BJSM Podcast

Breathwork in Athletes, friend or foe? Join Professor James Hull and guests for answers. EP#586

Fri, 10 Apr 2026 15:02:24 +0100

Professor James Hull is joined by Dr Eric Harbour and Professor Hege Clemm to discuss the fast growing trend of “breathwork’ in athletes and whether this is a useful novel area of interest or if it is a potentially dangerous fad.

Listen in for a lively discussion!

Info:

Please find relevant references for further information below:

Dr Eric Harbour recommends:

Breath Tools review:

https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2022.813243/full

Breath tools website:

https://www.breathtools.com/

Lancet review mentioned:

https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(25)00437-0/fulltext

Prof. Hege Clemm recommends:

IOC consensus BJSM:

https://bjsm.bmj.com/content/bjsports/56/19/1066.full.pdf

https://bjsm.bmj.com/content/bjsports/56/19/1089.full.pdf

Prof. James Hull has some resources in here:

www. breathetowin.co.uk

It is not all about strength! Rethinking the role of exercise for musculokeletal pain relief with Dr. Jared Powell. EP#585

Fri, 27 Mar 2026 14:04:41 +0000

In this episode, Dr. Jared Powell invites us to reflect on the mechanistic assumptions underlying exercise-based rehabilitation for musculoskeletal pain relief, based on his editorial recently published in BJSM.

It’s a great conversation that explores questions such as:

Why are these patients getting better?
How can we help those who do not respond to exercise?
What should be the next steps in research, and what should we be exploring in future clinical trials?
Should we offer exercise to all patients with musculoskeletal pain?
And how do we explain to patients that recovery may not be all about strength?

Press play and enjoy!

Brain health and the evolution of the Premier League Head Injury Protocol: The past, present and future. EP#584

Fri, 20 Mar 2026 15:47:32 +0000

In this episode, we focus on brain health and the evolution of the Premier League Head Injury Protocol, which is a key priority and area of focus within the Premier League.

Lynsey Hooper is joined first by Dr Matt Green (Head of Elite Performance), who outlines why brain health has become a central pillar of the Premier League’s player health strategy, and the breadth of activity currently underway to support players.

Following this introduction, Prof. Mark Gillett (Chief Medical Officer) and Dr Dominic Townsend (Brain Health Advisor) take us through the origins of the Head Injury Protocol in the Premier League. Outlining how it was developed, the implementation, and the principles that continue to shape its operation today.

Together, they also look ahead, covering how approaches to brain health may continue to evolve, and what the future could hold for clinical decision‑making.

This episode offers a detailed insight into how policy, medicine and elite sport intersect in practice at the highest level of the game.

Concussion in football: the case for temporary concussion substitutions

https://bjsm.bmj.com/content/59/23/1635

Player reflections on change: 20 years of evolving demands and support in elite football. EP#583

Fri, 13 Mar 2026 14:22:08 +0000

In this episode, we’re joined by two of the most experienced and respected players in English football. James Milner and Steph Houghton join Lynsey Hooper in conversation.

Across more than two decades in the men’s and women’s professional game, James and Steph have lived through the evolution of elite football, where match demands have increased and a rapidly changing approach to player health and welfare has been observed.

In this conversation, they reflect candidly on life as an elite footballer, the realities of injury and recovery, changes in match load, and the importance of the multidisciplinary support teams around them.

This podcast expands on the themes explored in their joint ‘player voice’ editorial.

https://bjsm.bmj.com/content/59/23/1703

It’s a thoughtful, honest and highly insightful discussion from two players who have seen and been a part of the evolution of professional football.”

Sensorimotor Control Meets Society: How Sociocultural Constructs Could Impact ACL Injury Risk. EP#582

Fri, 20 Feb 2026 16:10:07 +0000

In this podcast Brooke talks with Katherine Wilford, who earned her Bachelor of Science degree in Health and Exercise Science from Colorado State University (2006), her Doctorate in Physical Therapy (DPT) from Boston University (2009), and her Doctor of Science from Texas Tech University Health Sciences Center (2023). Kat has 16 years of clinical experience working with individuals with musculoskeletal pain. Her research interests include exploring the connection between sociocultural constructs and sensorimotor control as it pertains to musculoskeletal injury risk assessment.

In this episode, we discuss how Kat and her team synthesized existing literature to shed light on how cultural beliefs, gender roles, and societal expectations shape movement patterns.

Building a Sleep Health Plan for Athletes with Dr. Jesse Cook. EP#581

Fri, 13 Feb 2026 14:52:13 +0000

On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Jesse Cook, PhD, to discuss Building a Sleep Health Plan for Athletes.

In this conversation, which was recorded during the 2025 AMSSM Annual Meeting, Dr. Cook shares more information on his main stage lecture of the same name, which focused on best practices and essential principles.

Dr. Cook is a postdoctoral fellow with a doctoral degree in Clinical Psychology from the University of Wisconsin-Madison. His research focuses on the intersection of sleep and mental health, with his primary program of research purposed to advance the classification, assessment, and treatment of unexplained hypersomnolence.

He has additional research interests related to the strengths, limitations, and overall utility of wearable sleep tracking technology for research and clinical purposes, as well as the roles of sleep and circadian health in the performance and well-being of athletes. Clinically, he embraces an integrative orientation, drawing principally from CBT and third-wave therapy approaches (i.e., ACT and DBT).

Registration is now open for the 2026 AMSSM Annual Meeting. Visit the conference website to learn more: annualmeeting.amssm.org/

The soundtrack to success: how Arsenal and Universal Music Group are innovating to enhance elite athlete health and performance. EP#580

Fri, 23 Jan 2026 15:11:41 +0000

In this podcast we are joined by Professor Alan McCall and Dr Tara Venkatesan, We talk about how music can be used in the clinical setting to improve outcomes in performance and recovery. We get into detail about styles of music and how they could be used in different scenarios.

Dr.Tara Venkatesan is the Senior Director of Cognitive Science Research at Universal Music Group. Her lab researches the impact of music on mental wellbeing and helps develop consumer products. She has a B.S. in Cognitive Science from Yale University and a Ph.D. in Experimental Psychology from Oxford University. Her research has been published in peer-reviewed journals and media, including The New York Times, BBC, Channel News Asia, and Health Magazine. She is an Honorary Fellow at the School of Advanced Study, University of London.

Professor Alan McCall is a practitioner and researcher with over 20 years of experience in elite sport. He spent 12 years embedded day to day inside professional and national teams, before moving into consultancy, where for the past decade he has worked alongside coaches, medical, and performance staff across different sports and countries. He is currently Consulting Head of Research & Development at Arsenal Football Club and supports clubs, federations, and governing bodies across European leagues, as well as FIFA, UEFA, the NBA, and the NFL. Alongside his applied work, he has published over 130 papers in sports performance and holds visiting research fellowships and editorial roles, with a focus on what actually works in real-world sporting environments—helping teams make better decisions under pressure by connecting research, data, and lived experience.

Links:

The soundtrack to success: can music enhance elite athlete’s health and performance?bjsm.bmj.com

Is radiotherapy for MSK injuries the latest in a line of flash-in-the-pan treatments, or is there more to it? Geoff Scott and Dr Richard Shaffer provide us with the lowdown. EP#579

Fri, 17 Oct 2025 14:42:38 +0100

In this podcast we are discussing the use of low dose radiotherapy for musculoskeletal sports injury. We are joined by two experts in the field who give insight into the relatively unknown use of this modality.

Geoff Scott is an internationally experienced Physiotherapist who has worked at the highest levels of elite sport, including over eight seasons as Head of Medicine and Performance at Tottenham Hotspur Football Club. He has also held senior roles at Fulham FC and consulted across global football, Olympic sport, and the performing arts industry.

Dr Richard Shaffer is a global expert in the use of low-dose radiotherapy for benign (non-cancer conditions. He is co-founder of Reload Clinics (www.reloadclinics.com), which was set up to treat patients with tendonitis in a joint clinic with Geoff Scott.

Radiotherapy for osteoarthritis review - https://www.redjournal.org/article/S0360-3016(22)00357-1/fulltext

Plantar fasciitis: https://www.redjournal.org/article/S0360-3016(12)00848-6/fulltext

Return to Rugby Postpartum: Navigating the Mother-Athlete Journey. EP#578

Fri, 19 Sep 2025 14:45:21 +0100

In this episode of the SASMA Podcast, Dr. Minjon Ras speaks with Dr. Izzy Moore, Joanna Perkins, and Dr. Leigh Gordon about the newly released World Rugby Guidelines on returning to rugby after pregnancy.

Together they unpack the six-phase pathway designed to support female athletes, explore the physical and mental health considerations unique to postpartum recovery, and discuss the role of coaches, medical teams, and performance staff in creating a supportive environment.

The conversation blends evidence, personal experiences, and practical advice—empowering athletes and practitioners to ensure that returning to rugby postpartum is safe, individualised, and sustainable.

Please see link to the guidelines here : https://rfu.widen.net/s/nrjppzdnkv/postpartum-guidance---final

The Cross Bracing Protocol with Dr. Tom Cross. EP# 577

Fri, 05 Sep 2025 15:32:21 +0100

On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Tom Cross, MBBS, DCH, to discuss the Cross Bracing Protocol.

In this conversation, Dr. Cross discusses the following:

Background on the Cross Bracing Protocol (CBP) and its origins
The selection criteria and the grading system for the CBP
The rehabilitation considerations for the CBP and potential complications
Future directions of research for the CBP

Dr. Tom Cross has practiced sports medicine for the past 28 years and during that time successfully completed 5 years of specialist post-graduate training in sport & exercise medicine. He has broad sports medicine experience caring for recreational athletes (adults and children), musculoskeletal injuries that occur at work or home, elite/professional athletes and also military personnel.

Resources:

Healing of Acute Anterior Cruciate Ligament Rupture on MRI and Outcomes Following Non-Surgical Management with the Cross Bracing Protocol https://bjsm.bmj.com/content/57/23/1490
Cross’s Website, including additional resources and information about the CBP: https://www.stadiumclinic.com.au/dr-tom-cross-sports-doctor-sydney.html

The Postpartum Playbook with Margie Davenport. EP#576

Fri, 11 Jul 2025 15:57:01 +0100

In this BJSM podcast we are joined by Margie Davenport, lead author of the 2025 Canadian Guideline for Physical Activity, Sedentary Behaviour, and Sleep throughout the First Year Postpartum. This podcast provides crucial insights health and exercise professionals guiding new mothers and their support network through the return to physical activity. It highlights the importance of movement, individualized recovery, and sleep hygiene, all while addressing the unique challenges of postpartum life.

Guidelines: https://bjsm.bmj.com/content/59/8/515

More about Margie’s research lab: https://www.ksr.ualberta.ca/exerciseandpregnancy/ourLab.php

Paralympic Sports Medicine with Dr. Irfan Asif and Dr. Jonathan Finnoff. EP#575

Fri, 04 Jul 2025 15:16:34 +0100

On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Irfan Asif, MD, FAMSSM, and Dr. Jonathan Finnoff, DO, FAMSSM, to discuss the multi-faceted topic of Paralympic Sports Medicine.

In this conversation, Dr. Asif and Dr. Finnoff discuss the following:

How they first got involved in USOPC and Paralympic team sports
The number of sports in Paralympic competition and the athlete classifications that aim to level the playing field for athletes of different abilities
What it’s like to take care of Paralympic athletes and their unique requirements
The planning process for delivering medical services for Team USA during the Paralympic Games
Current and future research efforts regarding Paralympic athletes
Overcoming the perceived barriers to entry when providing care for Paralympic athletes and ways to get more involved

Dr. Asif is the associate dean for primary care and rural health and professor and chair of the Department of Family and Community at the University of Alabama at Birmingham (UAB). He currently serves as the 2nd Vice President for AMSSM and is an Associate Editor for both the British Journal of Sports Medicine and Sports Health: A Multi-Disciplinary Approach.

Dr. Finnoff is the Chief Medical Officer for the United States Olympic and Paralympic Committee, a Clinical Professor in the Department of Physical Medicine and Rehabilitation, University of Colorado, and a Professor in the Department of Physical Medicine and Rehabilitation at Mayo Clinic College of Medicine and Science. He currently serves as the 1st Vice President for AMSSM.

Resources:

2025 USOPC Paralympic Sports Medicine Conference https://www.usopc.org/2025-paralympic-sports-medicine-conference

PARA-Wise Registry Screening Survey: https://redcap.link/PARAWISE

Inside the concussion in sports group conference: key takeaways with Prof Jon Patricios & Dr Leigh Gordon. EP#574

Fri, 27 Jun 2025 13:13:05 +0100

In this insightful episode, Dr Daniel Tadmor hosts two leading voices in sports medicine—Prof Jon Patricios and Dr Leigh Gordon—for a debrief on the Concussion in Sports Group (CISG) conference. The trio unpacks major updates to concussion management, emerging research themes, and the clinical implications following the Amsterdam Consensus Statement. Whether you're a clinician, researcher, or simply passionate about athlete brain health, this episode offers a sharp and accessible overview of where the field is headed.

Time, test, or treatment? How to get athletes back to sport after ACL reconstruction with Dr Roula Kotsifaki. EP#573

Fri, 20 Jun 2025 14:23:17 +0100

In this episode, Dr. Roula Kotsifaki shares insights from her recent publication in the British Journal of Sports Medicine titled “Is 9 months the sweet spot for male athletes to return to sport after anterior cruciate ligament reconstruction?” She offers numerous clinical pearls on the key factors that influence a safe return to sport following ACL reconstruction. Dr. Kotsifaki is an experienced physiotherapist and biomechanist, currently serving as Head of the Assessment Lab at Aspetar Orthopaedic and Sports Medicine Hospital in Doha, Qatar. Drawing on her research findings, she discusses which tests clinicians should use, optimal timing for return to sport, and the crucial role of treatment adherence.

Knees Under Pressure: The role of body mass and adiposity on knee health. EP#572

Fri, 06 Jun 2025 15:48:15 +0100

In this BJSM podcast, Dr Harvi Hart overview of the different types of body mass and body composition measurements, and they may impact common knee conditions, and what this means for clinicians, patients, and athletes. Harvi specializes in knee injuries and conditions, such as ACL injuries, patellofemoral pain, and osteoarthritis. Her research aims to develop targeted treatments that improve symptoms, mobility, and quality of life for individuals with knee conditions, using a combination of joint movement analysis, imaging, and clinical outcome measures.

Links:

Is body mass index associated with patellofemoral pain and patellofemoral osteoarthritis? A systematic review and meta-regression and analysis https://pubmed.ncbi.nlm.nih.gov/27927675/

Adiposity and cartilage lesions following ACL reconstruction: https://pubmed.ncbi.nlm.nih.gov/38631554/

Longitudinal changes in adiposity following anterior cruciate ligament reconstruction and associations with knee symptoms and function: https://pubmed.ncbi.nlm.nih.gov/38737984/

Obesity is related to incidence of patellofemoral osteoarthritis: the Cohort Hip and Cohort Knee (CHECK) study https://pubmed.ncbi.nlm.nih.gov/31705199/

Myths, Realities & Clinical Pearls in Gluteal Tendinopathy with Dr. Alison Grimaldi. EP# 571

Fri, 02 May 2025 15:09:33 +0100

In this episode, Diogo Gomes interviews internationally renowned physiotherapist and researcher Dr. Alison Grimaldi for a focused discussion on gluteal tendinopathy. They explore common myths and misconceptions surrounding the condition, clarify the current evidence base, and share valuable clinical insights for effective assessment and management. With a clear and practical approach, Dr. Grimaldi offers take-home messages that clinicians can immediately apply in practice. Whether you manage this condition regularly or are looking to refine your approach, this episode is a must-listen.

Award-Winning Case Presentation from Dr. Jordan Lyons EP#570

Fri, 18 Apr 2025 09:00:00 +0100

On this episode of the AMSSM Sports Medcast, host Dr. Jeremy Schroeder, DO, is joined by Dr. Jordan Lyons, MD, who delivered one of the Best Overall Case Presentations during the 2024 AMSSM Annual Meeting in Baltimore, MD.

In this conversation, Dr. Lyons discusses his award-winning case – Collapse of a Special Operator: Exertional Illness or More Than Meets the Eye? – and shares the findings and takeaways from this crucial medical diagnosis.

Resources:

2024 AMSSM Case Podium Presentations, published in the Clinical Journal of Sport Medicine

Exercise Collapse Associated with Sickle Cell Trait Practice Recommendation

Paralympic Sideline Emergencies with Dr. Mike Uihlein. EP#569

Fri, 11 Apr 2025 16:28:30 +0100

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jeremy Schroeder, DO, is joined by Dr. Mike Uihlein, MD, to share a glimpse into his main stage presentation about Paralympic Sideline Emergencies during the 2025 AMSSM Annual Meeting.

Dr. Uihlein is the Associate Chief of Emergency Medicine for Education and Co-Director of the Adaptive Sports Medicine Clinic at the Clement J. Zablocki VA Medical Center. He also serves as an Assistant Professor in the Department of Emergency Medicine at the Medical College of Wisconsin.

He has served on teams that have claimed 11 titles, including three Paralympic gold medals (2014, 2018, 2022); four world championships (2015, 2019, 2021, 2023); five Para Hockey Cups (formerly World Sled Hockey Challenge) titles (2015, 2016 (Jan.), 2016 (Dec.), 2017, 2019) as well as the 2016 IPC Pan-Pacific Championship and 2018 Turin Para Ice Hockey International Tournament.

In-person and virtual attendance options are still available for the conference. Register to attend the 2025 AMSSM Annual Meeting at annualmeeting.amssm.org.

Postpartum Return to Activity with Dr. Margie Davenport. EP# 568

Fri, 21 Mar 2025 15:53:08 +0000

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jeremy Schroeder, DO, is joined by Dr. Margie Davenport, PhD, to provide a preview of her main stage presentation about Updates to Postpartum Return to Sport during the 2025 AMSSM Annual Meeting.

Dr. Davenport is an exercise physiologist and Professor in the Faculty of Kinesiology, Sport, and Recreation at the University of Alberta. She holds the Christenson Professorship in Active Healthy Living and is the Director of the Program for Pregnancy and Postpartum Health.

Over the last decade, Dr. Davenport has worked with numerous national and international organizations to support physical activity during and following pregnancy, and she is serving as a Featured International Speaker at this year’s Annual Meeting in Kansas City.

In-person and virtual attendance options are still available for the conference. Register to attend the 2025 AMSSM Annual Meeting at annualmeeting.amssm.org.

Microsurgical Tendon Debridement vs. Orthobiologics for Tendinopathy with Dr. Ashwin Rao. EP#568

Mon, 24 Feb 2025 09:39:12 +0000

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jeremy Schroeder, MD, is joined by Dr. Ashwin Rao, MD, to provide a preview of his main stage presentation about Microsurgical Tendon Debridement vs. Orthobiologics for Tendinopathy during the 2025 AMSSM Annual Meeting.

Dr. Rao is board certified in family medicine and sports medicine, and is a Professor in UW School of Medicine's Department of Family Medicine. He is also a team physician for University of Washington Husky Athletics and a medical consultant for the Brooks Beast Middle Distance Track Club. He previously served as a team physician for the NFL’s Seattle Seahawks, Program Director of the UW Primary Care Sports Medicine Fellowship, and Co-Chair of the Education Committee on the Board of Directors of the American Medical Society for Sports Medicine (AMSSM).

In-person and virtual attendance options are still available for the conference. Register to attend the 2025 AMSSM Annual Meeting at annualmeeting.amssm.org.

Guardian Caps and Sport-Related Concussion Risk in High School Football Players. EP# 567

Fri, 07 Feb 2025 13:22:24 +0000

On this episode of the AMSSM Sports Medcast, host Dr. Jeremy Schroeder, DO, is joined by Dr. Erin Hammer, MD, MPH, who received the Best Overall Research Award at the 2024 AMSSM Annual Meeting in Baltimore, MD.

The study focused on the use of Guardian Caps and whether they were associated with a lower risk of sport-related concussion (SRC) during practices and games among high school football players.

In this conversation, Dr. Hammer discusses her award-winning research, which was recently published in the British Journal of Sports Medicine, and also shares her personal advice for those looking to get more involved in scholarly research.

Registration is now open for the 2025 AMSSM Annual Meeting in Kansas City, which takes place from April 22-27. Learn more and register now at annualmeeting.amssm.org.

Research Article Links

The Association Between Guardian Cap Use During Practices and Sport-related Concussion Risk in High School American Football Players bjsm.bmj.com/content/59/4/257

2024 AMSSM Annual Meeting Research Podium Presentations journals.lww.com/cjsportsmed/fulltext/2024/03000/2024_amssm_research_podium_presentations.11.aspx

We never evolved to exercise. Why exercise is not always effective medicine. EP#566

Mon, 13 Jan 2025 09:23:10 +0000

In this podcast James Walsh talks to Chris Macdonald and Professor Daniel Leiberman they dive into the lively discussion generated by this paper.

They discuss the reasons why exercise is not effective medicine from an evolutionary perspective, the differences between effective and efficacious interventions, and how clinicians can adapt their approach to help their patients get the most out of exercise.

Why exercise may never be effective medicine: an evolutionary perspective on the efficacy versus effectiveness of exercise in treating type 2 diabetes | British Journal of Sports Medicine

Unraveling the Complexity of Hamstring Injuries: Live from Rome with SAMSA. EP#565

Fri, 20 Dec 2024 13:41:51 +0000

In this episode, Dr Kyle Winik is joined by Adam Weir, Hans Tol, and Rod Whiteley, all actively involved in the Sport and exercise medicine field to discuss hamstring injuries and an approach to a challenging injury in practice.

This was recorded live from the IOC 15th Advanced Team Physician Course, in Rome, Italy.

Through the episode they discuss an approach to a patient with a hamstring injury but also tackle some important questions about if there are any ways to speed up or predict an accurate return to play.”

BJSM PhD Academy Awards: Innovative approaches to running injury prevention. EP#564

Fri, 13 Dec 2024 11:07:53 +0000

In this episode, Dr Brooke Patterson is joined by Dr Bas Vanhooren, an applied sport scientist and strength and conditioning specialist, and a national level athlete. They discuss the BJSM Academy award winning PhD on “Innovative approaches to injury prevention and performance enhancement in running: insights from PhD research on hamstring strengthening, running biomechanics and energetics, and wearable technology”.

https://bjsm.bmj.com/content/early/2024/10/21/bjsports-2024-109159.long

This podcast forms a part of an ongoing series which aims to highlight the work of early career researchers, via the BJSM PhD Academy Awards, and in this series, we will also be asking the guests how they first got involved in research, why they decided to do a PhD, what they loved and what they found most challenging, and their career pathway or plans post-PhD. There are many ways to for clinicians to be involved in research, and we hope to highlight these along the way.

Brooke also highlights a new exciting initiative – The Training and Career Development Network developed by the IOC Research Centres.

https://ucalgary.ca/sport-injury-prevention-research-centre/ioc-research-centres-training-and-career-development-network

Cancer and Exercise - Let’s beat it together. EP #563

Fri, 15 Nov 2024 15:51:55 +0000

In this episode Dr Kyle Winik is joined by Dr Lervasen Pillay, a Sport and Exercise Physician who has a keen interest in Exercise and Cancer.

Through the episode they discuss an approach to a patient battling cancer and try to give an approach to change the narrative that exercise can be used as a tool in cancer management.

75 and still going strong - career reflections from Prof Lars Engebretson. EP#562

Fri, 18 Oct 2024 16:05:23 +0100

In this podcast, we are joined by Professor Lars Engebretson. After 17 years, Lars has stepped down as the Head of Scientific Activities of the Medical and Scientific Department for the International Olympic Committee. In this episode Lars reflects on his achievements, career, and the future of sport and exercise medicine research. You can follow Professor Engebretson on Twitter/X here

Sole Revolution: The Future of Running Shoes and Orthotics with Sports Podiatrist Damir Metljak. EP#561

Fri, 11 Oct 2024 15:23:00 +0100

New-generation running shoes are being developed with the aim of enhancing an athlete's stride length and propulsion force. But what do podiatrists think about these innovative "super shoes"?

In this podcast, Dr. Daniel Bastock explores this concept with Damir Metljak, a sports podiatrist based in Adelaide, South Australia. They discuss the biomechanical implications of these shoes, the potential for increased injury risk, and how to design the ideal orthotic to complement the unique characteristics of this footwear.

Broaching the intricacies of Gymnastic Medicine with Dr Emily Sweeney and Dr Christian Shaap. Ep#560

Fri, 13 Sep 2024 15:51:32 +0100

In this episode we have a chat with this year’s American Medical Society for Sports Medicine(AMSSM) Global Exchange Program to South Africa candidate Dr Emily Sweeney. Doctor Sweeney is a Pediatric Sport Medicine Physician currently practising at Children’s Hospital Colorado in Denver. She will also be a speaker at the biannual SASMA Conference in October later this year.

Being a previous elite level gymnast who retired at a young age due to a back injury, Doctor Sweeney has a unique perspective to gymnastic medicine. Despite retiring as an athlete she remained very involved with the sport and now serves as a practitioner to many gymnasts suffering with gymnastics related injuries and pathology.

https://journals.lww.com/acsm-csmr/fulltext/2018/11000/returning_to_sport_after_gymnastics_injuries.7.aspx?WT.mc_id=EMxALLx20100222xxFRIEND

The discussion touches on numerous gymnastics medicine topics, like mental health, diversification of skills and lessons from the recent Paris Olympics. Some of the articles referred to in the episode:

-Returning to Sports After Gymnastics Injuries

-Health outcomes among former female collegiate gymnasts: the influence of sport specialization, concussion, and disordered eating

An Olympic audience with Dr Richard Budgett. Ep #559

Fri, 06 Sep 2024 13:54:59 +0100

Dr Richard Budgett has been the Medical and Science Director of the International Olympic Committee (IOC) for the last 12 years. He talks to Dr Georgia Cahill from the Paris 2024 Olympic Games about his role and reflects on how the IOC has focussed on athlete safety and health promotion as he prepares to step down in December 2024.

Inhale, Exhale, Excel: Mastering Respiratory Illness with Dr Kyle Winik, Dr Marcel Jooste and Dr Carolette Cloete. EP#558

Fri, 02 Aug 2024 18:15:15 +0100

Respiratory health in athletes, which is the most common system affected by illness in athletes, can often be tricky to manage or approach.

This SASMA podcast delves into a very engaging and robust discussion with two very knowledgeable guests.

Dr Kyle Winik chats with Dr Marcel Jooste and Dr Carolette Cloete, who are both Sports and Exercise physicians based at SEMLI, The Sport & Exercise Medicine Lifestyle Institute, in Pretoria, South Africa, under the leadership of Prof Martin Schwellnus.

They discuss important tools or concepts to adopt in clinical practice as well as updates to current knowledge in respiratory illness in athletes.

Attached are the Current IOC Guidelines in respiratory health as well as NB tips and tricks to get familiar with.

The Throwing Injury Epidemic with Dr. Robert Bowers and Dr. Jason Zaremski EP#557

Fri, 19 Jul 2024 11:09:30 +0100

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Devin McFadden, MD, is joined by Dr. Robert Bowers, DO, PhD (X: @TheDrROBO) and Dr. Jason Zaremski, MD (X: @DrZSportsDoc) to discuss their research related to overuse throwing injuries, weighted ball throwing programs and more.

For further discussion on this topic, check out a recent AMSSM webinar facilitated by Dr. Bowers and Dr. Zaremski on The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say, featuring an international panels of experts.

Resources:

What you need to know about golf injuries. Dr Andrew Murray shares his expertise. EP#556

Fri, 12 Jul 2024 11:11:37 +0100

Golf is played by over 100 million persons globally. But what injuries do they get and how can you help treat and even avoid injuries.

Dr Corey Cunningham hosts, and is joined by Dr Andrew Murray (@docandrewmurray) to look at a recent systematic review and meta-analysis of injuries in amateur and professional golfers,

https://bjsm.bmj.com/content/58/11/606.abstract

and look back at some resources in the popular BJSM e-edition

https://bjsm.bmj.com/pages/e-edition-golfmedicine

ADHD and the athlete: superpower or disadvantage? With Dr Dusty Narducci. EP#555

Fri, 21 Jun 2024 14:11:52 +0100

In this podcast James Walsh speaks with Dr Dusty Narducci about ADHD in athletes. Dusty is one of the lead authors on the recent AMSSM ADHD position statement and is an expert in the treatment of ADHD in athletes.

They discuss the different types of ADHD, how they can manifest in athletes, treatment and the implications of stimulant medication for cardiac health and competition.

References and further reading:

https://www.docdusty.com/post/adhd-add-a-superpower-in-athletes

https://journals.lww.com/cjsportsmed/Fulltext/2023/05000/Athletes_With_Attention_Deficit_Hyperactivity.1.aspx

https://bjsm.bmj.com/content/53/12/741

Lakshaajeni Thevapalan, Martyna Stasiak, Lauren Harris, Anand S Pandit, Smart drugs among surgeons: future cause for concern?, British Journal of Surgery, Volume 110, Issue 8, August 2023, Pages 1000–1002, https://doi.org/10.1093/bjs/znad139

Cage S, Warner L, Cook A, Swindall R, Wadle C, Warner BJ. Prevalence of Self-Reported ADHD Symptoms Among Collegiate Athletes. The Internet Journal of Allied Health Sciences and Practice. 2023 Mar 20;21(2), Article 18.

Dikdan, S, Sun, M, Vyas, A. et al. MENTAL HEALTH AND THE YOUTH ATHLETE: AN ANALYSIS OF THE HEARTBYTES DATABASE. J Am Coll Cardiol. 2023 Mar, 81 (8_Supplement) 2173.

Zhang L, Yao H, Li L, et al. Risk of Cardiovascular Diseases Associated With Medications Used in Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-analysis. JAMA Netw Open. 2022;5(11):e2243597. doi:10.1001/jamanetworkopen.2022.43597

How to talk about exercise with Diabetes patients. PACC series EP#554

Fri, 07 Jun 2024 18:04:22 +0100

Physical activity and exercise is known to be beneficial for individuals with both Type 1 and Type 2 Diabetes. This podcast is another in the BJSM and PACC series which looks to help health care professionals who are looking to have more conversations with patients about physical activity in long term conditions.

Nusrat Kausar is a dietician who sits on the BDA specialist groups for Sports and Exercise Nutrition and Exercise in diabetes. She has a wealth of experience in discussion physical activity with this patient group and in providing education for others to do so. She joins Dr Dan Fitzpatrick, a Sport and Exercise Medicine Registrar, to discuss this crucial area.

The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at pacc@shu.ac.uk

Resources discussed

https://movingmedicine.ac.uk/pacc/

Type 1 -

Digibete - https://www.digibete.org/sports-page/

Team Type One Style - https://teamtypeonestyle.com/

JDRF - https://jdrf.org.uk/news-and-events/health-care-professional-events/

Diabetes UK - Type 1 events - https://www.diabetes.org.uk/how_we_help/type-1-events/healthcare-professional-volunteering

EXTOD - https://www.extod.org/

The Glucose Never Lies - https://theglucoseneverlies.com/

Diabetes Chat - https://www.diabeteschat.net/

Type 2 -

The 5s - https://www.leicesterdiabetescentre.org.uk/news-blog/ldc-highlights-five-important-health-behaviours-for-diabetes-management

Diabetes UK - https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/exercise , https://www.diabetes.org.uk/node/1155 , https://www.diabetes.org.uk/for-professionals/supporting-your-patients/information-prescriptions/information-prescriptions-qa#download

NHS exercise links - https://www.nhs.uk/conditions/nhs-fitness-studio/, https://www.nhs.uk/live-well/exercise/

Other exercise videos -https://www.youtube.com/user/LWRFitnessChannel/videos?app=desktop

General education -

Updating general diabetes knowledge - https://pro.campus.sanofi/uk/type-2-diabetes/education , https://abcd.care/ , https://www.cdep.org.uk/

DSN forum - https://www.diabetesspecialistnurseforumuk.co.uk/hcp-resources

Diabetes NNF - https://www.diabetes-nnf.co.uk/

Diabetes Professional Conference - https://www.diabetesprofessionalcare.com/

Movement for mental health with Professor Brendon Stubbs. EP#553

Mon, 03 Jun 2024 10:45:40 +0100

Mental Health problems are common and there is good evidence for physical activity as an important role to help prevent and treat mental health conditions. The BJSM has collaborated with the PACC programme to help develop this podcast and has invited Professor Brendon Stubbs, a global expert in this space. Brendon is a clinical-academic physiotherapist and has published more than 800 academic papers and has advised the WHO and the World Psychiatric Association.

“The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at pacc@shu.ac.uk

PAPERS MENTIONED

Physical activity Prevention of Mental Health Problems

Physical Activity and Incident Depression: A Meta-Analysis of Prospective Cohort Studies - PubMed (nih.gov)

Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies - PubMed (nih.gov)

Physical activity and sedentary behaviour:

The association between sedentary behaviour and indicators of stress: a systematic review - PubMed (nih.gov)

Testing the causal relationships of physical activity and sedentary behaviour with mental health and substance use disorders: a Mendelian randomisation study - PubMed (nih.gov)

Changes in sedentary time are associated with changes in mental wellbeing over 1 year in young adults - PMC (nih.gov)

Treatment of Mental Health conditions

Exercise and internet-based cognitive-behavioural therapy for depression: multicentre randomised controlled trial with 12-month follow-up - PubMed (nih.gov)

Antidepressants or running therapy: Comparing effects on mental and physical health in patients with depression and anxiety disorders - PubMed (nih.gov)

Other resources mentioned:

https://movingmedicine.ac.uk

Home - Mind

Top tips from the Oxford Textbook of Children's Sport & Exercise Medicine Journey. EP#552

Fri, 17 May 2024 14:42:49 +0100

The Oxford Textbook of Children's Sport & Exercise Medicine released it's 4th edition in 2023. Dr. Liam West reached out on behalf of the BJSM community to the two editors, Prof. Neil Armstrong and Prof. Willem Van Mechelen, to discuss the journey that led to the 4th edition and get an insight into a few of the top tips inside the book that can help improve your clinical care for this population today!

Link to book - https://global.oup.com/academic/product/oxford-textbook-of-childrens-sport-and-exercise-medicine-9780192843968?cc=au&lang=en&

Breaking the taboo of physical activity and cancer: PACC series. EP#551

Fri, 10 May 2024 14:58:06 +0100

Physiotherapist and Lead AHP Physical Activity Clinical Champion Sarah Dewhurst is joined by Dr Lucy Gossage, Clinical Oncologist and co-founder of ‘Move Against Cancer.

They discuss the importance of all healthcare professionals supporting people with cancer to be active through brief interventions in clinical settings. They summarise the evidence and share top tips to overcome some of the reported challenges which can make it difficult to bring up the topic to exercise in oncology. They also highlight some helpful resources to share with patients and promote further learning.

https://www.cancercaremap.org/

https://www.moveagainstcancer.org/5k-your-way/

https://www.canrehab.com/canrehab-trust/

https://www.macmillan.org.uk/in-your-area/choose-location.html

https://movingmedicine.ac.uk/

How to make exercise changes stick using behavioural change theory with Dr Tim Anstiss. EP#550

Tue, 16 Apr 2024 14:41:37 +0100

Behaviour change theory and Motivational Interviewing (MI) principles are often an area cited by healthcare professionals as something they would like more training on. The BJSM has collaborated with the PACC programme to develop this podcast and has invited Dr Tim Anstiss, an expert in this area, to explain some key behaviour change theory and motivational interviewing concepts in this conversation. Tim is a medical doctor specialising in behaviour change and wellbeing improvement. He trained as a trainer in motivational interviewing in the mid 90’s and has trained thousands of health and care professionals, managers and coaches in Motivational Interviewing, health coaching, brief interventions and shared decision making.

For further information on behaviour change and MI please go to the moving medicine website:

https://movingmedicine.ac.uk

A great course run by Moving Medicine that you can sign up to improve understanding in behaviour change and up skill on principles of motivational interviewing is Active Conversations.

Books mentioned:

Motivational Interviewing in Health Care, Second Edition. Helping Patients Change Behaviour

By Stephen Rollnick, William R. Miller, Christopher C. Butler

Motivational Interviewing, Fourth Edition. Helping People Change and Grow. William R. Miller & Stephen Rollnick

Tiny Habits, Big Results: Your method for success, BJ Fogg

Mental Health and Shared Decision-Making with Dr. Marcia Faustin EP# 549

Fri, 05 Apr 2024 14:05:34 +0100

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jake Wessels, MD, is joined by Dr. Marcia Faustin (X: @FaustinMarcia) to discuss her main stage presentation about Mental Health and Shared Decision-Making during the 2024 AMSSM Annual Meeting.

Dr. Faustin is an Associate Professor in the Department of Family and Community Medicine and Physical Medicine & Rehabilitation at the University of California – Davis. She is the Associate Team Physician for the UC Davis Division I Collegiate Athletics team and the co-Head Team Physician for the USA Gymnastics Women's National Team.

In this conversation, Dr. Faustin discusses aspects of her upcoming talk in Baltimore, MD, and address the following topics:

Her journey to becoming a Division I athlete and working with elite level athletes
The factors that led her to work with the US Women’s Gymnastics Team
What shaped her shared decision-making process when caring for athletes – even at the highest levels of competition
How her personal experiences impact the way she practices medicine
The importance of mental health and why it should be a priority for providers
Trends she has noticed in mental health care for athletes

In-person and virtual attendance options are still available for the conference. Register to attend the 2024 AMSSM Annual Meeting at annualmeeting.amssm.org.

The Placebo Effect and Fueling Endurance Athletes with Dr. Peter Brukner. EP#548

Fri, 15 Mar 2024 11:00:15 +0000

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Peter Brukner, MBBS, DSc (T: @DrPeterBrukner), to discuss his upcoming lectures on the placebo effect and fueling endurance athletes during the 2024 AMSSM Annual Meeting in Baltimore, MD.

In this conversation, Dr. Brukner shares some background on both of his upcoming main stage talks at the AMSSM Annual Meeting, which are titled:

Placebo Effect or Something More? How Nontangible Factors May Influence Perceived Outcomes with Injection Therapies
Fueling the Endurance Athlete

Dr. Brukner is a specialist sports and exercise physician and Professor of Sports Medicine at LaTrobe University. A former President of the Australasian College of Sports Physicians, he played a key role in establishing sports medicine as a medical specialty in Australia. He is the co-author of the widely used text book, Clinical Sports Medicine, and has been a team physician for professional football clubs as well as national athletics, swimming, soccer and cricket teams including Olympic and Commonwealth Games.

Learn more about his work and publications on his website (www.peterbrukner.com), and register to attend the 2024 AMSSM Annual Meeting in person or virtually at annualmeeting.amssm.org.

When ACL reconstruction does not help: Risk Factors associated with not achieving the Minimal Important Change & Quality of Life. EP# 547

Fri, 23 Feb 2024 13:53:51 +0000

This BJSM podcast discusses ACL reconstructions and when they may not meet the minimal important change (MIC) for the knee injury & osteoarthritis outcome score (KOOS) and quality of life (QoL).

Dr Janina Kaarre and Dr Eric Hamrin Senorski discuss their latest research of ACL reconstruction outcomes from the Swedish National Knee Ligament Registry database and explain who may not benefit from surgical ACL reconstruction intervention. Hosted by Dr Shona Kohlhardt.

Link to Paper: https://bjsm.bmj.com/content/57/9/528.abstract

Return to running post-partum – when, what, and how? Pt 2. EP# 546

Fri, 09 Feb 2024 14:31:49 +0000

In this BJSM Podcast Dr Brooke Patterson hosts Dr Shefali Christopher and Dr Rita Deering. If you are a clinician who sees women runners this podcast is for you. Get up to date with the latest clinical and research recommendations for return to running post-partum. Dr Christopher led a recent consensus which combined expert opinion of a large range of clinical and exercise professionals with the current evidence. This is part 2 of a 2-part podcast, where we discuss developing a return to run program in more detail.

Links

Consensus (Christopher) https://bjsm.bmj.com/content/early/2023/12/26/bjsports-2023-107489

Return to running (Deering) https://bjsm.bmj.com/content/early/2024/01/08/bjsports-2023-107490

Other resources:

https://bjsm.bmj.com/content/57/17/1065

https://bjsm.bmj.com/content/57/18/1164

https://bjsm.bmj.com/content/55/22/1286

https://bjsm.bmj.com/content/57/20/1285

https://www.jospt.org/doi/full/10.2519/jospt.2020.0607

https://journals.lww.com/jwphpt/fulltext/2022/04000/rehabilitation_of_the_postpartum_runner__a_4_phase.3.aspx

https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_b_.3.aspx

https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_a_.2.aspx

Return to running post-partum – when, what, and how? EP# 545

Fri, 02 Feb 2024 13:24:19 +0000

In this BJSM Podcast Dr Brooke Patterson hosts Dr Shefali Christopher and Dr Rita Deering. If you are a clinician who sees women runners this podcast is for you. Get up to date with the latest clinical and research recommendations for return to running post-partum. Dr Christopher led a recent consensus which combined expert opinion of a large range of clinical and exercise professionals with the current evidence. This is part 1 of a 2-part podcast, where we will focus on the consensus recommendations. In part 2 we will discuss developing a return to run program in more detail.

Links

Consensus (Christopher) https://bjsm.bmj.com/content/early/2023/12/26/bjsports-2023-107489

Return to running (Deering) https://bjsm.bmj.com/content/early/2024/01/08/bjsports-2023-107490

Other resources:

https://bjsm.bmj.com/content/57/17/1065

https://bjsm.bmj.com/content/57/18/1164

https://bjsm.bmj.com/content/55/22/1286

https://bjsm.bmj.com/content/57/20/1285

https://www.jospt.org/doi/full/10.2519/jospt.2020.0607

https://journals.lww.com/jwphpt/fulltext/2022/04000/rehabilitation_of_the_postpartum_runner__a_4_phase.3.aspx

https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_b_.3.aspx

https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_a_.2.aspx

Behind the scenes at BJSM - What was achieved in 2023 and a look ahead to 2024. EP# 544

Fri, 26 Jan 2024 14:35:39 +0000

Prof Jon Drezner and Dr Nonhlanhla Mkumbuzi talk to Dr. Liam West about the important backstories to the BJSM achievements in 2023 and share with the listener the aims for 2024.

Why #IOCprev2024 is such an unmissable event. EP#543

Fri, 05 Jan 2024 14:15:27 +0000

In this podcast, we are joined by Professor Roald Bahr, a Professor of Sports Medicine and the Chair of the Oslo Sports Trauma Research Center at the Norwegian School of Sports Sciences. In addition, he is chair of the IOC Medical Commission Games Group, and has been overseeing the organisation of the 7th IOC World Conference on Prevention of Injury and Illness in Sport.

To find out more about the conference, check out this link or to follow Prof Bahr directly, you can follow him on Twitter/X here

Discussing Mental Health in Athletes with 3 Experts. EP#543

Fri, 27 Oct 2023 18:14:11 +0100

On this episode of the AMSSM Sports Medcast, hosts Dr. Corinne Rivard, DO, and Dr. Taryn Ryan, MD, are joined by three experts to discuss several key factors regarding mental health in athletes.

The panel of experts includes Chelsea Morales, PsyD; Samantha Morris, PsyD; and Andrew Toce, MEd, MBA, LPC, CMPC, and in this conversation, they address the following topics and questions about athlete mental health:

Explaining some of the roles and stressors that contribute to mental health injuries in athletes
How physicians can play a role in improving an athlete’s mental health
Who should be part of the mental health team supporting athletes?
What are some go-to mental health resources that student-athletes can utilize?
Examining the link between physiological response to physical injury or illness
What language can physicians use to address trauma and underfueling in athletes?
Beneficial advice on how to navigate the complex world of social media

Additional Resources

Mental Health Issues and Psychological Factors in Athletes: Detection, Management, Effect on Performance and Prevention: AMSSM Position Statement—Executive Summary

Mental Health Best Practices from the NCAA Sport Science Institute

2023 International Olympic Committee’s (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs)

From Red Flags to Recovery: A Deep Dive into Primary, Secondary, and Tertiary Strategies for Managing REDs. EP#542

Fri, 20 Oct 2023 10:45:00 +0100

In the last of this BJSM mini-series on the REDS (relative energy deficiency in sport) consensus statement, Dr Georgia Cahill hosts Monica Torstveit, a sports scientist who specialises in REDs and Dr. Kate Ackerman, sports medicine physician and director of the Female Athlete Program in Boston, USA. They discuss their paper, soon to be published in BJSM, regarding primary, secondary and tertiary prevention strategies for identifying and treating REDs. Kate provides tips for clinicians involved in athlete care while Monica outlines screening tools to identify at-risk athletes.

You can access their paper using the link below:

https://bjsm.bmj.com/content/57/17/1119

The New REDs Clinical Assessment Tool – IOC REDs CAT2 – with Professor Margo Mountjoy and Dr Trent Stellingwerff. EP#541

Fri, 13 Oct 2023 15:24:55 +0100

Professor Margo Mountjoy and Dr Trent Stellingwerff discuss the latest clinical assessment tool for REDs. They introduce the new International Olympic Committee Relative Energy Deficiency in Sport Clinical Assessment Tool - IOC REDs CAT2 – including how and when it is best to use it. Hosted by Dr Shona Kohlhardt, this podcast is part of the BJSM REDs Podcast Series.

https://bjsm.bmj.com/content/57/17/1068

To Measure or Not to Measure – the body composition question for athletic individuals. EP#540

Fri, 06 Oct 2023 16:06:16 +0100

Prof. Sundgot-Borgen and Dr. Therese Mathisen draw on their personal and professional experiences to take the listener through the new consensus statement in body composition measurement in athletes. Packed full of clinical pearls, this podcast is part of the BJSM REDs Podcast Series.

https://bjsm.bmj.com/content/57/17/1148

https://bjsm.bmj.com/content/57/17/1073

Updates in Relative Energy Deficiency in Sport (REDs) and how they can improve the care you provide to your patients – an overview with Professor Margo Mountjoy. EP#539

Fri, 29 Sep 2023 13:36:03 +0100

Relative Energy Deficiency in Sport (REDs) can cause various health and performance consequences for physically active individuals. BJSM’s Dr Liam West poses the questions to our topic expert Prof Margo Mountjoy to give you the overview of the changes to the recent IOC REDs Consensus Statement Papers. Margo has a wealth of knowledge in the area both in a clinical and research capacity so is perfectly placed to help guide you through the top take home points and how to improve the care you offer your patients!

https://bjsm.bmj.com/content/57/17/1073

Mononucleosis and Athletic Participation. EP#538

Fri, 11 Aug 2023 10:49:08 +0100

In this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Margot Putukian, MD (T: @MPutukian), and Dr. Siobhan Statuta, MD, to discuss the AMSSM Position Statement on Mononucleosis and Athletic Participation, which was published earlier this year.

This position statement updates the Evidence-Based Subject Review on Mononucleosis by the American Medical Society for Sports Medicine published in 2008 and reviews the epidemiology, clinical manifestations, laboratory assessment, and management including RTS for the athlete with IM. It also addresses complications, imaging, special considerations, diversity and equity considerations, and areas for future clinical research.

A Past President of AMSSM and the CMO of Major League Soccer, Dr. Putukian served as the co-lead author, and Dr. Statuta, sports medicine physician and team physician at the University of Virginia, was a co-author on the statement.

Additional Resources:

American Medical Society of Sports Medicine Position Statement: Mononucleosis and Athletic Participation https://journals.lww.com/cjsportsmed/Fulltext/2023/07000/American_Medical_Society_of_Sports_Medicine.1.aspx

Diving into the Healing Waters: Swimming as medicine with Dr Hussain Al-Zubaidi. EP #537

Fri, 28 Jul 2023 15:28:37 +0100

This BJSM podcast dives into the launch of 'Swimming as Medicine' with Dr Hussain Al-Zubaidi (GP, RCGP Lifestyle & Physical Activity Lead and Clinical Advisor for Swim England) and BJSM's host Dr Shona Kohlhardt.

This podcast explores the benefits and practicalities of the 'Swimming as Medicine' campaign and both how patients and clinical practitioners can benefit and get involved.

The following links are mentioned within the podcast:

https://www.swimming.org/swimengland/health-fact-sheets-relaunched/

https://www.swimming.org/poolfinder/

Coming in September 2023: The NHS England eLearning on Aquatic Activity and Swimming for Health - and burning questions can be sent to health@swimming.org

Athletes with Attention-Deficit/Hyperactivity Disorder with Dr. Dusty Narducci. EP#536

Fri, 21 Jul 2023 13:23:36 +0100

In this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, (T: @thejschro) is joined by Dr. Dusty Narducci (T: @NarducciDusty) to discuss the updated AMSSM Position Statement regarding Athletes With Attention-Deficit/Hyperactivity Disorder.

Dr. Narducci served as a co-author on the position statement, and in this conversation, she addresses the following topics:

Why the position statement, which was originally published in 2011, was updated
The recommended approach for diagnosis and management of athletes with ADHD
Identifying the most common doppelgangers for ADHD and how to diagnose them
Some of the key points related to the new diversity, equity, and inclusivity section
Pharmacotherapy and the various medical treatment options for athletes with ADHD
The role of exercise in the treatment of ADHD
The relationship between ADHD and concussions
Regulatory issues

Resources:

Athletes With Attention-Deficit/Hyperactivity Disorder: Position Statement of the American Medical Society for Sports Medicine

Attention Deficit and Hyperactivity Disorder in Athletes: More Than Self-Rating Scales and Stimulants – Key Messages from the American Medical Society for Sports Medicine Position Statement

Later-in-life health risks associated with sport-related concussion and repetitive head impacts - Prof Grant Iverson and Prof Bob Cantu. EP#535

Fri, 07 Jul 2023 13:52:08 +0100

This podcast is a part of a BJSM mini-series on concussion in sport following the release of the 6th International Consensus Statement. In this episode Brooke Patterson hosts Prof Grant Iverson and Prof Bob Cantu to discuss the systematic review which evaluated the later-in-life health risks associated with participation in collision sports, repeated head impacts and concussion. The podcast will help clinicians have evidence-informed conversations about the risks with athletes, coaches, parents, sporting, and community organisations.

https://bjsm.bmj.com/content/57/12/810

https://bjsm.bmj.com/content/57/12/822

No more cocooning! Return to school and sport after sports-related concussion EP#534

Fri, 30 Jun 2023 10:16:54 +0100

This podcast Brooke Patterson hosts Prof John Leddy and Dr Margot Putukian, as a part of a BJSM mini-series on concussion, following the release of the 6th international consensus statement. They discuss the latest evidence on risks and benefits of physical activity, rest, cognitive activity, and sleep after sports related concussion. It will help clinicians guide athletes to return to exercise, school, and sport following concussion.

Links to reviews

Rest and exercise https://bjsm.bmj.com/content/bjsports/57/12/762.full.pdf

Targeted interventions and their effect on recovery https://bjsm.bmj.com/content/57/12/771

Persisting symptoms and defining recovery https://bjsm.bmj.com/content/57/12/780

Defining recovery & role of technology https://bjsm.bmj.com/content/57/12/789

Clinical recovery from concussion: Return to school and sport https://bjsm.bmj.com/content/57/12/798

Social media posts

Tag: John Leddy and Margot Putukian, Jon Patricios, Kathryn Schneider

When can I exercise? Return to sport? Go back to school? How much rest? How can I progress physical activity? All the latest on the risks and benefits of physical activity, rest, cognitive activity, and sleep after sports related concussion.

The journey from SCAT5 to SCAT6 and beyond - what is new in sports related concussion assessment? #EP 533

Fri, 23 Jun 2023 09:32:54 +0100

BJSM's Dr. Liam West talks to internationally renowned Sports Neuropsychologist Dr. Ruben Echemendia about the new concussion assessment tool - the SCAT6 and SCOAT6. They discuss areas that were highlighted as requiring improvement from the implementation of the SCAT5, how these were addressed and how best to use the SCAT6. The differences between the SCAT6 and SCOAT6 are discussed as well as top tips for those looking to diagnose and manage concussions.

SCAT6 Paper: https://bjsm.bmj.com/content/57/11/722

It’s BJSM Concussion in Sport Month! Highlights from the 6th International Consensus on Concussion in Sport — Kathryn Schneider and Jon Patricios. EP#532

Thu, 15 Jun 2023 00:01:00 +0100

In this BJSM Podcast, Brooke Patterson hosts Kathryn Schneider and Jon Patricios. This your one-stop-shop for the updates from the 6th International Concussion in Sport Consensus Statement. They summarise findings from 10 systematic reviews and five years of work on topics related to concussion prevention, assessment, management, return to learn and sport, later in life health risks, and retirement decisions. The rigour of the consensus process is very clear—with careful consideration of all stakeholders, medical ethics, all age groups and sports (including para-sport).

https://bjsm.bmj.com/content/57/11/695

https://bjsm.bmj.com/content/57/11/712

https://bjsm.bmj.com/content/57/11/617

https://bjsm.bmj.com/content/57/11/722

https://bjsm.bmj.com/content/57/11/737

https://bjsm.bmj.com/content/57/12/762

https://bjsm.bmj.com/content/57/12/771

https://bjsm.bmj.com/content/57/12/780

https://bjsm.bmj.com/content/57/12/789

https://bjsm.bmj.com/content/57/12/798

https://bjsm.bmj.com/content/57/12/810

https://bjsm.bmj.com/content/57/12/822

https://bjsm.bmj.com/content/57/12/749

Quantity AND Quality Is Key For People With Knee OA – Dr Kerry Costello And Dr Deepak Kumar. EP#531

Fri, 26 May 2023 11:52:40 +0100

Dr Kerry Costello and Dr Deepak Kumar discuss a BSJM paper that investigated gait and physical activity predictors of cartilage worsening in people with knee osteoarthritis from the MOST study, using a machine learning model. Kerry and Deepak do a brilliant job of explaining the biomechanical variables, and the advantages of machine learning, and what these findings might mean for clinicians treating people with knee osteoarthritis.

Link to paper: bjsm.bmj.com/content/early/2023…sports-2022-106142
Connect with Kerry: mae.ufl.edu/people/faculty/prim…les/kerry-costello/

Using Nutrition to Optimize Performance with Dr. Stacy Sims. EP#530

Fri, 28 Apr 2023 14:11:00 +0100

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Stacy Sims, MSc, PhD (Insta: @drstacysims), to discuss her upcoming lectures on how nutrition affects performance during the 2023 AMSSM Annual Meeting. Dr. Sims is an international exercise physiologist and nutrition scientist. She has directed research programs at Stanford, AUT University, and the University of Waikato, focusing on female athlete health and performance and pushed to improve research on all women. Her contributions to the international research environment and the sports nutrition industry has established a new niche in sports nutrition; and established her reputation as the expert in sex differences in training, nutrition and health. Dr. Sims has published over 70 peer-reviewed papers and several books. In this conversation, Dr. Sims addresses the following topics: * How her athletic background impacted her journey into the field of nutrition and performance * Sharing a starting point for medical professionals to think about optimizing nutrition for athletes * Ways to encourage athletes to be aware of their nutrition and how to effectively structure training sessions and nutritional plans * Her standard approach on supplementation and why less can often be more

Learn more about her work and publications on her website (drstacysims.com), and register to attend the 2023 AMSSM Annual Meeting in-person or virtually at annualmeeting.amssm.org.

Examining Health Disparities in SEM with Drs. Megan Burleson and Katie Rizzone. EP#529

Fri, 21 Apr 2023 14:02:00 +0100

On this episode of the AMSSM Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Katie Rizzone, MD, MPH, and Dr. Megan Burleson, DO, to discuss the upcoming 2023 Collaborative Research Network (CRN) Research Summit on Justice, Equity and Inclusion. Dr. Burleson and Dr. Rizzone are members of Summit Planning Committee for the one-day conference, which takes place Friday, April 28, in Phoenix, AZ. This conference, will emphasize specific areas within sports and exercise medicine where health disparities have been previously identified or where they need to be further investigated. It will also highlight best practices for conducting meaningful research in the field of sports and exercise medicine through an equity lens. In this conversation, they address the following topics and questions: * Origin and mission of the Collaborative Research Network * The primary aims of the 2023 CRN Research Summit * The current lack of available research regarding health disparities and how this conference seeks to explore those topics * Some of the potential outcomes and future research directions of the Summit, and why they will be based on the conversations that happen during the conference * The inclusive nature and applicability of the Research Summit, especially for clinicians who are not heavily involved in research * Some of the biggest surprises the organizers have experienced while preparing for the Research Summit and the biggest highlights to look forward to

In-person and virtual attendance options are still available for the summit. Find complete details about the Research Summit and register here: https://annualmeeting.amssm.org/researchsummit.php

Carrot or Stick? Driving change to create safe sport spaces with Dr Erik Denison and Neil Hay EP#528

Fri, 14 Apr 2023 16:53:00 +0100

In this podcast, Brooke Patterson hosts Dr Erik Denison (PhD, Research Fellow Monash University) and Neil Hay (Rugby Victoria President) about a trial published in the BJSM which tested the effectiveness of an education program delivered by professional rugby players designed to stop homophobic language. They discuss openly and honestly the challenges in changing behaviour in community sport. It is not too often we get to chat to sports administrators more broadly about what is needed to drive change – whether it be related to health, safety, inclusion, or diversity. Should we be using the carrot or stick? What other strategies might work? What is your role as a clinician in creating a safe environment? https://bjsm.bmj.com/content/early/2023/02/09/bjsports-2022-105916

https://bjsm.bmj.com/content/early/2023/02/07/bjsports-2022-105917

BJSM Real World Injury Prevention In Amateur Soccer With Hanna Lindblom. EP#527

Fri, 10 Mar 2023 12:31:00 +0000

In this BJSM Podcast, we host Associate Professor Hanna Lindblom, who is a physiotherapist, researcher, and lecturer at Linkoping University in Sweden. We discuss Hanna’s paper, which evaluated the preventive efficacy of an extended version of the Knee Control injury prevention exercise program compared with an adductor strength program in amateur adolescent and adult male and female football (soccer) players. Coaches and player representatives received a printed and digital program material, and a practical workshop to show them how to use the programs. The novelty of this trial is they also compared the extended Knee Control to a second comparison group; where the teams were where the teams already used a self-selected program and did not receive workshop or program material. Many of these comparison teams (50%) said they were self-using the old Knee Control program, providing a “real world” comparison and proven benefits of the Extended Knee Control program. Hanna has hands-on experience designing and delivering injury prevention in a range of sports and has some great advice for clinicians looking to implement Knee Control and similar programs in amateur sports settings.

Paper link: https://bjsm.bmj.com/content/57/2/83.abstract

Potential Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear. EP# 526

Fri, 03 Mar 2023 09:53:00 +0000

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Devin McFadden, MD (T: @ArmySportsDoc), is joined by Dr. Adam Tenforde, MD (T: @AdamTenfordeMD), to discuss the a recently published manuscript titled “Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear.” In this conversation, Dr. Tenforde addresses the following topics related to the article: ●Explanation of the use of Carbon Fiber Plate (CFP) technology in footwear and why it’s become so popular ●Addressing the rapid changes and progression of record-breaking performance in the running community as a result of this footwear ●Discussing his article featuring a case series of navicular bone stress injuries in runners using CFP footwear ●Providing some general recommendations for safely using CFP footwear, as well as raising awareness on the possible health concerns of this new technology Additional Resources: Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear https://link.springer.com/article/10.1007/s40279-023-01818-z Return to Sport Following Low-Risk and High-Risk Bone Stress Injuries: A Systematic Review and Meta-Analysis

https://bjsm.bmj.com/content/early/2023/01/24/bjsports-2022-106328

BJSM Concussion through my eyes, Dr Richard Weiler on blind football and concussion. ep #525

Mon, 20 Feb 2023 16:34:00 +0000

BJSM’s Liam West talks to Dr. Richard Weiler about concussion in Para Sport. Dr. Weiler and colleagues have investigated concussion experiences of blind male footballers turning up some very interesting results. To ensure that these findings are accessible to visually impaired individuals, they have gone down the novel route of creating an audio file of the entire paper – the link for this can be found below. Links - "Concussion through my eyes" audio paper https://on.soundcloud.com/XQb2T Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group - https://bjsm.bmj.com/content/55/21/1187

https://bjsm.bmj.com/content/early/2023/02/14/bjsports-2022-106256

Let’s Get Physical Activity Messaging Right With Dr Chloë Williamson EP# 524

Fri, 10 Feb 2023 14:59:00 +0000

In this podcast, we host Dr Chloë Williamson (Twitter @Chlobobs). Chloë is a Postdoctoral Fellow in Physical Activity for Health based in the Physical Activity for Health Research Centre at the University of Edinburgh. Her research (including PhD) over the past 4 years or so has focused on physical activity communication and messaging. We all know that physical activity is important but it is equally important to consider how PA messaging is delivered. Chloë provides a great overview on the findings of her research to date and her work on the development of a translational tool to bring PA messaging research into practice. In this podcast, we discuss on: The framework of PA messaging and how to use it Key points to focus on and consider when delivering PA messages How we can use the framework findings to engage different partners and organisations How we can make PA attractive to our target audience Get the Message? A scoping review of physical activity messaging. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-00954-3 A modified Delphi study to enhance and gain international consensus on the Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01182-z Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01230-8 How can we better promote physical activity to the public through messaging? https://blogs.bmj.com/bjsm/2020/11/10/how-can-we-better-promote-physical-activity-to-the-public-through-messaging/

Infographic: Walking on sunshine: scoping review of the evidence for walking and mental health: https://bjsm.bmj.com/content/53/14/903

Exercise Physiology with Polly de Mille. EP #523

Fri, 27 Jan 2023 17:06:00 +0000

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Polly de Mille, RN, MA, RCEP, CSCS, USAT, to discuss the topic of Exercise Physiology and how it can help figure out the missing links in training programs. Polly de Mille is an exercise physiologist and the Director of Performance Services at Hospital for Special Surgery in New York. She will provide the American College of Sports Medicine (T: @ACSMNews) Exchange Lecture titled, “Inside the Running Lab:How to Evaluate Optimal Run Mechanics and Physiology” during the 2023 AMSSM Annual Meeting in Phoenix, AZ. In this 20-minute conversation, she addresses the following topics: ·Sharing more information about her work as a certified exercise physiologist at HSS ·How she and her team can help identify the causes of injuries and help athletes stay healthy in order to reach their goals ·How her background as a critical care nurse and an avid marathoner led her into the field of exercise physiology ·The ways she and her colleagues can help improve runner’s outcomes and how many different disciplines come together to play important roles to make that happen ·The different types of tests used by exercise physiologists and how they use that information to improve performance ·The possibilities of using nutrition to enhance physiologic training sessions

HSS Sports Rehabilitation and Performance Center: https://www.hss.edu/sports-rehabilitation-and-performance-center.asp

ACL MYTH BUSTING Part 2 with Prof Jackie Whittaker and Dr Stephanie Filbay. EP #522

Fri, 13 Jan 2023 15:09:00 +0000

In this podcast, Dr Brooke Patterson hosts ACL injury and post-traumatic osteoarthritis leading experts Ass. Prof Jackie Whittaker and Dr Stephanie Filbay in part 2 of an ACL myth busting series. Jackie and Steph provide tips about how you can integrate new evidence into daily practice that may challenge existing beliefs and practices. In today’s episode you will find out if the following statements are TRUE or FALSE…. • ACL tears can heal • ACL tears only heal if patients are braced immediately • Open chain knee extension exercises are safe to perform in the first 4 weeks after ACLR • Returning to high impact sports increases the risk of PTOA after ACL injury • Having an early ACL reconstruction will reduce the risk of future structural OA Whittaker et al 2022 OPTIKNEE consensus statement https://www.ncbi.nlm.nih.gov/pubmed/36379676 Whittaker et al 2022 OPTIKNEE review of risk factors http://bjsm.bmj.com/content/early/2022/10/05/bjsports-2022-105496.abstract Filbay et al 2022 ACL healing paper http://dx.doi.org/10.1136/bjsports-2022-105473

OPTIKNEE website OPTIKNEE bit.ly https://bit.ly/OPTIKNEE

ACL MYTH BUSTING Part 1 with Prof Jackie Whittaker and Dr Stephanie Filbay EP# 521

Fri, 06 Jan 2023 13:21:00 +0000

In this podcast, Dr Brooke Patterson hosts ACL injury and post-traumatic osteoarthritis leading experts Ass. Prof Jackie Whittaker and Dr Stephanie Filbay in part 1 of an ACL myth busting series. In today’s episode you will find out if the following statements are TRUE or FALSE…. ●ACL reconstruction reduces the risk of osteoarthritis compared to non-surgical management ●Only patella tendon grafts get patellofemoral osteoarthritis after ACL reconstruction ●Non-surgical management of an ACL injury increases the risk of future meniscal tears ●Meniscal lesions at the time of ACL injury/surgery increases the risk osteoarthritis after ACL injury ●Higher BMI increases the risk of osteoarthritis after ACL injury ●People can return to sport without having an ACL reconstruction for their ACL tear ●Increased laxity increases the risk of osteoarthritis after ACL injury/surgery Whittaker et al 2022 OPTIKNEE consensus statement https://www.ncbi.nlm.nih.gov/pubmed/36379676 Whittaker et al 2022 OPTIKNEE review of risk factors http://bjsm.bmj.com/content/early/2022/10/05/bjsports-2022-105496.abstract

OPTIKNEE website OPTIKNEE bit.ly https://bit.ly/OPTIKNEE

Don’t forget the long game after knee injury – OPTIKNEE consensus with Jackie Whittaker EP #520

Fri, 09 Dec 2022 15:47:00 +0000

In this BJSM podcast Jackie Whittaker discusses the OPTIKNEE consensus clinical and research recommendations. Jackie is an Associate Professor in the Department of Physical Therapy, at the University of British Columbia. The OPTIKNEE initiative aims to shine the light on post-traumatic osteoarthritis after traumatic knee injury – who is most at risk, what should we be measuring and how, and what interventions should we be using? Jackie encourages clinicians to think about knee and overall health beyond the short-game of injury rehab and return to sport. There are some great tips on how you can set up patients at risk of post-traumatic osteoarthritis with the knowledge, skills, and motivation to self-manage in the long-term. OPTIKNEE Consensus Statement https://www.ncbi.nlm.nih.gov/pubmed/36379676

OPTIKNEE website and links to systematic reviews: bit.ly/OPTIKNEE

Exercise Medicine and Physical Activity Promotion with Dr. Irfan Asif EP# 519

Fri, 11 Nov 2022 14:07:00 +0000

Exercise Medicine and Physical Activity Promotion with Dr. Irfan Asif EP# 519 On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Irfan Asif, MD, to discuss the topic of Exercise Medicine and Physical Activity Promotion. Dr. Asif, who is the Chair of the AMSSM Collaborative Research Network, helped lead the 2021 Research Summit, which produced several publications and educational resources related to Exercise Medicine and Physical Activity Promotion. In this conversation, he addresses the following topics and questions: •A refresher on the 2021 Research Summit and the significant outcomes from that event •How the Exercise Medicine and Physical Activity Promotion Core Curricula originated •More details about the interactive and freely available Exercise Medicine & Physical Activity Promotion Modules •How can physicians and other medical faculty integrate these resources into their clinical practices? •Providing information about the upcoming 2023 Research Summit on Justice, Equity and Inclusion, which takes place in April 2023 •Future publications, deliverables and other opportunities stemming from the 2021 Research Summit Additional Resources Exercise Medicine & Physical Activity Promotion Modules tinyurl.com/exercisemodules

Exercise Medicine and Physical Activity Promotion: Core Curricula for US Medical Schools, Residencies and Sports Medicine Fellowships https://bjsm.bmj.com/content/bjsports/56/7/369.full.pdf

Running repairs with James Alexander, get up to speed with the latest research. EP#518

Fri, 21 Oct 2022 12:53:00 +0100

BJSM’s Dr. Liam West talks to James Alexander about running related knee injuries and what options the current published literature support for managing & preventing these injuries. James & his colleagues have just published a systematic review in the area, and he gives the clinical relevance of his findings within the podcast. You can access their paper using the link below, in addition to other related content. Review. Strategies to prevent and manage running-related knee injuries: a systematic review of randomised controlled trials: https://bjsm.bmj.com/content/early/2022/09/23/bjsports-2022-105553.abstract Infographic. Running Myth: recreational running causes knee osteoarthritis:https://bjsm.bmj.com/content/56/6/357 Infographic. Running myth: switching to a non-rearfoot strike reduces injury risk and improves running economy:https://bjsm.bmj.com/content/55/3/175 Infographic running myth: static stretching reduces injury risk in runners:https://bjsm.bmj.com/content/54/17/1058

Infographic. Running myth: strength training should be high repetition low load to improve running performance:https://bjsm.bmj.com/content/54/13/813

Less Pain. Better performance using contemporary science to improve both in all athletes EP#517

Fri, 14 Oct 2022 14:23:00 +0100

In this BJSM podcast Brooke Patterson hosts Prof Lorimer Moseley AO and Dr Ebonie Rio, physiotherapists and international leaders in pain science. This is a fascinating discussion about how we increase our ability as clinicians and to “own the modern science” and explain pain to patients. We discuss the “warm-up phenomena” with painful tendons, the competing demands of self-protection and performance, and how we can help change the internal conversations that patients have about their pain.

Extracorporeal Shockwave Therapy in MSK Medicine with Dr. Adam Tenforde EP #516

Fri, 30 Sep 2022 12:18:00 +0100

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Dr. Adam Tenforde, MD to discuss the topic of Exercise for Extracorporeal Shockwave Therapy (ESWT) in Musculoskeletal Medicine. Dr. Tenforde recently published a research about best practices for ESWT, which is used in a variety of clinical applications including the management of musculoskeletal conditions. In this conversation, he addresses the following topics and questions about shockwave therapy: · What is ESWT? · The origins of shockwave therapy use and some of its additional applications · Describing the process of shockwave therapy and its effects · Some of the factors to consider when performing ESWT, especially to clinicians who have never used this treatment option before · Understanding the different types of shockwave therapy and how they can be used to treat injuries · What types of providers can administer ESWT, and what are the recommended treatment protocols for medical teams? · What is the reimbursement status of shockwave therapy for providers? · What are some of the medical conditions that are best treated by ESWT, in both the lower and upper extremities? Additional Resources Best practices for extracorporeal shockwave therapy in musculoskeletal medicine: Clinical application and training consideration. PM&R 2022 May;14(5):611-619. doi: 10.1002/pmrj.12790. https://doi.org/10.1002/pmrj.12790 Bone stress injuries. Nat Rev Dis Primers. 2022 Apr 28;8(1):26. doi: 10.1038/s41572-022-00352-y. PMID: 3548413

A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel). 2021 Nov 24;11(12):1287. doi: 10.3390/life11121287.

Tackling the big issues and training smarter in female collision sports with Kathryn Dane. EP#515

Fri, 16 Sep 2022 11:58:00 +0100

Kathryn Dane is a physiotherapist and is a professional Irish rugby union player, and PhD candidate at Trinity College Dublin. We discuss her first PhD publication on the physical, technical, tactical demands and preparatory strategies in female field collision sports. Kathryn draws on her experience as an athlete, clinician, and researcher, and what practitioners should consider when designing training programs for female field collision sports.

Physical and Technical Demands and Preparatory Strategies in Female Field Collision Sports: A Scoping Review: https://pubmed.ncbi.nlm.nih.gov/35767989/

Hip joint imaging findings in football players and their relevance in injury management EP#514

Fri, 02 Sep 2022 11:34:00 +0100

Dr. Joshua Heerey chats on this podcast to BJSM’s Dr. Liam West about hip joint imaging. Josh gives us a sneak peek into the findings from the “Femoroacetabular impingement & hip OsteoathRitis Cohort (FORCe) study & how they may help clinicians manage their patients with hip and groin pain. The podcast is heavily based around clinical scenarios that are commonly faced in the clinic or sports team settings. Dr Heerey is a physiotherapist and Hip Osteoarthritis Research and Development Lead at La Trobe University’s Sport and Exercise Medicine Research Centre in Melbourne, Australia. Dr Heerey obtained his PhD in 2021, with his research programme focusing on understanding the relationship between hip joint imaging findings and pain, and risk factors for development of early hip osteoarthritis in football players. He has published numerous articles examining the diagnosis and treatment of intra-articular hip conditions and is a current member of the International Hip-Related Pain Research Network and Young Athlete’s Hip Research Collaboration, which are multi-disciplinary international research teams created to improve the care of people living with hip and groin conditions. Dr Heerey works clinically at Lifecare Prahran Sports Medicine Clinic. He has a particular interest in the management of longstanding hip and groin conditions Relevant links: - Heerey et al. What is the prevalence of imaging-defined intra-articular hip pathologies in people with and without pain? A systematic review and meta-analysis. Br J Sports Med. 2018;52(9):581-93. http://dx.doi.org/10.1136/bjsports-2017-098264 - Heerey et al. What is the prevalence of hip intra-articular pathologies and osteoarthritis in active athletes with hip and groin pain compared with those without? A systematic review and meta-analysis. Sports Med. 2019;49:951-972. https://doi.org/10.1007/s40279-019-01092-y - Heerey et al. Prevalence of early hip OA features in high- impact athletes. The femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study. Osteoarthritis Cartilage. 2021; 29(3): 323-334. https://doi.org/10.1016/j.joca.2020.12.013 - Heerey et al. The size and prevalence of bony hip morphology do not differ between football players with and without hip and/or groin pain: Findings from the FORCe cohort. J Orthop Sports Phys Ther. 2021; 51(3): 115-125. https://www.jospt.org/doi/10.2519/jospt.2021.9622

- Heerey et al. Cam morphology is associated with MRI-defined cartilage defects and labral tears: a case–control study of 237 young adult football players with and without hip and groin pain. BMJ Open Sport & Exercise Medicine 2021;7:e001199. http://dx.doi.org/10.1136/bmjsem-2021-001199

Publication to the pitch – we all have a role. Professor Benita Olivier. EP# 513

Fri, 12 Aug 2022 11:37:00 +0100

In this podcast we host Professor Benita Olivier (Twitter @BenitaOlivier). Benita is a lecturer in musculoskeletal physiotherapy at the University of the Witwatersrand and is the Director of the Wits Cricket Research Hub. Benita provides great practical tips for clinicians and researchers to create time and increase access to evidence-based information to bridge the gap between publication and the pitch. We also discuss some of the emerging research in African athletes, and what we can learn from Kenyan endurance runners. Wits Cricket Research Hub https://www.youtube.com/channel/UCIenu_8XdRB7ttG3lGMLcMw Facebook: @witscricketresearchhub https://www.facebook.com/witscricketresearchhub Instagram: @witscricketresearchhub https://www.instagram.com/witscricketresearchhub/ Twitter: @WitsCricketRH https://twitter.com/WitsCricketRH LinkedIn: WITS Cricket Research Hub https://www.linkedin.com/company/wits-cricket-research-hub/ Knowledge and adherence towards evidence-based sports Physiotherapy standards among physiotherapists in Kenya https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2020.171 A prevalence of running-related injuries among professional endurance runners in the Rift Valley, Kenya https://journals.assaf.org.za/index.php/sajsm/article/view/10690

Musculoskeletal predictors of non-contact injury in cricketers e Few and far between? A longitudinal cohort study https://linkinghub.elsevier.com/retrieve/pii/S1466853X1830021X

Exercise for Post-Menopausal Women with Dr. NiCole Keith. EP#512

Fri, 05 Aug 2022 10:16:00 +0100

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by sports medicine researcher and past president of the American College of Sports Medicine, Dr. NiCole Keith, PhD to discuss the topic of Exercise for Post-Menopausal Women. Dr. NiCole Keith (T: @nicolekeithphd) is a Professor from the Department of Kinesiology and associate dean of faculty affairs in the School of Health & Human Sciences at Indiana University-Purdue University Indianapolis. Her research interests include physical activity and health equity. In addition to serving as the current president of the ACSM she has previously served as the vice president of membership, communication, and policy and serves on both the Exercise is Medicine and American Fitness Index advisory boards. In this 20 -minute conversation Dr. Keith addresses the following topics: · Discussing the different stages of menopause and the importance of physical activity during these stages · Creating effective exercise prescriptions, including the best physical activity recommendations and strategies · The best types of exercises for post-menopausal women and several alternatives, based on potential health and risk factors

· Addressing health disparities between genders and communities, and making sure individuals can safely engage in physical activity

AIS Female Performance & Health Initiative with Dr. Rachel Harris EP#511

Fri, 22 Jul 2022 10:24:00 +0100

The Women in Sport Congress, happening in Melbourne 17-19 August 2022, is looking to start conversations on how we can optimise women’s performance programmes and overall health within a sporting context. Dr. Rachel Harris is a Sport & Exercise Medicine Physician based in Perth, Australia, who is the project lead for the AIS Female Performance & Health Imitative (FPHI) and is co-organising the Women in Sport Congress. During the podcast she discusses strategies we need to employ to keep women and girls engaged in physical activity with some bonus content on tips to get involved in Para-Sport! Links https://www.ais.gov.au/fphi

https://womeninsportcongress.org.au/

Applying Sport Psychology to Improve Clinical Performance with Dr Helen Church. EP #510

Fri, 01 Jul 2022 10:48:00 +0100

This BJSM podcast discusses how health care professionals can learn from the sports psychology world. Noting the similarities between athletes and health care professionals Dr Helen Church has put together a new PERFORM (Performance Enhancing Routine for Optimisation of Readiness using Metacognition) framework, using Performance Enhancing Routines to improve clinical performance. She provides practical advice on how you and your practise can benefit from simple sport psychology measures giving some fantastic examples for inspiration. Dr Helen Church is a GP trainee and academic clinical lecturer at the University of Nottingham, working as a clinical assistant professor in medical education. This podcast is hosted by Dr Shona Kohlhardt. Links to useful papers further discussing sports psychology in clinical performance: 1. Using Insights From Sports Psychology to Improve Recently Qualified Doctors’ Self-Efficacy While Managing Acutely Unwell Patients (Church et al., 2021) https://journals.lww.com/academicmedicine/Fulltext/2021/05000/Using_Insights_From_Sports_Psychology_to_Improve.41.aspx 2. Applying sport psychology in health professions education: A systematic review of performance mental skills training (Sandars et al., 2021) https://www.tandfonline.com/doi/full/10.1080/0142159X.2021.196643 3. Applying sport psychology to improve clinical performance (Church et al., 2017) https://www.tandfonline.com/doi/full/10.1080/0142159X.2017.135953 4. What can medical educators learn from the Rio 2016 Olympic Games? (Church et al., 2017)

https://www.tandfonline.com/doi/full/10.1080/0142159X.2016.127040

Is telehealth here to stay? Dr Allison Ezzat on patient and clinician pandemic experiences. EP #509

Fri, 24 Jun 2022 09:50:00 +0100

One of the silver linings of COVID-19 pandemic is the increased adoption of telehealth in allied health and sports medicine services for people with musculoskeletal conditions. In this podcast we talk to Dr Allison Ezzat about the experiences and attitudes of patients and clinicians in using telehealth. Allison has led the creation of a telehealth toolkit for patients and clinicians and discusses the future of telehealth. Allison is a Canadian physiotherapist, and a current post-doctoral research fellow at La Trobe University, Australia. “It's second best”: A mixed-methods evaluation of the experiences and attitudes of people with musculoskeletal pain towards physiotherapist delivered telehealth during COVID-19 pandemic - https://www.sciencedirect.com/science/article/pii/S2468781221001843?via%3Dihub Canadian Physiotherapists Integrate Virtual Care during the COVID-19 Pandemic https://utpjournals.press/doi/10.3138/ptc-2022-0092 “Much better than I thought it was going to be - telehealth delivered group-based education and exercise was perceived as acceptable among people with knee osteoarthritis” https://www.sciencedirect.com/science/article/pii/S2665913122000395

Telehealth toolkit for clinicians: https://telehealth.trekeducation.org/

Brain Health – a key concept for all working in sport. EP# 508

Fri, 17 Jun 2022 10:19:00 +0100

In this podcast, we are joined by Dr James Robson and Professor Craig Ritchie to discuss all things ‘brain health’. We discuss what is meant by this term, why it is important, and what some of the steps people can take to optimise their brain health. Related resources: Lancet Commission https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext

Sport and Exercise for Brain Health MOOC https://www.futurelearn.com/admin/courses/sport-and-exercise-for-brain-health/1

Assess, ask, reassure, and refer! Cancer exercise toolkit and tips with Dr Amy Dennett. EP #507

Thu, 26 May 2022 14:34:00 +0100

In this BJSM Podcast Dr Amy Dennett is hosted by Dr Brooke Patterson. Historically people with cancer have been told to rest, and patients and practitioners are often hesitant to get started with physical activity. Amy provides some great practical tips and resources - to support people with cancer exercise safely, safety and precautions, and tips for healthcare services and providers who want to get started with cancer exercise groups. Amy provides a huge array of resources available for healthcare services and clinicians. Cancer exercise toolkit: https://cancerexercisetoolkit.trekeducation.org/ Cancer exercise toolkit paper: https://cancer.jmir.org/2022/2/e34903/authors Treatment protocols https://www.eviq.org.au/ International registry and handouts on exercise and cancer https://www.exerciseismedicine.org/eim-in-action/moving-through-cancer/

Patient and clinician resources https://www.petermac.org/cancersurvivorship

The latest trends in doping science and testing with Dr Matt Fedoruk. Ep #506

Fri, 13 May 2022 10:49:00 +0100

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Krystian Bigosinski, is joined by Dr. Matt Fedoruk, PhD, who works as the Chief Science Officer leading the Science & Research team at the U.S. Anti-Doping Agency (@usantidoping). Dr. Fedoruk served as a Featured National Speaker in the Doping in Sport session during the 2022 AMSSM Annual Meeting. In this conversation, he discusses some of the latest trends in doping science and testing and address the following topics: · His experience as a USADA Officer during the 2022 Olympic and Paralympics Games in China, and the new testing measures that were recently put in place. · How does WADA’s Athlete Biological Passport work, and what has its impact been on anti-doping? · How does he view orthobiologic treatments, such as PRP and stem cell therapies, through the lens of anti-doping? · Are gene doping technologies realistic from a physiological standpoint, or it is still the stuff of science fiction? · How does USADA balance respect for athlete autonomy and privacy, while also performing meaningful doping control? · How should sports medicine providers proceed when encountering athletes who might be coerced into doping programs? · How should physicians approach care of recreational athletes when it comes to the risks and benefits of substances that may be performance-enhancers, such as testosterone?

· How does he approach being a fan of sport while working at USADA, where he often sees the best of worst of sport?

Menopause therapy and greater trochanteric pain syndrome with Racheal Cowan and Jill Cook. EP #505

Fri, 06 May 2022 11:27:00 +0100

In this podcast we are joined by Rachael Cowan and Professor Jill Cook. They provide an update on the evidence for management of greater trochanteric pain syndrome (GTPS) and discuss the results of a recent clinical trial evaluating the effect of menopausal hormone therapy, exercise, and education on tendon pain and function in post-menopausal women with GTPS. On the eve of retirement, Jill provides an opinion on what the next big breakthroughs in tendinopathy research should be! Cowan et al. 2021 https://journals.sagepub.com/doi/full/10.1177/03635465211061142 Ganderton et al. 2018 https://www.liebertpub.com/doi/abs/10.1089/jwh.2017.6729 Mellor et al. 2018

https://www.bmj.com/content/361/bmj.k1662.long

Why you should join us for #BJSMLive2022, with Dr Fiona Wilson. EP# 504

Fri, 22 Apr 2022 12:46:00 +0100

In this podcast with co-chair of the inaugural BJSM Live event on 25th May 2022, we chat about the event itself and some of the efforts to make it as diverse and inclusive as possible.

For tickets, please check out http://bjsmlive.bmj.com/

Elite athletes and pregnancy - the latest evidence and guidance with Dr Margie Davenport Ep #503

Thu, 14 Apr 2022 14:31:00 +0100

On this week’s BJSM podcast, we are joined by Assistant Professor Margie Davenport, to talk about the latest evidence and experience around exercising and competing as an elite athlete whilst pregnant. We discuss why this is such an important issue as well as some of the myths or misconceptions that exist in this space. Dr Davenport also provides a range of practical tips for team physicians, scientists and therapists to consider when it comes to advising athletes on planning pregnancies, training whilst pregnant, and shaping support networks and systems to support athletes that want to start a family? Here is the key paper and some other notable resources discussed in the podcast: Pushing for change: a qualitative study of the experiences of elite athletes during pregnancy https://bjsm.bmj.com/content/56/8/452 Why can’t I exercise during pregnancy? Time to revisit medical ‘absolute’ and ‘relative’ contraindications: systematic review of evidence of harm and a call to action https://bjsm.bmj.com/content/54/23/1395

Get Active Questionnaire for pregnancy checklist https://csep.ca/2021/05/27/get-active-questionnaire-for-pregnancy/

Challenges of Exercise and Physical Activity in Minorities with Dr. Meredith Turner. Ep #502

Fri, 08 Apr 2022 10:59:00 +0100

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jacob Wessels, MD, is joined by Dr. Meredith Turner, MD, who is one of the speakers in the Race and Sport session during the 2022 AMSSM Annual Meeting. In this conversation, Dr. Turner discusses her upcoming presentation in Austin, TX, on the Challenges of Exercise and Physical Activity in Minorities and address the following topics: · The definition of minority populations and how she first got interested in this topic · Identifying some of the primary barriers that minorities encounter regarding physical activity in their communities · How socioeconomic barriers that contribute to these health disparities in minorities · Ways that sports medicine professionals and healthcare providers can help recognize and address these factors in their communities Resources: Oliver, E. J., Dodd-Reynolds, C., Kasim, A., & Vallis, D. (2021). Inequalities and Inclusion in Exercise Referral Schemes: A Mixed-Method Multi-Scheme Analysis. International journal of environmental research and public health, 18(6), 3033. https://doi.org/10.3390/ijerph18063033 https://pubmed.ncbi.nlm.nih.gov/33809451/ Hawes, A. M., Smith, G. S., McGinty, E., Bell, C., Bower, K., LaVeist, T. A., Gaskin, D. J., & Thorpe, R. J., Jr (2019). Disentangling Race, Poverty, and Place in Disparities in Physical Activity. International journal of environmental research and public health, 16(7), 1193. https://doi.org/10.3390/ijerph16071193 https://pubmed.ncbi.nlm.nih.gov/30987098/

Physical activity deserts: What they are and how to reduce them with Dr. NiCole Keith. Ep #468 https://soundcloud.com/bmjpodcasts/physical-activity-deserts-what-they-are-and-how-to-reduce-them-with-dr-nicole-keith-ep-468

Post-COVID Syndrome in Athletes. With Dr Monica Verduzco-Gutierrez. Ep #501

Fri, 01 Apr 2022 11:06:00 +0100

On this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, is joined by Dr. Monica Verduzco-Gutierrez (T: @MVGutierrezMD), who is serving as the AAPM&R Exchange Lecture Speaker during the 2022 AMSSM Annual Meeting. In this conversation, Dr. Verduzco-Gutierrez discusses her upcoming presentation in Austin, TX, on Post-COVID Syndrome in Athletes and address the following topics: •Defining Post-COVID Syndrome and its many potential impacts •How and why she developed a Post-COVID Recovery Clinic •Her contributions to multi-disciplinary collaborative consensus guidance statements for patients with PASC •How she generally approaches treating patients with Post-COVID Syndrome •The differences in rates and severity in Post-COVID Syndrome in athletes compared with other populations •Her advice for aspiring researchers in sport and exercise science Resources: Models of Care for Postacute COVID-19 Clinics: Experiences and a Practical Framework for Outpatient Physiatry Settings (https://pubmed.ncbi.nlm.nih.gov/34793373/) Multi-disciplinary collaborative consensus guidance statement on the assessment and treatment of breathing discomfort and respiratory sequelae in patients with post-acute sequelae of SARS-CoV-2 infection (PASC)(https://onlinelibrary.wiley.com/doi/10.1002/pmrj.12744)

Multidisciplinary collaborative consensus guidance statement on the assessment and treatment of fatigue in postacute sequelae of SARS-CoV-2 infection (PASC) patients (https://onlinelibrary.wiley.com/doi/full/10.1002/pmrj.12684)

Episode 500 – The past, present and future of BJSM

Fri, 25 Mar 2022 11:05:00 +0000

In BJSM’s 500th episode, we are joined by two of the current editors, Professor Jonathan Drezner and Dr Joanna Kemp, to look ahead as well as back at the specialty in general. We discuss hot topics, the direction in which the specialty as well as the journal is heading, and we get some top tips for early career researchers and clinicians too.

Knowledge translation – moving away from ‘what’, to ‘how’ and ‘why’ with Dr Sheree Bekker. EP #499

Fri, 04 Mar 2022 11:19:00 +0000

On the podcast this week, we are thrilled to be joined by Associate Professor at the Centre for Health, Injury and Illness Prevention in Sport at the University of Bath, Dr Sheree Bekker. We have all heard the term ‘knowledge translation’, but do we really know why it is important, what this process actually involves, and how can we all start embracing it in our professional lives? Dr Bekker is a leader in this area, and we are thrilled that she has joined us to record the first in this ‘knowledge translation’ podcast series. You can find some of the resources that are mentioned in this podcast in the links below: Dr Bekker’s twitter handle https://twitter.com/shereebekker Dr Bekker’s #viral twitter thread https://twitter.com/shereebekker/status/1369972461014499331?lang=hi Anterior cruciate ligament injury: towards a gendered environmental approach https://bjsm.bmj.com/content/55/17/984

We hope you enjoyed this podcast. Get in touch with us via social media if you have any feedback or suggestions for future guests.

