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.

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

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.

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

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

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

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

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

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

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

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

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.

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

Meah et al. BJSM 2020 PMID: 32513676

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

• how sitting and sedentary behaviour affect spine health

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

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

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

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

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

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

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

 

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.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Football is the world's most popular sport, captivating the hearts and minds of millions of people every day. Supporting our national team or local club evokes a deep sense of pride, and provides a consistent source of entertainment. How could something so addictive be so good for you? Football has been found to be an effective adjunct for the treatment and prevention of a wide variety of conditions such as depression, some cancers and type 2 diabetes. In this podcast, Dr Daniel Parnell explains to Dr Sean Carmody the emerging research behind the broad spectrum health benefits attached to participating in football. Dr Daniel Parnell is a Senior Lecturer in Sports Business at the University of Liverpool and co-author of Football as Medicine: Prescribing Football for Global Health Promotion.

Dr Sean Carmody is a doctor based in London.

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.

Dr Imran Sajid is a frontline clinician, health policy maker, educator and researcher with a keen interest in behavioural economics. This podcast takes a 30,000-foot view of some of our daily clinical approaches—and dives down into specific cases to make important points. How do you get the right care to the right patient at the right time. Is there overdiagnosis and overtreatment in our field—the field of musculoskeletal care? Fee-for-service underpins a great deal of treatment in MSK medicine. Are our diagnoses (such as ‘locked knee’) really as solid as we may have been taught in the early 2000s? Do very common surgical procedures such as knee and shoulder arthroscopy add value for the patient? Dr Sajid gives 3 tips to improve the value of care for patients: 1) We need system change so the right care is provided at the right place. This generally requires a shift towards shared care in the community setting. 2) There needs to be a culture change away from the structural model—most health care burden does not derive from structures that can be fixed simply with a pill or a screw. 3) Clinicians need to be healthy skeptics about what works and what doesn’t. Humility helps! Don’t fall prey to those powerful cognitive biases. Just

because we know about them doesn’t make them go away. Think of your favourite optical illusion! It’s hard to ‘see’ the truth!

Dr. Rachel Lampert, MD joins host Devin McFadden, MD on AMSSM’s Sports Medcast (T: @TheAMSSM) to discuss athletic participation in athletes with cardioverter-defibrilators for known cardiac abnormalities. In this 20 minute conversation Dr. Lampert addresses the following topics: - What are the common causes of sudden cardiac death in athletes? - What is the data to support disqualifying patients with known cardiac disease (cardiomyopathies and channelopathies) from sports, and could they potentially participate safely?

- How will future studies impact the way we practice further?

Has the principle of shared decision making in athletes with known cardiac abnormalities placed our athletes, teams, and medical system at risk? Are there situations where accepted medical standards and risk management trump patient autonomy? What further steps can we take to generate the data needed to ensure that the athletes we clear in the future are safe to participate? On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by internationally recognized expert Dr. Sanjay Sharma, MD to discuss the risks and benefits encountered while making clearance decisions in athletes with known cardiac abnormalities.