How does technology shape performance, and what ethical and equity issues does it raise?
Investigate the role of technology in performance enhancement, including training monitoring tools, performance-enhancing drugs and anti-doping, technological doping, and the ethical and equity issues these raise across athlete populations
A focused HSC Health and Movement Science answer on technology in sport. Training monitoring tools (GPS, force plates, video analysis, wearables); performance-enhancing drugs and anti-doping (WADA, ASADA, the prohibited list); blood manipulation and gene doping; technological doping (specialised footwear and equipment); ethical and equity considerations.
Reviewed by: AI editorial process; not yet individually human-reviewed
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What this sub-topic is asking
NESA wants you to explain how technology is used in elite and developmental sport, the anti-doping framework that draws the line between acceptable and prohibited enhancement, and the ethical and equity questions that emerge when expensive technology, performance-enhancing drugs, or specialised equipment confer advantages. Strong responses pair specific named technologies and policies with reasoned ethical analysis.
The answer
Technology in sport spans monitoring (helping the coach and athlete train smarter), performance enhancement (legitimate equipment and nutrition), prohibited substances and methods (covered by the World Anti-Doping Code), and the broader equity question of who has access to what.
Training monitoring technologies
Modern sport uses technology to measure load, recovery, technique and physiology. Common categories:
- GPS units and accelerometers. Worn by team-sport athletes during training and games. Measure distance, speed, accelerations, decelerations. Inform load management and conditioning planning.
- Heart-rate and HRV monitors. Chest straps and wrist monitors measure heart rate continuously. Heart-rate variability (HRV) is used as a proxy for autonomic recovery; lower HRV correlates with under-recovery.
- Force plates. Measure ground reaction force during jumps, sprint starts and lifts. Used to monitor neuromuscular readiness and to flag fatigue or asymmetry.
- Video analysis. Sport-specific software (named generically) lets coaches review and tag match footage for tactical and technique work.
- Wearable sensors. Sleep monitors, body-temperature monitors, biochemical wearables (e.g. continuous lactate or glucose monitors in development).
- Athlete management systems. Software platforms aggregate training, wellness, injury and performance data across an athlete or squad.
These technologies are legal and widely used at elite level. Access to them is a major equity issue (covered below).
The single idea to carry into the exam is that the same technology that drives a performance gain also opens an access gap: it flows to the funded first, so advantage is distributed by money before it is distributed by talent.
Performance-enhancing drugs and anti-doping
The World Anti-Doping Agency (WADA) maintains the World Anti-Doping Code and publishes the annually-updated Prohibited List. In Australia, the Australian Sports Anti-Doping Authority (ASADA, now part of Sport Integrity Australia) implements the code domestically.
The Prohibited List categorises substances and methods by:
- Substances prohibited at all times. Anabolic agents (testosterone, anabolic steroids), hormones and growth factors (EPO, growth hormone), beta-2 agonists (with permitted thresholds for inhaled asthma medication), hormone modulators, diuretics and masking agents.
- Substances prohibited in competition only. Stimulants (amphetamines), narcotics, cannabinoids, glucocorticoids by certain routes.
- Substances prohibited in particular sports. Beta-blockers in shooting and archery.
- Prohibited methods. Blood manipulation (blood doping, autologous transfusion, EPO use to raise haematocrit), gene doping, chemical and physical manipulation of samples.
Why each is prohibited: combination of demonstrated performance enhancement, demonstrated health risk to athlete, and contravention of "the spirit of sport". A substance must meet at least 2 of these 3 to be banned.
Anti-doping testing uses urine and blood samples, in and out of competition. The Athlete Biological Passport monitors blood and steroid markers over time to detect patterns consistent with doping even when no positive test is returned.
Blood manipulation and EPO
EPO (erythropoietin) stimulates red blood cell production. Increased red cell count raises oxygen-carrying capacity and endurance performance. EPO use was widespread in endurance cycling in the 1990s and 2000s before testing improved.
Direct EPO detection (urine and serum tests) and indirect detection (the Biological Passport) have substantially reduced overt EPO use in elite endurance sport. The history is a clear case study: a powerful enhancer with serious health risks (blood viscosity, cardiovascular strain) became practical to detect, the policy framework caught up, and the sport's outcomes shifted (though challenges remain).
