zuluwarriors to enhance their power in
battle.

4. Physiological
Increase
oxygen
uptake
Train
harder
Mask
injury
Build
muscles

5. Psychological
Increase
motivation
Increase
aggression
Steady
nerves
Self
Esteem

6. Social
Belief that
everyone is
doing
Reward /
Prize
Pressure
from coach,
peer &
media

8. Lance Armstrong- Cycling
Martina Hingis- Tennis (2007)
Yohan Blake- Sprinting (2009)
Marion Jones- Track & Field (2008)
Pradeep Sangwan- Cricket (2013)
Diego Maradona- Football (1994)
…..

10. Category Class Examples
Stimulants Caffeine -
Amphetamines -
Cocaine -
Build muscle/bone Anabolic steroids Testerone, dihydrotestosterone, androstenedione
Beta -2 Agonists Salbutamol, fenoterol
Relaxants Alcohol -
Beta- blockers Labetalol, betaxolol
Cannabinoids marijuana and hashish
Mask pain Narcotics Morphine , methadone, heroin
ACTH -
Cortisone -
Local anesthetics Novacaine, procaine
Increase Oxygen delivery EPO -
Blood Doping -
Artificial oxygen carriers Perfluorocarbons, synthetic or modified haemoglobin
Reduce weight Diuretics Furosemide, acetazolamide, bumetanide
Mask drug Use Diuretics Furosemide, acetazolamide, bumetanide
Epitestosterone -
Plasma expanders Albumex, Gelofusine, Haemaccel
Secretion inhibitors Probenecid, Sulfinpyrazone

11. Steroids- increases muscle bulk & strength
Erythropoietin- increases endurance
Dieretics- rapid weight loss
Stimulants- reduces fatigue, increases
alertness
Blood doping- increases endurance
Narcotics- masks pain and injuries

12. Baldness
Gynacomastia, infertility
Increased aggression and agitation
Hypertension and heart attacks
Stomachache and headache
Nausea and dizziness
Muscle cramps
Anxiety, insomnia
Addiction
AIDS & Hepatitis

13. • In case of illness, for treatment
purpose, athlete can take the
prohibited drugs by obtaining TUE
certificate
• This can happen during or off season
as well.

14. MORAL
Gives an unfair advantage
Undermines the true spirit of sport
“Its about fighting, not always about winning”

15. ROLE MODELING
Gives a bad example to others
Gives a bad image to sport and lowers its
status
“Sports is a religion”

16. HEALTH
Will be harmful to health
Can cause death
Can be addictive
Lower life expectancy
“Take care of your body, it’s the only place
you have to line in”

17. LEGAL
Against the law of the land
Against the rules of the sports
“Play true”

18. The World Anti-Doping Agency is a
foundation initiated by the International
Olympic Committee based in Canada
Created to promote, coordinate and
monitor the fight against doping in sport in
all its forms.
192 countries and more than 570 sporting
organizations have signed up with WADA

19. National Anti-Doping Agency also referred
to as NADA is the national organisation
responsible for promoting, coordinating,
and monitoring the doping control program
in sports in all its forms in India.
India ranks 3rd in the doping list of WADA

22. Dr. Ankit Srivastava (PT)
+91 93250 30523
doc.ankit@gmail.com
www.punephysiotherapist.in