BJSM Podcast (BMJ Group)

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

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

 

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.”

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.

 

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.

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

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.

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

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.

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.

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.

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

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

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.

 

• Jooste, Marcel & Schwellnus, Martin. (2024). Countermeasures to reduce the risk of infections at the 2024 Olympic and Paralympic Games—A balancing act. Journal of Sport and Health Science
• Prevention of Infections in Track and Field Athletes - Top Tips - Aspetar Journal
• Schwellnus M, Adami PE, Bougault V, et al International Olympic Committee (IOC) consensus statement on acute respiratory illness in athletes part 2: non-infective acute respiratory illness British Journal of Sports Medicine 20.22;56:1089-1103.

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

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

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

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.

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

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

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/

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.

“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

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

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:

• Pitching Restriction Policies in Adolescent and High-School Baseball Pitchers: Is It Time for an Updated Paradigm?
• The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say
• Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates
• Most high school baseball pitchers are using weighted ball throwing programs to increase ball velocity: crosssectional analysis of US high school pitchers

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

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

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

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/

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

 

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

 

 

 

 

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

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

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.

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

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

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/

 

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

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

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.

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.

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

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&

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)

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

See also: www.heathbrothers.com

www.myfavouritemedicine.com

This podcast is a BMJ production, previously published here http://bit.ly/InCkgD

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

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?

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

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

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.

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 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

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

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

“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

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

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

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

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

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

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

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/

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/

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.

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

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

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

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

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.

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

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

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/

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

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/

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

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

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/

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

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.

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.

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

See also

Original article Physical activity education in the undergraduate curricula of all UK medical schools. Are tomorrow’s doctors equipped to follow clinical guidelines? http://bit.ly/PARRhn

Review: Investments that work for physical activity. http://bit.ly/OY9t7o This is the WHO blueprint for physical activity promotion across sectors. Undergraduate students should be aware of it and please look for ways to incorporate it into your student society information pages and the medical curriculum!

Liam’s BJSM blogs http://bit.ly/XTu9B1

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/

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

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

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

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

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

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

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.

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.

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

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.

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.

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.

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

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

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

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

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.

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

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

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 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.

Related articles:

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)