Gene doping
Gene doping is the use of gene therapy techniques to enhance athletic performance (e.g. introducing genes for muscle growth, endurance factors). Currently it is technologically nascent at competitive scale, but WADA has explicitly included gene doping in the Prohibited List. Detection is an active research area.
Technological doping
Some technologies are legal in some sports but contentious because they confer clear advantages:
- Specialised running shoes. Carbon-plate running shoes (released into the running market from around 2017 onward) measurably improve marathon times by approximately 1 to 4 percent for trained runners. World Athletics has subsequently regulated shoe stack height and plate composition. The "shoe doping" debate illustrates how a legal technology can reshape competitive outcomes.
- Swim suits. The LZR Racer-type polyurethane swim suits of 2008-2009 generated dozens of world records before being banned by FINA in 2010.
- Specialised time-trial bicycles, skinsuits and helmets. Permitted within UCI rules; access remains expensive.
- Altitude tents and chambers. Permitted by WADA; expensive and equity-limiting.
The pattern: a technology enters the market, federations either ban or regulate to maintain competitive integrity, but the gap between athletes with and without access can be substantial in the interim.
Ethics and equity
Several distinct ethical questions:
- Athlete welfare. Performance-enhancing drugs carry health risks; the framework protects athletes from coerced or peer-pressure use.
- Fair competition. The "spirit of sport" rationale: spectators and competitors expect outcomes to reflect training, skill and effort, not pharmacological advantage.
- Informed consent. Anti-doping rules of strict liability mean athletes are responsible for everything in their body, even from contaminated supplements. This raises difficult cases.
- Equity of access. Expensive monitoring technology, specialised footwear, altitude chambers, sport-science support are concentrated in well-funded national programs. Developing-nation athletes compete at structural disadvantage. This is an ongoing equity question without an obvious policy solution.
- Gender and research bias. Most sport-science research has historically been conducted on male athletes; female-specific dosing, training and recovery findings are under-researched.
The HMS framing rewards students who acknowledge competing considerations rather than treating "anti-doping" or "technology" as univocally good or bad.
Access is not static: as cheaper tools approach universal use, competitive advantage migrates to the most expensive, infrastructure-heavy tools, so the equity gap reopens with each new technology even while overall adoption rises.
Examples in context
Example 1. The Athlete Biological Passport. Introduced by WADA in 2009 (initially in cycling), the Biological Passport monitors blood and steroid markers over an athlete's career. Departures from individual baselines trigger investigation even without a positive substance test. It is widely credited with reducing EPO use in elite endurance cycling and is a worked example of how anti-doping policy adapts to technological challenges.
Example 2. The LZR Racer swimsuit (2008-2009) and FINA's response. Polyurethane full-body swimsuits introduced major aerodynamic and buoyancy advantages. At the 2008 Beijing Olympics and the 2009 Rome World Championships, dozens of world records were broken. FINA banned non-textile suits effective January 2010 and added thigh and shoulder coverage limits. The episode is a touchstone example of "technological doping" and the policy response.
Try this
Q1. Identify three categories of substance or method on WADA's Prohibited List and give one example of each. [3 marks]
- Cue. Substances prohibited at all times: anabolic steroids, EPO, growth hormone. Substances prohibited in competition only: stimulants (amphetamines), narcotics. Prohibited methods: blood doping (autologous transfusion, EPO use), gene doping, sample manipulation.
Q2. Evaluate the equity implications of carbon-plate running shoes for elite marathoners. [5 marks]
- Cue. Carbon-plate shoes confer measurable advantages (around 1 to 4 percent running economy) and were initially expensive (AUD 350+). Well-funded athletes accessed them first; developing-nation athletes had limited access in early years. World Athletics regulation (2020 stack-height limit, requirement of commercial availability) addresses but does not eliminate the equity gap. Comparison to LZR swimsuits: similar dynamic of advantage-then-regulation. The equity issue remains for any new technology between market entry and broad accessibility.
Q3. A junior athlete uses a contaminated supplement and tests positive for a banned substance. Explain the principle of strict liability and discuss whether it is fair in this case. [5 marks]
- Cue. Strict liability holds the athlete responsible for any prohibited substance in their body, regardless of how it got there. Rationale: closes the "I didn't know" defence that would make anti-doping policy unenforceable. Criticism: punishes athletes who took reasonable precautions; advanced verification of supplements is not universally available. Tribunals may reduce sanctions if the athlete proves no significant fault or negligence. The principle is widely seen as necessary for the policy to function, but produces hard cases.
