Participant Profile
Natsuko Mogi
Other : Athletic TrainerFaculty of Economics GraduateKeio University alumni (2001 Economics). Studied at Keio University since the Elementary School (Yochisha). After graduating from university, studied acupuncture, moxibustion, and Anma massage shiatsu at Hanada Gakuen. Accompanied Naomi Osaka from March to November 2018.
Natsuko Mogi
Other : Athletic TrainerFaculty of Economics GraduateKeio University alumni (2001 Economics). Studied at Keio University since the Elementary School (Yochisha). After graduating from university, studied acupuncture, moxibustion, and Anma massage shiatsu at Hanada Gakuen. Accompanied Naomi Osaka from March to November 2018.
Interviewer: Hiroyuki Ishida
Research Centers and Institutes Professor, Sports Medicine Research CenterInterviewer: Hiroyuki Ishida
Research Centers and Institutes Professor, Sports Medicine Research Center
2019/04/15
The Moment of the US Open Victory
──Ms. Mogi, you served as the athletic trainer (AT) for tennis player Naomi Osaka until November last year. During that time, there was the great achievement of winning the US Open in September. How did you feel at the moment of victory?
In this match, the opponent, Serena Williams, was repeatedly penalized, losing points and games. It was that kind of development.
The roof was closed for the final, and the sound echoed quite a bit, so to be honest, from our seats, we didn't know what was happening for a while. Because of that, while Williams was protesting, it felt like a very long time for those of us in the family box.
When the game resumed, it was 3-5 in the second set, and Williams easily held her serve. She is a player with 23 Grand Slam titles. There is a possibility of a comeback from anywhere.
However, even in that situation, Osaka-senshu did not lose sight of herself, stayed focused until the end, and stuck to her play to win. Of course I was happy the moment she won, but at the same time, my honest feeling was one of relief, thinking, "Oh, thank goodness."
I joined "Team Osaka" in March last year, and we suddenly won the very first tournament after the team was formed. We got off to a good start, but the world isn't so easy that you can win again immediately. During the subsequent European season, we couldn't achieve very good results, and days far from a title continued.
Especially during the hard court season before the US Open, even though it's her favorite surface, she couldn't play as she wanted, and there was some anxiety. However, as she advanced through the US Open, she improved both physically and mentally, and in the final, she won through a very unique situation to achieve a brilliant victory. Looking at it objectively, she achieved a great feat in a short period, but having shared the tough times as well, the joy was immense.
The Work of an Athletic Trainer
──An athletic trainer takes care of the athlete's body. Specifically, what kind of things do you do?
I think the general public's image of a "trainer" is someone who teaches training at a gym or fitness club. Those people are called strength trainers or training coaches.
In contrast, ATs like us are trainers who are more on the medical side, performing body maintenance. Even within body care, there are various ways of working, such as being involved on-site as a care trainer, or doing rehabilitation for injured athletes in a hospital under a doctor's instructions. If you want to work in sports settings in Japan, many people hold medical qualifications such as acupuncture/massage or Judo therapist in addition to the AT qualification.
The requirements vary depending on the sport, but for tennis, it is desirable to be able to perform massage so that matches can be played day after day, and to be able to perform acupuncture to remove pain and muscle stiffness. Since neither can be done without a national qualification, I operate with qualifications as an acupuncturist, moxibustionist, and Anma massage shiatsu therapist.
──I see. Please introduce your actual activities at sports sites.
During a tournament period, I do warm-ups before practice, prepare hydration drinks during practice, do cool-downs and stretching after practice and matches, and in the evening, I do body maintenance such as massage and nutritional management. This is the general content of the work.
──In Osaka-senshu's case, how was the division of roles within the team?
Coach Sascha Bajin, Abdul Sillah in charge of training, and I, who take care of the body, supported Osaka-senshu as a team of three.
Abdul's and my roles sometimes overlapped. His title was Strength & Conditioning Coach, but since I also do conditioning, both of us can lead warm-ups and cool-downs. We discussed it and decided that he would handle the warm-ups and I would handle the cool-down stretches.
But since the body's condition changes daily, if I noticed anything—for example, "her shoulders were tight during yesterday's care, so I want you to increase the shoulder menu"—we shared information each time.
