1 1University of Brighton, Brighton, UNITED KINGDOM; 2University of Rome "Foro Italico," Rome, ITALY; 3International Federation of Sports Medicine (FIMS), Lausanne, SWITZERLAND; 4International Bobsleigh & Skeleton Federation (IBSF), Lausanne, SWITZERLAND; 5International Olympic Committee (IOC), Lausanne, SWITZERLAND; 6University of Salzburg, Salzburg, AUSTRIA; 7Anti-Doping Authority Netherlands, The Netherlands; 8University of Cape Town, Cape Town, SOUTH AFRICA; and 9Villa Stuart Sport Clinic FIFA Medical Centre of Excellence, Rome, Italy.