Practice questions
Original practice questions graded from foundation to exam level, each with a full worked solution. Try them before revealing the solution.
core5 marksEvaluate the equity implications of carbon-plate running shoes for elite marathoners.Show worked solution →
A 5-mark evaluate needs the advantage, the access gap, the regulatory response, and a judgement.
- The advantage
- Carbon-plate shoes improve running economy by roughly to for trained runners, worth substantial marathon time.
- The access gap
- Initially expensive (around AUD 350+), so well-funded athletes accessed them first while developing-nation and amateur athletes lagged.
- The regulation
- World Athletics capped stack height (2020) and required commercial availability, narrowing but not closing the gap.
- Judgement
- Conclude that the technology created a real equity problem that regulation has partly addressed; the issue recurs with any new technology between market entry and broad access.
Markers reward (1) the quantified advantage, (2) the access gap, (3) the regulatory response and a calibrated judgement.
core5 marksA junior athlete uses a contaminated supplement and tests positive for a banned substance. Explain the principle of strict liability and discuss whether it is fair in this case.Show worked solution →
A 5-mark response needs the principle defined plus a reasoned fairness discussion.
- Strict liability
- The athlete is responsible for any prohibited substance in their body regardless of how it got there, which closes the unenforceable "I did not know" defence.
- The case for fairness
- Without it, anti-doping policy could not function, and athletes are expected to use batch-tested products.
- The case against
- It can punish athletes who took reasonable precautions, and verification is not universally available; tribunals may reduce sanctions for no significant fault.
- Judgement
- Conclude that the principle is necessary for the system but produces hard cases like this one.
Markers reward (1) the principle defined, (2) arguments both ways, (3) a calibrated judgement.
foundation3 marksIdentify three legal training-monitoring technologies and state one thing each measures.Show worked solution →
Any three, each with a correct measurement:
- GPS unit / accelerometer measures distance, speed and accelerations/decelerations (external load).
- Heart-rate / HRV monitor measures heart rate and heart-rate variability (internal load and recovery).
- Force plate measures ground reaction force during jumps, sprints or lifts (neuromuscular readiness, asymmetry).
- Video / biomechanical analysis software captures technique and tactics for frame-by-frame review.
Marking criteria: 1 mark for each correctly named LEGAL monitoring technology paired with a correct measurement (max 3). Naming EPO or anabolic steroids earns nothing here - those are prohibited substances, not monitoring tools.
foundation4 marksDistinguish between external load and internal load in athlete monitoring. Give one technology that measures each, and explain why a coach needs both.Show worked solution →
External load is the physical work the athlete performs (distance, speed, accelerations) measured by a GPS unit/accelerometer. Internal load is the body's physiological response to that work (heart rate, HRV, perceived exertion) measured by a heart-rate/HRV monitor.
A coach needs both because the same external load produces different internal responses depending on fitness, fatigue, illness or heat: two players who both ran 8 km can have very different heart-rate and HRV responses, so external numbers alone can hide that one player is under-recovering.
Marking criteria: 1 mark external load defined + a correct technology; 1 mark internal load defined + a correct technology; 2 marks for explaining why both are needed (same external load, different internal response / individualisation). A bare list of devices with no external-vs-internal distinction caps at 2.
core5 marksCarbon-plate running shoes improve running economy by about 1 to 4 percent. Explain how a legal piece of equipment can become an equity issue, and outline ONE regulatory response and how it helps.Show worked solution →
How a legal technology becomes an equity issue. The shoes are lawful, but they confer a measurable advantage (about 1 to 4 percent running economy, roughly 1 to 3 minutes over a marathon). When first released (around 2017) they retailed at AUD 350+, so well-funded athletes and national programs accessed them first while developing-nation, school and amateur runners could not. The advantage is therefore distributed by funding, not talent - so the result partly reflects who could afford the shoe, undermining fair competition.