Bringing the 6Rs to life – a patient perspective of return to sport post-partum. Ep #498

Fri, 25 Feb 2022 11:28:00 +0000

In this podcast Grainne Donnelly, Associate Prof Izzy Moore and Dr Brooke Patterson speak with Steph about her experience returning to sport post-partum using the 6Rs framework (https://pubmed.ncbi.nlm.nih.gov/34836883/). Listen to Part 1 first: https://soundcloud.com/bmjpodcasts/bjsm-11022022-ep-497?in=bmjpodcasts/sets/bjsm-1&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing where Izzy and Grainne discuss the framework and the role of a musculoskeletal clinician.

Return to running BJSM infographic - https://bjsm.bmj.com/content/54/18/1114

Be the difference that makes the difference for pregnant and post-partum women. EP #497

Fri, 11 Feb 2022 12:06:00 +0000

Associate Professor Izzy Moore and Grainne Donnelly discuss running during and after pregnancy and provide practical tips and great resources for clinicians treating pregnant and post-partum women. How can you ask about pelvic health? What is the role of a musculoskeletal clinician? How can we ensure less women suffer in silence? Original research: Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women https://bjsm.bmj.com/content/55/22/1286.info Editorial: Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women: https://pubmed.ncbi.nlm.nih.gov/34836883/ 2019 return to running guideline https://doi.org/10.1016/j.physio.2020.03.276 Return to running BJSM infographic - https://bjsm.bmj.com/content/54/18/1114 Run ready post-partum BJSM blogs https://blogs.bmj.com/bjsm/2019/05/20/ready-steadygo-ensuring-postnatal-women-are-run-ready/ and https://blogs.bmj.com/bjsm/2021/08/22/return-to-running-following-childbirth-when-the-principles-of-sports-medicine-and-pelvic-health-collide/ Pelvic health impact questionnaire https://pubmed.ncbi.nlm.nih.gov/16021067/ Canadian guidelines - https://bjsm.bmj.com/content/52/21/1339

Clinical commentary considering the whole system readiness for running post-partum https://journals.lww.com/jwhpt/Abstract/2022/01000/Beyond_the_Musculoskeletal_System__Considering.7.aspx

Peripheral Nerve Hydrodissection: A minimally invasive approach with Dr. Garry Ho. EP# 496

Fri, 04 Feb 2022 10:09:00 +0000

What is peripheral nerve hydrodissection and what conditions can it potentially treat? What is the data behind it’s practice? Has one injectate proven to be more efficacious than the others? On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by family medicine and sports medicine physicians Dr. Garry Ho. Dr. Garry Ho is an Associate Professor from the Department of Family Medicine at the Virginia Commonwealth University School of Medicine, University of Vriginia School of Medicine, and the Georgetown University School of Medicine and has worked closely with athletes from several professional and collegiate organizations including the Washington Football Team, the D.C. Divas, the Washington Glory, the US Military Academy at West Point and the US Naval Academy in Annapolis. In this 20 minute conversation Dr. Ho addresses the following topics: The definition of hydrodissection and theory behind its use? The current data supporting this procedure with respect to injectate utilized and anatomic location targeted. A discussion of the training required to become competent in this practice, and methods for assessing proficiency in learners? 2022 AMSSM Annual Meeting Information: https://annualmeeting.amssm.org Lam KHS, Hung CY, Chiang YP, Onishi K, Su DCJ, Clark TB, Reeves KD. Ultrasound-Guided Nerve Hydrodissection for Pain Management: Rationale, Methods, Current Literature, and Theoretical Mechanisms. J Pain Res. 2020;13:1957-1968 https://www.dovepress.com/ultrasound-guided-nerve-hydrodissection-for-pain-management-rationale--peer-reviewed-fulltext-article-JPR Cass, Shane P. DO Ultrasound-Guided Nerve Hydrodissection, Current Sports Medicine Reports: January/February 2016 - Volume 15 - Issue 1 - p 20-22

https://journals.lww.com/acsm-csmr/Fulltext/2016/01000/Ultrasound_Guided_Nerve_Hydrodissection__What_is.10.aspx

To jab or not to jab? Responsible use of orthobiologics and regenerative therapies. EP #495

Fri, 28 Jan 2022 12:26:00 +0000

In this episode host Dr Brooke Patterson, is joined by Associate Professor Shane Shapiro, to discuss the responsible use of orthobiologics and regenerative therapies in sports medicine. Professor Shapiro provides clinicians with practical considerations and tips for communicating with patients who may be considering the use of orthobiologics. Links American Medical Society for Sports Medicine Position Statement: Principles for the Responsible Use of Regenerative Medicine in Sports Medicine https://journals.lww.com/cjsportsmed/Fulltext/2021/11000/American_Medical_Society_for_Sports_Medicine.10.aspx

Editorial - highlights from the American Medical Society for Sports Medicine position statement on responsible use of regenerative medicine and orthobiologics in sports medicine https://bjsm.bmj.com/content/early/2021/10/21/bjsports-2021-104887

A call to action for a more systematic approach to respiratory health. EP# 494

Fri, 21 Jan 2022 14:02:00 +0000

In this podcast with Dr James Hull and Dr Maarit Valtonen, we take a deep dive into a topic that affects athletes around the globe. We cover: •The extent of the issue •A recommended approach to evaluating athletes •The value of point-of-case testing •Return to sport For some further resources, the below links may well be useful Papers: https://bjsm.bmj.com/content/early/2021/11/17/bjsports-2021-104719 https://bjsm.bmj.com/content/53/17/1093

https://bjsm.bmj.com/content/55/20/1144

Achilles tendinopathy masterclass pt 2, with Dr Adam Weir and Assoc Prof Robert-Jan de Vos. EP #493

Fri, 14 Jan 2022 15:25:00 +0000

In part 2 of this podcast series Dr Adam Weir talks to Associate Professor Robert-Jan de Vos about the recently published Dutch multidisciplinary guideline on Achilles tendinopathy. They give a clinically focused overview that all practitioners will find invaluable. They discuss: Conservative treatment The role of surgery Prognosis Secondary prevention Links https://soundcloud.com/bmjpodcasts/sets/bjsm-1?si=ed9b271d1d7140ca81ecfbb201ec42ae&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing

https://bjsm.bmj.com/content/55/20/1125

Achilles tendinopathy masterclass pt 1, with Dr Adam Weir and Assoc Prof Robert-Jan de Vos. EP #492

Fri, 07 Jan 2022 15:41:00 +0000

In this podcast Dr Adam Weir talks to Associate Professor Robert-Jan de Vos about the recently published Dutch multidisciplinary guideline on Achilles tendinopathy. They give a clinically focused overview that all practitioners will find invaluable. They discuss: · How the guideline was developed · Risk Factors · Prevention strategies · Clinical diagnosis · The role of imaging Links

https://bjsm.bmj.com/content/55/20/1125

Stepping into the Beat of Performing Arts Medicine with Dr. Jeremy Stanek. EP# 491

Fri, 17 Dec 2021 11:46:00 +0000

Similar to sports, overuse injuries are exceedingly common in the performing artist population. On this episode of the AMSSM Sports Medcast, host Dr. Stephen Luebbert, MD, is joined by Dr. Jeremy Stanek, MD, to discuss on the topic of performing arts medicine and his career journey from musician to sports medicine physician. In this conversation Dr. Stanek addresses the following topics: · Dr. Stanek’s inspiration for becoming a performing arts physician as well as discuss the patient populations he typically sees and treats · The different components to physical exams to consider with dancers and musicians · The most common injury patterns in performing artists · The go-to resources to utilize for best practices, prevention, treatment and overall management of performing arts medicine · Recommend pathways to get started and more involved in this field Resources I. Websites: 1. Performing Arts Medicine Association https://artsmed.org/ 2. International Association for Dance Medicine & Science- https://iadms.org/ 3. Stanford Performing Arts Medicine Program- https://pmr.stanford.edu/patients/performing-arts-orthopaedic-health.html 4. Texas Center for Performing Arts Health https://tcpah.unt.edu/home 5. Harkness Center for Dance Injuries- https://nyulangone.org/locations/harkness-center-for-dance-injuries 6. Washington University Medical Program for Performing Artists- https://www.ortho.wustl.edu/content/Patient-Care/2348/Services/Physical-Medicine-and-Rehabilitation-Musculoskeletal/Performing-Arts-Program.aspx

7. Performing Arts Medicine Fellowship at the Texas College of Osteopathic Medicine - https://www.unthsc.edu/texas-college-of-osteopathic-medicine/graduate-medical-education/performing-arts-medicine-fellowship/

Apply the 8 investments for physical activity in your life, with Prof Jasper Schipperijn. EP #490

Fri, 10 Dec 2021 11:53:00 +0000

Professor Schipperijn is a Professor at the University of Southern Denmark & president of the International Society for Physical Activity and Health (ISPAH). He joins us on this BJSM podcast to outline the famous ‘8 investments’ for physical activity, that are now being translated into 12 languages.

We will be sharing the 8 investments, the translations and some associated resources through our social media channels over the coming weeks & months, but you can find out more information on the ISPAH website https://www.ispah.org/resources/key-resources/8-investments/

Too much? Too young? Youth sports specialization with Dr Neeru Jayanthi. Ep #489

Fri, 12 Nov 2021 12:11:00 +0000

Although early specialization in sport may pose a risk to some youth athletes, is it possible have success with specialized training? What is it about the workload-injury relationship and injury risk factors that practitioners must take in account when taking care of specialized athletes? On this episode of the AMSSM Sports Medcast, host Dr. Giorgio Negron, MD is joined by one of the leading experts on youth sports health Dr. Neeru Jayanthi, MD (Twitter: @neerujayanthi)to discuss on the topic of youth sports specialization. In this conversation Dr. Jayanthi addresses the following topics: · Definition of youth sports specialization · What are the potential risks of injury for youth athletes pursuing sport specialization? · Are there any research regarding training guidelines or protocols for youth pursuing sport specialization? References: Jayanthi N, Saffel H, Gabbett T. Training the specialised youth athlete: a supportive classification model to keep them playing. Br J Sports Med. 2021 Nov;55(22):1248-1249. doi: 10.1136/bjsports-2020-103880. Epub 2021 Aug 11. PMID: 34380644. Jayanthi N, Kliethermes SA, Côté J. Youth sport specialisation: the need for an evidence-based definition. Br J Sports Med. 2020 Feb;54(4):196-197. doi: 10.1136/bjsports-2019-101256. Epub 2019 Dec 19. PMID: 31857339.

Myer GD, Jayanthi N, Difiori JP, Faigenbaum AD, Kiefer AW, Logerstedt D, Micheli LJ. Sport Specialization, Part I: Does Early Sports Specialization Increase Negative Outcomes and Reduce the Opportunity for Success in Young Athletes? Sports Health. 2015 Sep-Oct;7(5):437-42. doi: 10.1177/1941738115598747. Epub 2015 Aug 6. PMID: 26502420; PMCID: PMC4547120.

Fit for participation - Physical activity in long term conditions. Ep #488

Fri, 05 Nov 2021 14:10:00 +0000

This podcast discusses the new consensus statement on the risks of physical activity for people living with long term conditions. Shona Kohlhardt is joined by Dr Hamish Reid and Dr Natasha Jones, as they explain the latest findings and new recommendations from the consensus. This conversation covers: New recommendations around patients being ‘fit for participation’ How to get patients to increase their physical activity levels How to practically overcome perceived risks and barriers to physical activity Who should be the judge of whether someone is safe enough to exercise The potential ramifications of this statement in the broader system, focusing on the physical activity sector

The consensus: Benefits outweigh the risks: a consensus statement on the risks of physical activity for people living with long-term conditions: https://bjsm.bmj.com/content/early/2021/11/03/bjsports-2021-104281

Let’s exercise in comfort! Breast health and injuries with Deirdre McGhee. Ep #487

Thu, 21 Oct 2021 12:36:00 +0100

In this podcast Brooke Patterson talks with Associate Professor Deirdre McGhee about breast injuries and breast health. Deirdre is a sports physiotherapist, and leads the breast research and education area of the Australian Institute of Sport Female Performance and Health Initiative (https://www.ais.gov.au/fphi). She has been researching breast health biomechanics for the past 20 years, has written guidelines for Sports Medicine Australia on breast support and bra fit for female athletes (https://sma.org.au/resources-advice/injury-fact-sheets/exercise-and-breast-support/) and the freely accessible web-based App, “Sports Bra” (https://www.bra.edu.au/), to guide female athletes on breast support and bra fit.

The podcast covers practical tips for clinicians to check bra fit and why it is important, and the current evidence related to breast injuries, treatment, and breast protection for women playing contact sports.

AMSSM Sports Medcast on Sports Bras with Dr Katie Rizzone. Ep #486

Fri, 01 Oct 2021 16:08:00 +0100

Today, AMSSM members Dr. Caitlyn Mooney hosts Dr. Katie Rizzone on the topic of sports bras. With more women athletes than ever, the sports bra has certainly grown in popularity in the last decades. This podcast will visit the history of breast support in sport and discuss how breast pain and discomfort effect sports participation in women as well as recent research by Dr. Rizzone and colleagues on their recent study on characteristics of sports bra preference in adolescent females. More info: CHARACTERISTICS OF SPORTS BRA PREFERENCES IN ADOLESCENT FEMALES Katherine H. Rizzone, MD MPH, Bianca Edison, MD MPH, Jane Chung, MD, Ingrid K. Ichesco, MD, Nailah Coleman, MD

https://journals.sagepub.com/doi/abs/10.1177/2325967121S00110

Why the SportsEquity e-Edition is a must read for all working in SEM. EP #485

Fri, 24 Sep 2021 12:25:00 +0100

In this podcast, we’re joined by Dr Yetsa Tuakli-Wosornu, Lead Author of the BJSM #SportsEquity e-Edition and Dr Jane Thornton, one of the BJSM’s editors. We cover: How this e-Edition came about The difference between equity and equality Why this issue is so important How people can use this e-edition in their personal and professional Links: E-Edition: https://bjsm.bmj.com/pages/bjsm-e-edition-sportsequity/

Editorial: https://bjsm.bmj.com/content/early/2021/09/09/bjsports-2021-104874

Playing your part: SEM for the Performing Arts with Annie Strauch and Catherine Etty-Leal. Ep #484

Fri, 17 Sep 2021 12:06:00 +0100

Today, Brooke Patterson hosts Annie Strauch and Catherine Etty-Leal, both experienced Australian physiotherapists with a Masters in Sports Physio and Musculoskeletal Physio. Annie’s passion for performance physiotherapy started in London’s West End where she managed performers in over 30 productions. After that, Performance Medicine (https://performancemedicine.com.au/) was born, a multidisciplinary clinic to provide singers, dancers and performers with tailored physiotherapy treatment. Annie and Catherine both specialise in vocal physiotherapy, and provide some tips for online public speaking. They discuss injury management and prevention for performing artists, and the cultural considerations. Sports medicine professionals have a big role to play in the performing arts industry, and Annie and Catherine share some tips for getting involved in the field. Links International Association of Dance Medicine and Science (IADMS) - https://protect-au.mimecast.com/s/Cu1_CMwv0QUOKzGqCwWvfG?domain=iadms.org/ Australian Society of Performing Arts & Healthcare (ASPAH)-https://protect-au.mimecast.com/s/RieBCNLwP9UlKj10c4VDDt?domain=aspah.org.au/ Australian Voice Association (AVA)- https://protect-au.mimecast.com/s/7-noCOMxQyURVvopTkxo26?domain=australianvoiceassociation.com.au/ Medical Problems in Performing Artists (MPPA) - https://protect-au.mimecast.com/s/5dXICP7yRZiGY3qKSjiL2U?domain=sciandmed.com

RETURN TO DANCE post COVID - Webinar about how dance teachers, dance professionals and dance clinicians can assist their dance students return to the studio in a safe way. -https://protect-au.mimecast.com/s/-ILGCROAWocm958vSoFlgP?domain=performancemedicine.com.au/

The Importance of Mental Health in Athletes with Two AMSSM Past Presidents EP #483

Fri, 20 Aug 2021 12:26:00 +0100

The mental health of athletes has been in the spotlight throughout this summer, as high-profile athletes such as Naomi Osaka and Simone Biles have spoken out about the importance of prioritizing their physical, and especially their mental, well-being. In this episode, host Dr. Giselle Aerni, MD is joined by AMSSM Past Presidents Dr. Cindy Chang, MD and Dr. Margot Putukian, MD to discuss the AMSSM Position Statement on Mental Health Issues and Psychological Factors in Athletes, which Dr. Aerni also co-authored. In this 33-minute conversation, they address the following topics: The importance of a position statement on the mental health of athletes and the novel aspects addressed in the document The team-based approach to mental health care and why it’s a crucial component for the well-being of athletes How the acceptance of mental health issues has evolved in recent years and the impact social media has on those perceptions The impact of the COVID-19 pandemic on athletes’ mental health and how it reinforces the need for conversations about this vital issue Resources: Mental health issues and psychological factors in athletes: detection, management, effect on performance and prevention: American Medical Society for Sports Medicine Position Statement (https://bjsm.bmj.com/content/54/4/216.full)

Madam Athlete Podcast (https://madamathlete.com/)

Superspikes FTW? Footwear choice for athletes with Dr Dan Bonanno. Ep #482

Tue, 03 Aug 2021 14:42:00 +0100

Dan is a podiatrist and a senior lecturer at La Trobe University. He completed a PhD in 2019, where he investigated the use of foot orthoses for the prevention of injury in military recruits. In this episode, Brooke Patterson discusses with Dan the key considerations for clinicians when helping athletes make footwear choices. They discuss the role of performance and sponsorship, and Dan provides his opinion on Nike’s super spike in the lead up to the Tokyo Olympics. The role of injury, comfort, gender, and foot shape, and research in footwear design is discussed. Twitter:

@DanielRBonanno

Weighted Ball Velocity Throwing Programs: Injury Risk or Competitive Edge? EP #481

Fri, 16 Jul 2021 13:55:00 +0100

What is a weighted ball velocity throwing program? Do they work, and what is the evidence of benefit? What are the risks involved and common injury patterns seen? Host Dr. Devin McFadden, MD is joined by Dr. Jason Zaremski, MD to explore these topics and more on the AMSSM Sports Medcast. Dr. Zaremski is a clinical associate professor holding a joint appointment from the Departments of Physical Medicine and Rehabilitation and the, Department of Orthopaedics and Rehabilitation at the University of Florida. In addition he is the Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida. He is a past participant in the AMSSM International Travelling Fellowship program, is a Co-Chair of the AMSSM Fellowship Committee and currently serves on the Board of Directors for the AMSSM. In this 17 minute conversation Dr. Zaremski addressed the following topics: Defining a weighted ball velocity program Considering the risks and benefits of their use Determining what populations should not use these programs and how to safely implement them if athletes decide to pursue one. Zaremski JL. Weighted Ball Velocity Throwing Programs Are Effective. Are the Benefits Worth the Risk? Clin J Sport Med. 2020 Mar 11. doi: 10.1097/JSM.0000000000000822. Epub ahead of print. PMID: 33914497. Caldwell JE, Alexander FJ, Ahmad CS. Weighted-Ball Velocity Enhancement Programs for Baseball Pitchers: A Systematic Review. Orthop J Sports Med. 2019 Feb 12;7(2):2325967118825469. doi: 10.1177/2325967118825469. PMID: 30800693; PMCID: PMC6378453.

Melugin HP, Smart A, Verhoeven M, Dines JS, Camp CL. The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe? Curr Rev Musculoskelet Med. 2021 Feb;14(1):88-94. doi: 10.1007/s12178-020-09686-0. Epub 2021 Jan 6. PMID: 33403626; PMCID: PMC7930148.

Out of sight, out of mind: the invisibility of female African athletes in SEM research. Ep #480

Fri, 18 Jun 2021 12:37:00 +0100

Today Brooke Patterson (@Knee_Howells) speaks with Dr Nonhlanhla Mkumbuzi (@DrNoeMkumbuzi). Dr Mkumbuzi is a physiotherapist, and completed her PhD in 2020 on the association of genetic risk factors with nociception and pain in chronic painful achilles and patellar tendinopathies. She is a post-doctoral research fellow at the University of Cape Town. Dr Mkumbuzi shares some eye-opening experiences as head physiotherapist for Zimbabwe National Rugby Teams. We discuss her recent editorial (https://bjsm.bmj.com/content/early/2021/05/10/bjsports-2021-104202) and the broad consideration of race, culture, gender, and economics in sport and exercise medicine. She shares some personal experience and advice for marginalised athletes, clinicians, and academics. Brooke discusses the opportunity to get involved in the BJSM global mentoring program (https://bjsm.bmj.com/pages/wp-content/uploads/sites/17/2021/03/BJSM-Global-SEM-Mentoring-Program.pdf). Mentors can submit a short statement of interest with your areas of expertise to bjsmglobalmentoring@bmj.com. Mentees can submit a short description of the proposed study, and the specific areas you could use assistance.

The ORCCA registry and what it means for SEM clinicians. Ep #479

Fri, 11 Jun 2021 13:17:00 +0100

On this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, is joined by BJSM Editor-in-Chief Dr. Jonathan Drezner, MD, and Kimberly Harmon, MD, who are both Past Presidents of AMSSM. In this 23-minute conversation, Drs. Drezner and Harmon discuss the Outcomes Registry for Cardiac Conditions in Athletes (ORCCA) national registry and address the following topics: · Details about the ORCCA registry, what makes it unique and why it was created · The early findings of the registry and what they mean for team physicians and athletic trainers · How this study and others are impacting return-to-play decisions after COVID · The current recommendations regarding cardiac imaging in athletes · Finding the right balance in our professional and personal lives Resources:

SARS-CoV-2 Cardiac Involvement in Young Competitive Athletes (https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.054824)

Beyond biology: a gendered approach to injury with Joanne Parsons and Stephanie Coen. Ep #478

Fri, 04 Jun 2021 12:12:00 +0100

Dr Joanne Parsons (@J_ParsonsUofM) is a physical therapist and an associate professor at the University of Manitoba. Dr Stephanie Coen (@steph_coen) is a health geographer and assistant professor at the University of Nottingham in the UK.

To date, ACL injury prevention and management has been approached from a sex-based biological point of view. In this episode, Dr Brooke Patterson (@Knee_Howells) discusses with Joanne and Stephanie how the traditional sex-based approach does not take into account the growing recognition of how sex and gender (a social construct) are ‘entangled’ and influence each other. They discuss their recent review (co-authored with Sheree Bekker), (https://bjsm.bmj.com/content/early/2021/03/09/bjsports-2020-103173) and how clinicians can take a gendered approach to inform more effective approaches to injury prevention and management.

How do we manage rowing-related low back pain? With Dr Fiona Wilson and Kellie Wilkie Ep# 477

Fri, 28 May 2021 11:06:00 +0100

In this podcast, Dr. Jane Thornton hosts Dr. Fiona Wilson and Kellie Wilkie to discuss their 2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers. Dr. Fiona Wilson is an associate professor and physiotherapist in the School of Medicine Trinity College Dublin where she is head of the physiotherapy programme. She was lead physiotherapist for Rowing Ireland for 10 years and still practices clinically focusing on managing low back pain. Kellie Wilkie is a Sport & Exercise Physiotherapist with her own private practice in Hobart, Tasmania. She was an Australian Rowing Team Physiotherapist from 2008-2016 and the Lead Physiotherapist in the Rio Olympic cycle. We cover: · What is rowing-related low back pain and how prevalent is it? · What causes rowing-related low back pain, and can it be prevented? · How should rowing-related low back pain be managed? · What this means for rowers, coaches and medical staff Links: https://bjsm.bmj.com/content/early/2021/03/11/bjsports-2020-103385.abstract

World Rowing site: https://worldrowing.com/2021/05/11/guide-for-managing-low-back-pain-in-rowers/

What can SEM learn from the International Space Station w/ Leigh Gabel and Kathryn Ackerman Ep #476

Fri, 21 May 2021 12:33:00 +0100

Did you know that being on the International Space Station for a few months can have the same effect on bone density loss as a decade or more of aging here on earth? In this episode, Dr. Erin Macri asks Drs. Leigh Gabel and Kate Ackerman about a recent publication about predictors of bone loss on long-duration space flights – it’s not what you might think! – and how this new information might change how we approach bone health in sports medicine here on earth. Links and resources: https://twitter.com/AstroVicGlover/status/1337434468244746240 Gabel L, Liphardt AM, Hulme PA, Heer M, Zwart SR, Sibonga JD, Smith SM, Boyd S. Pre-flight exercise and bone metabolism predict unloading-induced bone loss due to spaceflight. British Journal of Sports Medicine. Published Online First: 17 February 2021. http://dx.doi.org/10.1136/bjsports-2020-103602

Ackerman KE, Popp KL, Bouxsein ML. Rocket science: what spaceflight can tell us about skeletal health on Earth. British Journal of Sports Medicine Published Online First: 21 April 2021. http://dx.doi.org/10.1136/bjsports-2021-104164

Don’t get hung up on telehealth and sports medicine, Dr Crystal Wong gives us a clear line. Ep #475

Fri, 14 May 2021 14:26:00 +0100

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Ashwin Rao, MD is joined by Dr. Crystal Wong, MD, a family medicine physician at the University of Washington and an Associate Medical Director at UW Neighborhood Clinics. She was instrumental in developing and implementing telemedicine services at the University of Washington during the COVID-19 pandemic, when UW saw a 29,000 percent increase of in telemedicine visits. In this 22-minute conversation, Dr. Wong discusses her experience with telehealth services and addresses the following topics: What do you see as the benefits of telemedicine in primary care and how might translate to other disciplines? What are some of the challenges and barriers of telemedicine? What types of visits are most amendable to the telehealth format? What about efforts to replicate a physical exam virtually? What are the challenges of administering telemedicine across state lines? Will telemedicine continue to have a prominent role in practice after the pandemic? What advice does she have for sports medicine providers interested in pursuing telemedicine services? Resources:

Telemedicine Management of Musculoskeletal Issues - American Family Physician (aafp.org)

Heads up! Prof Vicki Anderson on the latest evidence in concussion management for the young. Ep #474

Fri, 07 May 2021 13:15:00 +0100

Professor Vicki Anderson is a paediatric neuropsychologist in Melbourne, Australia, with over 25 years of experience across clinical, research and academic sectors. She is the Director of Psychology at The Royal Children's Hospital, and Director of Clinical Sciences Research at Murdoch Children's Research Institute. Her research aims to better diagnose, manage and treat child concussion. In this episode, Brooke Patterson asks Vicki about who is most at risk of persistent symptoms after concussion, evidence-based intervention strategies, and digital health tools for monitoring child with post-concussion symptoms. Twitter: @bivianoanders Website https://www.mcri.edu.au/users/professor-vicki-anderson Resources: Raising Children Network - https://raisingchildren.net.au/guides/a-z-health-reference/concussion

HeadCheck App - https://www.headcheck.com.au/

The Black Biomechanists Association: a movement for diversity and representation in SEM. Ep #473

Thu, 29 Apr 2021 15:28:00 +0100

The Black Biomechanists Association (BBA) was recently cofounded by Associate Professor Matthew McCullough from North Carolina A&T State University, Kayla Seymore, PhD student at the University of Delaware, and Dr. Erica Bell, Postdoctoral fellow at the Mayo Clinic. In this episode, Dr. Erin Macri inquires about the need for organizations like this in our global scientific communities, and learns more about how the BBA is positioned to lead the charge in changing how we think about diversity, representation and anti-racism in biomechanics research. Twitter: @BlackBiomechs @Erin_Macri Links to articles and references: Become a member (allies welcome): bit.ly/BBA-member Contact us: blackbiomechanics@gmail.com Follow us: @BlackBiomechs on Twitter/Instagram Dr. Karl Zelik, Vanderbilt University: https://theconversation.com/chadwick-bosemans-black-panther-gives-a-boost-to-diversity-in-stem-a-black-engineers-take-on-personal-and-professional-inspiration-151983 Dr. Cherice Hill, Clemson University/Medical University of South Carolina: Hill CN, Reed W, Schmitt D, Sands LP, Queen RM. Racial differences in gait mechanics. Journal of biomechanics. 2020;112:110070

https://doi.org/10.1016/j.jbiomech.2020.110070

Concussion in Para-Sport, what should every SEM clinician know? With Dr Richard Weiler. Ep #472

Fri, 23 Apr 2021 12:25:00 +0100

Are concussions in para-sport a big issue? What are some of the challenges in this setting? Where do you start, when it comes to assessing para-athletes? In this 20-minute podcast with SEM consultant Dr Richard Weiler, you will learn the answers to all of the above, and know where to find some practical tips & tricks. Links:

Link to paper https://bjsm.bmj.com/content/early/2021/04/08/bjsports-2020-103696

A salivary test to diagnose concussion? We talk with Dr Simon Kemp and Dr Patrick O’Halloran Ep #471

Fri, 16 Apr 2021 12:18:00 +0100

Dr Simon Kemp is a Sport and Exercise Medicine consultant, and Medical Services Director at the Rugby Football Union. He is a leading researcher in Rugby Medicine, with a wide and high-impact research portfolio. Dr Patrick O’Halloran is a Sport and Exercise Medicine Registrar in the UK who is undertaking a PhD at the University of Birmingham. He also works as a senior medical advisor to Marker. They both join us in this podcast to talk about their recently published paper on the diagnostic signatures of concussion in the saliva of male athletes. In this 15-minute chat, we talk about the importance of developing objective measures in diagnosing concussions, how they went about their ground-breaking trial and much more.

You can find their paper ‘Unique diagnostic signatures of concussion in the saliva of male athletes: the Study of Concussion in Rugby Union through MicroRNAs (SCRUM)’, via the link below: https://bjsm.bmj.com/content/early/2021/02/09/bjsports-2020-103274

Raising the bar for SEM: the AMSSM Collaborative Research Summit with Dr. Irfan Asif. Ep #470

Fri, 09 Apr 2021 13:21:00 +0100

The benefits of physical activity are unquestioned, but many health care providers still do a poor job of activity counseling and prescription. Frequently cited reasons for this apparent disconnect include a lack of time, poor reimbursement, and lack of training on how to incorporate exercise prescription into clinical practice. The AMSSM has assembled a team of international experts to help address these gaps and share best practices for incorporating exercise medicine into both clinical practice and academic medicine. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by Dr. Irfan Asif, MD is a Professor and Chair of the Department of Family and Community Medicine at the University of Alabama-Birmingham School of Medicine. He also serves on the AMSSM board of directors and is an associate editor for both the BJSM and Sports Health. In this 10-minute conversation Dr. Asif addresses the following topics: What is the focus of the upcoming AMSSM Collaborative Research Summit? What are the aims and anticipated outputs of the summit? Is this summit relevant to a clinician not currently engaged in multi-site research? The Virtual AMSSM Annual Meeting takes place from April 13-18, 2021. Registration is still open for both the main meeting and CRN Research Summit. More information can be found at https://annualmeeting.amssm.org/ Exercise is Medicine connects physical activity to healthcare: https://www.exerciseismedicine.org/ Joy E (L), Blair SN, McBride P, et al. Physical activity counseling in sports medicine: a call to action. Br J Sports Med. 2013;47:49-53. https://bjsm.bmj.com/content/bjsports/47/1/49.full.pdf

Hebert ET, Caughy MO, Shuval K. Primary care providers’ perceptions of physical activity counseling in a clinical setting: a systematic review. Br J Sports Med. 2012;46:625-31. https://bjsm.bmj.com/content/bjsports/46/9/625.full.pdf

Taking the social and contextual seriously in sports medicine with Linda Truong. Ep #469

Fri, 19 Mar 2021 13:37:00 +0000

Linda Truong is a physical therapist and PhD trainee at the University of British Columbia, in Vancouver. Her research aims to understand how social support can improve recovery outcomes and delay post-traumatic osteoarthritis after a traumatic knee injury. In this episode, Brooke Patterson asks Linda about her recent scoping review and editorial regarding the need to embrace non-physical factors in the treatment of sports-related injury. Linda provides practical suggestions as to how to assess and treat social and contextual factors after sports-related knee injury. Twitter: @LKTphysio Resources: Multidimensional Scale of Perceived Social Support (MSPSS)- https://www.researchgate.net/publication/311534896_Multidimensional_Scale_of_Perceived_Social_Support_MSPSS_-_Scale_Items_and_Scoring_Information The PASS-Q: The Perceived Available Support in Sport Questionnaire - https://www.researchgate.net/publication/50936606_The_PASS-Q_The_Perceived_Available_Support_in_Sport_Questionnaire The ARSQ: The Athletes' Received Support Questionnaire - https://www.researchgate.net/publication/261256629_The_ARSQ_The_Athletes%27_Received_Support_Questionnaire Truong LK, Bekker S, Whittaker JL, Removing the training wheels: embracing the social, contextual and psychological in sports medicine, BJSM, Published Online First: 12 November 2020. - https://bjsm.bmj.com/content/early/2020/11/11/bjsports-2020-102679.abstract

Truong LK, Mosewich AD, Holt CJ, Le CY, Miciak M, Whittaker JL. Psychological, social and contextual factors across recovery stages following a sport-related knee injury: a scoping review. BJSM, 2020. - https://bjsm.bmj.com/content/54/19/1149

Physical activity deserts: What they are and how to reduce them with Dr. NiCole Keith. Ep #468

Fri, 12 Mar 2021 12:02:00 +0000

We all know the benefits of physical activity, but have you ever considered the ways the area you live in influences your ability to and options for exercise? Many Americans live in areas that discourage rather than promote an active lifestyle. Lack of access to areas to safely exercise creates physical activity deserts, which like food deserts, where fresh produce is not readily available, have deleterious effects on the health and well-being of the population living there. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine researcher and president of the American College of Sports Medicine, Dr. NiCole Keith, PhD. Dr. NiCole Keith (T: @nicolekeithphd) is a Professor from the Department of Kinesiology and associate dean of faculty affairs in the School of Health & Human Sciences at Indiana University-Purdue University Indianapolis. Her research interests include physical activity and health equity. In addition to serving as the current president of the ACSM she has previously served as the vice president of membership, communication, and policy and serves on both the Exercise is Medicine and American Fitness Index advisory boards. In this 20-minute conversation Dr. Keith addresses the following topics: What are physical activity deserts? Who is a risk of these deserts and what are the consequences? What can we do to advocate for improved access to safe areas to be physically active on the local and national levels? Physical Activity Alliance: https://paamovewithus.org/ The American Fitness Index ranks America’s top 100 healthiest cities: https://americanfitnessindex.org/ Exercise is Medicine connects physical activity to healthcare: https://www.exerciseismedicine.org/

ActivEarth seeks to improve communities through physical activity and active transportation: https://www.acsm.org/acsm-membership/strategic-initiatives/activearth-(active-transportation)

Maximise your patients rehab adherence, with Adam Gledhill, Dale Forsdyke and Tom Goom. Ep #467

Fri, 05 Mar 2021 15:05:00 +0000

Joining us on this podcast to discuss this crucial topic are Dr Adam Gledhill, Dr Dale Forsdyke and Tom Goom. Adam is Course Director for Sport, Exercise and Health Sciences at Leeds Beckett University. He is also chair of the British Association of Sport and Exercise Science Division of Psychology. Dale is a Senior Lecturer in Sports Injury Management at York St John University, and Head of Science and Medicine at York City Tier 1 Regional Talent Club. Tom (probably known to many as ‘the running physio’) is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course. In this podcast we cover: The inspiration behind the editorial and why is it such an important topic Patients’ basic psychological needs and how they relate back to rehab? A number of practical suggestions on how to enhance adherence. Links: ‘I’m asking you to believe—not in my ability to create change, but in yours’: four strategies to enhance patients’ rehabilitation adherence https://bjsm.bmj.com/content/early/2020/11/03/bjsports-2020-102245?hwshib2=authn%3A1611998232%3A20210129%253A76cf0ccf-1d2e-4e4c-8ced-6c1e1766754f%3A0%3A0%3A0%3AikkQGUelivZ4k1xUJsCLFQ%3D%3D

Blog on the running-physio website https://www.running-physio.com/adherence/

Tackling childhood obesity pt 2. With Dr. Dusty Narducci and Dr. Caitlyn Mooney. Ep #466

Fri, 26 Feb 2021 12:51:00 +0000

Childhood obesity is a prevalent problem but perhaps not as commonly addressed in doctors’ appointments due to a variety of reasons. In part two of their conversation, Dr. Dusty Marie Narducci, MD speaks with Dr. Caitlyn Mooney, MD about childhood obesity, including the following questions: · At what point would you recommend intervening? · Once a weight loss goal is determined, how do you move forward? · How exactly does diet play a role in obesity? · What is the role of physical activity, and what are the current activity recommendations? · What’s the evidence regarding interventions for childhood obesity? · Is there a role for pharmacological therapy in treatment? And what about surgical intervention? · Is there a role for counseling in certain populations? Related Articles and Links: Paul R. Stricker, Avery D. Faigenbaum, Teri M. McCambridge and COUNCIL ON SPORTS MEDICINE AND FITNESS Pediatrics June 2020, 145 (6) e20201011; DOI: https://doi.org/10.1542/peds.2020-1011 Brown T, Moore TH, Hooper L, et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2019; 7:CD001871.

Thomas H. Inge, MD, PhD1; Meg H. Zeller, PhD1; Todd M. Jenkins, PhD1; et al. Perioperative Outcomes of Adolescents Undergoing Bariatric Surgery The Teen–Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Study. JAMA Pediatr. 2014;168(1):47-53. doi:10.1001/jamapediatrics.2013.4296

Tackling childhood obesity in the clinic. Dr. Dusty Narducci speaks to Dr. Caitlyn Mooney. Ep #465

Fri, 19 Feb 2021 13:08:00 +0000

Childhood obesity is a prevalent problem but perhaps not as commonly addressed in doctors’ appointments due to a variety of reasons. Dr. Dusty Marie Narducci, MD speaks with Dr. Caitlyn Mooney, MD on the AMSSM Sports Medcast all about childhood obesity. In part one of their conversation, Dr. Narducci tackles the following questions: · Why is it important to know about childhood obesity? · What defines obesity, and what causes it in children? · What are BMI z-scores, and how much can clinicians rely on BMI as a measurement? · What are the comorbidities of obesity in childhood and adolescents? · What are the musculoskeletal implications of obesity? · What is the prognosis of childhood obesity? Related Articles and Links: BMI Z-Score and Percentile Calculator: https://www.bcm.edu/bodycomplab/BMIapp/BMI-calculator-kids.html BMI Percentile Calculator for Child and Teen https://www.cdc.gov/healthyweight/bmi/calculator.html Boutelle KN, Rhee KE, Liang J, et al. Effect of Attendance of the Child on Body Weight, Energy Intake, and Physical Activity in Childhood Obesity Treatment: A Randomized Clinical Trial. JAMA Pediatr 2017; 171:622. US Preventive Services Task Force, Grossman DC, Bibbins-Domingo K, et al. Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA 2017; 317:2417.

Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents, National Heart, Lung, and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics 2011; 128 Suppl 5:S213

What is the risk of COVID-19 transmission in sport itself? A podcast with Prof. Ben Jones. EP #464

Fri, 12 Feb 2021 13:55:00 +0000

In this podcast, we’re joined by Professor Ben Jones, to discuss his recently published paper on the risk of COVID-19 transmission in sport. Ben is a Professor at the Carnegie School of Sport at Leeds Beckett University, with a background in Sport and Exercise Physiology. He is also Head of Performance for England Rugby League and the Pathway Performance Director for Leeds Rhinos. We cover: · The sports the research relates to · The methods involved · What this means for players, for medical staff, and for sport in general

Link: https://bjsm.bmj.com/content/early/2021/02/10/bjsports-2020-103714

What can exercise apps tell us about menstrual symptoms? With Dr. Georgie Bruinvels. EP #463

Fri, 05 Feb 2021 13:58:00 +0000

Twitter: @GBruinvels, @JaneSThornton, @Erin_Macri Dr. Georgie Bruinvels is a Research Associate at St. Mary’s University in Twickenham in the UK, and also works as a Senior Sports Scientist and Research Scientist at Orreco. Her research focuses on the female athlete and female physiology. In this episode, Dr. Erin Macri, Dr. Jane Thornton, and our guest Dr. Georgie Bruinvels discuss menstrual symptoms and sports performance, and explore the technology and ethics around normalizing period talk in sports medicine. Related Articles

Bruinvels G, Goldsmith E, Blagrove R, Simpkin A, Lewis N, Morton K, Suppiah A, Rogers JP, Ackerman KE, Newell J, Pedlar C. Prevalence and frequency of menstrual cycle symptoms are associated with availability to train and compete: a study of 6812 exercising women recruited using the Strava exercise app. British Journal of Sports Medicine. 2020. http://dx.doi.org/10.1136/bjsports-2020-102792

A seat at the top table of women’s sport (and sports physio), and an intro to a new host! Ep #462

Fri, 29 Jan 2021 12:19:00 +0000

Brooke Patterson is a physiotherapist who is currently completing her PhD at the La Trobe Sport and Exercise Medicine Research Centre, investigating the impact of ACL injuries on the lives of young adults. Brooke played several seasons in the Australian Football League national women’s competition (WAFL), and has recently transitioned to becoming a coach. You will be hearing more from Brooke, who will be hosting some BJSM podcasts over the coming months, so we thought we’d take this opportunity to get to know Brooke and her research. In this podcast we discuss: The latest ACL injury prevention & early-onset osteoarthritis research The next big breakthroughs to expect in the next decade from a research perspective do Advice for people wanting to/working in elite women’s sport Links: 1. Making football safer for women with Brooke Patterson and Dr Ben Mentiplay. Episode #445 https://soundcloud.com/bmjpodcasts/making-football-safer-for-women-with-brooke-patterson-and-dr-ben-mentiplay-episode-445 2. Building on a BJSM podcast – and celebrating good news! #WomensFootball https://blogs.bmj.com/bjsm/2020/10/22/building-on-a-bjsm-podcast-and-celebrating-good-news-womensfootball/

3. Making football safer for women: a systematic review and meta-analysis of injury prevention programmes in 11 773 female football (soccer) players https://bjsm.bmj.com/content/54/18/1089

The nutritional demands of elite football. Catch up on the latest science with James Collins Ep #461

Fri, 22 Jan 2021 11:28:00 +0000

In this podcast, you can hear from James Collins – a leading performance nutritionist and one of the leads on the recent UEFA expert group statement on nutrition in elite football. James has worked with a range of elite sporting organisations, and is also the founder of the Intra Performance Group. In this podcast, we cover: - how the statement came about, and where it fits into the existing literature - nutritional considerations for training and match-day - the importance of body composition - nutritional considerations in the rehabbing athlete - next steps For more, please check out the links below: UEFA expert group statement: https://bjsm.bmj.com/content/early/2020/11/08/bjsports-2019-101961 Importance of nutrition in football: the coach’s perspective https://bjsm.bmj.com/content/early/2020/10/22/bjsports-2019-101972 The importance of nutrition in football: perspective of a national team’s doctor https://bjsm.bmj.com/content/early/2020/10/22/bjsports-2020-103318 James’ twitter profile: https://twitter.com/JamesCollinsPN James’ company profile: https://www.intraperformancegroup.com/team

Informed Sport https://www.informed-sport.com/

What should you keep track of? Bioinformatics for Female Athletes with Dr. Dusty Narducci. Ep #460

Fri, 15 Jan 2021 15:06:00 +0000

On this week’s podcast, Dr. Dusty Marie Narducci, MD speaks with Dr. Ben Krainin, MD on the AMSSM Sports Medcast about the use of bioinformatics and wearable technology in female athletes. In this conversation, Dr. Narducci focuses the following topics: · A general overview of bioinformatics, including the three main wearable technology product categories · Injury Prevention in Volleyball Players · Menstrual Tracking for Female Athletes · Fitness Trackers for the “General Consumer”

This lecture features multiple key points and takeaways about bioinformatics and was originally scheduled to be presented during the 2020 AMSSM Annual Meeting.

What can you expect from BJSM moving forwards? 15-minutes with the new EIC Prof Jon Drezner. Ep #459

Fri, 18 Dec 2020 12:00:00 +0000

Join us for a 15-minute chat with Prof Jon Drezner, the new Editor-in-Chief of the BJSM. We cover his journey to the job, his hopes for the future, and the role he sees the journal playing for the international sport and exercise medicine community over the coming years. In this, the last podcast of 2020, we discuss the challenges of 2020, and also pay tribute to the outgoing editor-in-chief, Professor Karim Khan, for his mentorship and for his incredible contribution to both the BJSM, and the wider Sport and Exercise Medicine community. For more, you can check out Jon's editorial in the latest edition of the BJSM

https://bjsm.bmj.com/content/55/1/1

Opening up about cricketers’ mental health with psychiatrist Dr Hassan Mahmood. Episode #458

Fri, 11 Dec 2020 14:56:00 +0000

In this week’s podcast, we are joined by Dr Mahmood to discuss how we can support the mental health of elite cricketers. Dr Mahmood is a psychiatrist based in Birmingham, England, who recently authored a chapter about mental health emergencies in cricket in a new textbook, Case Studies in Sports Psychiatry. In this 15-minute podcast, Dr Mahmood explores mental health screening, the difference between sports psychologists and psychiatrists, and how cricket can learn from other sports to improve the wellbeing of all athletes.

Time for a bloody good podcast. And yes, this one’s for men too. With Kirsty Elliott-Sale. Ep #457

Mon, 07 Dec 2020 11:44:00 +0000

Dr. Kirsty Elliott-Sale. Dr. Elliott-Sale is an Associate Professor of female physiology at Nottingham Trent University in Nottingham, England, where she is Head of the Musculoskeletal Physiology Research Group. For over 20 years she has been focussed on elite women athletes and maternal populations, primarily in the areas of endocrinology and musculoskeletal and exercise physiology. In this episode, Dr. Erin Macri talks to Dr. Elliott-Sale about menstruation and oral contraception, and their effects on sports performance. This is an important listen for all men and women who work with women athletes of all levels. Twitter: @ElliottSale @Erin_Macri Resources and references Menstruation is not a taboo in women’s sport, period. https://theconversation.com/menstruation-is-not-a-taboo-in-womens-sport-period-92378 The BASES Expert Statement on Conducting and Implementing Female Athlete-Based Research https://www.bases.org.uk/imgs/0000_bas_tses___autumn_2020_online_pg6_7237.pdf McNulty, K.L., Elliott-Sale, K.J., Dolan, E. et al. The Effects of Menstrual Cycle Phase on Exercise Performance in Eumenorrheic Women: A Systematic Review and Meta-Analysis. Sports Med 50, 1813–1827 (2020). https://doi.org/10.1007/s40279-020-01319-3 Elliott-Sale, K.J., McNulty, K.L., Ansdell, P. et al. The Effects of Oral Contraceptives on Exercise Performance in Women: A Systematic Review and Meta-analysis. Sports Med 50, 1785–1812 (2020). https://doi.org/10.1007/s40279-020-01317-5

Martin, D., Sale, C., Cooper, S. B., & Elliott-Sale, K. J. (2018). Period Prevalence and Perceived Side Effects of Hormonal Contraceptive Use and the Menstrual Cycle in Elite Athletes, International Journal of Sports Physiology and Performance, 13(7), 926-932. Retrieved Dec 2, 2020, from https://journals-humankinetics-com.ezproxy.library.ubc.ca/view/journals/ijspp/13/7/article-p926.xml

The 2020 WHO Guidelines on Physical Activity with Prof Fiona Bull and Dr Juana Willumsen. Ep #456

Wed, 25 Nov 2020 11:12:00 +0000

On this week's episode, we are joined by the WHO's Prof Fiona Bull and Dr Juana Willumsen to launch the new WHO 2020 Guidelines on Physical Activity and Sedentary Behaviour. In this 20-minute podcast, Prof Bull and Dr Willumsen discuss the new global recommendations in depth, explain what has changed since the 2010 guidelines, and outline the next steps forward to creating more active people for a healthier world.

Want to learn more? Check out the BJSM WHO Guidelines special issue (open access!) as well as the WHO website for all the resources.

Should you wear a face mask to exercise? Uncover the evidence with Prof. Janse van Rensburg. Ep #455

Mon, 23 Nov 2020 08:54:00 +0000

On this week’s episode, we are joined by Prof Christa Janse van Rensburg to discuss the do’s and don’ts of mask wearing during exercise. Prof Janse van Rensburg is a Sport and Exercise Physician who is the Head of Department of the Section Sports Medicine at the University of Pretoria in South Africa.

Athlete Voice, Padraig Harrington - Reflections on golf, performance and longevity in sport. Ep #454

Fri, 13 Nov 2020 12:01:00 +0000

As a three-time Major winner and the current European Ryder Cup team captain, Padraig Harrington is uniquely placed to consider the cultural changes in golf with respect to medicine and performance.

During this two-part conversation with Dr Sean Carmody and Padraig's longtime fitness coach, Dr Liam Hennessey, Padraig provides an insight into his experiences of injury, what he believes contributes to injury, and how a willingness to innovate has helped him to continue playing at the highest level over so many years.

Athlete Voice, Padraig Harrington - Reflections on golf, performance and longevity in sport. Ep #453

Fri, 06 Nov 2020 11:55:00 +0000

As a three-time Major winner and the current European Ryder Cup team captain, Padraig Harrington is uniquely placed to consider the cultural changes in golf with respect to medicine and performance.

Caring for the Pregnant Athlete with Dr. Ellen Casey. Episode #452

Fri, 30 Oct 2020 11:54:00 +0000

Serenna Williams, Alysson Felix, Kerry Walsh Jennings, Lisa Leslie. Mothers and champions. In this AMSSM Sportsmedcast sports medicine specialist Dr. Rathna Nuti hosts Dr. Ellen Casey, @EllenCaseyMD, Associate Attending Physiatrist in the Department of Physiatry and the Women's Sports Medicine Center at the Hospital for Special Surgery in New York. Dr Casey who works with US Gymnastics, is also an Associate Professor of Clinical Rehabilitation Medicine at Weill Cornell Medical College. Dr. Casey addresses the following topics: •What are some things to consider when caring for a pregnant athlete? •Should a pregnant athlete be exercising or training? •What are some misconceptions surrounding a pregnant athlete and exercise? •What exercises are recommended? •What exercises are prohibited? •Is there any point in time that a pregnant athlete should stop exercising? If so, when can she safely resume? •Is there any medications or supplements that a pregnant athlete should be taking during her pregnancy? •Any special medical evaluations that should be assessed by either the OB/GYN or Sports Medicine physician besides to the overall care of the pregnancy? •What are some common barriers to exercise in pregnant athletes (lumbopelvic pain, fatigue) •What are some things to consider when returning to sports/exercise after delivery?What are some of the barriers to exercise in postpartum women? •What is diastasis rectus abdominis? Can anything be done about it? •What are some of the reasons postpartum women develop urinary incontinence during sports/exercise? Can anything be done about it? •What do we know about breast feeding and sports participation? References Mottola et al. Br J Sports Med 2019 PMID: 30337460 Prather et al. PMR 2012 PMID: 23174548 Bø et al. Br J Sports Med 2016 PMID: 28642221

Meah et al. BJSM 2020 PMID: 32513676

Take a deep dive into Exertional Heat Illness with Dr. Doug Casa and Dr. Fran O’Connor. Episode #451

Fri, 23 Oct 2020 12:18:00 +0100

On this week’s podcast, Dr. Douglas Casa PhD, ATC and Dr. Francis O’Connor MD, MPH, FAMSSM join Dr. Seth Smith MD, PharmD on AMSSM’s Sports Medcast to discuss exertional heat illness with an emphasis on exertional heat stroke. In this conversation, Dr. Casa and Dr. O’Connor will address the following topics: · What is the basic paradigm for the prehospital care of exertional heat stroke (EHS)? · How to develop a thorough emergency action plan (EAP) for recognition and management of EHS? · What steps can be taken to help reduce the occurrence of EHS? · What future items may be used to help guide return to activity for patients who have suffered an EHS?

Listen to an extended version of this conversation on the AMSSM podcast feed, beginning at the 17-minute mark: https://amssm.podbean.com/e/an-in-depth-discussion-on-exertional-heat-illness-with-dr-doug-casa-and-dr-fran-o-connor/

Return to play in RED-S. Female athlete health (Part 2), with Dr Nicky Keay Episode #450

Fri, 16 Oct 2020 12:05:00 +0100

A dive into female athlete health with Dr Nicky Keay. Dr Keay is a Sports and Dance Endocrinologist and Honorary Fellow at the Department of Sport and Exercise Sciences at Durham University. Many of our listeners will know Nicky from some of her publications in BJSM relating to female athlete health, which we cover in two rich podcasts. For some of the resources mentioned, please see the links below, or check out the BJSM blog homepage, where they will be collated into an interactive blog. Links: BASEM website www.health4performance.co.uk (in houses the IOC consensus statements and other published studies in RED-S) BJSM blogs “Of Mice and Men” https://blogs.bmj.com/bjsm/2019/11/21/of-mice-and-men-and-women/ and summary of IOC 2018 RED-S update https://blogs.bmj.com/bjsm/2018/05/30/2018-update-relative-energy-deficiency-in-sport-red-s/ Dr Keay's website nickykeayfitness.com BJSM infographics on RED-S https://bjsm.bmj.com/content/53/20/1310 and cycling study https://bmjopensem.bmj.com/content/4/1/e000424 Course for coaches working with female athletes endorsed by BASEM https://sport-ready-academy.teachable.com/p/working-with-high-performing-female-athletes Blood tests for athletes/dancers (including female hormone profiling) in UK https://www.forthedge.co.uk/

Menstrual monitoring alongside training metrics used at Sottish Ballet as mentioned in podcast https://www.athletemonitoring.com/menstrual-cycle-tracker/

Periods as barometers of hormonal health. Female athlete health Pt 1 with Dr Nicky Keay Episode #449

Fri, 09 Oct 2020 15:14:00 +0100

Menstrual monitoring alongside training metrics used at Sottish Ballet as mentioned in podcast https://www.athletemonitoring.com/menstrual-cycle-tracker/

Finding comfort in discomfort with Dr Alex Hutchinson PhD. Episode #448

Fri, 02 Oct 2020 12:13:00 +0100

On this week’s episode, crowd favourite Dr Alex Hutchinson PhD returns to discuss the difference between effort and pain in the world of endurance. A former Canadian national team middle- and long-distance runner and Cambridge-trained physicist, Alex is an award winning author and columnist who writes for Outside magazine and The Toronto Globe and Mail.

Want to learn more about the science of suffering? Follow @Sweat Science on Twitter and check out his book Endure: Mind, Body, and the Curiously Elastic Limits of Human Performance.

Cadence: Steps to manage joint load in knee OA? An interview with Dr. Harvi Hart. Episode #447

Fri, 25 Sep 2020 12:11:00 +0100

Dr. Harvi Hart is a postdoctoral researcher at Western University in London, Ontario, funded by the Canadian Institutes of Health Research. Dr. Hart’s research focuses on identifying risk factors for knee osteoarthritis, both non-traumatic and post-traumatic osteoarthritis. Through better understanding these risk factors, Dr. Hart aims to develop new treatment approaches for managing knee OA. In this episode, Dr. Erin Macri asks Dr. Hart about her most recent studies looking at cadence and its possible role in joint loading and knee osteoarthritis. Twitter: @HarviHart @Erin_Macri Resources and references Hart HF, Birmingham TB, Primeau CA, et al. Associations between cadence and knee loading in patients with knee osteoarthritis. Arthritis Care Res (Hoboken) 2020. Published online first doi:10.1002/acr.24400 Hart HF, Gross KD, Crossley KM, et al. Is step rate associated with worsening of patellofemoral and tibiofemoral joint osteoarthritis in women and men? The Multicenter Osteoarthritis Study. Arthritis Care Res (Hoboken) 2019. Published online first doi: 10.1002/acr.23864 Lenhart RL, Thelen DG, Wille CM, Chumanov ES, Heiderscheit BC. Increasing running step rate reduces patellofemoral joint forces. Med Sci Sports Exerc 2014; 46: 557-564. Willy RW, Meardon SA, Schmidt A, Blaylock NR, Hadding SA, Willson JD. Changes in tibiofemoral contact forces during running in response to in-field gait retraining. J Sports Sci 2016; 34: 1602-1611.

Bramah C, Preece SJ, Gill N, Herrington L. A 10% increase in step rate improves running kinematics and clinical outcomes in runners with patellofemoral pain at 4 weeks and 3 months. Am J Sports Med 2019 7:3406-3413.

How to stay healthy during travel. Prof. Wayne Derman gives crucial advice. Episode #446

Fri, 18 Sep 2020 12:26:00 +0100

As long haul domestic & international travel for athletic competition slowly begins to resume post the restrictive COVID period, it will be more imperative than ever to keep these athletes healthy. This travel places significant risks of infection transmission and an aeroplane has unique challenges to overcome. BJSM's Liam West poses the questions to Prof. Wayne Derman who gives golden practical tips on how to commute safely. This podcast was recorded in March - since then the learning curve has been steep and behaviour regarding travel of both athletes and non-athletes changed substantially. Face masks are mandatory on flights, deep cleans of the aircraft pre-flight are routine replacing the need to clean your own tray table.

Head over to the fantastic resource from the World Health Organisation (WHO) - https://www.who.int/news-room/q-a-detail/air-travel-advice

Making football safer for women with Brooke Patterson and Dr Ben Mentiplay. Episode #445

Fri, 11 Sep 2020 11:14:00 +0100

Why are females more at risk of ACL injuries in football? What can we do to reduce the risk for our athletes? On this week’s episode, we are joined by Brooke Patterson and Dr Ben Mentiplay to discuss their latest review of injury prevention programmes reducing the risk of injury in women’s football. Brooke (T: @Knee_Howells) is a physiotherapist who is currently completing her PhD at the La Trobe Sport and Exercise Medicine Research Centre, investigating the impact of ACL injuries on the lives of young adults. Brooke played several seasons in the Australian Football League national women’s competition (WAFL), and has recently transitioned to becoming a coach.

Dr Mentiplay (@MentiplayB) has a background in sport and exercise science and completed his PhD in 2017. Ben is currently a lecturer and research Fellow at La Trobe, with a strong interest in biomechanics.

Empowering patients to take control of their back pain with Dr Mary O’Keeffe. Episode #444

Fri, 04 Sep 2020 13:56:00 +0100

On this week’s episode, we are joined by Dr Mary O’Keeffe (T: @MaryOKeeffe007) to discuss how clinicians can better manage patients with low back pain. Mary is a physiotherapist and a Marie Skłodowska-Curie Postdoctoral Fellow. Mary was awarded her PhD in 2017, in which she examined multidimensional rehabilitation for the individual with chronic back pain. Mary’s research now focuses on changing clinicians’ behaviour, improving diagnostic labels of low back pain, and communicating healthcare messages in the media. In this 20-min podcast, Mary explores clinicians’ common misconceptions about low back pain and how we can better address psychosocial aspects of care.

What are the best exercises to manage low back pain? with A/Prof Daniel Belavy. Episode #443

Tue, 01 Sep 2020 09:57:00 +0100

On this week’s episode, we are joined by A/Prof Daniel Belavy (T: @BelavySpine) from the Institute of Physical Activity and Nutrition at Deakin University in Melbourne. A/Prof Belavy is a back pain and spine researcher, and Leader of the Spine Research Group at Deakin. In this 17-min podcast, A/Prof Belavy discusses: • the most effective exercises to improve pain, physical function and mental in adults with non-specific chronic low back pain • how running and cycling affect spine health

• how sitting and sedentary behaviour affect spine health

The latest on treating patellofemoral pain, with Drs. Mark Matthews and Bill Vicenzino. Episode #442

Fri, 21 Aug 2020 14:32:00 +0100

Dr. Mark Matthews (@Mark_MatthewsNZ) is a Lecturer at Ulster University in Belfast, Northern Ireland. Prof. Bill Vicenzino (@Bill_Vicenzino) is Chair in Sports Physiotherapy and Director of Sports Injuries Rehabilitation and Prevention for Health (SIRPH) research unit at the University of Queensland in Brisbane, Australia. In this episode, Dr. Erin Macri (@Erin_Macri) asks these clinician-researchers about their recent trial comparing foot orthoses to hip exercises, and how their results change what we think we know about managing patellofemoral pain. Part 1 – The FOHX trial for patellofemoral pain: webinar https://espace.library.uq.edu.au/view/UQ:cc0ee60

Part 2 – Patellofemoral pain panel discussion https://espace.library.uq.edu.au/view/UQ:c813701

COVID-19 Cardiac concerns in college sport with Drs Jon Drezner and Michael Ackerman. Episode #441

Fri, 14 Aug 2020 11:51:00 +0100

What is COVID myocarditis and how strong is the data to create a link between COVID and potential arrhythmias? Was COVID myocarditis the leading factor in the recent decisions of some American athletic conferences to shut-down the fall sports season? What are the criteria to start participation again? On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine physicians and internationally renowned experts on Sports Cardiology Dr. Jonathan Drezner and Dr. Michael Ackerman, who have both been influential in the debate on whether a Collegiate Athletic season can safely occur in the midst of the ongoing COVID-19 Pandemic. Dr. Jonathan Drezner is a Professor from the Department of Family Medicine and Director of the University of Washington Center for Sports Cardiology, past president of the AMSSM, team physician for the Seattle Seahawks, UW Huskies, and OL Reign and deputy editor of the BJSM. Dr. Michael Ackerman is a Professor of Medicine, Pediatrics, and Pharmacology at the Mayo Clinic College of Medicine and Science. He is the Director of the Windland Smith Rice Genetic Heart Rhythm Clinic and Windland Smith Rice Sudden Death Genomics Laboratory, as well as the president of the Sudden Arrhythmia Death Syndromes (SADS) Foundation. In this 40 minute conversation Drs. Drezner and Ackerman addressed the following topics: What is COVID myocarditis and why is it so concerning? How strong is the link between COVID-19 and was this a driving factor in the cancelling of the FALL sports season by some collegiate conferences? What metrics need to be satisfied in order to safely return to play, and will that occur this year. Health and Well Being Considerations for PAC-12 Institutions: Guidance for Local Planning for Return to Sporting Activity https://xs.pac-12.com/2020-08/Pac-12%20Covid-19%20Return%20to%20Play%20Considerations%2008.10.2020.pdf Puntmann VO, Carerj ML, Weiters I. Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19) https://jamanetwork.com/journals/jamacardiology/fullarticle/2768916 Baggish A, Drezner JA, Kim J, et al. Resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes https://bjsm.bmj.com/content/early/2020/06/18/bjsports-2020-102516 Maron BJ, Zipes DP, Kovacs RJ, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: a scientific statement from the American Heart Association and the American College of Cardiology. Copublished in Circulation and the Journal of the American College of Cardiology 2015. https://www.acc.org/~/media/fb92803045d249ae91b715650dd0ebe4.pdf Pelliccia A, Solberg EE, Papadakis M, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). European Heart Journal 2019;40:19.

https://academic.oup.com/eurheartj/article/40/1/19/5248228

Strength and Conditioning in Golf – How did Bryson get so big? Dan Coughlan discusses. Episode #440

Fri, 07 Aug 2020 12:27:00 +0100

There has been a huge shift in golfers over the last 10 to 15 years with many more golfers at the top of the game such as Tiger Woods, Rory Mcllroy and Brooks Koepka focusing on Strength and Conditioning (S&C) to improve performance. COVID-19 has stopped many sporting events and has provided some a unique opportunity to focus on S&C. Bryson DeChambeau took full advantage of this putting on large amounts of muscle and is the latest golfer to demonstrate the benefits of S&C in golf performance. In this podcast Dan Coughlan explains to Will Wynter Bee the shift in S&C in golf and how the different S&C programmes used by tour players can improve performance while minimising injury risk. He also discusses the S&C set up on the European tour. Additional information. https://bjsm.bmj.com/content/bjsports/53/1/13.full.pdf?casa_token=SP73J6k2B4AAAAAA:EmiTi99T9da2ALJWIbVB350UmxsyeNLtkCz43HLNyVAGaDqzP9F1bJZC6_ReinWhYHzI8TLCTvA https://shapeamerica.tandfonline.com/doi/abs/10.1080/02640414.2018.1559972#.Xw8soZNKhTY https://sportperfsci.com/strength-and-conditioning-in-golf-probability-of-performance-impact/ Dan’s Twitter and Instagram accounts https://twitter.com/etpi?lang=en

https://www.instagram.com/etpi_performanceunit/

Are we allowing injured athletes enough rest? Biological healing with Erik Witvrouw. Episode #439

Fri, 31 Jul 2020 12:15:00 +0100

Are injury recurrences due to a return to sport prior to adequate biological healing? Can we accurately measure stages healing with imaging or blood tests? Professor Erik Witvrouw discusses the importance of respecting biological healing in sports musculoskeletal injuries with BJSM’s Liam West.

The Language of Coaching Science - talking with Nick Winkelman. Episode #438

Fri, 24 Jul 2020 10:32:00 +0100

Language, and how we use it, has a powerful influence on driving performance and clinical outcomes. Nick Winkelman, Head of Athletic Performance & Science for the Irish Rugby Football Union, has spent considerable time studying how effective communication can enhance performance. During this podcast with Dr Sean Carmody, Nick draws on the content from his book The Language of Coaching: The Art & Science of Teaching Movement to assess how visual cues and metaphors can be applied to improve your clinical or coaching practice.

The Language of Coaching: The Art & Science of Teaching Movement

What actually works? Hip and Groin masterclass with Dr. Andrea Mosler. Episode #437

Fri, 17 Jul 2020 11:07:00 +0100

Dr. Andrea Mosler is a specialist sports physiotherapist and research fellow at La Trobe University, Melbourne. In this podcast, Liam West poses the questions that see Dr. Mosler explain how you should approach the prevention and management of hip and groin pain in athletes. She describes findings from her PhD and gives you the listener some clinical pearls to add to your “hip and groin” treatment toolbox!

Big data, big players. Ankle injuries in the NBA and NFL with Dr Mackenzie Herzog. Episode #436

Fri, 10 Jul 2020 10:31:00 +0100

Dr Mackenzie Herzog (@MackenzieHerzog) has a PhD in Sports Injury and Orthopaedic Epidemiology from the University of North Carolina at Chapel Hill. She is currently a Lead Epidemiologist on the Injury Surveillance and Analytics team at IQVIA. She was part of a team assessing the risks of sustaining an ankle sprain whilst playing in the NBA across four seasons. In this podcast we explore the findings from the paper (published in AJSM), the need to collect robust data to inform injury prevention strategies, how data science and sports epidemiology is evolving and her insights on working with teams in the NBA and NFL. https://www.iqvia.com/ Herzog et al. Ankle Sprains in the National Basketball Association, 2013-2014 Through 2016-2017. American Journal of Sports Medicine, 2020. 47;11: 2651-2658. https://journals.sagepub.com/doi/10.1177/0363546519864678

Bahr R, et al. International Olympic Committee consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport 2020 (including STROBE Extension for Sport Injury and Illness Surveillance (STROBE-SIIS)). British Journal of Sports Medicine, 2020;54:372-389. https://bjsm.bmj.com/content/54/7/372.info

Exercise or corticosteroids or both for managing knee OA? Dr Dan Rhon sheds light. Episode #435

Fri, 03 Jul 2020 14:53:00 +0100

Dr. Dan Rhon (T: @danrhon) is an active researcher for the US Department of Defence, a consultant and assistant professor at both Duke (North Carolina) and Baylor (Texas) Universities. He attended a manual therapy clinical fellowship at Brooke Army Medical Center in Texas, is a fellow in the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT), and an orthopaedic clinical specialist (OCS). He completed a postdoc research fellowship through the University of Utah and has a strong research interest in the effectiveness of clinical care pathways for musculoskeletal disease, both at primary and specialty care levels, and the intersection of these two. He was recently part of the investigating team who published a study on the effects of corticosteroid vs physiotherapy for managing knee osteoarthritis, published by the prestigious New England Journal of Medicine. In this discussion with associate editor Paul Blazey (T: @blazey85), he focuses on the findings of the study and the implications for the effective management of one of the most prevalent conditions seen in MSK clinics across the world. References Deyle, GD., Allen, CS., Allison, SC., et al. Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee. N Engl J Med 2020; 382:1420-1429 DOI: 10.1056/NEJMoa1905877

https://www-nejm-org.ezproxy.library.ubc.ca/doi/10.1056/NEJMoa1905877

How to be HAPPY in youth sport with Dr. Merete Møller. Episode #434

Fri, 26 Jun 2020 11:19:00 +0100

Twitter: @Happysport_dk According to the literature, a substantial reduction in injury rates in youth sport is achievable. So why isn’t this translating into meaningful injury prevention in the real world? And what can we do about it? In this episode, Dr. Erin Macri asks Dr. Merete Møller to share her powerful insights on this topic and to introduce a novel research project (the HAPPY project) that aims to bridge the gap from injury prevention trials to real-world results on the field. Related Articles and Links Soomro N, Sanders R, Hackett D, et al. The Efficacy of Injury Prevention Programs in Adolescent Team Sports: A Meta-analysis. Am J Sports Med. 2016;44(9):2415‐2424. doi:10.1177/0363546515618372 Owoeye OBA, Palacios-Derflingher LM, Emery CA. Prevention of Ankle Sprain Injuries in Youth Soccer and Basketball: Effectiveness of a Neuromuscular Training Program and Examining Risk Factors. Clin J Sport Med. 2018;28(4):325‐331. doi:10.1097/JSM.0000000000000462 Emery CA, van den Berg C, Richmond SA, et al. Implementing a junior high school-based programme to reduce sports injuries through neuromuscular training (iSPRINT): a cluster randomised controlled trial (RCT) [published online ahead of print, 2019 Dec 10]. Br J Sports Med. 2019;bjsports-2019-101117. Sakata J, Nakamura E, Suzuki T, et al. Throwing Injuries in Youth Baseball Players: Can a Prevention Program Help? A Randomized Controlled Trial. Am J Sports Med. 2019;47(11):2709‐2716. doi:10.1177/0363546519861378 Bekker, S., Paliadelis, P. & Finch, C.F. The translation of sports injury prevention and safety promotion knowledge: insights from key intermediary organisations. Health Res Policy Sys 15, 25 (2017). https://doi.org/10.1186/s12961-017-0189-5 O'Brien J, Finch CF. The implementation of musculoskeletal injury-prevention exercise programmes in team ball sports: a systematic review employing the RE-AIM framework. Sports Med. 2014;44(9):1305‐1318. doi:10.1007/s40279-014-0208-4 Lindblom H, Carlfjord S, Hägglund M. Adoption and use of an injury prevention exercise program in female football: A qualitative study among coaches. Scand J Med Sci Sports. 2018;28(3):1295‐1303. doi:10.1111/sms.13012 Ageberg E, Bunke S, Lucander K, Nilsen P, Donaldson A. Facilitators to support the implementation of injury prevention training in youth handball: A concept mapping approach. Scand J Med Sci Sports. 2019;29(2):275‐285. doi:10.1111/sms.13323

Richmond SA, Donaldson A, Macpherson A, et al. Facilitators and Barriers to the Implementation of iSPRINT: A Sport Injury Prevention Program in Junior High Schools. Clin J Sport Med. 2020;30(3):231‐238. doi:10.1097/JSM.0000000000000579

Building your athlete mental health toolkit during COVID-19 with Olympian Dr Jane Thornton. #433

Fri, 19 Jun 2020 14:41:00 +0100

On this week’s episode, we chat with BJSM Deputy Editor Dr Jane Thornton MD PhD about how clinicians can support athlete mental health during COVID-19.

As a World Champion and former Olympic rower for Canada, Dr Thornton has been supporting Canadian athletes experiencing mental health issues related to COVID-19. In partnership with sports psychiatrist Dr Carla Edwards, Dr Thornton has also produced a range of mental health resources to help athletes combat COVID-19 anxiety. In this 25–minute podcast, Dr Thornton discusses her own experiences as an Olympic athlete, how to prepare for adversity, manage fear, and reset training and competition goals.

FAI and giving patients confidence in telehealth, Chad Cook gives us the inside track. Episode #432

Fri, 12 Jun 2020 13:54:00 +0100

Associate Editor Paul Blazey (T: @blazey85) talks with Professor Chad Cook from Duke University (North Carolina, USA). Chad is a Professor in the Orthopaedic Surgery Division of Physical Therapy, with an interest in the effective diagnosis, intervention, and outcomes assessment of conservative and surgical treatment of orthopedic-related conditions.

Today we focus on Chad’s experience with orthopaedic testing, especially when applied to femoroacetabular impingement syndrome, and the ability to effectively assess this condition over telehealth.

Exercise Prescription During a Pandemic: keeping active with Dr. Jordan Metzl. Episode #431

Fri, 05 Jun 2020 09:41:00 +0100

The global COVID-19 Pandemic has changed the way we practice medicine and live our daily lives. Things we traditionally have taken for granted now pose major challenges, and among those is the challenge of remaining active. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine physician and fitness enthusiast Dr. Jordan Metzl to discuss strategies for continuing to encourage physical activity even during “social distancing.” Dr. Metzl is a pediatrician with subspecialty training in sports medicine whose goal is to help patients and athletes maintain physically active lifestyles and recover from injuries to return to their chosen forms of activity. He has written multiple books and is well known for his Iron Strength workout series.

To learn more about Dr. Metzl’s work, or sign-up for his listserv to be notified of future classes please visit his website at https://drjordanmetzl.com

Using data science to support medical team decisions & return to play post COVID- 19. Episode #430

Fri, 29 May 2020 14:18:00 +0100

Dr. Ben Sporer (T: @ben_sporer) is the current director of performance strategy, research and innovation at the Vancouver Whitecaps (MLS). He trained as an exercise physiologist and worked with the Canadian Sport Institute, supporting multisport, cycling and snowboarding athletes across three full Olympic cycles (summer and winter games). He brings a wealth of knowledge about developing elite athlete performance and wellbeing, as well as what it takes to build a performance team. Today in the discussion with associate editor Paul Blazey (T: @blazey85), we dive into:  what impact Ben’s exercise physiology background had on his management of the medical arm of his performance team  how the Whitecaps use data science to support medical and team decisions  what Ben looks for in developing a high performance medical and support team  how the team has managed the lockdown and the challenges of return to play in elite sport post covid-19 Resources

Catapult Sport Data Capture Systems - https://www.catapultsports.com/

Why the WHO wants the world to stay active with Prof Fiona Bull. Episode #429

Fri, 22 May 2020 11:25:00 +0100

On this week's episode, we are joined again by Prof Fiona Bull to discuss why and how we should stay active in self-isolation. Prof Bull is the Programme Manager in the Department of Prevention of NCDs at the WHO in Geneva. She leads the WHO’s global work on physical activity. In this 15-minute podcast, Prof Bull explains what the WHO is doing to support countries increase physical activity in times of COVID-19 and outlines physical activity research priorities at a global level. #HealthyAtHome @WHO

https://www.who.int/news-room/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome/healthyathome---physical-activity

Respiratory health in athletes: facing the COVID-19 challenge with Dr James Hull. Episode #428

Fri, 15 May 2020 14:19:00 +0100

In this cutting-edge podcast with Dr James Hull – a leading authority on respiratory health in athletes - we discuss the challenges facing athletes and healthcare professionals following infection with the novel coronavirus. We cover a few case-studies, and practical points for all SEM professionals to consider. Additional Links: Link to the published article in the Lancet Respiratory Medicine journal https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30175-2/fulltext#.XrHWOYDlNMw.twitter Dr James Hull’s twitter page: https://twitter.com/Breathe_to_win Link to Book: https://www.amazon.co.uk/Complete-Guide-Respiratory-Care-Athletes/dp/1138588350/ref=redir_mobile_desktop?ie=UTF8&qid=1586959229&ref_=tmm_pap_title_0&sr=8-1 BJSM Education Review on EILO https://bjsm.bmj.com/content/52/18/1211

BJSM podcast on EILO https://soundcloud.com/bmjpodcasts/do-you-know-athletes-who-have-a-wheeze-and-get-short-of-breath-easily-surely-asthma-right?in=bmjpodcasts%2Fsets%2Fbjsm-1&fbclid=IwAR3tViVFdNwqKZ04hU43y57HeuPcskYQ5OPuGoCJCF4hIlLd-BlL3k2SXVU

Concerned about COVID-19 and the athletic heart? Prof Jon Drezner gives insight. Episode #427

Thu, 07 May 2020 15:25:00 +0100

Are you involved in the care of athletes, and now planning their return to sport? Have you fully considered their cardiac health, especially in those with suspected/confirmed novel coronavirus infection? In this 15-minute podcast with Prof Jon Drezner, one of the world’s leading Sports Cardiologists & Team Physicians, we dive into some case-studies and some of the emerging evidence in this interesting area. Please get in touch with us if you have any questions! Additional resources: Link to BJSM blog: https://blogs.bmj.com/bjsm/2020/04/24/the-resurgence-of-sport-in-the-wake-of-covid-19-cardiac-considerations-in-competitive-athletes/

Link to free ECG e-Academy https://uwsportscardiology.org/e-academy/ecg-modules/

Orthobiologics: Is this the new advancement in non-operative sport medicine? Episode #426

Fri, 01 May 2020 15:07:00 +0100

Host Dr. Giorgio Negron, MD is joined by Dr. Kenneth Mautner, MD on the AMSSM Sports Medcast to discuss orthobiologics, specifically PRP and stem cell treatments, and the current evidence for their use. Dr. Mautner is an associate professor in the Department of Physical Medicine and Rehabilitation and the Department of Orthopedics Surgery at Emory University in Atlanta, GA. In this 20-minute conversation Dr. Mautner addresses the following topics:

What is PRP and how did it become so popular in the musculoskeletal world? What the variabilities that are important to know in PRP? What is a stem cell? How do we obtain stem cells? How can it help with musculoskeletal conditions? What are these “pop-up” stem cell clinics and their products they are advertising? What research are you currently working on?

Mental health in Athletes and COVID-19 - Phil and Georgia Hopley discuss. Episode#425

Fri, 24 Apr 2020 12:23:00 +0100

In this Podcast, Dr Phil Hopley explains to Dr Will Wynter Bee the impact of the COVID crisis on athletes' mental health as well as discussing his role in setting up mental health services for the European tour. He also provides insights into how, clinically, he assesses and manages mental health conditions in elite athletes. Georgia Hopley discusses her research providing valuable insights into the prevalence of common mental health conditions in elite golfers. Useful links we discuss: Mental health in elite athletes: International Olympic Committee consensus statement (2019)- https://bjsm.bmj.com/content/53/11/667 Cognacity - https://www.cognacity.co.uk/ National institute of mental health - https://www.nimh.nih.gov/index.shtml Mind - https://www.mind.org.uk/information-support/tips-for-everyday-living/ Sane - http://www.sane.org.uk/

Calm - https://www.thecalmzone.net/

Learning from experience: How patients can transform research with Dr Osman Ahmed. Episode #424

Fri, 17 Apr 2020 13:11:00 +0100

Can we learn more from our patients than you might think? Do they hold the answers to the clinical question that you face? Dr. Osman Ahmed is an Associate Editor at BJSM, co-leading the “Patient Voices” section of the journal alongside Dr. Tracey Blake. Osman discusses how we can engage our patients/athletes to improve the clinical applicability of our research, and highlights some areas of medicine that have already benefited from this approach. Links of articles discussed on the podcast: https://bjsm.bmj.com/content/52/24/1547

https://www.jospt.org/doi/full/10.2519/jospt.2019.0106

Educators in a Dangerous Time: effective online education with Dr. Jackie Whittaker Episode #423

Fri, 03 Apr 2020 11:19:00 +0100

On the heels of a global pandemic, we have all been asked to quickly adapt to our new surroundings – in most cases our living room – and to carry on with delivering quality education. For many of us, this means scrambling to make our once classroom-based educational materials online-ready for the first time. Where do we begin? Dr. Erin Macri joins Dr. Jackie Whittaker in this BJSM episode to share tips and tricks for both delivering and receiving effective, high quality online education. Dr. Whittaker has delivered online university-level education for over six years, and her experience and insight are invaluable during these difficult times. For a list of resources please visit the BJSM blog:

https://blogs.bmj.com/bjsm/2020/04/05/educators-in-a-dangerous-time-effective-online-healthcare-education-with-dr-jackie-whittaker/

Prescribing the perfect running shoe – myth busting podcast with Dr. Laurent Malisoux. Episode #422

Fri, 27 Mar 2020 11:36:00 +0000

Runners are constantly trying to find the perfect shoe that will combine increased performance with decreased injury risk. In this podcast, Dr. Liam West poses the questions to Dr. Laurent Malisoux to explore whether the current body of research is able to guide the clinician as to which shoe type is perfect for which foot type. Dr. Malisoux is a key researcher at the Sports Medicine Research Laboratory at the Luxembourg Institute of Health. His area of research and expertise centres on running shoes and potential risk factors for injury.

Athletes’ mental health—a major issue. Dr Margo Mountjoy shares management tips. Episode #421

Fri, 13 Mar 2020 13:40:00 +0000

Assistant Dean at McMaster University, member of the FINA (World Swimming) and the IOC Working Group on Mental Health in Athletes, Dr Margo Mountoy (MD, Dip Sport Med [CASEM], PhD) shares practical insights. What 4 things should a team physician do to help an athlete who has mental health symptoms or a diagnosed mental health disorder.

You’ll hear the FREE 2019 consensus paper referred to: http://ow.ly/hTpS50yKx7K

More important than life or death? Dr Daniel Parnell prescribes football as medicine. Episode #420

Fri, 06 Mar 2020 12:25:00 +0000

Football is the world's most popular sport, captivating the hearts and minds of millions of people every day. Supporting our national team or local club evokes a deep sense of pride, and provides a consistent source of entertainment. How could something so addictive be so good for you? Football has been found to be an effective adjunct for the treatment and prevention of a wide variety of conditions such as depression, some cancers and type 2 diabetes. In this podcast, Dr Daniel Parnell explains to Dr Sean Carmody the emerging research behind the broad spectrum health benefits attached to participating in football. Dr Daniel Parnell is a Senior Lecturer in Sports Business at the University of Liverpool and co-author of Football as Medicine: Prescribing Football for Global Health Promotion.

Dr Sean Carmody is a doctor based in London.

Creating value in musculoskeletal care with Dr Imran Sajid. Episode #419

Fri, 28 Feb 2020 12:00:00 +0000

Dr Imran Sajid is a frontline clinician, health policy maker, educator and researcher with a keen interest in behavioural economics. This podcast takes a 30,000-foot view of some of our daily clinical approaches—and dives down into specific cases to make important points. How do you get the right care to the right patient at the right time. Is there overdiagnosis and overtreatment in our field—the field of musculoskeletal care? Fee-for-service underpins a great deal of treatment in MSK medicine. Are our diagnoses (such as ‘locked knee’) really as solid as we may have been taught in the early 2000s? Do very common surgical procedures such as knee and shoulder arthroscopy add value for the patient? Dr Sajid gives 3 tips to improve the value of care for patients: 1) We need system change so the right care is provided at the right place. This generally requires a shift towards shared care in the community setting. 2) There needs to be a culture change away from the structural model—most health care burden does not derive from structures that can be fixed simply with a pill or a screw. 3) Clinicians need to be healthy skeptics about what works and what doesn’t. Humility helps! Don’t fall prey to those powerful cognitive biases. Just

because we know about them doesn’t make them go away. Think of your favourite optical illusion! It’s hard to ‘see’ the truth!

Cardiac abnormalities and participating in sport-is is safe? Dr. Rachel Lampert. Episode #418

Fri, 21 Feb 2020 11:46:00 +0000

Dr. Rachel Lampert, MD joins host Devin McFadden, MD on AMSSM’s Sports Medcast (T: @TheAMSSM) to discuss athletic participation in athletes with cardioverter-defibrilators for known cardiac abnormalities. In this 20 minute conversation Dr. Lampert addresses the following topics: - What are the common causes of sudden cardiac death in athletes? - What is the data to support disqualifying patients with known cardiac disease (cardiomyopathies and channelopathies) from sports, and could they potentially participate safely?

- How will future studies impact the way we practice further?

Should I clear this athlete … with a suspected cardiac abnormality? Prof Sanjay Sharma. Episode #417

Fri, 14 Feb 2020 14:04:00 +0000

Has the principle of shared decision making in athletes with known cardiac abnormalities placed our athletes, teams, and medical system at risk? Are there situations where accepted medical standards and risk management trump patient autonomy? What further steps can we take to generate the data needed to ensure that the athletes we clear in the future are safe to participate? On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by internationally recognized expert Dr. Sanjay Sharma, MD to discuss the risks and benefits encountered while making clearance decisions in athletes with known cardiac abnormalities.

Prof Mutrie Pt 2. Football Fans Training. Sitting. Mental health. Outrunning bad food. Episode #416

Fri, 07 Feb 2020 13:16:00 +0000

Nanette Mutrie (@NanetteMutrie) has been Chair of Physical Activity for Health at the University of Edinburgh since July 2012. She directs the Physical Activity for Health Research Centre (PAHRC) in the Institute for Sport, Physical Education and Health Sciences. Nanette is a Chartered Psychologist and a Fellow of the British Association of Sport and Exercise Sciences. She took a break from writing the 4th edition of ‘Psychology of Physical Activity” to speak with BJSM’s outgoing Editor-in-Chief Karim Khan (@BJSM_BMJ) In podcast 2 of 2 she discusses: The revolutionary physical activity and weight control intervention for men—Football Fans in Training. http://ow.ly/zOIv50yfYd0. She revisits the topic of too much sitting—which is different to physical inactivity. Prof Mutrie argues that we promote the short-term benefits of walking to the public. “You will get a boost in your mood and you will sleep better by just having a 10-minute walk.” That’s how Coke promotes their product—it’s not about promising long-term health benefits. What do you think about that? And she discusses ‘outrunning a bad diet’, weekend warriors and The Daily Mile.

You’ll love this episode as much as the record-breaking first of this duet. If you missed that one here’s the link: http://ow.ly/NNtg50yfYk3

Is walking the best buy for public health? What should physios do? Prof Nanette Mutrie. Episode #415

Fri, 31 Jan 2020 13:08:00 +0000

Nanette Mutrie (@NanetteMutrie) has been Chair of Physical Activity for Health at the University of Edinburgh since July 2012. She directs the Physical Activity for Health Research Centre (PAHRC) in the Institute for Sport, Physical Education and Health Sciences. In January 2015 Nanette was awarded an MBE in the New Year's Honours list for services to physical activity for health in Scotland. Nanette is a Chartered Psychologist and a Fellow of the British Association of Sport and Exercise Sciences—hence the expertise in behavioural interventions. She took a break from writing the 4th edition of ‘Psychology of physical activity” to speak with BJSM Editor in Chief Karim Khan (@BJSM_BMJ) This podcast (part 1 of 2) will help you; appreciate the power for walking for health and mental health even more than previously, realise why ‘brisk’ may not be the ideal adverb to associate with walking for certain populations. The chat swings from practical tips about which technology to consider to capture walking, to tips for physios in the clinic and to Prof Mutrie explaining that walking is one factor that can contribute to addressing the Climate Crisis.

Enjoy!

Redefining aquatic exercise: last resort to front line treatment option – Dr. Ben Waller. #414

Fri, 24 Jan 2020 15:41:00 +0000

Did you know that water can stop bullets? Dr. Erin Macri caught up with Dr. Ben Waller to learn more about the untapped and under-recognized power of water and its potential applications in everything from rehabilitation to high level athletic conditioning.

Dr. Ben Waller is the Scientific Chair of the Finnish Sport physiotherapy association; Adjunct Professor at Reykjavik University, and Lecturer for the International Aquatic Therapy Faculty. Prior to this he was Senior Researcher at the University of Jyväskylä in Finland, where he also completed his PhD and postdoctoral work, all focused on aquatics. Ben’s current research is focused on quantifying and optimizing the prescription of aquatic exercise in the PAPESH research group in Reykjavik University (https://en.ru.is/papesh/).

Common mistakes clinicians make and how to avoid them, with Running Physio Tom Goom. Episode #413

Fri, 17 Jan 2020 13:49:00 +0000

Are passive therapies making patients worse? Does stretching help? Where do the bio, psycho and social components fit into patient management?

This week Tom Goom joins us to chat about how to avoid the common pitfalls all clinicians can make. Known to many in the SEM community as the ‘Running Physio’, Tom is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course.

Waking up to the power of sleep with Associate Professor Shona Halson PhD. Episode #412

Fri, 10 Jan 2020 15:56:00 +0000

In our first episode of 2020, Associate Professor Shona Halson PhD joins us to chat about why our new year’s resolution should be to get more sleep!

Shona is an Associate Professor in the School of Behavioural and Health Sciences at Australian Catholic University. Shona has a PhD in Exercise Physiology, recently finished up close to 16 years working at the Australian Institute of Sport as a senior recovery physiologist, and has been the Director of the Australian Olympic Committee Recovery Centre for the last three summer Olympic games.

Dynamic knee valgus and patellofemoral pain – what gives? Episode #411

Fri, 13 Dec 2019 10:13:00 +0000

At the 6 th International Patellofemoral Pain Research Retreat held in Milwaukee in October 2019, Erin Macri pulled four clinician-scientists (Dr. Simon Lack, Dr. David M. Bazett-Jones, Dr. Gretchen Salsich, Dr. Christian Barton) into the ring, with a goal of teasing out key concepts and providing guidance on how to incorporate dynamic knee valgus into the evaluation and treatment of individuals with

patellofemoral pain. Should dynamic knee valgus always be treated? Find out in this episode.

