BJSM Podcast

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

Serenna Williams, Alysson Felix, Kerry Walsh Jennings, Lisa Leslie. Mothers and champions. In this AMSSM Sportsmedcast sports medicine specialist Dr. Rathna Nuti hosts Dr. Ellen Casey, @EllenCaseyMD, Associate Attending Physiatrist in the Department of Physiatry and the Women's Sports Medicine Center at the Hospital for Special Surgery in New York. Dr Casey who works with US Gymnastics, is also an Associate Professor of Clinical Rehabilitation Medicine at Weill Cornell Medical College.
Dr. Casey addresses the following topics:
• What are some things to consider when caring for a pregnant athlete?
• Should a pregnant athlete be exercising or training?
• What are some misconceptions surrounding a pregnant athlete and exercise?
• What exercises are recommended?
• What exercises are prohibited?
• Is there any point in time that a pregnant athlete should stop exercising? If so, when can she safely resume?
• Is there any medications or supplements that a pregnant athlete should be taking during her pregnancy?
• Any special medical evaluations that should be assessed by either the OB/GYN or Sports Medicine physician besides to the overall care of the pregnancy?
• What are some common barriers to exercise in pregnant athletes (lumbopelvic pain, fatigue)
• What are some things to consider when returning to sports/exercise after delivery? What are some of the barriers to exercise in postpartum women?
• What is diastasis rectus abdominis? Can anything be done about it?
• What are some of the reasons postpartum women develop urinary incontinence during sports/exercise? Can anything be done about it?
• What do we know about breast feeding and sports participation?
References
Mottola et al. Br J Sports Med 2019 PMID: 30337460
Prather et al. PMR 2012 PMID: 23174548
Bø et al. Br J Sports Med 2016 PMID: 28642221
Meah et al. BJSM 2020 PMID: 32513676

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

On this week’s podcast, Dr. Douglas Casa PhD, ATC and Dr. Francis O’Connor MD, MPH, FAMSSM join Dr. Seth Smith MD, PharmD on AMSSM’s Sports Medcast to discuss exertional heat illness with an emphasis on exertional heat stroke.
In this conversation, Dr. Casa and Dr. O’Connor will address the following topics:
· What is the basic paradigm for the prehospital care of exertional heat stroke (EHS)?
· How to develop a thorough emergency action plan (EAP) for recognition and management of EHS?
· What steps can be taken to help reduce the occurrence of EHS?
· What future items may be used to help guide return to activity for patients who have suffered an EHS?
Listen to an extended version of this conversation on the AMSSM podcast feed, beginning at the 17-minute mark: https://amssm.podbean.com/e/an-in-depth-discussion-on-exertional-heat-illness-with-dr-doug-casa-and-dr-fran-o-connor/

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

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

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

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/

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

On this week’s episode, crowd favourite Dr Alex Hutchinson PhD returns to discuss the difference between effort and pain in the world of endurance. A former Canadian national team middle- and long-distance runner and Cambridge-trained physicist, Alex is an award winning author and columnist who writes for Outside magazine and The Toronto Globe and Mail.
Want to learn more about the science of suffering? Follow @Sweat Science on Twitter and check out his book Endure: Mind, Body, and the Curiously Elastic Limits of Human Performance.

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

Dr. Harvi Hart is a postdoctoral researcher at Western University in London, Ontario, funded by the Canadian Institutes of Health Research. Dr. Hart’s research focuses on identifying risk factors for knee osteoarthritis, both non-traumatic and post-traumatic osteoarthritis. Through better understanding these risk factors, Dr. Hart aims to develop new treatment approaches for managing knee OA. In this episode, Dr. Erin Macri asks Dr. Hart about her most recent studies looking at cadence and its possible role in joint loading and knee osteoarthritis.
Twitter:
@HarviHart
@Erin_Macri
Resources and references
Hart HF, Birmingham TB, Primeau CA, et al. Associations between cadence and knee loading in patients with knee osteoarthritis. Arthritis Care Res (Hoboken) 2020. Published online first doi:10.1002/acr.24400
Hart HF, Gross KD, Crossley KM, et al. Is step rate associated with worsening of patellofemoral and tibiofemoral joint osteoarthritis in women and men? The Multicenter Osteoarthritis Study. Arthritis Care Res (Hoboken) 2019. Published online first doi: 10.1002/acr.23864
Lenhart RL, Thelen DG, Wille CM, Chumanov ES, Heiderscheit BC. Increasing running step rate reduces patellofemoral joint forces. Med Sci Sports Exerc 2014; 46: 557-564.
Willy RW, Meardon SA, Schmidt A, Blaylock NR, Hadding SA, Willson JD. Changes in tibiofemoral contact forces during running in response to in-field gait retraining. J Sports Sci 2016; 34: 1602-1611.
Bramah C, Preece SJ, Gill N, Herrington L. A 10% increase in step rate improves running kinematics and clinical outcomes in runners with patellofemoral pain at 4 weeks and 3 months. Am J Sports Med 2019 7:3406-3413.

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

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

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

Why are females more at risk of ACL injuries in football? What can we do to reduce the risk for our athletes?
On this week’s episode, we are joined by Brooke Patterson and Dr Ben Mentiplay to discuss their latest review of injury prevention programmes reducing the risk of injury in women’s football.
Brooke (T: @Knee_Howells) is a physiotherapist who is currently completing her PhD at the La Trobe Sport and Exercise Medicine Research Centre, investigating the impact of ACL injuries on the lives of young adults. Brooke played several seasons in the Australian Football League national women’s competition (WAFL), and has recently transitioned to becoming a coach.
Dr Mentiplay (@MentiplayB) has a background in sport and exercise science and completed his PhD in 2017. Ben is currently a lecturer and research Fellow at La Trobe, with a strong interest in biomechanics.

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

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

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

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