A.I. BURNASYAN FMBC CLINICAL BULLETIN

ISSN 2782-6430 (print)

State Research Center −Burnasyan Federal Medical Biophysical
Center of Federal Medical Biological Agency

The journal is published in Russian.
Format – A4.
The periodicity of the journal is 4 times a year.

Issue №1, 2026

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A.I. Burnasyan  FMBC clinical bulletin. 2026 № 1

A.N. Tsarev, V.I. Pustovoyt, K.A. Yurku, N.N. Yurku

Mandatory Pre-Start Control: From Intuition to Science

International Office, State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russiа

Contact person: Tsarev Aleksey Nicolaevich: tsarev58@yandex.ru

 

Abstract
The article presents a critical analysis of a methodological contradiction in elite sports. The authors note that an athlete’s safety and performance depend on their current psychophysiological state, which is subject to fluctuations. However, unlike high-risk industries (aviation, energy), which employ mandatory objective protocols for work clearance, in sports, the decision to allow extreme exertion is often based on the coach’s subjective assessment and the athlete’s self-report.
This approach creates a complex of serious risks: increased injury rates, threats to life and health (including sudden cardiac death), long-term consequences such as overtraining and burnout, and economic losses for sports organizations.
As a solution, the authors propose a concept for implementing a national mandatory pre-competition/ pre-training monitoring system. Its key principles are: legislative formalization, standardization of diagnostic tools, granting sports physicians the authority for mandatory disqualification, the introduction of digital platforms for data analysis, and the transformation of sports culture. This transition from subjectivity to objective protocols is presented as an ethical and pragmatic imperative to ensure athlete safety, health, and the sustainable development of sports.

Keywords: psychophysiological monitoring, pre-start control, sports safety, objective fitness assessment, sports injury prevention, risk management in sports, sports medicine

For citation: Tsarev A.N., Pustovoit V.I., Yurku K.A., Yurku N.N. Mandatory Pre-Start Control: From Intuition to Science. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2026.1:49-53. (In Russian) DOI: 10.33266/2782-6430-2026-1-49-53

 

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Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 31.01.2026. Accepted for publication: 15.02.2025

© 2026 Scientific journal - "Clinical Bulletin of the FMBС im. A.I. Burnasyan"
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