Embracing biomechanics with Dr Enda King. Minimising the risk of a ‘plateau’ in rehabilitation. #410

Fri, 06 Dec 2019 11:39:00 +0000

This podcast features the heavily in-demand Dr Enda King. Enda is Head of Performance Rehabilitation at the Sports Surgery Clinic in Dublin, and world-leading authority on Hip, Groin and ACL injuries. In this 20-minute masterclass, Enda provides cutting-edge insight on a number of topics including: - The role of biomechanical factors in injury prevention and rehabilitation - Key biomechanical and clinical milestones in the rehabilitation process - How to identify and address common biomechanical patterns following ACL injury - Assessing biomechanical factors in the field You can find Enda on twitter: https://twitter.com/enda_king

If you would like to keep up to date with the 10 th Arsenal SEMS conference, you can find all the details here: https://www.arsenal.com/semsconference

When it comes to pain everything matters with Prof Lorimer Moseley. Episode #409

Fri, 29 Nov 2019 11:58:00 +0000

This week, Prof Lorimer Moseley joins us to explore how we can better apply contemporary understanding of pain in clinical practice. Lorimer is Professor of Clinical Neurosciences and Foundation Chair in Physiotherapy at the University of South Australia. Prof Moseley’s research group - Body in Mind - investigates the role of the brain and mind in chronic pain. He has over 25 years of clinical experience and has authored hundreds of articles, as well as five books.

Stepping up to better running form with the Running Physio – Tom Goom. Episode #408

Fri, 22 Nov 2019 13:34:00 +0000

What are the keys to good running form? Is there a magical number for step rate? Should we all be changing the way we run? This week Tom Goom joins us to chat about gait retraining and its role in helping injured runners. Known to many in the SEM community as the ‘Running Physio’, Tom is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course.

In this 20-minute episode, Tom discusses the rationale for gait retraining, who needs it, how to assess the injured runner and his comprehensive gait retraining management plan.

Prioritising a biopsychosocial approach in SEM with Dr Louise Tulloh. Episode #407

Fri, 15 Nov 2019 14:12:00 +0000

On this week’s episode, we are joined by Dr Louise Tulloh to dive into the biopsychosocial realm of patient management in sport and exercise medicine. Dr Tulloh was recently elected as President of The Australasian College of Sport and Exercise Physicians (ACSEP) and has been practicing sport and exercise medicine for over 20 years. In this 20-minute podcast, we discuss: · Why we should all take a more biopsychosocial approach in SEM · How to explore a patient’s individual psychosocial factors · How to ask about a patient’s motivation to get better · Tips for shared decision making · How to discuss weight loss with patients · What makes a patient ‘complex’

Don’t miss out on ACSEP’s 2020 Annual Conference 2020 (Feb 7-9) https://www.acsep.org.au/page/events/conference-2020

Optimizing Athletic Recovery—The Importance of Sleep pt 2. Episode #406

Fri, 08 Nov 2019 13:25:00 +0000

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the second of this two-part episode, Dr. Krys Bigosinski and Dr. Cindy Chang converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete,

the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care.

Optimizing Athletic Recovery—The Importance of Sleep pt 1. Episode #405

Fri, 01 Nov 2019 13:50:00 +0000

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the first of this two-part episode, Dr. Krys Bigosinski and Dr. Cindy Chang converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care. Dr. Chang is currently a Clinical Professor in the Departments of Orthopaedics and Family & Community Medicine at UCSF. Prior to this, she has served as president of AMSSM, was the head team physician for UC-Berkeley, and has published many papers and textbook chapters in sports medicine, including co-authoring a chapter titled The Role of Sleep in the Psychological Well Being of Athletes in the book Mental Health in the Athlete: Modern Perspectives and Novel Challenges For The Sports Medicine Provider. She was also active in writing the section on the effect of sleep on

mental health in the upcoming AMSSM position statement on Psychological Issues in Athletes.

Breaking the unbreakable sub-2-hour marathon with Dr Alex Hutchinson PhD

Fri, 25 Oct 2019 09:30:00 +0100

Dr Alex Hutchsinon PhD chats about the historic breakthrough that was equated to humans setting foot on the moon. Alex is an award-winning journalist, author and athlete who has a keen interest in exploring the science of endurance, fitness, and health. In this 20-minute podcast, Alex discusses: - The significance of Eliud Kipchoge’s unofficial record and its impact on our beliefs about the limits of human performance - Factors limiting and facilitating endurance performance in running - Kipchoge’s shoes - Regulating footwear in road running - What we can learn from Kipchoge’s fueling strategy

- The next big psychological barriers in sport

Managing the mental pressures of elite sport with Olympic Champion Abhinav Bindra. Episode #403

Fri, 18 Oct 2019 17:11:00 +0100

In this special Athlete Voice edition of the podcast, we chat with Olympic and World Champion rifle shooter Abhinav Bindra about managing the mental pressures of elite sport. Abhinav is a 5 x Olympian, entrepreneur and active member of the IOC Athlete’s Commission. In this 20-minute podcast, Abhinav discusses: · How he found the sport of rifle shooting · Celebrating the ‘process’ throughout his decorated 22-year career · The importance of prevention, prehab and physical awareness · His current charitable work in India to prioritise athlete wellbeing and grow sport at the grassroots level

Don’t miss out on the IOC World Conference Prevention of Injury & Illness in Sport (March 2020) https://ioc-preventionconference.org/

Leading from the front—women in medical leadership with Dr Louise Tulloh. Episode #402

Fri, 11 Oct 2019 11:31:00 +0100

On this week’s episode, we chat with Dr Louise Tulloh about overcoming barriers for women in medical leadership. Dr Tulloh was recently elected as President of The Australasian College of Sport and Exercise Physicians (ACSEP) and has been practicing sport and exercise medicine for over 20 years. In this 20-minute podcast, we discuss: · Dr Tulloh’s new role as president of ACSEP · Barriers to women attaining leadership positions in medicine and how we can overcome them - Gender stereotypes within leadership - Changing sports culture and creating equity within organisations

Don’t miss out on ACSEP’s 2020 annual conference 2020 (Feb 7-9) https://www.acsep.org.au/page/events/conference-2020

Fun, Free and Simple. Discussing the Daily Mile, with Elaine Wyllie MBE. Episode #401

Fri, 04 Oct 2019 13:55:00 +0100

Welcome to this BJSM podcast with Elaine Wyllie MBE, a former headteacher in Stirling, Scotland who launched the hugely popular ‘Daily Mile’ initiative. She will be speaking at the BASEM conference in Glasgow on 21st November, but in advance we thought we’d get a few sneaky glimpses into what she will be discussing. For tickets to the BASEM conference in Glasgow: you can find them on the link here: https://basem.co.uk/event/basem-2019-annual-conference/

For some of the research behind the Daily Mile, follow this link: https://thedailymile.co.uk/research/

Changing the way we talk about eating disorders - The athlete’s voice with Amelia Boone. #400

Fri, 27 Sep 2019 11:17:00 +0100

For our 400th episode, we chat with Amelia Boone--four-time Obstacle Racing World Champion, ultrarunner and attorney--about her battle with anorexia for the past 20 years. In July 2019, Amelia wrote publicly about her eating disorder, shining a light on RED-S, athlete mental health and recovery. In this 20-minute podcast, we discuss: · Amelia’s motivation for sharing her story · The impact of success on perception of food and body image · Common myths about athletes and eating disorders · What treatments did (and didn’t) work well with different clinicians

· How clinicians should change the way we are talking about eating disorders

Concussion at the coalface of collision sports. An audience with Prof Jon Patricios. Episode #399

Fri, 20 Sep 2019 11:47:00 +0100

In this BJSM podcast, we hear from Associate Professor Jon Patricios, a South African Sport & Exercise Medicine physician who has extensive experience of working in Rugby Union. He has an interest in concussion, having written the concussion protocols for the BokSmart injury prevention programme and he is a member of the World Rugby Concussion Advisory Group. In this discussion, we discuss (among various things) - How things have changes from an immediate care point of view - How the HIA works at present? - The tools available that could help pick up a concussion at the professional level - What happens after match-day in terms of follow-up/advice - Clinical tips in terms of communicate the protocol to players/staff - Common pitfalls do you encounter when it comes to RTP after a

concussion

World rugby’s injury prevention journey: Sir Bill Beaumont gives the view from the top. Episode #398

Fri, 13 Sep 2019 12:37:00 +0100

Dr Martin Raftery and Dr Ross Tucker join the BJSM to discuss World Rugby’s injury prevention journey, and most recent player welfare initiatives. We also hear from World Rugby chairman Sir Bill Beaumont on how rugby has evolved in this regard. All links can be found in the e-Edition.

You can’t use bad data to guide training decisions. Load monitoring with Dr Stephen West. #397

Fri, 06 Sep 2019 13:45:00 +0100

In this podcast, we are joined by Dr Stephen West to discuss all things load. Stephen recently completed his PhD at the University of Bath, looking into the Epidemiology of injury and associated risk factors in Professional Rugby Union. Topics covered include: - Athlete monitoring - The way we capture data - Practical tips for those working in sport - Where are the next big gains likely to be found? Resources: https://www.semanticscholar.org/paper/Athlete-Monitoring-in-Rugby-Union%3A-Is-Heterogeneity-West-Williams/b8e39759a7f83fb57c9c571d1212db8ea16bf406 https://researchportal.bath.ac.uk/en/publications/patterns-of-training-volume-and-injury-risk-in-elite-rugby-union-

https://researchportal.bath.ac.uk/en/publications/better-way-to-determine-the-acute-chronic-workload-ratio

Exploring the strange science of recovery with Christie Aschwanden. Episode #396

Fri, 30 Aug 2019 11:42:00 +0100

Should we still be using ice and cryotherapy? Do we need to foam roll before or after working out? Are we wasting our money on compression gear? On this week’s BJSM podcast, award-winning science writer and best-selling author Christie Aschwanden (T: @cragcrest) joins BJSM’s Daniel Friedman (T: @ddfriedman) to cut through all the hype and explain what works and what doesn’t when it comes to recovery. Christie Aschwanden is the author of New York Times bestseller GOOD TO GO: What the Athlete in All of Us Can Learn From the Strange Science of Recovery and co-host of EMERGING FORM, a podcast about the creative process. She’s the former lead science writer at FiveThirtyEight and was previously a health columnist for The Washington Post. Christie is a frequent contributor to The New York Times. She’s also been a contributing editor for Runner’s World. https://christieaschwanden.com/ In this podcast, Christie dissects the evidence for common recovery methods and discusses: - The changing definition of recovery and how we measure it - Ice and cryotherapy - Massage and foam rolling - Which recovery methods actually work and how to optimise them - The best indicators of recovery - How to improve the quality of recovery research Mentioned in this podcast: Good to Go - https://www.goodtogobook.com/

Methodology problems in sport science - https://fivethirtyeight.com/features/sports-science-is-finally-talking-about-its-methodology-problems/

The injury prevention myth – predicting, pretending, or preventing sports injuries? Episode #395

Fri, 23 Aug 2019 12:07:00 +0100

Predicting and preventing injuries is seen as the ‘holy grail’ of sports medicine. The literature is brimming with efforts to understand injury prevention, and popular buzzwords such as ‘artificial intelligence’ has seen the emergence of questionable methods to predict sports injuries. In this podcast, Dr Nicol van Dyk speaks to Dr Sean Carmody about current concepts in injury prevention and the validity of the evidence underpinning them. Nicol draws on the experience of his PhD investigating risk factors for hamstring injuries in professional football to forecast the future for preventive efforts in elite sport. Key resources discussed in the podcast have been included below, and if you want to hear more on the topic, Nicol will be presenting at the South African Sports Medicine Association Conference in October 2019. Key Resources: Why screening tests to predict injury do not work—and probably never will…: a critical review Do not throw the baby out with the bathwater; screening can identify meaningful risk factors for sports injuries Risk factors for hamstring in football - thinking fast and slow by Nicol van Dyk Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study The quadrant of doom and hamstring injuries: sexy but too easy? The acute:chronic workload ratio predicts injury: high chronic workload may decrease injury risk in elite rugby league players The acute-chronic workload ratio: a critical appraisal Aspetar – Hamstring Issue

The training—injury prevention paradox: should athletes be training smarter and harder?

World Rugby’s Concussion Journey: From Description to Intervention. Episode #394

Fri, 16 Aug 2019 11:15:00 +0100

Joining Dr Steffan Griffin in the studio this week are Drs Martin Raftery and Ross Tucker, Chief Medical Officer and one of the lead Research Scientists at World Rugby respectively. Following on from their debut podcast two years ago, we dive into rugby’s complex relationship with concussion, and the journey that World Rugby have been on over the last few years to tackle the issue. Much of the resources discussed will be in the special #RugbyMedicine e-Edition, that will be launched in time for #RWC2019. In this podcast we cover: - The concussion journey rugby has been through, and the interventions that have been trialled/implemented - The high tackles sanction framework - Recent law trials

- Advice to other governing bodies looking to prioritise player welfare

Mythbusting iliotibial band (ITB) pain with Dr Rich Willy (PT, PhD) – it’s not friction! #393

Fri, 09 Aug 2019 12:02:00 +0100

Is iliotibial band pain a friction problem? Or a load problem? On this week’s BJSM podcast, Dr Rich Willy (T: @rwilly2003) and BJSM’s Daniel Friedman (T: @ddfriedman) discuss the clinical management of iliotibial band pain. Dr. Richard Willy PT, PhD, is an Assistant Professor in the School of Physical Therapy, University of Montana (Missoula, MT, USA). He received his PhD in Biomechanics and Movement Science from the University of Delaware and his master of physical therapy from Ohio University. In addition to his research, Dr. Willy has been a clinician for 18 years specialising in the treatment of the injured runner. His research aims to develop clinically effective treatments for patellofemoral pain syndrome, Achilles tendon injuries and tibial stress fractures. In this podcast, Dr Willy discusses: · How to assess the injured runner with ITB pain · Misconceptions about ITB pain – it’s not a friction problem and you need some tightness! · How to progress the rehabilitation in managing ITB pain · Is there a role for stretching and foam rolling?

The case study used in this podcast was originally from Pegrum James, Self Alex, Hall Nick. Iliotibial band syndrome BMJ 2019; 364 :l980 https://www.bmj.com/content/364/bmj.l980

CrossFit: dangerous fad or fitness panacea? Episode #392

Fri, 02 Aug 2019 12:33:00 +0100

CrossFit: dangerous fad or fitness panacea? The AMSSM talks safety with Drs Sean Rockett and Robert Oh. Few topics in sports draw such universally strong opinions from medical providers as that of CrossFit. Most seem to love or hate it, but are their strong opinions justified? Does current data back-up the concerns many of us have regarding the safety of this sport? What are the common injury patterns that are found? Host Dr. Devin McFadden, MD is joined by Dr. Sean Rockett, MD and Dr. Robert Oh, MD to explore these topics and more on the AMSSM Sports Medcast. Dr. Sean Rockett is an Associate Professor of Orthopedic Surgery at Tufts University School of Medicine, president of Orthopedics New England and author of 321GoMD.com an injury prevention website for CrossFitters. He is head of the Orthopedic division for the Medical team for The CrossFit Games. Dr. Robert Oh, Sports Medicine physician and CrossFitter for 12 years. He’s the Chief of the Family Medicine Dept at Madigan Army Medical Center and Fellowship director for the Leader and Faculty Development at Madigan. References: 1. Sport Med - open. 2018;4(1):11. doi:10.1186/s40798-018-0124-5. 2. J Sports Med Phys Fitness. 2017;57(9):1147-1153. doi:10.23736/S0022-4707.16.06827-4 3. Orthop J Sport Med. 2018;6(10):2325967118803100. doi:10.1177/2325967118803100 4. J Sport Rehabil. 2018;27(3):295-299. doi:10.1123/jsr.2016-0040. 5. Sport Med. 2017;47(3):479-501. doi:10.1007/s40279-016-0575-0 6. Annals of epidemiology 2006; 16(9):712-719.) 7. Work Heal Saf. 2017. doi:10.1177/2165079916685568. 8. Mil Med. 2016;181(7):627-637. doi:10.7205/MILMED-D-15-00273

9. US Army Med Dep J.:36-47. http://www.ncbi.nlm.nih.gov/pubmed/24146241. Accessed August 5, 2018.

Preventing harassment and abuse in sport: Professor Margo Mountjoy, MD, PhD (2019 update). #391

Fri, 26 Jul 2019 11:01:00 +0100

“Only by speaking out can we create lasting change” On this week’s BJSM podcast, Prof Margo Mountjoy (T:@margomountjoy) joins BJSM’s Daniel Friedman (T:@ddfriedman) to discuss harassment and abuse in sport. Prof Mountjoy is an Associate Clinical Professor in the Department of Family Medicine at McMaster University Medical School and Regional Assistant Dean of the Michael G. DeGroote School of Medicine, McMaster University. She is also a clinician scientist – sports medicine physician practicing at the Health + Performance Centre at the University of Guelph, as the Clinical + Academic Director. Prof Mountjoy works for several International Sports organizations in the field of sports medicine including the International Olympic Committee (Games Group), the International Federation for aquatics (FINA), the Association of Summer Olympic International Federations and for the World Anti-Doping Agency. In this episode, Prof Mountjoy discusses: · The Larry Nassar case · Sexual abuse in sport · MeToo movement’s impact on sport · Types of abuse and harassment and the impact on the athlete vs organisation · The Olympic Athlete Welfare Programme · Tips for clinicians to help prevent abuse and harassment in sport Mentioned in this podcast: Mountjoy M ‘Only by speaking out can we create lasting change’: what can we learn from the Dr Larry Nassar tragedy? British Journal of Sports Medicine 2019;53:57-60. https://bjsm.bmj.com/content/53/1/57 The Larry Nasser Tragey – BMJ https://blogs.bmj.com/bmj/2018/03/29/margo-mountjoy-on-the-larry-nassar-tragedy-never-again/ Reardon CL, Hainline B, Aron CM, et al Mental health in elite athletes: International Olympic Committee consensus statement (2019) British Journal of Sports Medicine 2019;53:667-699. https://bjsm.bmj.com/content/53/11/667 Safeguarding athletes from harassment and abuse in sport IOC toolkit https://www.iwf.net/wp-content/uploads/downloads/2018/10/IOC_Safeguarding_Toolkit_ENG.pdf You can find two of Professor Mountjoy’s previous podcasts here: Relative energy deficiency syndrome (RED-S): http://ow.ly/VCZK50v2A7f

Psychological abuse in sport (2017) http://ow.ly/ljJt50v2Amt (Harrassment, abuse, bullying)

Human Factors in Sports Medicine – Unconsciously Unaware? Episode #390

Fri, 19 Jul 2019 13:45:00 +0100

Jonathan Hanson is a Sports Medicine consultant with a background in emergency medicine. He works as team doctor for the Glasgow Warriors rugby union team, has worked as an Emergency care advisor to the FA and worked on Head injury systems and immediate care with the Senior men at the 2018 FIFA World Cup. Given his background, he has a particular interest in the human factors associated with working in SEM, especially in a pitch-side/pre-hospital setting. In this podcast, we discuss:  What is meant by the term ‘human factors’?  How do we develop these? Can they be developed at an individual level, or do they need to be embraced more broadly by a team/department as a whole?  Examples of how human factors have affected practice  Getting people to ‘buy-in’ to the importance of human factors? For listeners, you can follow Jonathan @SportsDocSkye – and the links to the resources we mentioned can be found below: BJSM Three-Part Blog Series: https://blogs.bmj.com/bjsm/2019/04/30/human-factors-in-sports-medicine-part-1/ https://blogs.bmj.com/bjsm/2019/05/17/human-factors-in-sports-medicine-part-2/ https://blogs.bmj.com/bjsm/2019/05/25/human-factors-part-3/ Just a routine operation: https://www.youtube.com/watch?v=JzlvgtPIof4

13 minutes to the moon: https://www.bbc.co.uk/programmes/w27vq4km

Prescribing physical activity with Dr Jane Thornton (Part 2). Episode #389

Thu, 11 Jul 2019 13:52:00 +0100

On this week’s BJSM podcast, BJSM deputy editor Dr Jane Thornton (T: @JaneSThornton) joins Daniel Friedman (T: @ddfriedman) to discuss physical activity counselling. Dr Jane Thornton MD PhD is a sports medicine physician and researcher currently based in London, Canada, and is an international advocate for physical activity. She has a wealth of international experience in the field of preventative medicine, with a particular passion for promoting physical activity as both prevention and treatment of chronic disease. Alongside a super impressive medical career, Dr Thornton is also a World Champion and former Olympic rower for Canada. In Part 2 of this 2-part podcast, Dr Thornton discusses: · Her efforts leading the Canadian Medical Education Strategy · Physical activity resources for clinicians and patients · Examples for successful physical activity counselling initiatives around the world · What SEM clinicians can start doing today to help their patients become more physically active Mentioned in this podcast: Make Your Day Harder http://www.makeyourdayharder.com/ PAPRICA (Switzerland) https://www.paprica.ch/ WHO Global Action Plan on Physical Activity https://www.who.int/ncds/prevention/physical-activity/gappa In-bed cycling for patients https://www.cbc.ca/news/canada/hamilton/biking-in-bed-is-good-for-icu-patients-says-new-mcmaster-study-1.3915472 Park Run https://www.parkrun.com/

PA prescription in Luxembourg http://www.sport-sante.lu/

Prescribing physical activity with Dr Jane Thornton (Part 1). Episode #388

Fri, 05 Jul 2019 12:18:00 +0100

In this week’s BJSM podcast, BJSM deputy editor Dr Jane Thornton (T: @JaneSThornton) joins Daniel Friedman (T: @ddfriedman) to discuss physical activity counselling. Dr Jane Thornton MD PhD is a sports medicine physician and researcher currently based in London, Canada, and is an international advocate for physical activity. She has a wealth of international experience in the field of preventative medicine, with a particular passion for promoting physical activity as both prevention and treatment of chronic disease. Alongside a super impressive medical career, Dr Thornton is also a World Champion and former Olympic rower for Canada. In Part 1 of this 2-part podcast, Dr Thornton discusses: · Why physical activity is the single best thing we can do for our health · The evidence for physical activity prescription in primary care · The shared decision making of how to prescribe physical activity to patients · How to talk about physical activity intensity with patients Mentioned in this podcast: 23 and a half hours YouTube video: https://www.youtube.com/watch?v=aUaInS6HIGo Make Your Day Harder http://www.makeyourdayharder.com/ PA Prescription Position Statement https://bjsm.bmj.com/content/50/18/1109

Naci et al. How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled trials assessing exercise and medication effects on systolic blood pressure. BJSM 2019. https://bjsm.bmj.com/content/53/14/859

Women’s football medicine in 2019 with Dr Celeste Geertsema. Episode #387

Fri, 28 Jun 2019 11:49:00 +0100

On this week’s BJSM podcast, Dr Celeste Geertsema joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss the imbalance between men’s and women’s football medicine research and what needs to be done to move towards equality. Dr Geertsema is is a Sports Medicine Physician at Aspetar with her main interests being in football, skiing, snowboarding and athletes traveling. She has extensive experience working alongside FIFA in various World Cups. She was the first ever female Team Physician at the FIFA world Cup (in South Africa 2010) and also worked as FIFA Medical Officer at the Women’s Football World Cup and U17 Women’s World Cup, as well as Medical Officer at the Winter Olympic Games and Commonwealth Games. https://www.aspetar.com/person-profile.aspx?id=12〈=en In this 20-minute conversation, Dr Geertsema discusses: • Her current role at the Women’s FIFA World Cup in France • The medical requirements of men vs women at the World Cup • Why men and women footballers should be studied separately • The gaps in women’s football medicine research • What the SEM community can do to help out *Disclaimer: This is a personal interview for BJSM. Dr Geertsema is not speaking on the behalf of FIFA.* Pele in a skirt: https://www.cbc.ca/sports/2.720/marta-pele-in-skirts-1.731293

Germany Women’s FIFA World Cup Ad: https://www.youtube.com/watch?v=layoVXL5mnw

Tennis Medicine – there’s more than meets the eye! Episode #386

Fri, 21 Jun 2019 11:57:00 +0100

It has been another big year for tennis, and for British Tennis in particular with further successes in the Fed Cup and a number of exciting juniors making an impact on the world stage. In the run up to Wimbledon, we thought we’d catch up with some of the practitioners tasked with not only caring for these athletes, but responsible for the medical provision at some of the biggest sporting events in the international calendar. In this podcast we hear from Dr Jo Larkin and Dr Wing Chu. Jo is a Sport & Exercise Medicine consultant and Lead Doctor for British Tennis, with Wing an SEM registrar and qualified GP who works with Jo at the Lawn Tennis Association. In this podcast, you can hear about everything from the challenges of working in tennis, to some of the often under-appreciated public health benefits linked to the sport.  Patients needing advice & input across multiple continents at the same time  Policy-making as well as ‘pitch-side’ care  Population health – what role does tennis have? Do you know someone who could benefit from a healthier heart, reduced stress and a leaner body? Or, does this sound like a personal target for you? We would implore the #SEM community to share the podcast, infographics, papers and animations widely in order to try and spread the knowledge not only of #TennisMedicine, but tennis AS medicine https://www.youtube.com/watch?v=X4UHmZ6PL30 Seminal Papers Health Benefits of tennis infographics: https://bjsm.bmj.com/content/52/3/201 Health Benefits of tennis paper: https://bjsm.bmj.com/content/41/11/760 Associations of specific types of sports and exercise with all-cause and cardiovascular- disease mortality https://bjsm.bmj.com/content/51/10/812.long Leisure-Time Physical Activity & Life-Expectancy

https://www.mayoclinicproceedings.org/article/S0025-6196(18)30538-X/fulltext

More important than life and death? Liverpool FCs Dr Andy Massey’s view of football medicine. Ep#385

Fri, 14 Jun 2019 14:34:00 +0100

What is like working at one of the biggest clubs in the world? How do you manage the intense workload of the English premier league? What happens when players retire? In this hard hitting BJSM podcast, we are joined by Dr Andy Massey, physiotherapist and doctor who currently works as head of medical services at Liverpool FC. Topics discussed include: ●Managing the load of the premier league footballer ●Looking at the whole squad; substitutes and non-playing members ●The £177 million conundrum; the cost of injured players to the league ●Managing a rectus femoris injury; how to approach it? ●1%ers- what is their place in football? ●Transitioning into retirement- do we do enough? ●Top tips for early career professionals wanting to work in football Links to some of the papers mentioned: Bye Bye MRI? https://bit.ly/2KfChKQ

POLICE principle for treating injuries : https://bit.ly/2EHcS9C

Osgood Schlatter – not the self-limiting condition we once thought. Episode #384

Fri, 07 Jun 2019 11:01:00 +0100

Have we been thinking about Osgood Schlatter Disease (OSD) all wrong? To answer this question, Dr. Erin Macri interviewed Prof. Jens Lykkegaard Oleson and Dr. Sinead Holden from Aalborg University on a recent visit to Denmark. Prof. Olesen is a rheumatologist and sports medicine physician, currently located at the Center for Almen Medicine at Aalborg University. His research focuses on tendon and fascia tissue adaption to loading, and the use of ultrasound examination in tendon and fascia pathology. Dr. Holden is a Senior Researcher at the Center for General Practice in Aalborg, where she is co-founder and research co-ordinator for the OptiYouth Research Group focused on ‘optimising physical health in youth’. Her research aims to increase understanding of musculoskeletal injuries and pain in youth, to identify those at increased risk for developing chronic MSK problems. In this episode, we delve into some recent evidence suggesting the OSD may not be the self-limiting condition we have typically believed it to be. In fact, OSD may be more akin to a tendonopathy in its presentation, which lends itself to exploring some novel treatment approaches that may change OSD management in clinical practice. Related Articles and Links OSD table: http://bjsm.bmj.com/pages/wp-content/uploads/sites/17/2019/06/OSD-table.pdf Cairns G, Owen T, Kluzek S, Thurley N, Holden S, Rathleff MS, Dean BJ. Therapeutic interventions in children and adolescents with patellar tendon related pain: a systematic review. BMJ Open Sport Exerc Med. 2018 Aug 13;4(1):e000383. doi: 10.1136/bmjsem-2018-000383 https://bmjopensem.bmj.com/content/4/1/e000383 Holden S, Winiarski L, Krommes K, Thorborg K, Olesen JL, Hölmich P & Rathleff MS. Prognosis of Osgood-Schlatter - poorer than anticipated? A prospective cohort study with 24-month follow-up. Presented at the Scandinavian Sports Medicine Conference 2019, Copenhagen, Denmark. Vad, CG; Rathleff, MS; Jensen, HP; Holden S. Osgood Schlatter is associated with significant impairments in knee function and quality of life 4 years after diagnosis: a retrospective study. Presented at the Scandinavian Sports Medicine Conference 2019, Copenhagen, Denmark. Lyng K, Rathleff MS, Dean B, Kluzek S, Holden S. Current Management Strategies in Osgood Schlatter: A quantitative study. Presented at the Scandinavian Sports Medicine Conference 2019, Copenhagen, Denmark. Kaya DO, Toprak U, Baltaci G, et al. Long-term functional and sonographic outcomes in Osgood-Schlatter disease. Knee Surg Sports Traumatol Arthrosc 2013;21(5):1131-9.

Krause BL, Williams JP, Catterall A. Natural history of Osgood-Schlatter disease. J Pediatr Orthop 1990;10(1):65-8.

Returning to play in 2019 with Dr Clare Ardern. Episode #383

Fri, 31 May 2019 11:53:00 +0100

On this week’s BJSM podcast, the Journal of Orthopaedic & Sports Physical Therapy (JOSPT) EIC elect Dr Clare Ardern PhD (T: @clare_ardern) joins BJSM EIC Prof Karim Khan to answer the difficult questions about return to play. Dr Clare Ardern is a physiotherapist and clinical researcher who completed her award-winning PhD on return to play in 2013. Since then, Clare has worked as a clinical researcher at the Aspetar Orthopaedic & Sports Medicine Hospital (Qatar) and Linköping University (Sweden). Clare led the 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. She has a particular interest in the psychological aspect of returning to play and how the return to play transition can be improved with specific clinical interventions and superior clinical decision making. We here at BJSM would like to thank Clare for her tireless work as BJSM Deputy Editor and wish her all the best for her upcoming role as EIC at JOSPT! In this 30-minute conversation, Clare discusses: · Tips for clinicians when approaching RTP with athletes · The psychological aspects of RTP and the importance of shared decision making · Athletes’ biggest fears when RTP · Non-operative management of ACL injuries · Paediatric ACL injuries On Oct 4-5, Clare will be speaking at the The IFSPT Third World Congress of Sports Physical Therapy in Vancouver, Canada. She will be presenting alongside a world-class line up of local and international experts exploring the theme “High performance to clinical practice”. https://www.sportphysio.ca/calendar-of-upcoming-events/spc2019/ Mentioned in this episode: Ardern CL, Ekås G, Grindem H, et al. 2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries. Br J Sports Med 2018;doi:10.1136/bjsports-2018-099060 (article co-published by Knee Surgery Sports Traumatology Arthroscopy, Journal of ISAKOS and Orthopaedic Journal of Sports Medicine). https://bjsm.bmj.com/content/52/7/422 Ardern CL, Glasgow P, Schneiders A, Witvrouw E, Clarsen B, Cools A, et al. 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. Br J Sports Med 2016;50:853-864. https://bjsm.bmj.com/content/50/14/853 Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 2014;48:1543-1552. Grindem H, Snyder-Mackler L, Moksnes H, et al Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study British Journal of Sports Medicine 2016;50:804-808. https://bjsm.bmj.com/content/50/13/804 Frobell RB, Roos EM, Roos HP, Ranstam J, Lohmander LS. A randomized trial of treatment for acute anterior cruciate ligament tears. New England Journal of Medicine. 2010 Jul 22;363(4):331-42.

Headspace App: https://www.headspace.com/headspace-meditation-app

Tackling concussion prevention in youth with Prof. Carolyn Emery. Episode #382

Fri, 24 May 2019 13:12:00 +0100

What are the most effective strategies for preventing sport-related concussions in youth? What role do clinicians have in this arena? Dr. Erin Macri took advantage of Prof. Emery’s recent visit to the Netherlands to get caught up on the latest evidence in concussion prevention. Prof. Emery is a physiotherapist and epidemiologist. She currently holds an appointment in the Faculty of Kinesiology at the University of Calgary, with joint appointments in Pediatrics and Community Health Sciences, Cumming School of Medicine, and is Chair of the Sport Injury Prevention Research Centre at the University of Calgary. Her research focuses on injury prevention in youth sport and recreation, concussion, and pediatric rehabilitation. In this episode, Prof. Emery discusses over a decade of work aimed at preventing sport-related concussion in ice hockey in Canada. Related Articles and Links Emery CA, Black AM. Are rule changes the low-hanging fruit for concussion prevention in youth sport? JAMA pediatrics 2019. E-pub ahead of print doi:10.1001/jamapediatrics.2018.5498 Emery CA, Black AM, Kolstad A, et al. What strategies can be used to effectively reduce the risk of concussion in sport? A systematic review. Br J Sports Med 2017;51(12):978-84 Kolstad A, Nadeau L, Eliason P, Palacios-Derflingher L, Goulet C, Emery CA. The Effect Of Body Checking Policy Change On Offensive Game Skill Performance In 13–14 Year Old Ice Hockey Players. Br J Sports Med 2017;51(4):345-45 McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Cantu RC, Cassidy D, Echemendia RJ, Castellani RJ, Davis GA. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med. 2017 Jun 1;51(11):838-47. Concussion: prevention, detection and management (online course): https://www.ucalgary.ca/knes/online-concussion-course Concussion Awareness Training Tool: https://cattonline.com/ Canadian Concussion Guidelines and other resources, Parachute Canada:

http://www.parachutecanada.org/injury-topics/item/concussion

Empowering female athletes one marathon at a time with Kathrine Switzer. Episode #381

Fri, 17 May 2019 11:00:00 +0100

On this week’s BJSM podcast, Kathrine Switzer (T: @KVSwitzer) joins BJSM’s Daniel Friedman (T: @ddfriedman) to chat about empowering female athletes and the changing face of women’s sport in 2019. In 1967, 20-year-old Kathrine Switzer became the first woman to complete the all-male Boston Marathon as an official entrant. She managed to fight off a race official who tried to force her from the course after only several kilometres, and made history as she crossed the finish line four hours later. Empowered by her experience, Kathrine became determined to create change for all women and has dedicated her career to advancing women’s sport, health and equality. https://kathrineswitzer.com/ In this 25-minute conversation, Kathrine discusses: · The story of her historic 1967 Boston Marathon · Her activism in advancing women’s running · 261 Fearless – a global supportive social running network http://www.261fearless.org/ · The biggest barriers to female participation in sport today · What SEM clinicians can do to help out On June 6-8, Kathrine will be speaking at the 4th biennial Female Athlete Conference in Boston. She will be presenting alongside a world-class line up of local and international experts on women’s sport and exercise medicine, coaching, leadership and culture. https://bostonchildrens.cloud-cme.com/default.aspx?P=1&EID=910

Learn more about NZ’s Green Rx: https://www.health.govt.nz/our-work/preventative-health-wellness/physical-activity/green-prescriptions

Assessing concussion—as easy as ABC. Dr Jim Bovard. Episode #380

Fri, 10 May 2019 12:02:00 +0100

What venue are we at today? Which half is it now? Who scored last in this match? The Maddocks questions are a key part of immediate or on-field assessment of concussion. But do you have an easy way of remembering what else needs to be done? On this week’s episode, Dr Jim Bovard joins BJSM’s Daniel Friedman (T: @ddfriedman) to share his ABC concussion tool for rapid on-field assessment. Dr Bovard is the team physician for the Vancouver Canucks and Vancouver Whitecaps. He currently consults for Canada Snowboard and Tennis Canada. In this 20 minute conversation, Dr. Bovard discusses: · Clinical reasoning for approaching the collapsed athlete · His own ABC concussion tool for on field assessment · Tips for coaches and parents for managing concussion · The difference between caring for elite athletes vs general population Further reading:

Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenbogen RG, Echemendia RJ, Makdissi M, Sills A, Iverson GL. The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5). Br J Sports Med. 2017 Apr 26:bjsports-2017. https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf

AMSSM Journal Club: Looking back at 2018. Episode #379

Fri, 03 May 2019 10:44:00 +0100

What are your favourite sports medicine research articles from 2018? This week, we are excited to share an AMSSM Sport Medcast hosted by Drs Scott Young and Dr. Meghan Raleigh In this abbreviated episode, learn about the latest research regarding: · Treatment of Achilles tendinopathy · Effect of NSAIDs on bone healing rates · Management of lateral hip pain · Exercise as medicine for concussion · Physiotherapy vs surgery for meniscal tears To listen to the full episode and learn about all ten studies, please visit the AMSSM’s website: https://www.amssm.org/E-Learning.php Further reading: Johannsen F, Jensen S, Wetke E. 10-year follow-up after standardised treatment for Achilles tendinopathy. BMJ open sport & exercise medicine. 2018 Oct 1;4(1):e000415. Wheatley BM, Nappo KE, Christensen DL, Holman AM, Brooks DI, Potter BK. Effect of NSAIDs on Bone Healing Rates: A Meta-analysis. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2019 Apr 1;27(7):e330-6. Nissen MJ, Brulhart L, Faundez A, Finckh A, Courvoisier DS, Genevay S. Glucocorticoid injections for greater trochanteric pain syndrome: a randomised double-blind placebo-controlled (GLUTEAL) trial. Clinical rheumatology. 2019 Mar 14;38(3):647-55. Leddy JJ, Haider MN, Ellis M, Willer BS. Exercise is medicine for concussion. Current sports medicine reports. 2018 Aug 1;17(8):262-70.

van de Graaf VA, Noorduyn JC, Willigenburg NW, Butter IK, de Gast A, Mol BW, Saris DB, Twisk JW, Poolman RW. Effect of early surgery vs physical therapy on knee function among patients with nonobstructive meniscal tears: the ESCAPE randomized clinical trial. Jama. 2018 Oct 2;320(13):1328-37.

How does a ‘heart patient’ build a sports club? Patient empowerment for health. #378

Fri, 26 Apr 2019 14:28:00 +0100

Farooq Mohammed was a football fan who discovered that he has heart disease. In this BJSM podcast, we focus on the patient voice and hear from Farooq who shares his own lived experience with the disease and, importantly, how football became part of his rehabilitation. Farooq shows that by empowering patients to take control of their own health, rehabilitation can become a fun activity, not a boring ‘must do’ where the individual is counting down the minutes until it’s over. If you want to learn more about the “friendly group of ‘Heart Patients’ from #EastLondon” who make up Two Touch Athletic Football Club, connect with them on Twitter (@TwoTouchAFC) or Linked In (TwoTouchAthleticAFC). The conference that Farooq refers to was the 2019 Football is Medicine conference, University of Southern Denmark, Odense. It was led by Professor Peter Krustrup: http://ow.ly/7Xxn30oxFFR

You can find another BJSM patient podcast here: http://ow.ly/rXis30oxFMJ Christina Le shares her lived experience of suffering an ACL injury in 2017.

Physical Activity and Cancer, an update with Dr Rebecca Robinson. Episode #377

Thu, 18 Apr 2019 15:27:00 +0100

In this podcast Dr Katie Marino interviews Dr Rebecca Robinson about physical activity & cancer. Dr Robinson is a Sport and Exercise Medicine Consultant in Sheffield who has clinics at Weston Park Hospital in Sheffield working directly with cancer patients. During the podcast she gives a great insight into our current understanding of the use of physical activity in cancer patients. As Macmillan quote that by 2020 almost half the population will develop some form of cancer in their lifetime, it is important that we increase our understanding of how physical activity can be used to improve quality of life in this patient group. As mentioned in the podcast, please visit the following link for more information:

https://movingmedicine.ac.uk/disease/cancer/#start

How many push-ups can you do? Assessing cardiovascular risk with Dr Alex Hutchinson PhD. #376

Fri, 12 Apr 2019 14:20:00 +0100

Drop and give us 20. On this week’s BJSM podcast, Dr Alex Hutchinson PhD (T:@sweatscience) joins BJSM’s Daniel Friedman (T: @ddfriedman) to make sense of all of the click-bait headlines and explore whether push-up prowess is the secret to long life. Alex writes Outside’s Sweat Science column, about the science of endurance and adventure. He started out as a Cambridge-trained physicist and long-distance runner on the Canadian national team. As a journalist, he earned a National Magazine Award for his energy reporting with Popular Mechanics, covered adventure travel for The New York Times, and wrote a training column for Runner’s World. His latest book, out in February 2018, is ENDURE: Mind, Body, and the Curiously Elastic Limits of Human Performance. He lives in Toronto, where he runs fast, climbs poorly, and gets outside as much as possible with his wife and daughters. In this 17-minute conversation, Alex discusses: · If push-ups can predict your likelihood of future cardiovascular events · What we can learn from functional tests that aim to assess different health outcomes · New data on the cardio vs weights debate Further reading: Yang J, Christophi CA, Farioli A, Baur DM, Moffatt S, Zollinger TW, Kales SN. Association Between Push-up Exercise Capacity and Future Cardiovascular Events Among Active Adult Men. JAMA network open. 2019 Feb 1;2(2):e188341-. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2724778 Stamatakis E, Williamson C, Kelly P, Strain T, Murtagh EM, Ding D, Murphy MH. Infographic. Self-rated walking pace and all-cause, cardiovascular disease and cancer mortality: individual participant pooled analysis of 50 225 walkers from 11 population British cohorts. Br J Sports Med. 2019 Mar 1:bjsports-2018. https://bjsm.bmj.com/content/early/2019/03/01/bjsports-2018-100468.abstract

Harb SC, Cremer PC, Wu Y, Xu B, Cho L, Menon V, Jaber WA. Estimated age based on exercise stress testing performance outperforms chronological age in predicting mortality. European journal of preventive cardiology. 2019 Feb 13:2047487319826400. https://journals.sagepub.com/doi/10.1177/2047487319826400

Talking Tendinopathies & Solving the Soleus Conundrum with Seth O’Neil. Episode #375

Fri, 05 Apr 2019 10:56:00 +0100

Seth is a physiotherapy lecturer at the University of Leicester with a special interest in calf & Achilles injuries, having completed his PhD on Achilles Tendinopathy. He joins us to answer some of these questions · What are the biggest risk factors for Achilles tendinopathy (AT)? · What would be your biggest bang-for-buck treatments for AT? · What would you say were the most useful markers for progression? · Where do you think people are going wrong in the treatment of AT in general – what are the most common misconceptions/mistakes? · How important is the role of the soleus in ankle/calf function, and sporting performance in general?

· In terms of managing soleus injuries, what tips would you have for clinicians out there?

In pursuit of the unbreakable athlete with Tim Gabbett. Episode #374

Fri, 29 Mar 2019 14:49:00 +0000

What comes first—the robust athlete or the high training load? What is the role of moderating factors in training load? And is the ‘10% rule’ a myth? On this episode, Dr. Tim Gabbett PhD x2 (T: @TimGabbett) joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss all things training load and debunk some common misconceptions. Tim has over 20 years of experience working as an applied sport scientist with elite athletes, coaches, and high performance teams from around the world. He holds a PhD in Human Physiology (2000) and has completed a second PhD in the Applied Science of Professional Football (2011), with special reference to physical demands, injury prevention, and skill acquisition. www.gabbettperformance.com In this 20 minute conversation, Tim discusses: · The definition of training load and its different components · The Acute:Chronic Workload Ratio (ACWR) and its limitations · What separates robust from fragile athletes · The 10% rule ‘myth’ · How to design a rehabilitation training program for an injured athlete Further reading: Gabbett TJ, Nielsen RO, Bertelsen ML, Bittencourt NF, Fonseca ST, Malone S, Møller M, Oetter E, Verhagen E, Windt J. In pursuit of the ‘Unbreakable’Athlete: what is the role of moderating factors and circular causation? https://bjsm.bmj.com/content/early/2018/11/13/bjsports-2018-099995 Gabbett TJ. Debunking the myths about training load, injury and performance: empirical evidence, hot topics and recommendations for practitioners. Br J Sports Med. 2018 Oct 26:bjsports-2018. https://bjsm.bmj.com/content/early/2018/10/26/bjsports-2018-099784 Gabbett TJ. The training—injury prevention paradox: should athletes be training smarter and harder?. Br J Sports Med. 2016 Mar 1;50(5):273-80. https://bjsm.bmj.com/content/50/5/273 Hulin BT, Gabbett TJ, Lawson DW, Caputi P, Sampson JA. The acute: chronic workload ratio predicts injury: high chronic workload may decrease injury risk in elite rugby league players. Br J Sports Med. 2016 Feb 1;50(4):231-6. https://bjsm.bmj.com/content/50/4/231

Soligard T, Schwellnus M, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett T, Gleeson M, Hägglund M, Hutchinson MR, Van Rensburg CJ. How much is too much?(Part 1) International Olympic Committee consensus statement on load in sport and risk of injury. Br J Sports Med. 2016 Sep 1;50(17):1030-41. https://bjsm.bmj.com/content/50/17/1030

Upper extremity issues in the adolescent overhead throwing athlete. Episode #373

Fri, 22 Mar 2019 13:31:00 +0000

What common injury patterns do adolescent overhead throwing athletes face? What are the current pitch count recommendations and evidence for their use? How can we best monitor and encourage compliance with these recommendations? Host Dr. Devin McFadden, MD is joined by Dr. Jason Zaremski to explore these topics and more on the AMSSM Sports Medcast. Dr. Zaremski is an assistant professor from the Division of Physical Medicine and Research, Department of Orthopaedics and Rehabilitation and Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida College of Medicine in Gainesville, Florida. He is also a past participant in the AMSSM International Travelling Fellowship program, having recently travelled to Scandinavia where he shared insights on the above topics and learned how the Scandinavians deal with similar injuries. In this 30 minute conversation Dr. Zaremski addressed the following topics: What are common injury patterns in adolescent overhead throwing athletes? What injury prevention strategies have been enacted and what is the evidence for their use? When to consider operative rather than conservative treatments. Mechanisms and Treatment of Throwing Injuries- https://journals.lww.com/acsm-csmr/fulltext/2017/05000/Mechanisms_and_Treatments_for_Shoulder_Injuries_in.17.aspx Zaremski ZL, Wasser JG, Vincent HK. Mechanisms and Treatments for Shoulder Injury in Overhead Throwing Athletes. Current Sports Medicine Reports. 2017;16(3):179-188 Unaccounted Workload in Pitch Counts- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894908/ Zaremski JL, Zeppieri G, Jones DL, et al. Unaccounted workload factor: game-day pitch counts in high school baseball pitchers- an observational study. Orthop J Sports Med. 2018;6(4):1-7 The Thrower’s Ten Exercises- https://insights.ovid.com/pubmed?pmid=28498227

Wilke KE, Yenchak AJ, Arrigo CA, et al. The advanced throwers ten exercise program: a new exercise series for enhanced dynamic shoulder control in the overhead throwing athlete. Phys Sportsmed. 2011;39(4):90-97.

In the driver’s seat with Formula One physio Kim Keedle. Episode #372

Fri, 15 Mar 2019 11:27:00 +0000

Breakneck speeds. Scorching heat. Extreme g-forces. Motor racing is one of the most challenging of all sports - not only for drivers themselves, but also for the teams that play an integral role in the performance of the driver and car. As the 2019 Formula One World Championship Season launches into action this weekend in Melbourne, F1 physiotherapist Kim Keedle takes a pit stop with BJSM’s Daniel Friedman (T: @ddfriedman) to share insights into the physically and mentally demanding world of motor racing. Kim graduated from Melbourne University in 2012 with a Bachelors of Physiotherapy, and completed a Masters in Strength & Conditioning at Edith Cowan University in 2016. He is currently working full time as a physiotherapist and high performance coach for the Haas F1 Team, based in Geneva. In this 17 minute conversation, Kim explains: · His pathway into F1 · The role of the physiotherapist within the broader F1 medical team · The physical and mental demands of F1 racing · The importance of neck and trunk strength for drivers · Cervical loading programs and conditioning during the off season Further reading: https://blogs.bmj.com/bjsm/2013/03/26/the-fast-and-the-furiousand-physiotherapy-training-for-extreme-g-force-loads-on-the-neck/

Contact Kim: kkeedle@gmail.com

The use of force plates in return-to-play following shoulder injuries. Episode #371

Fri, 08 Mar 2019 15:04:00 +0000

Following their recent editorial (https://bjsm.bmj.com/content/early/2018/11/09/bjsports-2018-099457) in the BJSM, and the publication of the reliability paper in the #BMJOpenSEM https://t.co/lCFcZNi5Tu - we managed to get this international team of collaborators around the table at BMA House, to discuss the applicability of the ASH test in guiding the return to play process following shoulder injuries. Steffan Griffin had the pleasure of hosting Ben Ashworth, Laura Tulloch, Nav Singh & Daniel Cohen, who take us through the journey behind the test, and how it can be used within the clinical setting. Some great examples & case-studies for anyone who sees upper limb injuries in sport! If you’re interested in the paper & the group’s work, you can follow them here: https://twitter.com/AthleteShoulder https://twitter.com/benashworth https://twitter.com/lt_physio https://twitter.com/paddhog https://twitter.com/danielcohen1971

https://twitter.com/i/status/1021381112378155009

Cardiac Screening Outcomes in Young Footballers - Dr Aneil Malhotra. Episode #370

Fri, 01 Mar 2019 13:53:00 +0000

Since 1996, the Football Association has mandated that every young professional footballer in England undergoes cardiac screening. In this podcast, Dr Aneil Malhotra, lead author on the recent NEJM paper which reported the outcomes of the FA’s screening programme, discusses the implications of the research and what it means for screening in the future. In this conversation with Dr Sean Carmody, he also discusses other measures support staff can take to minimise the risk of sudden cardiac deaths in athletes. Related Articles: Outcomes of Cardiac Screening in Adolescent Soccer Players

Emergency response facilities including primary and secondary prevention strategies across 79 professional football clubs in England

Care of the Medically Disqualified Athlete with Pierre Rouzier. Episode #369

Fri, 15 Feb 2019 12:04:00 +0000

NCAA athletes face the realization of career ending injuries, whether they are acute/catastrophic or cumulative. As team physicians and athletic trainers it is imperative that we have our athletes' long- term health as a priority in their care. Presenters of this podcast are Pierre Rouzier, MD, head team physician of the University of Massachusetts, Jennifer Brodeur, ATC, director of Sports Medicine and Jeff Smith, ATC, senior associate Athletic Director for Internal Operations at UMass. This presentation will discuss various medical categories considered career ending and disqualifying; some of these are clear-cut, some may be more nebulous. Athletes facing 'retirement due to injury' are known to have significant psycho-social issues in their transition; we will discuss important institutional resources to help our athletes. We will present cases and outcomes from data collected at the University of Massachusetts. At the conclusion of the podcast, listeners will have learned various NCAA definitions, such as 'medical disqualification', 'medical hardship', 'medical red-shirt' and changes new to 2018. Program participants will know the consequences and implications of being 'medically disqualified' from an NCAA sport, and the impact on the athletes' financial assistance and what this means to their team's scholarship numbers. Listeners will be able to learn the process of medically disqualifying an athlete and how to provide the support and care they need to transition out of their sport. Hayley Marks, Daniel R. Czech, Brandonn S. Harris, Trey Burdette, David D. Biber, An Examination of Coping with Career Ending Injuries: An NCAA Division I and NCAA Division III Comparison, International Journal of Sports Science, Vol. 5 No. 2, 2015, pp. 87-92. https://doi.org/10.5923/j.sports.20150502.07 Leena Ristolainen, Jyrki A. Kettunen, Urho M. Kujala & Ari Heinonen (2011): Sport injuries as the main cause of sport career termination among Finnish top-level athletes, European Journal of Sport Science, https://doi.org/10.1080/17461391.2011.566365 2017-18 NCAA Division 1 Manual https://www.ncaapublications.com/p-4511-2017-2018-ncaa-division-i-manual-august-version- available-august-2017.aspx 2014-15 NCAA Sports Medicine Handbook

https://www.ncaapublications.com/p-4374-2014-15-ncaa-sports-medicine-handbook.aspx

Physical inactivity: a global public health problem. Prof Fiona Bull, WHO Episode #368

Fri, 08 Feb 2019 12:08:00 +0000

Did you know that worldwide, more than one in four adults (28% or 1.4 billion) are physically inactive? In some countries, it’s as high as one in three! How many more times do we need to be reminded that physical inactivity is one of the leading risk factors for global mortality before we finally decide to get off the couch? On this week’s episode, Prof Fiona Bull MBE (T: @fiona_bull) joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss the latest physical activity trend data and explain how clinicians can play their part to increase levels of physical activity for a more active world. Prof Bull is the Programme Manager in the Department of Prevention of Noncommunicable Diseases (NCD) at the World Health Organization based in Geneva, Switzerland. She leads the WHO’s global work on physical inactivity, healthy eating and the prevention of obesity, and provides leadership for global monitoring and surveillance of NCDs and their risk factors. Bull joined WHO in 2017 after 25 years in applied research in Australia, the UK and the USA. Her recent positions include Professor of Public Health and Director of the Centre for Built Environment and Health at the University of Western Australia and Professor of Sports Science and Director of National Centre of Physical Activity at Loughborough University in the UK. Bull has co-authored over 180 scientific publications and reports. Her interest is in bridging the knowledge-policy-practice gap, and she has been actively involved in civil society. She is immediate past President of the International Society of Physical Activity. In 2014, Bull was awarded a Member of the British Empire (MBE) for her services to public health. In this 15 minute conversation, Prof Bull addresses: · Physical inactivity trends over the past 16 years · The causes of physical inactivity · What the WHO is doing to support countries increase physical activity · What clinicians can do to play their part Further reading: Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1· 9 million participants. The Lancet Global Health. 2018 Oct 1;6(10):e1077-86. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(18)30357-7/fulltext World Health Organization. (‎2018)‎. ACTIVE: a technical package for increasing physical activity. World Health Organization. http://www.who.int/iris/handle/10665/275415 Global action plan on physical activity 2018–2030: more active people for a healthier world. Geneva: World Health Organization; 2018. http://apps.who.int/iris/bitstream/handle/10665/272722/9789241514187-eng.pdf

Global action plan on physical activity 2018-2030: At a glance http://apps.who.int/iris/bitstream/handle/10665/272721/WHO-NMH-PND-18.5-eng.pdf

Physical activity in pregnancy—what, when, how and why to be active: Prof Greg Whyte, OBE. #367

Fri, 01 Feb 2019 15:21:00 +0000

Our guest for this podcast is Professor Greg Whyte, one of the world’s most respected and renowned Sport & Exercise Scientists. Greg combines his academic position at Liverpool John Moores University with both public & private work around the UK, and is a hugely respected scientist and voice, with expertise in a wide range of domains. Not content with overseeing breathtaking Sport Relief challenges and helping to raise >£30m for charity, he has recently published a book titled ‘Bump It Up’, focused on advice for pregnant women. In this podcast, Greg covers: - The current consensus - Common misconceptions - Common barriers and how to overcome them - Safety & contraindications - The importance of physical activity at every life-stage Further resources: Greg’s Book: https://www.penguin.co.uk/books/111/1111959/bump-it-up/9780593077481.html BJSM Special Edition on Pregnancy: https://bjsm.bmj.com/content/52/21

2019 Canadian guideline for physical activity throughout pregnancy https://bjsm.bmj.com/content/52/21/1339

Managing concussion: a 2019 update with Prof Kim Harmon. Episode #366

Fri, 25 Jan 2019 10:39:00 +0000

Did you know that up to 3.8 million sports-related concussions occur in the USA annually? As the largest membership organisation representing sports medicine physicians in North America, the AMSSM is perfectly placed to provide advice and guidance to clinicians who are expected to manage every stage of the concussion spectrum. On this week’s episode, Prof Kimberly Harmon (T: @DrKimHarmon) returns for another podcast and joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss the upcoming updated 2019 AMSSM position statement on managing concussion in sport. Prof Harmon is a Professor in the Department of Family Practice and Departments of Family Medicine and Orthopaedics and Sports Medicine at the University of Washington, as well as a past president of the AMSSM. She has over 20 years of experience as a team physician for the University of Washington, and is currently the head physician for the university’s American football team. In this 20 minute conversation, Prof Harmon discusses: · Our current understanding of concussion · The 2019 updated AMSSM Concussion in Sport position statement vs the 2013 statement · Managing concussed athletes and return to play at the collegiate level · Efforts to prevent concussion and reduce its severity in college football Prof Harmon will be speaking at the upcoming 2019 ACSEP conference (https://bit.ly/2HkQsi5) in Queenstown, NZ, and at the 2019 AMSSM Annual Meeting (https://bit.ly/2U573rD) in Houston, USA. Don't miss out! Further reading: Harmon KG, Drezner JA, Gammons M Endorsed by the National Trainers’ Athletic Association and the American College of Sports Medicine, et al. American Medical Society for Sports Medicine position statement: concussion in sport Br J Sports Med 2013;47:15-26. https://bjsm.bmj.com/content/47/1/15.short Turner M Happy Birthday Concussion! Br J Sports Med Published Online First: 01 December 2018. doi: 10.1136/bjsports-2018-100316 McCrory P, Meeuwisse W, Dvorak J, et al Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016.

Br J Sports Med 2017;51:838-847

Can the EAT-Lancet ‘Planetary Health Diet’ save patients and the planet? Episode #365

Mon, 21 Jan 2019 14:00:00 +0000

Traditionally, sports medicine may have focussed on joints and tendons and muscles, but, as with medicine more widely, nutrition is now being properly recognised as an essential aspect of health. Food is a very strong lever to improve human health and environmental sustainability on earth. However, food is currently threatening both people and planet. The food we eat, the ways we produce it, and the amounts wasted or lost affect us all – athletes, patients and clinicians. On this BJSM podcast Prof Jess Fanzo (T: @jessfanzo) from Johns Hopkins (full bio below) joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss the recently published report Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems that is making headlines around the world. The report is also creating much controversy. Not everyone will agree with the commission, just as not everyone agrees with all nutrition advice. At BJSM, our job is to share major views from the scientific world with our community and here you can listen to a major player in this report. In this 15-minute conversation, Prof Fanzo shares the report’s key takeaways (!) and how sport and exercise medicine clinicians can contribute to “the great food transformation". Prof Jess Fanzo PhD is the Bloomberg Distinguished Associate Professor of Ethics and Global Food & Agriculture at the Johns Hopkins Berman Institute of Bioethics, the School of Advanced International Studies, and the Bloomberg School of Public Health, Department of International Health. She also serves as the Director of the Global Food Ethics and Policy Program. Prof Fanzo received her PhD in Nutrition at the University of Arizona, and was the Stephen I. Morse Postdoctoral Fellow in Immunology in the Department of Molecular Medicine at Columbia University. https://eatforum.org/contributor/dr-jessica-fanzo/ Have something to say about the commission or the podcast? Let us know your thoughts by leaving us a comment via social media or wherever you get your podcasts! Further reading: https://eatforum.org/eat-lancet-commission/ https://eatforum.org/lancet-commission/healthcare-professionals/

Full report: Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems https://hubs.ly/H0gcll-0

How to encourage translational research among our peers? The Collaborative Research Network. #364

Fri, 18 Jan 2019 12:34:00 +0000

Is it possible to support small, individual clinicians with an interest for research, while also encouraging collaborative research from major medical centers and teaching hospitals? These topics and others are explored on this episode of the AMSSM Sports Medcast. Host Dr. Devin McFadden, MD is joined by a panel which includes Dr. Anthony Beutler, MD, Dr. Andrew Peterson, MD, and Dr. Stephanie Kliethermes, PhD who help form a portion of the AMSSM’s Collaborative Research Network leadership. They cover the history of this organization from inception to present day, and discuss the challenges and strategic issues which the organization has faced in its brief existence to date. Collaborative Research Network website: https://www.amssm.org/CRN.php Editorial on the CRN- https://bjsm.bmj.com/content/early/2018/11/26/bjsports-2018-100330 Kliethermes SA, Beutler AI. Clinical research and the AMSSM collaborative research network.

Br J Sports Med. Published Online First: 27 November 2018. doi: 10.1136/bjsports-2018-100330

Making exercise trials more useful with Professor John Ioannidis. Episode #363

Fri, 11 Jan 2019 13:48:00 +0000

We have known for a long time that exercise is effective in lowering blood pressure. But how does it stack up against antihypertensive medication? On this episode, Dr. John Ioannidis joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss his recently published BJSM meta-analysis that made headlines around the world https://bit.ly/2EYW66J Dr Ioannidis is recognised as one the most influential scientists alive today. A Professor of Medicine and of Health Research and Policy at Stanford University School of Medicine and a Professor of Statistics at Stanford University School of Humanities and Sciences, Dr Ioannidis has authored close to 1,000 academic papers and served on the editorial boards of 30 of the world's top journals. He is best known for his legendary 2005 PLOS medicine paper “Why Most Published Research Findings Are False”, which has been viewed over 2.5 million times. https://profiles.stanford.edu/john-ioannidis In this 15 minute conversation, Dr Ioannidis discusses: · The findings of his latest BJSM meta-analysis · How trials that examine exercise’s effects on blood pressure can be made more useful · How exercise can become part of routine hypertension management · What needs fixing in the world of evidence-based medicine Further reading: Naci H, Salcher-Konrad M, Dias S, et al How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled trials assessing exercise and medication effects on systolic blood pressure Br J Sports Med Published Online First: 18 December 2018. doi: 10.1136/bjsports-2018-099921 Naci H, Ioannidis JP. Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. Bmj. 2013 Oct 1;347:f5577. Ioannidis JP. Why most clinical research is not useful. PLoS medicine. 2016 Jun 21;13(6):e1002049.

Ioannidis JP. Why most published research findings are false. PLoS medicine. 2005 Aug 30;2(8):e124.

Bumping up physical activity in pregnancy. Global guidelines. Dr Margie Davenport Episode #362

Fri, 04 Jan 2019 14:08:00 +0000

Did you know that fewer than 15% of women will actually achieve the minimum recommendation of 150 min per week of moderate-intensity physical activity throughout their pregnancy? Meeting the recommendation can reduce the risk of pregnancy-related illness such as depression by at least 25%, and the risk of developing gestational diabetes, hypertension and preeclampsia by 40%! So why are some clinicians still scared to prescribe physical activity to soon-to-be-mums? On this week’s episode, Dr. Margie Davenport PhD joins BJSM’s Daniel Friedman (T: @ddfriedman) to address common misconceptions regarding physical activity during pregnancy and explain the new 2019 Canadian guideline for physical activity throughout pregnancy (https://bjsm.bmj.com/content/52/21/1339) that was recently published in the BJSM. Dr. Davenport is an Assistant Professor in the Faculty of Kinesiology, Sport, and Recreation at the University of Alberta. She received her PhD in Integrative Exercise Physiology from the University of Western Ontario and conducted a two year Postdoctoral Fellowship at the University of Calgary. She is an emerging expert in metabolic and cardiovascular adaptations associated with normal and complicated pregnancies. Her primary interest is in the benefits of exercise prior to, during and following pregnancy for both mother and child. In this 20 minute conversation, Dr. Davenport discusses: · Who should be physically active throughout pregnancy + contraindications · How much physical activity is recommended throughout pregnancy · Examples of physical activity · Common misconceptions and safety precautions Resources: www.exerciseandpregnancy.ca Program for Pregnancy and Postpartum Health videos: https://www.youtube.com/channel/UCtvzYizIALcs5-RzfHrf5UA 2019 Canadian Guideline: http://csepguidelines.ca/wp-content/uploads/2018/10/4208_CSEP_Pregnancy_Guidelines_En_P2A.pdf.

https://bjsm.bmj.com/content/52/21/1339

Comparing exercise and drugs for hypertension with Dr Huseyin Naci. Episode #361

Wed, 19 Dec 2018 13:33:00 +0000

Did you know that one in four people have hypertension? And with recent changes to diagnostic criteria in major clinical practice guidelines, the prevalence is only going to increase. With concerns about the cost, effectiveness, and potential for side effects of antihypertensive drugs, isn’t it time we looked beyond the pharmacy shelves to lower blood pressure? On this episode, Dr. Huseyin Naci PhD (T: @huseyinnaci2) joins BJSM’s Daniel Friedman (T:@ddfriedman) to discuss his recently published BJSM meta-analysis that compares the effectiveness of exercise and antihypertensive medications on lowering blood pressure. Dr Naci is an Assistant Professor of Health Policy at the London School of Economics and Political Science. During the 2018-2019 academic year, he is a UK Harkness Fellow in Health Care Policy and Practice at the Harvard Kennedy School of Government and Harvard Medical School. His research to date has evaluated the quality and quantity of the evidence base underpinning the approval, adoption, and reimbursement of new pharmaceutical and health technologies in Europe and the US. He has a PhD in Health Policy from the Department of Social Policy at the LSE and an MHS in International Health from the Johns Hopkins Bloomberg School of Public Health. In this 20 minute conversation, Dr Naci discusses: · The history of antihypertensive medications · Exercise’s effects on blood pressure · The findings of his latest meta-analysis · His 2013 study that compared the effectiveness of pharmacological and non-pharmacological interventions on mortality · The clinical practice and guideline implications of the meta-analysis Further reading: Naci H, Ioannidis JP. Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. Bmj. 2013 Oct 1;347:f5577. https://bjsm.bmj.com/content/early/2018/12/05/bjsports-2018-099921.citation-tools

Naci H, Ioannidis JP. Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. Bmj. 2013 Oct 1;347:f5577. https://www.bmj.com/content/347/bmj.f5577

Regenerative medicine: Game changing innovation or the next big flop? Episode #360

Fri, 07 Dec 2018 16:29:00 +0000

Host Dr. Devin McFadden, MD is joined by Dr. Lisa Fortier, DVM, PhD on the AMSSM Sports Medcast to discuss regenerative medicine technologies and the current evidence for their use. Dr. Fortier is a Professor of Surgery at Cornell University, College of Veterinary Medicine in Ithaca, New York, with a particular interest in translational research including the prevention of post- traumatic osteoarthritis. In addition, her internationally renowned research investigates the clinical application of stem cells and biologics such as platelet-rich plasma and bone marrow concentrate for cartilage repair and tendinosis. In this 15 minute conversation Dr. Fortier addresses the following topics: What are orthobiologics and regenerative medicine? What is the evidence behind their use? What current research is being conducted in this field? Where she see the field in 5-10 years. IOC Consensus on Use of PRP in Sports Medicine- https://bjsm.bmj.com/content/44/15/1072 Engebretsen L, Steffen K, Alsousou J, et al. IOC consensus paper on the use of platelet-rich plasma in sports medicine. Br J Sports Med. 2010;44:1072-1081. Systematic Review of Stem Cell Use in Tendon Injuries- https://bjsm.bmj.com/content/51/13/996 Pas HIMFL, Moen MH, Haisma HJ, et al. No evidence for the use of stem cell therapy for tendon disorders: a systematic review. Br J Sports Med. 2017;51:996-1002. Role of platelet-rich plasma in articular cartilage injury and disease- https://www.thieme-connect.com/DOI/DOI?10.1055/s-0034-1384672

Mascarenhas R, Saltzman BM, Fortier LA, et al. Role of platelet rich plasma in articular cartilage injury and disease. J Knee Surg. 2015 Feb;28(1):3-10

Busting nutrition myths with Dr. Zoë Harcombe PhD. Episode 358

Fri, 30 Nov 2018 16:00:00 +0000

What should we eat in order to stay healthy and avoid disease? Nutrition is one of the biggest drivers of chronic disease, including obesity and diabetes, yet the answer to this seemingly simple question remains a subject of heated debate. On this week’s episode, Dr. Zoë Harcombe (@zoeharcombe) joins BJSM’s Daniel Friedman (@ddfriedman) to address some common nutrition myths. Zoë has a PhD in public health nutrition. The full title of her thesis is: “An examination of the randomised controlled trial and epidemiological evidence for the introduction of dietary fat recommendations in 1977 and 1983: A Systematic Review and Meta-analysis“. She researches in the fields of nutrition, diet, dietary advice, diet-related health and obesity and writes and talks about these topics daily - http://www.zoeharcombe.com/ In this 30 minute conversation, Zoë reviews the evidence supporting commonly held nutrition beliefs and discusses: · Does red and process meat cause cancer? · Should everyone follow a Mediterranean diet? · Are wholegrains healthy? · How many fruit + veg should we be eating daily? · What makes up a nutritious diet? Further reading: Harcombe, Zoe. "Designed by the food industry for wealth, not health: the ‘Eatwell Guide’." (2017): 1730-1731.https://bjsm.bmj.com/content/early/2016/05/25/bjsports-2016-096297 Harcombe, Zoe. World Health Organisation, meat & cancer http://www.zoeharcombe.com/2015/10/world-health-organisation-meat-cancer/

Estruch, Ramón, et al. "Primary prevention of cardiovascular disease with a Mediterranean diet." New England Journal of Medicine 368.14 (2013): 1279-1290.

An A-Z of Sports Cardiology, with Prof Jon Drezner. Episode #357

Fri, 23 Nov 2018 13:52:00 +0000

Professor Jon Drezner, a world authority on Sports Cardiology and vastly experienced Sport & Exercise Medicine physician, kindly gives us his time on this BJSM podcast to fill us in on updates in the Sports Cardiology world. Covering everything from high-risk groups, to the subsequent management of ‘positive’ screening results, this podcast will ensure that the listener is very much up-to-date with the latest research & developments in Sports Cardiology. For more information & a deeper-dive into the publications mentioned: Sports cardiology: preventing sudden cardiac death https://bjsm.bmj.com/content/48/15/1133 BMJ Learning ECG Interpretation Course: https://learning.bmj.com/learning/course-intro/.html?courseId=10042239 International criteria for electrocardiographic interpretation in athletes: Consensus statement https://bjsm.bmj.com/content/51/9/704 Outcomes of Cardiac Screening in Adolescent Soccer Players (NEJM) https://www.nejm.org/doi/full/10.1056/NEJMoa1714719

Cardiac arrest survival greatly increases when bystanders use an automated external defibrillator - Circulation Journal Report https://newsroom.heart.org/news/cardiac-arrest-survival-greatly-increases-when-bystanders-use-an-automated-external-defibrillator

It’s all about the shoes…well, maybe not. Episode #356

Fri, 16 Nov 2018 13:30:00 +0000

Minimalist? Maximalist? Zero drop? Is there really one running shoe paradigm to rule them all? On this week’s episode, Dr. Chris Napier PhD (T: @runnerphysio) and Paul Blazey (T: @Blazey85) joins BJSM’s Daniel Friedman (T:@ddfriedman) to debate running shoe prescription. Chris is a Clinical Assistant Professor in the Department of Physical Therapy at the University of British Columbia, where he recently obtained his his PhD (“Running biomechanics and injury prevention”) in 2018. Since becoming a physio, Chris has specialised his training with postgraduate studies in manual therapy and sport physiotherapy. He is currently a physiotherapist of Athletics Canada. Chris competed at the national level as a successful middle-distance runner and today is an avid skier, kayaker, and marathoner. A self-proclaimed encyclopaedia of running shoes, Paul is a physio who has spent time working with Crystal Palace and Arsenal FC, with a keen interest in managing running and triathlon injuries. He left his physiotherapy clinic in England behind in 2017 to take up research at the University of British Columbia and currently works as a senior associate editor for BJSM. Like Chris, Paul is an accomplished runner with envious marathon times. In this 20 minute conversation, Chris and Paul discuss: Eliud Kipchoge’s recent marathon world record Different running shoes’ effects on running economy Running shoe prescription and tips for choosing shoes in-store Gait retraining The future of running shoes Further reading: Brick NE, McElhinney MJ, Metcalfe RS. The effects of facial expression and relaxation cues on movement economy, physiological, and perceptual responses during running. Psychology of Sport and Exercise. 2018 Jan 1;34:20-8. https://www.sciencedirect.com/science/article/pii/S1469029217303461 Napier C, Willy RW. Logical fallacies in the running shoe debate: let the evidence guide prescription. https://bjsm.bmj.com/content/early/2018/10/22/bjsports-2018-100117 Hoogkamer W, Kram R, Arellano CJ. How biomechanical improvements in running economy could break the 2-hour marathon barrier. Sports Medicine. 2017 Sep 1;47(9):1739-50.https://link.springer.com/article/10.1007/s40279-017-0708-0 Barnes KR, Kilding AE. A Randomized Crossover Study Investigating the Running Economy of Highly-Trained Male and Female Distance Runners in Marathon Racing Shoes versus Track Spikes. Sports Medicine. 2018:1-2. https://link.springer.com/article/10.1007/s40279-018-1012-3 Nigg BM, Baltich J, Hoerzer S, Enders H. Running shoes and running injuries: mythbusting and a proposal for two new paradigms:‘preferred movement path’and ‘comfort filter’. Br J Sports Med. 2015

Jul 28:bjsports-2015. https://bjsm.bmj.com/content/49/20/1290.short

AMSSM Sports Medcast - FAI and hip dysplasia: two ends of an overlapping spectrum. Episode #355

Fri, 09 Nov 2018 11:03:00 +0000

Is this a dysplasia problem? Or is this an impingement problem? Did you know that a young adult with a non-arthritic hip problem sees an average of 4.2 health care providers before a diagnosis of impingement is made?! On this week’s podcast, Dr J.W. Thomas Byrd MD (T:@nashvillehipmds) joins AMSSM’s Sports Medcast (T: @TheAMSSM) to discuss femoroacetabular impingement and hip dysplasia. Dr. Byrd founded the Nashville Hip Institute to help treat patients with complex hip disorders using advanced surgical techniques. A recent Past President of both the International Society for Hip Arthroscopy (ISHA) and the Arthroscopy Association of North America (AANA), Dr Byrd has pioneered many of the surgical techniques for hip arthroscopy commonly employed throughout the orthopaedic world and invented numerous instruments that have revolutionised aspects of orthopaedic surgery. He has been one of the leaders for defining and developing the role of less invasive arthroscopic techniques in and around the hip. Dr. Byrd is currently the team physician for the Tennessee Titans and consults for many professional sports teams. https://nashvillehip.org/jw- thomas-byrd-md-orthopedic-hip-specialist-nashville-tn/ In this 20 minute conversation, Dr. Byrd addresses the following topics: What is FAI? The work-up of FAI – examination and imaging Management of FAI - when to intervene Hip dysplasia in athletes

Common errors in managing hip pathology

Knowledge translation with Dr Sandro Demaio. Episode #354

Fri, 02 Nov 2018 14:19:00 +0000

Knowledge translation with Dr Sandro Demaio. Episode #354 There are over 1.5 million papers published each year…but as many as 50% of them are never read by anyone other than their authors, referees and journal editors. How can we move research from the laboratory, the academic journal, and the medical conference into the hands of people and organisations who can put it to practical use? On this week’s podcast, Dr Sandro Demaio (@SandroDemaio) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss how we can bridge the gap between evidence and practice in the real world. After leaving his role as the WHO’s medical officer for NCDs and Nutrition, Sandro was appointed the CEO of EAT (https://eatforum.org/contributor/dr-alessandro-demaio), a non-profit startup focused on food and sustainability. Formerly an Assistant Professor and Course Director at the University of Copenhagen’s School of Global Health, and a postdoctoral fellow at Harvard, Sandro regularly shares his knowledge and ideas at international conferences, universities and public events. He founded the PLOS Global Health Blog, NCDFREE (https://ncdfree.org) and festival21 (https://www.festival21.com.au), and is currently a bestselling author and TV host. http://sandrodemaio.com/about In this 20 minute conversation, Sandro addresses the following topics: The importance of knowledge translation Ways in which knowledge translation can be achieved Overcoming the “leaky research pipeline”

Social media tips for clinicians

Sham surgery for shoulder impingement

Fri, 19 Oct 2018 11:03:00 +0100

Management of shoulder pain has been estimated to account for 4.5 million visits to the doctor and $3bn (£2.3bn; €2.6bn) each year in the US alone. 44-70% of patients with shoulder pain are diagnosed with shoulder impingement syndrome. Although various non-operative treatment modalities are recommended as initial treatment for patients with shoulder impingement, subacromial decompression has become one of the most frequently performed orthopaedic procedures in the world...BUT DOES IT ACTUALLY HELP? On this week’s episode, Prof. Teppo Järvinen (@shamteppo) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the results from his latest clinical trial – the FIMPACT trial - that was recently published in the BMJ. Teppo is a Professor of Orthopaedics and Traumatology at the University of Helsinki and Helsinki University Hospital, and is head of the Finnish Centre for Evidence-Based Orthopaedics. He recently organised the 2018 Too Much Medicine symposium that took place in Helsinki, Finland. http://too-much-medicine.com/ In this 15 minute conversation, Prof. Järvinen addresses: ∙ shoulder impingement and subacromial decompression ∙ a brief overview of the FIMPACT trial ∙ the results of the trial and how to integrate the findings into clinical practice ∙ what does too much medicine mean for orthopaedic surgery ∙ the future of sham surgery Further reading: Paavola Mika, Malmivaara Antti, Taimela Simo, Kanto Kari, Inkinen Jari, Kalske Juha et al. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial BMJ 2018; 362 :k2860 https://www.bmj.com/content/362/bmj.k2860 FIDELITY infographic: https://www.bmj.com/content/bmj/362/bmj.k2860/F1.large.jpg Beard, David J., et al. "Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial." The Lancet 391.10118 (2018): 329-338. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32457-1/fulltext Sihvonen R, Paavola M, Malmivaara A, et al. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med 2013;369:2515–24. https://www.nejm.org/doi/10.1056/NEJMoa1305189?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dwww.ncbi.nlm.nih.gov FIDELITY study video: https://www.youtube.com/watch?v=RaDWkJHmEB0

Savulescu, Julian, Karolina Wartolowska, and Andy Carr. "Randomised placebo-controlled trials of surgery: ethical analysis and guidelines." Journal of medical ethics (2016): medethics-2015.https://jme.bmj.com/content/42/12/776

An Update on Injury Prevention Programmes, and #SportSuisse2018, with Mario Bizzini. #352

Fri, 12 Oct 2018 11:04:00 +0100

We catch up with BJSM Deputy Editor, Physiotherapist and hugely influential researcher Mario Bizzini. We discuss everything from the evidence behind injury prevention programmes, maximising their implementation, and the upcoming #SportSuisse2018 Links below: JOSPT Clinical Guideline https://www.jospt.org/doi/10.2519/jospt.2018.0303 Knakentroll (Swedish Group) - https://blogs.bmj.com/bjsm/2016/11/02/football-injuries-prevention-swedish-football-injury-warriors-martin-markus/ FIFA11+ https://bjsm.bmj.com/content/49/9/577 The Santa Monic Sports Medicine Research Foundation – The PEP Program: Prevent injury and Enhance Performance http://www.aclstudygroup.com/pdf/pep-program.pdf Implementing Injury Prevention – Aspetar Journal - http://www.aspetar.com/journal/viewarticle.aspx?id=406#.W6TYAf4zbEY Reference to Implementation Studies by Dr Alex Donaldson & colleagues in AFL https://www.ncbi.nlm.nih.gov/pubmed/30217833

#Sportsuisse2018 https://sportsuisse2018.ch/

Lifestyle management of type 2 diabetes #351

Fri, 05 Oct 2018 11:29:00 +0100

Type 2 diabetes is a complex systems disease, caused by interactions between lifestyle and genes. It is an illusion to believe that it can be cured by medication. Lifestyle change should always be at the heart of treatment. Hanno Pijl is an internist-endocrinologist and professor of Diabetology at the Leiden University Medical Center (LUMC) In Leiden, The Netherlands. He co-authored over 250 papers in peer reviewed scientific journals, primarily related to obesity and type 2 diabetes. He has been a member of the Dutch Health Council (standing committee on nutrition) from 2008-2016. He currently co-chairs the Dutch Innovation center for Lifestyle Medicine (www.nilg.eu), a joint effort of LUMC and the Dutch Organisation of Applied Science (TNO) focusing on lifestyle interventions in health care. Esther van Zuuren is a dermatologist at the Leiden University Medical Centre, but apart from that and more relevant for now is that her expertise lies in Evidence Based Medicine. She has been with Cochrane for almost 20 years, has held the position of Key Editor and Methods editor for Cochrane Skin group for several years and conducted over 30 systematic reviews on a wide variety of topics. Furthermore, she is member of the GRADE working group, is a Recommendations Editor for DynaMed Plus (clinical evidence-based reference tool for clinicians) and Associate Editor for Systematic Reviews for the British Journal of Dermatology. In our 20 min conversation we discuss Dietary advice for people with type 2 diabetes The importance of other lifestyle measures Effects of lifestyle intervention in clinical practice

Patient preferences

Preventing overdiagnosis in 2018 with Dr Ray Moynihan Episode # 350

Fri, 28 Sep 2018 11:16:00 +0100

Do I really need this test, treatment or procedure? What are the downsides? What happens if I do nothing? And are there simpler, safer alternatives? Dr. Ray Moynihan (@raymoynihan) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the growing problem of overdiagnosis and overtreatment, and what is being done to wind back the harms of too much medicine. Ray is an Australian academic, author and award-winning health journalist who completed his PhD on overdiagnosis in 2015 at the Centre for Research in Evidence-Based Practice at Bond University in Australia, where he is also a senior research fellow. Having reported across print, radio, television and social media, Dr Moynihan has worked at the ABC TV’s investigative program, Four Corners and the 7:30 Report, and The Australian Financial Review. He has also developed an impressive body of academic work published in the Lancet, the New England Journal of Medicine, PLOS ONE and the BMJ. Dr. Moynihan has won several awards for his investigative journalism, and his book ‘Selling Sickness’ (2005) was described in the New York Times as a “compelling case” and has been translated into a dozen languages. His fourth book, ‘Sex, Lies & Pharmaceuticals’ was released globally in 2010 and generated widespread interest internationally. Dr Moynihan hosts the very popular podcast, ‘The Recommended Dose’, that is produced by Cochrane Australia and co-published by the BMJ. https://soundcloud.com/therecodo In this 25 minute conversation, Dr Moynihan explains the drivers of too much medicine and addresses: embracing healthy scepticism in healthcare the threat of too much medicine to our health the problem with diagnostic labels his ground-breaking discovery of a dangerous new disease

what clinicians should do to practice ‘just the right amount’ of medicine (Goldilocks Principle)

Talking physical activity and Golf and health, with Dr Andrew Murray. Episode #349

Fri, 21 Sep 2018 15:47:00 +0100

We were thrilled to catch up again with Dr Andrew Murray, the recently appointed Chief Medical Officer to the PGA European Tour, European Tour Performance Institute, and Ryder Cup Europe. He is universally known for his work promoting physical activity for health, his ultra-endurance challenges, and for leading the ‘Golf and Health project’. In this podcast he covers everything from the health benefits of golf, how to produce a consensus statement, the WHO’s GAPPA, to how to overcome various factors affecting knowledge translation #Gold Various papers/resources are referred to throughout the podcast, links to which can be found below: http://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2018-099509 http://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2018-099771 The relationships between golf and health: a scoping review https://bjsm.bmj.com/content/51/1/12 Previous BJSM podcast on Golf & Health: https://soundcloud.com/bmjpodcasts/andrew-murray-1 The World Health Organization’s Global Action Plan for Physical Activity: Prof Fiona Bull https://soundcloud.com/bmjpodcasts/the-world-health-organizations-global- action-plan-for-physical-activity-prof-fiona-bull?in=bmjpodcasts/sets/bjsm-1 It is time to replace publish or perish with get visible or vanish: opportunities where digital and social media can reshape knowledge translation https://bjsm.bmj.com/content/early/2017/11/17/bjsports-2017-098367

We hope you enjoyed the podcast – get in touch with us via social media if you have any questions for @docandrewmurray

Low carb vs low fat diet for type 2 diabetes. Episode #348

Mon, 17 Sep 2018 09:13:00 +0100

Contrary to the long held contention that low fat diets are best for people with type 2 diabetes (DM2), the totality of current evidence suggests that low carb diets are at least as effective in ameliorating metabolic health in DM2. In fact, low carb seems to be somewhat better, particularly in the short to medium term, although the evidence is of moderate certainty. On this week’s episode Prof Hanno Pijl (@HannoPijl) and dr Esther van Zuuren (@Ezzoef) join Dr Aseem Malhotra (@DrAseemMalhotra) to discuss the most appropriate diet for people with DM2 Hanno Pijl is an internist-endocrinologist and professor of Diabetology at the Leiden University Medical Center (LUMC) In Leiden, The Netherlands. He co-authored over 250 papers in peer reviewed scientific journals, primarily related to obesity and type 2 diabetes. He has been a member of the Dutch Health Council (standing committee on nutrition) from 2008-2016. He currently co-chairs the Dutch Innovation center for Lifestyle Medicine (www.nilg.eu), a joint effort of LUMC and the Dutch Organisation of Applied Science (TNO) focusing on lifestyle interventions in health care. Esther van Zuuren is a dermatologist at the Leiden University Medical Centre, but apart from that and more relevant for now is that her expertise lies in Evidence Based Medicine. She has been with Cochrane for almost 20 years, has held the position of Key Editor and Methods editor for Cochrane Skin group for several years and conducted over 30 systematic reviews on a wide variety of topics. Furthermore, she is member of the GRADE working group, is a Recommendations Editor for DynaMed Plus (clinical evidence-based reference tool for clinicians) and Associate Editor for Systematic Reviews for the British Journal of Dermatology In our 20 min conversation we discuss Efficacy of low fat versus low carb diets in the treatment of type 2 diabetes The method of weighing the certainty of evidence we used in our systematic review of the literature Dietary recommendations for people with type 2 diabetes

https://academic.oup.com/ajcn/article-abstract/108/2/300/5051863

Time to get real about childhood obesity with Dr Sandro Demaio. Episode #347

Fri, 07 Sep 2018 12:06:00 +0100

Did you know that the worldwide prevalence of obesity nearly tripled between 1975 and 2016? In 2016, more than 1.9 billion adults and more than 340 million children were classified as overweight or obese. At the individual level and in our modern, obesogenic world, weight gain has become the norm—the biological and social path of least resistance. On this week’s podcast, Dr Sandro Demaio (@SandroDemaio) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss childhood obesity and public health nutrition policy. After recently leaving his role as the WHO’s medical officer for NCDs and Nutrition, Sandro was appointed the CEO of EAT , a non-profit startup focused on food and sustainability. Formerly an Assistant Professor and Course Director at the University of Copenhagen’s School of Global Health, and a postdoctoral fellow at Harvard, Sandro regularly shares his knowledge and ideas at international conferences, universities and public events. He founded the PLOS Global Health Blog, NCDFREE and festival21, and is currently a bestselling author and TV host. http://sandrodemaio.com/about In this conversation, Sandro addresses the following topics:  Our current state of obesity  Policies needed to address childhood obesity  Sugar-sweetened disease and the sugar tax  Role of the clinician in addressing the obesity pandemic Further reading: Renzella, Jessica A., and Alessandro R. Demaio. "It’s time we paved a healthier path of least resistance." (2018): bjsports-2017. https://bjsm.bmj.com/content/early/2018/03/07/bjsports-2017-098805 Murphy, Lisa, and Alessandro R. Demaio. "Understanding and removing barriers to physical activity: one key in addressing child obesity." (2018): bjsports-2017. https://bjsm.bmj.com/content/early/2018/01/18/bjsports-2017-098546 Demaio, Alessandro. "A lifeSPANS approach: Addressing child obesity in Australia." Health Promotion Journal of Australia (2018). https://onlinelibrary.wiley.com/doi/full/10.1002/hpja.44 Demaio, Alessandro, and Alexandra Jones. "The true price of sugar-sweetened disease: political inertia requires renewed, strategic action." The Medical Journal of Australia 209.2 (2018): 1. https://www.mja.com.au/journal/2018/209/2/true-price-sugar-sweetened-disease-political-inertia-requires-renewed-strategic

Beale, Anna L., and Alessandro R. Demaio. "Non-communicable disease risk factors: a call for primary care clinicians to act and to refer. Brief intervention, not silent abdication." (2017): bjsports-2017. https://bjsm.bmj.com/content/early/2017/10/05/bjsports-2017-098475

The demonisation of dietary fats and saturated fat: villain or hero? Episode #346

Fri, 31 Aug 2018 11:52:00 +0100

Is saturated fat good or bad? But doesn’t it cause cardiovascular disease? And what about the guidelines? On this week’s episode, Dr. Zoë Harcombe (@zoeharcombe) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the takeaways from The BMJ’s Food For Thought conference 2018 (https://www.bmj.com/food-for-thought) and the demonisation of dietary fats. Zoë has a PhD in public health nutrition. The full title of her thesis is: “An examination of the randomised controlled trial and epidemiological evidence for the introduction of dietary fat recommendations in 1977 and 1983: A Systematic Review and Meta-analysis“. She researches in the fields of nutrition, diet, dietary advice, diet-related health and obesity and writes and talks about these topics daily - http://www.zoeharcombe.com/ In this 30 minute conversation, Zoë discusses: The strength of evidence in nutrition research Facts about dietary fats Our current understanding of saturated fat Does saturated fat cause cardiovascular disease? Are universal dietary guidelines feasible? Further reading: Forouhi, Nita G., et al. "Dietary fat and cardiometabolic health: evidence, controversies, and consensus for guidance." BMJ361 (2018): k2139. https://www.bmj.com/content/361/bmj.k2139 Harcombe, Zoë. "Dietary fat guidelines have no evidence base: where next for public health nutritional advice?." Br J Sports Med 51.10 (2017): 769-774. https://bjsm.bmj.com/content/51/10/769 Harcombe, Zoë, Julien S. Baker, and Bruce Davies. "Evidence from prospective cohort studies does not support current dietary fat guidelines: a systematic review and meta-analysis." Br J Sports Med 51.24 (2017): 1743-1749. https://bjsm.bmj.com/content/51/24/1743.info Harcombe, Zoë, et al. "Evidence from randomised controlled trials does not support current dietary fat guidelines: a systematic review and meta-analysis." Open Heart 3.2 (2016): e000409. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4985840/ Harcombe Z US dietary guidelines: is saturated fat a nutrient of concern? Br J Sports Med Published Online First: 14 August 2018. doi: 10.1136/bjsports-2018-099420 https://bjsm.bmj.com/content/early/2018/08/14/bjsports-2018-099420 Malhotra, Aseem, Rita F. Redberg, and Pascal Meier. "Saturated fat does not clog the arteries: coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively reduced from healthy lifestyle interventions." (2017): bjsports-2016.

https://bjsm.bmj.com/content/51/15/1111

The truth behind sports drinks. Episode #345

Fri, 24 Aug 2018 11:44:00 +0100

Did you know that a regular bottle of Gatorade contains 34g of sugar? That’s over 8 teaspoons of sugar! The WHO recommends that https://www.ncbi.nlm.nih.gov/pubmed/29735573

Combat sports: ringside medicine with the fight doctor. Episode #344

Fri, 17 Aug 2018 11:48:00 +0100

This heavyweight podcast is sure to be a knockout! On this week’s episode, sports medicine physician Dr. John Neidecker (@DrJohnNeidecker) joins BJSM’s Daniel Friedman (@ddfriedman) in the ring to discuss the hot topics in combat sports today. Dr. Neidecker is a physician for USA Boxing and USA Taekwondo, and is the vice president for the Association of Ringside Physicians (ARP) (http://www.ringsidearp.org/), an international non-profit organisation dedicated to the health and protection of boxers and mixed martial artists. He serves as the ARP certification committee chair, enabling physicians to become certified in ringside medicine, and currently practices at Orthopedic Specialists of North Carolina. Dr. Neidecker is also the lead author of the ARPs Consensus Statement on concussion in combat sports that was recently published in the BJSM. In this 20 minute conversation, Dr. Neidecker explains the current medical practices and controversies in combat sports, and addresses the following topics:  concussion management in combats sports  return to fighting protocol  common injuries in combats sports  weight cutting  ethics of combats sports Further reading: Neidecker, John, et al. "Concussion management in combat sports: consensus statement from the Association of Ringside Physicians." Br J Sports Med (2018): bjsports-2017. https://bjsm.bmj.com/content/early/2018/07/26/bjsports-2017-098799 McCrory, Paul, et al. "Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016." Br J Sports Med (2017): bjsports-2017. https://bjsm.bmj.com/content/51/11/838 Crighton, Ben, Graeme L. Close, and James P. Morton. "Alarming weight cutting behaviours in mixed martial arts: a cause for concern and a call for action." (2015): bjsports-2015. https://bjsm.bmj.com/content/50/8/446 Association of Ringside Physicians Releases Consensus Statement On Weight Management in Professional Combat Sports (2014) http://www.ringsidearp.org/resources/Documents/Position%20Statements/Weight%20Management%

20in%20Professional%20Combat%20Sports.pdf

Dr Alison Grimaldi on managing gluteal tendinopathy. Episode #343

Fri, 10 Aug 2018 12:47:00 +0100

Fresh off ‘BJSM Podcast World Cup’ victory, superstar physiotherapist Dr. Alison Grimaldi returns for what is sure to be another chart-topping podcast. On this week’s episode, Dr. Alison Grimaldi (@alisongrimaldi) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the results from her latest clinical trial – the LEAP trial - that was recently published in the BMJ. https://www.bmj.com/content/361/bmj.k1662 With 25 years of clinical experience and particular expertise in the management of hip, groin and lumbo-pelvic pain and dysfunction, Alison is Principal Physiotherapist at Physiotec in Brisbane, Australia, and an Adjunct Research Fellow at the University of Queensland. Alison also has a special interest in the assessment and optimisation of lumbo-pelvic and lower limb biomechanics for running, change of direction and all weight bearing sports. She is currently involved with research studies through the University of Queensland and University of Melbourne. https://dralisongrimaldi.com/ Alison explains the clinical significance of the findings from the LEAP trial and shares some practical physiotherapy tips for clinicians helping patients manage gluteal tendinopathy pain. She discusses: Treatment options for managing gluteal tendinopathy pain Load management for gluteal tendinopathy Specific exercises for gluteal tendinopathy Alison continues to publish, present and provide practical workshops for other health professionals, and will be coming to Vancouver in September 2018 for her hip and groin pain masterclass! https://www.eply.com/DrGrimaldi-2018 You can listen to Dr. Grimaldi’s previous BJSM podcast on treating lateral hip pain here:

https://soundcloud.com/bmjpodcasts/dr-alison-grimaldi-with-practical-physiotherapy-tips-on-treating-lateralhippain?in=bmjpodcasts/sets/bjsm-1

The gut microbiome for athlete health and performance. Episode #342

Fri, 27 Jul 2018 12:27:00 +0100

After listening to this one, you may want to think twice before reaching for that next bottle of kombucha! On this week’s podcast, microbiome expert Dr Patrick Hanaway joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the implications of the gut microbiome for athlete health and performance. Dr Hanaway is a family physician who has served as the Director of Medical Education for the Institute for Functional Medicine, as well as the Medical Director at the Cleveland Clinic Center for Functional Medicine. He is also a past president of The American Board of Integrative Holistic Medicine. He is currently the Director of Research at the Cleveland Clinic Center for Functional Medicine (https://my.clevelandclinic.org/departments/functional-medicine), and practices at his clinic (http://www.familytofamily.org) in Asheville, North Carolina. In this 20 minute conversation, Dr Hanaway shares how clinicians can apply our current understanding of the gut microbiome in their clinical practice, and addresses the following topics: · What is the gut microbiome? · Microbial diversity throughout the life cycle and its relationship with different disease states · The relationship between different diets/foods/macronutrients and the gut microbiome · The effects of different types of physical activity on the gut microbiome

· The role of probiotics in sport

Research imbalance: Sport and Exercise in Women versus Men. Episode #341

Fri, 20 Jul 2018 16:34:00 +0100

In this podcast Katie Marino speaks to Jack Forsyth. Jacky Forsyth (@JackyForsyth) is a senior lecturer at Staffordshire University. She is a lead organiser of the Women in Sport and Exercise Conference. In this podcast Katie Marino (@krmarino1) speaks to Jacky about the difference in the amount of research done on exercise in women compared to exercise in men, and why we need to correct this imbalance. The research community needs to strengthen and promote research on women in sport and exercise, with the goal of optimising women’s athletic success and increase their participation rates. The Women in Sport and Exercise Academic Network (WISEAN) is mentioned in the podcast. It is a research-orientated interdisciplinary group that focuses on: Generating high quality, impactful research into women in sport and exercise (WISE); Collaborating and sharing resources; Increasing the visibility of WISE issues and Research mentoring. If you would like to join this network, please email claire-marie.roberts@uwe.ac.uk or J.J.Forsyth@staffs.ac.uk

To keep up to date on WISEAN and the Women in Sport and Exercise Conference follow WISEAN on Twitter (@WISE_AN)

The World Health Organization’s Global Action Plan for Physical Activity: Prof Fiona Bull

Fri, 06 Jul 2018 14:43:00 +0100

Thanks to BJSM editorial board member Daniel Friedman (@DDFriedman), who has also served as in intern at the World Health Organization, for hosting this podcast. The BJSM’s guest is Professor Fiona Bull, MBE – Program Manager of WHO Prevention of Noncommunicable Diseases Management Team, Geneva, Switzerland. @fiona_bull The conversation gives the listener a 20-minute gem that covers the following points What is the global action plan? How was it developed? Why was this needed? How does it differ from the 7 investments? What is the overall goal? (15% reduction in physical inactivity by 2030) What can the BJSM community and how can we follow progress? The answer to the last question is via the WHO ‘Let’s be active’ page: http://www.who.int/ncds/prevention/physical-activity/gappa Here is the link for the ‘’7 investments” document: https://bjsm.bmj.com/content/46/10/709 Here is the link for the Bangkok Declaration on Physical Activity: https://bjsm.bmj.com/content/bjsports/51/19/1389.full.pdf If you are interested in physical activity, see the 2018 BJSM special issue on walking here:

https://bjsm.bmj.com/content/52/12

“Don’t mislabel nociceptors as pain fibres”. Lorimer Moseley on teaching pain science Ep:339

Fri, 29 Jun 2018 14:45:00 +0100

Thanks to Professor Lorimer Moseley for his 4th BJSM podcast over the last 4 years. Here he chats with final year medical student Daniel Friedman who is at the coalface (@DDFriedman). How are the terms pain, nociception and central sensitisation used? Are they taught accurately or poorly? All of us can learn from Lorimer as he clarifies these concepts. Professor Lorimer Moseley (PT, PhD) is Chair of Physiotherapy at the University of South Australia and a professor of Clinical Neurosciences. people.unisa.edu.au/lorimer.moseley He combines Oxford rigour with a laconic and very popular Australian style of communication. You can find his patient-focused website ‘Tame the Beast’ here: www.tamethebeast.org/#home You can find his academic/health professional website ‘Body in Mind’ here: www.bodyinmind.org/ Lorimer’s 2014 BJSM podcast was on tendons. Still worth listening to. It has had 20K listens: ow.ly/5OGN30gkaD7. The 2017 podcast on pain was on pain (some overlap): http://ow.ly/XgNi30kaQax

His 2018 update, focusing particularly on knowledge translation – helping the community become aware of, and benefit from contemporary pain science, is here: http://ow.ly/q3b230kIf4R

Need a big fat surprise? Iconoclast Nina Teicholz via Dr Mark Hyman on healthy fats. #Ep338

Fri, 22 Jun 2018 16:13:00 +0100

BJSM is one of very few channels that comments on food but doesn’t receive any funds from any food-related stakeholder. The BMJ doesn’t receive funds from food companies (as far as I know) and the new BMJ Open journal on nutrition doesn’t either. What about the ‘British Nutrition Foundation’ – sounds pretty helpful right? Well, it may be, but if you know where to click 5 times you can find that about 1/3 of its funding from corporate sponsors. The Academy of Nutrition and Dietetics has food sponsors too. That’s perfectly legal. What about Government Food Guidelines – surely they are based on health evidence? Well, they may be, but governments run the food guidelines past their Departments of Agriculture before finalizing them. And that is OK too – I can understand why that would happen – of course that Department has to have input. Government requires balancing competing interests. I don’t recommend people following national food guidelines (personal opinion – k2). I wouldn’t follow most nations’ food guidelines if I were given the food for free and paid $100 per day. Not for $500 per day – sorry. I’m fortunate as I’m on stable financial footing (touch wood). And what I eat may be ‘wrong’. This podcast is shared with the BJSM community in a spirit of humility and to provide data for folks to make up their own minds. Nina Teicholz is a journalist (let’s get than in early to save the critics from bringing it up – pre-empting the ad hominem attack) and she has a fascinating book that argues fats have been unfairly demonized. Since that book was published the news that Harvard scientists were paid for a report suggesting that fats, not sugar, caused obesity. http://ow.ly/j1Bc30kCvqx. Nina Teicholz tweets from @bigfatsurprise. Thanks to Dr Mark Hyman (@MarkHymanMD) for allowing us to edit his conversation with Nina Teicholz. Link to a recent Nina Teicholz comment in The BMJ: https://www.bmj.com/content/360/bmj.k822/rr-13 Here’s a link to the book that documents the case for healthy fats: https://thebigfatsurprise.com/ The original (full version) of Dr Mark Hyman’s podcast with Nina Teicholz on YouTube https://youtu.be/Zc_e5ME_5Cg

Thanks again to Dr Mark Hyman and Nina Teicholz.