A regulatory response. World Athletics (2020) capped road-shoe stack height at 40 mm, limited shoes to a single plate, and required the shoe to be commercially available before use in competition. The availability rule directly attacks the inequity: an athlete cannot race in a secret prototype that no rival can buy, which narrows (without fully closing) the access gap until prices fall.
Marking criteria: 1 mark for the quantified advantage; 1 mark for linking advantage + cost to unequal ACCESS; 1 mark for stating that the result then reflects funding not talent (fairness); 1 mark for a correct regulatory response; 1 mark for explaining HOW it reduces inequity. "Technology is unfair" with no mechanism caps at 2.
core5 marksAn athlete management system collects continuous heart-rate, GPS, sleep and HRV data on every player. Discuss TWO ethical issues this raises, beyond the question of cheating.Show worked solution →
Two issues from the privacy/welfare side (not doping):
- Data privacy and consent. Continuous biometric, location and sleep data is sensitive personal information. Players may feel unable to refuse collection if it affects selection, and the data could later inform contract, insurance or trade decisions. Who owns, stores and can re-use the data is often unclear, and a data breach exposes private health information.
- Surveillance and autonomy. Constant monitoring (including sleep and off-field behaviour) can blur the line between professional management and intrusion into private life, shifting power toward the club and pressuring athletes to optimise every behaviour.
A strong answer notes a counter-weight: the same data, used transparently and with consent, can protect welfare by flagging under-recovery and reducing injury - so the issue is governance (consent, ownership, limits), not the technology itself.
Marking criteria: 1 mark each for TWO correctly identified ethical issues other than cheating (privacy/consent, surveillance/autonomy, data ownership, breach risk); up to 2 further marks for developing each with a sport-specific consequence; 1 mark for a balanced note that governance, not the device, is the lever. Listing without development caps at 2.
core6 marksA national sport institute reports the percentage of its squads with routine access to four technologies in 2019 versus 2024 (illustrative): GPS units 60 then 95; force plates 25 then 70; full video analysis 45 then 85; altitude chambers 8 then 22. (a) Describe the overall trend. (b) Identify which technology remains least accessible and suggest why. (c) Explain what this dataset implies for equity between well-funded and under-funded programs.Show worked solution →
- (a) Trend
- Access rose for every technology from 2019 to 2024. The rises are: GPS +35 (60 to 95), force plates +45 (25 to 70), video +40 (45 to 85), altitude chambers +14 (8 to 22). So adoption is broadening and accelerating fastest for force plates and video, while remaining a minority technology for altitude chambers.
- (b) Least accessible
- Altitude chambers remain least accessible (only 22 percent in 2024). They are costly fixed infrastructure requiring dedicated space and maintenance, unlike a portable GPS pod, so they spread slowly.
- (c) Equity implication
- Even inside ONE well-funded institute, the most expensive, infrastructure-heavy technology is still rationed - so for under-funded programs and nations that cannot afford even GPS pods, the gap is far wider. As cheaper tools (GPS, video) become near-universal, competitive advantage migrates to the costliest tools (altitude, advanced analytics), so technology can perpetuate inequity even as overall access rises. (Dataset is illustrative.)
Marking criteria: (a) 2 marks - rising trend stated AND quantified with data. (b) 1 mark for naming altitude chambers + 1 mark for a sensible cost/infrastructure reason. (c) 2 marks for arguing the equity consequence (advantage migrates to the costliest tools / under-funded programs lag further). A description with no equity link caps at 4.
exam10 marksAssess the extent to which technology in sport advances performance fairly. In your answer, refer to monitoring tools, equipment advances, and the ethical and equity issues they raise.Show worked solution →
This is a 10-mark extended response. Markers reward a sustained, two-sided JUDGEMENT (assess the extent) anchored in named technologies and a framework of competing values, not a list.
Band 6 PLAN.
- Thesis (calibrated): technology advances performance substantially and, once openly regulated and widely available, can do so fairly; but in the gap between a technology's arrival and broad access it advances performance UNFAIRLY, distributing advantage by funding rather than talent - so the fairness is conditional on regulation and access, not automatic.
- Argument line 1 - the case FOR fair advancement: lawful monitoring (GPS, HRV, force plates, video analytics) improves training quality, manages load and reduces injury; once equipment such as carbon-plate shoes is commercially available and stack-height-capped, every athlete can use it, raising the standard for all. Regulation (World Athletics 2020; FINA's 2010 swimsuit ban) shows governing bodies can restore fairness.
