BJSM Podcast

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

Dr. Mark Matthews (@Mark_MatthewsNZ) is a Lecturer at Ulster University in Belfast, Northern Ireland. Prof. Bill Vicenzino (@Bill_Vicenzino) is Chair in Sports Physiotherapy and Director of Sports Injuries Rehabilitation and Prevention for Health (SIRPH) research unit at the University of Queensland in Brisbane, Australia. In this episode, Dr. Erin Macri (@Erin_Macri) asks these clinician-researchers about their recent trial comparing foot orthoses to hip exercises, and how their results change what we think we know about managing patellofemoral pain.
Part 1 – The FOHX trial for patellofemoral pain: webinar https://espace.library.uq.edu.au/view/UQ:cc0ee60
Part 2 – Patellofemoral pain panel discussion https://espace.library.uq.edu.au/view/UQ:c813701

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

What is COVID myocarditis and how strong is the data to create a link between COVID and potential arrhythmias? Was COVID myocarditis the leading factor in the recent decisions of some American athletic conferences to shut-down the fall sports season? What are the criteria to start participation again?
On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine physicians and internationally renowned experts on Sports Cardiology Dr. Jonathan Drezner and Dr. Michael Ackerman, who have both been influential in the debate on whether a Collegiate Athletic season can safely occur in the midst of the ongoing COVID-19 Pandemic.
Dr. Jonathan Drezner is a Professor from the Department of Family Medicine and Director of the University of Washington Center for Sports Cardiology, past president of the AMSSM, team physician for the Seattle Seahawks, UW Huskies, and OL Reign and deputy editor of the BJSM.
Dr. Michael Ackerman is a Professor of Medicine, Pediatrics, and Pharmacology at the Mayo Clinic College of Medicine and Science. He is the Director of the Windland Smith Rice Genetic Heart Rhythm Clinic and Windland Smith Rice Sudden Death Genomics Laboratory, as well as the president of the Sudden Arrhythmia Death Syndromes (SADS) Foundation.
In this 40 minute conversation Drs. Drezner and Ackerman addressed the following topics:
What is COVID myocarditis and why is it so concerning?
How strong is the link between COVID-19 and was this a driving factor in the cancelling of the FALL sports season by some collegiate conferences?
What metrics need to be satisfied in order to safely return to play, and will that occur this year.
Health and Well Being Considerations for PAC-12 Institutions: Guidance for Local Planning for Return to Sporting Activity
https://xs.pac-12.com/2020-08/Pac-12%20Covid-19%20Return%20to%20Play%20Considerations%2008.10.2020.pdf
Puntmann VO, Carerj ML, Weiters I. Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19)
https://jamanetwork.com/journals/jamacardiology/fullarticle/2768916
Baggish A, Drezner JA, Kim J, et al. Resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes
https://bjsm.bmj.com/content/early/2020/06/18/bjsports-2020-102516
Maron BJ, Zipes DP, Kovacs RJ, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: a scientific statement from the American Heart Association and the American College of Cardiology. Copublished in Circulation and the Journal of the American College of Cardiology 2015.
https://www.acc.org/~/media/fb92803045d249ae91b715650dd0ebe4.pdf
Pelliccia A, Solberg EE, Papadakis M, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). European Heart Journal 2019;40:19.
https://academic.oup.com/eurheartj/article/40/1/19/5248228

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

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

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

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

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

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

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

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

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

Dr Mackenzie Herzog (@MackenzieHerzog) has a PhD in Sports Injury and Orthopaedic Epidemiology from the University of North Carolina at Chapel Hill. She is currently a Lead Epidemiologist on the Injury Surveillance and Analytics team at IQVIA. She was part of a team assessing the risks of sustaining an ankle sprain whilst playing in the NBA across four seasons. In this podcast we explore the findings from the paper (published in AJSM), the need to collect robust data to inform injury prevention strategies, how data science and sports epidemiology is evolving and her insights on working with teams in the NBA and NFL.
https://www.iqvia.com/
Herzog et al. Ankle Sprains in the National Basketball Association, 2013-2014 Through 2016-2017. American Journal of Sports Medicine, 2020. 47;11: 2651-2658. https://journals.sagepub.com/doi/10.1177/0363546519864678
Bahr R, et al. International Olympic Committee consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport 2020 (including STROBE Extension for Sport Injury and Illness Surveillance (STROBE-SIIS)). British Journal of Sports Medicine, 2020;54:372-389. https://bjsm.bmj.com/content/54/7/372.info

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

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

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

Twitter: @Happysport_dk
According to the literature, a substantial reduction in injury rates in youth sport is achievable. So why isn’t this translating into meaningful injury prevention in the real world? And what can we do about it? In this episode, Dr. Erin Macri asks Dr. Merete Møller to share her powerful insights on this topic and to introduce a novel research project (the HAPPY project) that aims to bridge the gap from injury prevention trials to real-world results on the field.
Related Articles and Links
Soomro N, Sanders R, Hackett D, et al. The Efficacy of Injury Prevention Programs in Adolescent Team Sports: A Meta-analysis. Am J Sports Med. 2016;44(9):2415‐2424. doi:10.1177/0363546515618372
Owoeye OBA, Palacios-Derflingher LM, Emery CA. Prevention of Ankle Sprain Injuries in Youth Soccer and Basketball: Effectiveness of a Neuromuscular Training Program and Examining Risk Factors. Clin J Sport Med. 2018;28(4):325‐331. doi:10.1097/JSM.0000000000000462
Emery CA, van den Berg C, Richmond SA, et al. Implementing a junior high school-based programme to reduce sports injuries through neuromuscular training (iSPRINT): a cluster randomised controlled trial (RCT) [published online ahead of print, 2019 Dec 10]. Br J Sports Med. 2019;bjsports-2019-101117.
Sakata J, Nakamura E, Suzuki T, et al. Throwing Injuries in Youth Baseball Players: Can a Prevention Program Help? A Randomized Controlled Trial. Am J Sports Med. 2019;47(11):2709‐2716. doi:10.1177/0363546519861378
Bekker, S., Paliadelis, P. & Finch, C.F. The translation of sports injury prevention and safety promotion knowledge: insights from key intermediary organisations. Health Res Policy Sys 15, 25 (2017). https://doi.org/10.1186/s12961-017-0189-5
O'Brien J, Finch CF. The implementation of musculoskeletal injury-prevention exercise programmes in team ball sports: a systematic review employing the RE-AIM framework. Sports Med. 2014;44(9):1305‐1318. doi:10.1007/s40279-014-0208-4
Lindblom H, Carlfjord S, Hägglund M. Adoption and use of an injury prevention exercise program in female football: A qualitative study among coaches. Scand J Med Sci Sports. 2018;28(3):1295‐1303. doi:10.1111/sms.13012
Ageberg E, Bunke S, Lucander K, Nilsen P, Donaldson A. Facilitators to support the implementation of injury prevention training in youth handball: A concept mapping approach. Scand J Med Sci Sports. 2019;29(2):275‐285. doi:10.1111/sms.13323
Richmond SA, Donaldson A, Macpherson A, et al. Facilitators and Barriers to the Implementation of iSPRINT: A Sport Injury Prevention Program in Junior High Schools. Clin J Sport Med. 2020;30(3):231‐238. doi:10.1097/JSM.0000000000000579

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

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.