Treating hip pain including FAI syndrome. Arthroscopy or focused physio? Prof Damian Griffin Ep#337

Fri, 15 Jun 2018 15:10:00 +0100

You can follow Damian on Twitter @DamianGriffin and @WarwickOrtho or reach him on damian.griffin@warwick.ac.uk

Anthem for football fitness. Football isn’t just fun, it’s broad-spectrum medicine. Ep #336

Fri, 08 Jun 2018 14:53:00 +0100

Dr Marcos Agostinho (@MarcMedMD) asks Professor Peter Krustrup (http://ow.ly/9slg30koLv1) about the history of football fitness. What is it? Does it involve games/competition? Who are the main beneficiaries? And what of ‘walking football’ – what does that entail? This short podcast is a celebration of the health benefits of football and it provides powerful practical examples of what can be done. Kudos! The 2nd International Football and Medicine Conference will be held in Odense, Denmark, on 25-26th January 2019.

Here is a 2018 systematic review: Broad-spectrum physical fitness benefits of recreational football: a systematic review and meta-analysis. http://ow.ly/oGBs30koLzT

Time to catch the brain bus to learn from pain educators. Lorimer Moseley and Karim Khan.

Fri, 25 May 2018 13:47:00 +0100

Have you ever felt frustrated that research doesn’t get into the public domain? It’s stuck in journals, on shelves. But Lorimer is tackling that head on with community based engagement in his characteristic quirky way. Listen to the story of the ‘Pain Revolution’ – a movement that engages local communities by having trained pain educators share contemporary pain science in accessible ways. Ignore the massive bike ride that Lorimer and friends undertake to spread the message and raise the funds (for now!). Listen to the story that underpins ‘Tame the Beast’ and watch it. Share it widely. Part 2 next week! Professor Lorimer Moseley (PT, PhD) is Chair of Physiotherapy at the University of South Australia and a professor of Clinical Neurosciences. people.unisa.edu.au/lorimer.moseley He combines Oxford rigour with a laconic and very popular Australian style of communication. You can find his patient website ‘Tame the Beast’ here: www.tamethebeast.org/#home You can find his academic/health professional website ‘Body in Mind’ here:www.bodyinmind.org/ Lorimer’s 2014 BJSM podcast was on tendons. Still worth listening to. It has had 20K listens:ow.ly/5OGN30gkaD7.

The 2017 podcast on pain was on pain (some overlap): http://ow.ly/XgNi30kaQax

Running Biomechanics 101 with Chris Bramah. Episode #334

Fri, 18 May 2018 15:11:00 +0100

How do we assess running biomechanics? Does it translate to practice? BJSM editor Tej Pandya chats with Chris Bramah (@chrisbramah), England Athletics physiotherapist and biomechanist based at the Manchester Institute of Health and Performance. Chris is completing a PhD dissertation on the links between running gaits and running injuries. They discuss: - Biomechanics of elite running athletes - Applying biomechanics to produce clinically relevant outcomes - A case of ITB syndrome in runners: What’s the role of biomechanical assessment? - Advances biomechanics technology - How the clinician can use biomechanics to assess athletes Links to some of the papers mentioned in the podcast: - How to estimate centre of mass in running? https://bit.ly/2k4KbbV

- Movement of the spine and pelvis during running. https://bit.ly/2La501S

What limits sporting performance? Is it in the muscles or does the mind matter? Dr Alex Hutchinson

Fri, 11 May 2018 16:02:00 +0100

A great conversation between the fascinating Dr Alex Hutchinson and sports physiotherapist Chris Napier. Alex Hutchinson will be known to many because of his sports writing for Runners World (in the past) and Outside Magazine (now). He spent 9 years asking the question that is the title of this podcast – you get the answers in 20 minutes! In addition to the discussion of limits of performance, they share practical tips on how to improve your own running times! Here’s a link to Alex’s website https://alexhutchinson.net/about.htm and his twitter handle is @SweatScience. Here’s the link to Alex’s book ‘Endure’: http://ow.ly/oqlF30jWuiw

The insightful interviewer is also a runner - the Vancouver sports physiotherapist and near PhD graduate – Chris Napier @RunnerPhysio. Chris heads the Scientific Committee for the World Congress in Sports Physiotherapy (2019). That conference, which builds on previous World Congresses in Bern and Belfast will be held in Vancouver, Canada, October 4-5, 2019. http://ow.ly/Y1Qj30jWutO. The World Congress is being hosted by Sports Physio Canada @SportPhysio_ON.

Sport 1st, disability 2nd. Paralympian Cheri Blauwet discusses SEM in elite disability sport #322

Fri, 04 May 2018 14:10:00 +0100

Dr. Cheri Blauwet is a leading and inspiring voice in sport and exercise medicine (SEM). She is a former Paralympic athlete in the sport of wheelchair racing, competing for the United States Team in three Paralypmic Games (Sydney '00, Athens '04, Beijing '08) and bringing home a total of seven Paralympic medals. She is also a two-time winner of the Boston Marathon. After an elite sporting career, she turned her attentions to medicine. Dr. Blauwet completed her residency training in Physical Medicine and Rehabilitation at Spaulding Rehabilitation Hospital/Harvard Medical School and followed this by a Sports Medicine Fellowship at the Rehabilitation Institute of Chicago. A successful and influential career in SEM has so far culminated in Cheri acting as the Chairperson of the International Paralympic Committee’s Medical Commission. She also serves on the Board of Directors for the United States Anti-Doping Agency (USADA), promoting clean competition in sports. BJSM’s Liam West talks to Dr. Blauwet to highlight top learning points from her journey into SEM and the must know topics in disability sport. You can hear Cheri talk further on this topic at the Canadian Academy of SEM 2018 conference in New Halifax in June - https://bit.ly/2rif5S0 Similar Podcasts; Cerebral Palsy Soccer - https://soundcloud.com/bmjpodcasts/cerebral-palsy-football-1?in=bmjpodcasts/sets/bjsm-1 Further Reading; Webborn N, et al. Heads up on concussion in para sport. Br J Sports Med 2017 doi:10.1136/bjsports-2016-097236 Derman W, et al. Sport, sex and age increase risk of illness at the Rio 2016 Summer Paralympic Games: a prospective cohort study of 51 198 athlete days. Br J Sports Med 2017 doi:10.1136/bjsports-2017-097962 Mountjoy M, et al. The IOC Consensus Statement: harassment and abuse (non-accidental violence) in sport. Br J Sports Med 2016 doi:10.1136/bjsports-2016-096121 Derman W, et al. High precompetition injury rate dominates the injury profile at the Rio 2016 Summer Paralympic Games: a prospective cohort study of 51 198 athlete days. Br J Sports Med 2017 doi:10.1136/bjsports-2017-098039 Blauwet CA, et al. Risk of Injuries in Paralympic Track and Field Differs by Impairment and Event Discipline A Prospective Cohort Study at the London 2012 Paralympic Games. Am J Sports Med 2016;44:6

Blauwet CA, et al. Low Energy Availability, Menstrual Dysfunction, and Low Bone Mineral Density in Individuals with a Disability: Implications for the Para Athlete Population. Sports Med 2017;47(9):1697-1708

Patient’s Voice: It felt like my entire shin had dislocated from the rest of my body. Episode #331

Fri, 27 Apr 2018 14:02:00 +0100

Thanks to Christina Le for providing the first ‘patient voices’ podcast for BJSM. Christina is speaking as a 31-year old patient who is dealing with a common scenario – non-contact ACL rupture while playing soccer. You can follow her patient journey and obtain advice from a top sports physio at @YEGphysio. Christina chatted with BJSM editor-in-chief Karim Khan. Christina addresses these common questions: How did the injury occur? Did you feel any pain later? How did you decide whether to opt for surgery or no surgery? What lifestyle changes are you prepared to make after this injury? With whom did you discuss further options? How do you know when to return to sport? Links: Return to play: 2016 Consensus statement link - http://bjsm.bmj.com/content/50/14/853 Dr Stepanie Filbay on return to sport factors post ACL reconstruction. https://www.ncbi.nlm.nih.gov/pubmed/27167588

Patient voices: Thanks to Osman Ahmed and Tracy Blake for launching the BJSM series. Read the blog here. http://ow.ly/1s4H30jHO1U.

Taking the stress out of stress fractures. Deep dive & clinical tips w/ Dr. Kathryn Ackerman

Fri, 20 Apr 2018 14:12:00 +0100

Managing stress fractures in any athlete can be difficult. Liam West discussed the topic with international expert Dr. Kathryn Ackerman, to find out clinical management gems. Dr. Ackerman has specialist training in Internal Medicine, Sports Medicine and Endocrinology, Diabetes & Metabolism. This training has cumulated in positions as Medical Director of the Female Athlete Program at Boston Children's Hospital, Associate Director of the Sports Endocrine Research Lab at Massachusetts General Hospital, and Assistant Professor of Medicine at Harvard Medical School. She has focused research efforts on hormonal treatments to improve bone density and fracture healing, as well as various imaging modalities for assessing bone quality. Related Articles Surgical versus conservative treatment for high-risk stress fractures of the lower leg (anterior tibial cortex, navicular and fifth metatarsal base): a systematic review. bjsm.bmj.com/content/49/6/370.long IOC Concensus Statement: RED-S - http://bjsm.bmj.com/content/48/7/491 Associated Podcasts Management of difficult stress fractures in sport - http://bit.ly/2EVorIM Margo Mountjoy on the REDS debate - http://bit.ly/1KzYT04 Podcast Quotes “There is a transient osteopenia during adolescenece that predisposes them to stress fractures”

“Amenorrhic athletes have wider but weaker bones”

“Dr Skynet will see you now.” Machine learning in sports medicine: Tommy Wood and Chris Kelly #329

Fri, 13 Apr 2018 16:09:00 +0100

Machine learning. One of the buzz expressions currently being bandied around healthcare. But how can it be applied in sports medicine? In this BJSM podcast, we discuss it with two scientists currently applying machine learning to their practice, Chris Kelly and Dr Tommy Wood from nourishbalancethrive, a US-based performance optimization company. We discuss the applications of machine learning and its potential implications for healthcare. Topics include: - How to go about creating a machine learning model - What have they managed to predict so far - Limitations of using machine learning - Where do they see this technology moving forward to the future? - How can clinicians in sports use machine learning in practice? - How can anyone learn about machine learning? Link to nourishbalancethrive: https://bit.ly/2q3Yyk4

Link to an easy way to getting into coding: https://bit.ly/2EjQM9Y

Movement is Medicine – Clinical secrets to keep your older patients running from Dr. Blaise Williams

Fri, 06 Apr 2018 15:17:00 +0100

We all know that exercise is medicine’s polypill. On this podcast, Dr. Blaise Williams discusses how to help older patient’s get active again. BJSM’s Liam West provides the questions that see Dr. Williams cover how the aged runner differs both in biomechanics and physiology, how this effects the forces through various areas of their bodies and finally the top clinical pearls you can use in your office today to help these older patients get moving again. If you haven’t listened to the first BJSM podcast with Blaise on his readiness to run scale, make sure you check that out too! Dr. Williams is an Associate Professor in the Department of Physical Therapy and the Director of the Virginia Commonwealth University (VCU) RUN LAB. Blaise teaches students at VCU within the orthopaedic and sports curriculum. Alongside this, he continues to treat athletes of all levels at the VCU Sports Medicine Clinic. Related Reading Paquette MR, DeVita P, Williams DSB 3rd. Biomechanical Implications of Training Volume and Intensity in Aging Runners. Med Sci Sports Exerc. 2017. Epub ahead of print. Powell DW, Williams DS. Changes in Vertical and Joint Stiffness in Runners with Advancing Age. J Strength Cond Res. 2017. Epub ahead of print. Devita P, Fellin RE, Seay JF, Ip E, Stavro N, Messier SP. The Relationships between Age and Running Biomechanics. Med Sci Sports Exerc. 2016. 48:98-106. Bus SA. Ground reaction forces and kinematics in distance running in older-aged men. Med Sci Sports Exerc. 2003, 35:1167-75. Similar Podcasts ▪From the AMSSM: Drilling down into running injuries – what they don’t teach in medical school http://bit.ly/2EvQbCP ▪From the AMSSM: 3 sports medicine legends on running injuries, illness and footwear http://bit.ly/2mfG7pM ▪Gait retraining to reduce leg pain with Dr Andy Franklyn-Miller http://bit.ly/1iTsOWb ▪Keeping runners running: the secrets of running assessment - advice and exercise progressions http://bit.ly/2EuGrIH Quotes “These changes occur as early as in our 40s, and in females even earlier”

“Our physiology changes way before we see changes in our biomechanics”

Put out to Pasture - What is our Duty of Care to the Retired Professional Footballer? Episode #327

Thu, 29 Mar 2018 16:58:00 +0100

Retired professional footballers are at a significantly increased risk of several health problems including osteoarthritis, mental health conditions, and difficulties pertaining to suboptimal lifestyle choices. During this podcast, Sean Carmody talks to Dr Vincent Gouttebarge, a retired professional footballer and current Chief Medical Officer of FIFPro (World Players’ Union), about what can be done to reduce the risk of health issues for footballers in retirement. Dr Gouttebarge has led several initiatives to improve outcomes for footballers in retirement, including a pilot ‘exit health examination’ study in collaboration with the Dutch Football Association and Dutch Players’ Union. Related Articles: Prevalence of knee pain, radiographic osteoarthritis and arthroplasty in retired professional footballers compared with men in the general population: a cross-sectional study - http://bjsm.bmj.com/content/early/2017/10/25/bjsports-2017-097503 Perceptions of retired professional soccer players about the provision of support services before and after retirement - http://bjsm.bmj.com/content/bjsports/36/1/33 Prevalence and determinants of symptoms related to mental disorders in retired male professional footballers - https://www.ncbi.nlm.nih.gov/pubmed/27285354

Lower extremity osteoarthritis is associated with lower health-related quality of life among retired professional footballers - https://www.tandfonline.com/doi/abs/10.1080/00913847.2018.1451718

Achilles and patellar tendinopathy loading principles with Dr. Peter Malliaras. Episode #326

Fri, 23 Mar 2018 14:15:00 +0000

“There is no real optimal exercise program. There’s no such thing it doesn’t really exist.” LIVE from Copenhagen at the 14th Scandinavian Congress of Medicine & Science in Sports, Dr. Karen Litzy, PT, DPT, with the Healthy, Wealthy and Smart Podcast, interviews Dr. Peter Malliaras about exercise principles for patellar and Achilles tendinopathy. Peter Malliaras is an Associate Professor at Monash University in the Department of Physiotherapy. His research focus is musculoskeletal disorders, sports medicine and tendinopathy. In 2006 he completed his PhD in tendinopathy identifying novel risk factors, and since has undertaken post-doctoral research in the UK and Australia. Peter maintains a strong clinical focus, specializing in difficult tendinopathy cases and delivering clinical postgraduate education for clinicians in Australia and internationally. In this podcast, Peter discusses different loading programs, pain responses and the value of imaging for patellar and Achilles tendinopathy. Resources Peter Malliaras Twitter - http://bit.ly/2ESwPch Scandinavian Congress of Medicine & Science in Sports - http://bit.ly/2nHdZ0h Peter Malliaras Research Gate Profile - http://bit.ly/2G3K61c Tendinopathy Rehabilitation - http://bit.ly/2C94T0H Achilles and patellar tendinopathy loading programmes : a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness - http://bit.ly/2Bn2d34

Monash University Peter Malliaras Profile - http://bit.ly/2Ey1sGg

Lars Engebretsen’s learning points from the 2018 IOC Paediatric ACL consensus statement. Ep #325

Fri, 16 Mar 2018 13:56:00 +0000

Professor Lars Engebretsen, MD, PhD, Head of Medicine & Science at the IOC’s Scientific and Medical Department discusses the massive problem that is ACL injuries in children under 12 years of age. Kids’ ACL ruptures are becoming more prevalent, the condition seems to affect boys and girls equally, and the management is controversial. There is universal agreement that preserving the meniscus (which can include meniscal suture) is critical. See the full consensus statement here - http://bit.ly/2FwQMF6 Links: Link to the FREE 2018 consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries. http://bjsm.bmj.com/content/early/2018/03/07/bjsports-2018-099060 Editorial by Professor Nick Mohtadi, Dr Clare Ardern and Professor Lars Engebetsen on the need to preserve the meniscus. http://bjsm.bmj.com/content/early/2018/03/09/bjsports-2018-099169 Podcast: Lars Engebretsen on adult knee injuries (2016 podcast, 10K listens) https://soundcloud.com/bmjpodcasts/professor-lars-engebretsen-on-management-of-young-adult-and-older-patients-with-knee-injuries Podcast: Dr Ben Clarsen on elite athlete screening and monitoring https://soundcloud.com/bmjpodcasts/nipping-injuries-in-the-bud-practical-tips-for-injuryillness-care-in-elite-athletes

Website: IOC Sports Physiotherapy Diploma – What is it? http://www.sportsoracle.com/Sports+Physical+Therapies/Home/

Explain pain to treat it! Dr. Stanton gives the deep dive on managing osteoarthritis pain #324

Fri, 09 Mar 2018 15:40:00 +0000

Dr. Tasha Stanton’s background in physiotherapy and pain science means her research is very clinically relevant. BJSM’s Liam West discusses with Dr. Stanton the pain experienced by patients with osteoarthritis, how fear and emotions can alter this pain and where the future of osteoarthritis pain management might lie. Related Articles: Evidence of central sensitisation, impaired pain inhibition, enhanced pain facilitation in OA: Edwards et al. BMC Musculoskeletal Disorders 2016; 17:284 Perception of harm influences pain: Wiech et al J Neurosci 2010; 30:16324-31 What people with OA think about exercise/harm: Holden MA, et al. Role of exercise for knee pain: what do older adults in the community think? Arthritis Care Res. 2012;64:1554-64. Somers et al. J Pain Symptom Manage. 2009;37:863-72. Pouli N, et al. The experience of living with knee OA. Disabil Rehabil. 2014;36:600-7 Modulation of pain by vision: Longo et al. J Neurosci 2009; 29: 12125-30; Longo et al. J Neurosci 2012; 32: 2601-7 Alterations in body perception in people with OA: Nishigami et al. PLoS ONE 2017; 12:e0179225 Gilpin et al. Rheumatology 2015; 54:678-82 Body illusions in people with pain: Bosch et al. PAIN 2016; 157:519-29. Altering sounds alters feelings of back stiffness: Stanton et al. Scientific reports 2017; 7: 9861. Associated Podcasts: Prof Hunter on OA and exercise - http://bit.ly/2DQAd9z OA in the spotlight - http://bit.ly/1Frwnxt Prof Moseley on the brain and mind in chronic pain - http://bit.ly/1u33pPY Pain coach and first patient contact for pain management - http://bit.ly/2DHCaGa Am I safe to move? Prof Moseley on understanding pain and focusing on the patient - http://bit.ly/2nmCAqu Podcast Quotes: “Give your patient the locus of control” “Knowledge helps you frame what is happening in your world”

“People with osteoarthritis often hold beliefs that movement is harmful”

Painkillers aren’t the only answer! Simplifying pain science to better manage a patient’s pain #323

Fri, 02 Mar 2018 13:54:00 +0000

Understanding and managing your patient’s pain can be extremely difficult. Liam West spoke to Dr. Tasha Stanton to tap into her vast expertise in the area of pain science. Dr. Stanton is a Senior Research Fellow for the “Body in Mind” group in Australia and has a background in physiotherapy, spinal biomechanics and pain neuroscience. Her work to date has led to several prestigious pain science awards. In this podcast she explains the disconnect between tissue damage and the pain experience, why people experience different levels of pain to the same stimulus and shares how to explain pain to a patient within a clinic setting. Related Articles Discordance between findings on scans (i.e., tissue damage) and pain Hannan MT, Felson DT, and Pincus T. 2000. Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee. J Rheumatology 27:1513-1517. Brinjikji et al American Journal of Neuroradiology 2015;36:811-16 Central sensitisation: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268359/ http://www.noigroup.com/en/Product/EPBII Things that fire together, wire together: http://www.noigroup.com/en/Product/EPSB Explaining the neurobiology of pain: Moseley GL, Butler DS. Fifteen years of Explaining Pain. J Pain. 2015;16:807-13 Our sensations (including pain) are based on the believable, credible evidence that is available to us: Expectations of pain can be important: Bingle et al. Sci Transl Med 2011;3:70ra14 Other sensory input can change pain – the stinky smell study: Bartolo et al PAIN 2013 Our sensations are influence by the meaning that we attach to information: Moseley, Arntz. PAIN 2007;133:64-71 People with chronic pain are not good at learning safety (extinguishing fear to what was painful movement): https://www.ncbi.nlm.nih.gov/pubmed/27776989 A feeling of control and pain: http://psycnet.apa.org/doiLanding?doi=10.1037%2F0033-2909.90.1.89 Associated Podcasts Prof Moseley on the brain and mind in chronic pain - http://bit.ly/1u33pPY Pain coach and first patient contact for pain management - http://bit.ly/2DHCaGa Am I safe to move? Prof Moseley on understanding pain and focusing on the patient - http://bit.ly/2nmCAqu Podcast Quotes “Things that fire together, wire together”

“Things that change the ‘need to protect’ your body changes pain”

Is education more important than exercise in treating patellofemoral pain? Episode #322

Fri, 23 Feb 2018 14:24:00 +0000

Research so often includes ‘education’ in the comparison arm of clinical trials as though it is a universal, standardized, or perhaps even inert component of intervention. But what if education IS a key ingredient in managing patellofemoral pain? Erin Macri met up with Dr. Michael Rathleff after hearing some impressive presentations from him and his team members at the 5th International Patellofemoral Pain Research Retreat in Gold Coast, Australia. Dr. Rathleff works at the Research Unit for General Practice in Aalborg. He is an associate professor and head of the OptiYouth research group that works towards improving musculoskeletal health in adolescents. In this podcast, Dr. Rathleff shares some innovative and evidence-based approaches to optimizing outcomes for patellofemoral pain using strategic, targeted education. Related Articles Rathleff MS, Roos E, Olesen J, Rasmussen S. Exercise during school hours when added to patient education improves outcome for 2 years in adolescent patellofemoral pain: a cluster randomised trial. Br J Sports Med 2015;49(6):406-12 Associated Materials for upload

Educational slides for use with patients (attached)

Physio Wisdom 2: How to treat disabling knee and back pain. Profs Crossley and O’Sullivan. #321

Fri, 16 Feb 2018 14:21:00 +0000

Listen to leading physiotherapists continue their conversation on common ground when treating patients with disabling pain. (Link to Part 1 here http://ow.ly/mi3c30iqGSI) In this episode the focus is treatment - what can you do to provide an all-around programme that respects the biopsychosocial model. · How to assess the patient given the history you have obtained · Common ground they have discovered in treating backs and knees – there are many shared experiences and lessons from them · Exercise is the most powerful treatment – which ones, when, how to promote adherence with a programme. Links to papers: 1. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. bjsm.bmj.com/content/50/14/839 2. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions) bjsm.bmj.com/content/50/14/844 3. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. bjsm.bmj.com/content/51/24/1713.long The link to Part 1 of the conversation: http://ow.ly/mi3c30iqGSI The link to previous podcasts by these experts: Prof Kay Crossley’s previous BJSM podcast on treatment of patellofemoral pain (2015) http://ow.ly/PnHl30iqNlJ (10,000 listens) Prof Peter O’Sullivan on treatment of back pain (2014)

http://ow.ly/Ws2Y30iqNyD

Wisdom Shared 1: Profs Kay Crossley and Peter O’Sullivan assess knees and backs. Episode #320

Fri, 09 Feb 2018 14:36:00 +0000

Join BJSM editor in chief Karim Khan eavesdropping on Professors Kay Crossley (La Trobe University, Melbourne) and Peter O’Sullivan (Curtin University, Perth) as they discuss the assessment and management of typical patients who present with long-standing knee pain and/or back pain. In podcast 1 (episode 320), they discuss: · The context from which to begin the consultation. What is the physio’s goal when taking the history? · What to ask about · How to frame the assessment when discussing the patient’s fears · What NOT to do or say! Links to papers: 1. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. bjsm.bmj.com/content/50/14/839 2. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions) bjsm.bmj.com/content/50/14/844 3. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. bjsm.bmj.com/content/51/24/1713.long Links to podcasts: Prof Kay Crossley’s previous BJSM podcast on treatment of patellofemoral pain (2015) https://soundcloud.com/bmjpodcasts/assoc-prof-kay-crossley-on-procedures-for-patellofemoral-pain Prof Peter O’Sullivan on treatment of back pain (2014)

https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-curtin-walks-you-through-two-cases-of-low-back-pain

Is your patient ready to run? Blaise Williams shares his 5 minute clinic assessment to help you #319

Fri, 02 Feb 2018 15:44:00 +0000

Dr. Blaise Williams has a passion for helping people to get active and especially to get running. He is an Associate Professor in the Department of Physical Therapy and the Director of the Virginia Commonwealth University (VCU) RUN LAB. Blaise teaches students at VCU within the orthopaedic and sports curriculum. Alongside this, he continues to treat athletes of all levels at the VCU Sports Medicine Clinic. His research interests are in the areas of biomechanics and pathomechanics of running injuries, dynamic balance after injury and limb coordination during functional tasks. On this podcast he discusses his readiness to run scale with BJSM’s Liam West. Related Reading Roelofs EJ, Smith-Ryan AE, Melvin MN, Wingfield HL, Trexler ET, Walker N. Muscle size, quality, and body composition: characteristics of division I cross-country runners. J Strength Cond Res. 2015, 29:290-6. Paquette MR, Peel SA, Schilling BK, Melcher DA, Bloomer RJ. Soreness-related changes in three-dimensional running biomechanics following eccentric knee extensor exercise. Eur J Sport Sci. 2017, 17:546-554. Kuhman D, Melcher D, Paquette MR. Ankle and knee kinetics between strike patterns at common training speeds in competitive male runners. Eur J Sport Sci. 2016;16:433-40. Raabe ME, Chaudhari AMW. Biomechanical consequences of running with deep core muscle weakness. J Biomech. 2018;67:98-105. Luedke LE, Heiderscheit BC, Williams DS, Rauh MJ. Influence of Step Rate on Shin Injury and Anterior Knee Pain in High School Runners. Med Sci Sports Exerc. 2016;48:1244-50. Similar Podcasts ▪From the AMSSM: Drilling down into running injuries – what they don’t teach in medical school http://bit.ly/2EvQbCP ▪From the AMSSM: 3 sports medicine legends on running injuries, illness and footwear http://bit.ly/2mfG7pM ▪Gait retraining to reduce leg pain with Dr Andy Franklyn-Miller http://bit.ly/1iTsOWb ▪Keeping runners running: the secrets of running assessment - advice and exercise progressions http://bit.ly/2EuGrIH Quotes “I always try to get them to work on distance slowly, before they work on speed or intensity”

“Injured athletes need to be able to land before they are able to go back running”

Consider psychological factors in when treating PFP. Prof Bill Vicenzino and Liam McLachlan #318

Fri, 26 Jan 2018 15:56:00 +0000

From the University of Queensland, Australia, physiotherapist and PhD candidate Liam McLachlan and Professor of Sports Physiotherapy Bill Vicenzino share clinical pearls relating to the patient with patellofemoral pain. Dr Erin Macri, physiotherapist and BJSM editorial board member doing her postdoctoral studies at the University of Delaware leads the conversation. •Why is it important to consider psychological factors in patellofemoral pain? •Which instruments should I use in the clinic (clue, google “Startback tool”) •Which comes first, the psychological distress or the pain? •Can explanation and reassurance contribute to reducing pain and improving function? •Bottom line – time to rethink from the narrow mechanical (only) perspective. Here are some key links: *Systematic review: The psychological features of patellofemoral pain: a systematic review. First author: Liam Maclachlan. http://bjsm.bmj.com/content/51/9/732 FREE *Be sure to check the 3 BJSM Patellofemoral consensus statements (all free): 1.2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. http://bjsm.bmj.com/content/50/14/839 2. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions) http://bjsm.bmj.com/content/50/14/844 3. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. http://bjsm.bmj.com/content/51/24/1713.long *The STarT Back Screening Tool (SBST): Home page. https://www.keele.ac.uk/sbst/startbacktool/ Twitter: @Bill_Vicenzino: https://twitter.com/Bill_Vicenzino

@PaulWHodges: https://twitter.com/PaulWHodges (coauthor)

Olive oil, sunshine and a half hour walk - a conversation with Dr. Aseem Malhotra – Episode #317

Fri, 19 Jan 2018 16:27:00 +0000

In this Podcast, Heart Digital Media Editor Dr. James Rudd is joined by Dr. Aseem Malhotra from Lister Hospital, Stevenage, UK. They discuss what we should tell our patients about diet and exercise - high fat, low fat or something else? Link to published paper: bjsm.bmj.com/content/51/15/1111 Further Listening Management of mature athletes with cardiovascular conditions - https://soundcloud.com/bmjpodcasts/management-of-mature-athletes-with-cardiovascular-conditions?in=bmjpodcasts/sets/heart-podcast Physical activity for the prevention of heart disease - https://soundcloud.com/bmjpodcasts/physical-activity-in-the-prevention-of-coronary-heart-disease-implications-for-the-clinician?in=bmjpodcasts/sets/heart-podcast Aseem Malhotra on the impact of diet on heart disease https://soundcloud.com/bmjpodcasts/aseem-malhotra-dont-fear-the-fat

Fearless cardiologist author, Dr Aseem Malhotra, busts myths and shares Pioppi health secrets https://soundcloud.com/bmjpodcasts/fearless-cardiologist-author-dr-aseem-malhotra-busts-myths-and-shares-pioppi-health-secrets

Clinical tips from Dr. Kathryn Ackerman on how to manage athletes with low energy availability

Fri, 12 Jan 2018 17:02:00 +0000

Dr. Kathryn Ackerman talks in this podcast to Dr. Liam West about the hot topic of energy availability in sport giving us clinical tips to manage athletes we suspect might be at risk of the consequences of low energy availability. Dr. Ackerman has undertaken board certification in Internal Medicine, Sports Medicine and Endocrinology, Diabetes & Metabolism. This training has cumulated in positions as Medical Director of the Female Athlete Program at Boston Children's Hospital, Associate Director of the Sports Endocrine Research Lab at Massachusetts General Hospital, and Assistant Professor of Medicine at Harvard Medical School. Kathryn’s research focuses on the Female Athlete Triad and the various aspects of Relative Energy in Deficiency in Sport. Related Articles IOC Concensus Statement: RED-S - http://bjsm.bmj.com/content/48/7/491 Misunderstanding the FAT - http://bjsm.bmj.com/content/48/20/1461 IOC RED-S Clinical Assessment Tool - http://bjsm.bmj.com/content/49/21/1354 Associated Podcasts AMSSM Sports Medcast- Female Athlete triad - http://bit.ly/2lBP7WJ Thoughts from the England Football CMO - http://bit.ly/2CpV6Zp Margo Mountjoy on the REDS debate - http://bit.ly/1KzYT04 Podcast Quote

Low energy availability happens to others, it can happen to men, it can happen to disabled athletes.

How to keep athletes healthy when travelling. David Dunne explains the best strategies

Fri, 15 Dec 2017 15:49:00 +0000

For the 2nd time on the BJSM podcast, Sean Carmody is joined by David Dunne to discuss practical considerations for the travelling athlete. During his time with Orreco, David has worked closely with athletes from professional golf and the NBA, most of whom face gruelling travel demands during competition. David and Sean delve into the strategies the practitioner can employ to help reduce the risk of illness, minimise the effects of jet lag, improve sleep and optimise performance. These strategies are complimented by lessons David has learnt during his PhD in Behaviour Change at Liverpool John Moores University. Key research linked below:

Elite athletes travelling to international destinations >5 time zone differences from their home country have a 2–3-fold increased risk of illness: http://bjsm.bmj.com/content/46/11/816.

Preventing and managing hamstring strain injuries: the Holy Grail of football medicine

Fri, 08 Dec 2017 18:47:00 +0000

In this podcast, Dr Sean Carmody speaks to Dr Nick van der Horst, who has recently published a paper on decision-making and medical criteria for return to play following hamstring strain injuries. Nick, who is First team physiotherapist at the Go Ahead Eagles in the Dutch Eerst Divisie and holds a PhD in football medicine, provides his thoughts on the controversies around the role of MRI and eccentric strength in determining return to play, and also shares his beliefs about why hamstring strain injuries continue to rise. Finally, Nick closes the podcast with his key tips for clinicians managing hamstring strain injuries. There is lots of research referred to during the podcast, and these are linked below: Return to play after hamstring injuries in football (soccer): a worldwide Delphi procedure regarding definition, medical criteria and decision-making: http://bjsm.bmj.com/content/early/2017/03/30/bjsports-2016-097206 Hamstring injuries have increased by 4% annually in men's professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study: http://bjsm.bmj.com/content/early/2016/01/08/bjsports-2015-095359 Evidence-based hamstring injury prevention is not adopted by the majority of Champions League or Norwegian Premier League football teams: the Nordic Hamstring survey: http://bjsm.bmj.com/content/early/2015/05/20/bjsports-2015-094826 Strategic Assessment of Risk and Risk Tolerance (StARRT) framework for return-to-play decision-making: http://bjsm.bmj.com/content/early/2015/06/02/bjsports-2014-094569.short?rss=1 Hamstring injuries and predicting return to play: ‘bye-bye MRI?’ http://bjsm.bmj.com/content/49/18/1162 MRI does not add value over and above patient history and clinical examination in predicting time to return to sport after acute hamstring injuries: a prospective cohort of 180 male athletes:

http://bjsm.bmj.com/content/early/2015/08/24/bjsports-2015-094892

Rugby’s journey to improving player welfare – with Dr Martin Raftery & Dr Ross Tucker

Fri, 01 Dec 2017 17:22:00 +0000

Over the last few years, rugby medicine has been somewhat mired with controversy. From ‘Bloodgate’, to concussion, there have been many back-page features in the press, often calling for quite sensationalist measures. Against this backdrop, and away from the gaze of the press, World Rugby have been busy synthesising an evidence base, and adapting the game to try and maximise player welfare. Such efforts have often flown under the radar, and today on the podcast we hear from its Chief Medical Officer & Senior Scientific Advisor, who address a variety of topics including: -The process behind the recent law changes -Trying to optimise the prevention and management of concussion -Injury prevention -Trying to build an evidence-informed player welfare initiative Some resources that you may find useful, and are mentioned in the podcast include: -World Rugby Medical website http://playerwelfare.worldrugby.org/ -The evidence underpinning the tackle laws -Risk factors for head injury events in professional rugby union: a video analysis of 464 head injury events to inform proposed injury prevention strategies http://bjsm.bmj.com/content/51/15/1152 -Injury risk and a tackle ban in youth Rugby Union: reviewing the evidence and searching for targeted, effective interventions. A critical review http://bjsm.bmj.com/content/50/15/921 -Tackle technique and body position of the tackler and ball carrier significantly influences head injury risk in rugby union http://bjsm.bmj.com/content/51/11/A70.2 -Berlin Concussion Consensus http://bjsm.bmj.com/content/51/11/838

Let us know your thoughts on what is discussed via the normal social media channels – we look forward to hearing from you!

Physical activity in the curriculum: impact in Schools of Medicine and new healthcare professionals

Thu, 23 Nov 2017 21:44:00 +0000

Embedding physical activity in the undergraduate healthcare curriculum is an important step to building capacity in the future workforce to promote physical activity, every contact. This podcast features two UK medical schools and schools of health describing their approaches to upskilling tomorrow’s healthcare professionals, in physical activity, for tomorrow’s patients using the #MovementForMovement educational resources and a community of practice approach. More about Ann Gates here: http://www.exercise-works.org/.

And here is the BJSM 2015 podcast with Ann Gates and Ian Ritchie on this topic - https://soundcloud.com/bmjpodcasts/training-tomorrows- doctors-in- exercise-medicine-for-tomorrows- patients. 6,000 listens already.

Low back pain in adolescents: Professor Stanley Herring talks spondylolysis

Fri, 17 Nov 2017 17:30:00 +0000

Professor Stanley Herring is a clinical professor at the University of Washington (UW) in the Departments of Rehabilitation Medicine, Orthopaedics and Sports Medicine, and Neurological Surgery. He is director of the UW Medicine Sports Health & Safety Institute, medical director of Sports, Spine and Orthopedic Health for UW Medicine, and co-medical director of the Sports Concussion Program, a partnership between UW Medicine and Seattle Children's. Dr. Herring's clinical interests include non-operative musculoskeletal and sports medicine with a particular interest in disorders of the spine and sports concussion. He is a team physician for the Seattle Mariners and a consultant to the UW Sports Medicine Program. In this podcast he talks to BJSM’s Liam West about an important cause of low back pain in our adolescent sporting population – spondylolysis. They discuss common presentations, examination techniques, imaging protocols and clinical pearls for treatment. References Use of the one-legged hyperextension test and magnetic resonance imaging in the diagnosis of active spondylolysis - http://bjsm.bmj.com/content/40/11/940.info Nonoperative treatment of active spondylolysis in elite athletes with normal X-ray findings: literature review and results of conservative treatment - https://www.ncbi.nlm.nih.gov/pubmed/11806390 Union of defects in the pars interarticularis of the lumbar spine in children and adolescents - http://bjj.boneandjoint.org.uk/content/86-B/2/225

Nonoperative treatment in lumbar spondylolysis and spondylolisthesis: a systematic review - https://www.ncbi.nlm.nih.gov/m/pubmed/24427393/

Was ist evidenz basierte Medizin und warum ist es so wichtig für unser tägliches Handeln?

Mon, 13 Nov 2017 11:08:00 +0000

Die Evidenz basierte Medizin ist ein Grundpfeiler medizinischen Handelns und ist im täglichen Leben des Arztes und Physiotherapeuten nicht mehr wegzudenken. Dr Andreas Waltering (IQWIQ) gibt uns eine Einführung in die Evidenz basierte Medizin (EBM). Anfangen mit der Entstehungsgeschichte der EBM. Die EBM wurde im Gegensatz zu Deutschland von der Ärzteschafft selber gefordert. Im deutschsprachigen Raum wurde die EBM primär eingeführt um der Fehlversorgung entgegen zu wirken. Dr Markus Laupheimer (@swisssportscare) stellt die Fragen. Wieso ist EBM wichtig? Sollen wir den Vorlieben der Chef oder Oberärzte folgen? Oder sollen wir Patientenbezogen die EBM einsetzten? EBZ ist für ein Gesundheitssystem wichtig um Therapien die nachweislich was Bewirken zu fördern und zu bezahlen. Im Gegensatz dazu sollten Therapien die Nachweislich keinen Nutzen haben nicht von der Solidargemeinschaft bezahlt werden. Systematische Übersichtsarbeiten helfen Verzerrungen von einzelnen Studien zu vermeiden um den größten Aussagewert zu erhalten. Hierarchie der Evidenz: http://canberra.libguides.com/c.php?g=599346&p=4149721 Praktisches Beispiel in der Sportmedizin gibt es viele, jedoch eines der meisten untersuchten Therapien ist die Arthroskopie bei Gonarthrose, welche keinen Vorteil zu Placebo zeigt. #Bewegungsmedizin #Evidenzbasiert Dabei sollten wir nicht vergessen “Bewegung bringt Heilung” (https://soundcloud.com/bmjpodcasts/einfuhrung-in-die-bewegungsmedizin-bewegung-bringt-heilung-mit-dr-boris-gojanovic?in=bmjpodcasts/sets/bjsm-1) Weitere links zur Evidenzbasierten Medizin: Deutsches Netzwerk Evidenzbasierten Medizin e.V. http://www.ebm-netzwerk.de/ Center of evidence-based medicine University of Oxford IQWIQ : Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen https://www.iqwig.de/ Euch einen aktiven und bewegungsreichen Tag! Nun viel Spaß mit diesem Podcast des BJSM. Und vergesst nicht uns auf Twitter @BJSM_BMJ, Facebook oder google+ zu folgen. Da gibt es regelmäßig neue updates.

Für feedback oder Anregungen für neue Podcasts schreibt mir einfach eine mail markus@swisssportscare.com

Behind the scenes of the new SCAT5 – tips, tricks and clinical pearls for treating concussion

Fri, 10 Nov 2017 13:43:00 +0000

Dr. Michael Makdissi is a Sports & Exercise Medicine (SEM) Physician based in Melbourne. He has pursued a career that blends both clinical and research roles. His research is mainly based around concussion and it is this area where he has become a globally respected voice. Liam West poses the questions in this podcast that sees Dr. Makdissi discuss the new Sports Concussion Assessment Tool (SCAT) 5, common mistakes made when managing athletes with concussion, updates within the SCAT5 and tips on how to use it. To read the full paper related to the new SCAT5 please follow the link, The Consensus Statement - http://bjsm.bmj.com/content/51/11/838. Or head to the BJSM website to find further related papers: The Sport Concussion Assessment Tool 5th Edition (SCAT5): Background and rationale - http://bjsm.bmj.com/content/51/11/848;

Sport concussion assessment tool - 5th edition - http://bjsm.bmj.com/content/51/11/851.

Am I safe to move? Professor Lorimer Moseley: New understanding of pain and focusing on the patient

Fri, 03 Nov 2017 14:17:00 +0000

Professor Lorimer Moseley (PT, PhD) is Chair of Physiotherapy at the University of South Australia and a professor of Clinical Neurosciences. http://people.unisa.edu.au/lorimer.moseley He combines Oxford rigour with a laconic and very popular Australian style of communication. In this podcast he addresses the questions: What’s new in our understanding of the spinal cord? What should we be telling patients? Is the ‘hands on, hands off’ debate a useful one? How do you feel the profession is performing right now? On the subject of what should we be telling patients, he argues we should train them to ask clinicians 3 questions. 1.How do I know my pain system is over-protective? 2.What can I do to retrain my system to be less protective? 3.Am I safe to move? You can find his patient website ‘Tame the Beast’ here: https://www.tamethebeast.org/#home And is previous BJSM podcast was on tendons. It has had >17K listens: http://ow.ly/5OGN30gkaD7.

And here is a link to the Pain Revolution website: https://www.painrevolution.org/

Would school rugby be better if collisions and tackles were banned? Prof Allyson Pollock

Fri, 27 Oct 2017 16:01:00 +0100

Allyson M Pollock is professor of public health and Director of Institute of Health and Society in the Medical Faculty of Newcastle University. She is a public health doctor and has been researching injuries and rugby injuries for more than ten years. She takes what she describes as the ‘child’s perspective’ and asks – Do children know the risks of playing school rugby? Do all schools have appropriate risk mitigation? She reminds us that the health benefits of physical activity are well proven – but if one critically reviews the literature those benefits have not been proven for school rugby. This is a controversial position that is strongly countered by others. BJSM doesn’t have a position in this debate – our job is to highlight that there is a respectful debate and to encourage scrutiny of the existing evidence. We encourage researchers to add new data to this question and similar ones in sport. Links: University of Newcastle Press Release: Prof Pollock’s letter to all 4 Chief Medical officers of the UK: http://www.ncl.ac.uk/press/news/2017/09/banrugbytackleforkids/ World Rugby’s reply to above call. From The Guardian. https://www.theguardian.com/sport/2017/sep/26/ban-harmful-contact-from-school-rugby-games-to-reduce-injury-risk-say-experts Professor Pollock’s call to ban tackling in rugby in the BMJ: http://blogs.bmj.com/bmj/2017/09/25/allyson-pollock-and-graham-kirkwood-tackle-and-scrum-should-be-banned-in-school-rugby/ A reply to Prof Pollock by Dr Ross Tucker and colleagues: http://bjsm.bmj.com/content/50/15/921 Prof Pollock’s reply to World Rugby: http://bjsm.bmj.com/content/51/15/1113 The BMJ profile of Prof Pollock – “BMJ Confidential” (must have BMJ subscription): http://www.bmj.com/content/359/bmj.j4625

Prof Pollock’s Wikipedia page: https://en.wikipedia.org/wiki/Allyson_Pollock

Key components of managing groin injuries in the elite athlete

Fri, 20 Oct 2017 16:13:00 +0100

Why are groin injuries so difficult to manage? How has rehabilitation advanced over the years? In this BJSM podcast, we interview Professor Michael Callaghan, Professor of Physiotherapy at Manchester Metropolitan University and Head of Physical Therapies at MUFC. We discuss the pressures of dealing with groin injuries in a team environment, the use of 1%ers, and surgical options for dealing with the groin. Michael is involved with the organisation of the inaugural MUFC Conference starring experts in the field such as Damian Griffin, details of which can be found here: www.manutd.com/medicalconference Another key BJSM podcast focusing on the biomechanics of groin injury can be here: https://goo.gl/GWeQ62

Adam Weir, vastly experienced physiotherapists, also shares his pearls on groin treatment here: https://tinyurl.com/y88zplkb

How to lose or gain weight safely, elite sports nutrition with David Dunne

Fri, 13 Oct 2017 14:49:00 +0100

This episode takes place from Surrey Sports Park, the training base of Harlequins Rugby Union. During the podcast, performance nutritionist David Dunne delves into the following topics with Dr Sean Carmody: -Managing weight loss safely in weight dependent sports (eg boxing, MMA) -Developing muscle mass appropriately in rugby union players -Nutritional considerations in the professional golfer In addition to his work with Harlequins, David has worked in several sports including Queens Park Rangers FC (football), Team Wiggins (cycling), GB Canoeing and professional boxing. David also holds a position with data analytics and sport science company, Orreco. Links to the research discussed during the podcast are listed below: https://www.researchgate.net/publication/304529333_Acute_Weight_Loss_Strategies_for_Combat_Sports_and_Applications_to_Olympic_Success https://www.researchgate.net/project/Waterloading-in-combat-sport-athletes-as-means-to-manipulate-body-mass http://www.tandfonline.com/doi/abs/10.1080/17461391.2017.1297489?scroll=top&needAccess=true&journalCode=tejs20 The Liverpool John Moores University observational MMA case study discussed is still currently in press. To keep up to date on this research follow the below profiles on researchgate: https://www.researchgate.net/profile/Carl_Langan-Evans

https://www.researchgate.net/profile/Ben_Crighton

Doping in golf, Michele Verroken outlines the 3 essential things every clinician should know

Fri, 06 Oct 2017 14:27:00 +0100

Michele Verroken is the founding director of Sporting Integrity, a consultancy which advises governing bodies about identifying, adopting and managing best practice procedures relating to risk, ethical and integrity standards and issues in sport. Formerly Director of Ethics and Anti-Doping at UK Sport, Michele has worked in elite sport for over thirty years. She currently works as an Anti-Doping advisor to the PGA European Tour and is Secretary of the Commonwealth Games Federation Medical Commission.

Here, in conversation with Sean Carmody, Michele outlines her anti-doping efforts in golf, the problems with the TUE system, and the three key things that any clinician working in golf must consider in order to prevent doping.

Do you know athletes who have a wheeze and get short of breath easily? Surely asthma, right?

Fri, 29 Sep 2017 14:25:00 +0100

Respiratory conditions are often neglected in the world of sports medicine, so we’ve got two world leaders on a podcast, recorded at the famous Centre for Health & Human Performance in London, to enlighten us on respiratory conditions in sport. Our guests Dr James Hull is Consultant Respiratory Physician with a specialist expertise in assessing athletes with unexplained breathlessness. He is an invited member of the American Thoracic Society expert committee for Exercise Induced Bronchoconstriction and is widely published in this field. Dr. John Dickinson is an Exercise Respiratory Physiologist with a specialist in assessing exercise respiratory symptoms in athletes. He has tested over 1,000 elite athletes from a range of sports including all Olympic and many professional sports, such as rugby and Premier League football. In this podcast we discuss: What are the common respiratory conditions that every sport & exercise medicine clinician should be comfortable with? What work-up do these athletes need? What is the gold-standard management of exercise-induced bronchoconstriction in athletes? What is EILO – and why is it important we know about it?

Check out the BJSM social media channels for further resources!

Sports Cardiology expert Dr. Drezner explains what new electrocardiogram criteria mean for athletes

Fri, 22 Sep 2017 11:01:00 +0100

Professor Jon Drezner is a family medicine physician from Seattle, USA with expertise in sports medicine and sports cardiology. He shares the new international criteria for electrocardiogram (ECG) interpretation in athletes - these lead to a lower false positive rate while maintaining sensitivity. He clearly defines the key changes and what to look out for on an ECG. You can access the International ECG Criteria paper below and also check out the conference Prof. Drezner is organising in Seattle 2-3 November 2017. International ECG Interpretation Criteria - http://bjsm.bmj.com/content/early/2017/03/03/bjsports-2016-097331.

Conference: “Prevention of Sudden Cardiac Death in Athletes: Sports Cardiology for the Team Physician and Cardiology Consultant” - https://uw.cloud-cme.com/Ap2.aspx?EID=4649&P=5.

Future superstars or fragile futures? The good, the bad and the ugly of early sports specialisation

Fri, 15 Sep 2017 10:48:00 +0100

Angela Smith is an attending orthopaedist at Nemours/Alfred I duPont Hospital for children, and Clinical Professor of Orthopaedics and Paediatrics at Sidney Kimmel Medical College of Thomas Jefferson University. She is the past president of the American College of Sports Medicine, and acts as a member of the Executive Committee of FIMS. She draws upon her extensive clinical experience of working with youth athletes to discuss with BJSM’s Liam West the hotly debated topic of early sports specialisation. Is this needed in order for athletes to be success? Or are we causing a higher injury risk in these kids? All this and more inside the podcast… Further Reading: Caring for the young athlete: past, present and future - http://bjsm.bmj.com/content/51/3/141 Debunking early single sport specialisation and reshaping the youth sport experience: an NBA perspective - http://bjsm.bmj.com/content/51/3/142 Early sport specialisation, does it lead to long-term problems? - http://bjsm.bmj.com/content/47/17/1060 Youth sports injury prevention: keep calm and play on - http://bjsm.bmj.com/content/51/3/145 Sports specialised risks for re-injury in young athletes: A 2+ year clinical prospective evaluation - http://bjsm.bmj.com/content/51/4/334.2 Promoting the athlete in every child: physical activity assessment and promotion in healthcare - http://bjsm.bmj.com/content/51/3/143 Similar Podcasts:

Injuries in kids: Why do they occur? Is specialisation a problem? Sam Blanchard - http://bit.ly/1HqnXsf

From the AMSSM: Gluten Sensitivity- Fact or Fad?

Fri, 08 Sep 2017 14:39:00 +0100

AMSSM Podcast host Dr. Krystian Bigosinski is joined by Dr. Alessio Fasano, the W. Allan Walker Chair in Pediatric Gastroenterology and Nutrition and Director of the Center for Celiac Research and Treatment at Massachusetts General Hospital, as well as Dana Lis, RD, PhD, owner of Summit Sports Nutrition in Vancouver, British Columbia. Topics of conversation include the definition of gluten and FODMAPs and their potential role in leading to both gastrointestinal and constitutional symptoms in athletes, a practical diagnostic approach to evaluate an athlete manifesting GI symptoms, recognition of the spectrum of disease from gluten sensitivity to true celiac disease, when to consider initiating a restrictive diet and subsequently how to reintroduce foods, and the potential risks of athletes restricting their diets without a formal pathological diagnosis. Links: Noakes T, Volek JS, Phinney SD. Low-carbohydrate diets for athletes: what evidence?. Br J Sports Med 2014;48:1077-1078. http://bjsm.bmj.com/content/48/14/1077 Collins J, McCall A, Bilsborough J, et al. Football nutrition: time for a new consensus?. Br J Sports Med Published Online First: 02 March 2017. doi: 10.1136/bjsports-2016-097260 http://bjsm.bmj.com/content/early/2017/03/02/bjsports-2016-097260 Lis DM, Fell JW, Ahuja KDK, Kitic CM, Stellingwerff T. Commercial Hype Versus Reality: Our Current Scientific Understanding of Gluten and Athletic Performance. Current sports medicine reports. 2016;15(4):262-268. doi:10.1249/JSR.0000000000000282.

http://journals.lww.com/acsm-csmr/fulltext/2016/07000/Commercial_Hype_Versus_Reality___Our_Current.11.aspx

What is Optimal Loading? How do we achieve it? Top Sports physio Dr Phil Glasgow reveals all

Fri, 01 Sep 2017 11:52:00 +0100

A respected global voice within Sports Physiotherapy, Phil Glasgow returns to the BJSM podcast to share his thoughts and expertise on loading for injury prevention and treatment. Phil has worked at numerous major international sporting events and was the Chief Physiotherapy Officer for Team GB at the Rio 2016 Olympics. As Former Head of Sports Medicine at Sports Institute, Northern Ireland, he has amassed extensive experience in high performance sport working with elite athletes from a wide range of sports learning their best loading patterns amongst the way. BJSM’s Liam West poses the questions that see Phil take you through the fundamental principles of loading, when to start loading after injury, different loading patterns based on tissue type and loading pattern variations during rehabilitation. Want to hear more on loading? Check out these two conferences below that Phil and other great speakers will be discussing loading patterns more in depth; -Second World Congress of Sports Physical Therapy in Belfast, Northern Ireland on 6th-7th October 2017 (http://www.opload2017.com) -New Zealand Sports Physiotherapy Conference in Auckland, 14th-15th October 2017 (http://bit.ly/2vudQmN). Some further reading: PRICE needs updating, should we call the POLICE? - http://bjsm.bmj.com/content/46/4/220 Optimal loading: key variables and mechanisms - http://bjsm.bmj.com/content/49/5/278 Optimising load to optimise outcomes - http://bjsm.bmj.com/content/51/13/985 A view from New Zealand and an invitation to Sports Physiotherapy New Zealand’s Symposium (14–15 October 2017) - http://bjsm.bmj.com/content/51/5/413 Training – injury prevention paradox. Should athletes be training smarter AND harder bjsm.bmj.com/content/early/2016…sports-2015-095788 Related Podcasts: Dream Team of training load management: How training influences injury and performance - http://bit.ly/29gPxxg

Putting load management evidence into practice: Sometimes you can’t! Dr Darren Burgess - http://bit.ly/2el00rR

Fearless cardiologist author, Dr Aseem Malhotra, busts myths and shares Pioppi health secrets

Fri, 25 Aug 2017 09:47:00 +0100

One of the most influential cardiologists in Britain and a world leading expert in the prevention, diagnosis and treatment of heart disease, Dr Aseem Malhotra is a brave advocate for public health initiatives. An award-winning NHS cardiologist, Dr Malhotra has successfully motivated leading academics, the media and politicians to make sugar reduction a health priority in the UK. His academic publications can be found in the BMJ and BJSM (see links below) and he is prominent in mainstream media. He recently published what is already a best-seller, “the Pioppi Diet: A 21 day lifestyle plan”. https://www.penguin.co.uk/books/305991/the-pioppi-diet/ Links: Dr Malhotra explains that if folks want to lose weight they need address eating habits and food choices: http://bjsm.bmj.com/content/49/15/967 “You can’t outrun a bad diet” Dr Malhotra on saturated fat - it does not clog the arteries. Coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively reduced by healthy lifestyle interventions: http://bjsm.bmj.com/content/51/15/1111. Interesting in low-carb eating and the rationale for real food? Here is obesity warrior, Dr Sarah Hallberg on TEDx. She explains how to reverse Type 2 diabetes (‘sugar diabetes’). >2million views! https://www.youtube.com/watch?v=da1vvigy5tQ Previous related podcasts: Dr Aseem Malhotra: You cannot outrun a bad diet. https://soundcloud.com/bmjpodcasts/you-cant-outrun-a-bad-diet-draseemmalhotra-on-weight-loss-strategies Professor Tim Noakes: Time to revisit real food choices. https://soundcloud.com/bmjpodcasts/prof-tim-noakes-time-to-revisit-food-choices-the-real-meal-revolution-lchf-summit-for-health

Dr Sarah Hallberg: Why we get fat. https://soundcloud.com/bmjpodcasts/why-we-get-fat-insulin-is-a-fat-storing-hormone-dr-sarah-hallberg-renowned-obesity-doctor

Bodies of gods but the teeth don’t match: Oral health crisis among football players

Fri, 18 Aug 2017 08:32:00 +0100

Ian Needleman is a Professor of Restorative Dentistry at the Centre of Oral Health and Performance, University College London (UCL) Eastman Dental Institute. Prof Needleman is on a mission to combat poor oral health in athletes. Alongside his research team, he has proven oral healthcare at the elite level to be poor, that this leads to a decrease in performance and has suggested that oral health screening should be routine for athletes (link to these papers below). You can also check out, download and use an infographic on oral healthcare published in the BJSM (link below). BJSM's Medical Editor Dr. Liam West caught up with Prof. Needleman at the 2017 IOC Injury and Illness Prevention Conference (Monaco) to discuss why athletes should care about their oral healthcare. You can find out more from Ian and his team on their website - www.ucl.ac.uk/cohp - Extra Links Poor Oral Health in Professional Football Study - http://bjsm.bmj.com/content/50/1/41 Oral health screening should be routine in professional football: a call to action for SEM clinicians - http://bjsm.bmj.com/content/50/21/1295 Oral Healthcare Infographic - http://bjsm.bmj.com/content/51/9/757 London 2012 paper: http://bjsm.bmj.com/content/47/16/1054

Systematic review: http://bjsm.bmj.com/content/48/7/561.3

From the AMSSM: Drilling down into running injuries – what they don’t teach in medical school

Fri, 11 Aug 2017 10:44:00 +0100

The American Medical Society for Sports Medicine (AMSSM) podcast is hosted by Dr Devin McFadden (Sports Medicine Fellow, Washington D.C) is your host. He chats with Dr Bert Fields (Sports Medicine Physician, Greensborough, North Carolina), Dr Robert Oh (Sports M edicine, Fort Benning, Georgia) and Dr Chad Asplund (Athletic Sports Medicine, Georgia Southern University). In this podcast (part 2 of 2), the experts on running injuries discuss: •What is the role of motion control shoes? •What factors unrelated to footwear do you look for in an injured runner? •What’s the role of the core? •Can nutrition contribute to obesity, metabolic syndrome even in distance runners? •What are the greatest risks to failing to meet your running goals? Link to Laurent Malisoux’s RCT on injury risk in motion control shoes vs standard shoes: http://bjsm.bmj.com/content/50/8/481 (Free) Link to part 1 of this podcast: https://soundcloud.com/bmjpodcasts/from-the-amssm-3-sportsmedicine-legends-on-running-injuries-illness-and-footwear

The next AMSSM Annual meeting will be in Orlando, Florida, April 24-29, 2018.

Secrets for clinicians caring for elite and recreational youth athletes: Dr Boris Gojanovic

Fri, 04 Aug 2017 10:27:00 +0100

Dr Boris Gojanovic (@DrSportSante) is a specialist sports medicine physician and a board member of the Swiss Sports Medicine Society. In addition to his Sports Medicine training, he is certified in Internal Medicine (General Medicine). In this chat about paediatric sports development, training and injuries he shares tips on interdisciplinary management of concussion, knee injuries. He tackles hip pain including that related to femoroacetabular impingement. He reveals his lessons from working as the lead doctor for national teams in the sports of gymnastics and youth triathlon. The Young Athletes Forum conference is in Montreux, September 21, 22, 2017. http://yaf2017.org/, Twitter @YAFfoundation Links to related podcasts: Lars Engebretsen on whether or not to reconstruct the ACL in children: http://ow.ly/1Hzr30e9Fu6

Ben Clarsen on monitoring workload in team settings: http://ow.ly/q6iL30e9FDw

What is golf fitness? Andy Nicholettos talks through sports medicine in golf.

Fri, 28 Jul 2017 13:27:00 +0100

Andy Nicholettos @sportinjuryandy is co-founder and head of sports medicine at Prevail Golf Performance, a specialist academy that blends golf coaching, sports medicine and strength and conditioning practice. Andy is also the author of “a movement in golf performance”. Aside from golf, Andy is the clinical lead at the Pain Clinic Oxford. He has lectured nationally and internationally on the application of pain science to sports performance, and has contributed to literature spanning exercise physiology, and orthopedics The discussion includes: •The Tiger Woods effect •What is golf fitness? •Marrying research and clinical practice. •Back pain in the golfer •How to get patients off the treatment merry-go-round

•Myths in golf practice

When should we tape? Dr Marie-Elaine Grant, PT. IOC World Congress, Monaco. Host Dr Karen Litzy

Fri, 21 Jul 2017 11:31:00 +0100

New York physiotherapist Dr Karen Litzy @KarenLitzyNYC, host of physio podcast 'Healthy Wealth and Smart' poses the practical questions to Dublin’s Dr Marie-Elaine Grant. Dr Grant has been Ireland’s Olympic Team Chief Physiotherapist since 1992 and Chief Physiotherapist with the IOC Medical Commission for the London 2012 Games. The discussion includes: •Whether to tape or brace or not •For how long should an athlete use tape or brace? •If the athlete is superstitious? Is it OK to keep taping for luck •The K-tape question •Tape falling off – re-tape or not? •Any adverse events? Contraindications •How long do the properties of the tape last? •Bracing vs. neuromuscular training

Download the ‘BJSM’ mobile app to your phone, tablet or desktop computer if you want to benefit from over 200 experts sharing their tips.

Screening for Injury doesn’t work and probably never will, Prof. Roald Bahr.

Fri, 14 Jul 2017 11:08:00 +0100

Prof. Roald Bahr is the Head of the Aspetar Sports Injury & Illness Prevention Programme, Chair of the Oslo Sports Trauma Research Center and a member of the IOC medical committee. Prof. Bahr’s main research area is the prevention of injury and illness in athletes, and has published more than 200 papers and book chapters. In this podcast he talks to BJSM's Dr. Liam West about his views on musculoskeletal screening - why it doesn't work and probably never will. You can access his review paper on this topic using the link below: Bahr - Why screening tests to predict do not work - http://bjsm.bmj.com/content/50/13/776 Clarsen - Screening is dead. Long live screening! - http://bit.ly/2tPJ5Hu If you want to catch Prof. Bahr and other keynote speakers get along to the Dutch annual sports medicine scientific conference in Holland on the 23rd and 24th November 2017.

http://www.sportmedischwetenschappelijkjaarcongres.nl/pg-31582-7-113164/pagina/home.html

How to rehabilitate the athlete after shoulder surgery. Top physio Jo Gibson on shoulder and mind

Fri, 07 Jul 2017 09:23:00 +0100

Jo Gibson is a Clinical Physiotherapy Specialist at the Liverpool Upper Limb Unit based at the Royal Liverpool Hospital, UK. She lectures both nationally and internationally about rehabilitation of the shoulder. Her research interests are shoulder instability and motor learning. Jo is currently Squad Physiotherapist for the Great Britain Endurance riding Team.

Dr Jeremy Lewis clarifies shoulder confusion: Common pitfalls and how to avoid them

Fri, 30 Jun 2017 09:54:00 +0100

Dr. Jeremy Lewis is a Consultant Physiotherapist and Professor of Musculoskeletal Research (University of Limerick, Ireland). Originally born in New Zealand, he trained in Australia before moving to England where he now works in both the Public (NHS) and Private sectors. Dr. Lewis has distinguished himself and become a globally respected voice in the area complex shoulder issues in both clinical and research capacities. This podcast has been adapted from one originally published by our friends Kinetic Labs (https://kineticlabs.ca/ - where you can find the full version). Dr. Lewis shares his thoughts with the listeners on; •Shoulder Impingement •Rotator Cuff tears •Shoulder special tests and why they aren't that special •Shoulder Surgery •Shoulder Symptom Modification Procedures and how they help treat patients •What mistakes we commonly make when treating shoulder pain For extra podcast resources on shoulder issues in SEM, check out; •Practical Clinical Shoulder Pearls with Adam Meakins - https://soundcloud.com/bmjpodcasts/shoulder-focus-with-leading-sports-physiotherapist-adam-meakins-practical-clinical-pearls?in=bmjpodcasts/sets/bjsm-1 •Prof McCormack on whether to operate on Shoulder Dislocations - https://soundcloud.com/bmjpodcasts/shoulder-dislocation-to-operate-or-rehabilitate-prof-bob-mccormack-olympic-physician?in=bmjpodcasts/sets/bjsm-1 •Scapular Summit with Ben Kibler - https://soundcloud.com/bmjpodcasts/scapular-summit-2013?in=bmjpodcasts/sets/bjsm-1 •5 Clinical shoulder tips with Dr. Mark Hutchinson - https://soundcloud.com/bmjpodcasts/five-clinical-tips-for?in=bmjpodcasts/sets/bjsm-1 •Prof Jeremy Lewis on Rotator Cuff Tendinopathy - https://soundcloud.com/bmjpodcasts/prof-jeremy-lewis-rotator-cuff?in=bmjpodcasts/sets/bjsm-1 •Shoulder Injuries with Ann Cools - https://soundcloud.com/bmjpodcasts/shoulder-injuries-with-ann?in=bmjpodcasts/sets/bjsm-1 •The Shoulder in Sport with Ben Kibler - https://soundcloud.com/bmjpodcasts/the-shoulder-in-sport-with-ben?in=bmjpodcasts/sets/bjsm-1

•Clinical assessment of the Tennis Shoulder with Ben Kibler - https://soundcloud.com/bmjpodcasts/dr-ben-kibler-examination-and-diagnosis-of-the-tennis-player-part-one?in=bmjpodcasts/sets/bjsm-1

Treating low back pain in sport—Dr Fiona Wilson. 15 pearls from vast rowing experience

Fri, 23 Jun 2017 09:25:00 +0100

Assistant Professor Dr Fiona Wilson is a Chartered Physiotherapist in the discipline of Physiotherapy, Trinity College, Ireland. She has over 25 years of clinical experience in the UK, South Africa and Ireland. She has worked with elite and international athletes throughout her career and was Lead Physiotherapist for Rowing Ireland for 10 years. Her research has focused on sport and exercise medicine with a special focus on rowing and back pain and recently in rugby and concussion. She is editorial board member for BJSM and was awarded the prestigious Cochrane Fellowship in 2012. In this podcast Dr Wilson shares wisdom on topics such as: •Managing back pain in the mature rower •3 common pitfalls / stroke issues to assess •How to assess the rowing athlete •How rowers monitor load / or not •How you can use technology and apps to monitor rowers •How to apply lessons from rowing to managing back pain in all sports and among the general public •Debate on stability and mobility – are planks associated with increased incidence of back pain? 3 previous BJSM podcasts on back pain in sport include the very popular: •Tiger Woods – soon after his 2014 spinal surgery, @PeteOSullivanPT (Prof Peter O’Sullivan) feared for the worst. Was surgery a good idea? Remember this conversation predated Tiger Woods’ plunging down the world ranking. https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-peteosullivanpt-on-tiger-woods-back-and-core-strength •Tiger Woods – 2015 update. With @PeteOSullivanPT after a 2nd operation a year later. How helpful is the postoperative MRI scan? https://soundcloud.com/bmjpodcasts/test

•Dr Kieran O’Sullivan (no relation to Peter above) shares 7 habits of highly effective clinicians who manage back pain. It’s had 23K listens! https://soundcloud.com/bmjpodcasts/dr-kieran-osullivan-on-managing-back-pain-7-habits-of-highly-effective-clinicians-part-2-2016

Stop swimming upstream - a new model for swimmer’s shoulder

Fri, 16 Jun 2017 12:25:00 +0100

Struggling with swimmers and their shoulders? It’s something we clinicians struggle with, and have been for a long time. Today we’re gonna take this head on, how we can move the model from external impingement to anterior superior internal impingement (ASII). We are joined on this BJSM podcast with Andrew Delbridge and Craig Boetcher from Australia. Craig completed his PhD through Sydney University examining shoulder EMG back in 2010. He’s been the physiotherapist for the Australian swim team for the last 8 years, and offers a unique perspective to this issue, having been an elite swimmer himself. Craig is currently supervising Kylie Holt who is completing her PhD on Shoulder pain and pathology in elite swimmers. Kylie is a senior sport physio at the Australian institute of sport, and has been looking after the swimming programme since 2009. Our second guest is Andrew Delbridge, who has been working with Craig at Regent St Physiotherapy for the last 17 years. Andrew has been working in elite sport with throwing athletes, and has found a fresh way of looking at the swimmer’s shoulder. 1:25 What is swimmer’s shoulder? External impingement model from the 70s outdated 2:00 Difference between primary and secondary impingement 3:40 We’ve got swimmer’s shoulder wrong. Andrew explains some of the reasons. 5:10 Spoiler alert - you guessed it, its internal impingement. ASII- Anterior superior internal impingement 6:00 Clinical background that initially drove the reason for the new ASII approach 8:20 What can baseball teach us about swimming? The loads don’t make sense! Buhrkart influenced throwing shoulder which led to applying that in swimmers 9:25 3 questions to understand the swimmer’s shoulder: 1) What is the unique position for swimmers in their stroke, 2) what is the anatomical relations in that position, 3) can we reconcile pathology we see? 10:00 Unique position for the demands of swimming - elevation and internal rotation while in large amount of elevation 10:30 Literature also looks at this position (classic Hawkins & Kennedy) investigating the anatomy in this position. 11:30 Position vs load - which causes the pain? It’s mix of tensile and compressive load 12:00 ASSI explained Swimmers are super overhead workers 13:15 The data are building, but it’s still early. 60 swimmers included in large MRI study 15:00 Does this only apply to elite swimmers? No. 16:25 Key differences in ASII model: Internal not external, tendinopathy (anterior or posterior). Mix loading (compressive load in ASII) which might apply to the whole cuff, Broad term of swimmer’s shoulder to vague, sub-classification needed to differentiate treatment 18:15 3 practical tips for the clinician: 1) Shift in thinking, apply your tendinopathy theory 2) Use dynamometry to assess cuff health 3) Monitor training load.

Full text now available here: https://goo.gl/rQ4EMF

Do you see golfers in your clinic? Golf as a public health panacea? Dr Roger Hawkes explains all

Fri, 09 Jun 2017 15:12:00 +0100

Joining us for this BJSM podcast is the vastly experienced, Dr Roger Hawkes. We chat to him about a wide range of issues, from his role as CMO to the European Golf Tour - where he has built an incredible service, and provided incredible quality of care to the world’s best golfers – to common golfing injuries, and how to assess them. We also touch on the innovative work being done that is looking into the health benefits of golf, and the challenges of working in such a dynamic, and multi-disciplinary environment. So if you want to get better at assessing & managing the golfers that walk through your clinic door, or want to know more about the benefits of golf (so you can further justify next weekend’s round), look no further! Extra Resources Andrew Murray Golf & Health podcast: https://soundcloud.com/bmjpodcasts/andrew-murray-1 ETPI twitter account: https://twitter.com/ETPI_Physiounit Golf & Health Infographic: http://bjsm.bmj.com/content/51/1/20 The relationships between golf and health: a scoping review: http://bjsm.bmj.com/content/51/1/12 Pictorial review of wrist injuries in the elite golfer: http://bjsm.bmj.com/content/50/17/1053 Hip morphology in elite golfers: asymmetry between lead and trail hips: http://bjsm.bmj.com/content/50/17/1081

The prevalence, variety and impact of wrist problems in elite professional golfers on the European Tour: http://bjsm.bmj.com/content/47/17/1075

Why we get fat. Insulin is a fat-storing hormone: Dr Sarah Hallberg, renowned obesity doctor

Fri, 02 Jun 2017 11:52:00 +0100

Are you confused about healthy nutrition, the role of insulin, this concept of ‘insulin resistance’? Can one largely ignore a macronutrient (i.e. carbohydrates) and not drop dead within a few days? Karim Khan, the Editor in Chief of the BJSM vouches for this podcast personally and describes Dr Hallberg as one of the people that has most influenced his understanding of a key medical concept. In addition to Dr Hallberg’s popular (nearing 2 million views!) TEDx talk https://youtu.be/da1vvigy5tQ Here are her further credentials. https://www.virtahealth.com/about/hallberg When Dr Hallberg refers to blood glucose being ‘100’ she is referring to the US convention – using mg/dL which is 5.6 mmol/L in many countries (Europe, UK, Australia, Canada etc.) Highlights include: Dr Hallberg has great training for exercise prescription from her undergraduate and Master’s degrees in Kinesiology. She’s a medical doctor who runs a clinic for obese patients – that’s a better place to speak from than a lot of theorists in the field. Dr. Sarah Hallberg is the Medical Director at Virta Health, a specialty medical clinic that reverses type 2 diabetes safely and sustainably, without the risks, costs, or side effects of medications or surgery. As a physician and exercise physiologist with a passion for helping people be healthy through diet and exercise, she is responsible for providing medical supervision to Virta’s expert team of physicians and oversees the clinical strategy for Virta Clinic participants. Dr. Hallberg is also the executive director of The Nutrition Coalition, a nonprofit organization that aims to educate the public and policymakers about the need to strengthen national nutrition policy so that it is founded upon a comprehensive body of science. Link to Dr Hallberg’s paper: Recent trial she refers to: http://diabetes.jmir.org/2017/1/e5/ A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes Link to other podcasts on BJSM relating to this topic: Professor Timothy Noakes: “High-fat for health” (11k listens) https://soundcloud.com/bmjpodcasts/high-fat-for-health Professor Stephen Phinney “Science behind lo-carb for performance” (9K listens) https://soundcloud.com/bmjpodcasts/prof-stephen-phinney-on-the-science-behind-low-carb-diets-for-athletes-a-rational-approach Professor Jason Fung: “Diet and obesity and diabetes” (6K listens) https://soundcloud.com/bmjpodcasts/dr-jason-fung-on-the-impact-of-diet-on-obesity-and-type-2-diabetes-mellitus

Link to Dr Hallberg’s nearly 2 million view TEDx talk: “Reversing Type 2 diabetes starts with ignoring the guidelines” https://youtu.be/da1vvigy5tQ

Kathryn Schneider talks concussion: primary, secondary and tertiary prevention

Fri, 26 May 2017 14:21:00 +0100

Whilst at the 2017 IOC Prevention of Injury & Illness Conference, BJSM’s Liam West spoke to a key figure within the concussion research world, Associate Professor Kathryn Schneider. Kathryn is a Clinical Specialist in Musculoskeletal Physiotherapy working at the Sport Injury Prevention Research Centre located at the University of Calgary, Canada. She was the lead author in the landmark RCT look at cervicovestibular rehabilitation in sport-related concussion in 2014 (link below). Her most recent research is discussed in this podcast and formed part of the discussion in the 2016 Berlin Concussion in Sport Meeting. Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial (2014) http://bjsm.bmj.com/content/48/17/1294.long Rest and treatment/rehabilitation following sport-related concussion: a systematic review (2017) http://bjsm.bmj.com/content/early/2017/03/24/bjsports-2016-097475 What strategies can be used to effectively reduce the risk of concussion in sport? (2017) http://bjsm.bmj.com/content/early/2017/03/01/bjsports-2016-097452 Remember to check out the literature on the new Sports Concussion Assessment Tool (SCAT5) here: http://bjsm.bmj.com/content/early/2017/04/28/bjsports-2017-097699

The new tool can be found here: http://bjsm.bmj.com/content/early/2017/04/28/bjsports-2017-097506SCAT5

Sham surgery for meniscal knee pain – Boom! Boom! Boom! Prof Teppo Järvinen rocks the boat

Fri, 19 May 2017 13:54:00 +0100

Ahead of the Finnish Sports Physiotherapy Congress (June 9 and 10, 2017), BJSM editor in chief Karim Khan, chats with the senior author of a study that proved that partial removal of a degenerative torn meniscus does not alleviate mechanical symptoms when compared with sham surgery. That was Teppo Järvinen (http://bit.ly/2rlfW5I), professor of orthopaedics and traumatology at the University of Helsinki and a speaker at the Finnish Congress in June. Before that study (link below), orthopaedists were confident of the benefits of arthroscopic surgery on patients suffering from mechanical symptoms. However, “scientific proof of the benefits had been based entirely on uncontrolled follow-up studies,” said Dr Raine Sihvonen, specialist in orthopaedics at the Hatanpää Hospital in Tampere and first author of the study. Here is the link to the study in the New England Journal of Medicine: http://www.nejm.org/doi/full/10.1056/NEJMoa1305189#t=article In the podcast we cover: - A bird’s eye view of Bruce Moseley’s seminal sham surgery study – arthroscopy was no more helpful for knee arthroscopy in older people than sham surgery http://www.nejm.org/doi/full/10.1056/NEJMoa013259#t=article - The fact that MRI is not a good predictor of who will benefit from knee arthroscopy. Here’s Dr Martin Englund’s NEJM paper. http://www.nejm.org/doi/full/10.1056/NEJMoa0800777#t=article - Ewa Roos’ and Nina Kise’s study showing that exercise provides as good results as arthroscopic meniscectomy. Remember – the patients who fail rehab also fail surgery. Look for other solutions – not arthroscopy – to cure that patient. http://www.bmj.com/content/354/bmj.i3740 Links: Here’s a YouTube video summarizing the FIDELITY study in 4 minutes. https://www.youtube.com/watch?v=RaDWkJHmEB0 Here the link to the Finnish Sports Physiotherapy Congress – June 9 & 10, 2017.

http://fspa-congress.com/

Doping mit Prof Dr Patrick Diel

Fri, 12 May 2017 14:25:00 +0100

Doping ist immer ein heisses Thema, besonders in Jahren der Olympischen und Paralympischen Spiele. Dr Markus Laupheimer (London/Zürich) stellt die Fragen in deutscher Sprache an Prof. Dr. Patrick Diel. Patrick ist Professor an der Deutschen Sporthochschule Köln am Institut für Kreislaufforschung und Sportmedizin, Abteilung Molekulare und Zelluläre Sportmedizin. Er hat ein spezielles Interesse an präventiver Dopingforschung und beantwortet uns einige interessante Fragen: - Was ist Doping? - Wo liegen die Nutzen und Risiken von Nahrungsergänzungsmitteln? - Was ist Gen-Doping? - Was ist eine Medizinisch Therapeutische Ausnahmegenehmigung (TUE)? - Wie können wir unsere Athleten vor Doping schützen? Weitere Informationen zum Thema Doping findet Ihr unter: https://www.nada.de/de/nationale-anti-doping-agentur-deutschland/ http://www.doping-prevention.com/ https://www.dshs-koeln.de/visitenkarte/einrichtung/zepraedo/

Für weiter englischsprachige und deutschsprachige Inhalte folgen Sie uns gerne auf Twitter @BJSM_BMJ

Time to reset: What causes coronary artery disease? Dr Aseem Malhotra.