──Since you are good at English, I think you were able to communicate well. Communication skills, including language, are indeed important.
That's true. In the case of this team, both of them spoke very openly, so it was easy to work. I exchanged information closely with Sascha, and especially with Abdul, we managed Osaka-senshu's condition as a team while having detailed discussions. Occasionally our opinions differed, and there were times when I thought I could explain better if it were in Japanese, but even then, they patiently tried to understand what I was saying, which was a great help.
The Role of an Athletic Trainer
──The job of an AT is not very well known in our country, but it is a very important job in sports settings. Doctors treat injured athletes in hospitals. On the other hand, trainers touch the athletes' bodies at sports sites and are involved in improving performance in matches.
One of the major roles of an AT is injury prevention. In addition to taping and stretching, team management is also part of that. Also, first aid when an injury occurs is essential.
Furthermore, there is the role of "Athletic Rehabilitation" to return an athlete to a point where they can compete after they have gone to a hospital for treatment and recovered to a certain extent. I believe this is the most important part.
──That is the important part. Hospitals discharge patients once they have been treated and can return to daily life. However, athletes must return to competition. The role of the trainer is crucial in that rehabilitation.
That's right. At places like the National Training Center or JISS (Japan Institute of Sports Sciences), they can look after rehabilitation, but both can only be used by athletes designated for strengthening by the JOC (Japanese Olympic Committee) or athletes recommended by competitive organizations.
──I think it would be good for the Keio Athletic Association if there were a department where ATs could perform athletic rehabilitation across different sports.
I truly think so. Other universities with faculties of sports science or physical education have active student trainer activities.
Also, recently there seems to be a nationwide movement to place ATs in high schools. Waseda has been placing ATs since 2005. I really hope Keio will promote this as well. And I hope that ATs will become widely recognized.
──When tough tennis matches continue day after day, recovery—how to recover from fatigue within a limited time—is extremely important.
Yes. I do massages, but anyway, immediately after a match ends, we provide nutritional supplementation, and then do a cool-down by running or pedaling a bike before stretching thoroughly. At large tournaments, ice baths are set up, and we sometimes use those.
In tennis, if you keep winning, matches continue almost every day, so the basics of fatigue recovery are getting a massage after the match, eating, and going to bed early. Especially for top-ranked or popular players, night matches increase, and sometimes the match doesn't end until after 12:00.
After that, media obligations finish, care is done, and they finally get to sleep at 2:00 AM. It's a test of physical endurance for the trainer as well.
──I don't know tennis tournaments very well, but are the four major tournaments (Grand Slams) completely different from other tournaments?
The four major tournaments are in a class of their own. First, the scale of the venue is different. Ariake Coliseum (before renovation), which is considered the largest in Japan, had 10,000 seats, but the center court of the US Open can accommodate about 24,000 people. At Wimbledon, even if you can't get into the center court, you can enjoy watching on a large screen while having a picnic on a grassy hill called "Murray Hill." There are also many events where you can interact directly with the players.
Players also receive the highest quality service in everything. However, top-seeded players are given priority for practice courts and practice times, and the treatment is often different from lower-ranked players. It's a tough world where you're told to work hard if you want to receive those services.
What Led Me to Aim to Be a Trainer
──Ms. Mogi, you studied at Keio University since the Elementary School (Yochisha) and were active as a player in the Athletic Association Tennis Club during your student days. Why did you choose the profession of a trainer? I don't think the option of wanting to be a trainer comes up much in a Keio education.
Anyone who plays tennis admires the Grand Slams, but when I was a child watching Wimbledon on TV, I thought it must be very difficult to go there as a player. But while I was wondering if I could somehow stand on that court, there was a scene where a woman with a bag ran up to a player on the court, and I thought, "Oh, I want to be that person" (laughs). Looking back, that person was a trainer.
I learned about the field of sports medicine after undergoing knee surgery for an injury in high school, but at that time, I never even considered going to the School of Medicine.
Later, meeting a trainer who helped me during my university days led me to decide to pursue that path, and I took the entrance exam for Hanada Gakuen, a medical vocational school that produces many trainers. Three years later, I passed the national examination for acupuncture, moxibustion, and Anma massage shiatsu, and also obtained the AT qualification at the same school.