- Argument line 2 - the case AGAINST: advantage is initially distributed by money. Carbon-plate shoes (about 1 to 4 percent economy) cost AUD 350+ at launch; altitude chambers and full sport-science support sit only in well-funded programs, so developing-nation, school and amateur athletes compete at a structural disadvantage. The 'technology versus talent' problem means results can reflect a budget, not ability.
- Argument line 3 - the newer ethical front: athlete data (continuous biometric, GPS, sleep) raises privacy, consent and surveillance issues, and consumer-grade sensors have validity/reliability limits, so a 'data advantage' is itself unevenly distributed and can be misused.
- Judgement (the 'extent'): technology advances performance to a large extent, but advances it FAIRLY only to the extent that it is (1) openly regulated and (2) accessibly priced; the fairness lags the performance gain, so the honest verdict is 'substantial advancement, conditional fairness'.
Model paragraph (equity line). The clearest threat to fairness is access. A carbon-plate shoe that improves running economy by roughly 1 to 4 percent is worth one to three minutes over a marathon, yet at launch it retailed above AUD 350 and reached well-funded athletes years before developing-nation runners. For that window the result reflected a budget as much as a physiology: two equally talented athletes were separated by who could buy the shoe. World Athletics' 2020 requirement that shoes be commercially available was a deliberate equity device - it cannot make every athlete rich, but it stops a funded athlete racing in a prototype no rival can obtain. The same pattern recurs with altitude chambers and analytics platforms, where the most decisive tools are precisely the ones the least-funded programs cannot afford, so each new technology reopens the access gap before falling prices slowly close it.
Marker's note: top-band answers (1) cover all three prompted areas - monitoring, equipment, ethics/equity; (2) sustain a two-sided argument and reach a CALIBRATED judgement on the 'extent' rather than a yes/no; (3) anchor claims with specific named technologies, a regulation with a year, and a quantified figure (1 to 4 percent; AUD 350+; 40 mm cap); and (4) keep answering the verb - ASSESS THE EXTENT means weigh how far and under what conditions, not describe. Distinguishing lawful technology from doping, and naming data-privacy as a current ethical front, mark out a strong response.
exam8 marksEvaluate the use of wearable and GPS monitoring technology in elite sport, considering both performance benefits and the risks it introduces.Show worked solution →
An 8-mark evaluate needs benefits, risks, and a judgement that weighs them.
Band 6 PLAN.
- Thesis: wearable/GPS monitoring is, on balance, a net positive for elite performance and welfare WHEN its data is valid and its use is governed, but it introduces real measurement and ethical risks that determine whether the benefit is realised.
- Benefits: objective external-load data (distance, speed, accelerations) plus internal-load data (heart rate, HRV, sleep) let staff individualise training, periodise load, detect under-recovery and reduce soft-tissue injury; analytics can model injury risk and inform return-to-play.
- Risks: validity/reliability - consumer sensors can be inaccurate and HRV is confounded by caffeine, illness and measurement conditions, so decisions on bad data can mislead; ethics - privacy, consent, surveillance and the use of biometric data in selection/contract decisions; equity - the best systems sit only in funded programs.
- Judgement: the technology improves performance and protects welfare to a significant degree, but only where data quality is verified and athlete data is governed by consent and clear ownership; ungoverned or over-trusted, it can mislead staff and erode athlete autonomy.
Model paragraph (risk line). The central risk is misplaced trust in the number. A wrist HRV reading can fall because an athlete drank coffee or slept in a warm room, not because they are over-trained, and consumer GPS pods carry their own error; if staff treat these readings as ground truth they may rest a fit athlete or push a fatigued one. This is a validity and reliability problem, the same scientific-investigation concern that applies to any measurement: the data must be calibrated, collected under standard conditions, and interpreted against the individual's baseline before it can guide a decision. Used that way the monitoring is powerful; used naively it manufactures false confidence.
Marker's note: top-band answers weigh BENEFITS against RISKS and judge; they name internal vs external load, raise validity/reliability (a scientific-investigation skill), and add the ethical/equity dimension rather than only listing benefits. A one-sided 'monitoring is good' answer caps in the middle bands.