Fri, 12 May 2017 14:12:00 +0100

Britain's leading anti-sugar campaigner and one of the most prolific doctors in the world influencing obesity thinking and highlighting the harms of too much medicine. In addition to being a Consultant Cardiologist, Dr Malhotra is a member of the board of trustees of UK health think tank, The King’s Fund and a member of the Academy of Medical Royal Colleges Choosing Wisely Steering Group Here’s the link to his website: http://doctoraseem.com/biography/ Topics covered include: No association of saturated fats and heart disease in primary or secondary prevention studies. Focus on sugar - •CVD mortality has come via reduction in smoking & trans fats with better acute AMI management. •Statins have a number needed to treat of 1 in 83 for mortality in secondary prevention in men •Stents save lives during heart attacks but not for 'stable' coronary disease •PREDIMED and Lyon heart study •Cholesterol is not the mechanism of action of how diet studies work •Practical explanation-of frying vegetable oils and dangerous omega 6 (high omega 6 to omega 3 is bad) •Butter and coconut oils have saturated fatty acids and are stable in cooking. •Criticism from the Centre for evidence based medicine (Oxford). Here is the editorial (Free) in BJSM:

http://bjsm.bmj.com/content/early/2017/03/31/bjsports-2016-097285

Exertional Rhabdomyolysis: What you don’t diagnose may kill a patient. Prof Francis O’Connor

Fri, 05 May 2017 11:04:00 +0100

What is rhabdomyolysis? Can it sneak under a clincian’s radar? What the key clinical features? When to be alert for rhabdomyolysis Problems when coaches are too aggressive with a new load Two cases – clinical scenarios When sickle cell trait complicates matters Which athlete with sickle cell trait is at increased risk? Can clinicians identify the athlete with sickle cell trait who is at risk of death? To screen or not to screen. Ethics and science. Who is ready to return to play? Who is at risk of recurrence? It applies to athletes and war fighters. Role of genetics – the genetic markers that clinicians can test for in a tertiary care centre Links to a previous podcast by Fran O’Connor – Exertional leg pain http://ow.ly/j9IU30bs1oe Links to papers: Sickle Cell paper in Medicine and Science in Sports and Exercise: https://www.ncbi.nlm.nih.gov/pubmed/?term=harmon+and+Med+Sci+Sports+Exerc Pathophysiology of exertional death associated with sickle cell trait: can we make a parallel with vaso-occlusion mechanisms in sickle cell disease? Connes P, Harmon KG, Bergeron MF. http://bjsm.bmj.com/content/47/4/190.long Sickle cell trait associated with a RR of death of 37 times in National Collegiate Athletic Association football athletes: a database with 2 million athlete-years as the denominator. Harmon KG, Drezner JA, Klossner D, Asif IM. http://bjsm.bmj.com/content/46/5/325.long To screen or not to screen for sickle cell trait in American football? Harmon KG, Drezner JA, Casa DJ. http://bjsm.bmj.com/content/46/3/158.long Return to Physical Activity After Exertional Rhabdomyolysis O'Connor FG; Brennan FH, et al.

http://journals.lww.com/acsm-csmr/Fulltext/2008/11000/Return_to_Physical_Activity_After_Exertional.8.aspx

Mayo Clinic and AMSSM sports medicine specialist, Dr Jon Finnoff, on managing leg pain in sport.

Fri, 28 Apr 2017 15:35:00 +0100

Dr Jonathan Finnoff, DO, is the Medical Director for Mayo Clinic Square, Sports Medicine Center, Minneapolis, Minnesota. He is a specialist in Physical Medicine and Rehabilitation and Sports Medicine. He benefits from his experience as a former professional athlete in his work as the Team Physician for professional basketball teams -- the Minnesota Timberwolves and Lynx. Dr Finnoff addresses the case of a 24 year old basketball player who has calf pain that stops her from playing but responds relatively quickly when she stops running. Timeline •The differential diagnoses include chronic exertional compartment syndrome, vascular problems such as popliteal artery entrapment, as well as neurological causes •Physical examination is critical and there are some key tests to distinguish those different pathologies •The role of investigations including imaging •How does one make the compartment pressure diagnosis? •Treatment for chronic exertional compartment syndrome including gait retraining •More aggressive treatment including use of the meniscotome, botox injection and surgery •Outcomes of treatment including botox and surgery Link to previous podcasts: This podcast is complemented by one with Professor Francis O’Connor: https://soundcloud.com/bmjpodcasts/professor-francis-oconnor-from-the-amssm-challenging-leg-paincalf-pain-and-military-injuries?in=bmjpodcasts/sets/bjsm-1 Andy Franklin-Miller’s BJSM podcast on exertional compartment syndrome and gait retraining: https://soundcloud.com/bmjpodcasts/running-injuries-with-andy Andy Cornelius on how to assess a runner and what to do when you see abnormalities:

https://soundcloud.com/bmjpodcasts/keeping-runnners-running-the-secrets-of-running-assessment-advice-and-exercise-progressions

Professor Francis O’Connor, from the AMSSM: Challenging leg pain/calf pain and military injuries

Fri, 28 Apr 2017 15:29:00 +0100

BJSM’s good friend Fran O’Connor is Director of Emergency Medicine and Sports Medicine at Uniformed Services University of the Health Sciences (USUHS) in Bethesda, Maryland. He is a former President of the American Medical Society for Sports Medicine (AMSSM, @theAMSSM). He also held leadership positions in the American College of Sports Medicine and the American Medical Athletic Association. He is a prolific researcher with more than 60 scientific journal publications, 25 book chapters and numerous national and international presentations. In the podcast he addresses the following questions: •What are the main challenges seen by clinicians who work in military settings? •What is the differential diagnosis to consider in the patient with calf pain, leg pain? •How does one make the compartment pressure diagnosis? •What are the challenges of measuring compartment syndrome? •What is the conservative management for compartment syndrome? (Prof O’Connor touches on gait retraining first and foremost, Pose running technique, botox injection) •Is there a role for surgery, and if so, which surgery? What are the outcomes? •What is the role of orthoses? Link to previous podcasts: This podcast is complemented by one with Dr Jonathan Finnoff: https://soundcloud.com/bmjpodcasts/mayo-clinic-and-amssm-sports-medicine-specialist-dr-jon-finnoff-on-managing-leg-pain-in-sport?in=bmjpodcasts/sets/bjsm-1 Andy Franklin-Miller’s BJSM podcast on exertional compartment syndrome and gait retraining: https://soundcloud.com/bmjpodcasts/running-injuries-with-andy Andy Cornelius on how to assess a runner and what to do when you see abnormalities:

https://soundcloud.com/bmjpodcasts/keeping-runnners-running-the-secrets-of-running-assessment-advice-and-exercise-progressions

Football Medicine Supremo Mike Davison: A decade of dramatic change in sportsmedicine/sportsphysio

Fri, 21 Apr 2017 16:05:00 +0100

How has football medicine changed in the past 10 years? What is its future? Mike Davison, managing director of Isokinetic Medical Group in London, one of the FIFA medical centers of excellence, gives us an excellent overview of football medicine: past, present and future. In this hard-hitting podcast we also preview the upcoming Isokinetic Conference in Barcelona, where representatives from over 88 countries are attending. Topics discussed in this podcast include: -Where has football medicine come from? What is the state of play now? -The challenges in managing re-injury and long-term rehab -Is there too much over medicine in sport? How has this come about? -What can we expect from the Isokinetic Conference? -Practical tips to break into the field for aspiring clinicians

For articles on this topic, visit http://bjsm.bmj.com/

From the AMSSM: 3 sports medicine legends on running injuries, illness and footwear

Thu, 13 Apr 2017 13:59:00 +0100

The American Medical Society for Sports Medicine (AMSSM) has its Annual Meeting come up (May 8-13, 2017) so we celebrate with this podcast. Dr Devin McFadden (Sports Medicine Fellow, Washington D.C) is your host. He chats with Dr Bert Fields (Sports Medicine Physician, North Carolina), Dr Robert Oh (Sports medicine, Fort Benning, Georgia) and Dr Chad Asplund (Athletic Sports Medicine, Georgia Southern University) Topics discussed include: •Common mistakes made by amateur running athletes – training errors and hip abduction weakness get a mention •Is one type of exercise best for reducing the risk of cardiovascular disease? The trade-off between health benefits and injury risk. •Non-MSK running injuries- which ones do we need to think about? •Biomechanics of running and types of shoes •Minimalist and barefoot running- evidence supporting a different running style? Link to JAMA study that mentioned the ‘weekend warrior’ promoting health: https://www.ncbi.nlm.nih.gov/pubmed/?term=JAMA+internal+medicine+and+weekend+warriors and the BJSM editorial commenting on it (FREE this weekend!) http://bjsm.bmj.com/content/early/2017/02/23/bjsports-2017-097538 Link to BJSM paper suggesting you can’t run to your way to health weight http://bjsm.bmj.com/content/49/15/967.long (FREE) Link to 2016 BJSM paper where 1 in 13 runners had illness in the lead up to an event http://bjsm.bmj.com/content/50/15/939.long

Link to BJSM RED-S consensus statement: Relative Energy Deficiency (Sport) http://bjsm.bmj.com/content/48/7/491.long (FREE)

Dark underbelly of competitive sport - Harassment and abuse. Dr Margo Mountjoy. Host Dr Karen Litzy

Fri, 07 Apr 2017 11:59:00 +0100

What is abuse and how does it manifest itself in sport? In this hard-hitting podcast, Karen Litzy hosts Dr Margo Mountjoy, IOC medical commission, FINA executive board member, and associate clinical professor at McMaster University. Dr Mountjoy explores the various types of harassment, how it can occur, and what safeguards can be put in place to help athletes report abuse. Highlights include: -What does it mean when we talk about abuse and harassment? -Youth sport and why we need to be especially careful in our younger athlete - Top tips to recognizing abuse: when is the athlete trying to tell us something? -Putting in safeguarding mechanisms to protect athletes and report abuse -The impact of social media in sport especially among “millennials” -Take home messages for working in practice Dr Mountjoy is a Senior Associate Editor at BJSM and here’s the link for her previous podcast about energy deficiency among sportspeople (RED-S) http://ow.ly/w6w430aBmKJ

Link to the open access (FREE) IOC consensus statement on non-accidental violence in sport: http://ow.ly/YzMd30aBmA2

Dr Ben Kibler: Clinical assessment of the tennis player with a focus on the shoulder

Fri, 31 Mar 2017 14:49:00 +0100

In part 1 of two podcasts, Dr Ben Kibler, international shoulder authority, shares top tips on examination and diagnosis of the tennis player. (Part 2 will focus on baseball pitchers) Dr Ben Kibler, orthopaedic surgeon and medical director of Lexington Clinic in Kentucky is a world expert on management of shoulder injuries with a particular focus on the role of the scapula (scapular dyskinesis). He has held regular ‘scapular summit’ meetings of experts in his hometown of Lexington, Kentucky, USA. The most recent summary of that meeting can be read here: http://bjsm.bmj.com/content/47/14/877 In this podcast, we discuss: •Briefly how Dr Kibler, a surgeon, learned about biomechanics •Examination of the tennis player’s shoulder including how to perform a biomechanical analysis •Simple tests to recognize abnormal asymmetry in the tennis player •Diagnosis of injury in tennis players; search for culprit (the real cause) – don’t just incriminate the victim •The rise in the double-handed backhand in tennis and how it has increased the incidence of ulnar wrist injuries •Role of communication within the multidisciplinary team: how much should the physician know about the biomechanics? •Two tests commonly used to assess shoulder function – the Scapular Assistance Test (SAT) and the Scapular Retraction Test (SRT).

Remember to keep an eye out for Part 2 – management of the overhead throwing athlete. You can meet with Dr Kibler in person at the AMSSM annual conference. May 9-13, 2017, San Diego. It’s a prime spot on the sports medicine calendar. https://www.amssm.org/Content/pdf%20files/BROCHURES/2017_Annual_Meeting.pdf

Professor Graham Smith, Society of Sports Therapists: Return to play and more!

Fri, 24 Mar 2017 16:53:00 +0000

The Society of Sports Therapists was established in the UK in 1990 to address the growing demands from sport and leisure on everyone involved in the management and care of injured participants. In this 2nd podcast with BJSM, Professor Smith highlights hot topics such as: (i) readiness to return to play and how it differs from return to competition, (ii) training load and contribution of new data in the training-injury field. I summarise the program for the 2017 conference “From Pain to Performance” (May 20th, 2017) that features Peter Brukner, Bill Knowles, and Susan Alexander. The Society of Sports Therapists is one of 25 member societies that partners with BJSM: Links: Home page for the Society of Sport Therapists http://www.society-of-sports-therapists.org/index.php Where to study Sports Therapy (BSc Hons) http://www.society-of-sports-therapists.org/index.php/public/degree_courses_BSc Where to study Sports Therapy if you already have a relevant degree (MSc) http://www.society-of-sports-therapists.org/index.php/public/degree_courses_MSc Previous podcast: 2016

https://soundcloud.com/bmjpodcasts/focus-on-sports-therapists-and-students-considering-sports-therapy-professor-graham-smith

What are the odds? Understanding Risk and Uncertainty

Thu, 16 Mar 2017 17:24:00 +0000

What are the odds? Understanding Risk and Uncertainty. Today we welcome Dr. Rod Whiteley for the first time ever to the BJSM podcast. Rod has done a bunch of work in shoulder injuries (measuring load and strength long before it got sexy). And the rumour is he’s still got a pretty good curve ball. A clinician for well over 20 years, He is the current assistant director of the Rehab department here at Aspetar Orthopaedic and Sports Medicine Hospital, and he has also contributed heavily in the area of hamstring rehabilitation and groin injuries. Look out for him on twitter @RodWhiteley, where’s he’s happy to be unpopular to point out the obvious. Rod is a clinical researcher, interested in how practitioners can understand statistics better, and integrate that in their daily practice. In this podcast, Rod and I talk about how we understand risk, in particular percentages and odds. And no, they’re not the same thing. 2:45 The difference between odds, ratios, and percentages. 3:20 An example: ACL and hamstring injuries as an example, looking at the base rate for how often these injuries happen (ACL infrequently, and hamstrings quite frequent), and then adding a likelihood ratio and how does that change the odds. 5:20 Chad Cook and Erik Hegedus really turned our ideas around interpreting risk around. Clinicians need to understand pre- and post-test odds. Find the related articles here (http://bmj.co/2m65v43) and in the links below. 6:30 Mladen Jovanovic (@Physical_Prep) - heuristics and uncertainty, published recently here (http://bmj.co/2nrRUUX) in the Aspetar journal. We have to get more comfortable with the uncertainty of these tests. 7:46 Understand base rates, and using tests that have large likelihood ratios in our clinical assessment. Pre-test odds will influence how you interpret your clinical test, which then changes your post-test odds. 10:14 Can we do the same for prevention, and identifying risk? IOC world conference prevention of injury and illness in sport (http://bmj.co/2m64AR8) in Monaco will focus this year on the value of screening. Screening allows us to identify modifiers and change potential interventions at a group level. 10:31 The importance of population level studies, looking for associations with subsequent injury. Screening is useful for injury prevention. “But if you’re doing a test to tell someone they are or aren’t gonna get injuried, you’re gonna make a monkey of yourself in open court pretty quickly.” 12:27 WHO report on risk of cancer risk associated with eating bacon/processed meat. If we ignore the base rate, we might be fooled by the actual change in risk. And then you still need to interpret that for the individual. 14:00 Absolute vs Relative risk, and what is the actual event happening. We don’t think of delayed onset of muscle soreness (DOMS) and sudden cardiac death the same. 14:15 Two players with the same risk of injury, but totally different interpretation of their result. 15:12 Predicting vs Forecasting - “An experiment that only happens once.” You only get one season and and you either get an injury or you don’t. We have to be more comfortable with that kind of uncertainty. 16:35 Predicting return to play with clinical outcome measures. 18:30 How do we interpret and incorporate percentages and odds into our clinical setting. Links: IOC world conference prevention injury and illness in sport (http://bmj.co/2m64AR8) Available for FREE from BJSM (http://bjsm.bmj.com/) Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests (http://bmj.co/2mwMP90)

A combination of initial and follow-up physiotherapist examination predicts physician-determined time to return to play after hamstring injury, with no added value of MRI (http://bmj.co/2mx0r3Z)

Player Medicals and Screening at Arsenal FC - Part Two

Mon, 13 Mar 2017 16:59:00 +0000

Screening is one of the hottest topics in Sports Medicine, and a topic which is constantly evolving. The BJSM has provided a platform for much of the academic literature concerning screening, but what actually happens at the coalface? In part one of this special podcast with Arsenal FC giants Colin Lewin, and Dr Gary O’Driscoll, we heard about the role of screening in professional sport, and how it ties in with player medicals, which is further elaborated on in this podcast. Other topics that are touched upon include the role of technology in predicting injury, the pressure of the jobs, and some tips for anyone working in football medicine/hoping to do so one day!

This podcast is bound to generate some deal of controversy, and if you’re looking for a platform to voice your opinion, you shouldn’t miss the Arsenal SEMS conference, with insights from the likes of Professor Roald Bahr, Adam Meakins, and Des Ryan amongst other influential names. The link to the event can be found at http://www.arsenal.com/semsconference - it’s bound to be one of the most insightful conferences of 2017!

Professor Bruce Forster: Using ultrasound imaging in the physiotherapy clinic. Pearls, pitfalls.

Fri, 10 Mar 2017 16:51:00 +0000

Bruce Forster is the Head of Radiology at the University of British Columbia. He was previously the director of diagnostic imaging at the Vancouver Winter Olympics and has authored over 80 peer-reviewed publications. In this podcast, we discuss: -The role of MSK ultrasound in sports medicine and how to learn -Structures that can be imaged and their challenges -What to look for when purchasing an ultrasound machine? -Ultrasound guided injections, including evidence behind PRP, stem cells and cortisone -Pain science and the role of radiology in treating chronic pain -Imaging for prognosis and RTP -when to image?

Bruce is presenting a workshop at the IOC Prevention Conference- details can be found here : http://ow.ly/SFcJ309KUve

Player Medicals and Screening at Arsenal FC - Part One

Fri, 03 Mar 2017 13:41:00 +0000

Screening is one of the hottest topics in Sports Medicine, and a topic which is constantly evolving. The BJSM has provided a platform for much of the academic literature concerning screening, but what actually happens at the coalface? BJSM Associate Editor Steffan Griffin chats to two giants of the football (and sports) medicine world – Colin Lewin, and Dr Gary O’Driscoll, who both head up the medical department at Arsenal Football Club – about the practical aspect of screening, and what role it plays in elite sport. This podcast serves as a little taster to the Arsenal SEMS conference, which this year focuses on the role of screening, with insights from the likes of Professor Roald Bahr, Adam Meakins, and Des Ryan amongst other influential names. The link to the event can be found at http://www.arsenal.com/semsconference Topics covered in this part one include: What is involved with a player ‘medical’? Who is involved with a player’s ‘medical’? Is there a role for screening in elite sport?

Look out for the upcoming Part Two – where screening and player medicals are discussed in further detail.

Do platelet-rich plasma and stem cells have a role in sports medicine? Genetic testing?

Fri, 24 Feb 2017 13:41:00 +0000

Professor Tim Caulfield (@CaulfieldTim) is a best-selling author in the health and popular science domain. He has published over 300 articles into the ethical, legal and health policy of a broad range of topics including stem cell therapies, genetic testing, obesity treatment and the prevention of chronic disease. In this podcast, we discuss: • Genetic testing and its predictive value- what place does it have in sports medicine? • Stem cell therapies- evidence behind it and how it is portrayed by the media • PRP- therapeutic benefits or another health fad? • The role of athletes as celebrities in advocating new treatments • 6 simple ways to maintain a healthy lifestyle. Links to Tim’s hugely successful books can be found here http://ow.ly/TEfJ309ise8

David Epstein (@DavidEpstein) book The Sports Gene here: http://thesportsgene.com/

Professor David Hunter talks osteoarthritis exercise therapies: better outcomes

Fri, 17 Feb 2017 13:54:00 +0000

Professor David Hunter is a leading rheumatologist and researcher working at the University of Sydney. David has over 350 publications in rheumatology and has co-authored several books providing self-management strategies for patients with osteoarthritis. In this podcast, we discuss: • Treatments of OA, what does and doesn’t work • How to take a detailed history and examination from a patient with OA • Cornerstones of patient care: behavioral change, self management and weight loss • Weight loss strategies and how to maintain it • Physiology behind how exercise improves symptoms • Pharmacological and surgical treatments for OA

David caught up with Karim Khan after the 2017 Australasian College of Sport and Exercise Physicians (ACSEP) conference in the Gold Coast. The next event is February 2018 and is sure to be a huge success! http://ow.ly/t20j3093yZq

Dr Eammon Delahunt, international authority: Ankle sprain management and chronic instability

Fri, 10 Feb 2017 15:07:00 +0000

Eamonn is a wonderful clinician-scientist who graduated with a 1st Class Honours Degree from the University College Dublin (UCD) School of Physiotherapy in 2003 placing first in his class. Eamonn received a prestigious Irish Research Council for Science Engineering and Technology (IRCSET) post-graduate research scholarship. He was awarded his PhD from the UCD School of Physiotherapy and Performance Science in 2006, In this podcast that combines science with clinical application topics include: • The high prevalence of ankle injuries and the high risk of the development of chronic residual symptoms. • The characteristic features of CAI. • How to manage the young soccer player who sustains an ankle injury. • Detailed discussion of (1) modified Ottawa Ankle Rules; (2) determination of lateral ligament laxity; (3) syndesmosis assessment. • How to assess for chronic ankle instability • Mechanical insufficiencies including: (1) pathological laxity; (2) arthrokinematic restrictions; (3) synovial changes; (4) degenerative changes. • Functional insufficiencies including: (1) impaired proprioception; (2) impaired neuromuscular control; (3) impaired postural control/postural balance; (4) impaired strength. • Assessment of laxity and the use of taping and bracing. • Patient-reported outcome measures clinicians can use including the FAAM, CAIT & idFAI Associated papers and tools: Diagnostic accuracy of the Ottawa Ankle and Midfoot Rules: a systematic review with meta-analysis http://bjsm.bmj.com/content/early/2016/11/24/bjsports-2016-096858.long Cumberland ankle instability tool ( 11 – chronic ankle instability (>11) Foot and ankle ability scale: FAN ADL(21 items) and FAN sport (8 minutes) Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. http://bjsm.bmj.com/content/48/13/1014 2016 consensus statement the International Ankle Consortium: prevalence, impact and long-term consequences of lateral ankle sprains.

http://bjsm.bmj.com/content/50/24/1493.long

Nutrition pearls for sport performance: Professor Graeme Close provides 27 practical tips

Fri, 03 Feb 2017 14:04:00 +0000

You want the big names on BJSM podcasts and Twitter asked for Dr Graeme Close. Fresh from the UK undergraduate student conference, Graeme shares pearl after pearl on this top podcast. What do you do in a first consultation? How does nutrition in team sport vary from individual sport? What’s the key to a successful pre-game routine? How should nutrition change when an athlete is injured? Supplements? Coffee? Sleep? Take home tips – all in this 16 minute gem. Graeme has a great CV for his role in top sport. He is (i) a former professional rugby league player (clips here https://youtu.be/1mHljSGlQwA) (ii) a sports science PhD and now faculty at Liverpool John Moores University (iii) rumored to be the only person in the UK accredited with the official bodies for sports science (BASES), sports nutrition (SENr) and strength & conditioning (UKSCA). We call that the ‘triple crown’.

Kudos to medical student Tej Pandya for organizing the conference and for a great debut as a podcast host. BJSM’s podcasts have been hosted by 23 different interviewers and there are podcasts in 5 languages. Feel free to submit a podcast for our consideration. (info.bjsm@bmj.com)

Sports physiotherapist Dr Kristian Thorborg drills down on optimal loading. Heavy and Slow!

Fri, 20 Jan 2017 13:52:00 +0000

A world leader in sportsphysiotherapy, Associate Professor Dr Kristian Thorborg is from Copenhagen University. He is renowned for his studies and clinical workshops related to patients with hip, groin, hamstring and knee related injuries. Here he outlines: - the paradigm shift for the use of exercise to treat conditions such as tendinopathy and hamstring strains. He addresses questions such as ‘What is the ideal type of exercise?’ and ‘Does the body know if the exercise is concentric or eccentric?’ - cheap technology that can be used to help patients measure the load they are using and to check compliance - the challenge of treating patients in season - the concept of progression and the different stage of rehab that is preparation for ‘return to play’

- prevention – it needs monitoring of the players – waiting until they show up with pain is too late

Shoulder focus with leading sports physiotherapist Adam Meakins. Practical clinical pearls

Fri, 09 Dec 2016 13:51:00 +0000

How does a leading shoulder physiotherapist approach patients in the clinic? What are 3 fundamental principles that guide every consultation? Hear from extended scope practitioner Adam Meakins on how his approach to the patient with shoulder pain has changed over the past years. Learn how you can provide exercises for your patient without needing sophisticated video equipment or cameras. Listen to tips on how to tell if the patient is fearful, perhaps at greater risk for a central contribution to pain. Timeline 0:40 - Adam makes the case for 3 principles that guide every consultation 2:30 - Encouraging movement – both for health and to exercise injured parts (e.g. the shoulder) 4:00 - The need for patient education and advice. And how to do it. 8:35 - How much pain is OK? 10:30 - Treating the patient as an individual – the whole patient 12:40 - Is there a central component of pain?

13:19 - Which exercises to choose

Only 10 percent of concussions include loss of consciousness. Jon Patricios and Paul McCrory

Fri, 02 Dec 2016 15:50:00 +0000

The Berlin Concussion in Sport Consensus Meeting was held in October 2016 and the experts are currently writing the systematic reviews and agreeing on the final statement from this event. In the meantime, various panel members are sharing some key messages the world over. The knowledge translation needed from event such as this is extensive. The experts are Dr Jon Patricios, sports physician and former President of the South African Sports Medicine Association (SASMA) and Paul McCrory, Associate Professor and neurologist at the Florey Institute of Neuroscience and Mental Health, Australia. Both attended the Berlin meeting. Timeline: 0:45 Immediate management of concussion 2:54 Differences and common ground from elite level competition to the community setting 5:00 Balance and visual disturbances 8:26 Concussion in the developing brain 14:34 The update on CTE – chronic traumatic encephalopathy

16:40 Take home messages

Transparency and innovative thinking: how rugby is tackling concussion (Part two)

Fri, 25 Nov 2016 16:54:00 +0000

16.45: What are we hoping to hear about at the Berlin Consensus Conference?

Professor Lars Engebretsen on management of young, adult and older patients with knee injuries

Fri, 11 Nov 2016 14:35:00 +0000

Professor Lars Engebretsen is the Head of Scientific Activities in the Department of Medicine and Science at the International Olympic Committee. An orthopaedic surgeon, he is a strong advocate of the multidisciplinary approach to patient care. Among his many awards are the Nordic Prize in Medicine and the American Orthopaedic Society of Sports Medicine Hall of Fame. He is the Editor of the BJSM’s Olympic-supported issues (4 per year, usually numbers 1, 7, 11 and 17). Timeline: 0:40 mins - Surgical management of the patient with the acute ACL rupture – emphasis on early rehabilitation 1.44 mins - Prehabilitation – a definite focus 5.54 mins - The locked knee – what is it and how does finding one affect management? 8.00 mins - Is surgery indicated for meniscal injuries or not? 9.12 mins - The paediatric ACL (age 8-12 years). What’s the best management?

13.50 mins - IOC education courses with a focus on the 2-year online diploma.

Pain Coach, how the first contact with a patient can be the most important moment of all

Fri, 04 Nov 2016 12:31:00 +0000

Do you consider the first 10 seconds of a consultation to be important? Have you looked at your clinic space and how that might affect your patients? In this podcast Steve Aspinall (BASRaT) speaks to Richmond Stace @painphysio about the importance of compassion and active listening in the treatment of pain. Richmond is presenting at the BASRaT symposium on the 18th of November in London. Our Symposium this year will focus on pain; with unmissable keynote speeches from experts in the field and presentations and workshops that will enrich your knowledge. Focussing exclusively on pain and all its forms and manifestations it will be vital for practitioners to help manage and manipulate pain and help people from all walks of life. Our unmissable range of speakers includes Richmond Stace who is leading advances in understanding and treating pain and has created the pain coach programme. Richmond will look into the importance of the first point of contact, how we can gain information from the first few words. We have a range of workshops including "Gold from Rio"- BASRaT Sport Rehabilitator, Hannah Crowley helped Ed Clancy on his road to recovery from a back injury and to his gold medal win at Rio. Our closing keynote "Pain, the Brain and a little bit of Magic" will be presented by Professor Anthony Jones. Professor Jones is an MSK pain specialist and leads the Human Pain Research Group. This one day event on Friday 18th November will be packed full of essential speeches, presentations and seminars, enriching your knowledge and aiding your work. BOOK NOW. Visit basrat.eventbrite.co.uk. Timeline: 1:03 How big is the problem of pain? 2:39 What does good communication mean? 8:00 What are the key points in an interview about pain? 12:11 How to pain the patients journey? 16:44 Is neuroscience education important? 18:59 Key messages for the clinician Links: http://basrat.org/

http://www.eventbrite.co.uk/o/british-association-of-sport-rehabilitators-and-trainers-6930299875

The Daily Mile: Is this the game changing public health initiative we have been waiting for?

Fri, 28 Oct 2016 13:03:00 +0100

Over the last 20 years across the western world the increasing toll of sedentary behaviour on young peoples physical and mental wellbeing is a well-documented phenomenon. Many different piecemeal policy initiatives have failed to tackle the problem. In this podcast Steve Aspinall (BASRAT) speaks to head teacher Elaine Wyllie about the daily mile initiative. This simple game changing initiative provides massive public health benefits though a simple philosophy of non-competitive outdoor fun that is accessible to all children regardless of age, gender, ability or socioeconomic background. Listen to Steve and Elaine discuss this inspirational initiative and find out how you can get involved: Timeline: 1:03 What is the daily mile? 1:49 How is the daily mile implemented in schools what are examples of best practice? 4:54 Does the daily mile work for all children? 8:56 How does the weather impact participation? 11:43 Local and national level support 15:04 Preliminary results of a large scale study 17:00 How to get involved Links: http://thedailymile.co.uk/ http://basrat.org/

http://www.eventbrite.co.uk/o/british-association-of-sport-rehabilitators-and-trainers-6930299875

Transparency and innovative thinking: how rugby is tackling concussion (Part One)

Tue, 25 Oct 2016 14:08:00 +0100

Rugby is often maligned in the press for its inevitable relationship with concussion, with numerous high-profile incidents only compounding the issue. If your reading is restricted to the newspapers, you’d be forgiven for thinking that a culture of denial is in place, however when you delve deeper, there are numerous examples of innovative and powerful research, all of which is already leading to law & policy changes. One leading light in the sport is the Rugby Football Union (RFU), who are actively conducting policy-informing research, and using this to shape the game in order to maximise player welfare. Steffan Griffin, of the BJSM, caught up with Dr Simon Kemp (CMO), Dr Matt Cross (Professional Rugby Medical Research Officer), and Dr Mike England (RFU’s Community Rugby Medical Director), who provide an insight into their work, which is not only shaping the way the game is played, but provides a fantastic blueprint for other sports to follow. This is Part 1: in the build up to the Berlin Consensus Conference. Timeline: 01:15: Can you give us some insight into the scale of concussion in Rugby Union? 04:00: Are the rising rates due to increased incidence or due to people being more likely to recognise and report it nowadays? 06:45: What is the RFU’s general approach to the management of Concussion? 08:45: Can you tell us a little about the ‘recognise, remove, recover and return’ campaign? 14:00: So the aim is to remove as many concussed players from the pitch as soon as possible: what else is the RFU doing to try and ensure this? 19:15: you have published a number of papers in the BJSM – one of which showed a relationship between concussion and subsequent musculoskeletal injuries – could you please elaborate? 21:50: What does this mean about the return to sport following concussion? How could this influence practice? Links Evaluation of World Rugby's concussion management process: results from Rugby World Cup 2015 http://bjsm.bmj.com/content/early/2016/09/01/bjsports-2016-096461.abstract The accuracy and reproducibility of video assessment in the pitch-side management of concussion in elite rugby http://www.jsams.org/article/S1440-2440(16)30142-6/abstract Professional Rugby Union players have a 60% greater risk of time loss injury after concussion: a 2-season prospective study of clinical outcomes http://bjsm.bmj.com/content/early/2015/12/01/bjsports-2015-094982.full

BJSM Podcast with the Heath Brothers & Mike Evans: https://soundcloud.com/bmjpodcasts/23-5-hours-to-switch-behaviour?in=bmjpodcasts/sets/bjsm-1

Phil Glasgow talks all things around the hip and treatment

Fri, 21 Oct 2016 15:14:00 +0100

Phil Glasgow is the head of sports medicine at the Sports Institute, Northern Ireland. A vastly experienced physiotherapist, he has worked at 3 Olympic Games, and has just returned from Rio. In this podcast, we discuss a case history of a football player with hip pain, from assessment to RTP. We look at the sensitivity vs. specificity of various tests, how to explain the symptoms to patients, and any co-existing pathologies there may be in the athlete. Finally, the discussion moves to treatment, the role of manual therapy, and exercises the patients can do to increase strength in the tissue. The 2nd World Conference of Sports Physiotherapy will be held in Belfast, 2017- details can be found here: http://bit.ly/2dP2HjH Timeline 0.40 - Hip pain: a case history and when is it reported to the physio? 3.08 - Ruling things out in the hip is easy: how do we rule things in? 7.30 - Things to consider when treating the hip 10.30 - Prescribing exercise for the patient - how do we go about it? 13.00 - How to increase the load in the injured athlete 18.26 - Bridging exercises for the hip

22.50 - Building a model for the pain and tips from the top

Professor Peter Brukner on food as medicine. No industry funding.

Fri, 14 Oct 2016 14:50:00 +0100

“A few years ago, like most doctors, I was pretty ignorant on the topic of food and medicine” is how Peter Brukner, Professor at Latrobe University’s Sport and Exercise Medicine Research Centre opens this podcast. He summarises 4 years of engaging seriously with nutrition for health and in sport. His comments apply to the general public, the recreational athlete and he shares his experience from elite level sport. Peter has been involved in an international nutrition educational leadership group that includes Professor Timothy Noakes, Dr Aseem Malhotra, Dr Sarah Hallberg, Dr Jason Fung, Nina Teicholz and Gary Taubes. Recent reports that the sugar industry paid two Harvard professors to write a piece for the New England Journal of Medicine https://www.statnews.com/2016/09/12/sugar-industry-harvard-research/ makes the opinion of unbiased academic clinicians like Peter Brukner even more timely. Relevant links: Peter Brukner on the other side of the mike interviewing Professor Timothy Noakes: https://soundcloud.com/bmjpodcasts/high-fat-for-health Dr Jason Fung on the impact of diet on obesity and type 2 diabetes mellitus: https://soundcloud.com/bmjpodcasts/dr-jason-fung-on-the-impact-of-diet-on-obesity-and-type-2-diabetes-mellitus Prof Stephen Phinney on the science behind low carb diets for athletes: A rational approach: https://soundcloud.com/bmjpodcasts/prof-stephen-phinney-on-the-science-behind-low-carb-diets-for-athletes-a-rational-approach?in=bmjpodcasts/sets/bjsm-1

If you think that BJSM is only sharing one side of the story please use our various channels to contribute. Papers, blogs, podcasts, Twitter, Facebook - we’d love to hear from you. We haven’t rejected any papers saying that hi-carb is good for you!

Dr Andrew Murray on golf and its effects on health

Fri, 07 Oct 2016 13:36:00 +0100

In this podcast, Steffan Griffin of the BJSM speaks to Dr Andrew Murray – SEM consultant & adventurer (amongst other things!), who is currently undertaking a PhD looking into ‘Golf and Health’. We talk about how the Golf and Health project was born, and some of the notable findings from his recently published scoping review. This is a must-listen for any SEM professional/student, not only due to some of the clinical pearls, but due to the fact that this is a shining light of what other sports could also be doing! Contents 1.00: Andrew tells us about the Golf and Health project 2.30: What are the main findings from the scoping review? 5.30: Deeper dive into the potential benefits 6.45: What about mental health? 7.30: Could spectators also be reaping some of the health rewards associated with playing? 9.45: What lessons are there for other sports? Links Scoping Review http://bjsm.bmj.com/content/early/2016/09/26/bjsports-2016-096625.full Infographic http://bjsm.bmj.com/content/early/2016/09/20/bjsports-2016-096866.full.pdf+html Golf and Health website http://www.golfandhealth.org/ Golf and Health twitter https://twitter.com/GolfAndHealth

Golf and Health facebook https://www.facebook.com/GolfAndHealth/?fref=ts

Dr Clare Ardern (Sweden) shares the latest on Return to Play – World Congress Consensus Statement

Fri, 30 Sep 2016 14:36:00 +0100

Dr Clare Ardern is a sports physiotherapy researcher at Linkoping University in Sweden. She carries Australia’s prestigious NHMRC’s top scholarship for clinician researchers – the 4-year Fellowship Award. You may know of her publications that highlight the relatively low return to play rates after ACL reconstruction. In this podcast, she addresses return to play more broadly. From 12-15th October this year she will be a keynote speaker at Sports Medicine Australia’s conference. You can follow that via BJSM Twitter #SMAConf16 and Facebook. She was interviewed by Dr Christian Barton, who is a well-published physiotherapist PhD as well. He serves as BJSM Deputy Editor and the Editor responsible for Social Media (small job! easy!). Timeline: 1:00m - Where did the Return To Play Consensus come from? 2:00m - Defining Return to Play; what does it mean in different settings 3:00m - The difference in RTP for o/c acute – removal from play? 4: 10 - Decision making – how should the return to play decision be made? 3:30m - Return to Play is a continuum that requires meticulous planning 4:00m - When can the athlete return to a pre-injury (or better) level of performance? 4:30m - What is the evidence for return to play decisions? Spoiler alert! – It’s limited. 5:20m - Taking the emphasis of the ‘one day’ that players focus on to be back at sport. The concept of a continuum (from when you first see the athlete). 6:45 - Return to play and returning to perform at the previous level. Are there important differences? What can clinicians do to help players get back to that level? 8:30m - Does ‘Return to Play’ end? It’s very different for different athletes. 10:10m - Should athletes have ACL reconstruction after ACL injury? What does the research show? 11:40 - Clare’s perspective on the return to play data after ACL reconstruction in the non-elite players.

12:15 - An example of a player in the English Premier League who was ACL deficient.

Prof Peter O’Sullivan’s sneak peek of Refshauge Lecture on Back Pain: Sports Medicine Australia 2016

Fri, 23 Sep 2016 14:02:00 +0100

Professor Peter O’Sullivan is among the top 3 most popular physiotherapy voices on podcasts and here he focuses on myths and harmful beliefs about back pain. He takes a swing at clinicians who rely excessively on imaging findings to attempt to explain the source of pain. He shares the story of a clinician who told a patient his spine was ‘shredded’. Prof O’Sullivan emphasizes the importance of history taking, finding factors that can sensitize neural tissue and gives an overview of treatment. He will be the keynote Refshauge Lecturer at Sports Medicine Australia’s 2016 Conference (#SMAConf16, @SMA_Events). Timeline: 0.35 m - A sneak preview of the Refshaughe lecture plan – back pain is a big problem and those in sport can learn from what is known in back pain in the general population 2.17 m - Patients respond well to a combination of explanation, being shown ways they can get back to the things they love to do, and appropriate progressive exercises 4.21 m - A case where a patient could have been treated with early investigation, aggressive medical intervention, potentially surgery. An alternative approach to management 6.48 m - How junior clinicians can approach the patient who presents with a bag of images or a medical note that may not reflect current best practice for managing back pain 9.45 m - The biology of how neural tissue can be sensitized by lack of sleep, stress. Fascinating neuroimmunology 10.55 m - You do treat the back don’t you? It’s not just explaining pain, counseling? 12.30 m - Parallels with work of other physiotherapists such as Prof Jill Cook (@ProfJillCook) and Dr Alison Grimaldi (@alisongrimaldi) who advocate for progressive loading as a stimulus for healing. “Backs love movement” 13.55 m - A 30-second summary! Related podcasts: Please consider downloading the mobile app “BJSM’ from iStore or GooglePlay. There are over 250 to choose from and the 10 most recent are very easy to get via the app. 1. Professor Peter O’Sullivan (@PeteOSullivanPT) on Tiger Woods’ back and ‘core strength’ http://ow.ly/uNgj304udUI 2. Dr Kieran O’Sullivan (@KieranOSull) on how top clinicians approach back pain http://ow.ly/18Ru304ue96

The Warwick Agreement on the management of femoroacetabular impingement syndrome with Damian Griffin

Thu, 15 Sep 2016 11:24:00 +0100

Professor Damian Griffin talks about the Warwick Agreement, an international consensus on the management of femoroacetabular impingement syndrome. This podcast brings you right up to date on the most current thinking about hip impingement or FAI. 0.38 Aim of the consensus 1.36 Consensus methodology 2.26 What is FAI syndrome? Symptoms, clinical signs, and imaging findings. 3.40 How should FAI syndrome be diagnosed? 6.26 What is the appropriate treatment for FAI syndrome? 8.26 What is the prognosis of FAI syndrome? 10.23 How should someone with an asymptomatic hip, with cam or pincer morphology, be managed? 11.53 What research is now needed? 14.15 How is this new definition of FAI syndrome going to influence clinical care? @DamianGriffin #WarwickAgreement Damian Griffin is the Professor of Trauma and Orthopaedic Surgery at the University of Warwick. He trained in Cambridge, Oxford and the United States, and worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick and helping to establish Warwick Medical School. Damian’s passion is the diagnosis and treatment of hip and groin pain in young adults. His clinical practice and research focus on joint-preserving surgery for early arthritis, hip arthroscopy, the management of femoroacetabular impingement and sport injuries of the hip. He runs the largest national referral service for young and active people with hip pain in the UK, based at the University Hospital of Coventry and Warwickshire NHS Trust, and for private patients and elite athletes in London and Coventry (www.hiparthroscopyclinic.co.uk). Damian leads a research team based at the University of Warwick, with a portfolio of hip research. In particular he is the chief investigator for the FASHioN trial, a large, multicenter randomised controlled trial of treatments for people with FAI syndrome, comparing surgery with physiotherapy-led rehabilitation:www.nets.nihr.ac.uk/projects/hta/1310302 You can follow Damian on Twitter @DamianGriffin and @WarwickOrtho or reach him on damian.griffin@warwick.ac.uk

Secrets behind Leicester City’s title win - team work and culture to avoid the medical room

Fri, 09 Sep 2016 13:21:00 +0100

Leicester City’s league title was widely seen as one of the biggest upsets in sporting history. But was it really that surprising? Christian Barton (La Trobe University) talks to Dr Paul Balsom, the Head of Sports Science at Leicester City and analyst with the Swedish National Football Team. In this podcast, Paul explains how teamwork and culture led to players avoiding the medical room. We then go on to discuss the role of evidence-based medicine in sports, and how the ideas employed by Leicester can be transitioned between sports. Lastly, the conversation moves on to the ongoing season, which will see an increased number of matches for the team and how to manage this load. Link to the upcoming SMA Conference where you can see Dr Balsom: http://tinyurl.com/jx739en And a podcast with one of the other keynote speakers: http://tinyurl.com/zaoncqq Timeline: 0.40 - The key factors behind the success of Leicester. 2.00 - How do you achieve good communication in a football club? 3.55 - Keeping all the players fit - by putting responsibility onto them! 5.40 - Optimising performance - what role does EBM have in sport? 7.22 - What medical teams can learn from each other. 9.02 - How to manage an injury free rate with increased load - looking at the new season.

10.45 - The principles behind measuring load in players.

What predicts ACL rupture? What prevents it? Tim Hewett (Mayo Clinic) and Kate Webster (La Trobe)

Fri, 02 Sep 2016 15:18:00 +0100

ACL injuries are some of the most common and debilitating injuries in athletes. In this podcast, Tim Hewett and Kate Webster talk about the biomechanical risk factors for ACL injury, the role and potential of screening, and the use of ACL prevention programmes. Tim Hewett is an expert in biomedical engineering work at the Mayo Clinic and Kate Webster is an associate professor at La Trobe University. They are both speaking at the upcoming Sports Medicine Australia Conference-more details can be found here-http://tinyurl.com/h4ndfy2 Timeline: 0.40 - What is the biggest risk factor for ACL injury? 2.10 - How are ACL injuries preventable? 4.10 - Can we screen for injury risk? 6.00 - Key criteria for RTS. 9:40 - The high risk of re-injury following ACL damage. 13.00 - Are we returning athletes too soon post injury?

Could TNT blast a hole in treatment barriers in tendinopathy? Ebonie Rio discusses

Fri, 26 Aug 2016 14:48:00 +0100

Often tendinopathy will be resistant to even the best traditional rehabilitation methods. Liam West chats to Dr Ebonie Rio, a PostDoctoral Fellow at La Trobe University’s Sports and Exercise Medicine Research Centre in Melbourne. Dr Rio’s research aims to explain the role of the primary motor cortex in tendinopathy. She discusses tendon neuroplastic training (TNT) and how it might help your tendinopathy patients regain pain free function in the clinic. Timeline 0.40 – Why traditional rehabilitation for tendinopathy might be unsuccessful 1.40 - Changes in primary motor cortex and motor control in tendinopathy 2.35 – What is TNT & how to utilise it? 5.30 – How long does it take for TNT to help patients? 6.30 – Cross education for tendinopathy Further Reading Tendon neuroplastic training: changing the way we think about tendon rehabilitation – OPEN ACCESS - http://bit.ly/29ergE3 Revisiting the continuum model of tendon pathology - http://bit.ly/29rSDPK Related Podcasts Prof Jill Cook revisits Tendon Pathology - http://bit.ly/1UR3tvL Prof Michael Kjaer on the pathogenesis of tendinopathy and tendon healing - http://bit.ly/29pOZol Defining tissue capacity - http://bit.ly/29iVSKc

Treat the donut, not the hole: What UTC imaging teaches us about tendon pathology. Dr Sean Docking

Thu, 28 Jul 2016 14:41:00 +0100

Most clinicians who manage patients with tendinopathy will have encountered the situation where the clinical picture and imaging findings do not match up. Sean Docking, researcher at La Trobe University’s Sports and Exercise Medicine Research Centre in Melbourne, has been using Ultrasound Tissue Characterisation (UTC) to visualise changes associated with tendinopathy in 3D detail. In this podcast he talks to Liam West about how UTC may help us explain this discrepancy between current imaging and clinical pictures in tendinopathy. He also gives the listener an insight into the clinical relevance of UTC and the lessons that have been learnt from his research within the field. Timeline 0.45 – Current imaging modalities used in tendinopathy 3.45 – Disconnect between imaging findings and clinical picture 4.45 – Place imaging in clinical context 6.00 – Deep dive on UTC 7.55 – Tendon response to pathology 10.45 – Treat the donut, not the hole Further Reading Using UTC to measure game load on tendons in AFL - http://bit.ly/29rSr3k Pathological tendons have good amounts of normal structure - http://bit.ly/29iCfiG Revisiting the continuum model of tendon pathology - http://bit.ly/29rSDPK Further Related Podcasts Jill Cook revisits Tendon Pathology - http://bit.ly/1UR3tvL

Michael Kjaer on the pathogenesis of tendinopathy and tendon healing - http://bit.ly/29pOZol

A deep dive into hip pain. Professor Damian Griffin makes the complicated clear. (Part 1 of 2)

Fri, 22 Jul 2016 14:02:00 +0100

Damian Griffin is the Professor of Trauma and Orthopaedic Surgery at the University of Warwick. He trained in Cambridge, Oxford and the United States, and worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick and helping to establish Warwick Medical School. Damian’s passion is the diagnosis and treatment of hip and groin pain in young adults. His clinical practice and research are all around joint-preserving surgery for early arthritis, hip arthroscopy, the management of femoroacetabular impingement and sport injuries of the hip. He runs the largest national referral service for young and active people with hip pain in the UK, based at the University Hospital of Coventry and Warwickshire NHS Trust, and for private patients and elite athletes at the BMI Meriden Hospital. Damian leads a research team based at the University of Warwick, with a portfolio of hip research. In particular he is the chief investigator for the FASHioN trial, a large, multicenter randomised controlled trial of treatments for people with FAI syndrome, comparing surgery with physiotherapy-led rehabilitation: http://www.nets.nihr.ac.uk/projects/hta/1310302 You can follow him on Twitter @DamianGriffin and @warwickOrtho or reach him on damian.griffin@warwick.ac.uk, at www.hiparthroscopyclinic.co.uk or +44 1926 403529. BJSM is grateful for his contribution as a Senior Associate Editor. In this podcast, Damian speaks about Sports Hip 2016, a two day international conference held at St George’s park, the home of English football. The link to conference details: http://www2.warwick.ac.uk/fac/med/research/csri/orthopaedics/sportsurgery/hip/ Podcast timeline: 0.30 - St George’s Park and the England Football Association Perform Rehabilitation Centre 1.02 - Introduction to Sports Hip 2016: First time for a multidisciplinary meeting on sports hip injuries 1.58 - Instability of the hip 2.47 - Treatment of acute subluxation or dislocation, returning to 3.23 - Deep gluteal space, piriformis syndrome and sciatic nerve entrapment 4.54 - Cartilage repair 6.04 – Workshops in hip arthroscopy, hip replacement techniques suitable for athletes 6.00 - Workshop in hip arthroscopy 6.57 - New techniques in hip replacement suitable for young active people and athletes. 7.24 - World class rehabilitation after hip surgery 7.50 - Round table on challenges in managing elite athletes 8.15 - Femoroacetabular impingement (FAI) syndrome, and the movement towards reaching a consensus statement.

11.00 - Consensus meeting on FAI syndrome

Working with the All Blacks: Peter Gallagher shares his thoughts

Fri, 15 Jul 2016 13:28:00 +0100

Peter Gallagher has been the All Blacks physiotherapist for over 10 years. He discusses how they deal with RTP following ACL injuries and how shared decision-making can be used to set a RTP date. The conversation then branches out onto how changes in training load can be used to recondition players following injury and the need for exercises that provide eccentric muscle training. Finally, we consider alternative exercise programs and the role of functional movement screening for injury prevention. This open access paper by Dr Tim Gabbett summarizes the theory behind higher training loads and injury rates: http://tinyurl.com/heepexv Another paper here predicts injury using acute: chronic workload ratios: http://tinyurl.com/z89glpz An article discussing the limitations of functional screening: http://tinyurl.com/zf5dgpn Timeline: 0:51- The challenge of RTP in ACL injury. 4:30- How the decision is made to RTP? 5:39-Why lowering a player’s load after injury might be beneficial. 7:11- Some examples of modified training programmes and reconditioning. 13:04- Adapting alternative exercise programs into a training regime.

17:40- The part that functional movement screening could play in the future.

A free online resource in football medicine with Dr Mark Fulcher

Fri, 08 Jul 2016 14:00:00 +0100

F-MARC, the FIFA Medical Association and Research Centre, have recently launched a free online diploma primarily for doctors and other health practitioners who have little or no sports medicine knowledge or experience. There is, however, material that will appeal to anyone with an interest in sports medicine. There are currently 20 modules, which will expand to 42 by the end of the year and completion will lead to being awarded the diploma. Steffan Griffin talks to Dr Mark Fulcher, a sport and exercise medicine physician at the FIFA Medical Centre of Excellence in Auckland, New Zealand. The online diploma is FREE to do and can be accessed here: http://f-marc.com/footballdiploma/ Timeline: 0-1.42 What is the diploma? 1.42-3.00 People involved in creating the content. 3.00-3.56-How the website can be used by different specialties. 3.56-4.20 Development and evolution of the diploma.

4.20-6.55 A little bit about Dr Fulcher and his work.

Professor Peter Brukner spotlights a type of hamstring strain that needs special attention

Fri, 01 Jul 2016 13:22:00 +0100

Intramuscular Hamstring Injuries Professor Peter Brukner is a sports and exercise physician at La Trobe University’s Sports and Exercise Medicine Research Centre in Melbourne. He is Team Doctor for the Australian Cricket Team and formerly worked with Liverpool FC, Australian football in the 2010 World Cup and numerous Olympic Games. He discusses intramuscular tendon hamstring injuries, a difficult type of hamstring injury, which takes longer to recover than a typical strain. The conversation also branches out to diagnosis, management and rehabilitation of the injury. Here’s the associated paper with some very helpful figures: http://ow.ly/Hsci301NHpx Professor Brukner’s thoughts on recurrent hamstring strain can be found here: http://ow.ly/8NeB301NKCw And more on hamstring strain prevention here: http://ow.ly/PrSL301NLm0 Timeline: 1.00-Why some hamstring injuries are different (and difficult!) 2.30 Diagnosis of intramuscular tendon hamstring injuries. 4.30-Recognition on the MRI 5.30- Management of the injury.

7.50-Rehabilitation and return to play.

Challenging leg pain in the cyclist? Consider iliac artery endofibrosis - not a rare condition

Fri, 17 Jun 2016 13:44:00 +0100

One of the most common complaints of athletes visiting clinicians is leg pain exacerbated by exercise. In this podcast, UK vascular surgeon Rob Hinchliffe explains how iliac artery endofibrosis develops in the sportsperson. He discusses the diagnostic approach for the clinician, potential therapies and gaps in the knowledge about this relatively new pathology, which too often remains undiagnosed for long periods of time. Thanks to BJSM editorial board member and sports physician Dr Yorck Olaf Schumacher from Aspetar, Qatar for having the idea and recording this fascinating podcast.

Steffan Griffin Hard Talks sports physician Dan Exeter (Athletics NZ) on illness prevention for Rio

Fri, 10 Jun 2016 15:04:00 +0100

Whilst injuries will undoubtedly dominate the headlines at the Olympics, we shouldn't ignore the competitors' increased susceptibility to illnesses - which can cause just as much heartbreak. BJSM’s popular podcast host, Steffan Griffin (@lifestylemedic), speaks to Athletics New Zealand team sports and exercise medicine physician Dan Exeter. Dr Exeter will be in Rio in August for the 2016 Summer Games and he shares New Zealand’s secrets for prevention illness in individuals and across the New Zealand squad. Remember that the Australian College of Sports and Exercise Physicians (@ACSP_SportsDocs ) and Sports Physiotherapy New Zealand (@SportsPhysioNZ) are both BJSM member societies. If you belong to one of these (or BJSM’s other 21 member societies) you can access all BJSM content for free via your member organisation’s website. Not a member country yet? Email karim.khan@ubc.ca Links: Great podcast last week: How Rugby 7s are approaching their Olympic Games preparation and the demands of this new Olympic Sport. http://ow.ly/EfCY3017Z2B Norway’s very experienced team physiotherapist, @BenClarsen (PT, PhD) on a systematic approach to monitoring elite athletes on a regular basis even when they are on the road for long periods of time. http://ow.ly/6GHV3017VMX Professor Roald Bahr (@RoaldBahr) on the challenges of a team clinician making Return To Play decisions: http://ow.ly/TrSz3017Ycn BJSM publishes 4 Injury Prevention and Health Protection (IPHP) issue annually. Check them all out here: http://bjsm.bmj.com/content/by/year

The paper (OPEN) on Illness and Injury at the London Olympic Games: http://ow.ly/gORM3017ZRT

Practical pearls from Olympic Rugby 7s sideline: Dr James McGarvey - treating teams home and away.

Fri, 03 Jun 2016 14:52:00 +0100

Want to know more about one of the new Olympic sports, or perhaps want an insight into how to best manage jetlag in athletes? Dr James McGarvey, a sport and exercise medicine physician to the New Zealand Rugby Sevens team in Rio talks to Steffan Griffin (@LifestyleMedic) about everything 7s related - although something for all to take away! Related content: Podcast on travel with teams; This time 15s Rugby – Rugby World Cup by Prav Mathema: http://ow.ly/n1Nz300PRw5 Podcast on how Dr Nigel Jones worked with the England World Cup Rugby team (2015). http://ow.ly/2MbG300Q4bz Open access paper: A new model for managing athletes health and performance in partnership with coaches: http://ow.ly/Pzz1300QSxV BJSM App iTunes - itunes.apple.com/us/app/bjsm/id943071687?mt=8

Google Play - play.google.com/store/apps/detail…m.goodbarber.bjsm

The father of accelerated rehabilitation, Dr Don Shelbourne, on history and managing ACL injuries

Fri, 27 May 2016 16:15:00 +0100

Dr Donald Shelbourne is an orthopedic surgeon at The Shelbourne Clinic in Indianapolis, Indiana. He has performed more than 6,000 ACL reconstructions since 1982 and he is credited with developing the ‘accelerated rehabilitation program’. He discusses the history of the field and how he contributed to eliminating the big problem of the ‘stiff stable’ knee. He does NOT detail the rehabilitation method itself. He has an interesting thought on the role of ACL reconstruction in young people who suffer ACL tears. See the timeline below that includes a paper referred to in the discussion and two additional BJSM resources. If I had to create a short slogan for the podcast I would go with ‘Symmetric Motion is Key’. 1:00 How Dr Shelbourne discovered accelerated rehabilitation 3:00 The problem of knees that were too stiff after ACL surgery in the 1980s. 4:00 The problem of excessively large ACL grafts and graft hypertrophy blocking knee extension 4:40 Casts contributing to knees becoming ‘stiff-stable’. Knees not returning to full extension (1980s) 6:00 Moving patients from plaster to one hour a day of a limited motion brace 6:50 Dr Shelbourne comments on augmented lateral procedures today. Discusses hamstring grafts and allografts in this context. His rationale for ipsilateral patellar tendon grafts. 9:40 Patellar tendon donor site problems – the role of physiotherapy in solving the problem 9:10 A comment on Dr Leo Pinzewski’s 20 year post-ACL surgery followup study. (Hamstring graft) Paper in American Journal of Sports Medicine (http://ow.ly/hcRx300Eb58). See also Professors Hutchinson and McCormack discuss that paper in BJSM (http://ow.ly/f1JM300EcQ0). They also have a new editorial on ACL outcomes online first as this podcast goes live (http://ow.ly/gqdk300Edm7). 10:50 Stiffness is not acceptable. Patients prefer a bit of instability with full range of motion than a stiff stable knee. Stiff knee is a time bomb for osteoarthritis. 12:00 Who should have an ACL reconstruction? About half of patients who have ACL injuries are not getting back to sport at the previous level. “In a way you are much better off having non-operative treatment….” 13:00 If you are wondering whether to have surgery or not after ACL injury – go for conservative management first. “Nothing to lose”. “A stiff knee is a time bomb for osteoarthritis later on.” 13:45 Osteoarthritis. Patients who don’t get all their movement back have a high risk of osteoarthritis moving forward. Many surgeons overlook the loss of motion as a risk factor. Related podcasts: Dr Mark Hutchinson on ACL reconstruction: https://soundcloud.com/bmjpodcasts/markhutchinson2?in=bmjpodcasts/sets/bjsm-1

Dr Mark Hutchinson on meniscectomy for symptoms of painful locking and clicking: https://soundcloud.com/bmjpodcasts/mark-hutchinson?in=bmjpodcasts/sets/bjsm-1

Travelling with elite teams: Top tips from Prav Mathema (Rugby Union)

Fri, 20 May 2016 12:48:00 +0100

Do you provide medical services for athletes or teams that travel nationally or internationally? Are you confident that your travel preparations cover every possible situation? Prav Mathema, the Head of Sports Medicine for the Welsh Rugby Union and physiotherapist to the British & Irish Lions Rugby Team, discusses his top tips for travelling with elite sports teams accrued from his years of experience. Your host is BJSM Senior Associate Editor Dr Liam West (@Liam_West). Related Reading: Derman, W. E. (2008). Medication use by Tea, South Africa during the XXVIIth Olympiad: A model for quantity estimation for multi-coded team events. South African Journal of Sports Medicine, 20(3), 78-84 Hadjichristodoulou, C., et al. (2005). Mass gathering preparedness: the experience of the Athens 2004 Olympic and Paralympic Games. Journal of Environmental Health, 67(9), 52-57 Herring, S. et al (2001). Sideline preparedness for the team physician: a consensus statement. Medicine & Science in Sports & Exercise, 33(5), 846-849 Herxheimer, A., & Petrie, K. J. (2002). Melatonin for the prevention and treatment of jet lag. Cochrane Database Systematic Review, 2, CD001520 Luks, A. M., et al. (2010). Wilderness, Medical Society consensus guidelines for the prevention and treatment of acute altitude sickness. Wilderness Environmental Medicine, 21, 146-155 Milne, C., & Shaw, M. (2008). Travelling to China for the Beijing 2008 Olympic Games. British Journal of Sports Medicine, 42, 321-326 Milne, C., Shaw, M. & Steinweg, J. (1999). Medical issues relating to the Sydney Olympic Games. Sports Medicine, 28, 287-298 Pipe, A. L. (2011). International travel and the elite athlete. Clinical Journal of Sports Medicine, 21, 62-66 Reilly, T. et al. (2007). Coping with jet-lag: A position statement for the European College of Sports Science. European Journal of Sport Science, 7(1), 1-7 Reilly, T., Waterhouse, J., & Edwards, B. (2005). Jet lag and air travel: Implications for performance. Clinics in Sports Medicine, 24, 367-380 Seto, C. K., Way, D., & O’Connor, N. (2005). Environmental illness in athletes. Clinical Sports Medicine, 24, 695-718 Shaw, M. T., & Leggat, P. A. (2000). Traveling to Australia for the Sydney 2000 Olympic and Paralympic Games. Journal of Travel Medicine, 7, 200-204 Shaw, M. T., Leggat, P. A., & Borwein, S. (2007). Travelling to China for the Beijing Olympic and Paralympic games. Travel Medicine and Infectious Diseases, 5, 365-373 Simon, L. M., & Rubin, A. L. (2008). Travelling with the Team. Current Sports Medicine Reports, 7, 138-143 Teichman, P. G., Donchin, Y., & Kot, R. J. (2007). International aeromedical evacuation. New England Journal of Medicine, 356, 262-270 Turbeville, S. D., Cowan, L. D., & Greenfield, R. A. (2006). Infectious disease outbreaks in competitive sports: a review of the literature. American Journal of Sports Medicine, 34, 1860-1865 Walters, A. (2000). Travel medicine advice to UK based international motor sport teams. Journal of Travel Medicine, 7, 267-274 Waterhouse, J., Reilly, T., & Atkinson, G. (1997). Jet-lag. Lancet, 350, 1611-1615 Waterhouse, J., Reilly, T., Atkinson, G., & Edwards, B. (2007). Jet lag: trends and coping strategies. Lancet, 369, 1117-1129 Young, M., Fricker, P., Maughan, R., (1998). The travelling athlete: issues relating to the Commonwealth Games, Malaysia, 1998. British Journal of Sports Medicine, 32, 77-81 BJSM App iTunes - itunes.apple.com/us/app/bjsm/id943071687?mt=8

Google Play - play.google.com/store/apps/detail…m.goodbarber.bjsm

Prof Adrian Bauman on why and how all health professionals can promote physical activity

Fri, 13 May 2016 15:14:00 +0100

Professor Adrian Bauman is as respected as it gets in the hard core epidemiology world. He advises the World Health Organisation among others and he is receiving an Honor Award at the American College of Sports Medicine meeting in Boston 2016. Here’s a link: http://ow.ly/YTDt300a6wz Focusing an all professionals within the BJSM community, he argues you can make a difference! Timeline: 1:00 m – Every health professional can make a difference to promoting physical activity 3:00 m – You don’t need to do a 16-step intervention to promote your patient’s health 5:00 m – Practical steps that every physiotherapist can do in her/his practice & consultation 7:00 m – Dealing with the main objections, no time! 9:00 m – Do something every day! 11:00 m – Sedentary behavior. In perspective Links: 7 investment document: OPEN ACCESS BJSM - http://bjsm.bmj.com/content/46/10/709.full

2012 podcast with Professor Fiona Bull on the 7 ways that physical activity can be promoted. http://ow.ly/QCgs300a80o

Dr Kieran O’Sullivan on managing back pain: 7 habits of highly effective clinicians. Part 2, 2016

Fri, 29 Apr 2016 14:22:00 +0100

Dr Kieran O’Sullivan, PT, PhD, was one of the first podcast guests to crack 9,000 listens! From the University of Limerick, Ireland, he has vast clinical experience and he completed a PhD on the role of sitting in back pain. In this 18-minute podcast he reviews his 2015 podcast in the first 3 minutes and then rattles off at least 7 practical tips. Kieran was a guest of PhysioFirst (UK) when BJSM interviewed him in April 2015. The 2017 PhysioFirst conference is on April 1-2 (2017!) in Nottingham (UK) and guest speakers include Professor Paul Hodges, Dr Tania Pizzari and Dr Igor Tak. Timeline: 1.00 m Back pain is neither explained by what patients and clinicians see on scans nor just by load 2.00 m When treating, you need to assess the various factors that could be playing a role, such as load, posture, stress, and address the right one. 4.00 m Should we try to prevent all back pain? Listen to Dr O’Sullivan challenge the belief that it’s important to never have back pain. He likens back pain to conditions like sadness, constipation – not great but not a major problem as long as it doesn’t persist. Athletes need to load their bodies and adapt rather than avoid load and become vulnerable (See Gabbett papers and podcast, below). Don’t pass on fear (of back pain coming on or persisting) to athletes. 5.00 m Screen for red flags of course, if the clinical picture warrants it – but most long-term back pain is NOT due to something listed as a red flag. 6.00 m Reassurance – being empathetic without inducing fear. 7.00 m Think through. What precipitated the pain? Too much load, too much stress, bad posture, movement patterns? If unknown, have patient create a pain diary. Look for trends. Examine all the dimensions of the biopsychosocial model. 9:00 m Don’t just make the diagnosis but be practical. Patient sad? Don’t just say ‘You are sad, your back pain will go away’. Provide specific treatment for the specific threat. 10:00 m Empower the patient to choose the exercises he or she wants and what he or she will do! Exercise has benefits across systems. 11:00 m Don’t give up. Here Kieran walks us through a challenging real life case. A simple tissue diagnosis would not have helped this person at the centre of the case 12:00 m Explain! Explain the pain! (HT to Professor Lorimer Moseley and Dr David Butler). 13:00 m The period at 4-6 weeks of pain can be difficult – patient has not adapted to the contemporary model and may still be on waiting list for imaging. 14:00 m What is the evidence for this approach? How does the evidence compare, with, for example Hamstring injuries? Links to previous podcast: 2015 – Dr O’Sullivan on “Effective treatments for back pain: Kieran O'Sullivan’s practical tips within a guiding framework” http://ow.ly/4nepGu BJSM paper: O'Sullivan K, O'Sullivan P. The ineffectiveness of paracetamol for spinal pain provides opportunities to better manage low back pain. Br J Sports Med. 2016 Feb;50(4):197-8. http://ow.ly/4neqbS (Members Only/subscribers) Manual Therapy paper:

Hurley J, …., O'Sullivan K. Effect of education on non-specific neck and low back pain: A meta-analysis of randomized controlled trials. Man Ther. 2016 Mar 10. pii: S1356-689X(16)00017-5. doi: 10.1016/j.math.2016.02.009. [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/27026111

Zurück zum Sport nach Verletzungen an der unteren Extremität. Keller Matthias

Thu, 28 Apr 2016 11:38:00 +0100

Eine Frage die Patienten, Therapeuten und Mediziner gleichermaßen beschäftigt. Keller Matthias und Ekaterina Sandakova. Ob Freizeitsportler oder Profiathlet - nach einer Verletzung stellt sich dem Sportler immer die gleiche Fragen. „Wann kann ich wieder zurück zu meinem Sport?“ Auch für Therapeuten und Mediziner ist es schwierig, diese Frage klar zu beantworten. Es zeichnet sich aber ab, dass Tests, welche komplexe Funktionen prüfen und sportartspezifische Belastungen simulieren als Entscheidungshilfe für eine sichere Rückkehr zum Sport dienen. Neben den spezifischen Anforderungen einer Sportart spielt auch das angestrebte Leistungsniveau des Sportlers eine entscheidende Rolle. Die von der Arbeitsgruppe um Matthias Keller beschreibt einen Return to Activity Algorithmus, der eine Rehabilitation messbar und objektivierbar gestalten lässt. Andere BJSM podcasts in Deutsch: 1) Wie können Verletzungen beim Skifahren möglichst vermieden werden? http://ow.ly/4mYqVI 2) Muskelverletzungen im Sport – Interview mit Priv.-Doz. Dr. Peter Ueblacker http://ow.ly/4mYr61

3) Einführung in die Bewegungsmedizin : “Bewegung bringt Heilung” mit Dr Boris Gojanovic http://ow.ly/4mYs2Y

Putting load management evidence into practice: Sometimes you can’t! Dr Darren Burgess

Fri, 22 Apr 2016 15:04:00 +0100

The BJSM community wants practical tips and this podcast earns 10/10 for that feature. The guest, @DarrenBurgess25 is an international leader in working in sports medicine/sports science at the highest level. BJSM Associate Editor Paul Visentini (@PaulVisentini) asks great questions. 1. How do you bring the evidence into your practical job at High Performance Manager at Port Adelaide Football Club (Australian Rules Football) (1 minute in) 2. The art from a master. What are the clinical features you use to determine what the players need? (4 minutes in) 3. How do you reconcile individual differences when you are working with a team? (7 minutes in) 4. Usain Bolt, Luis Suarez – they don’t follow the textbook. What are the minimum requirements for strength? (9 minutes in) 5. Capacity in tissue – and for a whole player. How much can we alter/improve capacity? (See also Jill Cook’s podcast on this and paper, link below) 6. What other features – beyond GPS and data – What do you look for in player welfare? (14 minutes in) Personal note here from Karim Khan: What a great insight into top level sport!! I loved this podcast – the honesty, the specific points. Darren is a master of ‘the sticky message’. Has he read ‘Made to Stick’ or is he just a natural? Wow!! I feel privileged to be part of the BJSM community to learn like this. Next week. Dr Kieran O’Sullivan (Ireland, @KieranOSull) and a German-language podcast where Aspetar’s Ekaterina Sandakova asks the questions of Keller Mattias. #InternationalCommunity Links: 1. Very closely related podcast on load: Dream Team @TimGabbett and colleagues discuss how to manage load to improve performance and minimize injury risk http://ow.ly/4mYQmZ 2. Hear more from Darren Burgess here: Who should lead the sports medicine / high performance team? http://ow.ly/4mYRtm 3. The core concept of ‘tissue capacity’. @ProfJillCook and @SIDocking are the authors and here’s the link: http://ow.ly/4mYUMI

4. One cannot leave a load management chat without making sure you know about Tim Gabbett’s early contender for paper of the year. Open access: The training-injury prevention paradox: should athletes be training smarter and harder? http://ow.ly/4mYSkj

Criteria-based return to play. Psychological readiness. How? Whose call? Dr Clare Ardern explains

Thu, 14 Apr 2016 14:52:00 +0100

A recent keynote speaker at the Return to Play conference in Bern, the Arsenal FC Sport and Exercise Medicine Conference and the Isokinetic Football Medicine Strategies Return to Play conference in London, Clare Ardern is an emerging voice in sports medicine research. She currently occupies a postdoctoral position in the research department at Aspetar Sports Medicine Hospital, after doing the bulk of her research at La Trobe University in Melbourne, Australia. Her work focuses on the factors influencing return to play, particularly psychological readiness after ACL injury, as well as shared decision making and evidence based medicine. Follow Clare on Twitter @clare_ardern Timeline: 1:35 When can Sarah play again? Should she be playing again? 2:30 Need criteria-based progession through the rehab process , so that the focus shifts from “when” I can play again to “what” I need to achieve for successful return to play. 3:00 Education is key – both the patient and the coach. Motivation is important and can be positive or negative. Young athletes even more important 4:40 Are we moving back to biopsychosocial models, or have we moved on? 5:30 Understand the inherent risks that Sarah is facing, and make sure she understands them! 6:20 Psychological readiness for return to play – the ACL-Return to Sport after Injury (ACL-RSI) scale developed by Dr. Kate Webster and Dr. Julian Feller . It considers: confidence, risk appraisal and the athletes emotions. 12 questions completed in a few minutes. Also available as an Iphone app. It’s sport specific AND IT’S FREE!! 7:45 We should be thinking different for all time-loss injuries. 8:15 Criteria-based rehabilitation – but beware – early return to sport for young athletes increase the risk of re-injury. 9:00 We need to become more systematic to address the psychological/emotional aspects of return to play during our clinical management of these athletes. 12:00 Should we get “informed consent” from the athlete before return to play? 12:50 SUMMARY – When can I play again? 1.Reshape the question – Will I play again? Not all athletes get back, and that doesn’t mean fail. What is the right thing for Sarah? 2.Consider the psychological aspect more systematically! CONSENSUS PAPER on return to sport coming soon! Check out some recent papers from Dr. Ardern: Br J Sports Med 2014;48:1613-1619 doi:10.1136/bjsports-2014-093842The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction http://bjsm.bmj.com/content/48/22/1613.full Br J Sports Med 2014;48:1543-1552 doi:10.1136/bjsports-2013-093398 Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors http://bjsm.bmj.com/content/48/21/1543.full Br J Sports Med 2016;50:506-508 doi:10.1136/bjsports-2015-095475 It is time for consensus on return to play after injury: five key questions http://bjsm.bmj.com/content/50/9/506.full Further listening:

Podcast from Adam Gledhill which discusses a case study of ACL return to play considerations and different examples of strategies used to aid return to play experiences - https://soundcloud.com/bmjpodcasts/i-cant-return-to-play-when-fear-of-reinjury-dominates-after-acl-reconstruction-adam-gledhill

3 take-home messages for physiotherapists from WCPT President Emma Stokes: Part 3 of 3

Fri, 08 Apr 2016 12:35:00 +0100

Dr Emma K Stokes is the President of the World Confederation of Physical Therapy. The first two parts of her discussion with the BJSM community has already had >9,000 listeners in just two months. In this part she previews the excitement of the IFOMPT Conference (Glasgow, July 2016), opportunities for sports physiotherapist to develop their careers. @EKStokes closes with 3 take-home messages including one slightly quirky one. Thanks to James Walsh (@SportsOsteopath) BJSM podcast podcast associate editor. Links: First of 3 podcasts on BJSM: Physiotherapists in Leadership: https://soundcloud.com/bmjpodcasts/the-face-of-wcpt-dr-emma-k-stokes-unplugged-life-lessons-leadership-physiotherapy-success?in=bmjpodcasts/sets/bjsm-1#t=0:00 2nd of 3 podcasts: Direct Access, social media & more. https://soundcloud.com/bmjpodcasts/the-face-of-wcpt-dr-emma-k-stokes-unplugged-part-2?in=bmjpodcasts/sets/bjsm-1 Profile of President Stokes in the Independent of Ireland: http://www.independent.ie/life/health-wellbeing/health-features/world-leader-dr-emma-stokes-31375045.html Emma’s podcast for the MACP (45 minutes): https://soundcloud.com/macp-3/macp-emma-stokes-podcast Interviewed by social media leader for MACP: Gerard Greene (@gerardgreenephy) .

Engage with WCPT here: http://www.wcpt.org/news/WCPT-look-forward

Dr Cristiano Eirale sul congresso mondiale di pubalgia nello sportivo e sul Doha consensus meeting

Fri, 08 Apr 2016 09:24:00 +0100

Il dottor Cristiano Eirale è un medico dello sport che lavora ad Aspetar, Qatar Orthopedic and Sport Medicine Center di Doha. In questo podcast interamente in italiano, discute con un misterioso intervistatore, la cui identità verrà rivelata alla fine del podcast stesso, sul congresso mondiale di pubalgia nello sportivo tenutosi nel novembre 2014 e sul Doha consensus sulla terminologia e sulle definizioni nella pubalgia dello sportivo. Links: Entire BJSM Theme Issue: http://bjsm.bmj.com/content/49/12

Groin Consensus Meeting Paper: http://bjsm.bmj.com/content/49/12/768.full

Dream Team of training load management: How training influences injury and performance

Fri, 01 Apr 2016 14:20:00 +0100

The BJSM community is well aware of the interest in the role of training load on injury. Dr Dr Tim Gabbett, Dr Alex Kountouris and Dr to be Michael Drew share insights into the principles that underpin successful player management. They give specific examples from football codes and cricket at the elite level. They also discuss what clinicians who do not have access to the full raft of data-gathering technology can do to advise players how to monitor load. We thank Sports Physiotherapist Paul Visentini (who invented the VISA score for tendinopathy) for producing the very successful event and for sharing two podcasts with us. (The second will be posted here within a month). (Twitter = @PaulVisentini and @PhysioSports429) The guests: Dr Tim Gabbett, Applied Sports Scientist who consults to elite teams the world over. He is one of only 5 invited Keynote Speakers at the IOC World Congress in Monaco 2017 #IOCPrev2017 @TimGabbett Dr Alex Kountouris, Sports Science and Sports Medicine Director Cricket Australia @Alex_Kountouris Mr Michael Drew Senior Sports Physiotherapist at the Australian Institute of Sport. @_MickDrew Links to related podcasts: Dr Tim Gabbett on how physiotherapists can work well alongside strength & conditioning coaches to prevent injuries and improve performance: http://ow.ly/10aOq2 Dr Alex Kountouris on how to prevent back pain in cricket: http://ow.ly/10aOHX Link to papers on load monitoring: Training – injury prevention paradox. Should athletes be training smarter AND harder (Gabbett) http://bjsm.bmj.com/content/early/2016/01/12/bjsports-2015-095788 Cricket fast bowling workload patterns as risk factors for tendon, muscle, bone and joint injuries. John W Orchard, Peter Blanch2, …, , Alex Kountouris et al, http://bjsm.bmj.com/content/early/2015/03/09/bjsports-2014-093683

And the home page with lots of good background for the conference (March 2016): http://physiosports.com.au/mastering-load-symposium-2016/

Can my athlete handle more training? High tech and low tech instruments: Dr Anna Saw

Fri, 18 Mar 2016 14:41:00 +0000

Dr Anna Saw is in the Faculty of Health in the School of Exercise & Nut. Sci.at Deakin University’s Burwood Campus. Further reading: Monitoring the athlete training response: subjective self-reported measures trump commonly used objective measures: a systematic review - http://ow.ly/ZEkmA

Wie können Verletzungen beim Skifahren möglichst vermieden werden?

Fri, 11 Mar 2016 12:07:00 +0000

Interview mit Ass.-Prof. Dr. Gerhard Ruedl (Innsbruck) Das Skifahren ist eine beliebte Freizeitsportart bei Groß und Klein, Alt und Jung, Anfänger und Könner und zieht jedes Jahr Millionen von Wintersportlern in die Berge auf die Skipisten. Doch wie groß ist das Verletzungsrisiko auf der Piste? Was sind die häufigsten Verletzungsursachen? Assistenz-Professor Dr. Gerhard Ruedl erörtert diese Fragen und mehr im Gespräch mit Dr. Markus Laupheimer (Associate Editor BJSM). Gerhard ist Experte für Unfallursachen und Verletzungsrisiko beim Alpinen Skifahren, welches er mit seinen Kollegen an der Universität Innsbruck beforscht. Gerhard erläutert uns auch seine neulich im BJSM veröffentlichte Studie, wodurch möglicherweise die große Zahl an Knieverletzungen bei Frauen reduziert werden könnte. Auch werden mögliche Präventivmaßnahmen besprochen, welche uns und unseren Patienten helfen sollen verletzungsfrei durch die Skisaison zu kommen. Dabei sollten wir nicht vergessen “Bewegung bringt Heilung” (https://soundcloud.com/bmjpodcasts/einfuhrung-in-die-bewegungsmedizin-bewegung-bringt-heilung-mit-dr-boris-gojanovic?in=bmjpodcasts/sets/bjsm-1) Euch einen aktiven und bewegungsreichen Tag! Nun viel Spaß mit diesem Ski Podcast des BJSM. Und vergesst nicht uns auf Twitter @BJSM_BMJ, Facebook oder google+ zu folgen. Da gibt es regelmäßig neue updates. Für feedback oder Anregungen für neue Podcasts schreibt mir einfach eine mail markus@swisssportscare.com Links: Skibindung und Knieverletzung Paper 2016: http://bjsm.bmj.com/content/50/1/37.abstract?sid=d457e29b-45f1-4b81-a09b-cfc04d4ae602 Ski Helm Editorial:

http://bjsm.bmj.com/content/46/16/1091.extract?sid=d457e29b-45f1-4b81-a09b-cfc04d4ae602

“I can’t return to play” – When fear of reinjury dominates after ACL reconstruction: Adam Gledhill

Fri, 04 Mar 2016 11:10:00 +0000

Adam Gledhill (http://www.leedsbeckett.ac.uk/staff/adam-gledhill/) is a Senior Lecturer in Sport and Exercise Therapy at Leeds Beckett University. He has a terrific amount of experience in sport psychology in football at the elite level, particularly among top female football players. Adam (@Gleds13) shares the case of Joanna (pseudonym) who has returned from ACL injury but is losing confidence ahead of a major game. We learn which specific tools can be used to address psychological readiness and how this worked out in real life. We wish Adam the best as he completes his PhD focusing on psychosocial factors associated with talent development in female soccer. Additional resources: Read the systematic review: Psychosocial factors associated with outcomes of sports injury rehabilitation in competitive athletes: a mixed studies systematic review. Dale Forsdyke, Andy Smith, Michelle Jones, Adam Gledhill http://bjsm.bmj.com/content/early/2016/02/17/bjsports-2015-094850.abstract Links for sports psychology tools mentioned in the podcast: Evans et al (2008) The development of a measure of psychological responses to injury (paper looking at the development of the psychological responses to sports injury inventory) http://www.ncbi.nlm.nih.gov/pubmed/18270384 Glazer (2009) Development and Preliminary Validation of the Injury-Psychological Readiness to Return to Sport (I-PRRS) Scale http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657021/ Smith et al (1990) The psychological effects of sports injuries: Coping (paper for the Emotional Responses of Athletes to Injury Questionnaire)http://link.springer.com/article/10.2165/00007256-199009060-00004 Walker et al. (2010) A preliminary development of the Re-Injury Anxiety Inventory (RIAI). http://www.ncbi.nlm.nih.gov/pubmed/20129120 Another paper that Adam didn't use with this particular client but that he also recommends is: Taylor and May (1996) Threat and coping appraisal as determinants of compliance with sports injury rehabilitation: an application of Protection Motivation Theory (paper for the development of the sports injury rehabilitation beliefs survey) http://www.ncbi.nlm.nih.gov/pubmed/8981286 Further listening:

Also check this podcast by Dr Clare Ardern which discusses criteria-based return to play decisions in the case of "Sarah". This complements much of the work conducted with "Joanna" in this podcast. Great food for thought for practical return to play decision-making - https://soundcloud.com/bmjpodcasts/return-to-play

The face of WCPT: Dr Emma K Stokes unplugged (part 2): direct access, best practice, social media

Fri, 19 Feb 2016 14:50:00 +0000

Dr Emma K Stokes (@ekstokes) is the President of the World Confederation of Physical Therapy. This is the second of three podcasts.

Karim and Emma continue their discussion and touch on direct access to physiotherapy around the world, the changing role of the physiotherapist in the multi-disciplinary team, and best practice for dealing with social media as a professional.