──Has tennis always been your field?
Yes. In the past, I was involved in other sports as well, but I had a strong desire to be involved in the sport I used to play, and I've been lucky enough to continue doing so.
──Ms. Mogi, you also served as an instructor for the Keio Athletic Association's self-care program, a course to train student trainers. Unfortunately, it was discontinued two years ago, but it seems there were students who became interested in training and sports medicine there.
Yes. I think I did it for six or seven years. Managers from various clubs and student trainers who were studying on their own took the course. It was a good experience for me as well, and it connects to where I am now.
The Path as a Trainer
──How were you working before you joined Osaka-senshu?
While I was a student at Hanada Gakuen, I started helping out a little with the Tennis Association. That led me to work as a national team trainer after graduation, accompanying teams for the Fed Cup and Universiade, and serving as a tournament trainer for tournaments held in Japan.
However, it's difficult to make a living solely from trainer work, so I worked at Hanada Gakuen while going out into the field. I left Hanada Gakuen in 2011 and also stepped away from Association work for a period, but later, through a connection from supporting a player who was a top junior at the time for about four years, I started working at Tokyo Asuka Hospital in 2016. It's a hospital that focuses on sports orthopedics, and I was blessed with the opportunity to interact with a wide range of people, from the general public to athletes.
During that time, I continued to support tournaments through Association dispatch, and in 2017, the Tennis Association asked me if I would like to help the national team again.
Around that time, a system had been created where the Association would dispatch trainers to the four major tournaments to support the Japanese players competing there.
Then I met Osaka-senshu at Wimbledon, and her coach at the time liked me, saying, "A physio (physiotherapist) who can speak English has arrived!"
──Trainers who can speak English are indeed rare in Japan.
For example, the ATC (Certified Athletic Trainer) qualification in the US is a quasi-medical qualification, but since it is not recognized as a medical qualification in Japan, a Japanese qualification is required to perform body care in Japan. There are people who get qualified in the US and then retake the Japanese qualification after returning, but it's true that there are few people who can speak English.
As for English, I went to the UK for three years during my time at the Elementary School (Yochisha) due to my father's work, and what I learned then barely remained. Since tennis involves traveling all over the world, everyone around you feels like a foreigner, and not just English, but various languages are constantly flying around.
──Many Keio graduates working in the sports world possess communication skills. If more such people become active, I think the Japanese sports world will change.
Work Supporting Athletes
──There is an international tournament called the Keio Challenger (Yokohama Keio Challenger International Tennis Tournament) organized by Keio University (see frontispiece), and I serve as the official doctor. The women's division started three years ago, and Ms. Mogi has been involved as a tournament trainer.
This tournament is basically run almost entirely by students, from preparation to tournament management. Since the Tennis Club has many returnee students, English is naturally flying around.
──I think it's an amazing thing that a single university can manage an international tournament like this. As for the tournament trainer, can any competing player be seen if they wish?
Yes. Every tournament always has a neutral tournament trainer. Even if an injury occurs during a match, a player's personal trainer is never allowed on the court.
Therefore, the trainer who comes out onto the court at such times is not a personal trainer, but a tournament trainer provided by the tournament management side.
──Sports naturally cannot be done by athletes alone. A tournament will never succeed without people like Ms. Mogi who support the athletes, doctors, coaches, or people on the management side who support the athletes.
When I go to sports sites, I have seen many Keio graduates other than athletes active on the side that supports sports.
There are almost no graduates among my fellow trainers, but there are often Keio University alumni among those working at the Association or among sponsors. There were also many graduates in the media. Meeting such people overseas makes me feel a bit relieved. I hope the number of trainers will increase more.
──That's true. Since AT is not a national qualification right now, I hope that will be organized.
AT is currently a qualification certified by the Japan Sports Association, and it's hard to get. You can only take the exam after attending an AT vocational school, a university with an AT course, or a medical vocational school, or being recommended by a competitive organization and attending a training course in a camp format.
When I took the exam, only about 1 to 3 people out of 1,000 would pass both the written and practical exams on the first try. The number of successful candidates has gradually increased now, but I hope it becomes a national qualification.
──I look forward to your continued success. Thank you very much for today.
*Affiliations and titles are as of the time this magazine was published.