Muskelverletzungen im Sport – Interview mit Priv.-Doz. Dr. Peter Ueblacker

Mon, 15 Feb 2016 15:07:00 +0000

Wie die Muenchener Klassifikation helfen kann, Athleten mit Muskelverletzungen besser zu behandeln Peter Ueblacker ist ein international renommierter Orthopäde und Sportmediziner, der als einer der Mannschaftsärzte in den Jahren 2009 bis 2015 eine lange und erfolgreiche Karriere beim FC Bayern München hatte . Er arbeitet in eigener Praxis mit Hans-Wilhelm Müller-Wohlfahrt (http://ow.ly/U2mch ). BJSM Redakteur Dr Markus Laupheimer stellt die Fragen in deutscher Sprache. Inhalt (Zeit) 1: 00min - Warum Muskelverletzungen klassifizieren? 3: 00min - Einschränkungen der früheren Klassifikationsverfahren und Notwendigkeit einer neuen Klassifikation - die Entstehungsgeschichte des Münchener Muskelklassifizierungssystems. Hier ist der Link zur Open-Access-Publikation in BJSM (> 55.000 views) http://ow.ly/U2pMG 4: 18min - Was sind die Vorteile für die medizinische Abteilung eines Fussballklubs (Physiotherapeuten, Arzte & Fitnesscoach), die die Münchener Klassifizierungssystem verwenden? Definition und Differenzierung von "direkten" und "indirekten" Muskelverletzungen. 5: 00min - Die Herausforderung der "funktionellen" (nicht-strukturellen) Muskelverletzungen. Keine Pathologie im MRT erkennbar - und doch von hoher Relevanz für Fußballmannschaften, weil diese Verletzungen häufig sind und Spieler nicht spielen können – „time-loss“-Verletzungen. 6: 00min - Verschiedene Typen von Muskelverletzungen ziehen unterschiedliche Fehlzeiten im Sport nach sich. Ist das eine 2-Wochen-oder 6-Wochen-Verletzung? 6: 40min - Der Versuch, die Prognose vorherzusagen - ist das möglich? Was können wir dem Trainer sagen? Hier finden Sie eine Gegenargument http://ow.ly/U2qFJ 7: 10min – Komm auf den Punkt! Strukturelle Muskelverletzungen. Intramuskuläre Sehnenverletzungen sind häufig und relevant (siehe Peter Brukner Papier: http://ow.ly/U2rBc) 8: 15min - Welchen Einfluß die Wirbelsäule auf Muskelverletzungen hat. 10: 00m - Ein praktischer Spaziergang durch das Management der ischiokruralen Muskelverletztungen („hamstrings“). Weiterführende Links: http://ow.ly/U2mUG - Podcast mit Professor Gino Kerkhoffs berücksichtigt auch das Münchener Konsenspapier. Ergänzt den vorliegenden Podcast in seinem größeren Fokus auf die Konsensprozesse und diskutiert die Wertigkeit des MRTs- bei Muskelverletzungen (auf englischer Sprache). http://ow.ly/U2o0Q - Podcast mit Professor Jan Ekstrand Schwerpunkt auf Muskelfaserriss

Sie können ohne weiteres zugreifen auf BJSM Podcasts über unser Mobile App (BJSM). Neueste Sportmedizin Updates via Twitter (BJSM_BMJ) und auf der Google+ Community http://ow.ly/U2sNs, wo Sie aufgefordert, Inhalte zu veröffentlichen

Leading sports psychiatrist, Prof Steve Peters, shares secrets of working with the very best

Fri, 05 Feb 2016 16:09:00 +0000

Are you or your athletes in control of your ‘chimp’ (emotional, reactive part of your mind) at all times? We hear from Professor Steve Peters -- the brains behind ‘The Chimp Paradox’ and the much-heralded psychiatrist who has worked with the likes of Team Sky Cycling, Liverpool Football Club and the FA to improve athlete performance. Prof Peters explains the rationale for the seemingly simplistic model and shared example of how it can be applied in various sport settings. “The Chimp Paradox” has been among the most popular self-development books in recent years and it will of interest to many BJSM listeners from both a personal and professional standpoint. http://amzn.to/1TNV3Xy If you want to see Prof Peters speak – sign up for the BASEM Spring Conference (Friday April 8th) here! http://bit.ly/1TNV0en Timeline 1:10m: What is the chimp model? 4:15m: How does the ‘chimp’ model work in sport? 5:30m: Is it always an overactive chimp that holds athletes back? 7:45m: What works best with athletes? 9:30m: What can we do about unhelpful behavioural traits? 11:45m: What pitfalls can we avoid when dealing with young elite athletes? 13:30m: How can you talk to athletes about psychological performance? 16:55m: Does the chimp model work when split-second sporting decisions are needed? 18:30m: Mental Health in Sport 21:15m: Any tips for those wanting to work in sport? BJSM Links: 2016’s issue 3 of BJSM was devoted to mental health in sport. Table of contents link: http://bjsm.bmj.com/content/50/3.toc An editorial on the issue of mental health and ‘mental toughness’ : Dr James Bauman: The stigma of mental health in athletes: are mental toughness and mental health seen as contradictory in elite sport? http://bjsm.bmj.com/content/50/3/135.extract

The face of WCPT: Dr Emma K Stokes unplugged. Life lessons, leadership, physiotherapy success

Fri, 29 Jan 2016 14:43:00 +0000

Dr Emma K Stokes (@ekstokes) is the President of the World Confederation of Physical Therapy. This is the first of 3 podcasts Timeline: 1:00m - A fascinating career journey – from student at Trinity College Dublin to President of the World Confederation. 4:00m - “You have to be yourself but you have to understand yourself. Leadership is about bringing people on a journey. Make sure you understand how other people see, or feel about, that journey” 5:00m - The organisation you work in plays a big role too but you can make a difference from wherever you are. Students and early career physiotherapists are as important as the person on the top of the hierarchy 6:30m - The only constant is change (Emma’s nod to David Bowie but this was recorded before he died). Having a framework for adapting to change 7:50m - Practice change – applying the lessons to a typical health professional practice 10:00m - The role of the IFSPT – International Federation of Sports Physical Therapists – as leaders, advocates. A huge opportunity for leadership. Education, competency definition, congress organisation 12:00m - Physios as entrepreneurs. Social entrepreneurship – physiotherapists’ opportunities to contribute to society 13:30m - Emma’s experience on what makes a successful physiotherapy practice 15:00m - End of Part 1 – part two is scheduled for February 12th, 2016 Thanks to James Walsh (@SportsOsteopath) BJSM podcast podcast associate editor. Links: Drew Dudley "Leading with Lollipops" YouTube Video – helping people become better versions of themselves: https://www.youtube.com/watch?v=hVCBrkrFrBE Profile of President Stokes in the Independent of Ireland: http://www.independent.ie/life/health-wellbeing/health-features/world-leader-dr-emma-stokes-31375045.html Emma’s podcast for the MACP (45 minutes): https://soundcloud.com/macp-3/macp-emma-stokes-podcast Interviewed by social media leader for MACP – Gerard Greene (@gerardgreenephy)

Engage with WCPT here: http://www.wcpt.org/news/WCPT-look-forward

Sports Medcast from the AMSSM: A deeper dive into the female athlete triad. Drs Joy and Nattiv

Fri, 22 Jan 2016 15:42:00 +0000

The American Medical Society for Sports Medicine (AMSSM) is the world’s largest primary care sports medicine organisation and one of BJSM’s 23 member societies. It provides authoritative education for the public as well as for athletes and health professionals. BJSM is proud to host AMSSM experts discussing the potentially life-threatening condition that is widely known as ‘The Female Athlete Triad’. Dr Elizabeth Joy (Salt Lake City) and Dr Aurelia Nattiv (UCLA, Los Angeles) are both researchers and clinicians in this field so they provide a great overview as well as practical tips for athletes, parents and health professionals in this 20-minute podcast. (AMSSM’s guest host is Dr Britt Marcussen, U of Iowa). They are two of the lead authors on the 2014 International Consensus Statement on this topic: Br J Sports Med. 2014 Feb;48(4):289. doi: 10.1136/bjsports-2013-093218. http://bjsm.bmj.com/content/48/4/289.long Timeline: 2:00m - What is the ‘Female Athlete Triad’? 4:30m - What type of athletes are at risk? What should I look for? 6:15m - Energy availability, eating disorders, disordered eating. The role of anorexia nervosa, bulimia. Is this an essential element? 8:30m - Practical tips for parents. What to watch out for? 14:20m - If a parent is concerned what is the next step? 16:00m - What is the role of sport restriction in treating this condition? 21:00m - Take home messages: early recognition is key; seek help. An experienced multidisciplinary team (psychologists, nutritionist, sports physician) is key. Links: The definitive ‘Female Athlete Triad’ consensus statement in the BJSM: http://bjsm.bmj.com/content/48/4/289.long A complementary perspective on the issue – the IOC’s consensus statement: http://bjsm.bmj.com/content/48/7/491.long A 2015 podcast by the IOC’s Dr Margo Mountjoy – on the IOC’s perspective: http://ow.ly/XpkYO AMSSM e-learning elements: Podcasts and more! https://www.amssm.org/E-Learning.php

Were the US and UK dietary guidelines wrong? Zoe Harcombe on what has driven diet for 30 years

Fri, 15 Jan 2016 16:44:00 +0000

In this 9-minute podcast Zoe Harcombe asks whether dietary guidelines were based on evidence or whether there were other drivers. She summarises what was in the literature at the time the 1977 (US) and 1983 (UK) guidelines were created. Importantly, she highlights that food choices have major implications on the planet. The podcast was recorded in February 2015 – she was a keynote speaker at the Old Mutual 1st International Low Carb High Fat Health Summit 2015 hosted by Prof Tim Noakes & Karen Thomson (Cape Town). https://www.facebook.com/events/880528391966336/ There are plans for a future summit in London in 2016. BJSM senior associate editor Liam West (@Liam_West) led the BJSM team who attended the meeting – including Johann Windt and Ania Tarazi. BJSM has spaced out the recordings from that summit over 12 months and this is the last on the series from that event. Related podcasts were with Dr Stephen Phinney http://ow.ly/X70OP, Dr Jason Fung (http://ow.ly/X70AJ), Dr Aseem Malhotra http://ow.ly/X712D and Professor Timothy Noakes (http://ow.ly/X71rX). All have proven very popular. Timeline: 0m 30s: Why Zoe Harcombe (@ZoeHarcombe) challenges current dietary guidelines 3m 00s: What are the sensible food choices (according to the guest, of course)? 4m 40s: Challenges to supplying calorie-dense low carb foods for the world’s population: “I don’t know if we can feed 7-11 million people on animal based food, I don’t know if we can’t”. Grain requires topsoil and “we are raping the land of nutrients, topsoil, potentially destroying the planet’s ability to house any food”. 5m 50s: Time to revisit the guidelines? 7m 00s: Training doctors – what training do doctors get? (Link to the exercise prescription training module, a template, here: http://bjsm.bmj.com/content/49/4/207.extract Call to action for all health professionals to look at the evidence in an open-minded way. It may need a ‘bottom up’ approach – patients and the public – to draw attention to these issues. Links: The key paper for this podcast: Evidence from randomised controlled trials did not support the introduction of dietary fat guidelines in 1977 and 1983: a systematic review and meta-analysis http://openheart.bmj.com/content/2/1/e000196 An editorial in the same issue of OpenHeart: http://openheart.bmj.com/content/2/1/e000229.extract (11,000 views as of January 2016) Papers: Challenging beliefs in sports nutrition: are two 'core principles' proving to be myths ripe for busting? Peter Brukner (@PeterBrukner) http://www.ncbi.nlm.nih.gov/pubmed/23603852 Br J Sports Med. 2013 Jul;47(11):663-4. doi: 10.1136/bjsports-2013-092440. Epub 2013 Apr 20. It is time to bust the myth of physical inactivity and obesity: you cannot outrun a bad diet Malhotra A, Noakes T, Phinney S. Br J Sports Med. 2015 Aug;49(15):967-8. doi: 10.1136/bjsports-2015-094911. Epub 2015 Apr 22. http://www.ncbi.nlm.nih.gov/pubmed/25904145

Spotlight: American Medical Society for Sports Medicine (AMSSM): Associate Professor Irfan Asif

Fri, 15 Jan 2016 15:31:00 +0000

Associate Professor Irfan Asif is Vice Chair of Academics and Research at the Greenville Health System and University of South Carolina. This podcast is unashamedly focused on the American Medical Society which we believe is the world’s largest member organisation for primary care sports medicine. For those of you wondering why it needed to be a ‘medical society for sports medicine’ (tautology?/redundancy?) the answer is that sports medicine is a broad field with many disciplines involved, so one could have an ‘orthopedic’ society for sports medicine, for example, or a ‘sports therapists’ society for sports medicine. Timeline: 1m 40s: What is AMSSM? What benefits does it provide primary care sports medicine physicians? 1m 20s: AMSSM President John Devine was at the White House for a national ‘bystanders’ conference – what can the public do to save lives? An initiative to ‘Stop the Bleed’. 1m 50s: Outline of the AMSSM Donjoy travelling fellowships in Australia (2014) and South Africa (2015) as well as the ECOSEP, Spain – providing international leadership. (Editors’ note, these are all BJSM member societies). 3m 20s: Junior NBA programme – NBA players (junior.nba.co) Sports Medicine Today – tips and fact sheets about different injuries for athletes, coaches, parents etc 4m 10s: Collaborative Solutions for Safety in Sport (CSSS): March 2015 meeting at the NFL headquarters (partnership with NATA). Emergency action plans – including Drs Jon Drezner, Kevin Guskiewicz and Doug Casa. Focused on factors such as personnel management, AEDs and prevention of heat stroke. Another example of AMSSM partnering to make changes across the US 5m 15s: Position statements that @theAMSSM is leading (completed and in the pipeline) Viscosupplementation (5:30) – Pros and cons of using Viscosupplementation in osteoarthritis (http://www.ncbi.nlm.nih.gov/pubmed/26729890) Mental Health – Under-recognised ‘silent injury’ – pressures of being an athlete per se Diagnostic ultrasound – building on previous work such as features in BJSM in 2015 (http://bjsm.bmj.com/content/49/3/145.1.long) Cardiovascular issues including ECG interpretation and pre-participation screening (coming out in 2016, ‘next year’ in the podcast because we recorded late in 2015) 6m 30s: Come to the Annual Meeting in Dallas, Texas, April 15-20 - http://ow.ly/X6yKo Hot topics and speakers include: Tendons (Hakan Alfredson), Running Medicine (Blaise Williams – ACSM exchange lecture), Medical issues (e.g. cardiovascular, respiratory) in sports including NBA protocols, pearls for event coverage, low back pain management advances, stress fracture prevention and Rx, emerging technologies in sports medicine. 7m 30s: Opportunities to serve AMSSM on exciting committees (not an oxymoron!) Links: AMSSM conference registration (and programme) http://ow.ly/X6AIx Hakan Alfredson’s classic (code for 2 years old now) BJSM tendon podcast http://ow.ly/X6AWA AMSSM Sports Medcast on injections with guest Matt Gammons (VP, AMSSM) http://ow.ly/X6BkZ

Dr Irfan Asif’s recent podcast on HOW to promote lifestyle medicine (‘Exercise is Medicine’) http://ow.ly/X6Bww

Knowledge translation in sports physiotherapy: moving research into practical use

Fri, 08 Jan 2016 13:54:00 +0000

Physiotherapist Dr Michael Skovdal Rathleff from the Research Unit for General Practice in Aalborg chats with Dr Dylan Morrissey from Queen Mary University of London and Barts Health NHS trust and Dr. Christian Barton from the new sport and exercise medicine research centre at Latrobe University in Australia. Both Dylan and Christian are clinically active physiotherapists working on moving research from journal papers into the hands of people who can put it to practical use. They discuss the challenges of clinicians being aware of the latest research and the researchers asking relevant questions. They propose to marry quantitative (eg. Systematic review) and qualitative (interviews, patient experience, clinician experience) approaches and they share examples of having already done this. Drs Rathleff, Morrissey & Barton will run a session on this topic at the Danish Sports Medicine and Physiotherapy Conference in Kolding, Denmark on 4-6th February. www.sportskongres.dk They’ll also speak on other topics (including running injuries) in an excellent programme packed with starts. Each speaker has many great papers and you can find two of those discussed in the podcast at these links: The 'Best Practice Guide to Conservative Management of Patellofemoral Pain': incorporating level 1 evidence with expert clinical reasoning. Barton CJ, Lack S, Hemmings S, Tufail S, Morrissey D. http://bjsm.bmj.com/content/49/14/923.full Conservative management of midportion Achilles tendinopathy: a mixed methods study, integrating systematic review and clinical reasoning Rowe V, Hemmings S, Barton C, Malliaras P, Maffulli N, Morrissey D

http://www.ncbi.nlm.nih.gov/pubmed/23006143

Managing muscle injuries better: Tips from Dr Noel Pollock (British Athletics)

Fri, 18 Dec 2015 14:15:00 +0000

All clinicians aim to classify muscle injury classifications to guide treatment and predict return – it’s a hot topic. The British Athletics Muscle Injury Classification is one helpful classification system and Dr Noel Pollock explains to Dr Markus Laupheimer (BJSM) how and why the Classification developed, as well as why the (older) Munich classification was not ideal. Listen for tips on how this classification adds something special and is of practical value for treating your athletes with muscle injuries. Timeline: 01:01m – Why a new muscle injury classification? 03:50m – Limitations of the Munich consensus Open access Munich Paper: http://bjsm.bmj.com/content/47/6/342.full.pdf+html 05:18m – British Athletics classification explained Open access British athletics paper: http://bjsm.bmj.com/content/48/18/1347.full 09:15m – Clinical application, follow up papers 12:00m – Discussion: MRI or not? http://bjsm.bmj.com/content/49/24/1579.full 14:05m – Future Development of muscle injury classification Links: British athletics muscle injury classification: a new grading system http://bjsm.bmj.com/content/48/18/1347.long (Open Access) Time to return to full training is delayed and recurrence rate is higher in intratendinous (‘c’) acute hamstring injury in elite track and field athletes: clinical application of the British Athletics Muscle Injury Classification http://bmj.co/1lWvDdy Previous podcast: The Munich muscle classification: Using it for more accurate diagnosis and treatment https://soundcloud.com/bmjpodcasts/the-munich-muscle-classification-using-it-for-more-accurate-diagnosis-and-treatment?in=bmjpodcasts/sets/bjsm-1 Range of BJSM podcast: http://bjsm.bmj.com/site/podcasts/

You can readily access BJSM podcasts via our Mobile App (BJSM). Latest sports medicine updates are posted via Twitter (@BJSM_BMJ)

AMSSM Sports Medcast - The Evidence Behind Injection Therapy in Sports Medicine

Thu, 10 Dec 2015 11:47:00 +0000

AMSSM has a series of podcasts (https://www.amssm.org/E-Learning.php) and here experts highlight the management of shoulder, elbow and knee pain with a focus on the declining role of corticosteroid injections. The sports physicians discuss other injection treatment options – PRP, prolotherapy and viscosupplementation where relevant. Keep the AMSSM’s 2016 Annual Meeting in mind – Registration opens on January 8th. It will be in Dallas, Texas, April 15-20, 2016. And the special AMSSM issue of BJSM appears online first on January 18th, 2016.(Mental health theme). The experienced and popular hosts are Dr Blair Becker and Dr Scott Young, with special guest AMSSM Vice-President, Dr Matt Gammons. Timeline: 2:00 m Shoulder pain and subacromial corticosteroid injection – what is the level 1 evidence? 4:05 m What about corticosteroid for frozen shoulder? Does distention add benefits? 5:30 m Dr Gammons in his experience with adhesive capsulitis and shared decision making. 6:30 m The severity of symptoms may influence the decision. What would make it worth it for the patient to have an injection? 7:30 m PRP – platelet rich plasma. Again, as usually the case with PRP, no therapeutic benefit. What about prolotherapy? 8:30 m The AMSSM position statement on ultrasound guidance for shoulder injection. 12:30 m The elbow – an area where corticosteroids are becoming less popular. 15:30 m Is there support for long-term benefit of PRP? Nothing in the short term but a benefit at 2 years? 16:00 m Dr Gammons provides an overview. “Tools to add to the toolbox”, “Reasonable discussions to have with the patient”. Remember that the natural history is toward resolution. 17:00 m Shared decision making is key 17:30 m Moving on to the knee. Osteoarthritis and corticosteroid – short term benefit. Dealing with the acute flare-up. 18:40 m Viscosupplementation. See also the AMSSM scientific statement – (http://ow.ly/VKUxC ) and its recommendation for use in patients aged >60 years with grade 2 or 3 Kellgren-Lawrence. 20:00 m Dextrose prolotherapy for knee osteoarthritis (University of Wisconsin). 21:00 m Intra-articular PRP for knee osteoarthritis 23:30 m Other targets around the knee. Iliotibial band, pes anserinus as well as the patellar tendon. 25:30 m Summary of clinical practice – putting it all into perspective. Other links Clinical Journal of Sport Medicine blog and link to AMSSM Viscosupplementation position statement http://ow.ly/VKUxC

Evidence against elbow PRP via Dr Robert-Jan de Vos: http://bjsm.bmj.com/content/48/12/952.long

How to promote Lifestyle Medicine in the Clinic, Curriculum, Community: Assoc Prof Irfan Asif

Fri, 04 Dec 2015 14:11:00 +0000

The American Medical Society for Sports Medicine (AMSSM) is strongly committed to embedding Exercise is Medicine in the health of Americans. A member of the AMSSM’s leadership group is Associate Professor Irfan Asif, the Director of the Sports Medicine Fellowship within the Department of Family Medicine at the University of South Carolina Greenville. Our chat focuses on the practical aspects of Lifestyle Medicine – which is more than exercise medicine alone. You’ll hear about: (i) the patient’s journey through a 6-week clinical service, (ii) exercise being embedded in all 4 years of the medical curriculum, (iii) how medical students are engaging with high school students in very practical ways and with some surprising outcomes. We discuss the challenges of rolling out a lifestyle medicine programme in rural areas with minimal resources and the devil’s advocate asks the hard question: ‘Are doctors really the right persons in health care teams to prescribe exercise?’. Timeline: 00:47m - What is the Lifestyle Medicine clinic? Who is involved, what are the goals? 02:00m - The diet part – modifying the DASH diet with a Southern Flavour (Dietary Approaches to Stop Hypertension (http://ow.ly/VtPSR)) 04:00m - An example: walking through the patient’s journey – such as a patient with COPD. The role of partners such at the YMCA 05:30m - What the patient finds important – health or weight loss? 06:00m - How the curriculum embraces Lifestyle Medicine. See the link to Dr Jennifer Trilk’s work below (BJSM paper) 08:00m - Practical experiences of medical students within their communities. From given practical cooking advice to engaging high school students who are at risk of gang-related behaviour. Leadership concepts and team dynamic training – beyond the traditional medical model 10:00m - Physicians encouraging 7th & 8th grade children to ‘get your 30’ (minutes). Teaching CPR to children at this level. Encouraging young students to be open about concussion symptoms. Practical stuff 11:00m - Exercise Vital Sign: how many minutes do you exercise and how often do you exercise? Integrated into the Electronic Medical Record of the 13th largest health system in the US (with credit to Kaiser-Permanent as well). Flipping the health care system upside down from its focus on fee-for-service to prioritising prevention. 13:00m - Rural roll out: how to make this happen outside of major centres: ‘Think big but start small – practical first steps that will bring partners on board’ 14:45m - Taking a broader view – 'If we rely only on medical professionals to provide care our system is bound to sink'. 'There is plenty of pathology to go around'. The role of various health professionals in a team that provides excellence: 'Everyone plays a vital role' 15:30m - Dr Asif answers the hard question: 'What if an exercise professional feels he or she knows more about exercise prescription than the doctor?' Links: Incorporating ‘Exercise is Medicine’ into the University of South Carolina School of Medicine and Greenville Health System (Editorial, BJSM, 2014) - http://ow.ly/VtWv4 Check out the 2015 Physical Activity Issue of BJSM - http://bjsm.bmj.com/content/49/4.toc

2014 Physical Activity Issue of BJSM - http://bjsm.bmj.com/content/48/3.toc

What is tissue ‘capacity’? How does it help successful rehabilitation? Prof Jill Cook (2nd of 2)

Fri, 27 Nov 2015 13:42:00 +0000

In this 2nd of 2 podcasts for 2015 (link to previous one here http://ow.ly/V8h97) Professor Jill Cook from the La Trobe University Centre for Sports and Exercise Medicine Research (Australia) introduces the term ‘capacity’ for physical therapy / physiotherapy. ‘Capacity’ is a very practical concept that underpins successful tendon rehabilitation. Prof. Cook discusses how to use the figure from the linked paper to list exercises a patient should do. Practical stuff. 13 minutes of gold! Timeline: 1:00m - Why do we need the term ‘capacity’ in clinical practice? 1:30m - Definition – What is tissue ‘capacity’? 2:15m - The difference between ‘capacity’ and ‘function’ – capacity is tissue-specific 3:15m - Practical example: Hamstring muscle strain 5:30m - How to use this in the clinical setting – sitting with a patient and explaining the rehab programme 7:00m - The ‘Capacity’ figure – how to use it with patients to get buy-in to their rehabilitation 8:30m - ‘Building a bridge’ from what patients can do now to what they want to return to 9:00m - Practical tips including examples of (i) strength, (ii) energy storage, (iii) energy storage & release exercises 12:00m - Summary (30 seconds!) Previous podcast: How tendons fail, how to treat in season/out of season http://ow.ly/V8h97 Related papers: The Continuum model of tendinopathy http://ow.ly/V8hLr The challenge of managing tendinopathy during the season http://ow.ly/V8oTl

Capacity – the paper (with Figure!) that underpins this podcast! http://bmj.co/1MIaBrx

Does everyone who has ruptured her/his ACL need a knee reconstruction? Prof Mark Hutchinson

Thu, 19 Nov 2015 14:46:00 +0000

Dr. Mark Hutchinson is professor of orthopaedics and head of the sports medicine services at the University of Illinois College of Medicine. He has been a team physician for the WNBA Chicago Sky, USA gymnastics, USA Field Hockey, USA Basketball and Team USA at two World University Games and the Paralympics Games. In this second of a two-part set, he discusses management of the patient who presents with recent onset of acute knee pain. You might be surprised by some of what this orthopaedic surgeon says! Timeline: 1:30m - Does everybody who ruptures an ACL need a knee reconstruction? 2:00m - How do you advise the person who wants to play soccer? 3:00m - How can you tell whether someone will make a good recovery or not with exercise therapy (not surgery)? 4:00m - OK for patients to go through a trial of physio to see if they are going to be stable or not 5:30m - Management of children who rupture their ACL. It’s a hot topic. On the one hand kids may be less compliant with ACL-risky behaviours than adults; on the other hand, operating and crossing growth plates can cause significant problems 7:30m - The key study by Håvard Moksnes and Lars Engebretsen – ACL injuries in kids (http://www.ncbi.nlm.nih.gov/pubmed/26025937) (not open access) 7:45m - How to discuss ACL management options with patients directly – ‘Tell us what you say to the patient Hutch’ (An introduction to shared decision-making) 9:15m - Non-operative, quality physiotherapy for ACL deficient patients 10:15m - Does ACL reconstruction prevent osteoarthritis? 11:15m - The elephant in the room – what about management of the patient whose ACL reconstruction has reruptured? 12:45m - Injuring the other knee – a disaster that occurs all too often! 13:30m - Psychological factors: a neglected part of the equation? http://bjsm.bmj.com/content/48/21/1543.abstract 14:30m - Return to play after reconstruction: the mind matters too! What is the optimal time for collagen healing? Coordination training, functional tests. 16:45m - Return to play with an unoperated knee: with a focus on neuromuscular training exercises Links: Previous BJSM podcasts: Pearls on knee examination: http://ow.ly/UBy3v Pearls on treating shoulder conditions and one wrist bonus: http://ow.ly/UBym YouTube videos on Physical Examination have been viewed more than 5 million times! https://www.youtube.com/user/BJSMVideos YouTube video: 39-minute lecture by Associate Editor Dr Clare Ardern on similar issues – return to play after ACL injury https://youtu.be/P_JJf0h6rhU Want a replay from last week? (1st podcast in this set) A 40-year old patient presents with an acute exacerbation of knee pain – Professor Hutchinson discusses whether arthroscopy is helpful in the arthritic knee. Which ones need orthopaedic referral? https://soundcloud.com/bmjpodcasts/mark-hutchinson?in=bmjpodcasts/sets/bjsm-1

Return to Play conference 2016: April 9-11, London (UK). The immensely successful annual Football Medicine Strategies conference focuses on Return to Play for all football injuries – not just ACL. Give this one serious consideration – top programme with over 100 invited speakers, terrific international audience (you will feel at home), friendly atmosphere and convenient venue. All the benefits of London without the need to own an expensive home there! http://www.footballmedicinestrategies.com/en/

How to manage the patient with a degenerative meniscal tear? Prof Mark Hutchinson (USA)

Fri, 13 Nov 2015 13:49:00 +0000

Professor Mark Hutchinson, University of Chicago, Illinois, is an international leader in Orthopaedics and Sports Medicine. He has worked closely with the US Olympic Committee by serving at the Training Centre in Colorado and being part of Team USA at the Pan American Games in Canada (2015). In this first of two podcasts, he discusses management of the patient who presents with recent onset of acute knee pain. You might be surprised by some of what this orthopaedic surgeon says! Timeline 1:30m - Importance of a broad clinical workup 2:23m - In the arthritic knee, arthroscopy does not improve patient outcomes. 3:00m - Arthroscopy versus physiotherapy in MRI proven degenerative meniscal tears: no difference 3:30m - What about when there are mechanical symptoms such as ‘locking’ or ‘giving way’? Prof Hutchinson says these may warrant a surgical referral. 4:30m - What would most orthopaedic surgeons do when faced with our clinical scenario? 5:30m - How long should the patient /physiotherapist persist with conservative management? What are the indications for arthroscopy? “Arthroscopy generally doesn’t treat arthritis”. Links: Two previous podcasts on BJSM podcasts Pearls on knee examination: http://ow.ly/UBy3v Pearls on shoulder examination plus one wrist bonus: http://ow.ly/UBym8 Mark's YouTube videos on Physical Examination have been viewed more than 5 million times! https://www.youtube.com/user/BJSMVideos

Next week: (2nd podcast) a patient presents after rupturing her/his ACL. Does she/he need a knee reconstruction and what are the issues about return to play?

Professor Jill Cook (La Trobe University) revisits BJSM podcasts after two years: First of Two

Fri, 06 Nov 2015 15:35:00 +0000

In her first podcast since being recruited to the La Trobe University Centre for Sports and Exercise Medicine Research (Australia), Professor Jill Cook explains: (i) how tendons break down, (ii) how to assess painful tendons, (iii) how to manage tendon pain DURING a season, and (iv) how to rehabilitate a tendon properly after a season has finished. She explains what a ‘reactive’ tendon is and what a ‘degenerative’ tendon is as well as what sort of loads should be prescribed for patients who have tendon with these pathologies. A practical masterclass. Even if you have heard Jill speak before, there will be something new for you here. Sneak peek – Part 2 focuses on the concept of ‘capacity’ and why it’s an important concept. Further reading Classic paper: Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy

http://bjsm.bmj.com/content/43/6/409.abstract

The Munich muscle classification: Using it for more accurate diagnosis and treatment

Fri, 30 Oct 2015 14:06:00 +0000

Peter Ueblacker is an internationally renowned orthopaedic surgeon and sports medicine doctor who had a long and very successful career with Bayern Munich from 2009 – 2015. He works in private practice with Hans-Wilhelm Mueller-Wohlfahrt (http://ow.ly/U2mch). BJSM editor Markus Laupheimer asked the questions (English language). Timeline 1:00m - Why classify muscle injuries? 3:00m - Limitations of previous classification methods and the need for a comprehensive one – the genesis of the Munich Muscle Injury Classification system. Here is the link to this Open Access paper in BJSM (>55,000 views) http://ow.ly/U2pMG 4:18m - What are the benefits for the health professional who uses the Munich classification system? Definition of ‘direct’ and ‘indirect’ muscle injuries. 5:00m - The challenge of ‘functional’ muscle injuries. No pathology on MR imaging yet a major burden for football teams because players cannot play – time loss injuries. 6:00m - Different muscle injuries lead to different periods of time out of sport. Is this a 2-week or 5-week injury? 6:40m - Trying to predict prognosis – is it possible? What can we tell coaches? You’ll find a counter-argument here http://ow.ly/U2qFJ (not discussed in this podcast). 7:10m - Drilling down on structural muscle injuries. Tendinous injuries within the muscle are important (See @PeterBrukner paper on that here http://ow.ly/U2rBc) 8:15m - How the spine is contributing to muscle injuries. Under-rated? Clinical implications. 10:00m - A practical walk through the management of hamstring muscle injuries Additional links: http://ow.ly/U2mUG - Previous podcast with Professor Gino Kerkhoffs also considers the Munich Consensus paper. It complements the present podcast in its greater focus on the consensus process and argues of the usefulness of MR imaging in muscle injury diagnosis. http://ow.ly/U2o0Q - Previous podcast with Professor Jan Ekstrand focusing on hamstring injuries. Which of the hamstring muscles is most likely injured? How long will such an injury keep a player out of sport? Also comments on the Munich Consensus http://ow.ly/U2ova - Hamstring ‘virtual conference’ BJSM blog by Steffan Griffin (@Lifestylemedic), BJSM editor responsible for Facebook among other things.

You can readily access BJSM podcasts via our Mobile App (BJSM). Latest sports medicine updates are posted via Twitter (@BJSM_BMJ) and on the Google+ community http://ow.ly/U2sNs where you are encouraged to post content too.

Prof Peter O’Sullivan considers surgery for back pain: Tiger Woods’ 2015 re-operation

Fri, 23 Oct 2015 15:24:00 +0100

Sports physiotherapists provide evidence-based treatment for back pain. Unfortunately surgery for back pain has rather poor outomes. Tiger Woods has spinal surgery on March 31, 2014 and did not return to his previous level of play. He went under the knife again on September 16, 2015. In this podcast, Curtin University’s Professor Peter O’Sullivan comments on the risks and possible benefits of surgery in an elite golfer.

Previous podcast (>10,000 listens): Professor Peter O’Sullivan (@PeteOSullivanPT) on Tiger Woods’ back and ‘core strength’ http://ow.ly/TK6uo

Einführung in die Bewegungsmedizin : “Bewegung bringt Heilung” mit Dr Boris Gojanovic

Fri, 16 Oct 2015 14:31:00 +0100

Wenn Dir jemand sagen würde da gibt es eine Pille die bei Beschwerden aller Art hilft mit fast keinen Nebenwirkungen und evetuell das menschliche Leben verlängern kann --- was würdest du sagen? Wo kann ich diese Pille kaufen? Die Bewegungsmedizin ist ein anerkanntes Therapiekonzept für viele Erkrankungen des Bewegungsapparates wie Rückenschmerzen, Tendinopathien und Gelenksarthrose. Aber auch bei vielen Internistische Indikationen wie Herzertkrankung, Diabetes usw. Dr Boris Gojanovic gibt uns eine EInführung. In Diskussion mit Dr Markus Laupheimer (BJSM) werden degenerative Meiskusrisse und Bluthochdruck Therapie besprochen, als Beispiel wie die Bewegungstherapie Therapie der Wahl ist. Weitere Links zur Bewegungsmedizin: Schweizerische Gesellschaft für Sportmedizin (SGSM): http://www.sgsm.ch/ Swiss French SEM network http://www.rrms.ch/cms/index.php Blog Deutsche Verband für Gesundheitssport und Sporttherapie (DVGS): http://www.dvgs.de/blog Bedeutung und Evidenz der körperlichen Aktivität zur Prävention und Therapie von Erkrankungen: http://www.dgsp.de/_downloads/allgemein/RfB-DMW-Loellgen2013-ub-323.pdf Therapie von degenerativen Meniskusrissen: http://bjsm.bmj.com/content/49/19/1229.full http://blogs.bmj.com/bjsm/2014/06/15/time-to-stop-meniscectomies-for-degenerative-tears-practice-must-catch-up-with-evidence/ Twitter: British Journal of Sports Medicine @BJSM_BMJ Dr Markus Laupheimer @swisssportscare

Dr Boris Gojanovic @DrSportsSante

Rugby: Player Preparation and Monitoring with Nigel Jones

Fri, 16 Oct 2015 13:58:00 +0100

Dr Nigel Jones is the England Rugby Senior Team Doctor, and a hugely respected figure in the UK Sport and Exercise Medicine scene. In this podcast with Steffan Griffin, you will hear about everything from being involved as part of the home team at a major sporting event, to the state-of-play in UK Sport and Exercise Medicine training. Timeline: 00:45m – Working at the 2015 Rugby World Cup 01:30m – Preparing an elite team for competition 03:05m – Conditioning vs collapse – how to avoid the latter! 05:15m – Player monitoring at the top table 06:30m – Getting coaches to buy-in to player monitoring/injury prevention – TOP TIPS 08:30m – Concussion – what’s in place to ensure gold-standard care? World Rugby Online Concussion Resources http://playerwelfare.worldrugby.org/concussion 12:00m – Sport and Exercise Medicine Training Pathway in the UK – where’s it heading? 16:20m – British Association of Sport and Exercise Medicine & the Faculty of Sport and Exercise Medicine - What can we expect at the BASEM/FSEM 2015 Conference?

Find out more about the BASEM/FSEM 2015 Annual Conference – November 12/13 http://bit.ly/1Woxmpn

Managing Cervicogenic Headache and Other Pearls: Professor Gwen Jull. Second of two podcasts

Fri, 09 Oct 2015 13:57:00 +0100

Professor Gwen Jull, from the University of Queensland, is one of the most lauded health professionals in the world. She discusses the assessment and management of the patient with neck pain. In the second half of the podcast BJSM asks her a couple of broader questions. What does it take to be a great clinician? Timings 1:30m - A case of headache – what elements to consider in the subjective/history 3:00m - What differentiates the expert clinician from learners who are treating neck pain? 4:00m - How to identify those headaches that respond to physiotherapy and which ones don’t respond well. 7:00m - What does it take to be a good clinician? 8:00m - Perspectives on the physiotherapy/physical therapy profession. Importance of being first contact practitioners. 9:45m - Physiotherapists as leaders in large health organisations and pioneers in heath service changes. 11:45m - Professor Jull shares the highlights of the new issue of Grieve’s Modern Musculoskeletal Physiotherapy here http://ow.ly/Sj4cn 15:00m - The biopsychosocial model – avoid biases towards one domain in this model. Advocating for the multimodal approach to physiotherapy/physical therapy. Links: Grieve’s Modern Musculoskeletal Physiotherapy (4th edition): Book review here http://ow.ly/Sj4cn Gwen Jill is the lead author of this physiotherapy Bible. First of Professor Jull’s two podcasts: Assessment and Management of Neck Pain. First of Two conversations http://ow.ly/TcVtr Related podcast: Professor Michele Sterling: ‘Managing Whiplash’ (2013). Very practical management of Whiplash that held up of the 2 years. http://ow.ly/Sj4Jz

Is the neck pain related to concussion? A related paper in BJSM: Schneider KJ, et al. Br J Sports Med. 2014 Sep;48(17):1294-8. Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial - http://bjsm.bmj.com/content/48/17/1294.abstract

Preventing catastrophic injuries at the Rugby World Cup: Drs Brown and Hendricks

Fri, 02 Oct 2015 14:05:00 +0100

Avoiding catastrophic injuries at the Rugby World Cup. We explore effective injury prevention strategies and what other sports can learn from rugby with Dr James Brown and Dr Sharief Hendricks from South Africa. Dr James Brown (@jamesbrown06) and Dr Sharief Hendricks (@Sharief_H), Post-Doctoral researchers from the division for Exercise Science and Sports Medicine (ESSM) at the University of Cape Town (UCT), share their expertise in rugby science in our “Emerging Voices” series led by BJSM editor Nicol van Dyk (@NicolVanDyk). Dr Brown focuses on rugby injury prevention for both BokSmart (www.boksmart.com) and the Chris Burger Petro Jackson Players’ Fund (www.playersfund.org.za). James’ PhD thesis evaluated the effectiveness of South Africa Rugby Union’s BokSmart programme (www.boksmart.com). Dr Sharief Hendricks holds an NRF Innovation Post-Doctoral Research Fellowship at the University of Cape Town. He has investigated the tackle in Rugby Union and he examines how training and match behaviour data can help coaches improve players’ performance, and minimise injury risk. Sharief has also contributed substantially to national strategic documents for his country’s rugby union (SARU). Both speakers contributed to the inaugural World Rugby Science Network Conference (http://rsnlive15.com), co-hosted between University of Bath and the University of Cape Town. They utilised a multi-media online platform and had an excellent line up of speakers just days before the Rugby World Cup kicked off. You can hear both speakers in the “Rugby Medicine” track upcoming Transact South African Sports Medicine Association (SASMA) Conference 2015 (http://www.sasma2015.co.za), Johannesburg South Africa, 16-22 October 2015 (@SASMA2015). This bi-ennial conference has an excellent line up of international speakers, and a clinically driven programme under the leadership of Dr. Jon Patricios (@jonpatricios) is set to deliver a great week of learning and fun. Find a list of publications from James and Sharief on their website www.rugbyscientists.com. Here are two favourites from BJSM: Are we currently underestimating the risk of scrum-related neck injuries in rugby union front-row players? http://bjsm.bmj.com/content/48/14/1127.extract An evidence-driven approach to scrum law modifications in amateur rugby played in South Africa

http://bjsm.bmj.com/content/48/14/1115.abstract

Professor Shirley Sahrmann (PT, PhD) outlines the Movement System Impairment Approach

Fri, 25 Sep 2015 15:58:00 +0100

“Physical Therapists are the best suited clinicians to assess and treat the movement system” says Washington University (School of Medicine in St. Louis) Department of Physical Therapy Professor Shirley Sahrmann. Physical therapist and Assistant Professor, Dr Sylvia Czuppon (@czuppons), asks the questions. Timeline 0:30 mins - What differentiates elite athletes’ movement patterns from that of ‘normal’ people and of those with abnormalities? 2:00 mins - Why physical therapists are best suited to keeping the movement system functioning optimally 3:08m - The concepts of relative stiffness, relative flexibility – Professor Sahrmann’s Movement System Impairment approach 4:30m - How to perform muscle length assessment 5:45m - The spring-like behavior of muscles – a key contributor to abnormal movement patterns 6:40m - Hypertrophy of muscles increasing the stiffness of muscles and thus increasing passive stiffness: “It’s not just about muscle shortness” 8:00m - The role of microinstability and abnormal accessory movements contributing to pain. Practical examples including a case of tight Tensor Fascia Lata illustrating the concept that the body takes the path of least resistance 10:30m - Clinical reasoning in a patient with groin pain. Are there abnormal accessory movements? 13:00m - Practical tips on the assessment of a patient with FAI – femoroacetabular impingement 14:30m - Common musculoskeletal exam errors by young clinicians – what NOT to do 16:00m - The difference between the novice and expert in movement pattern examination 18:00m - Physical therapists as lifespan practitioners – and movement is critical to health across the lifespan. Physical therapists – optimising movement to enhance the life experience 19:00m - A call for physical therapists to “take back exercise”. Of course this is much more powerful than passive therapies Other links Professor Sahrmann’s Movement System Impairment Syndromes Courses: http://ow.ly/SFnWl Professor Gwen Jull on managing neck pain - http://ow.ly/SFooy Professor Paul Hodges on the balance between mobility and stability – http://ow.ly/S4UKE Please feel free to suggest links via @BJSM_BMJ or email karim.khan@ubc.ca

The Movement System Impairment (MSI) syndromes were developed by Shirley Sahrmann, PT PhD and her colleagues at Washington University Program in Physical Therapy. These syndromes are described in her books, Diagnosis and Treatment of Movement Impairment Syndromes and Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spine.

Professor Gwen Jull - Part 1 - Assessment and Management of Neck Pain. First of Two Conversations

Fri, 18 Sep 2015 14:56:00 +0100

Do you treat patients with neck pain? Do you have neck pain? Stop reading and start listening to the podcast. Professor Gwen Jull is one of the most lauded health professionals in the world right now and she shares pearls every minute of this podcast. Here's the link to the second part of the podcast: https://soundcloud.com/bmjpodcasts/managing-cervicogenic-headache-and-other-pearls-professor-gwen-jull-second-of-two-podcasts?in=bmjpodcasts/sets/bjsm-1 Timeline 0:00m - How do you approach the patient aged in the prime of life who complains of neck pain and bad cervical posture? 2:00m - “Big development in physiotherapy is the assessment /examination which then forms the basis of our treatment” - movement and also how the movement is performed. Facet joint tests, muscle coordination. 3:10m - Detailed specific assessment of posture in the patient with neck pain. Have the patient adopt the work positions. Aim to correct the posture to see if pain changes. 5:10m - How to distinguish the superficial and deep neck extensors 8:30m - 3 trajectories in whiplash patients; folks who get better fairly rapidly (50%), those who suffer persistent mild pain (> 2years, 30%), and ‘the major worry’ of those who have persistent moderate to high levels of pain for many months and sometimes going on for years. What predicts these trajectories? “The last group is a real stumbling block for all professions”. 11:00m - Predictors of the poor outcomes. 12:00m - See the link to the Jull and Sterling booklet for patients - ow.ly/Soyma. 13:00m - Treatment of a patient with uncomplicated whiplash - “Hurry slowly”. 14:00m - Contribution of post-traumatic stress disorder 14:30m - Management of the complicated case of whiplash. Multiprofessional approach. Multimodal care. Instruments to assess severity and to look for particular elements. 16:20m - Providing overall management of the patient. Avoiding the medical merry-go-round 17:00m - Exercise is important (this will appeal to you Adam!)! 17:30m - “My emphasis is on treating multimodally” 18:00m - Manual therapy in the context of multimodal programme 19:00m - Explaining imaging findings to the patient 19:33m - Trigger points and dry needling? Remember the 2nd part of this conversation (about Headache and more) will be available on the BJSM podcast site on 2nd October, 2015. Links: Grieve’s Modern Manual Physiotherapy (4th edition): Book review here http://ow.ly/Sj4cn Gwen Jill is the lead author of this physiotherapy bible Related podcast: Professor Michele Sterling: ‘Managing Whiplash’ (2013). Very practical management of Whiplash that held up over the 2 years. http://ow.ly/Sj4Jz Is the neck pain related to concussion? A related paper in BJSM: Schneider KJ, et al. Br J Sports Med. 2014 Sep;48(17):1294-8. Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial.

http://bjsm.bmj.com/content/48/17/1294.abstract

Keeping runners running: the secrets of running assessment - advice and exercise progressions

Fri, 11 Sep 2015 13:34:00 +0100

Mo Farah has great running technique. You see it, you know it. But what are the elements of Mo Farah’s running style? Can we assess running patients and guide them to improve their technique? Might gait education prove more effective than medication to treat symptoms? Andy Cornelius has the answers. He’s a Graduate Sport Rehabilitator and head running coach who works in private clinics, premiership football and with high profile clubs and athletes. Posing the questions is Stephen Aspinall, Chairman of the British Association of Sports Rehabilitators and Trainers (BASRaT - http://www.basrat.org) and Lecturer in Sport Rehabilitation at the University of Salford, England. Timeline 1:20m - What are the key elements of running assessment? 2:45m - What you can learn by watching the runner from behind (frontal plane) and the side (sagittal plane) on the track and on the treadmill. 4:08m - The runner with injuries related to overstriding. What is overstriding? What can the clinician advise? 6:00m - Assessing cadence and helping the athlete to make a change of between 5-10% in cadence. 7:00m - Role of hip extension, angle of trunk lean. 7:40m - Treatment of the runner who over-strides. Exercises for rehabilitation: split stride, triple extension position, mat sliding exercise, TRX device, verbal queues. 10:20m - Stride width: consider this in conditions like ITB friction syndrome, medial tibial stress syndrome (overloading one side). 12:00m - Risk of knee pain with widening stride. 12:20m - Detailed exercise progression to adjust stride width. 14:30m - How to couple pelvic stability with hip mobility – the need to balance stability and mobility. 15:15m - Mo Farah as an example - what he does right. 16:00m - Exercise progressions to address limitations around the hip and pelvis. Strive for Mo Farah’s stride! 17:00m - When to introduce bounding, hopping drills. 17:40m - Learn more at running workshops organised by BASRaT, including at the BASRaT Annual Symposium - Manchester City’s Etihad Stadium, November 20, 2015. http://www.basrat.org/ Links Paul Hodges on the balance between mobility and stability – http://ow.ly/S4UKE The Telegraph on Mo Farah in 2013 - http://ow.ly/S4UQh Andy Franklyn Miller et al. Biomechanical overload syndrome: defining a new diagnosis. Br J Sports Med. 2014 Mar;48(6):415-6. (OPEN ACCESS) (@AndyFranklynMiller) http://www.ncbi.nlm.nih.gov/pubmed/22983122 Andy Franklyn Miller’s related podcast - biomechanics and running injuries - http://ow.ly/S4VBF (@AndyFranklynMiller) Christopher Napier’s Systematic Review gait retraining - http://ow.ly/S4V29 (ONLINE FIRST, live October 1st 2015) BASRaT Annual Conference – Friday November 20th, Manchester - http://www.basrat.org/

Please feel free to suggest links via @BJSM_BMJ or email karim.khan@ubc.ca

Legendary England Football Chief Medical Officer on ACL injuries, RED-S and sport team culture

Fri, 04 Sep 2015 15:26:00 +0100

Dr Pippa Bennett has the CV and life experience that aspiring sport and exercise medicine doctors dream about. How’s this for a short version: Chief Medical Officer (CMO) for England Women’s Football Teams (15 years) including UEFA European Championships x 4 and FIFA World Cups x 2; CMO to British Gymnastics working at World and European events; World University Games x 3, Commonwealth Games, Olympic Games x 2 including Team GB Women’s Football in London 2012. English Institute of Sport including archery, athletics, swimming, hockey and wheelchair basketball. She completed a Masters in Sport and Exercise Medicine at Bath University. Describes herself as a keen football player who hung up her boots “due to old age and injury.“ In conversation with Dr Markus Laupheimer, they cover (i) ACL injuries and their prevention, (ii) the medical issues formerly known as the Female Athlete Triad which the IOC Consensus Group prefers to consider as the Relative Energy Deficiency Syndrome in Sport (RED-S) and (iii) Dr Bennett’s tips for junior clinicians – secrets from 15 years in the locker rooms in leading women’s and men’s sporting teams. TIMELINE 1:30m - Why are women more prone to ACL injuries? Addressing movement patterns for prevention; making players more robust. 4:00m - Prevention strategies - Dr Bennett’s experience in screening at schools and providing customised programmes for individual athletes to prevent injury. 5:20m - Relative Energy Deficiency in Sport (RED-S) - “a more rounded concept” focusing on the real culprit – energy deficiency - “Making sure your athlete is putting enough energy into the body”. 6:20m - Menstruation (in the context of amenorrhea) as well as in relation to performance and taboos. 7:00m - A case of a bone stress injury with an unusual underlying cause - “Treat the whole athlete”. 9:15m - Moving to Team Dynamics - Pippa shares her wide experience and contrasts men's and women's events in the same sport (e.g. gymnastics). 11:15m - The FIFA World Cup experience 13:20m - Advice for women clinicians considering applying for position in men’s teams: “Apply” Podcast and paper links (podcasts OPEN, most papers OPEN too): RED-S podcast with Dr Margot Mountjoy Major debate about energy deficiency among sportspeople: http://ow.ly/RMYRq RED-S consensus statement (2014) Mountjoy M1, Sundgot-Borgen J, Burke L, et al The IOC consensus statement: beyond the Female Athlete Triad--Relative Energy Deficiency in Sport (RED-S). Br J Sports Med. 2014 48(7):491-7. doi: 10.1136/bjsports-2014-093502. Hyperlink - http://ow.ly/RN0II RED-S Clinical Assessment Tool: Mountjoy M, Sundgot-Borgen J, Burke L, et al. RED-S CAT. Relative Energy Deficiency in Sport (RED-S) Clinical Assessment Tool (CAT). Br J Sports Med. 2015 Apr;49(7):421-3. Hyperlink - http://ow.ly/RN171 Female Athlete Triad consensus statement (2014): De Souza MJ1, Nattiv A, Joy E, et al. 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad Br J Sports Med. 2014 Feb;48(4):289. doi: 10.1136/bjsports-2013-093218. hyperlink - http://ow.ly/RN0Ae ACL mechanisms – Martin Hagglund -- Which 3 on-field football scenarios precede ACL rupture? http://ow.ly/RMYw5 Management and prevention of ACL injuries: Associate Prof Grethe Myklebust http://ow.ly/RMZcX ACL prevention paper – Norwegian experience: Myklebust G et al. Skjølberg A, Bahr R ACL injury incidence in female handball 10 years after the Norwegian ACL prevention study: important lessons learned. Br J Sports Med. 2013 May; 47(8):476-9. doi: 10.1136/bjsports-2012-091862. Epub 2013 Feb 12.

hyperlink - http://ow.ly/RN1jj

Focus on Sports Therapists and students considering Sports Therapy: Professor Graham Smith

Fri, 28 Aug 2015 12:28:00 +0100

The Society of Sports Therapists was established in the UK in 1990 to address the growing demands from sport and leisure on everyone involved in the management and care of injured participants. Professor Graham Smith, Chairman of the Society of Sports Therapists, discusses the past, present, and future of sports therapy. The first two minutes cover the rationale for this health care profession. 3:00m - you can hear what a student learns through the 3 years of the course. 4:20m - The Master’s in Sports Therapy (with eligibility for membership) – the course for folks who already have a sports science degree and want to become clinicians. 5:50m - Final year student perspective - “students are the future of the profession” - useful tips for deciding whether sports therapy is for you or not. 9:00m - A discussion of the roles that sports therapists are filling in a wide range of sports settings. “82% of the members are self-employed” - clearly sports therapists are well suited to work in the large sports club setting or in smaller clubs. In the second half of the podcast Professor Smith also highlights hot topics such as: (i) the interaction with physiotherapists “to complement physiotherapy and to protect the people who play sport and exercise”, (ii) the 2016 scientific meeting “From Pain to Performance” (May 14th, 2016) featuring the great US knee surgeon Don Shelbourne, and (iii) the Society being a partner with BJSM: “We are pleased to be part of a global sports medicine community and appreciated as such”. Links: Home page for the Society of Sport Therapists http://www.society-of-sports-therapists.org/index.php/public_information/what-is-sports-therapy Where to study Sports Therapy (BSc Hons) http://www.society-of-sports-therapists.org/index.php/public/degree_courses_BSc Where to study Sports Therapy if you already have a relevant degree (MSc)

http://www.society-of-sports-therapists.org/index.php/public/degree_courses_MSc

What makes a happy hip? Understanding FAI, arthroscopy and treatment outcomes

Fri, 21 Aug 2015 13:55:00 +0100

Dr. Joanne Kemp, research fellow at ACRISP (Australian Centre for Research into Injury in Sport and its Prevention) Federation University Australia, discusses Femoral Acetabular Impingement (FAI) and the overall health of the hip joint. Dr. Kemp completed her PhD at the University of Queensland in 2013. She remains very much involved in clinical physio practice as an APA sports physiotherapist and director of Bodysystem®. (@JoanneLKemp) An emerging voice in sports medicine, she explores some of the difficult questions regarding hip pathology. Do we know when surgery is appropriate for FAI, or when to opt for conservative treatment? Which outcomes should guide our clinical decision to treat patients with hip pathology? What are the long term implications for joint health after sports-related hip injury? Links to 3 of Dr Kemp’s papers here: Hip arthroscopy for intra-articular pathology: a systematic review of outcomes with and without femoral osteoplasty - http://bjsm.bmj.com/content/46/9/632.abstract Hip chondropathy at arthroscopy: prevalence and relationship to labral pathology, femoroacetabular impingement and patient-reported outcomes - http://bjsm.bmj.com/content/48/14/1102.abstract What fooled us in the knee may trip us up in the hip: lessons from arthroscopy - http://bjsm.bmj.com/content/48/16/1200.extract

Follow @JoanneLKemp on Twitter

Which 3 on-field football scenarios precede ACL rupture? Dr Markus Waldén has video proof

Fri, 14 Aug 2015 17:12:00 +0100

In-game video analysis of 39 ACL injuries provides new insight into when male football players are most at risk of ‘non-contact’ ACL rupture. At 4 mins into this podcast, Dr Markus Waldén (@MarkusWalden, Football Research Group, Linkoping, Sweden) shares the gold. The 3 key scenarios when professional male players rupture their ACLs include (i) a defender pressing and side-stepping suddenly to either stop the attacking player getting by or to reach the ball, (ii) a player regaining balance after kicking, and (iii) a player landing awkwardly after a heading duel. This differs from ‘contact’ ACL injury which was mostly caused by illegal tackles from the side that caused a forceful lateral impact and valgus collapse at the knee. These need to earn red cards. At 7m 40s Dr Waldén shares the controversy about ‘valgus collapse’. Has this ‘mechanism’ been oversold? Is it more of an immediate result of imbalance rather than a direct cause? To close around 8m 40s, Nicol van Dyk from the BJSM asks what clinicians can do to prevent ACL injuries in professional male football players. What exercise programs can be brought in now? Links: Yann Le Meur's (@YLMSportScience) popular infographic is here: http://ow.ly/QUdY3 The full paper in BJSM (free) is here: http://ow.ly/QUezQ Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases. Waldén M, et al. Br J Sports Med. 2015 Apr 23.

The special UEFA football issue of BJSM in 2013 - http://bjsm.bmj.com/content/47/12.toc

Negotiating the medicolegal minefield in sport. Big decisions, expensive players = high risk

Fri, 07 Aug 2015 16:36:00 +0100

The medico-legal spotlight is shining brightly on individuals who provide medical services for athletes. With high profile lawsuits in the USA and the UK, practitioners need to be aware of how to protect themselves from any litigation pitfalls. Mr Majid Hassan is a lawyer expert in giving advice to sports clinicians. The podcast begins by explaining how the field has changed just recently – there is much more pressure on us to explain ALL risks to patients. The key cases were not in sports medicine, but their outcomes are critical for sports medicine practice. The first specific sports case is discussed at 5 mins 30 secs. It’s about the high-profile and most unfortunate case of Radwan Hamed and Tottenham Hotspur. What’s the role of the team physician, or the cardiologist? Does reading an ECG provide a duty of care? As we take the time to analyse what happened in order to try to avoid such events, our thoughts are with all involved in this tragic case. At 12.18 @Liam_West asks whether having an athlete sign a waiver can provide the clinician with protection against future legal action. At 14:22, to close, Mr Hassan shares 4 vital tips for all clinicians: minimize risk, communicate well, have detailed notes and more, but I better not give it away here.

Our thanks to Mr Hassan, Partner in the Clinical Law Team at Capsticks Law Firm.

Better models of physiotherapy : Kelly Starrett (DPT) on sports physios being physio-coaches

Fri, 31 Jul 2015 14:42:00 +0100

Kelly Starrett is a coach-physical therapist whose 2013 book, Becoming a Supple Leopard, is a New York Times and Wall Street Journal bestseller. He received his Doctor of Physical Therapy (DPT) degree in 2007 from Samuel Merritt College in California. He runs his own physical therapy practice that emphasises returning athletes to elite level sport and performance. In the podcast, Kelly enthusiastically draws on his background as an elite athlete and national level coach to suggest that sport physiotherapists should consider being very well trained in the practical aspects of strength and conditioning coaching. He argues that including the ‘coach’ element in the physiotherapist’s scope of practice will provide better results for patients. He calls for physios to be able to understand, and communicate, in ‘actionable language’ for customers – potentially elite athletes. He refers to the physio-coach as someone who is ideally poised to treat musculoskeletal conditions. Plenty of practical tips on how to get there. Primary link to Kelly’s resources: MobilityWOD.com Jump on to the Google+ Sports Clinicians Community page to add your comment: https://plus.google.com/u/0/communities/101520200531074507996 Become a Supple Leopard on Amazon: http://www.amazon.com/Becoming-Supple-Leopard-Preventing-Performance/dp/1936608588

Competing interest: Neither BJSM nor Karim Khan has any financial interest in the MobilityWOD company. Kelly Starrett’s role in MobilityWOD and ‘Becoming a supple leopard’ is self-evident.

Hamstring injuries: A 10-min evidence based update on optimal treatment (H Pas and H Tol)

Fri, 24 Jul 2015 15:38:00 +0100

Do you want to get your athletes with an acute hamstring injury back to play as quickly as possible, without the risk of a recurrence? Should you include lengthening exercises, trunk stabilisation, Nordic curls or PRP injections? Are you searching for a comprehensive, evidence-based update? This 10-minute podcast will answer all your questions. BOOM! Eminent sports physician Johannes Tol asks the hard questions. Sports physician Haiko Pas provides answers based on his recent systematic review & meta-analysis on hamstring rehab programs and PRP injections. Time codes: Optimal treatment for a quick return to play (2.30 min), re-injury reduction (3.50min) and the added value of PRP injections (6.20min). The podcast finishes with three evidence based take home messages for the clinician dealing with acute hamstring injuries (8.20 min). Links: Pas H, Reurink G, Tol JL, Weir A, Winters M, Moen M. Br J Sports Med 2015 (BJSM issue 18) Efficacy of rehabilitation (lengthening) exercises, platelet rich plasma injections and other conservative interventions in acute hamstring injuries: An updated systematic review and meta-analysis. http://bjsm.bmj.com/content/early/2015/07/21/bjsports-2015-094879.abstract Brukner P. Hamstring injuries: prevention and treatment—an update. Br J Sports Med. 2015 Jun 23. pii: bjsports-2014-094427. doi: 10.1136/bjsports-2014-094427. [Epub ahead of print] http://bjsm.bmj.com/content/early/2015/06/23/bjsports-2014-094427.long Hamilton B, Tol JL, Almusa E, Boukarroum S, Eirale C, Farooq A, Whiteley R, Chalabi H. Platelet-rich plasma does not enhance return to play in hamstring injuries: a randomised controlled trial. Br J Sports Med. 2015 Jul;49(14):943-50. doi: 10.1136/bjsports-2015-094603. http://bjsm.bmj.com/content/49/14/943.long Bahr R, Thorborg K, Ekstrand J. Evidence-based hamstring injury prevention is not adopted by the majority of Champions League or Norwegian Premier League football teams: the Nordic Hamstring survey. Br J Sports Med. 2015 May 20. pii: bjsports-2015-094826. doi: 10.1136/bjsports-2015-094826. [online first and issue 22] http://bjsm.bmj.com/content/early/2015/05/20/bjsports-2015-094826.long Reurink G, Goudswaard GJ, Moen MH, Weir A, Verhaar JA, Bierma-Zeinstra SM, Maas M, Tol JL; Dutch HIT-study Investigators. Rationale, secondary outcome scores and 1-year follow-up of a randomised trial of platelet-rich plasma injections in acute hamstring muscle injury: the Dutch Hamstring Injection Therapy study. Br J Sports Med. 2015 May 4. pii: bjsports-2014-094250. doi: 10.1136/bjsports-2014-094250. [Epub ahead of print]

http://bjsm.bmj.com/content/early/2015/05/03/bjsports-2014-094250.long

Prof Stephen Phinney on the science behind low carb diets for athletes: A rational approach

Mon, 20 Jul 2015 16:38:00 +0100

Consider the classic understanding that high carbohydrate intakes are necessary for optimal endurance performance. What if that failed to take into account the physiological changes that occur with adaptation to low carbohydrate diets? In this podcast, @JohannWindt interviews physician-researcher Dr. Stephen Phinney about his last 30 years of research into low-carb ketogenic diets. Highlights include the previously undocumented levels of during exercise fat oxidation seen in endurance athletes adapted to a low carbohydrate diet. He also touches on ketogenic diets’ potential benefits in other sporting contexts, addresses common criticisms, and looks ahead to future research questions in the field. Further reading and papers discussed in the podcast are included below. Vermont and MIT Study Dr. Phinney’s original two studies on low carbohydrate performance. Original two low carb performance studies. http://www.metabolismjournal.com/article/0026-0495%2883%2990105-1/abstract http://www.ncbi.nlm.nih.gov/pmc/articles/PMC371554/ Phinney SD et al. The human metabolic response to chronic ketosis without caloric restriction: physical and biochemical adaptation. Metabolism 1983;32:757-68. http://www.metabolismjournal.com/article/0026-0495%2883%2990105-1/abstract Phinney SD et al. capacity for moderate exercise in obese subjects after adaptation to a hypocaloric, ketogenic diet. J Clin Invest 1980;66:1152-61. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC371554/ The gymnast study mentioned in the podcast: Paoli et al. Ketogenic diet does not affect strength performance in elite artistic gymnasts. J Int Soc Sports Nutr 2012; 9: 34. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3411406/ Significant decrease in inflammation shown in low carb diets by Forsythe, Phinney, et al.Comparison of low fat and low carbohydrate diets on circulating fatty acid composition and markers of inflammation. Lipids 2008;43:65-77. http://link.springer.com/article/10.1007/s11745-007-3132-7?no-access=true Prof Phinney’s recent BJSM Editorial: Noakes T, Volek JS, Phinney SD. Low-carbohydrate diet for athletes: what evidence? Br J Sports Med 2014 http://bjsm.bmj.com/content/early/2014/05/26/bjsports-2014-093824.extract Prof Phinney and Volek’s website– Art and Science of Low Carbohydrate Living/Performance http://www.artandscienceoflowcarb.com/ In the August 2015 issue of BJSM you’ll find a series of paper on weight loss and physical activity: http://bjsm.bmj.com/content/49/14.toc Dr Aseem Malhotra’s paper: It’s time to bust the myth of physical inactivity and obesity: you can’t outrun a bad diet (if you want to be thin) http://bjsm.bmj.com/content/49/15/967.full (OPEN ACCESS) Coauthors are Professor Phinney and Professor Timothy Noakes. Professor Stephen Blair’s rebuttal: Physical inactivity and obesity is not a myth: Dr Steven Blair comments on Dr Aseem Malhotra's editorial http://bjsm.bmj.com/content/49/15.toc Professor Kamal Mahtani’s editorial: Physical activity and obesity editorial: is exercise pointless or was it a pointless exercise? http://bjsm.bmj.com/content/49/15/969.extract Two relevant BJSM podcasts include: 1) Professor Tim Noakes interviewed by Professor Peter Brukner http://ow.ly/PQlld 2) Dr Aseem Malhotra discussing the debate around his editorial above http://ow.ly/PQlNL

BJSM editors appreciate that nutrition is a controversial issue (not sure why, but that’s OK) so please note the Prof Phinney’s competing interests are listed in http://bjsm.bmj.com/content/49/15/967.full BJSM revels in debate and publishes quality material. Hence, you can see divergent views represented above and we have commissioned an editorial from respected scientists who feel that protein, or carbohydrate, deserves greater prominence. You submissions are welcome via the BJSM’s various channels – ‘print’, rapid response, blog, Google plus community, twitter, Facebook. Or email karim.khan@ubc.ca

Turning up the heat: Julien Périard on heat illness, acclimatisation and cooling strategies

Fri, 03 Jul 2015 17:32:00 +0100

Many athletic events, such as the current Wimbledon Tennis Championships, are staged in hot to very hot environmental conditions. Clinicians should be aware of the risks posed to athletes competing under heat stress and how to mitigate them. Dr. Julien Périard is a former successful triathlete and now works at Aspetar, Qatar, as a senior research scientist investigating athletic performance under heat stress conditions. BJSM’s Liam West (@Liam_West) poses questions about what heat illness encompasses, what signs and symptoms to look for and how to take care of athletes. See the 2015 Consensus Statement on Training and Competing in the Heat via BJSM’s Online First http://bit.ly/1CfQLCj The Consensus Statement will be published in BJSM issue 15 which goes live on July 16, 2015 (http://bjsm.bmj.com/) Primary Link; Racinais S, ..., & Périard J. (2015). Consensus recommendations on training and competing in the heat (Online First) - http://bjsm.bmj.com/content/early/2015/06/11/bjsports-2015-094915.abstract?sid=4f2f6068-8857-4c4b-ba0e-143084d62ff0 Other reading: April 2014, Volume 48, Supp 1 – Heat Stress & Tennis Performance - http://bjsm.bmj.com/content/48/Suppl_1.tocBergeron MF. (2008). Muscle cramps during exercise - Is it fatigue or electrolyte deficit? Curr Sports Med Rep7, S50-S55. Périard JD, Racinais S & Sawka MN. (2015). Adaptations and mechanisms of human heat acclimation:- Applications for competitive athletes and sports. Scand J Med Sci Sports25, 20-38. Girard O, Brocherie F & Bishop DJ. (2015). Sprint performance under heat stress: A review. Scand J Med Sci Sports25, 79-89. Sawka MN, Leon LR, Montain SJ & Sonna LA. (2011). Integrated physiological mechanisms of exercise performance, adaptation, and maladaptation to heat stress. Compr Physiol1, 1883-1928. Book chapter: Leon, LR and Kenefick, RW (2011). Pathophysiology of Heat-Related Illnesses. In: Wilderness Medicine. Ch 10. Auerbach, PS (Ed) http://www.dtic.mil/dtic/tr/fulltext/u2/a559070.pdf Blogs: Thermal perception as a controller of exercise intensity - http://blogs.bmj.com/bjsm/2012/04/28/cool-it-so-is-thermal-perception-a-controller-of-exercise-intensity-during-heat-stress/ Prevention of heat illness – part one - http://blogs.bmj.com/bjsm/2011/03/24/evidence-based-considerations-for-the-prevention-of-heat-related-illness-in-marathon-training-part-1/

Prevention of heat illness – part two - http://blogs.bmj.com/bjsm/2011/03/25/evidence-based-considerations-for-the-prevention-of-heat-related-illness-in-marathon-training-part-2/

Youth Athlete Development (IOC Consensus): Specialisation, Talent Identification, Injury Prevention

Tue, 30 Jun 2015 15:45:00 +0100

Dr Mike Bergeron, Chair of the IOC Consensus Committee on Youth Athletic Development discusses hot topics.

Here’s the link to the Consensus Statement (Open Access): http://bjsm.bmj.com/content/49/13/843.full

Architecture to move

Thu, 18 Jun 2015 16:26:00 +0100

How can we modify the environment we live in to increase physical activity? Steffan Griffin, junior doctor, BJSM editorial team, talks to Simon Allford, one of the UK's most celebrated architects, and the man behind the design of Google's HQ in London, about how buildings can improve health and activity.

Treating the unwell athlete? Practical tips for travelling team clinicians: Prof Martin Schwellnus

Fri, 12 Jun 2015 16:40:00 +0100

Athletes who suffer from illness are more likely to get injured and they are likely to underperform. It’s messy (vomiting, diarrhoea) but there are guidelines for physios and docs in these roles. Professor. Martin Schwellnus talks to Liam West (@Liam_West) and offers practical tips useful for all members of the medical team. Prof. Schwellnus is director to one of only 8 IOC Research Centres worldwide. He has recently been appointed as Professor Sports & Exercise Medicine by the University of Pretoria, South Africa. Recorded at the IOC Team Physician Course in Doha, Qatar, so you’ll hear a few sounds in the background. #NotBMJStudio Practical tips from an international icon in sports & exercise medicine, who is a member of the Scientific Committee for the 2016 IOC Team Physician Course in Cape Town, (November). Further Links: Prospective monitoring of illness and injury - http://bit.ly/1C2PXLp Sports Injury & Illness at the Sochi 2014 Games- http://bit.ly/1Fd1aJj Injury & Illness for Team GB at Sochi 2014 - http://bit.ly/1GyuRKb Health protection of the Olympic Athlete - http://bit.ly/1BaUhgC Illness in Super 14 Rugby - http://bit.ly/1SazEp7 Injuries & Illness at the FIFA 2010 World Cup - http://bit.ly/1cPTdmB Prevention against illness & Injury in Athletics - http://bit.ly/1Iz7hfP Injuries & Illness at the London 2012 Olympic Games - http://bit.ly/1MvxXyL Factors associated with illness at London 2012 Games - http://bit.ly/1SazEp7 BJSM App iTunes - itunes.apple.com/us/app/bjsm/id943071687?mt=8

Google Play - play.google.com/store/apps/detail…m.goodbarber.bjsm

Take homes from 1st World Conference on Groin Pain in Athletes: Doha Agreement (Part 2)

Fri, 05 Jun 2015 17:14:00 +0100

23 international experts in groin pain were sent two specific cases – one on inguinal region pain, the other – you guessed it – adductor region pain. The heavyweights in groin pain including Holmich, Muschaweck, Ekstrand, Meyers, Tyler, Silvers, Schilders, Thoborg, Brukner, Paajanen, Philippon, Weir, Griffen, Orchard +++. Physiotherapists, sports physicians, surgeons – unique for the diversity of opinions sought. The experts were asked to (i) write down their diagnosis and (ii) suggest initial treatment. How many diagnoses were presented? (Really? 22!! You are kidding, surely). These folks were also invited to work on focused systematic reviews and share their thoughts in person in Doha, Qatar. So far so good. But there’s always a catch! They were then locked in a room with just #LCHF not to come out until there was useful product for clinicians. Adam Weir, MD, PhD, was the driving force behind this effort and he shares what was achieved and how this can help your practice. He also guides you to hours of additional resource material including the Aspetar YouTube channel for the entire World Conference (some links below). If you see patients with groin pain this is a must! Key resources include: BJSM Issue 12, 2015 – Groin pain in athletes: http://bjsm.bmj.com/content/49/12.toc Consensus Statement: Doha Agreement Meeting: http://bjsm.bmj.com/content/49/12/768.full (Weir et al - 23 authors, Open Access) Aspetar YouTube Channel (Google Aspetar, Groin Pain, YouTube for a full list) Adam Weir BJSM podcast part 1 on BJSM (and follow @AdamWeirSports). You are encouraged to tweet your podcast questions to @AdamWeirSports or post on the Google + Sports & Exercise Medicine Community page – a great place to write more than a tweet. All you need is a gmail account.

Managing groin pain in athletes: Adam Weir’s pointers for two very common presentations (Part 1)

Fri, 05 Jun 2015 17:12:00 +0100

Do you see football or ice hockey players with persistent pain in the inguinal region? What about players in twisting sports with adductor region pain? Are you still making the diagnosis ‘osteitis pubis’? Are you unsure as to when to order investigations in cases of groin pain? Enough questions – time for answers. Adam Weir, MD, PhD, has more than 10 years’ experience in dedicated clinics treating groin pain in athletes. His sports medicine specialty training was in Netherlands and the past 3 years has seen him work closely with a multidisciplinary team including sports physiotherapists and groin surgeons at the Aspetar Clinic for Groin Pain in Athletes (Doha, Qatar). He discusses the management of the two patients outlined in the two questions above (longstanding pain in the inguinal region, adductor region, in turn). 14 minutes of practical tips – assessment, investigation, specific management. PRP, surgery? No holds barred. What remains unknown. You’ll get the pearls that @AdamWeirSports shared as a keynote speaker at the American Medical Society for Sports Medicine (@TheAMSSM) conference in April 2105. Key resources include: BJSM Issue 12, 2015 – Groin pain in athletes – Table of Contents: http://bjsm.bmj.com/content/49/12.toc 9 systematic reviews most of the Open Access thanks to Aspetar Orthopaedic and Sports Medicine Hosptital, Doha, Qatar – here’s the one on management of groin pain. http://bjsm.bmj.com/content/49/12/813.full (Serner et al., Open Access) Consensus Statement: Doha Agreement Meeting: http://bjsm.bmj.com/content/49/12/768.full (Weir et al - 23 authors, Open Access) Part 2 BJSM podcast with Adam Weir – https://soundcloud.com/bmjpodcasts/take-homes-from-1st-world-conference-on-groin-pain-in-athletes-doha-agreement-part-2

You are encouraged to tweet your podcast questions to @AdamWeirSports or post on the Google + Sports & Exercise Medicine Community page – a great place to write more than a tweet. All you need is a gmail account.

Tim Gabbett: Heavy training versus injury risk: Can physiotherapy and conditioning work together?

Tue, 02 Jun 2015 15:35:00 +0100

High performance demands heavy workloads but loading increases the risk of ‘overuse’ injury. How can clinicians and strength & conditioning (S&C) coaches find the happy medium? Or is it time to take a different view? Perhaps INCREASING training load will make tissues more resilient and injury LESS likely. Dr Tim Gabbett (www.gabbettperformance.com) bridges sports medicine and S&C as a performance consultant and a recognized applied researcher. In the BJSM spotlight he shares what physiotherapists can learn from S&C coaches and argues for the concept of the ‘performance physiotherapist’. Similarly, he translates S&C secrets for physios – insights to progressing sport specific game demands within the rehabilitation program using a rugby example. We ask him about the high-tech and low-tech equipment to gauge how much players are doing and how to titrate their training dose. The latter part of the podcast focuses on how greater training loads can make players less likely to suffer injury but match demands must be considered. “High training loads are not necessarily the problem, it is how you get there that can damage players”. The internationally-recognized Gabbett closes by outlining the concept of ‘training stress balance’ – the net difference between fitness (long-term training load) and fatigue (short-term training load). When the player is in ‘positive’ balance, (i.e, the short-term load is lower than the longer term level of load the player is adapted to) injury is very unlikely. However, when this pattern is reversed, such as when a player is attempting to rapidly ‘gain fitness’ after a layoff, injury is almost inevitable. Cricket fast bowling data provides compelling evidence for this novel concept. Link to Dr Tim Gabbett’s home page: www.gabbettperformance.com In case you don’t get to check Dr Gabbett’s bio, he is in that rare group of individuals with two PhDs – one in human physiology (2000), the other in the applied science of professional football (2011). He has worked with players in many Olympic Games cycles and published over 150 papers. http://gabbettperformance.com.au/profile/ The BJSM paper relating to ‘training stress balance’: Spikes in acute workload are associated with increased injury risk in elite cricket fast bowlers. Hulin BT, Gabbett TJ, ….Orchard JW. Br J Sports Med. 2014 Apr;48(8):708-12

http://www.ncbi.nlm.nih.gov/pubmed/23962877

Practical tips in preventing sports injuries in teams. Secrets from Norway’s surveillance methods

Fri, 29 May 2015 18:10:00 +0100

“Just because it’s difficult doesn’t mean it’s impossible” says Norway’s Ben Clarsen (PT, PhD) (@BenClarsen). We all say the words – ‘injury prevention is important’, ‘we want to catch injuries early’ but how do you do it? What about if your nation’s athletes are spread all around the globe? Can a systematic, yet simple, process of asking athletes questions by text messaging work? Norway punch above their weight in elite sport and Ben Clarsen is one of the team at the engine room of Norwegian Sports Medicine & Sports Science ‘Olympiatoppen’ (ie. ‘EliteSport’). He shares with @Liam_West HOW Norway keeps in touch with athletes weekly, responds to early warning signals, and initiates appropriate treatment in a financially prudent manner (oil price down right now). Links include: For athletes’ health problems: http://bjsm.bmj.com/content/48/9/754.abstract - The Oslo Sports Trauma Research Center questionnaire on health problems: a new approach to prospective monitoring of illness and injury in elite athletes. By Clarsen B, Rønsen O, Myklebust G, Flørenes TW, Bahr R. Br J Sports Med. 2014 May;48(9):754-60. doi: 10.1136/bjsports-2012-092087. Epub 2013 Feb 21.

For sports injury problems: http://bjsm.bmj.com/content/47/8/495.abstract Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire. By Clarsen B, Myklebust G, Bahr R. Br J Sports Med. 2013 May;47(8):495-502. doi: 10.1136/bjsports-2012-091524. Epub 2012 Oct 4.

To risk, or not to risk: the return to play dilemma - Prof. Roald Bahr

Tue, 26 May 2015 16:31:00 +0100

Prof. Roald Bahr is a world-renowned name in Sports Medicine. He is a member of the IOC medical committee and a Professor in Sports Medicine. He acts as the Head of the Aspetar Sports Injury & Illness Prevention Programme and also Chair of the Oslo Sports Trauma Research Center at the Norwegian School of Sports Sciences. Prof. Bahr’s main research area is the prevention of injury and illness in athletes, and has published more than 200 papers and book chapters. He was speaking at the IOC Advanced Team Physician Course in Doha, Qatar when BJSM caught up with him. In this podcast, Dr Liam West (@Liam_West) poses questions that see Prof. Bahr take listeners through various Return To Play (RTP) frameworks and how we should be willing to accept risk during the RTP period. Relevant Reading: Creighton DW, Shrier I, Shultz R, et al. Return-to-play in sport: a decision-based model. Clin J Sport Med 2010;20:379–85. http://journals.lww.com/cjsportsmed/Abstract/2010/09000/Return_to_Play_in_Sport__A_Decision_based_Model.12.aspx Herring SA, Kibler WB, Putukian M. The team physician and the return-to-play decision: a consensus statement-2012 update. Med Sci Sports Exerc 2012;44:2446–8. http://europepmc.org/abstract/med/23160348 Shrier I, Safai P, Charland L. Return to play following injury: whose decision should it be? Br J Sports Med 2014:48:394-401 http://bjsm.bmj.com/search?submit=yes&y=0&fulltext=risk%20management&x=0&FIRSTINDEX=10 IOC Sports Medicine Diploma – http://www.iocsportsmedicine.com/ IOC Sports Nutrition Diploma - http://www.sportsoracle.com/Nutrition/Home/ https://twitter.com/bjsm_bmj https://www.facebook.com/BJSM.BMJ https://plus.google.com/+BJSMVideos/posts BJSM App iTunes - https://itunes.apple.com/us/app/bjsm/id943071687?mt=8

Google Play - https://play.google.com/store/apps/details?id=com.goodbarber.bjsm

Children with chronic diseases can exercise too! Diabetes to organ transplant – Ex is medicine!

Fri, 22 May 2015 14:19:00 +0100

Dr Carolyn Broderick provides practical examples of the type of physical exercise that is feasible in children with chronic diseases, such as diabetes, mitochondrial myopathy, haemophilia, or after an organ transplantation. She also discusses the risk of injury during the growth spurt and how to best avoid these injuries. Dr Broderick, MBBS, FACSP, PhD, is a staff specialist in Sport and Exercise Medicine at the Children’s Hospital at Westmead, Australia. She was Medical Director of the Australian Team for the Youth Olympic Games in 2014 and Team Physician for the Australian Team at the Sydney 2000 and London 2012 Olympic Games. She is a member of the Australian Olympic Committee Medical Commission and Deputy Medical Director for the Australian Olympic Team in Rio 2016. Her research interests include injury surveillance in youth sport and physical activity in children with chronic disease. Further Reading: Fundamental movement skills, physical fitness and physical activity among Australian children with juvenile idiopathic arthritis. Hulsegge G, Henschke N, …Broderick C, et al. J Paediatr Child Health. 2015 Apr;51(4):425-32. doi: 10.1111/jpc.12733. http://www.jsams.org/article/S1440-2440%2812%2900661-5/abstract Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions. Michaleff ZA, Kamper SJ, Maher CG, Evans R, Broderick C, Henschke N. Eur Spine J. 2014 Oct;23(10):2046-58. doi: 10.1007/s00586-014-3461-1. http://link.springer.com/article/10.1007%2Fs00586-014-3461-1 A feasibility study of the effect of intra-articular corticosteroid injection on isokinetic muscle strength in children with juvenile idiopathic arthritis. McKay D, Ostring G, Broderick C, Chaitow J, Singh-Grewal D. Pediatr Exerc Sci. 2013 May;25(2):221-37. Epub 2013 Mar 15. http://www.ncbi.nlm.nih.gov/pubmed/23504857 Evaluation and management of bleeding risks with athletic activities in children with hemophilia. Broderick C. Clin Adv Hematol Oncol. 2013 Jan;11(1):46-7. No abstract available. Mol Cancer. 2013 Feb 1;12:7. doi: 10.1186/1476-4598-12-7. http://www.ncbi.nlm.nih.gov/pubmed/23416863 Association between physical activity and risk of bleeding in children with hemophilia. Broderick CR, Herbert RD, Latimer J, Barnes C, Curtin JA, Mathieu E, Monagle P, Brown SA. JAMA. 2012 Oct 10;308(14):1452-9. doi: 10.1001/jama.2012.12727. http://jama.jamanetwork.com/article.aspx?articleid=1377921 Patterns of physical activity in children with haemophilia. Broderick CR, Herbert RD, Latimer J, van Doorn N. Haemophilia. 2013 Jan;19(1):59-64. doi: 10.1111/j.1365-2516.2012.02904.x. The International Olympic Committee Consensus statement on age determination in high-level young athletes.

Engebretsen L, Steffen K, Bahr R, et al. Br J Sports Med. 2010 Jun;44(7):476-84. doi: 10.1136/bjsm.2010.073122. No abstract available. Erratum in: Br J Sports Med. 2010 Aug;44(10):770. http://bjsm.bmj.com/content/44/7/476.extract

Travelling with teams? Practical tips for team clinicians; includes Athlete Management System

Fri, 22 May 2015 14:09:00 +0100

Dr Carolyn Broderick, MBBS, FACSP, PhD is staff specialist in Sport and Exercise Medicine at the Children’s Hospital at Westmead, Australia. Dr Carolyn is Team Physician for the Australian Federation Cup Tennis Team. She was Medical Director of the Australian Team for the Youth Olympic Games in 2014 and Team Physician for the Australian Team at the Sydney 2000 and London 2012 Olympic Games. She is a member of the Australian Olympic Committee Medical Commission and Deputy Medical Director for the Australian Olympic Team in Rio 2016. Her research is on injury surveillance in youth sport and physical activity in children with chronic disease. What are the challenges of being a team physician for tennis players who travel the world continually? Does an athlete management system help to monitor work load and injuries? Musculoskeletal conditions in children and adolescents managed in Australian primary care. Henschke N, Harrison C, McKay D, Broderick C, Latimer J, Britt H, Maher CG. BMC Musculoskelet Disord. 2014 May 20;15:164. doi: 10.1186/1471-2474-15-164. http://www.biomedcentral.com/1471-2474/15/164 Children, sport and the Olympics: Observations from the Games of the XXX Olympiad in London. Broderick C. J Paediatr Child Health. 2013 Sep;49(9):701-3. doi:10.1111/jpc.12217. http://onlinelibrary.wiley.com/doi/10.1111/jpc.12217/abstract The International Olympic Committee Consensus statement on age determination in high-level young athletes. Engebretsen L, Steffen K, Bahr R, et al. Br J Sports Med. 2010 Jun;44(7):476-84. doi: 10.1136/bjsm.2010.073122. http://bjsm.bmj.com/content/44/7/476.extract Reducing the risk of injury in young footballers. Broderick C, McKay D. BMJ. 2009 Mar 18;338:b1050. doi: 10.1136/bmj.b1050.

http://www.bmj.com/content/338/bmj.b1050

Managing load in young footballer–practical tips to customize treatment and training: Sam Blanchard

Tue, 19 May 2015 16:54:00 +0100

Kids as young as 8 years old sign with football clubs and live at Football Club Academies. One website describes the Brighton & Hove Albion FC Academy as “a place where dreams are fired, hopes are heightened and aspirations are raised.” Sam Blanchard (@SJBPhysio_sport) has had 4 years experience in junior development. He’s also a leader among the UK Physios in Sport (@SportsPhysios) You’ll hear about (i) the typical day for a child/adolescent in this setting, (ii) how to vary training during the adolescent growth period to minimize risk of apophysitis etc. (iii) what to suggest to coaches and how to work with them, as well as (iv) practical tips for assessing maturity. Sam shares strategies for measuring load (including GPS) and uses that to both protect vulnerable athletes from injury as well as ensuring you can add the appropriate type of training as the child matures. A year after the growth spurt the adolescent can benefit from certain dynamic stabilization exercises or heavier resistance loads. In the 2nd half of the podcast Sam includes many practical tips from his vast experience. Remember the UK Physios in Sport Annual Conference ‘The Younger Athlete’: Brighton, October, 9th & 10th October. http://bit.ly/1cLwHeX

Sam’s first BJSM podcast is on growth-related sport injuries: http://bit.ly/1HqnXsf

Is K-taping effective sports taping? Part 2 with UK Physios In Sport’s Chris McNicholl

Fri, 15 May 2015 16:57:00 +0100

K-tape is ubiquitous in top sport. Does it boost performance or prevent injury? In this 2nd podcast about tape, two-time Commonwealth Games and Olympic Games physiotherapist Chris McNicholl shares his clinical wisdom and his scrutiny of the literature. See below for list of papers that Chris mentions and here’s the link to his other podcast – on regular taping. http://bit.ly/1bUnP5U Don’t forget to check out the UK Physios Taping courses here: http://www.physiosinsport.org/courses.html Schiffer T, J Sport Rehabil. 2015 Feb;24(1):47-50. Kinesio taping and jump performance in elite female track and field athletes and jump performance in elite female track and field athletes. Nunes GS, Effect of kinesio taping on jumping and balance in athletes: a crossover randomized controlled trial. J Strength Cond Res. 2013 Nov;27(11):3183-9. Poon KY, Kinesiology tape does not facilitate muscle performance: A deceptive controlled trial.Man Ther. 2015 Feb;20(1):130-3. http://www.ncbi.nlm.nih.gov/pubmed/?term=j+strength+cond+res++tape+volleyball+soccer Parreira P C, Kinesio Taping to generate skin convolutions is not better than sham taping for people with chronic non-speciﬁc low back pain: a randomised trial., J Physiother. 2014 Jun;60(2):90-6. http://www.ncbi.nlm.nih.gov/pubmed/24952836 Kachanathu SJ Comparison between Kinesio Taping and a Traditional Physical Therapy Program in Treatment of Nonspecific Low Back Pain. J Phys Ther Sci. 2014 Aug;26(8):1185-8. http://www.ncbi.nlm.nih.gov/pubmed/25202177 Shaheen AF, Rigid and Elastic taping changes scapular kinematics and pain in subjects with shoulder impingement syndrome; an experimental study. J Electromyogr Kinesiol. 2015 Feb;25(1):84-92 http://www.ncbi.nlm.nih.gov/pubmed/25138646 Link to a BJSM paper on K-tape:

Br J Sports Med doi:10.1136/bjsports-2014-094151 Kinesio taping in musculoskeletal pain and disability that lasts for more than 4 weeks: is it time to peel off the tape and throw it out with the sweat? A systematic review with meta-analysis focused on pain and also methods of tape application. http://bjsm.bmj.com/content/early/2015/01/16/bjsports-2014-094151.abstract

You can’t outrun a bad diet: @DrAseemMalhotra on weight loss strategies

Tue, 12 May 2015 16:42:00 +0100

You or your patient wants to lose weight. What gives you the best bang for your buck? BJSM editor Karim Khan puts London cardiologist and physical activity champion Dr Aseem Malhotra under the glaring lights. This podcast follows up the free BJSM editorial 'It is time to bust the myth of physical inactivity and obesity: you cannot outrun a bad diet' Here’s the link to the related BJSM editorial: http://bjsm.bmj.com/content/early/2015/05/07/bjsports-2015-094911.full

You can also listen to Dr Malhotra discuss the role of diet and cardiovascular risk factors here: https://soundcloud.com/bmjpodcasts/aseem-malhotra-dont-fear-the-fat?in=bmjpodcasts/sets/bjsm-1

Why patients and docs make poor decisions. Challenge of evidence in practice. Steve Stovitz (AMSSM)

Fri, 08 May 2015 17:12:00 +0100

Steven Stovitz, MD, MS, directs the University of Minnesota’s Program in Primary Care Sports Medicine and is the associate director of the University of Minnesota’s Sports Medicine Fellowship. His clinical work is divided between the University of Minnesota’s Sports Medicine clinic and Orthopedic clinic along with the athletics department, where he is a team physician for University’s athletes. Dr. Stovitz’s research involves the intersection of clinical medicine and epidemiology, as well as a variety of issues related to the study of obesity. He is a fellow of the American College of Sports Medicine and a senior associate editor with the BJSM. He has a special interest in evidence informed medicine and he challenges us with specific clinical settings where patients and doctors commonly make ‘inferior’ choices. Why does this happen? A thought-provoking podcast that may be best enjoyed at home with focus rather than driving on a windy coastal road! See also: Stovitz SD, Shrier I. Sickle cell trait, exertion-related death and confounded estimates. http://bjsm.bmj.com/content/48/4/285.long Stovitz SD, Shrier I. Medical decision making and the importance of baseline risk. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809433/ Stovitz SD. Confusion surrounding false-positive rates: distinguishing the definition from the important clinical question. Curr Sports Med Rep. 2014 Mar-Apr;13(2):69-70. doi: 10.1249/JSR.0000000000000032. PubMed PMID: 24614417. Stovitz SD, Shrier I. Injury rates in team sport events: tackling challenges in assessing exposure time.

http://bjsm.bmj.com/content/46/14/960.long

On the Edge: Expedition and Wilderness Medicine with Russell Hearn

Tue, 05 May 2015 17:44:00 +0100

Dr Russell Hearn has a portfolio career that sees him balance his time between working in general practice in London and Expedition & Wilderness Medicine. He directs and teaches on the Expedition & Wilderness medicine components at Kings College London (KCL) and University College of London (UCL) & is also an Advanced Life Support Instructor. In recognition of providing high-level medical cover for various expeditions and extreme events, Dr Hearn was elected a fellow of the Wilderness Medicine Society in 2013. In this podcast, Dr Liam West (@Liam_West) poses questions that see Dr Hearn take listeners through what it is like to work within these extreme conditions, tips on how to provide optimal medical cover and how to get involved. Useful Resources: Wilderness medicine society of America – consensus documents http://www.ncbi.nlm.nih.gov/pubmed/20591379 - High Altitude Illness http://www.ncbi.nlm.nih.gov/pubmed/25498264 - Hypothermia http://www.ncbi.nlm.nih.gov/pubmed/25498262 - Frist Bite http://www.ncbi.nlm.nih.gov/pubmed/25498263 - Heat Related Illness http://www.ncbi.nlm.nih.gov/pubmed/25498265 - Lightning Injuries http://www.ncbi.nlm.nih.gov/pubmed/25498266 - Acute Pain in Remote Locations http://www.ncbi.nlm.nih.gov/pubmed/25498256 - Spinal Immobilization in Austere Environment http://www.ncbi.nlm.nih.gov/pubmed/25498257 - Wound Management in Austere Environment http://www.ncbi.nlm.nih.gov/pubmed/25498260 - Exercise-Associated Hyponatraemia International World Extreme Medicine Conference & Expo http://www.extrememedicineexpo.com Fellowship Programme of the Academy of Wilderness Medicine (America) http://www.expeditionmedicine.co.uk/index.php/advice/resource/r-0082.html Diploma in Medical Care of Conflict and Catastrophes – Worshipful Society of Apothecaries, London http://www.apothecaries.org/faculty-of-the-conflict-catastrophe-medicine/course-in-conflict-catastrophe-medicine KCL Wilderness Medicine SSC Website

http://www.wildernessmedic.org

An inside view: Who should lead rehabilitation in elite teams? Sports physios or rehab?

Fri, 01 May 2015 15:57:00 +0100

Podcast titles are limited to 100 characters; the ideal title would have been…”Working as a multidisciplinary team in elite sport – the role of physiotherapy, strength and conditioning teams, medical folks, soft tissue therapists, exercise rehabilitators etc.”. A leading elite team physiotherapist (Andrew Wallis, PT) and a head of sports science/conditioning (Darren Burgess, PhD) provide you the inside view from within two elite teams. And they have international experience before their current jobs. You’ll hear WHO these teams include on the sports medicine payroll. Our hosts (Ebonie Rio, David Opar) ask whose head would be on the chopping block if there was a rash of hamstring strains after a vigorous pre-season training. Is one hamstring injury recurrence among 10 players worth 9 players coming back a week early? What about sending players to the funky treatment’ clinician – flying for the miracle cure? Apologies for a bit of shuffling noise in Andrew’s first two answers but it disappears. Well worth pushing through that distraction (we are working on trying to get sound quality like in Jack Chew’s podcasts!). Confident you’ll love this inside view! Darren Burgess is High Performance Manager at Port Adelaide Football (AFL) Club. Darren was Head of Fitness and Conditioning at Liverpool Football Club. Darren completed his PhD in movement analysis of AFL and Soccer in 2012. http://www.portadelaidefc.com.au/ Andrew Wallis is head physiotherapist at the St Kilda Football Club and has been there for the last 8 years. He has a special interest in Hip and Groin pathology and consults privately at Melbourne Orthopaedic Group and Malvern Sports Medicine Centre. http://www.saints.com.au/ Relevant papers: Seasonal Training Load Quantification in Elite English Premier League Soccer Players. Malone JJ, Di Michele R, Morgans R, Burgess D, Morton JP, Drust B. Int J Sports Physiol Perform. 2014 Nov 13. [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/25393111 Countermovement jump performance is not affected during an in-season training microcycle in elite youth soccer players. Malone JJ, Murtagh CF, Morgans R, Burgess DJ, Morton JP, Drust B. J Strength Cond Res. 2015 Mar;29(3):752-7. doi: 10.1519/JSC.0000000000000701. http://www.ncbi.nlm.nih.gov/pubmed/25226317 Recurrent hamstring muscle injury: applying the limited evidence in the professional football setting with a seven-point programme. Brukner P, Nealon A, Morgan C, Burgess D, Dunn A.

Br J Sports Med. 2014 Jun;48(11):929-38. doi: 10.1136/bjsports-2012-091400. http://bjsm.bmj.com/content/48/11/929.long

Injuries in kids: Why do they occur? Is specialisation a problem? Sam Blanchard (UKPhysiosInSport)

Tue, 28 Apr 2015 15:22:00 +0100

You see kids in the clinic and you get most of them better. Do you want to revisit the anatomy and biomechanics that underpin these injuries? Are there novel approaches to treatment? Does early sport specialization cause problems? How can we balance the need for coaches to have time to develop elite juniors’ skills with the risk of overuse injuries. Some kids’ injuries, such as cam deformities at the hip may arise during the growing years and cause problems later in life. Sam Blanchard (@SJBPhysio), sports physiotherapist, shares his career experience which includes four years at the Brighton Hove Albion Football Club Academy (junior development facility). The entry class begins as age eight years! He is a Senior Lecturer in Physiotherapy at the University of Brighton. If this is your area of interest, check out the program at the UK Physios in Sport Annual Conference, “The Young Athlete” October 9,10, 2015. http://bit.ly/1bzGnsl Relevant links include: UK Physios in Sport, Annual Conference: Brighton. http://bit.ly/1bzGnsl Freitag A. Systematic review of rugby injuries in children and adolescents under 21 years. http://bjsm.bmj.com/content/49/8/511.abstract Tak I, Weir A, …, Agricola R. The relationship between the frequency of football practice during skeletal growth and the presence of a cam deformity in adult elite football players.

http://bjsm.bmj.com/content/49/9/630.abstract

Sports cardiology: Can ultraendurance events damage the heart?

Fri, 24 Apr 2015 16:59:00 +0100

Is it safe for this athlete to exercise? Are ultraendurance events and training for them leading to reversible cardiac fatigue to frank damage and fibrosis? How should one investigate the athlete who may be in the ‘grey zone’ between benign ‘athletes heart’ and potentially fatal cardiomyopathy? Dr Andre La Gerche, an internationally renowned sports cardiologist with experience in Europe and Australia took time out from his keynote role at the American Medical Society for Sports Medicine conference (2015) to answer those questions with BJSM’s Dr Michael Turner. Relevant links include: The right ventricle following prolonged endurance exercise: are we overlooking the more important side of the heart? A meta-analysis – this was discussed on the podcast. http://goo.gl/TWgpnr Ventricular arrhythmias associated with long-term endurance sports: what is the evidence? By Dr La Gerche and colleagues. http://goo.gl/TuF4mQ ECG interpretation in athletes – free (minor signing in, takes Jon Drezner from the archive - Jon Drezner and the 2012 sudden cardiac death update: two new key messages http://bit.ly/1aYmnyX

A radical clinic for care of patients with knee injuries

Tue, 21 Apr 2015 14:21:00 +0100

Meryl Wheeler goes by the name of “non-physician expert” and she explains that after an injury a patient books online, sees an athletic therapist especially trained for this setting, before closing with a sports physician consultation. Patients who needed a surgeon got an operation 5 months earlier in this system than in Canada’s regular publicly funded one. Food for thought? Link: http://www.theglobeandmail.com/life/health-and-fitness/calgary-knee-clinic-delivers-quicker-cheaper-elite-level-care/article4180511/

The Canadian Academy of Sport & Exercise Medicine is a BJSM member society - casem-acmse.org/

Dr Jason Fung on the impact of diet on obesity and type 2 diabetes mellitus

Fri, 17 Apr 2015 15:48:00 +0100

Dr. Jason Fung is a Consultant Nephrologist who trained and began his medical career at the University of Toronto before heading to the University of California in Los Angeles where he completed his fellowship in nephrology. Since then he has founded the Intensive Dietary Management Program, which provides a unique treatment for Type 2 Diabetes & Obesity. This BJSM podcast sees @Liam_West pose the questions and Dr. Fung take the listeners through the evidence behind the impact of diet on obesity and Type 2 Diabetes Mellitus (T2DM). Jason explains that, whilst the #LCHF model of “Carbohydrates  Insulin  Obesity” is not wrong, it is incomplete. He reiterates that the main player in the development of obesity and T2DM is INSULIN – not merely high carbohydrates. Jason believes that the calories in/calories out model that has previously been described is incorrect. He explains the evidence and builds upon the #LCHF model to include the importance of insulin resistance and meal timing. In T2DM, this resistance leads to Beta-cell dysfunction. Evidence exists that this process can be reversed and therefore T2DM should not be considered to be a chronic progressive disease – it is curable with bariatric surgery and caloric prescription. The take home message for the podcast from Jason is to eat #RealFood, #ConsiderInsulin and #EmpowerPatients to regain control over diabetes. Literature Discussed in Podcast & Further Reading INTERMAP Study (2003) - http://www.nature.com/jhh/journal/v17/n9/abs/1001605a.html KITAVA Study (1995)- http://www.sciencedirect.com/science/article/pii/S0026049599902585 Insulin Resistance - One - http://link.springer.com/article/10.1007/BF00279918 Insulin Resistance - Two - http://www.sciencedirect.com/science/article/pii/S0025712507000983 Insulin Resistance - Three - http://diabetes.diabetesjournals.org/content/56/4/984.short Lancet Infant Obesity (2010) - http://www.sciencedirect.com/science/article/pii/S0140673610601717 NEWCASTLE Study (2009) - http://www.biomedcentral.com/1471-2458/9/342/ Dietary Fibre reduces Insulin Resistance - http://jama.jamanetwork.com/article.aspx%3FarticleID=192034 Curing Diabetes – Surgical treatment diabetes - http://ajcn.nutrition.org/content/55/2/582S.short Curing Diabetes - Gastric Banding - http://jama.jamanetwork.com/article.aspx%3Farticleid=1149302 Curing Diabetes - Fasting & Bariatric Surgery - http://care.diabetesjournals.org/content/36/9/2741.short Curing Diabetes - ACCORD - http://www.nejm.org/doi/full/10.1056/NEJMe0804182 Curing Diabetes - Losing weight doesn’t work - http://www.nejm.org/doi/full/10.1056/NEJMoa033179 Curing Diabetes - Calorie restriction induces restoration of hepatic insulin sensitivity - http://care.diabetesjournals.org/content/36/4/1047.short Intensive Dietary Management Website - With educational lectures and other content - http://intensivedietarymanagement.com

Complete AC joint dislocation (Grade 3): What’s best management? Bob McCormack (Olympic physician)

Tue, 14 Apr 2015 11:59:00 +0100

Modern surgical techniques can make a traditional treatment obsolete. Think of the Herbert screw for scaphoid fracture. Professor Bob McCormack tested a new hook plate in a Canadian multi-centre trial of management of complete dissociation & dislocation of the AC joint. You have to listen to find out how the story ends! Enjoy this 3rd of Bob McCormack’s 3 BJSM podcasts. You can find Bob’s other podcasts here: 1.First time shoulder dislocation: https://soundcloud.com/bmjpodcasts/shoulder-dislocation-to-operate-or-rehabilitate-prof-bob-mccormack-olympic-physician?in=bmjpodcasts/sets/bjsm-1

2.Managing mid-clavicular fractures. https://soundcloud.com/bmjpodcasts/mid-clavicular-fracture-open-surgery-or-collar-cuff-prof-bob-mccormack-olympic-physician?in=bmjpodcasts/sets/bjsm-1

Management of difficult stress fractures in sport

Tue, 07 Apr 2015 10:58:00 +0100

Drs. M.P. (Rien) Heijboer, orthopedic surgeon, works at the Dept at Orthopedic at the Erasamus Medical Centre in Rotterdam. He has extensive experience with sports-related injuries and has worked for more than 30 years as medical adviser of football club Feijenoord in Rotterdam. He is a member of the medical staff of the Dutch National Soccer Team and visited the world soccer championships in Brasil in 2014, which he describes as a "life-time experience"! He is president of the Dutch Orthopedic Society (NOV). He has a great interest in sports-related injuries and today Rien discusses his lifetime experience of managing difficult stress fractures in sport. Further reading: Surgical versus conservative treatment for high-risk stress fractures of the lower leg (anterior tibial cortex, navicular and fifth metatarsal base): a systematic review. http://bjsm.bmj.com/content/49/6/370.long Mallee WH, Weel H, van Dijk CN, van Tulder MW, Kerkhoffs GM, Lin CW. Br J Sports Med. 2015 Mar;49(6):370-376. doi: 10.1136/bjsports-2013-093246. Epub 2014 Aug 19. Review. Ultrasonography of fractures in sports medicine. http://bjsm.bmj.com/content/49/3/152.long Hoffman DF, Adams E, Bianchi S. Br J Sports Med. 2015 Feb;49(3):152-60. doi: 10.1136/bjsports-2014-094217. Epub 2014 Dec 24. Fifth metatarsal fractures among male professional footballers: a potential career-ending disease. http://bjsm.bmj.com/content/47/12/754.long Ekstrand J, van Dijk CN.

Br J Sports Med. 2013 Aug;47(12):754-8. doi: 10.1136/bjsports-2012-092096. Epub 2013 Apr 9.

Effective ankle taping: Mechanisms, myths and more….(Part 1)

Wed, 01 Apr 2015 11:55:00 +0100

Chris McNicholl brings the experience of the Olympic Games and two Commonwealth Games to his sports taping courses for UK Physios in Sport. In this podcast we dig below the surface. Does taping really prevent injuries and if so, how? We cover lower limb, upper limb, joints & muscles. Football and rugby. But we keep the issue of Kinesio-tape for a separate podcast. You’ll hear Chris refer to the following papers: Tricia J. Hubbard, et al. Effect of Ankle Taping on Mechanical Laxity in Chronic Ankle Instability Foot & Ankle International/Vol. 31, No. 6/June 2010 Heather Miller et al. Role of External Prophylactic Support in Restricting Accessory Ankle Motion after Exercise Foot Ankle Int 2012 33: 862 Karl Stoffel et al. Effect of Ankle Taping on Knee and Ankle. Joint Biomechanics in Sporting Tasks. MEDICINE & SCIENCE IN SPORTS & EXERCISE 2010

Eamonn Delahut et al. Altered Neuromuscular Control and Ankle Joint Kinematics During Walking in Subjects With Functional Instability of the Ankle Joint. The American Journal of Sports Medicine, Vol. 34, No. 12 2006

Major debate about energy deficiency among sportspeople: New ‘RED-S’ by Dr Margo Mountjoy

Sat, 28 Mar 2015 15:18:00 +0000

‘Relative energy deficiency in sport’ (RED-S) refers to impaired physiological functioning caused by relative energy deficiency, and includes but is not limited to impairments of metabolic rate, menstrual function, bone health, immunity, protein synthesis, and cardiovascular health. You will hear McMaster University’s Dr Margo Mountjoy clarify the IOC’s consensus statement on this condition. Why it was needed. What the controversies are. And what clinicians can do in the clinic. Dr Mountjoy walks you through the new clinical tool the RED-S Clinical Assessment Tool (CAT) that uses a simple ‘green’, ‘orange’ and ‘red’ traffic light system for clinicians managing athletes who may be suffering the effects of insufficient energy intake. The original 2014 consensus statement is here: http://bjsm.bmj.com/content/48/7/491 The 2015 update/extension is here: http://bjsm.bmj.com/content/49/7/417.full

And the clinical assessment tool (CAT) is here: http://bjsm.bmj.com/content/49/7/421.full.pdf+html

Arthritis Research UK Centre: Putting osteoarthritis in the spotlight

Fri, 20 Mar 2015 17:27:00 +0000

Professor Mark Batt graduated from Cambridge University Medical School in 1984 and trained in Family Medicine. He obtained a Diploma in Sports Medicine from the University of London in 1991 and completed a fellowship in Sports Medicine at the University of California, Davis in 1993. Since 1995, he has been in Nottingham, United Kingdom, as a consultant/senior lecturer in Sport and Exercise Medicine at the Nottingham University Hospitals where he was appointed Special Professor in 2004. He serves or served as a consultant for The England and Wales Cricket Board, The Rugby Football League, British Gymnastics, The English Institute of Sport, The Wimbledon Tennis Championships, ATP and the WTA. He is immediate past-president of the Faculty of Sport & Exercise Medicine and past Chairman of the Specialist Advisory Committee in SEM. He chaired the work-group which produced the successful case for SEM as a specialty of medicine (2005). He is director of the Arthritis Research UK (ARUK) Centre for Sport, Exercise and Osteoarthritis: a consortium of Nottingham, Oxford, Southampton, Bath, Loughborough, UCL and Leeds Universities investigating the relationship between acute and overuse injury and subsequent Osteoarthritis. In this podcast, Dr. Liam West (@Liam_West) poses questions that see Prof Batt take listeners through the objectives and aims of the ARUK centre and the research it is currently working on. Prof Batt also gives his views on how to ensure that research remains clinically relevant before finishing the podcast discussion the future avenues for the treatment of osteoarthritis. Further Reading ARUK Centre for Sport, Exercise and Osteoarthritis - http://www.sportsarthritisresearchuk.org/seoa/index.aspx ARUK Research Projects - http://www.sportsarthritisresearchuk.org/seoa/research-projects/index.aspx ARUK Work Packages - http://www.sportsarthritisresearchuk.org/seoa/work-packages/workpackages.aspx ARUK Centre Publications - http://www.sportsarthritisresearchuk.org/seoa/publications/index.aspx Isokinetic Football Medicine Conference, 11-12th April 2015, QEII Conference Centre, London http://www.footballmedicinestrategies.com/en/ Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis http://bjsm.bmj.com/content/48/21/1579.abstract  Optimal types of exercise for lower limb osteoarthritis http://bjsm.bmj.com/content/early/2014/02/18/bjsports-2013-093384.full  No benefit of surgery over physiotherapy for meniscal tears in adults with knee osteoarthritis http://bjsm.bmj.com/content/48/9/797 Osteoarthritis as an outcome of paediatric sport: an epidemiological perspective http://bjsm.bmj.com/content/early/2011/02/17/bjsm.2010.081984

Osteoarthritis in football: FIFA/F-MARC approach http://bjsm.bmj.com/content/45/8/673.extract

British Association of Sport Rehabilitators and Trainers (UK and Ireland)

Fri, 13 Mar 2015 15:54:00 +0000

Sports rehabilitators and trainers specialise in exercise and sports rehabilitation and managing musculoskeletal conditions. They also promote exercise and healthy lifestyles. Listen here to BASRaT Chairman, Steve Aspinall from the University of Salford, and Continuing Professional Development Officer, Allan Munroe, University of Bradford. In addition to painting the picture of the profession, and the training pathway, our guests highlight BASRaT’s clinical contribution to Team True Spirit (rehabilitation of seriously injured servicemen ) and the Rugby Football Union (concussion information and management).

Physiotherapist Chris Swier on the ATP World Tour

Fri, 06 Mar 2015 18:00:00 +0000

Chris Swier is a sports physiotherapist and has a Masters degree in Business Administration. As a physiotherapist, he has specialised in dry needling and myofascial release techniques. In 2006, he joined the ATP Medical Services Committee as one of their Sports Medicine Therapists on the ATP Wold Tour, traveling from tournament to tournament. He continues to work in clinical practice, mainly for Manual Fysion in Amsterdam. Chris has also worked with Dutch women's volleyball, Dutch Beach Volleyball and even the Argentinian Davis Cup team! His main interests include sports and orthopaedic rehabilitation of the ankle, knee, hip and shoulder.

At the ATP World Tennis Tournament in Rotterdam he talks about his life and work on the ATP World Tour.

Effective treatments for back pain: Kieran O’Sullivan’s practical tips within a guiding framework

Fri, 27 Feb 2015 16:57:00 +0000

Physical rehab (physiotherapy), behavioural rehab and combinations of these have been mainstays of back pain treatment. Dr Kieran O’Sullivan shares his expertise on what to do and what not to do – lessons from 15 years of providing specialised clinical care and engaging in top level research. Specifically, what is the role of patient advice, targeted exercises, and novel therapies including injections? You can link to Dr O’Sullivan’s home page at the University of Limerick here: http://www.ul.ie/clinicaltherapies/node/443 Interested in back pain? Related resources: Editorial: Common misconceptions about back pain in sport: Tiger Woods’ case brings five fundamental questions into sharp focus http://bjsm.bmj.com/content/early/2015/02/08/bjsports-2014-094542.extract Podcast: Professor Peter O’Sullivan on Tiger Woods’ back and ‘core strength’

https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-peteosullivanpt-on-tiger-woods-back-and-core-strength?in=bmjpodcasts/sets/bjsm-1

Improving day-to-day physiotherapy practice

Fri, 20 Feb 2015 15:39:00 +0000

Professor Chad Cook is a clinical researcher, physical therapist, and profession advocate with a long history of clinical care excellence and service. In this podcast he shares his passion for refining and improving the patient examination process and validating tools used in day-to-day physical therapist practice. His books, including Orthopaedic Manual Therapy, are game changers.

For shoulder examination, Professor Cook refers to this paper in Physical Therapy in Sport. 2014 Aug 10. Combining orthopedic special tests to improve diagnosis of shoulder pathology: http://goo.gl/5wJzDe

Aseem Malhotra on the impact of diet on heart disease #Don’tFearTheFat

Fri, 13 Feb 2015 18:12:00 +0000

Dr Aseem Malhotra is a Consultant Interventional Cardiologist who has been the central catalyst in igniting the debate around the harms of excess sugar consumption in the United Kingdom. He has achieved this via writing commentaries in the BMJ, appearances on majors new channels including BBC, Sky News, ITV & Channel 4 and the regular columns he writes for the Guardian Newspaper about heart disease and other health topics – http://www.theguardian.com/profile/aseem-malhotra. He is the Science Director of the campaign group “Action On Sugar” and has been appointed as Consultant Clinical Associate tot the Academy of Medical Royal Colleges. Aseem was recently named in the London evening standard's top 10 "super smart set" in their 1000 most influential list. He has also made the Health Service Journal's top 50 BME outstanding contribution to health care list for the past two years in succession. Aseem has been arguably the most influential secondary care doctor in the UK on issues that effect population health. Thanks to his work it has now become government policy that AEDs will be introduced into all new schools. He is a keynote speaker at the Low Carb High Fat Summit in Cape Town between 19-22 February 2015. In this podcast, Liam West poses the questions that see Aseem take us through the evidence behind the effect of cholesterol, saturated fat and sugar on heart disease. Links to articles discussed in the podcast: Lancet burden of global diseases report http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60460-8/abstract http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61682-2/abstract NEJM – High fat Mediterranean diet versus low fat Mediterranean diet – impact on heart disease http://www.nejm.org/doi/full/10.1056/NEJMoa1200303?viewType=Print&viewClass=Print&activeTab=comments&page=3 EPIC Interact Study http://www.inter-act.eu/publications/publications---scientific-journals.html BMJ Article - Saturated Fat 2013 http://www.bmj.com/content/347/bmj.f6340 Sanja Basu & Robert Lustig – sugar consumption and availability worldwide http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0057873 Nutritional BMJ publications 12/2/15 – sugar industry bias http://www.bmj.com/company/wp-content/uploads/2015/02/sugar-invest.pdf http://www.bmj.com/content/350/bmj.h780 http://www.bmj.com/content/350/bmj.h231 http://www.bmj.com/content/350/bmj.h215 http://www.bmj.com/content/350/bmj.h219 http://www.bmj.com/content/350/bmj.h220 Twitter handles: @BJSM_BMJ @DrAseemMalhotra

Low Carb High Fat Hashtag - #LCHF

Exercise interventions to prevent sports injuries – what you need to know

Fri, 13 Feb 2015 17:43:00 +0000

Dr Jeppe Bo Lauersen, currently working as a medical doctor in Copenhagen, investigated exercise intervention and its effects during a pre-graduate scholarship year at the Institute of Sport Science in Copenhagen with co-authors Ditte Bertelsen and Lars Bo Andersen. Prof Andersen, who is the head of the Centre for Research in Childhood Health at the University of Southern Denmark and a professor the Norwegian School of Sport Sciences, joins him on this podcast. They discuss their systematic review and meta-analysis of randomized control trials investigating exercise interventions for sports injuries. In this podcast they share with us their interesting results, why some of the findings surprised them, and what conclusions we could take away from their work. Prof Andersen also shares some thoughts on the statistics and methods surrounding systematic reviews. With exercise and its effect on health receiving much attention in the wide stream media currently, the authors discuss the effectiveness of exercise interventions, and what we should focus on when considering treatment of sports injuries.

Find their article here: http://bjsm.bmj.com/content/48/11/871.full

Mid-clavicular fracture: Open surgery or collar and cuff? Prof Bob McCormack (Olympic physician)

Fri, 06 Feb 2015 17:08:00 +0000

Clavicle fractures are common in contact sports as well as cycling trauma. Canada’s Olympic Team Chief Medical Officer shares dramatic results from a large RCT which has been a game changer. Thanks to the Canadian Academy of Sports and Exercise Medicine (CASEM) for permission to steal this content from the CASEM Annual Meeting. Enjoy this second of Bob McCormack’s three BJSM podcasts. The first was on first time shoulder dislocation: http://goo.gl/3rvsLC

The third will cover AC joint separation.

Dr Rien Heijboer on cam lesions of the hip in athletes

Fri, 30 Jan 2015 17:14:00 +0000

Dr MP (Rien) Heijboer, orthopedic surgeon, works at the Dept at Orthopedic at the Erasamus Medical Centre in Rotterdam. He has extensive experience with sports-related injuries and has worked for more than 30 years as medical adviser of football club Feijenoord in Rotterdam. He is a member of the medical staff of the Dutch National Soccer Team and visited the world soccer championships in Brasil in 2014, which he describes as a "life-time experience"! He is president of the Dutch Orthopedic Society (NOV). Their annual congress will be held on February 5th and 6th 2015 in Maastricht: http://goo.gl/gzx2BS. He has a great interest in sports-related injuries and today Rien discusses the latest research findings on cam and hip impingement in soccer players. Further reading A cam deformity is gradually acquired during skeletal maturation in adolescent and young male soccer players: a prospective study with minimum 2-year follow-up: http://ajs.sagepub.com/content/42/4/798.abstract Pincer deformity does not lead to osteoarthritis of the hip whereas acetabular dysplasia does: acetabular coverage and development of osteoarthritis in a nationwide prospective cohort study (CHECK): http://www.oarsijournal.com/article/S1063-4584(13)00873-X/pdf Cam impingement causes osteoarthritis of the hip: a nationwide prospective cohort study(CHECK): http://ard.bmj.com/content/72/6/918.abstract The development of Cam-type deformity in adolescent and young male soccer players: http://ajs.sagepub.com/content/40/5/1099.abstract

Clinical Graphics: https://www.clinicalgraphics.com/en/professionals/supporters/

Prof Tim Noakes: Time to revisit food choices, the Real Meal Revolution and #LCHF Summit for Health

Fri, 23 Jan 2015 16:42:00 +0000

“There is no essential human need for any carbohydrate” is just one of Professor Timothy Noakes’ quotes in this provocative chat. He explains insulin resistance, distinguishes between elite athletes and the general population, and provides examples of athletes who were likely insulin-resistant. He shares practical diet tips. BJSM asks whether diets high in protein and fat increase risk of bowel cancer or heart disease.

Tim explains the surprising catalyst for Cape Town hosting the world’s first Low Carb High Fat Health Summit (February 19 to 22, 2015). There you can meet Gary Taubes (Good Calories Bad Calories), Nina Teicholz (Big Fat Surprise) and a diverse range of experts who draw similar conclusions about healthy eating. The podcast closes with BJSM challenging Tim about changing his mind – doing ‘U-turns’ – how can a Professor think different things on different days?

Shoulder dislocation: to operate or rehabilitate? Prof Bob McCormack (Olympic physician)

Fri, 16 Jan 2015 18:17:00 +0000

Shoulder dislocation is common in sports, and management for the active athlete who dislocates for the first time remains controversial. Canada’s Olympic Medical Committee Medical Director, Prof Bob McCormack, explains the ways to assess patients to help decide whether to trial rehabilitation first or to opt for reconstruction. Bob has vast experience as an Olympic team doctor (beginning with Sydney) and as a team physician in the Canadian Football League and Major League Soccer.

This is the first of 3 podcasts; he discusses management of AC joint separation and clavicle fracture in the others. BJSM welcomes the Canadian Academy of Sport & Exercise Medicine (CASEM) as one of 17 member societies (Full access to all content).

Training tomorrow’s doctors, in exercise medicine, for tomorrow’s patients

Mon, 05 Jan 2015 14:12:00 +0000

With Ann Gates and Ian Ritchie (@ExerciseWorks and Royal College of Surgeons of Edinburgh, respectively). The ebullient Ann Gates, physical activity champion and social media phenomenon, explains that the campaign to train physicians to prescribe exercise is not squarely in the medical curriculum. In this joint podcast with Mr Ian Ritchie, we learn that surgeons are also taking up the cudgel to encourage physical activity before surgery, in hospital, and after surgery. Surgeons themselves need to be role models – to undertake 150 minutes of physical activity per week. Listen to the practical suggestions, share the free Nottingham University Medical School learning module at your institution. See Ann Gates’ full editorial at http://bjsm.bmj.com/content/early/2015/01/01/bjsports-2014-094442.extract

The BJSM special issue on Physical Activity (2015) is issue #4 (Online first from January 30th, 2015)

Using ultrasound in sports medicine - office, sideline - wide range of options (via @TheAMSSM)

Fri, 02 Jan 2015 15:36:00 +0000

Drs Jon Finnoff and John DiFiori on sports ultrasound. For several years, primary care sports medicine doctors have been mastering musculoskeletal ultrasound. With new technology comes a sharp learning curve and as the field matures, we begin to realise the full utility of point of care ultrasound. As sports medicine practitioners, we are now understanding that ultrasound has applications outside of the musculoskeletal system that may be advantageous for our practices. A couple of examples of this include FAST exam to look at abdominal trauma and limited echocardiography in pre-participation examination. This podcast highlights 2 articles that will be published in the AMSSM themed edition of BJSM in February, 2015. One on a new sports ultrasound curriculum for sports medicine fellowships and the other on a position paper on US- guided interventional procedures. Dr Ken Mautner discusses these articles with the chair of the AMSSM MSK US Task force, Dr Jon Finnoff, as well as with the immediate past president of AMSSM, Dr John Difiori. They will shed much more light on the transition to this new term “Sports Ultrasound” and how it may impact your practice. They will also discuss some aspects of their interventional position paper on MSK US which is timely as there is continued downward trends in reimbursement for interventional US. See also: American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine: http://bjsm.bmj.com/content/early/2014/10/19/bjsports-2014-094219.full American Medical Society for Sports Medicine recommended sports ultrasound curriculum for sports medicine fellowships:

http://bjsm.bmj.com/content/early/2014/10/31/bjsports-2014-094220.full

Eccentric hamstring exercises – they work in practice but not in theory?

Fri, 12 Dec 2014 17:10:00 +0000

Dr David Opar joins us for this BJSM podcast. David is a lecturer at the Australian Catholic University in Melbourne and one of the emerging voices in the field of hamstring strain injuries, having done work on the possible mechanism of injury as well as prospective studies aimed at better understanding eccentric strength as a risk factor for these injuries. His work also investigates the Nordic Hamstring Device, developed by the Queensland University of Technology Hamstring Group, looking into the potential of this device in prevention, treatment and rehabilitation of hamstring injuries. Nicol van Dyk, a physiotherapist in the Rehabilitation Department at Aspetar Sports Medicine & Orthopaedic Hospital in Qatar, leads the discussion around nordic hamstring exercises, the role of eccentric strength in hamstring strain injuries and the seeing the big picture in prevention and rehabilitation.

With hamstring strain injuries continuing to receive much attention in the literature and mainstream media, David Opar elucidates some significant features of this common injury.

Cerebral palsy football

Tue, 02 Dec 2014 15:10:00 +0000

Cerebral Palsy (CP) Football in the UK gives players the opportunity to develop individual skills within a team environment, encased in an impairment competitive structure. The football programme contributes to the development of the England Cerebral Palsy Regional and National Squads, through talent identification with the goal to provide player performance pathway for elite performers, and also to provide participation opportunities for players of all abilities. Dr Osman Ahmed (@osmanhahmed) has a PhD in concussion & social media where his research was focused on the use of Social Networking Sites (specifically Facebook) in assisting the recovery from sports concussion. Since 2003 he has been involved with providing physiotherapy services to a range of disability football teams for the Football Association including CP, Learning Disability, Blind, Partially sighted and Amputee squads. Jordan Raynes (@jraynes32) has been involved with England CP Football team for many years now as a goalkeeper and has travelled with the squad to various competitions around the globe (including the Paralympic Games in Beijing in 2008). To discuss CP football and the medical issues involved with the sport with Osman and Jordan is Dr Liam West (@Liam_West). Liam is a Senior Associate Editor of the BJSM and a junior doctor in Oxford, UK. He also runs the “Undergraduate Perspective on SEM” blog series for BJSM, building on his passion for increasing awareness and opportunities in SEM for undergraduates. See also: http://www.thefa.com/my-football/player/disability-football/play http://www.thefa.com/news/england/development/2014/mar/cps-world-cup-at-sgp-200314 http://www.bbc.co.uk/sport/0/get-inspired/26545892 Enhancing performance and sport injury prevention in disability sport: moving forwards in the field of football

http://goo.gl/l8sFs2

Bob Sallis on exercise as medicine

Thu, 27 Nov 2014 15:02:00 +0000

Bob Sallis is a family physician and sports medicine expert who encourages his patients to take charge of their health by exercising. With a passion for prevention, he lends his voice to the Every Body Walk Campaign and is an avid supporter and advocate of the Exercise is Medicine initiative of the ACSM. And Bob literally "walks the walk": he walks (or runs) every day! He tells us about the Exercise is Medicine initiative, talks about dosing (and overdosing!) of exercise, discusses the role of the physician and the fitness industry in getting people to exercise, and gives some practical tips on how to prescribe exercises to someone who is injured or has a chronic disease. See also: Sallis RE. Exercise is medicine and physicians need to prescribe it! Br J Sports Med 2009;43:3-4. http://bjsm.bmj.com/content/43/1/3.full Sallis RE. Developing healthcare systems to support exercise: exercise as the fifth vital sign. Br J Sports Med 2011;45:473-474. http://bjsm.bmj.com/content/45/6/473.full http://everybodywalk.org/

http://www.exerciseismedicine.org/

Dr Cees-Rein van den Hoogenband on being Chief Medical Officer of the Netherlands’ Olympic team

Fri, 21 Nov 2014 17:12:00 +0000

Dr Cees-Rein van den Hoogenband is surgeon and Chief Medical Officer of the London 2012 Olympic Team from the Netherlands and is on the Dutch Olympic Committee. Cees-Rein has worked for more than 25 years in soccer as the team doctor of football club PSV and is still responsible for their medical policies. He has been awarded a PhD on diagnostic and therapeutic aspects of inversion trauma of the ankle joint. He is also chairperson of the FINA medical commission and the father of Olympic Champion Pieter van den Hoogenband. He was part of the expert panel responsible for specialist recognition of sports medicine in the Netherlands and is the founder and leader of a four year masterclass for top sport physicians. See also: http://www.topsupport-anna.nl/ http://www.pietervandenhoogenband.nl/ http://www.psv.nl/ Sports injuries and illnesses in the 2009 FINA World Championships (Aquatics). http://bjsm.bmj.com/content/44/7/522.long

Cox GR, Mujika L, van den Hoogenband CR. Nutritional recommendations for water polo. Int J Sport Nutr Exerc Metab. 2014 Aug;24(4):382-91.

Management and prevention of ACL injuries, with Assoc Prof Grethe Myklebust

Fri, 14 Nov 2014 16:40:00 +0000

Associate Professor Grethe Myklebust, physiotherapist and PhD from the Olympic Training Centre in Norway, was one of the pioneers to investigate the role of exercise for ACL prevention.

To discuss her research with her is Jodie McClelland from La Trobe University. Jodie’s experience is in the biomechanics of the knee in the normal and injured state, and she has the knowledge to extract the best information from Grethe about her research and its impact on the clinical management of those with, and at risk of, ACL injury.

Prof Stuart Biddle – Mythbusting Sports Medicine Australia Keynote Presenter: Physical Activity

Fri, 07 Nov 2014 16:42:00 +0000

Do you struggle to change your own behaviour? Do you find it hard to get ‘motivated’ or to motivate others? The opening keynote lecture at the tremendous Sports Medicine Australia conference (2014) addressed these issues and gave solutions. Prof Stuart Biddle is the Professor of Physical Activity & Health at Victoria University, Melbourne Australia. He is a recent ‘Aussie’ and a longtime leader at Loughborough University in the UK.

In this podcast you will be exposed to the current day thinking on the balance between internal and external factors on motivation. You’ll learn about influential models that help to change behaviour including ‘Nudge’ and the work of BJ Fogg (Stanford). An elegant combination of evidence and practical application, this is a must listen for those who aim to encourage more healthy behaviours.

Professor Renström reflects on his career in sports medicine

Mon, 03 Nov 2014 17:20:00 +0000

Emeritus Professor Renström, from the Karolinska Institute in Stockholm, covers a wide range of topics while talking to BJSM Deputy Editor Babette Pluim. He discusses Lars Peterson's and his book on sports injuries, shares his 24-yr experience with the IOC medical commission, looks back on his time as Professor of Orthopedics in Vermont, explains the importance of periodisation in professional tennis, and analyses the role of the ATP, STMS and ITF in improving the medical care of tennis players and furthering the scientific knowledge in this area. References: Sports Injuries: their prevention and treatment. http://www.humankinetics.com/products/all-products/sports-injuries-3rd-edition The Duke of Edingburgh Prize http://www.basem.co.uk/institute-of-sports-and-medicine.shtml Sports Medicine Hall of Fame http://www.prweb.com/releases/AOSSM/Per_AFH_Renstrom/prweb2574924.htm Injury and illness definitions and data collection procedures for use in epidemiological studies in Athletics (track and field): Consensus statement http://bjsm.bmj.com/content/48/7/483.long Sports injuries and illnesses during the London Summer Olympic Games 2012 http://bjsm.bmj.com/content/47/7/407.long Sports injuries and illnesses during the Winter Olympic Games 2010 http://bjsm.bmj.com/content/44/11/772.long\ Consensus statement on epidemiological studies of medical conditions in tennis http://bjsm.bmj.com/content/43/12/893.long An interview with Per Renström on his personal perspective of the changes and developments in the sports medicine field over the last 40 years

http://www.biomedcentral.com/2052-1847/5/8

Prof Mario Maas on what sports clinicians need to know about radiology

Fri, 24 Oct 2014 15:04:00 +0100

Prof Mario Maas is professor of radiology, in particular musculoskeletal radiology, at the Academic Medical Centre in Amsterdam. His focus of research includes joint and tendon disorders, muscle pathology and sports imaging and he is a regular contributor to the BJSM I-test series. Mario Maas explains the essence of sports imaging and what information a sports physician should include to make his referral note even more useful. He describes what he wants his students, fellows and young doctors to learn about sports medicine and what makes a good teacher. Finally, he shares with us the aims and mission of ACES, the Academic Centre for Evidence Based Sports Medicine. See also: Predicting return to play after hamstring injuries http://goo.gl/9uvlVf MRI observations at return to play of clinically recovered hamstring injuries http://bjsm.bmj.com/content/48/18/1370.long I-test: a gymnast with anterior knee pain: not a typical case of jumper's knee http://bjsm.bmj.com/content/48/6/476.extract An 11-year-old high-level competitive gymnast with back pain http://bjsm.bmj.com/content/47/14/929.extract A long-distance runner with lateral knee pain http://bjsm.bmj.com/content/44/16/1209.1.extract Imaging techniques in sports medicine

http://www.ncbi.nlm.nih.gov/pubmed/19785847

Osteopath Rosi Sexton on mixed martial arts

Fri, 17 Oct 2014 16:36:00 +0100

In this podcast James Walsh talks with professional mixed martial artist (MMA) and osteopath Rosi Sexton.

They discuss performance enhancing drug use within MMA, the challenges of promoting a new sport to the public, and training and injury within MMA.

Dr Shabaaz Mughal (Tottenham) and Dr Ian Beasley Medical (FA) on new concussion protocols/rules

Fri, 10 Oct 2014 16:22:00 +0100

In this podcast James Walsh talks with Dr Shabaaz Mughal Tottenham Hotspurs team docor and Dr Ian Beasley Medical director of the FA about head injuries in football. They discuss the new concussion protocols that have come in this season, rule changes and the FA’s “Use your head campaign”.

http://www.thefa.com/news/2014/aug/head-injuries-in-football

Dr Alison Grimaldi with practical physiotherapy tips on treating lateral hip pain

Mon, 06 Oct 2014 09:56:00 +0100

With over twenty years' experience, accreditation in Sports Physiotherapy, and a recent PhD in the topic of lateral hip pain, Alison Grimaldi (@AlisonGrimaldi) was invited to this podcast by BJSM’s Twitter community. She is a popular conference speaker internationally. Here she walks you through each step of the assessment and treatment of an older patient with right hip pain. She then shares how to assess and treat a younger sportsperson. In both cases, Dr Grimaldi emphasizes that compression is bad for tendons that run over bony prominences (trochanter in this case) and indicates how this can be addressed. Enjoy one of our most practical podcasts. Recorded at the Physiotherapy New Zealand Conference, Auckland (September 2014) with thanks to the NZ Sports Physiotherapy Interest Group (@SportsPhysioNZ). Links: 1) JL Cook, C Purdam Is compressive load a factor in the development of tendinopathy? Br J Sports Med 46(3):163-8. 2012 http://bjsm.bmj.com/content/46/3/163.abstract

2) Fearon A, Stephens S, Cook J, et al. The relationship of femoral neck shaft angle and adiposity to greater trochanteric pain syndrome in women. A case control morphology and anthropometric study. Br J Sports Med. 2012 http://bjsm.bmj.com/content/46/12/888.long

Diagnosing and treating acute hamstring injuries

Tue, 02 Sep 2014 16:42:00 +0100

This is a podcast by Dr Robert-Jan de Vos, sports physician in the Erasmus Medical Centre in the Netherlands, with Guustaaf Reurink, who is a registrar in Sports medicine in the Netherlands and is currently finishing his thesis on diagnosis and treatment of acute hamstring injuries. Recently, he published a paper in the New England Journal of Medicine about the role of Platelet-rich Plasma (PRP) treatment for acute hamstring injuries (http://www.nejm.org/doi/full/10.1056/NEJMc1402340). We start with discussing this interesting study, which did not show a benefit of PRP injections in acute hamstring injuries. Dr Reurink expresses the methods and results of this study and possible explanations for these findings are debated. Dr Reurink also performed a number of studies on the value of clinical tests and Magnetic Resonance Imaging (MRI) in acute hamstring injuries. Previously, he already showed that most MRIs are still abnormal when the athlete already returned to gameplay (http://bjsm.bmj.com/content/early/2013/11/19/bjsports-2013-092450.abstract?eaf).

We close by discussing the role of MRI and standardised clinical tests as a predictor of time to return to play and re-injury.

Prof. Kay Crossley on treatment for patellofemoral pain

Fri, 29 Aug 2014 16:59:00 +0100

Are you old enough to remember the storm when Jenny McConnell first proposed new exercise and taping procedures for patellofemoral pain (PFP)? It revolutionised rehabilitation for the many sufferers of the condition and it promoted much-needed research. So do we still need to tape and focus on the vastus medialis? Professor Kay Crossley of La Trobe University is a present-day expert in PFP, having completed several key RCTs on patellofemoral pain. She discusses (i) the outcomes of the 3rd International Patellofemoral Retreat (BJSM 2014, see below), (ii) the best PFP treatments and evidence for them as well as (iii) new insights into knee pain after ACL reconstruction. See also the following papers: Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: randomised clinical trial http://goo.gl/yhPfxp Patellofemoral pain: consensus statement from the 3rd International Patellofemoral Pain Research Retreat held in Vancouver, September 2013 http://goo.gl/CxgClm

Is patellofemoral osteoarthritis a common sequela of patellofemoral pain? http://goo.gl/Z8Aw1Y

Managing muscle injuries – Does the Munich Consensus Statement help? Part 2 of 2

Tue, 26 Aug 2014 18:12:00 +0100

Dr G.M.M.J. (Gino) Kerkhoffs is professor of Orthopaedics at the Faculty of Medicine of the University of Amsterdam (AMC-UvA), with a special emphasis on sports traumatology. Grading of muscle injuries should have a big influence on time to return to sport but it’s not so easy! Babette Pluim asks Prof Kerkhoffs how the Munich Consensus Statement of terminology and classification of muscle injuries in sport was developed. And what are the practical implications for clinicians? Prof Kerkhoffs also shares his dream about the development of a centre of expertise for the advancement of care for injured athletes, with integrated diagnostics, customised treatment and monitoring of treatment results in Amsterdam, and the steps that have already been taken. See also: Terminology and classification of muscle injuries in sport: the Munich consensus statement http://goo.gl/7tM2PF https://www.amc.nl/web/Het-AMC/Afdelingen/Medische-afdelingen/Orthopedie/Orthopedie/Afdeling.htm

Amsterdam Institute of Sports Sciences: http://aiss.nl/

Managing the difficult ankle and foot with Prof Gino Kerkhoffs - Part 1 of 2

Tue, 26 Aug 2014 18:06:00 +0100

Dr Gino Kerkhoffs is professor of Orthopaedics at the Faculty of Medicine of the University of Amsterdam (AMC-UvA), with a special emphasis on sports traumatology. He shares his expertise on ankle injuries with Dr Babette Pluim, and discusses evidence based treatment options of ankle impingement, ligament injuries and osteochondral lesions. Prof Kerkhoffs also discusses treatment of the slow healing metatarsal V stress fractures. See also: Economic evaluations of diagnostic tests: treatment and prevention for lateral ankle sprains: a systematic review http://goo.gl/Pn9FMp A twist on the athlete's ankle twist: some ankles are more equal than others http://goo.gl/3FhGBT Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline http://goo.gl/7ITP7S

Treatment of proximal metatarsal V fractures in athletes and non-athletes http://goo.gl/fKaib6

Professor Peter O’Sullivan (@PeteOSullivanPT) on Tiger Woods’ back and ‘core strength’

Fri, 22 Aug 2014 09:56:00 +0100

Peter O’Sullivan has two recent BJSM podcasts (see below). In this podcast he shares his thoughts on the recent media attention around Tiger Woods' obvious back pain while playing in the US PGA. He discusses what the pathology might be, why the media suggested that Mr Woods’ ‘sacrum went out’. He contends that ‘core strengthening’ may not be the panacea. The lessons apply to the management of low back pain, and other pain, in a myriad of settings. See also Read Professor O'Sullivan's blog on Tiger Wood's back pain: http://bit.ly/1zaISGz Listen to his podcast on lower back pain: http://goo.gl/jrQxSe

Listen to his podcast on overtreatment and overdiagnosis in sports medicine: http://goo.gl/vPZ3g8

Michael Kjaer on the pathogenesis of tendinopathy and tendon healing

Tue, 19 Aug 2014 11:32:00 +0100

Professor Michael Kjaer is Professor in Sports Medicine at the Institute of Sports Medicine and Centre for Healthy Ageing in Copenhagen, Denmark. He has published articles in the areas of Sports Medicine and muscle and tendon adaptation at the structural and mechanical levels as well as at the cellular and molecular level. Michael is interested in mechanisms of adaptations to muscle and tendon following exercise, disuse, disease and ageing. In this podcast on tendon and tendon pathology he gives a synthesis of seven models of tendinopathy, explains the difference between mid-tendon and insertional tendinopathy, presents his views on the healing capacity of tendons, talks about the (absence of a) link between tendinopathy and tendon rupture, and discusses the various interventions that are used in an attempt to promote tendon healing, including eccentric and concentric exercises. Links to articles: Heinemeier KM, Schjerling P, Heinemeier J, Magnusson SP, and Kjaer M. Lack of tissue renewal in human adult Achilles tendon is revealed by nuclear bomb 14C. FASEB Journal 2013;27:2074–9. http://goo.gl/MRmulq Kjaer M. Role of extracellular matrix in adaptation of tendon and skeletal muscle to machanical loading. Physiol Rev 2004;84:649-8. http://goo.gl/tEiirg

Magnusson SP, Langberg H, Kjaer M. The pathogenesis of tendinopathy: balancing the response to loading. Nat Rev Rheumatol 2010;6:262-8. http://goo.gl/s1dpDc

Ross Tucker on what makes a champion

Wed, 13 Aug 2014 17:38:00 +0100

Dr Ross Tucker is an Exercise Physiologist and High Performance Sports Science Consultant. He obtained a PhD in Exercise Physiology from the University of Cape Town in 2006, and graduated at the same time with a Post-Graduate in Sports Management from the Faculty of Commerce. Ross is hot on social media, with a cool website (http://www.sportsscientists.com), over 12.000 likes on Facebook, and more than 40.000 twitter followers (he's @Scienceofsport ).

In this podcast with Babette Pluim he gives an update on what makes a champion, discusses all the fuss about low carb and high fat diets, comments on barefoot running and takes the 10,000 hour paradigm apart.

See also:

The anticipatory regulation of performance: The physiological basis for pacing strategies and the development of a perception-based model for exercise performance http://goo.gl/tDs9Af

The physiological regulation of pacing strategy during exercise: a critical review http://goo.gl/Oe5Llu

What makes champions? A review of the relative contribution of genes and training to sporting success http://goo.gl/moG4De

David Epstein – ‘The Sports Gene’ author (Part 1) – Why Champions are Champions

Fri, 01 Aug 2014 18:06:00 +0100

In one of 2014’s ‘highlight’ podcasts, New York Times best-selling author David Epstein simplifies genetics and explains that intricate relationship between nature and nurture. David Epstein’s research took him to all corners of the globe and you’ll hear about ‘Superbaby’ (a newborn with muscles sculpted like a powerlifter), ‘A tale of two high jumpers’ (no hints, spoiler alert), and a person whose genes drove her to exercise so much that she had to talk to David on her cellphone while running around an airport parkade. You’ll be convinced that the ’10,000 hours’ argument (Malcolm Gladwell – Outliers) needs to be put in the scientific trash can. Thought-provoking and entertaining, David Epstein should be a household name for the BJSM community. David delivered the President’s lecture at the 2014 AMSSM Annual Meeting (New Orleans). Recorded at the Summit – Leaders in Performance – New York (June 17/18 2014); with permission from Leaders (James Worrall) See also: This podcast builds on a 2012 podcast and paper by Ross Tucker (“What makes a champion?”) - Podcast: bit.ly/1oJNJ1R, Paper: R Tucker, M Collins bit.ly/1iJG3Vp David’s TED Talk “Are athletes really getting faster, better, stronger?”: bit.ly/SVMy09 What makes champions? A review of the relative contribution of genes and training to sporting success: http://bit.ly/XmmYEY The genetic basis for elite running performance: http://bit.ly/1oUPx6x Podcast- David Epstein – ‘The Sports Gene’ author (Part 2) – Hearts and blood: http://bit.ly/1t2rEJK

David Epstein – ‘The Sports Gene’ author (Part 2) – Hearts and blood

Fri, 01 Aug 2014 18:05:00 +0100

If you enjoyed Part 1 of David Epstein’s BJSM podcast listen to this one to hear about the genetic contribution to hypertrophic cardiomyopathy, the reason it is so hard to detect in all cases, and real life choices that some players made when offered genetic screening opportunities. We finish by discussing whether an Olympic cross-country ski champion with a hematocrit of 65 is a blood-doper or the carrier of an unusual single-gene mutation. I learned a great deal from David Epstein in both podcasts; David has put the bar very high for future podcast guests. Recorded at the Summit – Leaders in Performance – New York (June 17/18 2014); with permission from Leaders (James Worrall). David Epstein’s session at Leaders was sponsored by Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar. For more related content: Sports Cardiology module on BMJ Learning including Seattle Criteria: bit.ly/1lI8djo J Drezner, M Ackerman, J Anderson et al, Electrocardiographic interpretation in athletes: the ‘Seattle Criteria’ bit.ly/1ic8P6i Advances in Sports Cardiology November 12, Volume 46: bit.ly/1pitAMf J Drezner, Standardised criteria for ECG interpretation in athletes: a practical tool, bit.ly/1lYQc5f Bruce Hamilton, Ben Levine, Paul Thompson, Greg Whyte, Mathew Wilson, Debate: challenges in sports cardiology; US vs European approaches bit.ly/1lEudzX Unravelling the grey zone: cardiac MRI volume to wall mass ratio to differentiate hypertrophic cardiomyopathy and the athlete's heart: http://bit.ly/1t1LlmQ Sudden Cardiac Arrest and Cardiac Screening: A trainee perspective: http://bit.ly/1oUOWSk Peripheral vascular structure and function in hypertrophic cardiomyopathy: http://bjsm.bmj.com/content/46/Suppl_1/i98.full Unraveling the grey zone: cardiac MRI volume to wall mass ratio to differentiate hypertrophic cardiomyopathy and the athlete's heart: http://bjsm.bmj.com/content/early/2013/06/13/bjsports-2013-092360.full

Screening athletes for cardiovascular disease in Africa: a challenging experience: http://bjsm.bmj.com/content/47/9/579.full

Professor Jan Ekstrand on hamstring injuries in football

Tue, 29 Jul 2014 19:55:00 +0100

Injuries will decide the English Premier League Title (once again!): http://bit.ly/1m18dN9

Professor Jan Ekstrand on the epidemiology of football injuries

Tue, 29 Jul 2014 19:51:00 +0100

Professor Jan Ekstrand is orthopedic surgeon and vice-chairman of the UEFA medical committee. He is professor of Sports Medicine at the University of Linköping, Sweden. He has been team physician of the Swedish National Soccer team. Since 1982, professor Ekstrand has been running prospective studies related to the epidemiology of sports injuries in football. Since 2001, he has carried out EUFA injury audits in elite professional football with the aim of increasing safety in football through prospective research of 75 professional football clubs from 10 different European countries. In this podcast with Babette Pluim, he discusses the outcome and major trends of the UEFA Study. See also: Fewer ligament injuries but no preventive effect on muscle injuries and severe injuries: an 11-year follow-up of the UEFA Champions League injury study http://goo.gl/uyubyI Fifth metatarsal fractures among male professional footballers: a potential career-ending disease http://goo.gl/9gd93a Injuries affect team performance negatively in professional football: an 11-year follow-up of the UEFA Champions League injury study http://goo.gl/hunCiJ Methods for epidemiological study of injuries to professional football players: developing the UEFA model http://goo.gl/vKiYd4 Muscle injury rates in professional football increase with fixture congestion: an 11-year follow-up of the UEFA Champions League injury study http://bjsm.bmj.com/content/47/12/743 Comparison of injury incidences between football teams playing in different climatic regions http://goo.gl/kkLcmh Recurrence of Achilles tendon injuries in elite male football players is more common after early return to play: an 11-year follow-up of the UEFA Champions League injury study http://bjsm.bmj.com/content/47/12/763 The Nordic Football Injury Audit: higher injury rates for professional football clubs with third-generation artificial turf at their home venue http://goo.gl/Kazt3B The UEFA injury study: 11-year data concerning 346 MCL injuries and time to return to play http://bjsm.bmj.com/content/47/12/759.abstract Time-trends and circumstances surrounding ankle injuries in men’s professional football: an 11-year follow-up of the UEFA Champions League injury study http://bjsm.bmj.com/content/47/12/748.abstract Epidemiology of injuries in the Australian Football League, seasons 1997–2000: http://bit.ly/1m18vDV UEFA Champions League study: a prospective study of injuries in professional football during the 2001–2002 season: http://bit.ly/1pQSQuE Evaluating the level of injury in English professional football using a risk based assessment process: http://bit.ly/1oA2K5C

Injury patterns in high-performance curlers (the sport has 2 million players worldwide although has 200x less publications than Aussie Rules Football!): http://bit.ly/1uAD636

‘Overdiagnosis’ / ‘overtreating’– relevant in sportsphysio/medicine? Professor Peter O’Sullivan

Fri, 25 Jul 2014 17:53:00 +0100

Did you listen to Ray Moynihan’s podcast on ‘’Overdiagnosis in sports medicine”? That’s a ‘gold’ podcast (>5000 listens) and Peter O’Sullivan now extends those ideas into the realm of sports physiotherapy. “We can massively create health problems” warns Prof O’Sullivan speaking about the way clinicians may explain pathology to patients. If not explained appropriately, MRI and other imaging can have a negative effect on a patient’s perception of injury. Pete refers to this free paper in RADIOLOGY: McCullough et al. Lumbar MR imaging and reporting epidemiology: do epidemiologic data in reports affect clinical management? Radiology. 2012 Mar;262(3):941-6. doi: 10.1148/radiol.11110618. If you missed Ray Moynihan’s podcast, here’s the link: http://bit.ly/1oA45UC See also: Listen to Prof O'Sullivan discussing low back pain: http://goo.gl/WgseGQ It's time for change with the management of non-specific chronic low back pain: http://bjsm.bmj.com/content/46/4/224.full Successful antibiotic treatment in a subset of people with chronic low back pain: http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/ Professor Peter O’Sullivan (Curtin) walks you through two cases of low back pain: https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-curtin-walks-you-through-two-cases-of-low-back-pain

‘Overdiagnosis’ in sports medicine? FAI for example? The great Ray Moynihan (‘Selling sickness’: https://soundcloud.com/bmjpodcasts/overdiagnosis-in-sports-medicine-fai-for-example-the-great-ray-moynihan-selling-sickness

Professor Peter O’Sullivan (Curtin) walks you through two cases of low back pain

Fri, 25 Jul 2014 17:46:00 +0100

Who are the biggest names in the back pain world? Correct – Peter O’Sullivan is one of them. He's provocative, clinically-relevant, and vastly experienced. He’s desperate to help patients, that’s obvious! But not everyone has to agree. Listen to his take on management of both chronic, and acute, back pains – does it make sense to you? Peter O’Sullivan is Professor of Musculoskeletal Physiotherapy at Curtin University, Perth, (http://goo.gl/Dk6beV)and a Specialist Musculoskeletal Physiotherapist who consults at bodylogicphysiotherapy.com. ------ See also: It’s time for change with the management of non-specific chronic low back pain (2012) http://bit.ly/1nY6YxK Professor O’Sullivan discusses the risk of clinicians ‘overservicing’ or ‘overdiagnosing’ various conditions in another BJSM podcast: http://goo.gl/7HYDiX Successful antibiotic treatment in a subset of people with chronic low back pain: http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/

‘Overdiagnosis’ / ‘overtreating’– relevant in sportsphysio/medicine? Professor Peter O’Sullivan: https://soundcloud.com/bmjpodcasts/overdiagnosis-overtreating-relevant-in-sportsphysiomedicine-peter-osullivan

Assistant Professor Aaron Baggish – Sports Cardiologist / Boston Marathon

Tue, 15 Jul 2014 18:24:00 +0100

In this concise, information-rich BJSM podcast, sports cardiologist Aaron Baggish shares his expertise on the critical issue of sudden cardiac death in sport. He explains how to determine which ECG changes in athletes are sinister and which may not be (such as right bundle branch block). He argues for a detailed screening program for elite athletes and gives advice for those whose care is not covered by a professional sporting organization. The Boston Marathon has provided valuable lessons for where to locate defibrillators in this type of event. A sports cardiology refresher in just 11 minutes! Recorded at the Summit – Leaders in Performance – New York (June 17/18 2014); with permission from Leaders (James Worrall). Aaron Baggish's session at Leaders was sponsored by Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar. See also: J Drezner, M Ackerman, J Anderson et al. Electrocardiographic interpretation in athletes: the ‘Seattle Criteria’ bit.ly/1ic8P6i P Biddinger, A Baggish, L Harrington, P d’Hemecourt, J Hooley, The Boston Marathon and Mass-Casualty Events bit.ly/1lEtkaK BMJ Learning: ECG interpretation in athletes: bit.ly/1lI8djo Incidence of sudden cardiac death in athletes: a state-of-the-art review: http://bjsm.bmj.com/content/48/15/1185.full The FIFA medical emergency bag and FIFA 11 steps to prevent sudden cardiac death: setting a global standard and promoting consistent football field emergency care: http://bjsm.bmj.com/content/47/18/1199.full Cardiovascular screening in adolescents and young adults: a prospective study comparing the Pre-participation Physical Evaluation Monograph 4th Edition and ECG: http://bjsm.bmj.com/content/48/15/1172.full Mass ECG screening of young athletes: http://bjsm.bmj.com/content/42/9/707.full Sudden Cardiac Arrest and Cardiac Screening: A trainee perspective: http://blogs.bmj.com/bjsm/2012/10/18/sudden-cardiac-arrest-and-cardiac-screening-a-trainee-perspective/

David Epstein – ‘The Sports Gene’ author (Part 2) – Hearts and blood: https://soundcloud.com/bmjpodcasts/david-epstein-the-sports-gene-author-part-2-hearts-and-blood

Professor Irene Davis - Does the concept of the abdominal ‘core’ apply to the foot too?

Mon, 14 Jul 2014 12:02:00 +0100

Irene Davis is a renowned biomechanics clinician and scientist. Barefoot running has been one of her areas of focus and she co-authored the Nature paper that received cover attention and created mainstream attention to that topic. She and first author Dr Patrick McKeon, conceived of the idea of a foot ‘core’; if certain foot muscles act as a core it has immediate implications for management in clinical practice. Listen to Professor Davis and see the linked paper (below). Let us know if you agree, disagree. Tweet or write a blog post (email to karim.khan@ubc.ca). One of few researchers who addresses this issue, Prof Davis is a regular keynote speaker at major international conferences. In this BJSM podcast she shares her clinical approach to assessing patients where the ‘foot core’ may be relevant. See also: ‘The foot core system: a new paradigm for understanding intrinsic foot muscle function’: http://bit.ly/1zw4Syw Listen to Prof Davis discussing how to treat patellofemoral pain in another BJSM podcast: http://goo.gl/kxse10 Barefoot running: an evaluation of current hypothesis, future research and clinical applications: http://bjsm.bmj.com/content/48/5/349.full The foot core system: a new paradigm for understanding intrinsic foot muscle function: http://bjsm.bmj.com/content/early/2014/03/21/bjsports-2013-092690.full Running in a minimalist and lightweight shoe is not the same as running barefoot: a biomechanical study: http://bjsm.bmj.com/content/47/6/387.full Patellofemoral pain: consensus statement from the 3rd International Patellofemoral Pain Research Retreat held in Vancouver, September 2013: http://bjsm.bmj.com/content/48/6/411.full Baffled by the barefoot running vs traditional running shoe controversy? How to make an informed choice!: http://blogs.bmj.com/bjsm/2013/10/28/baffled-by-the-barefoot-running-vs-traditional-running-shoe-controversy-dont-be-make-an-informed-choice/ Patellofemoral pain syndrome? Consider orthoses or more comfortable shoes!: http://blogs.bmj.com/bjsm/2011/02/24/patellofemoral-pain-syndrome-consider-orthoses-or-more-comfortable-shoes/

Professor Irene Davis (Harvard) on treating patellofemoral pain: https://soundcloud.com/bmjpodcasts/professor-irene-davis-harvard-on-treating-patellofemoral-pain

Professor Irene Davis (Harvard) on treating patellofemoral pain

Mon, 14 Jul 2014 11:58:00 +0100

The most prevalent condition diagnosed in most sports medicine clinics is patellofemoral pain. Professor Irene Davis is one of the world’s leading physiotherapists and researchers who addresses this issue. She’s a regular keynote speaker at major international conferences. In this BJSM podcast she shares her approach to assessing the patient with patellofemoral pain. From this basis she outlines a range of therapeutic options. Professor Davis was a catalyst for the International Patellofemoral Pain Research Retreats (IPFRR). You can read the full Consensus Statement from the 3rd of these conferences in the special BJSM theme issue highlighted by the Swiss Sports Physiotherapy Association (http://www.sportfisio.ch/) at the link below. See also: Patellofemoral Pain Consensus statement: http://bit.ly/RzNirr Introduction/overview – why have an international patellofemoral pain consensus meeting?: http://bit.ly/TZvtmO Professor Davis discussing ‘the foot core’ concept in another BJSM podcast: http://goo.gl/nUigMB Patellofemoral pain: consensus statement from the 3rd International Patellofemoral Pain Research Retreat held in Vancouver, September 2013: http://bjsm.bmj.com/content/48/6/411.full The 3rd International Patellofemoral Research Retreat: An international expert consensus meeting to improve the scientific understanding and clinical management of patellofemoral pain: http://bjsm.bmj.com/content/48/6/408.full Is hip strength a risk factor for patellofemoral pain? A systematic review and meta-analysis: http://bjsm.bmj.com/content/48/14/1088.full High knee abduction moments are common risk factors for patellofemoral pain (PFP) and anterior cruciate ligament (ACL) injury in girls: Is PFP itself a predictor for subsequent ACL injury?: http://bjsm.bmj.com/content/early/2014/03/31/bjsports-2013-092536.full Patellofemoral pain syndrome? Consider orthoses or more comfortable shoes!: http://blogs.bmj.com/bjsm/2011/02/24/patellofemoral-pain-syndrome-consider-orthoses-or-more-comfortable-shoes/ Professor Irene Davis - Does the concept of the abdominal ‘core’ apply to the foot too?: https://soundcloud.com/bmjpodcasts/does-the-concept-of-the-abdominal-core-apply-to-the-foot-too-professor-irene-davis-harvard

Shabaaz Mughal - Working in elite football

Thu, 10 Jul 2014 11:07:00 +0100

Dr Shabaaz Mughal and Geoff Scott from Tottenham Hotspurs join James Walsh to talk about how to get into working in elite football, the multi-disciplinary team working environment in elite sport, concussion, Fabrice Muamba and cardiac arrest, as well as the Fifa 11+ and injury prevention. See also: A pilot study examining injuries in elite gaelic footballers: http://bjsm.bmj.com/content/34/2/104.full The FIFA medical emergency bag and FIFA 11 steps to prevent sudden cardiac death: setting a global standard and promoting consistent football field emergency care: http://bjsm.bmj.com/content/47/18/1199.full

Jon Patricios - Hip injuries in sport, in association with SASMA

Tue, 08 Jul 2014 09:39:00 +0100

Jon Patricios, President of the South African Sports Medicine Association (SASMA) and editor of BJSM July 2014, Volume 48, Issue 14, chats to Dr Josep "Chuck" Cakic, a renowned Croatian-born South African Hip Arthroscopist, chair of the South African Society for Hip Arthroscopy (SASHA) and an executive member of the International Society of Hip Arthroscopy (ISHA). They discuss key issues regarding hip injuries in sport, accurate diagnosis and selecting patients for surgery. See also: Hip Stage Screening Protocol: http://goo.gl/7BNrY2 Hip Joint Screening Initiative: http://goo.gl/kkEkvQ Risk factors for groin/hip injuries in field-based sports: a systematic review: http://bjsm.bmj.com/content/48/14/1089.full The association between hip and groin injuries in the elite junior football years and injuries sustained during elite senior competition: http://bjsm.bmj.com/content/44/11/799.full UEFA injury study: a prospective study of hip and groin injuries in professional football over seven consecutive seasons: http://bjsm.bmj.com/content/43/13/1036.full Hip flexibility and strength measures: reliability and association with athletic groin pain: http://bjsm.bmj.com/content/43/10/739.abstract Managing the PAINFUL hip and groin in sport – a focus on conservative Rx – Prof Mike Reiman (Part 2): https://soundcloud.com/bmjpodcasts/managing-the-painful-hip-and-groin-in-sport-a-focus-on-conservative-rx-mike-reiman-part-2

Duke University’s Assoc Prof Mike Reiman on managing the stiff hip in sport – is it FAI? (Part 1): https://soundcloud.com/bmjpodcasts/duke-universitys-assoc-prof-mike-reiman-on-managing-the-stiff-hip-in-sport-is-it-fai-part-1

Managing the PAINFUL hip and groin in sport – a focus on conservative Rx – Prof Mike Reiman (Part 2)

Wed, 02 Jul 2014 15:36:00 +0100

This podcast logically follows (Part 1) below but it stands alone as well. Painful hip and groin pain requires a careful history looking for aggravating factors and risk factors, as well as targeted physical examination including but not limited to the hip and groin. Duke University’s Associate Prof Mike Reiman shares specific tips for both assessing, and rehabilitating, the patient with hip and groin pain. See also: Jo Kemp, Kay Crossley, Ewa Roos. What fooled us in the knee may trip us up in the hip: lessons from arthroscopy: bit.ly/1pifElu Per Holmich, Kristian Thorborg, Pedersen Nyvold. Does bony hip morphology affect the outcome of treatment for patients with adductor-related groin pain?: bit.ly/1ic7PPu UEFA injury study: a prospective study of hip and groin injuries in professional football over seven consecutive seasons: http://bjsm.bmj.com/content/43/13/1036.full Risk factors for groin/hip injuries in field-based sports: a systematic review: http://bjsm.bmj.com/content/48/14/1089.full The association between hip and groin injuries in the elite junior football years and injuries sustained during elite senior competition: http://bjsm.bmj.com/content/44/11/799.full Hip flexibility and strength measures: reliability and association with athletic groin pain: http://bjsm.bmj.com/content/43/10/739.abstract Jon Patricios - Hip injuries in sport, in association with SASMA: https://soundcloud.com/bmjpodcasts/hip-injuries-in-sport-in-association-with-sasma

Duke University’s Assoc Prof Mike Reiman on managing the stiff hip in sport – is it FAI? (Part 1)

Wed, 02 Jul 2014 14:29:00 +0100

Managing the athlete with hip stiffness detected at a physical exam or in a PPE is one of the hottest topics of 2014. Some would argue that nothing needs to be done given that the patient is asymptomatic but on the other hand many orthopaedic papers argue for ‘preventive’ osteotomy. Is this ‘overdiagnosis’ and ‘overtreatment’? Mike Reiman is a highly respected clinician-academic and he has integrated the literature on this topic with his clinical expertise. A ‘must’ podcast for physiotherapists, ATCs and doctors who take care of active people. See also: Diagnostic accuracy of clinical tests of the hip: a systematic review with meta-analysis: bit.ly/1inIRfW Physical examination tests for hip dysfunction and injury: bit.ly/1lHRoVP Jo Kemp, Kay Crossley, Ewa Roos, What fooled us in the knee may trip us up in the hip: lessons from arthroscopy: bit.ly/1pifElu Julianne Ryan, Neasa DeBurca, Karen McCreesh, Risk factors for groin/hip injuries in field-based sports: a systematic review: bit.ly/1sq5ip2 Hip chondropathy at arthroscopy: prevalence and relationship to labral pathology, femoroacetabular impingement and patient-reported outcomes: http://bjsm.bmj.com/content/48/14/1102.full Jon Patricios - Hip injuries in sport, in association with SASMA: https://soundcloud.com/bmjpodcasts/hip-injuries-in-sport-in-association-with-sasma

Managing the PAINFUL hip and groin in sport – a focus on conservative Rx – Prof Mike Reiman (Part 2): https://soundcloud.com/bmjpodcasts/managing-the-painful-hip-and-groin-in-sport-a-focus-on-conservative-rx-mike-reiman-part-2

Jennie Morton - Treating performing artists and musicians

Thu, 26 Jun 2014 16:31:00 +0100

Jennie Morton is a UCL Honorary Lecturer on the MSc in Performing Arts Medicine, and lectures for The British Association for Performing Arts Medicine, Dance UK and many performing arts schools and teaching organisations. She also co-runs a dance school in Tring, Hertfordshire, and is a faculty member of The Wells Summer School with Dancers of the Royal Ballet. She still performs as a professional singer with the Manhattan Music. She speaks with James Walsh about the challenges of treating performing artists and musicians, her work with the British Association of Performing Arts Medicine(http://www.bapam.org.uk), and the crossover project with the american college of sports medicine (http://athletesandthearts.com/). See also: Fitness levels of middle aged martial art practitioners: http://bjsm.bmj.com/content/38/2/143.full Risk of cervical injuries in mixed martial arts: http://bjsm.bmj.com/content/39/7/444.full Dance training intensity at 11–14 years is associated with femoral torsion in classical ballet dancers: http://bjsm.bmj.com/content/40/4/299.full

Changes in hip and ankle range of motion and hip muscle strength in 8–11 year old novice female ballet dancers and controls: a 12 month follow up study: http://bjsm.bmj.com/content/35/1/54.full

Professor Lorimer Moseley on the brain and mind in chronic pain

Fri, 13 Jun 2014 17:56:00 +0100

Professor Lorimer Moseley holds the Inaugural Chair in Physiotherapy at the University of South Australia as well as being a Professor of Neurosciences. He completed his PhD in 2002 and has both learned and shared wisdom at the Universities of Queensland, Sydney and Oxford before settling in Adelaide. He leads the Body in Mind Research Group and coauthored the best-selling ‘Explain Pain’. In this podcast he answers questions from Ebonie Rio, Department of Physiotherapy, Monash University, covering the important difference between pain and nociception, and sharing thoughts on how pain science can help clinicians working in sports medicine. You’ll hear him share the best, and worst, ways to explain pain to patients. He predicts how low back pain management will look in 100 years’ time. As always with Lorimer Moseley. expect thoughtful reflections shared with big dob of humour and humility. See also: TEDx talk ‘Why things hurt’: http://www.youtube.com/watch?v=gwd-wLdIHjs Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: a randomised cross-over experiment http://goo.gl/zaNX8s Are children who play a sport or a musical instrument better at motor imagery than children who do not? http://goo.gl/Xv9Qum Exercise is medicine, for the body and the brain: http://bjsm.bmj.com/content/48/12/943.full

Chronic traumatic encephalopathy in sport: a systematic review: http://bjsm.bmj.com/content/48/2/84.full

Matthieu Sailly - Apophyseal injury in children and adolescents

Tue, 10 Jun 2014 17:43:00 +0100

Apophyseal injury in children and adolescents are common and usually respond to simple unloading interventions. But what is the underlying pathology and why do some children succumb and others not? And why do some apophyses become painful and others fail completely with a complete avulsion? Despite these questions it is an area that is under-researched and few people have a specific interest in this area. Listen to the insights of Dr Matthieu Sailly, who is a French sports physician who has expertise and research interest in injuries in young athlete. He was the head of the Aspire Academy medical centre where he worked extensively with highly trained adolescent athletes and developed experience on growth related injuries and long term development strategies for immature athletes in various sports. See also: Physeal injuries in children’s and youth sports: reasons for concern?: http://bjsm.bmj.com/content/40/9/749.full Sports-related acute and chronic avulsion injuries in children and adolescents with special emphasis on tennis: http://bjsm.bmj.com/content/41/11/827.full

“Goalkeeper’s hip”: acute haematogenous osteomyelitis secondary to apophyseal fractures: http://bjsm.bmj.com/content/40/9/808.full

‘Overdiagnosis’ in sports medicine? FAI for example? The great Ray Moynihan (‘Selling sickness’)

Fri, 23 May 2014 17:25:00 +0100

Over-diagnosis, over-treatment and industry influence. Surely not in sports medicine? Ray Moynihan is an internationally renowned contributor in the battle to limit any inappropriate influence of pharmaceutical, diagnostic, and technology companies on good clinical practice. He shares his concerns about the role of drug/implant companies but also argues that clinicians may well be contributing to suboptimal care – almost subconsciously. This is relevant for conditions such as femoroacetabular impingement (FAI). The issue of ‘preventive’ surgery to prevent future arthritis in currently pain-free hips is a massive issue in sports medicine of course. How do we know which patients need this treatment? Enjoy this podcast from a voice outside BJSM’s traditional network of physiotherapists, physicians, massage therapists, clinicians working with active people. When we planned the podcast, Ray Moynihan said he didn’t know about sport but I think you’ll agree that what he offers is hugely relevant to sport and exercise medicine. Thanks Ray! And the 2nd ‘Preventing Overdiagosis’ conference is at Oxford from September 15-17 – just google ‘overdiagnosis conference’. Share your thoughts to @BJSM_BMJ - is this a problem in sports medicine? See also: Online First editorial about FAI: http://goo.gl/ziOLNz In the June issue of BJSM we carry a review of PRP suggesting it isn’t helpful: http://goo.gl/xARb44 The authors of one of the key papers respond here: http://goo.gl/B1hxqc You can read several of Ray Moynihan’s papers in the BMJ including this one that summarises his thoughts on overdiagnosis: http://goo.gl/8uxcGS Repudiation of the ‘magic bullet’ approach to health improvement: a call to empower people to get moving and take charge: http://bjsm.bmj.com/content/46/5/303.full

Adam Meakins’ practical physio tips – explaining neural pain, shoulder rehab and managing knee load

Thu, 22 May 2014 11:48:00 +0100

Here’s the podcast that over 12,000 listeners have been demanding – physiotherapist Adam Meakins (@TheSportsPhysio)on a number of controversial topics, including: Is diagnostic palpation accurate? Can the sacroiliac joint really be ‘unstable’? How does ‘touch’ in physiotherapy have its therapeutic effect? Adam provides great value on Twitter and on his blog – here you can listen to him in your favourite podcast setting. Adam shares his way of explaining neural pain to patients and that alone is worth the price. He also discusses his popular blogs on ‘5 Least Favourite Shoulder Rehab Exercises’ as well as ‘Top 5 Shoulder Rehab Exercises’. He argues that the key to managing some knee conditions is to manage load and he refers to Scott Dye’s classic ‘envelope of function’ concept. And we close by discussing a couple of figures that have gained great traction in the Twittersphere. You might find them useful in your clinical practice. But it’s a risk on radio – I get that! Enjoy and comment via @BJSM_BMJ or on Facebook. See also: Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain: http://bjsm.bmj.com/content/47/17/1095.full Effectiveness of soft tissue massage and exercise for the treatment of non-specific shoulder pain: a systematic review with meta-analysis: http://bjsm.bmj.com/content/48/16/1216.full Rehabilitation for shoulder instability: http://bjsm.bmj.com/content/44/5/333.full

Biomechanics laboratory-based prediction algorithm to identify female athletes with high knee loads that increase risk of ACL injury: http://bjsm.bmj.com/content/45/4/245.full

Paul Dijkstra - Time for a different way to deliver care to high level athletes

Thu, 22 May 2014 11:40:00 +0100

Integrating athlete care – ‘one stop shop’ to optimize athlete care - sports medicine with a focus on PERFORMANCE. Dr Paul Dijkstra has vast experience in elite track and field athlete care. He shares his experience from UK Athletics – the team won 4 gold medals at the London Olympic Games. What’s new in this approach? This model of athlete care emphasises the partnership among not only the health professionals, but also with the strength and conditioning team and the coach(es). Also emphasised is performance – too often clinicians tend to focus exclusively on health whereas the athlete’s focus is performance. Dr Dijkstra provides case scenarios -- how the management model works in real life. He shares the public domain case of UK heptathlete Jessica Ennis who forewent the Beijing Olympic Games (2008) because of a navicular stress fracture, but chose full healing and a longer future over ‘patch up’ to get to the 2008 Olympic Games. The paper outlining this approach was featured in the April issue of BJSM supported by the IOC (Injury Prevention, Health Protection). You can read the Open Access paper here: http://bjsm.bmj.com/content/48/7/523.full See also: Seeing you through London 2012: eye care at the Olympics: http://bjsm.bmj.com/content/47/7/463.full The role of sports physiotherapy at the London 2012 Olympic Games: http://bjsm.bmj.com/content/48/1/63.full The London 2012 Summer Olympic Games: an analysis of usage of the Olympic Village ‘Polyclinic’ by competing athletes: http://bjsm.bmj.com/content/47/7/415.full Fit and healthy Paralympians—medical care guidelines for disabled athletes: a study of the injuries and illnesses incurred by the Polish Paralympic team in Beijing 2008 and London 2012: http://bjsm.bmj.com/content/47/13/844.full Massage provision by physiotherapists at major athletics events between 1987 and 1998: http://bjsm.bmj.com/content/38/2/235.full Care of the multisport athlete: lessons from Goldilocks: http://bjsm.bmj.com/content/45/14/1086.full Public health implications of establishing a national programme to screen young athletes in the UK: http://bjsm.bmj.com/content/45/7/576.full Suicide, sport and medicine: more education and awareness needed for athletes’ mental health: http://blogs.bmj.com/bjsm/2012/12/10/suicide-sport-and-medicine-more-education-and-awareness-needed-for-athletes-mental-health/

“How does a clinician know what’s in the athlete’s best interest?” An Olympic experience: http://blogs.bmj.com/bjsm/2012/08/24/what-defines-an-athletes-best-interest-an-olympic-experience/

Helping clinicians to turn evidence into practice – software for injury prevention and rehab

Wed, 21 May 2014 10:38:00 +0100

Isabel van Obergen and Hannes Cleppe discuss their prevention platform for sports: a software program (SpartaNova) that is in the ‘e-Health’ category for physiotherapy and sports medicine. We begin with an obvious competing interest disclaimer. BJSM has no financial interest or association with SpartaNova. Because clinicians use specific products, such as ‘Theraband’ ® for example, BJSM will report on the utility of such products while being open about any competing interests. Have you considered using software in your practice? Feel free to suggest what we should assess. We love to share ‘success stories’ – and if a commercial product adds value for you we’d report that information. Our guests in this podcast are the CEO of SpartaNova, (IvO) who was attending London’s ‘Leaders in Performance’ conference in 2013, and Hannes Cleppe, who trained as a physiotherapist in Belgium and the US before focusing on developing the injury prevention module for this product. The team includes active clinical advisors as well as experts in computer sciences and maths and closely co-operates with science partners from its founding universities and a broader network of researchers. See also: Developing an injury tracking software system specific for volleyball: a case example: http://bjsm.bmj.com/content/45/6/545.3.abstract

Visual or computer-based measurements: important for interpretation of athletes’ ECG: http://bjsm.bmj.com/content/48/9/761.full

Practical tips for in-season injury prevention and monitoring professional football players

Wed, 21 May 2014 10:34:00 +0100

With Rob Swire (Manchester United) and Stijn Vandenbroucke (Moscow Dynamo). ‘You always start off the season with a masterplan of what you are wanting to do but we’ve never had a master plan that works or goes anywhere near where it is supposed to, but you just try your best’. Given this validation of what you are doing, listen and see how you CAN make prevent injuries and improve team performance by working as a team with your other health professional as well as strength and conditioning colleagues. It’s all about load monitoring and here you can hear from two very experienced physios in the field. What role GPS? What role other software? This is a scenario where ‘e-Health’ or ‘M-health’ meets performance. Our guests speak about how to customise training and monitor players’ adaptation – What are the things to watch out for? When can a player return to training after an injury spell? Is the coach the greatest risk factor – and can the GPS help communicate load messages to the coach? See also: General practitioners’ perceptions and practices of physical activity counselling: changes over the past 10 years: http://bjsm.bmj.com/content/43/14/1149.full Technology in Paralympic sport: performance enhancement or essential for performance?: http://bjsm.bmj.com/content/44/3/215.full Planning and implementing a nationwide football-based health-education programme: http://bjsm.bmj.com/content/46/1/6.full Monitoring stress and recovery: new insights for the prevention of injuries and illnesses in elite youth soccer players: http://bjsm.bmj.com/content/44/11/809.full

Reproducibility of computer based neuropsychological testing among Norwegian elite football players: http://bjsm.bmj.com/content/39/suppl_1/i64.full

Are you responsible for pre-season screening and injury prevention in a football setting?

Wed, 21 May 2014 10:30:00 +0100

Rob Swire has had 22 years of experience at Manchester United. BJSM asked him ‘How do you screen a professional football team pre-season?’ He shares how it’s done, as well as the challenges of being a team clinician and struggling to keep up with continuing education. In the most recent season, Manchester United have moved to include a software package to simplify their screening data entry, risk calculation and the offer of advice as to what might be appropriate exercises in specific settings. ‘I’m a pragmatic (physio) surfing on a wave of science’ was how Steyn Van der Bruggen described his role. Previously at West Ham and more recently at Moscow Dynamo, he shares his approach on how to evaluate players’ functional capacity and then address limitations with targeted exercise. See also: Impact energy attenuation performance of football headgear: http://bjsm.bmj.com/content/34/5/337.full Dehydration of football referees during a match: http://bjsm.bmj.com/content/37/6/502.full Reductions in pre-season training loads reduce training injury rates in rugby league players: http://bjsm.bmj.com/content/38/6/743.full The effect of pre-season dance training on physical indices and back pain in elite cross-country skiers: a prospective controlled intervention study: http://bjsm.bmj.com/content/38/2/148.full Community football players’ attitudes towards protective equipment—a pre-season measure: http://bjsm.bmj.com/content/38/4/426.full

Concussion, risk assessment, and practical steps to reform: Learning from the Hugo Lloris example: http://blogs.bmj.com/bjsm/2013/11/21/concussion-risk-assessment-and-steps-to-reform-learning-from-the-lloris-example/

Dr Mike Loosemore on ‘Exercise is Medicine’ – technology & behaviour change

Mon, 28 Apr 2014 11:22:00 +0100

Are you an exercise advocate? Dr Mike Loosemore, leader of the ‘Exercise is Medicine’ task force in the UK shares recent advances in this field. He spearheaded a most successful conference in that topic in 2013 and shares highlights with BJSM Editor Karim Khan. He previews the 2014 Exercise Medicine conference which you can catch at the Royal Society of Medicine in London on Friday June 20 and Saturday June 21. Keynote speakers include Professors Steven Blair and Greg Whyte. Here is the link for the meeting; themes include the role of technology, digital health and influencing behaviour change. http://www.rsm.ac.uk/academ/spe02.php BJSM’s special 2014 issue on Exercise is Medicine, edited by Professors Steven Blair and Stewart Trost can be found here: http://bjsm.bmj.com/content/48/3.toc See also: Developing a strategic research framework for Sport and Exercise Medicine: http://bjsm.bmj.com/content/48/14/1120.full Developing learning outcomes for an ideal MSc course in sports and exercise medicine: http://bjsm.bmj.com/content/39/1/20.full Leisure-time aerobic physical activity, muscle-strengthening activity and mortality risks among US adults: the NHANES linked mortality study: http://bjsm.bmj.com/content/48/3/244.full Physical activity and breast cancer risk: impact of timing, type and dose of activity and population subgroup effects: http://bjsm.bmj.com/content/42/8/636.full Intensity of leisure-time physical activity and cancer mortality in men: http://bjsm.bmj.com/content/45/2/125.full CT scans and X-rays increase risk of cancer – changing the goal posts in sports medicine: http://blogs.bmj.com/bjsm/2012/09/19/ct-scans-and-x-rays-increase-risk-of-cancer-changing-the-goal-posts-in-sports-medicine/

Physical activity more likely to prevent breast cancer in certain groups: http://blogs.bmj.com/bjsm/2008/05/18/physical-activity-more-likely-to-prevent-breast-cancer-in-certain-groups/

Prof Jiri Dvorak on anti-doping in sports; Athlete Biological Passport and 10 years in a freezer.

Wed, 09 Apr 2014 11:51:00 +0100

This 12-minute podcast relates to a special 2013 Consensus Meeting on Anti-Doping in Sports & its summary in BJSM’s Special Issue on Anti-Doping (May 2014). On November 29, 2013, FIFA hosted a meeting of representatives from key Anti-Doping stakeholders. Represented were sports physicians, athletes, legal experts, biomedical scientists, as well as leadership of international sports federations, the IOC and the Word Anti-Doping Agency. To take a ‘giant leap' forward in the battle to ensure a level playing field in sport the group addressed two key questions. (1) ‘Are we doing the right thing?’ and (2) ‘What contemporary methods can move beyond the simple testing strategy that was begun in the 1960s?’ Listen to the ebullient Professor Dvorak analyse anti-doping options and share with you the reasons drug-cheats are either stopping or very nervous. Read the full consensus statement: http://bjsm.bmj.com/content/48/10/801.full See also: Monitoring of biological markers indicative of doping: the athlete biological passport: http://bjsm.bmj.com/content/48/10/827.full FIFA’s approach to doping in football: http://bjsm.bmj.com/content/40/suppl_1/i3.full Gene doping: an overview and current implications for athletes: http://bjsm.bmj.com/content/47/11/670.full Anti-doping programme and physicians: http://bjsm.bmj.com/content/45/2/e2.2.abstract Do drug cheats ever prosper?: http://bjsm.bmj.com/content/36/2/79.2.full A doping sinner is not always a cheat: http://bjsm.bmj.com/content/42/7/549.full Super athletes or gene cheats?:http://bjsm.bmj.com/content/37/3/192.full Why we should allow performance enhancing drugs in sport: http://bjsm.bmj.com/content/38/6/666.full FIFA’s future activities in the fight against doping: http://bjsm.bmj.com/content/40/suppl_1/i58.full Ruling from the Court of Arbitration for Sport brings consistency, but anti-doping debate will rumble on: http://blogs.bmj.com/bjsm/2012/04/30/ruling-from-the-court-of-arbitration-for-sport-brings-consistency-but-anti-doping-debate-will-rumble-on-2/ Hot Topic: The Truth Behind Doping Scandals: https://soundcloud.com/bmjpodcasts/jiri-dvorak-on-the-future-of/edit Hot Topic: Current Anti-Doping Policies: http://blogs.bmj.com/bjsm/2008/08/07/hot-topic-current-anti-doping-policies/

Guest Blog: Peter Brukner on Drugs and the London Olympics: http://blogs.bmj.com/bjsm/2012/08/20/guest-blog-peter-brukner-on-drugs-and-the-london-olympics/

Patellar dislocation in football, with Professor Philippe Neyret, France

Mon, 07 Apr 2014 12:18:00 +0100

Professor Philippe Neyret from Lyon, France, is a renowned sports orthopaedic surgeon. Following from his talk at the Isokinetic Football Medicine Conference in Milan, BJSM editor Karim Khan reached him via mobile phone. Prof Neyret discusses patellar dislocation in the setting of football and explains that certain anatomic variations (including trochlea dysplasia) make the condition more likely to occur. For players who have suffered patellar dislocation, next steps are not straightforward. Professor Neyret explains which players he would recommend have surgery. See also: Injuries of the sporting knee: http://bjsm.bmj.com/content/34/6/467.1.full

Patient Information Sheet: Patellar Instabilities (dislocation or subluxation of the kneecap): http://blogs.bmj.com/bjsm/2008/10/16/patient-information-sheet-patellar-instability-dislocation-or-subluxation-of-the-kneecap/

AMSSM Sports Medcast: Overuse injuries and burnout

Thu, 27 Mar 2014 17:05:00 +0000

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine.

In this episode, AMSSM members discuss the recently published 'Overuse Injuries and Burnout in Youth Sports: A Position Statement from the AMSSM' with statement authors Dr John DiFiori, Dr Joel S Brenner and Dr Neeru Jayanthi.

Read the statement: http://goo.gl/lczEHo

Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast.

Lower back injuries in cricket players, with Alex Kountouris

Thu, 13 Feb 2014 17:15:00 +0000

Dr Alex Kountouris is the physiotherapist or the Australian men’s cricket team, a position he has held for 8 years. He has just completed his PhD on the relationship between quadratus lumborum and lumbar stress fractures. In this podcast he discusses strategies for the prevention and treatment of lumbar spine injuries in cricket. The interesting questions posed to him come from our twitter followers, so hear his responses to your questions! See also: Biomechanics of lumbar spine injury in young Australian fast bowlers: http://bjsm.bmj.com/content/44/Suppl_1/i4.3.abstract MRI findings in the lumbar spines of asymptomatic, adolescent, elite tennis players: http://bjsm.bmj.com/content/41/11/836.full A stress fracture of the lumbar spine in a professional rugby player: http://bjsm.bmj.com/content/41/5/337.full Injuries in West Indies cricket 2003–2004: http://bjsm.bmj.com/content/40/2/119.full @PeterBrukner discusses today’s major headline: Successful antibiotic treatment in a subset of people with chronic low back pain: http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/ Book Review: Clinical anatomy of the lumbar spine and sacrum: http://blogs.bmj.com/bjsm/2008/10/16/book-review-clinical-anatomy-of-the-lumbar-spine-and-sacrum/

Cricket injuries, with Alex Kountouris

Thu, 13 Feb 2014 17:12:00 +0000

Dr Alex Kountouris tries to stay out of the limelight despite his position as physiotherapist to the Australian Men’s cricket team. Despite his attempts, he finds himself in the media talking about players’ injuries and the reasons behind their inclusion or exclusion from the team. Listen to him discuss injury prevention and treatment in cricket, and for the first time hear the questions posed by our twitter followers. See also: Batting head injury in professional cricket: a systematic video analysis of helmet safety characteristics: http://bjsm.bmj.com/content/47/10/644.full International cricket injury surveillance: a report of five teams competing in the ICC Cricket World Cup 2011: http://bjsm.bmj.com/content/47/10/637.full Injuries in West Indies cricket 2003–2004: http://bjsm.bmj.com/content/40/2/119.full

Methods for injury surveillance in international cricket: http://bjsm.bmj.com/content/39/4/e22.full

Dr Bert Mandelbaum on PRP and stem cells for treatment / exercises for injury prevention

Tue, 11 Feb 2014 17:40:00 +0000

Dr Bert Mandelbaum is the team doctor for Team USA (soccer), the LA Galaxy, and Director of Research for Major League Baseball. He shares his optimism about the role of PRP in various injuries, while cautioning that stem cells, despite their promise, may still be like a ‘Ferrari without a steering wheel’. He was a pioneer in ACL prevention research and believes that programs successful in women may well translate across to men in sport such as NFL football. He takes 2 questions from @BJSM_BMJ Twitter followers. You can catch him next at the 23rd Isokinetic Football Medicine Conference in Milan, March 22-23, 2014 www.footballmedicinestrategies.com/en/ Read two of Dr Mandelbaum's prominent papers: A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players bit.ly/1fWWCfu Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes bit.ly/1lwfzt8 See also: Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial bit.ly/1iXJRmS Prevention of acute knee injuries in adolescent female football players: cluster randomised controlled trial bit.ly/LSeWgb Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial bit.ly/1fWWjRF Growth factor delivery methods in the management of sports injuries: the state of play: http://bjsm.bmj.com/content/42/5/314.full The PRP debate: http://blogs.bmj.com/bjsm/2010/11/15/the-prp-debate/ IOC consensus paper on the use of platelet-rich plasma in sports medicine: http://bjsm.bmj.com/content/44/15/1072.full What constitutes the safe use of PRP in sports injuries? Continuing the PRP debate: http://blogs.bmj.com/bjsm/2010/11/25/what-constitutes-the-safe-use-of-prp-in-sports-injuries-continuing-the-prp-debate/ No magical therapeutic benefit of PRP in Achilles tendinopathy — JAMA paper follow-up and BJSM podcast: http://blogs.bmj.com/bjsm/2011/10/18/no-magical-therapeutic-benefit-of-prp-in-achilles-tendinopathy-jama-paper-follow-up-and-bjsm-podcast/ Platelet-rich plasma: a ‘feeling' and ‘hope' ailing athletes: http://bjsm.bmj.com/content/44/Suppl_1/i1.2.abstract Airway injury during high-level exercise: http://bjsm.bmj.com/content/46/6/385.full

PRP within the wider context of regenerative medicine: http://blogs.bmj.com/bjsm/2010/12/07/prp-within-the-wider-context-of-regenerative-medicine/

The Super Bowl Professor! A special day in the life of Dr Jonathan Drezner and the Seattle Seahawks

Mon, 10 Feb 2014 14:19:00 +0000

Dr Jonathan Drezner, BJSM Senior Associate Editor (Sports Cardiology) is the team physician for Seattle Seahawks in the National Football League. Speaking in the week after his team’s first Super Bowl appearance, he shares thoughts with Karim Khan about a typical week at the Seahawks, the season’s climax in New Jersey, and what budding sports medicine clinicians might do if aspiring to work in the top levels of professional sport. Off the playing field, Professor Drezner served as President of AMSSM in 2012, contributes to the Primary Care Sports Medicine Fellowship at the University of Washington, Seattle and heads the Sports Cardiology Centre. To find more related to sports cardiology (not the subject of this podcast), please go to this BMJ Learning site – over 10,000 educational modules have been completed. http://tinyurl.com/o5jcc5v See also: Peter Brukner on – Lessons from 30 years as a team physician http://bjsm.bmj.com/articleusage?rid=47/10/610 The use of local anaesthetic injections in professional football: http://bjsm.bmj.com/content/35/4/212.full

Super Bowl: Two ACL tears and the landmark paper still under review: http://blogs.bmj.com/bjsm/2012/02/13/super-bowl-two-acl-tears-and-the-landmark-paper-still-under-review/

Andy Franklyn-Miller - Tuning up rehabilitation after ACL reconstruction

Mon, 27 Jan 2014 16:38:00 +0000

After a patient has undergone ACL surgery, rehabilitation is bread and butter in many physiotherapy/sports medicine clinics. Many BJSM podcast listeners will be expert in this role. If you are less expert and wondering if there is an ‘optimum’ way to guide the patient back to sport, Dr Andy Franklyn-Miller provides some food for thought. He discusses some novel ways of assessing a patient’s progress after ACL reconstruction, advocates for the use of video in the clinic, and shares the dynamic tests he uses before allowing a player to return to sport. He shares exercises that both test, and help rehabilitate athletes in this setting. Dr Franklyn-Miller is a sports physician at the Sports Surgery Clinic in Dublin, Ireland. He has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), co-authored with Eanna Falvey and Peter Brukner, is an international best-seller. You can follow him on Twitter @AFranklynMiller and his blog provides great resources (www.drAndyFranklyMiller.com) including a further series of podcasts. See also: His previous podcasts on BJSM relating to running injuries (http://bit.ly/1bqMh8C) and groin pain (http://bit.ly/1fo2TAW). Consensus criteria for defining ‘successful outcome’ after ACL injury and reconstruction: a Delaware-Oslo ACL cohort investigation: http://bjsm.bmj.com/content/early/2013/07/23/bjsports-2013-092299.full Lower extremity performance following ACL rehabilitation in the KANON-trial: impact of reconstruction and predictive value at 2 and 5 years: http://bjsm.bmj.com/content/47/15/980.full

Julien Périard Tennis in the heat

Thu, 23 Jan 2014 12:16:00 +0000

Julien Périard is a Canadian research scientist. After racing on the International Triathlon Union Circuit, he completed a PhD at the University of Sydney, investigating the mechanisms that limit prolonged exercise in the heat. He continues to be intrigued by the mechanisms that mediate performance and fatigue in adverse conditions and is now based in Qatar, an ideal place conduct heat studies in athletes. In this podcast he talks about a study he led with tennis players competing in both hot (37ºC) and cool (22ºC) conditions. He discusses the thermal, physiological and perceptual strain associated with match-play tennis in these conditions, as well as fatigue from a physical and neuromuscular performance perspective. He further discusses the impact of playing in the heat on oxidative stress, and the role of an individualized hydration regimen on performance under heat stress. He gives several important take home messages for coaches and players who plan to compete in the heat. See also: Heat stress does not exacerbate tennis-induced alterations in physical performance: http://bjsm.bmj.com/content/48/Suppl_1/i39.full Coping with heat stress during match-play tennis: Does an individualised hydration regimen enhance performance and recovery?: http://bjsm.bmj.com/content/48/Suppl_1/i64.full Increase in tennis injuries at the Australian Open – media hype or evidence based: http://blogs.bmj.com/bjsm/2014/01/28/increase-in-tennis-injuries-at-the-australian-open-media-hype-or-evidence-based/ Australian Open – Hot Tennis. To play or not to play? That is the question: http://blogs.bmj.com/bjsm/2014/01/18/australian-open-hot-tennis-to-play-or-not-to-play-that-is-the-question/ Thermal, physiological and perceptual strain mediate alterations in match-play tennis under heat stress: http://bjsm.bmj.com/content/48/Suppl_1/i32.full Hydration and thermal strain during tennis in the heat: http://bjsm.bmj.com/content/48/Suppl_1/i12.full Core body temperature during competition in the heat: national boys’ 14s junior tennis championships: http://bjsm.bmj.com/content/41/11/779.full An integrated physiological and performance profile of professional tennis: http://bjsm.bmj.com/content/41/8/531.full The impact of match-play tennis in a hot environment on indirect markers of oxidative stress and antioxidant status: http://bjsm.bmj.com/content/48/Suppl_1/i59.full

Neuromuscular adjustments of the knee extensors and plantar flexors following match-play tennis in the heat: http://bjsm.bmj.com/content/48/Suppl_1/i45.full

Mark Huizinga, Olympic Judo champion, on his career

Tue, 14 Jan 2014 10:39:00 +0000

Mark Huizinga, a Dutch judoka, is 5 time European and Olympic Champion. Mark won the gold medal in the men’s under 90 kg class at the 2000 Summer Olympics and took bronze at both the 1996 and 2004 Summer Olympics. He retired after the 2008 Olympic Games and is currently national coach of the juniors in the Netherlands. In this podcast he talks to BJSM deputy editor Babette Pluim about the most memorable moment during his distinguished judo career, about the traditions in judo, dealing with injuries, weight classes and weighing in and injury prevention in judo. He ends with an important lesson for sports physicians, which you will hear when you listen to this podcast! See also: Injuries in judo: a systematic literature review including suggestions for prevention: http://bjsm.bmj.com/content/47/18/1139.full Energy demands during a judo match and recovery: http://bjsm.bmj.com/content/37/3/245.full

The common mechanisms of anterior cruciate ligament injuries in judo: a retrospective analysis: http://bjsm.bmj.com/content/44/12/856.full

Chris Littlewood - Tendons: Where does pain fit in the continuum model?

Thu, 12 Dec 2013 15:28:00 +0000

If you have wondered about the connection between pain and pathology in tendons, this podcast is for you. In this new forum, a BJSM reader takes the hard questions to the experts, Chris Littlewood, who has expertise as a clinician and researcher in the rotator cuff, asks questions of Craig Purdam, who needs little introduction to you, and Ebonie Rio, who has expertise as a clinician in tendons and as a researcher in tendon pain. Listen to the answers on the complex nature of tendons and the relationship between pain and pathology, and let us know via bjsm@bmjgroup.com if you have a pressing desire to ask an expert yourself about a clinical issue in a podcast. We are always open to suggestions. See also: Greater glycosaminoglycan content in human patellar tendon biopsies is associated with more pain and a lower VISA score: http://bjsm.bmj.com/content/48/6/469.full Prospective study of change in patellar tendon abnormality on imaging and pain over a volleyball season: http://bjsm.bmj.com/content/40/3/272.full Tendinopathy – rehab progression – part 1: http://blogs.bmj.com/bjsm/2013/07/23/tendinopathy-rehab-progression-part-1/ Achilles Tendinopathy: is foot strike important?: http://blogs.bmj.com/bjsm/2014/01/22/achilles-tendinopathy-is-foot-strike-important/

Australian football players’ Achilles tendons respond to game loads within 2 days: an ultrasound tissue characterisation (UTC) study: http://bjsm.bmj.com/content/early/2014/06/26/bjsports-2013-092713.full

Glen Hagemann on his term as President of the South African Sports Medicine Association

Thu, 12 Dec 2013 14:45:00 +0000

In this podcast Glen Hagemann, a sports physician from Durban, South Africa, shares with you his two-year experience and lessons learned as President of the South African Sports Medicine Association (SASMA). One of the highlights of his presidency was the 15th Biennial SASMA congress held recently at the Wild Coast Sun, and for those of you who are interested in viewing the presentations, please click on https://www.dropbox.com/l/HcISe1tlrMdfzl8PioTiGb/invite to download these. Keynote speakers such as Bob Sallis, Ann Cools, Peter Brukner, Babette Pluim and Michael Turner were integral to the success of the event. During this congress, The Sharks won South Africa's premier rugby competition, the Currie Cup, which immensely pleased Glen, as he oversees the medical care of the Sharks professional and Academy players at the Life Healthcare Sharks Medical Centre. Glen is an Executive Committee member of SASMA and Exercise is Medicine (South Africa) and discusses the specific challenges facing this movement in South Africa, and the role of SASMA in helping to overcome these obstacles. For more information on SASMA and Exercise is Medicine (South Africa) please see www.sasma.org.za. Finally, he explains why social media are a "must" for all health professionals in sports and exercise medicine. See also: Why some Africans stand out in a crowd: BokSmart for injury prevention and other SASMA-related jewels: http://bjsm.bmj.com/content/46/8/543.full SASMA: happy to be ‘hip’, wary of being too ‘hip happy’: http://bjsm.bmj.com/content/48/14/1071.full How BJSM embraces the power of social media to disseminate research: http://bjsm.bmj.com/content/48/8/680.full

SASMA Wins (3rd year in a row) – Best BJSM Cover: http://blogs.bmj.com/bjsm/2014/03/31/sasma-wins-3rd-year-in-a-row-best-bjsm-cover/

Sports Medcast Ep 4 - Practical tips on NSAIDs

Tue, 03 Dec 2013 10:46:00 +0000

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss practical tips on the use and safety of non-steroidal anti-inflammatory drugs (NSAIDs). Please feel free to contact us at thesportsmedcast@gmail.com, and follow us on twitter twitter.com/sportsmedcast. See also: Read the article that Scott and Cole discuss - bjsm.bmj.com/content/47/17/1127 Use of NSAIDs in triathletes: prevalence, level of awareness and reasons for use: bjsm.bmj.com/content/45/2/85.full E-letter: Prophylactic use of NSAIDs in endurance runners: http://blogs.bmj.com/bjsm/2009/10/07/e-letter-prophylactic-use-of-nsaids-in-endurance-runners/ “Mythbuster” on NSAIDs in sports medicine, challenging nutrition dogma, and evidence-based practice: https://soundcloud.com/bmjpodcasts/mythbuster-on-nsaids-in-sports Republished research: Non-steroidal anti-inflammatory drugs (NSAIDs): http://bjsm.bmj.com/content/early/2013/09/06/bmj.f3195.full

Do non-steroidal anti-inflammatory drugs adversely affect stress fracture healing? A short review: http://bjsm.bmj.com/content/39/2/65.full?sid=8f2906bc-ea42-48fc-a5c1-8a5132504322

“Mythbuster” on NSAIDs in sports medicine, challenging nutrition dogma, and evidence-based practice

Thu, 14 Nov 2013 11:21:00 +0000

In a podcast that may be of most interest to our general practice audience, Professor James McCormack has had a longstanding passion for scrutinising study results. One of his roles has been evaluating drug company trials [therapeuticseducation.org] and recommending with the British Columbia Provincial Government reimburse patients for those drugs or not. One category of drugs he is expert is NSAIDs. In the podcast, he also explains why the science of nutrition resembles a smorgasbord of low quality studies. Finally, (and for all health professionals), Prof McCormack shares a link to his ‘viral’ YouTube video ‘Viva La Evidence’ [bit.ly/13Wv5Eq] which shows that what marketing experts label ‘NMS’ is alive and well. (Nerd Market Segment). You’ll find a couple of videos that the BJSM Editor found hugely entertaining but that his adult children just rolled their eyes at. See also: Use of NSAIDs in triathletes: prevalence, level of awareness and reasons for use: bjsm.bmj.com/content/45/2/85.full E-letter: Prophylactic use of NSAIDs in endurance runners: http://blogs.bmj.com/bjsm/2009/10/07/e-letter-prophylactic-use-of-nsaids-in-endurance-runners/ Sports Medcast Ep 4 - Practical tips on NSAIDs: https://soundcloud.com/bmjpodcasts/mythbuster-on-nsaids-in-sports

Republished research: Non-steroidal anti-inflammatory drugs (NSAIDs): http://bjsm.bmj.com/content/early/2013/09/06/bmj.f3195.full

Managing groin pain, with Andrew Franklyn-Miller

Wed, 06 Nov 2013 17:27:00 +0000

Are you wondering how to best manage sports-related groin pain? In this 2nd of two podcasts by, Dr Andrew Franklyn-Miller focuses on groin pain – particularly in football sports. He advocates a fresh look at the treatment and diagnosis of groin pain. In particular, he argues that the patient’s biomechanics can be best analysed using dynamic video capture systems. Dr Franklyn-Miller has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), coauthored with Eanna Falvey and Peter Brukner, is an international best-seller.

Listen to his first podcast, on running injuries, here: http://bit.ly/187BA9b

Sports medcast in association with AMSSM: Journal club

Mon, 28 Oct 2013 11:11:00 +0000

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor present clinical pearls on several topics from the recent sports medicine literature.

Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast.

Gait retraining to reduce leg pain with Dr Andy Franklyn-Miller

Mon, 21 Oct 2013 16:56:00 +0100

Dr Andrew Franklyn-Miller is a renowned sports and exercise medicine physician whose background includes providing care to the UK Defence Forces and elite athletes. He has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), coauthored with Eanna Falvey and Peter Brukner, is an international best-seller.

In this podcast he shares secrets from 15 years of experience in treating runners and running injuries.

“Mechanotherapy” and why it’s important for clinicians with Karim Khan

Fri, 18 Oct 2013 17:40:00 +0100

Karim Khan calls mechanotherapy “the most important fundamental concept that underpins rehabilitation exercises”.

Listen to Karim explain that all exercise-based rehabilitation relies on the cells of the injured tissue sensing the exercise stimulus, converting that signal to protein synthesis, and repairing tissue. He explains why ‘rest doesn’t work’ and argues that mechanotherapy has substantial evidence in its favour. The process applies to all body tissues – to injuries / pathology in bone, muscle, tendon and cartilage.

Read the review article, which has had over 32,000 full-page views since 2009:

Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair - http://bjsm.bmj.com/content/43/4/247.full

Sport medcast in association with the AMSSM: Concussion

Tue, 24 Sep 2013 10:38:00 +0100

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine.

In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of concussion evaluation and management with Dr Jeffrey Kutcher, a neurologist at the University of Michigan, and the Director of Michigan NeuroSport.

Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast

Professor Ron Diercks talks about sports medicine research in the Netherlands

Wed, 11 Sep 2013 17:34:00 +0100

This podcast comes together with the Dutch Sports Medicine Association edition of BJSM.

Guest editor Hans Zwerver talks with Prof Ron Diercks, head of the Sports Medicine Center of the University Medical Center in Groningen, about the development of sports medicine research in the Netherlands and the Groningen Sport Science Institute. Ron discusses the impact of the expected recognition of Sports Medicine in the Netherlands and also comments on the shoulder consensus statement and of course the cover photo of the Dutch BJSM edition...

See that great cover, and all the content from the special edition, here: http://bjsm.bmj.com/content/47/14.toc

Time to revisit inflammation in tendons, with Jon Rees

Fri, 16 Aug 2013 17:31:00 +0100

It is currently widely accepted among clinicians that chronic tendinopathy is caused by a degenerative process devoid of inflammation. The evidence for non-inflammatory degenerative processes alone as the cause of tendinopathy is surprisingly weak.

In this podcast, Jon Rees a rheumatologist at Cambridge University Hospitals NHS Foundation Trust tells Jill Cook why the role of inflammation offers potential opportunities in treating chronic tendinopathies and should be explored further.

Read the article online: http://bjsm.bmj.com/content/early/2013/03/08/bjsports-2012-091957.full

Scapular summit 2013 with Ben Kibler

Wed, 14 Aug 2013 15:34:00 +0100

Adam Weir talks to Ben Kibler from the Shoulder Center of Kentucky about the 2013 consensus statement on scapular dyskinesis in shoulder injury.

Read the editor's choice article for free online: http://bjsm.bmj.com/content/47/14/877.full

The second international consensus conference on the scapula was held in Lexington Kentucky. The purpose of the conference was to update, present and discuss the accumulated knowledge regarding scapular involvement in various shoulder injuries and highlight the clinical implications for the evaluation and treatment of shoulder injuries.

Sports medcast in association with AMSSM: Heat injury

Mon, 12 Aug 2013 16:44:00 +0100

Welcome to the first Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of heat injury evaluation and management with Dr Fran O'Connor, Chair of Military Medicine at the Uniformed Services University in Bethesda, MD.

We'd very much like to hear your feedback on this episode, email us at thesportsmedcast@gmail.com.

Physio education, with David Pope

Tue, 16 Jul 2013 17:22:00 +0100

David Pope (@DavidKPope) is a practicing physiotherapist in Australia and a pioneer in social media for physio education. His podcasts via ClinicalEdge (www.clinicaledge.com.au/pages/podcast) with stellar guests such as David Butler and Jill Cook have had many tens of thousands of listeners.

In this podcast, BJSM turns the microphone around and asks him to share the secrets of contemporary clinical teaching methods and clinical reasoning.

Prof Antonio Pelliccia - La cardiologia dello sport: stato dell’arte e prospettive future

Fri, 12 Jul 2013 14:59:00 +0100

In questo Podcast, il Prof Antonio Pelliccia, esperto a livello modiale nell’ambito della Cardiologia dello Sport, parla della prevenzione della morte improvvisa nello sportivo. Campo in continuo sviluppo, la cardiologia dello sport trova nell’Italia uno dei paesi pionieristici, sia in ambito clinico che nella ricerca scientifica.

You can listen to an English version of this podcast here: http://goo.gl/4VgAfC

Prof Antonio Pelliccia - Sports cardiology: the cutting edge and looking to the future

Fri, 12 Jul 2013 14:54:00 +0100

In this podcast, Prof Antonio Pelliccia, Institute of Sport Medicine and Science, Rome, Italy, an international expert in sports cardiology, talks about the prevention of sudden death in athletes. In a field in continuous development, sports cardiologists in Italy are leading the way, both in clinical and scientific research.

This podcast is also available in Italian: http://goo.gl/5fweGj

High-fat for health, with Professor Timothy Noakes

Tue, 25 Jun 2013 15:25:00 +0100

Dr Peter Brukner has been looking at nutrition for health, both of athletes and in the wider population. In this podcast he speaks to Professor Tim Noakes, author of The Lore of Running, originator of the central governor theory, and a strong exponent of the low carbohyrate-high fat diet.

Tim talks about his views on carbohydrate, and how his experience of a very low carb diet has changed the way he views the decades old advice of low-fat intake - particularly when it comes to treatment of patients with type-2 diabetes and cardiovascular disease. They discuss this diet in the specific setting of sport - long distance and football codes. Professor Noakes has over 21,000 followers on Twitter (https://twitter.com/ProfTimNoakes) and his most recent book, Challenging Beliefs, includes an introduction to his thoughts on this topic.

Peter Brukner's editorial on this topic is in the July 2013 issue of BJSM - http://bjsm.bmj.com/content/47/11/663.full

Mark Thompson on tendon mechanics and the 2014 International Scientific Tendon symposium

Mon, 03 Jun 2013 12:21:00 +0100

We are talking tendons again in this podcast because the next International Scientific Tendinopathy Symposium has been scheduled for September 5 and 6 in Oxford, UK. This exciting event follows on from two successful conferences in Vancouver in 2012 and Umea in 2010. The consensus paper from the Vancouver conference is open access in the June 2013 edition of BJSM [http://bit.ly/13fLIN1].

In this podcast I am talking to with Dr Mark Thompson, a biomedical engineer from Oxford University, who leads the Oxford Mechanobiology Group. Amongst other things he is working with Prof Andy Carr, who has a large number of publications particularly on the rotator cuff tendon.

Mark discusses the mechanics of tendon and tendinopathy, and how mechanics contribute to the clinical perspectives of the condition.

Carl Askling on hamstring injuries - in Swedish

Mon, 20 May 2013 17:06:00 +0100

Carl Askling, Ph.D., P.T., är forskare och lektor på Gymnastik och Idrottshögskolan, Stockholm och är knuten till Karolinska Institutet, Stockholm. Carl Askling har skrivit en avhandling om akuta skador av hamstringsmuskulaturen, “Hamstring Muscle Strain”, Karolinska Institutet, 2008, och har fortsätt att forska runt akuta hamstringsskador på bl.a. fotbollspelare. I den här podcasten talar idrottsläkare Babette Pluim med Carl om hans senaste forskningsresultat. See also: Carl’s podcast on hamstring injuries in English bit.ly/zFjobU Return to play after thigh muscle injury in elite football players: implementation and validation of the Munich muscle injury classification bit.ly/14Jo4rY Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols bit.ly/11b99pH High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis bit.ly/13FToJj

Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level bit.ly/YUKEgJ

Juan Manual Alonso - What can all nations learn from spanish sports medicine?

Mon, 13 May 2013 16:33:00 +0100

Dr Juan Manual Alonso is a spanish sports physician and PhD with vast experience in track and field - six Summer Olympic Games just to start! He is the head of the IAAF (Athletics) where he had a global responsibility for antidoping (since 2003) and for guiding athlete care for all 200 countries in the Athletics Federation. He has recently begun working at Aspetar-Qatar Orthopaedic and Sports Medicine Hospital.

Jurdan Mendiguchia is a spanish physiotherapist with vast experience at home and in Italian football. He has published and lectured widely on rehabilitation with a focus on hamstring injuries. His 2012 BJSM editorial “Hamstring strain injuries: Are we heading in the right direction?” has had over 5,000 downloads http://tiny.cc/rgmrww. In this podcast he and Dr Alonso introduce the listeners to a multifactorial approach to managing hamstring strain.

Spanish speakers can listen to both Juan Manuel and Jurdan discussing sports medicine issues in detail in spanish here http://bit.ly/18FP3be.

Juan Manual Alonso - Qué pueden aprender otros países de la Medicina del Deporte en España

Mon, 13 May 2013 16:31:00 +0100

El Dr Juan Manuel Alonso es un médico del deporte español con dilatada experiencia en el atletismo (¡ha estado presente en 6 juegos olímpicos!). Es el presidente de la Comisión Médica y Anti-dopaje de la IAAF donde se ocupa de la lucha antidopaje y del cuidado general de los atletas de los 200 países que integran la Federación Internacional de Atletismo. Recientemente se ha incorporado a trabajar en Catar en el Hospital Aspetar de Medicina del Deporte y Cirugía Ortopédica.

Jurdan Mendiguchia es un fisioterapeuta español con amplia experiencia en el tratamiento de deportistas de élite y en especial de jugadores de fútbol profesional. Trabaja también como asesor en el área de prevención y manejo de casos clínicos difíciles de clubes de fútbol de España, Europa y Sudamérica. Ha publicado ampliamente y dado conferencias alrededor del mundo sobre su visión de la rehabilitación y prevención con especial interés en las lesiones de isquiotibiales. Su editorial en BJSM “Hamstring strain injuries: Are we heading in the right direction?” ha sido descargado más de 5000 veces. http://tiny.cc/rgmrww. En este podcast, Mendiguchia y el Dr Alonso presentan a los oyentes un enfoque multifactorial dirigido al manejo clínico de las lesiones de isquiotibiales.

Prof Jiri Dvorak on sudden cardiac death, and the Football for Health and 11+ programs

Mon, 13 May 2013 13:53:00 +0100

Professor Jiri Dvorak discusses the major public health initiative ‘Football for Health’ which has already been adopted in 19 countries. He also introduces that 11 steps to prevent cardiac death and revisits progess on the 11+, a warmup program that reduces lower limb injuries in football. Professor Dvorak is the Chief Medical Officer for FIFA and Chairman F-MARC.

Exercising at altitude with David Bishop: Does it help team sports?

Wed, 08 May 2013 10:43:00 +0100

Professor David Bishop, from the Institute of Sport, Exercise, and Active Living (SEAL) at the University of Victoria in Melbourne, Australia, discusses the evidence base for altitude training to improve performance. The innovation is the role in team sports like football codes. He discusses with Karim Khan the differences between low oxygen and low barometric pressure, ways of replicating environmental effects without having to travel. Can this help your team? A top podcast for strength and conditioning coaches (S&C) and clinicians contributing to the strategy for team performance.

Evert Verhagen makes social media and apps intelligible

Tue, 07 May 2013 12:12:00 +0100

Terrified of Twitter? Afraid of apps? Evert Verhagen, sports scientist and academic from de Vue University Medical Centre, Amsterdam, guides us through everything sports clinicians need to know about social media and apps, and how they can aid clinical practice and health promotion. As well as being able to have references and guidance on your phone or tablet, these can help you stay bang up up to date in your field, and keep an eye on your athletes’ wellbeing.

See also:

Evert’s blog: Social media 101 http://bit.ly/VjNnye

Dr Paul McCrory on what athletes need to know about concussion

Tue, 30 Apr 2013 17:29:00 +0100

Paul McCrory, neurologist and sports physician at the University of Melbourne, talks us through what to do if you think you’ve had a concussion, when you can go back to sport, and what the complications of concussion are.

Dr Paul McCrory explains what parents need to know about concussion

Tue, 30 Apr 2013 17:28:00 +0100

If you’re worried that your child has had concussion, this podcast is for you. Paul McCrory, neurologist and sports physician at the University of Melbourne, discusses the Concussion Recognition Tool, the guide that you can use if you suspect a diagnosis of concussion. What should you do? Dr McCrory also talks us through the symptoms of concussion, and how to know when a child has recovered.

You can access the Concussion Recognition Tool here http://bit.ly/11TiFxW.

And the SCAT recognition tool here http://bit.ly/100CzEc

Dr Paul McCrory’s 3-minute snapshot of what’s new in managing concussion

Tue, 30 Apr 2013 17:26:00 +0100

Paul McCrory, neurologist and sports medic at the University of Melbourne, gives us the new, take home messages from the latest concussion consensus statement.

For a guide to all the content in the latest injury prevention and health protection issue of BJSM, where the consensus is published, listen to Dr McCrory’s earlier podcast http://bit.ly/12XvGb5.

All the content from the issue can be found here http://bjsm.bmj.com/content/47/5.toc.

Dr Paul McCrory’s overview of the Zurich Concussion Consensus Statement (BJSM April 2013)

Tue, 30 Apr 2013 17:24:00 +0100

The latest injury prevention and health protection issue of BJSM focuses on concussion, and in this podcast Paul McCrory, neurologist and sports physician at the University of Melbourne, gives us an overview of what’s included, so you can target the content which you find most helpful.

Dr McCrory takes us through the consensus statement on concussion in sport published in the issue, as well as the 12 review papers which inform it.

All the content from the issue can be found here bjsm.bmj.com/content/47/5.toc.

Professor Tim Noakes on being waterlogged - how to prevent, spot and treat hyponatraemia

Tue, 23 Apr 2013 15:07:00 +0100

As we hit marathon season, Peter Brukner, BJSM senior associate editor, discusses the controversy around hydration for athletes with Tim Noakes, professor of exercise and sports science at the University of Cape Town and author of ‘Waterlogged: The Serious Problem of Overhydration in Endurance Sports’.

Professor Noakes explains who is at risk of hyponatremia, and how to spot and treat the condition. He lays out the advice sports physicians should be giving athletes. He also describes how commercial messages led to athletes thinking they need to drink more than they should.

See also:

Waterlogged: The Serious Problem of Overhydration in Endurance Sports http://bit.ly/12avAeV

Case proven: exercise associated hyponatraemia is due to overdrinking. So why did it take 20 years before the original evidence was accepted? http://bit.ly/17UF9SM

The truth about sports drinks http://bit.ly/NB379z

Professor Winne Meeuwisse on concussion in sport

Tue, 23 Apr 2013 15:05:00 +0100

To provide additional insights to the April Injury Prevention Health Promotion (IPHP) issue of BJSM [http://bit.ly/YKvsQ5], Professor Meeuwisse takes you behind the scenes. What are the new elements for concussion management, why do some parents insist on unsafe practices for their children, how can you make sure you are up to date in your clinical practice?

Professor Meeuwisse is from the University of Calgary and leader of the Brain Injury Initiative of the Hotchikiss Brain Institute. As well as being co-chair of the 4th International Consensus Conference on Concussion in Sport, he is co-chair of the University of Calgary Sport Injury Prevention Research Centre.

Enjoy and send any questions you have to us via email (karim.khan@ubc.ca) or via Twitter (@BJSM_BMJ).

Professor Roald Bahr - IOC World Conference on Prevention of Injury & Illness in sport 2014

Tue, 23 Apr 2013 15:03:00 +0100

With Professor Roald Bahr, chairman of the Scientific Committee and member of the IOC Medical Commission.

Are you planning your conference contribution or attendance for 2014? Those who attended the first 3 World Conferences on Injury & Illness Prevention in Sport are keen to make Monaco a destination in April 10-12, 2014. In this podcast, Professor Roald highlights the unique contribution of these triennial meetings, and reminds you of upcoming opportunities to contribute by proposing a workshop or submitting an abstract.

Treating elbow pain: physiotherapy or cortisone injection: Profs Vicenzino, Cook & Dr Coombes

Tue, 23 Apr 2013 15:01:00 +0100

Lateral epicondylalgia, often referred to by patients as tennis elbow, has a range of treatment options available to the clinician. A group at the University of Queensland, Australia, headed by Bill Vicenzino have been investigating short and long term outcomes of different treatment modalities. Last month, they published an RCT in JAMA examining the effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia.

Professor Jill Cook asks the hard question - is it time to drop corticosteroid injection from the treatment options for tennis elbow?

Professor Malcolm Collins on genomics in sports medicine

Tue, 23 Apr 2013 14:54:00 +0100

Malcolm Collins is professor of human biology at the University of Cape Town and a chief specialist scientist at the South African Medical Research Council. He is one of the leading researchers at the Exercise Science and Sports Medicine Research Unit, which is located at the Sports Science Institute of South Africa, a multidisciplinary institution committed to promoting sporting excellence and the health of Africans.

This podcast complements BJSM’s recent chat with Professor Tim Caulfield [http://bit.ly/10xfp8w], but focuses more on sports injuries and talent identification in sport.

Professor Collins, who discovered the first gene variants associated with chronic tendinopathies, explains the implications for clinical care and screening. He also has discovered some genetic variant relationships with ACL injuries and we discuss what that means for players, parents and coaches. We discuss the topic of ‘What makes champions’, a highly downloaded paper from BJSM’s 2012 archive. Finally, we return to the big question in the field - should you send your DNA to a lab to discover either (i) what sports you may excel in, or (ii) whether you are at risk for, or protected against, certain injuries? Prof Collins is not afraid to give clear suggestions and comments so enjoy this podcast with a preeminent sports genetics authority.

Cristiano Eirale e Stefano Della Villa: Medicina dello sport in Italia

Tue, 23 Apr 2013 14:52:00 +0100

In questo podcast Cristiano Eirale, specialista dello sport in Aspetar, Qatar Orthopedic and Sport Medicine Center e medico della Nazionale del Qatar, intervista Stefano Della Villa, Presidente dell’Isokinetic Medical Group, su passato, presente e futuro della medicina dello sport in Italia.

Dr’s Stefano Della Villa and Cristiano Eirale on sports medicine practice in Italy (and Qatar)

Tue, 23 Apr 2013 14:47:00 +0100

As part of the series of podcasts highlighting the best of sports medicine the world over, Dr Stefano Della Villa shares a very successful model of sports medicine clinical care in Italy; Cristiano Eirale comments on his experiences in Italy and for the last 6 years in Qatar. Both sports physicians have tremendous football experience but a focus of the podcast is delivery of clinical care - the patient journey in setting a multidisciplinary clinical setting. Dr Della Villa highlights the ‘case manager’ role of the sports physician and this model has been critical in the Isokinetic clinics in Italy. The Isokinetic Medical Group, established in 1987, is a FIFA Medical Centre of Excellence. The headquarters and the very substantial Education and Research Department, directed by Professor Giulio Sergio Roi, are located in Bologna, with other outpatient clinics located in Rome, Milan, Turin, Verona and Rimini. The group has now expanded to Harley Street in London. Dr Eirale was the first sports physician recruited to Aspetar - Qatar Orthopaedic and Sports Medicine Hospital and he has witnessed not just the building of a massive state-of-the art hospital but the emergence of a new focus of sports medicine excellence in the Gulf Region.

Those of you who appreciate the Italian language will enjoy Dr Della Villa being interviewed by Dr Eirale about other topics in the first Italian language podcast in the BMJ Grouphttp://bit.ly/15T7NCK.

Professor Richard Frobell - Do I need an immediate knee reconstruction?

Tue, 23 Apr 2013 14:45:00 +0100

This short podcast is directed to patients - specifically active sportspeople who have recently rupture an anterior cruciate ligament (ACL). Associate Professor Richard Frobell is the lead of the team that has addressed a key question with the most rigorous research study to date. Is there any benefit to immediate knee reconstruction? Will waiting for a knee reconstruction lead to more injury or arthritis?

See also:

Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial bit.ly/Yqr25b

A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears bit.ly/cgTUfO

Renström PA. Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection. Br J Sports Med. 2012 Aug 31 1.usa.gov/14M4mzO

G Myklebust, R Bahr, Return to play guidelines after anterior cruciate ligament surgery bit.ly/ZK5pZk

More from Professor Richard Frobell (Part 2): For the experts in ACL management

Tue, 23 Apr 2013 14:43:00 +0100

In this second of two podcasts for clinicians, associate professor Richard Frobell discusses how his 2010 RCT was received by some members of the clinical community and how he addressed those concerns. His new paper sheds further light on the issues that generated debate. See also: Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial bit.ly/Yqr25b A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears bit.ly/cgTUfO Renström PA. Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection. Br J Sports Med. 2012 Aug 31 1.usa.gov/14M4mzO

G Myklebust, R Bahr, Return to play guidelines after anterior cruciate ligament surgery bit.ly/ZK5pZk

Professor Richard Frobell (Part 1): ACL management - 5 years follow up to an RCT

Tue, 23 Apr 2013 14:41:00 +0100

Dr Richard Frobell is an associate professor in the Department of Orthopaedics at Lund University in Southern Sweden. His background is in physiotherapy but he’s worked as a specialist in clinical diagnosis for over a decade in a dedicated knee service program. In this podcast he discusses his recent BMJ paper, which is a follow up to the NEJM on ACL injury treatment. See also: Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial bit.ly/Yqr25b A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears bit.ly/cgTUfO Renström PA. Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection. Br J Sports Med. 2012 Aug 31 1.usa.gov/14M4mzO

G Myklebust, R Bahr, Return to play guidelines after anterior cruciate ligament surgery bit.ly/ZK5pZk

Professor Harm Kuipers looks back

Tue, 23 Apr 2013 14:38:00 +0100

Harm Kuipers, emeritus professor of the University of Maastricht, talks to Babette Pluim, BJSM deputy editor, about the meaning of sport, the challenges of being an editor, and his most exciting scientific research projects. These are overtraining, delayed onset muscle soreness and glycogen restoration during exercise. Harm recently wrote his autobiography “Starting on two left skates”. He is a former elite athlete and became world all-round speed skating champion in 1975. See also: Pre-exercise ingestion of carbohydrate and transient hypoglycemia during exercise bit.ly/ZK4Te3 Structural muscle damage and muscle strength after incremental number of isometric and forced lengthening contractions bit.ly/17UCjx6 Adaptation and overtraining in horses subjected to increasing training loads bit.ly/11AxqnY

Carbohydrate feeding and glycogen synthesis during exercise in man bit.ly/13seQzR

Professor Tim Caulfield - Deflating the genomic bubble

Tue, 23 Apr 2013 14:35:00 +0100

‘Personalized medicine’ has been touted as a major health opportunity. How likely is the promise to be realised? Tim Caulfield hit the global headlines in February 2011 when he was one of the first to argue that human genome had not delivered in the way that some had claimed it would. His Science paper echoed around in the world and was picked up by major news sources like the NY Times, Al Jazeera and the BJSM Blog http://bit.ly/11Ax6pn.

Professor Caulfield is a terrific health communicator - a champion of ‘knowledge translation’ aka ‘knowledge exchange’ among other things. The concept of turning research into action. In this podcast he gives BJSM listeners insights into how genomic discoveries may or may not influence personal and public health. He even underwent personal genomic screening in the interests of science!

This podcast is relevant to one of BJSM’s most popular papers - ‘What makes champions’ by geneticist Professor Malcolm Collins and physiologist Dr Ross Tucker http://bit.ly/10bIshB. In upcoming weeks we’ll drill deeper into injury risk and genetic predisposition with Professor Malcolm Collins. You can keep an eye on new BJSM podcast releases on our home page (www.bsjm.bmj.com) and via Twitter (@BJSM_BMJ)

Rogerio da Silva on tennis

Tue, 23 Apr 2013 14:32:00 +0100

Dr Rogerio Teixeira da Silva, from the Sao Luiz Hospital in Sao Paulo, Brazil, former President of the Brazilian Orthopaedic Sports Medicine Society, has a great interest in sports medicine, specifically upper extremity injuries in tennis players. He talks about his experiences with Gustavo Kuerten and what the athlete has meant for tennis in Brazil, the medical care of junior tennis players, hip range of motion, scapular dyskinesia and humeral stress reactions. He also previews the 13th STMS World Congress on Tennis Medicine and Science - Buenos Aires, 21-23 February 2013. See also: Stress reaction of the humerus in tennis players bit.ly/13UYSCh Clinical and ultrasonographic correlation between scapular dyskinesia and subacromial space measurement among junior elite tennis players bit.ly/11h9SUK Sacral stress fracture: an unusual cause of low back pain in an amateur tennis player bit.ly/ZlB2wQ

Shoulder strength profile in elite junior tennis players: horizontal adduction and abduction isokinetic evaluation bit.ly/10widsD

Peter Brukner, Scott Gardner and John Orchard on lessons from Australia

Tue, 23 Apr 2013 14:30:00 +0100

In this podcast we look at what sports and exercise medicine around the world can learn from Australia, just one of the countries where the area is thriving.

Scott Gardner is an Australian sports scientist currently working in the UK, recently with British Cycling, and he describes what’s going on at the Australian Institute of Sport, and why he thinks they’re so good at training clinicians (0.45).

Sports medicine in football is where John Orchard, associate professor at the University of Sydney and sports physician for Australian cricket and the Sydney Roosters, thinks the country is getting it right. He argues that politics in the English Premier League can prevent clinicians from doing their job properly, whereas those working in Australia face a much more open culture (5.24).

And Peter Brukner, previously head of Sports Medicine & Sports Science at Liverpool FC and media commentator, talks about how the media and public down under are very interested in, and hence knowledgeable about, sports injuries, and how this has a positive impact for clinicians. He also gives us a round up of what other countries are doing particularly well in sports and exercise medicine (13.11).

Future BJSM podcasts will put other nations under the spotlight; Phil Glasgow will share Team GB’s Olympic success story in the next installment in this series.

Drs Gardner, Orchard and Brukner spoke about sports and exercise medicine in Australia at a meeting organised by the Sporting Health Group, where Harriet Vickers (BMJ’s assistant multimedia editor) recorded this podcast.

See also:

Who is to blame for all the football inuries? http://bit.ly/NOJQF5

On the value of team medical staff: can the “Moneyball” approach be applied to injuries in professional football? http://bit.ly/10aYJSY

Kim Harmon on managing concussion

Tue, 23 Apr 2013 14:28:00 +0100

Professor Kim Harmon from the University of Washington, former President of AMSSM, has a strong clinical record in managing concussion on sideline in football. She led the AMSSM’s consensus document on concussion and here she guides you as to how to interpret current concussion ‘guidelines’ into best practice for your players on game day. She also previews AMSSM’s Annual Meeting - San Diego, April 2012.

Jill Cook on the continuum model of tendinopathy

Tue, 23 Apr 2013 14:27:00 +0100

Jill Cook is BJSM’s deputy editor with particular emphasis on physiotherapy. She is a professor at Monash University, Frankston, Australia, and a renowned international tendon authority. In this podcast she answers questions she is commonly asked about the ‘continuum model’ of tendinopathy that she and Craig Purdam (Australian Institute of Sport) proposed. See also: Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy bit.ly/YKmKkM Is compressive load a factor in the development of tendinopathy? bit.ly/XTvZlk Jeremy Lewis’s podcast on rotator cuff tendinopathies bit.ly/Nhll0U

Jill’s previous podcast on managing tendinopathies bit.ly/15DM8Qp

What is GlobalPANet? Trevor Shilton from the International Society for Physical Activity and Health

Tue, 23 Apr 2013 14:26:00 +0100

GlobalPANet is the world’s first dedicated global physical activity communication network. GlobalPANet rapidly communicates the latest research around the globe via its unique e-News and website.

GlobalPANet informs about recent physical activity developments, careers and events, as well as being linked to a global network of those with professional and personal interests in physical activity. It is brought to you by the International Society of Physical Activity and Health (ISPAH). Listen to Trevor explain this benefit or see the website.

Feel free to submit content for the GlobalPANet site to Trevor via trevor.shilton@heartfoundation.org.au.

Dr Trevor Shilton on social marketing - what does this buzz term mean for physical activity?

Tue, 23 Apr 2013 14:25:00 +0100

Every physical activity advocate dreams that physical activity will one day have the same ‘brand equity’ as popular products like Apple. Many folks know of successful media campaigns for physical activity promotion in various countries. There is a science behind this, and getting it right can save hundreds of thousands of dollars in failed campaigns.

Dr Trevor Shilton, National Heart Foundation, Perth, Australia, is an international expert on promoting physical activity using various forms of media. He shares these secrets with BJSM editor Karim Khan. Think of it as Mad Men (marketing) meets Dragon’s Den (persuasion - selling a product!).

See also:

Fiona Bull’s podcast on the 7 investments http://bit.ly/R0asX0

Related paper on 7 investments http://bit.ly/OY9t7o

Social marketing: why injury prevention needs to adopt this behaviour change approach http://bit.ly/ZK3m7G

Fiona Bull on seven investments for physical activity

Tue, 23 Apr 2013 14:23:00 +0100

Fiona Bull, professor at the School of Population Health, University of Western Australia, talks Karim Khan through the investments the Global Advocacy for Physical Activity has identified as key for getting more people active. These include public awareness, urban planning, sports programmes, and promoting activity in primary care and schools.

See also:

NON COMMUNICABLE DISEASE PREVENTION: Investments that Work for Physical Activity http://bit.ly/hcWRMN

Key issues in sports cardiology, with Matthew Wilson

Tue, 23 Apr 2013 14:21:00 +0100

Matthew Wilson, who runs the Sports Cardiology Research Programme at Aspetar Sports Medicine Centre, Qatar, talks Karim Khan through key issues, and the latest research, in sports cardiology. 0.46 Five clinical questions in pre participation screening 3.44 Should ECGs be mandatory? 4.56 Who should be screened? 6.34 Risk stratification for cardiac arrest 8.52 The common electrical and ion channel issues 12.37 Key papers See also:

BJSM supplement:Advances in Sports Cardiology bit.ly/RLIBWq

23.5 hours to switch behaviour

Tue, 23 Apr 2013 14:19:00 +0100

The focus of this podcast is health promotion and behaviour change.

Joining Karim Khan, BJSM editor, and Domhnall McAuley, BMJ primary care editor, is Mike Evans, associate professor of family medicine at the University of Toronto and founder of the Health Design Lab. Dan Heath, senior fellow at Duke University’s Center for the Advancement of Social Entrepreneurship, and co-author of a book “Switch – how to change things when change is hard” also joins the panel.

The Health Design Lab’s viral video 23 and 1/2 hours: What is the single best thing we can do for our health? has been watched over 2.5m times, and is freely available on youtube http://bit.ly/sHJgx6

A spoonful of exercise

Tue, 23 Apr 2013 14:18:00 +0100

Karim Khan, BJSM editor, crosses the table to be quizzed on the evidence behind exercise. He briefly reviews Steven Blair’s findings about exercise and mortality, and answers the ubiquitious question “how much should I actually be doing?” He also highlights a new report on next steps - how we can move from ‘exercise is medicine’ to actually implementing physical activity across community sectors. 0.26 - Summary of the evidence for exercise and health 4.00 - Dose

10.26 - Public health uptake of exercise

Are you an undergraduate who’s keen on sport & exercise medicine? Liam West offers advice.

Tue, 23 Apr 2013 14:16:00 +0100

Liam West, a medical student at University Hospital of Wales in Cardiff and passionate student of sport & exercise medicine, talks to Karim Khan about the barriers to developing a career path in sports and exercise medicine. He shares a successful approach to carving out a path while also coping with the rigid obligations of medical school. Liam also coordinates a blog series for the BJSM on the undergrad’s perspective, and has helped set up a national network for undergraduate students who will be the future doctors in SEM called USEMS (Undergraduate Sports & Exercise Medicine Society).

0.49 - Getting into SEM

3.10 - Barriers to starting your career

6.00 - Overcoming the obstacles

8.15 - Undergrad SEM societies

10.41 - Take home messages

Professor Phillip Newman on dealing with shin pain

Tue, 23 Apr 2013 14:14:00 +0100

Phillip Newman (assistant professor of physiotherapy, University of Canberra) gives his advice on shin pain, and explains how two simple tests can predict those at higher risk of developing Medial Tibial Stress Syndrome. BJSM editor Karim Kham asks the questions.

0.33 Studying shin pain in the military population

1.51 The shin palpation test and the shin oedema test and how they’re useful

5.45 Are these tests useful in the broader population?

6.22 A quick summary of the findings

7.40 Treatment of shin pain

9.29 The use of orthotics

10.21 Professor Newman’s views on barefoot running

See also:

Two simple clinical tests for predicting onset of medial tibial stress syndrome: shin palpation test and shin oedema test http://bit.ly/17NbVCo

Managing leg pain - focus on chronic exertional compartment syndrome http://bit.ly/ZMnOnr

Managing leg pain - focus on chronic exertional compartment syndrome

Tue, 23 Apr 2013 14:12:00 +0100

Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, and star of the three million times viewed BJSM physical examination videos [http://bit.ly/17UzOuu], gives Karim Khan an update on examination and management of leg pain. He explains why he doesn’t use the term ’shin splints’.

In this podcast Dr Hutchinson covers: (i) clinical work-up of persistent leg pain (ii) investigating compartment pressure (iii) two or four compartments? (iv) tips for surgeons treating compartment syndrome (v) fasciotomy or fasciectomy?

Three extremely relevant papers in BJSM include:

Chronic exertional compartment syndrome testing: a minimalist approach http://bit.ly/10aWJu3

Chronic exertional compartment syndrome http://bit.ly/ZMnzIW

Intracompartmental pressure testing: results of an international survey of current clinical practice, highlighting the need for standardised protocolshttp://bit.ly/17Nbvfd

Dr Robert Sallis on the practicalities of exercise is medicine

Tue, 23 Apr 2013 14:10:00 +0100

Dr Robert Sallis (Exercise Is Medicine Advisory Board chairman) offers advice on how to get patients and colleagues engaged with exercise as medicine. Karim Khan (BJSM editor) asks him about his experience promoting this at Kaiser Permanente, and resources and schemes available.

As Dr Sallis is a former president of the American College of Sports Medicine, they also discuss what’s coming up for the organisation.

An update on Exercise Is Medicine 0.51

How to get started with Exercise Is Medicine 2.00

The Everybody Walks scheme 3.00

Getting exercise as a vital sign into consultations 4.11

Referral resources 6.23

How encorporating exercise into healthcare has worked for Kaiser Permanente 11.06

The upcoming triathlon conference in Kona 13.30

ACSM in 2013 15.57

The National Activity Plan in the US 18.49

See also:

Podcast: Exercise on prescription, Mai-Lis Hellénius and Carl Johan Sundberg http://bit.ly/13USrPH

Podcast: Mike Loosemore - how to prescribe exercise http://bit.ly/naC5QV

Darren Burgess - Head of Fitness and Conditioning at Liverpool FC

Tue, 23 Apr 2013 14:06:00 +0100

Darren Burgess, head of fitness and conditioning at Liverpool FC and former strength and conditioning coach of the Socceroos, talks to Karim Khan about his role and how he deals with the unique challenges of the premier league. They discuss the interface between the conditioning team the coach and the manager and how technology has changed the way in which players fitness needs are understood. One specific topic of interest to many will be how GPS can help guide training volumes.

1.25 - Assessing a player for fitness to play

5.26 - Words of advice for emerging sports scientists

7.21 - Resolving tensions between strength and conditioning and medical teams

11.30 - Player tracking systems

19.25 - Top 3 recovery tips

Acute ankle injuries, with Professor Gino Kerkhoffs

Tue, 23 Apr 2013 14:05:00 +0100

Hans Tol (BJSM senior associate editor) talks to Gino Kerkhoffs (Orthopaedic Surgery, Academic Medical Centre, Amsterdam, Netherlands) about diagnosing and treating acute ankle injuries, as his group has just published clinical guidelines on this in BJSM.

0.37 Who the guidlines are aimed at

2.11 Risk factors for ankle injuries

5.09 Is there still a place for MRI in diagnosing acute ankle injuries?

11.50 Functional treatment - tape or brace?

15.03 Should injuries where the syndesmotic ligament is involved be treated the same as lateral injuries?

16.50 Surgery

21.45 Prevention after surgical repair

24.16 The future of diagnosis and treatment

26.24 What’s the evidence for platelet rich plasma treatment?

See also:

Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline http://bit.ly/Qn0UTG

4 bread-and-butter shoulder problems + special bonus with Prof Mark Hutchinson?

Tue, 23 Apr 2013 14:02:00 +0100

Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, and star of the three million times viewed BJSM physical examination videos [http://bit.ly/17UykR2], gives Karim Khan an update on examination and management of shoulder injuries.

In this podcast Dr Hutchinson covers (i) Common pitfalls and what to do instead (ii) How to diagnose overuse in the throwing shoulder (iii) ‘Labral tears’ vs ‘SLAP’ tears nomenclature (iv) Shoulder dislocation – when is surgery appropriate? and (v) Scaphoid fracture - has screw fixation become first line treatment?

If you missed Dr Hutchinson’s knee podcast listen here http://bit.ly/O2rRe2.

Another popular shoulder podcast is by Professor Jeremy Lewis on rotator cuff tendinopathy http://bit.ly/11yxbel.

Professor Mark Hutchinson’s pearls on knee examination: Do the simple things extraordinarily well

Tue, 23 Apr 2013 14:00:00 +0100

Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, and star of the 3 million times viewed BJSM physical examination videos [http://bit.ly/17UykR2] gives Karim Khan an update on examination and management of acute knee injuries.

He shares his experience in interpreting physical signs, imaging indications, and the advantages of early sideline diagnosis. He also answers 4 key questions: (i) knee haemarthrosis - to drain or not to drain?, (ii) mensical tear - arthroscopy or wait?, (iii) is surgery always indicated after ACL tear, and (iv) first time patellar dislocation - conservative or surgical management?

Please note that Professor Hutchinson’s shoulder podcast will be released next week! What this space, BJSM’s Facebook page, or our Twitter feed for updates!

Professor Lars Nordsletten on NSAIDs and COX-2 inhibitors in sports medicine: A cautionary tale

Tue, 23 Apr 2013 13:58:00 +0100

Professor Lars Nordsletten, from the Olso Sports Trauma Research Centre, talks to Karim Khan, BJSM editor, questioning the role of NSAIDs and COX-2 inhibitors in sport. He discusses how mediation of inflammatory response may not be in an athlete’s best interest. He shares data on NSAIDs delaying fracture healing, and discusses which drugs are most appropriate at various points during recovery.

See also:

Professor Nordsletten’s biography page http://bit.ly/10aK8XL

Abuse of medication during international football competition in 2010 – lesson not learned. Philippe Tscholl and colleagues. http://bit.ly/Y1smw1

Nonsteriodal anti-inflammatory drug use in sports medicine: Guidelines for practical but sensible use. Jason Paoloni and colleagues. http://bit.ly/10aV6MY

Prof Jeremy Lewis: Rotator cuff tendinopathies

Tue, 23 Apr 2013 12:13:00 +0100

Jeremy Lewis, consultant physiotherapist and visiting professor of Physiotherapy at Chelsea and Westminister NHS Foundation Trust, talks to Prof Jill Cook about management of rotator cuff tendinopathy. They cover the role of the subacromial bursa in the condition, new treatment paradigms, hopes for future developments.

Bursa: 3.40

Changing treatment paradigms: 6.00

Future developments: 13.30

Dr Ross Tucker: Understanding performance

Tue, 23 Apr 2013 12:12:00 +0100

In the second part of this two-part podcast, Ross Tucker, one of the authors on The Science of Sport (http://www.sportsscientists.com/) explains how a understanding what limits performance can help an athlete achieve their best. He covers the use of GPS data and other measures of training volume, the difficulty that massive volumes of data creates, and how teams can use advanced sport science programs to gain a competitive advantage. He illuminates recent discoveries that ‘central’ processes - ‘the central governor’ - regulate performance; this contrasts with older views that suggested anaerobiosis (lack of oxygen) in skeletal muscle limited performance.

Ross Tucker’s paper on pacing/limits of performance tiny.cc/ybc3hw

The January 2013 issue of BJSM focused on pacing and the Central Governor bjsm.bmj.com/content/46/1.toc

Part 1 of the podcast: ‘What makes an Olympic champion?’ http://bit.ly/MQNiyf

Dr Ross Tucker: ‘What makes an Olympic champion?’

Tue, 23 Apr 2013 12:10:00 +0100

In the first part of this two-part podcast, Dr Ross Tucker, one of the authors of the hugely popular blog - The Science of Sport (http://www.sportsscientists.com/) - talks about what makes an Olympic champion. Dr Tucker assesses the role of genetics, training and the validity of the ‘10,000 hour’ concept. He rationally, and with evidence, discusses the eligibility of Oscar Pistorius and Caster Semenya in the Olympics.

Dr Tucker is an exercise physiologist, conditioning coach, and team coach. He is based at the University of Cape Town in the Exercise Science and Sports Medicine Department and the Sports Science Institute of South Africa.

Football and sudden cardiac death, with Jiri Dvorak and Jonathan Tobin

Tue, 23 Apr 2013 12:08:00 +0100

Sudden cardiac death in footballers has been headline news, so how should those involved in the sport be looking out for players?

FIFA’s chief medical officer Jiri Dvorak explains what the organisation is doing, and Bolton Wanderers’ club doctor Jonathan Tobin gives us a pitch-side view. BJSM editor Karim Khan asks the questions.

0.45 FIFA’s pre-competition medical assessment

3.53 Organisation pitch-side

5.32 Researching the aetiology of sudden cardiac death – FIFA’s Medical and Research Centre

6.40 Putting plans in place

10.09 Getting the message and resources out worldwide

12.16 What to do if you want your club to be more prepared for cardiac events

15.27 Checklists for all involved

17.18 Automatic external defibrillators

See also:

FIFA’s Medical and Research Centre http://bit.ly/PDKLt5

Jon Drezner and the 2012 sudden cardiac death update: two new key messages http://bit.ly/M5Tjan

Groin injuries, with Professor Per Holmich

Tue, 23 Apr 2013 12:07:00 +0100

Per Holmich, head of the Arthroscopic Centre at Amager University Hospital, has been working for many years on overuse problems especially hamstring, groin and hip problems focusing on exercise treatment and hip arthroscopy.

In this podcast he talks to Karim Khan about groin injuries, what to watch out for in diagnosis, and how to treat.

Andrew Murray, sporting Scotland

Tue, 23 Apr 2013 12:05:00 +0100

Karim Khan talks to Andy Murray, Scotland’s official Physical Activity Champion. After completing a gruelling 2659 mile run from John O’Grotes in Scotland to the Sahara Desert, Andy is now working to promote physical activity in the rest of the population.

He talks about the programmes that the Scottish government is putting in place to improve the health of the nation through exercise.

See also:

Scotland2Sahara http://www.scotland2sahara.com/

Global Advocacy for Physical Activity http://www.globalpa.org.uk/

23.5 hours video http://bit.ly/sHJgx6

Andy’s twitter feed https://twitter.com/docandrewmurray

Healthier Scotland www.takelifeon.co.uk

Active Scotland http://www.activescotland.org.uk/

Jon Drezner and the 2012 sudden cardiac death update: two new key messages

Tue, 23 Apr 2013 12:03:00 +0100

Professor Jon Drezner emphasises the need for careful planning and practice of emergency protocols in the sports medicine setting. He also shares the new criteria for ECG screening - these lead to a much lower false positive rate than was previously reported. He makes a compelling case to include a resting 12-lead ECG in the periodic health examination of athletes.

In this podcast he previews the international collaboration to improve the criteria for interpreting ECGs in athletes. These ‘Seattle criteria’ will be shared for free world-wide via BMJ Learning though sponsorship by numerous stakeholders including FIFA, AMSSM, PACES and ESC.

0.47 Has there been an increase in the rate of sudden cardiac death in sportspeople aged over 35 years?

1.42 What can clinicians do to minimize the risk of sudden cardiac death?

5.14 Screening and periodic health examination

8.56 Efforts to increase the accuracy of ECG interpretation - the Seattle meeting

21.04 AMSSM - a great member society for primary care physicians

23.33 Summary

See also:

BJSM blog: ECG Summit in Seattle: Successes and Next Steps http://bit.ly/wCELeS

You can read how a two page tool with criteria for assisting interpreting ECGs in athletes led to improved accuracy in ECG reading by sports medicine attendings, primary care attending and primary care residents http://bit.ly/12EJwz4

Jon’s previous BJSM podcast: Preventing sudden cardiac death with Jon Drezner http://bit.ly/occXQj

The two page tool http://bit.ly/14LIF2Y

Recommendations for interpretation of 12-lead electrocardiogram in the athlete http://bit.ly/Y1iUbO

Detailed criteria for the interpretation of the electrocardiogram in young athletes http://bit.ly/ZJOMgi

Shoulder injuries, with Ann Cools

Tue, 23 Apr 2013 12:00:00 +0100

Babette Pluim (BJSM deputy editor) talks to Ann Cools (professor in the Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium) about her varied research into shoulder injuries.

0.21 Scapular involvement in shoulder pain in overhead athletes

1.32 Treatment strategy of internal impingement in the overhead athlete

3.11 The Scapular Summit 2012

4.49 Eccentric training for shoulder injuries

6.27 Scapula Dyskinesis

8.56 Age related change in the shoulder in tennis players

11.15 Adaptations in scapular movement, subacromial space, and range of movement and strength in elite handball players

15.47 The European Society for Shoulder and Elbow Rehabilitation (EUSSER)

See also:

Descriptive profile of scapulothoracic position, strength and flexibility variables in adolescent elite tennis players http://bit.ly/ZJOhTI

Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review http://bit.ly/ZJOkyC

Screening the athlete’s shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology http://bit.ly/15DCSMn

Internal impingement in the tennis player: rehabilitation guidelines http://bit.ly/Y1iEtt

Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms http://bit.ly/129KBxq

EUSSER www.eusser.org

The World Anti-Doping Agency, and blood passports, with Alan Vernec

Tue, 23 Apr 2013 11:57:00 +0100

Babette Pluim (BJSM’s deputy editor) talks to Alan Vernec of the World Anti-Doping Agency (WADA). They discuss the work of the organisation and the new posibilities blood passports are offering doping detection.

See also:

Leading Sports Ethics expert Mike McNamee’s 2011 comments on doping and sport http://bit.ly/11IsZGk

A discussion of the challenges of doping test (for B-2 agonists) in asthma http://bit.ly/ZFW6g8

Fit vs fat, with Steven Blair

Tue, 23 Apr 2013 11:54:00 +0100

Karim Khan talks to Steven Blair, professor at the Arnold School of Public Health, South Carolina. Professor Blair discusses the wealth of evidence he’s built up on the benefits of exercise, why physical inactivity is a bigger problem than obesity, and how much and of what we should all be doing.

0.51 Why physical inactivity is a greater health problem than obesity

3.20 Why physical inactivity is an important factor in causing the obesity epidemic

6.18 How the World Health Organisation is waking up to the fact physical inactivity is a major health problem

8.47 The impact of genetic makeup on the benefits gained from physical activity

10.44 The benefits of physical activity in those over 60

11.52 How much and of what sort of exercise should we be doing to get the benefits?

See also:

Physical inactivity: the biggest public health problem of the 21st century http://bit.ly/11yeqrJ

Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men http://bit.ly/10vSKQ4

Changes in Physical Fitness and All-Cause Mortality http://bit.ly/XT6yQS

Physical Fitness and All-Cause Mortality http://bit.ly/Zl6gEo

WHO Global status report on noncommunicable diseases 2010 http://bit.ly/i5ZiVf

Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues http://bit.ly/XT6HDM

Is physical activity or physical fitness more important in defining health benefits? http://bit.ly/17UmOFe

How Much Physical Activity is Good for Health? http://bit.ly/10vT29B

The shoulder in sport, with Ben Kibler

Tue, 23 Apr 2013 11:51:00 +0100

Babette Pluim (BJSM’s deputy editor) talks to Ben Kibler (medical director of the Lexington Clinic Sports Medicine Center, Lexington, Kentucky) about his varied and prolific career in tennis and baseball sports medicine. Dr Kibler discusses his research on the shoulder and also the tennis serve, the importance of considering biomechanics in injury prevention and recovery, and the role of surgery.

0.43 Founding the society for tennis medicine and science

2.34 The increasing focus on the shoulder in sports medicine research

3.45 Dr Kibler interest in the scapula

6.09 The tennis serve as a weapon

9.03 The importance of biomechanics in sports medicine

11.14 The Kibler rehabilitation programme

13.46 The role of surgery

15.02 Basics of the throwing motion conference

16.28 Do we need guidelines on how many serves young tennis players should hit?

19.11 The importance of the rotation of the shoulder and position of the scapula in preventing injury

See also:

Basics of the throwing motion conference

Tom Best on hamstring injuries

Tue, 23 Apr 2013 11:49:00 +0100

Tom Best, co-medical director of Ohio State University Sports Medicine and professor of Family Medicine, OSU College of Medicine, talks about his work on the treatment of hamstring injuries.

1.00 - Clinical scenario: acute hamstring injury

4.15 - Recovery time

9.34 - Considerations before returning to sport

17.00 - Recurrence

19.30 - Use of NSAIDs

23.30 - Role of massage in sports medicine injuries

26.20 - American College of Sports Medicine 2012 meeting in San Francisico

30.30 - Other hamstring injury resources

See also:

Carl Askling’s BJSM podcast on hamstring injuries http://bit.ly/zFjobU

BJSM article: Do you consider two types of injury? http://bit.ly/15Dzv8a

Feb 2012 issue of BJSM http://bjsm.bmj.com/content/46/2.toc

Tom also mentioned:

Gisela Sole’s paper http://bit.ly/10aHLnR

Jan Ekstrand http://bit.ly/ZMbrHW

Tom’s book is Evidence Based Sports Medicine

Exercise in pregnancy

Tue, 23 Apr 2013 11:44:00 +0100

Pregnancy is hardly an uncommon condition in women, so what are the ins and out of exercise during those nine months? Harriet Vickers (BMJ’s assistant multimedia producer) talks to Bronwyn Bell (consultant obstetrician and gynaecologist) about the benefits and risks of physical activity from conception to postpartum, and how to look after women at different levels of fitness.

0:00 Conception: Getting in shape before becoming a mum and optimising your chances of conception

2:16 BMI and pregnancy

2:40 Benefits of exercise during pregnancy

4:00 Does exercise put the fetus at risk? The role of core temperature.

5:40 Contact sports and preventing injury during pregnancy

6:00 Absolute contraindications to exercise during pregnancy

8:34 Physiological changes - energy balance and body changes

11:30 Case management - initiating an exercise program in the unfit and newly pregnant woman

12:50 Case management - advising the regularly exercising woman to exercise. The ‘talk rule’ and heart rate as guides.

15:44 Case management - the professional athlete and exercise during pregnancy

17:15 Post-natal exercise advice. Breast feeding and breast support.

See also:

Royal College of Obstetricians and Gynaecologists - Exercise in pregnancy statement http://bit.ly/ZMaYph

BMJ editorial - Exercise during pregnancy http://bit.ly/17Um2br

The South African Sports Medicine Association, with Glen Hageman

Tue, 23 Apr 2013 11:32:00 +0100

In this podcast, also recorded at UKSEM, Babette Pluim (BJSM deputy editor) interviews Glen Hageman (president of the South African Sports Medicine Association). They discuss the work of SASMA, and plans for the future.

The International Olympic Committee with Lars Engebretsen

Tue, 23 Apr 2013 11:30:00 +0100

In anther podcast recorded at the UKSEM conference held in London in November, Karim Khan (BJSM editor) talks to Lars Engebretsen (head of science and research for the International Olympic Committee). They discuss the IOC’s work in trauma research, health promotion, and the BJSM-IOC special issues.

2:32: The launch of the IOC’s focus on injury prevention and health promotion (IPHP).

4:00 - Periodic health exam - should athletes be screened prior to major competition? Can we prevent high level athletes from dying on the field?

6:20 - The IOC Centres of Excellence program - advancing applied sports and exercise medicine research

7:43 - Conference opportunities in the field - what is coming up?

Michael Turner on horse racing

Tue, 23 Apr 2013 11:30:00 +0100

Karim Khan talks to Michael Turner about his career as chief medical advisor for the British Horse Racing Association.

Hamstring injuries with Carl Askling

Tue, 23 Apr 2013 11:28:00 +0100

Hamstring injuries are the most prevalent muscle injuries in sport. Symptoms can be particularly prolonged, healing response poor, and the risk of re-injury high.

Carl Askling (Karolinska Institute, Stockholm) has been trialling a new way of categorising these injuries, thinking about them as high-speed running or stretching types. He explains to Karim Khan how these types can be diagnosed and the different treatment and monitoring they require. He also describes how to assess athletes post hamstring injury for return to sport.

See also:

High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis http://bit.ly/15Dzv8a

Hamstring strain injuries: are we heading in the right direction? http://bit.ly/LfwK2I

Hamstring issues in sports: still a major clinical and research challenge http://bit.ly/JTzgb7

February’s BJSM has a special focus on hamstring injuries, so there’s even more related content in the issue and on the website.

Michael Turner on tennis

Tue, 23 Apr 2013 11:26:00 +0100

BJSM editor Karim Khan talks to Michael Turner about his time as chief medical adviser of the Lawn Tennis Association, including the medical scandals that have cropped up and the advances he’s seen in the game’s sports medicine.

Dr Turner is also chief medical adviser for the British Horseracing Authority, but more of that in a future podcast…

Organising the olympics, with Richard Budgett

Tue, 23 Apr 2013 11:22:00 +0100

We’re well down the road to London 2012, but getting here has taken a herculean feat of organisation. In this BJSM podcast Richard Budgett, Chief Medical Officer British Olympic Association, explains how LOCOG has prepared to meet the medical needs of the olympians, their entourage, and their fans.

Return to exercise after ACL (anterior cruciate ligament) injury, with Dr Richard Frobell

Tue, 23 Apr 2013 11:19:00 +0100

Coming together at the UKSEM conference in London, Professor Lars Engebretsen (Oslo Sports Trauma Research Center and IOC medical commission) talks to Dr Richard Frobell (Lund University, Malmo, Sweden) about his work on return to exercise after ACL (anterior cruciate ligament) injury.

Dr Frobell describes the evidence already on this issue, and his recently published randomized trial on whether surgery or rehabilitation improves pain, symptoms, function in sports and recreation, and knee-related quality of life post-injury

See also:

A randomized trial of treatment for acute anterior cruciate ligament tears http://bit.ly/rrS51Y

The BJSM Warm up about this injury http://bit.ly/tBNdiu

Our 2010 interview with Richard Frobell and coauthors of the NEJM paper above http://bit.ly/99leZd

Biomechanical overload and lower limb injuries, with Andrew Franklyn-Miller

Tue, 23 Apr 2013 11:11:00 +0100

Diagnosing chronic exertional compartment syndrome relies on measuring intramuscular pressure, however Andrew Franklyn-Miller (Sports Surgery Clinic, Dublin; education director at BASEM) has shown the criteria for this are flawed (2.51). He talks to BJSM editor Karim Khan about what clinicians can do to get round this, his theory the condition is caused by biomechanical overload and his work looking at running re-education to alleviate symptoms (6.13).

He also gives us his views on barefoot running (10.44) and talks about his research on orthotics (17.57).

Finally, as UKsem’s director, Dr Franklyn-Miller gives us an update on the speakers and programme of the upcoming conference (21.04).

See also:

Foot Orthoses in the Prevention of Injury in Initial Military Training http://ajs.sagepub.com/content/39/1/30.abstract

The validity of the diagnostic criteria used in chronic exertional compartment syndrome: A systematic review http://bit.ly/10aEvc9

Chronic exertional compartment syndrome testing: a minimalist approach http://bit.ly/ZkXNBc

Chronic exertional compartment syndrome http://bit.ly/oNUhJE

BJSM podcast: July’s BJSM and the UKsem Congress, with Andrew Franklyn-Miller

UKsem http://bit.ly/13rUCpJ

Treating tendinopathy with Professor Håkan Alfredson

Tue, 23 Apr 2013 10:59:00 +0100

Whether to opt for exercise treatment, new ‘biological therapies’ like platelet-rich plasma (PRP), or surgery is a clinical challenge. Sweden’s Professor Håkan Alfredson has unique experience in considering these options for patients with Achilles pain. He has 15 years experience as an international leader in sports and exercise medicine.

In this podcast, he tells BJSM’s editor Karim Khan how to manage both straightforward (0.37) and complicated (7.34) Achilles tendinopathy. He shares novel insights into the contribution of the aberrant plantaris tendon to chronic medial leg pain (12.40).

Prof Alfredson also provides a memorable clinical story to underscore the effectiveness of heavy loading eccentric training in one particularly stubborn patient (3.49). He argues against the use of PRP (17.37) and considers cortisone to be a short-term fix but long-term liability (15.24). The podcast concludes with discussion of both jumper’s knee (19.35) and lateral elbow tendinopathy (24.44).

Celebrating the collaboration between BJSM and the VSG (in Dutch)

Tue, 23 Apr 2013 10:57:00 +0100

Zoals u weet heeft de VSG deze zomer een samenwerking gesloten met de British Journal of Sports Medicine.

Door de samenwerking heeft sportarts Adam Weir een podcast opgenomen met directeur Anja Bruinsma van de Vereniging voor Sportgeneeskunde. Anja Bruinsma gaat in op: Samenwerking VSG en BJSM, erkenning sportgeneeskunde, wetenschapsdomein, centraal stellen van de sporter en de toekomst van de sportgeneeskunde. Voor meer informatie zie ook www.sportzorg.nl, www.sportgeneeskunde.com.

October’s BJSM and the VSG Annual Meeting, with Hans Tol and Adam Weir

Tue, 23 Apr 2013 10:56:00 +0100

VSG’s (the sports medicine society of the Netherlands) editor-in-chief Hans Tol and congress committee member Adam Weir highlight the October issue of BJSM and preview the VSG Annual Meeting on 1-2 December 2011.

The first paper highlighted is from Collard et al [http://bit.ly/ZFQS3U], who have calculated the economic costs of organised sports, leisure time physical activities and physical education classes of 10-12 year old Dutch children (1.26). The outcomes are intriguing!

A second paper of interest is from Malliaras and Cook [http://bit.ly/ZkULNj], who contend that the longitudinal changes in antero-posterior patellar diameter support a continuum of pathological changes (2.02).

Two new theories on Achilles tendinopathy are presented in this issue. Firstly, Alfredson proposes [http://bit.ly/qyxi2W] there is an important role for the plantaris tendon (2.45). The second paper, presented by Andersson et al [http://bit.ly/15DwlRQ], highlights the role that substance P plays in tendinopathy (3.25). A must-read for those interested in tendon pathology and food for thought for all sport physicians!

Visiting the VSG Annual Meeting in Kaatsheuvel, Netherlands, is a decision you won’t regret. Hans Tol and Adam Weir explain in their warm-up why this is a must-visit for sports medicine enthusiasts. However, the conference language is Dutch, so make sure you master this in time! Dr Weir discusses the main topics of interest in the second half of the podcast (5.44).

Musculoskeletal ultrasound with Kim Harmon and Sean Martin

Tue, 23 Apr 2013 10:52:00 +0100

Ultrasound is rapidly revolutionising point-of-care medicine in many specialties. The last few years have seen technological advances make musculoskeletal ultrasound more practical, opening up opportunities for diagnostic and therapeutic interventions.

In this podcast, BJSM’s editor Karim Khan investigates the value of musculoskeletal ultrasound and how to integrate it into practice, with Kim Harmon, director of the Sports Medicine Fellowship at the University of Washington, US, and Sean Martin, Clinical Faculty at Eglin Airforce Base, US.

They discuss their experiences of the technique in clinical practice (0.44), which procedures it’s useful for (4.22), how to get started (12.03), using musculoskeletal ultrasound in the training room (13.33), the value of collaborating with radiologists and orthopaedics (15.58) and credentialing (17.46).

See also:

Musculoskeletal ultrasound education for sports medicine fellows: a suggested/potential curriculum by AMSSM http://bit.ly/XSYhwi

American Institute of Ultrasound in Medicine (AIUM) http://www.aium.org/

BJSM podcast: What is the future in sports imaging? Bruce Forster, David Hancock and John Orchard http://bit.ly/ZM6Q8C

The JUMP-ACL study with Anthony Beutler

Tue, 23 Apr 2013 10:49:00 +0100

In this BJSM podcast, Karim Khan talks to Anthony Beutler (Injury Prevention Research Lab, Uniformed Services University, Bethesda, Maryland) about the JUMP-ACL study http://www.iprc.unc.edu/jumpacl/. It is a large prospective cohort study which investigates risk factors for ACL injury - results will be published soon.

They discuss the mechanism of ACL injury in different athletes, the risk of recurrence, and plans to turn the results into practical steps to prevent this injury.

Managing whiplash with Professor Michele Sterling

Tue, 23 Apr 2013 10:46:00 +0100

Karim Khan catches up with associate professor Michele Sterling (Centre for National Research on Disability and Rehabilitation Medicine (CONROD), University of Queenstown, Australia) at the Canadian Physiotherapy Association Congress. As an international expert on neck pain, Michele explains what we currently do and don’t know about whiplash, and advises on managing the condition.

She talks us through the importance of early pain management, the link with post traumatic stress disorder and what to do if you suspect this, manual and physical therapies, and treating chronic pain.

Resources:

Similar factors predict disability and posttraumatic stress disorder trajectories after whiplash injury http://bit.ly/Mod4oo

CONROD’s whiplash evidence based information resource http://bit.ly/11A6xkg

Mike Loosemore - how to prescribe exercise

Tue, 23 Apr 2013 10:44:00 +0100

Dr Mike Loosemore is a consultant in sports and exercise medicine who works at the English Institute of Sport and the University College London Hospital.

In this podcast he emphasises the importance of clinicians taking an exercise/activity history. (See link Developing healthcare systems to support exercise: exercise as the ﬁfth vital sign http://bit.ly/17Uhlyc). He provides practical tips for clinicians and highlights major health benefits from physical activity in a wide range of settings as diverse as patients with mental illness, breast cancer [2 links below], and those undergoing renal dialysis.

See also:

Physical activity interventions for cancer survivors http://bit.ly/ZFQ5jD

Physical activity and breast cancer risk: impact of timing, type and dose of activity and population subgroup effects http://bit.ly/ZJHPfb

FIFA’s Professor Jiri Dvorak on ‘Medicine for Football’ and ‘Football for Health’

Tue, 23 Apr 2013 10:41:00 +0100

Professor Jiri Dvorak, one of BJSM’s senior associate editors, shares his 17 years experience as the FIFA chief medical officer. He discusses

How FIFA have reduced injuries in football [1],

The evidence for football being a great medicine [2 a ,b]

‘Football for Health’ – FIFA’s successful foray into public health education in schools [3].

This is a terrific story of research turning into action – improved health for football players and football players contributing to improve the health of their society.

See also:

[1] Injuries and illness of football players during the 2010 FIFA world Cup http://bit.ly/11gDgdG

[2a] Executive summary: The health and fitness benefits of regular participation in small-sided football games http://bit.ly/17Mntpu

[2b] Give Hippocrates a jersey: promoting health through football/sport http://bit.ly/15DIc21

[3] ‘11 for Health’, a football-based health education programme for children: a two-cohort study in Mauritius and Zimbabwe http://bit.ly/13rSMVR

Preventing sudden cardiac death with Jon Drezner

Tue, 23 Apr 2013 10:38:00 +0100

Jon Drezner, BJSM’s senior associate editor for sports cardiology, discusses prevention of sudden cardiac death. Jon discusses where ECG fits into screening, training sport physicians to confidently interpret ECGs, and the utility of automated external defibrillators.

Jon is also president-elect of the American Medical Society of Sports Medicine, and he gives us a preview of the 2012 annual meeting in Atlanta (April 21-25).

To listen to Jon Drezner’s opening keynote presentation at the IOC’s 3rd World Congress on Prevention of Injury and Illness in Sport (a joint lecture with Professor Antonio Pellucia), follow this link [http://www.ioc-preventionconference.org/] and see the ‘Online Presentations’ tab on the top right of the screen.

July’s BJSM and the UKsem Congress, with Andrew Franklyn-Miller

Tue, 23 Apr 2013 10:35:00 +0100

BASEM’s chair of education, Dr Andrew Franklyn-Miller, highlights the July issue of BJSM and previews the UKsem Congress in November 2011.

Listen to an introduction to Marije T Elferink-Gemser’s paper [http://bit.ly/15DGYDR] on what it takes to be an elite athlete. Another paper of particular interest [http://bit.ly/mLoMpk] highlights the role of proximal stabilisers (eg hip) in patellofemoral pain.

Considering the UKsem conference in London, November 23-26? You won’t regret it. Dr AFM discusses the key activities in the second half of the podcast.

South African Sports Medicine Association theme issue - with Jon Patricios and Timothy Noakes

Tue, 23 Apr 2013 10:33:00 +0100

South african sports medicine has advanced rapidly in recent years. In this podcast, president of the South African Sports Medicine Association (SASMA) Jon Patricios, and University of Cape Town professor Tim Noakes, share their views on the past, present and future of sports medicine in Africa.

Patricios and Noakes review the influence of the 2011 FIFA World Cup on african sports medicine, and highlight the ‘Football For Health’ program which is underpinned by research published in BJSM in 2010 and 2011.

Professor Noakes also discusses the Central Governor Model of performance and the role of industry in excessively promoting over-drinking in endurance events.

Lastly, a preview of the 2011 SASMA Congress.

Exercise on prescription, Mai-Lis Hellénius and Carl Johan Sundberg

Tue, 23 Apr 2013 10:31:00 +0100

Exercise on prescription in Sweden started in the 1980s, and has now become widespread in the country. To help primary care clinicians navigate the evidence on prescribing exercise, the Swedish Institute of Public Health have produced the book Physical Activity in the Prevention and Treatment of Disease (available for personal use from http://www.fyss.se)

In this podcast Mai-Lis Hellénius and Carl Johan Sundberg, two of the authors of the book, share their experience of exercise on prescription in Sweden, and give some tips for clinicians thinking of following their model.

What is the future in sports imaging? Bruce Forster, David Hancock and John Orchard

Tue, 23 Apr 2013 10:30:00 +0100

This podcast focuses on recent advances in sports imaging – particularly side-line ultrasound and the use of MR imaging at sporting venues where teams are based. It adds to the discussion raised in several papers in the December 2010 issues of BJSM (#16)

The print issue has editorials by Kim Harmon and Fran O’Connor (AMSSM) [http://bit.ly/Y1bIfQ], as well by the head of Olympic radiology at Vancouver 2010 – Bruce Forster [http://bit.ly/10aB8lt].

One of the papers discussed in the podcast [http://bit.ly/10aB8lt] relates to use of ultrasound at the sporting venue to undertake injections pre- and post-game.

Professor Jill Cook on managing tendinopathies in 2011

Tue, 23 Apr 2013 10:27:00 +0100

Treating tendinopathies remains a challenge, despite many advances in the past decade. Listen to practical tips and a tip to consider the time course of tendon injury when making treatment decisions.

More information can be found in Professor Cook’s paper Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy http://bit.ly/R0PDbT

See also:

Jeremy Lewis on shoulder tendinopathy http://bit.ly/mm3C1f

Tendon-focussed issue, BJSM #5, April 2011http://bit.ly/11A4rRb

Robert Jan de Vos and Adam Weir on platelet rich plasma injections

Tue, 23 Apr 2013 10:25:00 +0100

In this edition of the BJSM podcast, Robert Jan de Vos and Adam Weir discuss their research on the efficacy of platelet rich plasma injections for the treatment of tendon injury.

Evert Verhagen on ankle sprains and rehabilitation

Tue, 23 Apr 2013 10:23:00 +0100

In this edition of the BJSM podcast, human movement specialist Evert Verhagen discusses ankle sprains and rehabilitation.

Concussion Update - Part 3

Tue, 23 Apr 2013 10:20:00 +0100

Everything you wanted to know about the Zurich International Conference on Concussion

The Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008 is BJSM’s top download and this podcast takes you behind the scenes.

Professor Paul McCrory shares the reasons behind recent changes in management of concussion and provides practical tips for you to prevent concussion and treat it where necessary.

Part 3: You are the expert – you teach concussion to fellows and you can recite the SCAT2 even if you have profound headache and retrograde amnesia. Professor McCrory provides tips from the Consensus Statement that have you on the same page as the 27 experts in Zurich. And maybe you were one of them. Listen anyway, send any additional tips to the BJSM blog (http://blogs.bmj.com/bjsm/) and share the news of this practical podcast.

http://bjsm.bmj.com/content/vol43/Suppl_1/ (Contents page for the Concussion Supplement)

http://bjsm.bmj.com/cgi/content/full/43/Suppl_1/i76 (Main Consensus Statement)

http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i85 (SCAT2)

http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i89 (Pocket SCAT2)

Concussion Update - Part 2

Tue, 23 Apr 2013 10:19:00 +0100

Everything you wanted to know about the Zurich International Conference on Concussion

Professor Paul McCrory shares the reasons behind recent changes in management of concussion and provides practical tips for you to prevent concussion and treat it where necessary.

Part 2:Professor McCrory provides advice based on the Consensus Statement for the more junior clinician. You can’t remember whether the previous Consensus meeting was in Vienna or Prague (why do they get to go to all the cool places), you may have only learned about concussion in your university training (eek!) or you may not have worked in sports where concussion is prevalent. Now you are about to cover boxing or Australian Rules Football. Whack this podcast on your iPod and listen to it ringside (that team applies to Australian Football, don’t worry).

http://bjsm.bmj.com/content/vol43/Suppl_1/ (Contents page for the Concussion Supplement)

http://bjsm.bmj.com/cgi/content/full/43/Suppl_1/i76 (Main Consensus Statement)

http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i85 (SCAT2)

http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i89 (Pocket SCAT2)

Concussion Update - Part 1

Tue, 23 Apr 2013 10:18:00 +0100

Everything you wanted to know about the Zurich International Conference on Concussion

Professor Paul McCrory shares the reasons behind recent changes in management of concussion and provides practical tips for you to prevent concussion and treat it where necessary.

Part 1: An overview of the conference process and the highlights of the specific conference papers that you can find in the May supplement of BJSM. What is new in definitions of concussion, concussion in children, return to play guidelines, the role of neuroimaging and biomarkers and advances in protection.

http://bjsm.bmj.com/content/vol43/Suppl_1/ (Contents page for the Concussion Supplement)

http://bjsm.bmj.com/cgi/content/full/43/Suppl_1/i76 (Main Consensus Statement)

http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i85 (SCAT2)

http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i89 (Pocket SCAT2)

Prof Lars Engebretsen & Elizabeth Arendt - ACL reconstruction and rehabilitation

Tue, 23 Apr 2013 10:17:00 +0100

Which type of ACL reconstruction is best? How does one decide? What are the rehabilitation implications of each? In this podcast, US and Norwegian knee specialists Elizabeth Arendt and Lars Engebretsen share their experiences from operations that have allowed thousands to return to sport at the highest level. But they also raise the question, “Does everyone who ruptures their ACL need an operation?”

http://bjsm.bmj.com/cgi/content/abstract/bjsm.2009.058156v1

http://bjsm.bmj.com/cgi/content/abstract/bjsm.2009.058024v1

Robert Sallis - National Physical Activity Plan

Tue, 23 Apr 2013 10:08:00 +0100

Dr Robert Sallis serves as the chairman for the Exercise is Medicine initiative and previously served as president of the American College of Sports Medicine.He discusses how clinicians can assess current physical activity levels and motivate patients to meet guideline levels. He also discusses the implications of the May 2010 release of the National Physical Activity Plan in the US.

Genevieve Healy - Sedentary behaviour and mortality

Tue, 23 Apr 2013 10:07:00 +0100

Dr Genevieve Healy, from the University of Queensland, discusses the recently-recognised phenomenon of ‘sitting’ being a risk factor for cardiac events and mortality independently of ‘physical activity’.

She reports that a single 30-minute bout of physical activity does not guarantee cardiac health. The practical implications are that there should be more ‘standing meetings’, ‘standing breaks’ and remote controls being kept out of reach while watching TV.

Should health policy focus on physical activity rather than obesity?

Tue, 23 Apr 2013 10:06:00 +0100

Steven N. Blair is a Professor in the Departments of Exercise Science and Epidemiology/Biostatistics at the Arnold School of Public Health at the University of South Carolina. His research focuses on the associations between lifestyle and health. He has published over 480 scientific papers.

Here he discusses a range of issues relating to fitness and health with BJSM editor Karim Khan. He addresses the question ‘Should health policy focus on physical activity rather than obesity?’ which was the subject of a BMJ ‘Head to Head’ http://bit.ly/VadRke

Treating acute anterior cruciate ligament tears

Tue, 23 Apr 2013 10:05:00 +0100

In this podcast Karim Khan, BJSM Editor, talks to the team behind the NEJM paper - A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears. They discuss their research and the implications for clinicians.

See the full article on the NEJM website http://bit.ly/rrS51Y

Dennis Caine on exercise in children; how much, how safe?

Tue, 23 Apr 2013 10:03:00 +0100

Paediatric exercise specialist Dennis Caine discusses hot topics relating to kids in sport. How much is too much? What are the major risks?

See also:

BJSM January issue - Kids in sport http://bit.ly/129d46L