BJSM Podcast

Leading from the front—women in medical leadership with Dr Louise Tulloh. Episode #402

On this week’s episode, we chat with Dr Louise Tulloh about overcoming barriers for women in medical leadership. Dr Tulloh was recently elected as President of The Australasian College of Sport and Exercise Physicians (ACSEP) and has been practicing sport and exercise medicine for over 20 years. In this 20-minute podcast, we discuss:
· Dr Tulloh’s new role as president of ACSEP
· Barriers to women attaining leadership positions in medicine and how we can overcome them
- Gender stereotypes within leadership
- Changing sports culture and creating equity within organisations
Don’t miss out on ACSEP’s 2020 annual conference 2020 (Feb 7-9) https://www.acsep.org.au/page/events/conference-2020

Fun, Free and Simple. Discussing the Daily Mile, with Elaine Wyllie MBE. Episode #401

Welcome to this BJSM podcast with Elaine Wyllie MBE, a former headteacher in Stirling, Scotland who launched the hugely popular ‘Daily Mile’ initiative. She will be speaking at the BASEM conference in Glasgow on 21st November, but in advance we thought we’d get a few sneaky glimpses into what she will be discussing.
For tickets to the BASEM conference in Glasgow: you can find them on the link here: https://basem.co.uk/event/basem-2019-annual-conference/
For some of the research behind the Daily Mile, follow this link: https://thedailymile.co.uk/research/

Changing the way we talk about eating disorders - The athlete’s voice with Amelia Boone. #400

For our 400th episode, we chat with Amelia Boone--four-time Obstacle Racing World Champion, ultrarunner and attorney--about her battle with anorexia for the past 20 years. In July 2019, Amelia wrote publicly about her eating disorder, shining a light on RED-S, athlete mental health and recovery.
In this 20-minute podcast, we discuss:
· Amelia’s motivation for sharing her story
· The impact of success on perception of food and body image
· Common myths about athletes and eating disorders
· What treatments did (and didn’t) work well with different clinicians
· How clinicians should change the way we are talking about eating disorders

Concussion at the coalface of collision sports. An audience with Prof Jon Patricios. Episode #399

In this BJSM podcast, we hear from Associate Professor Jon Patricios, a South African Sport & Exercise Medicine physician who has extensive experience of working in Rugby Union. He has an interest in concussion, having written the concussion protocols for the BokSmart injury prevention programme and he is a member of the World Rugby Concussion Advisory Group.
In this discussion, we discuss (among various things)
- How things have changes from an immediate care point of view
- How the HIA works at present?
- The tools available that could help pick up a concussion at the
professional level
- What happens after match-day in terms of follow-up/advice
- Clinical tips in terms of communicate the protocol to players/staff
- Common pitfalls do you encounter when it comes to RTP after a
concussion

World rugby’s injury prevention journey: Sir Bill Beaumont gives the view from the top. Episode #398

Dr Martin Raftery and Dr Ross Tucker join the BJSM to discuss World Rugby’s injury prevention journey, and most recent player welfare initiatives. We also hear from World Rugby chairman Sir Bill Beaumont on how rugby has evolved in this regard. All links can be found in the e-Edition.

You can’t use bad data to guide training decisions. Load monitoring with Dr Stephen West. #397

In this podcast, we are joined by Dr Stephen West to discuss all things load. Stephen recently completed his PhD at the University of Bath, looking into the Epidemiology of injury and associated risk factors in Professional Rugby Union.
Topics covered include:
- Athlete monitoring
- The way we capture data
- Practical tips for those working in sport
- Where are the next big gains likely to be found?
Resources:
https://www.semanticscholar.org/paper/Athlete-Monitoring-in-Rugby-Union%3A-Is-Heterogeneity-West-Williams/b8e39759a7f83fb57c9c571d1212db8ea16bf406
https://researchportal.bath.ac.uk/en/publications/patterns-of-training-volume-and-injury-risk-in-elite-rugby-union-
https://researchportal.bath.ac.uk/en/publications/better-way-to-determine-the-acute-chronic-workload-ratio

Exploring the strange science of recovery with Christie Aschwanden. Episode #396

Should we still be using ice and cryotherapy? Do we need to foam roll before or after working out? Are we wasting our money on compression gear?
On this week’s BJSM podcast, award-winning science writer and best-selling author Christie Aschwanden (T: @cragcrest) joins BJSM’s Daniel Friedman (T: @ddfriedman) to cut through all the hype and explain what works and what doesn’t when it comes to recovery.
Christie Aschwanden is the author of New York Times bestseller GOOD TO GO: What the Athlete in All of Us Can Learn From the Strange Science of Recovery and co-host of EMERGING FORM, a podcast about the creative process. She’s the former lead science writer at FiveThirtyEight and was previously a health columnist for The Washington Post. Christie is a frequent contributor to The New York Times. She’s also been a contributing editor for Runner’s World. https://christieaschwanden.com/
In this podcast, Christie dissects the evidence for common recovery methods and discusses:
- The changing definition of recovery and how we measure it
- Ice and cryotherapy
- Massage and foam rolling
- Which recovery methods actually work and how to optimise them
- The best indicators of recovery
- How to improve the quality of recovery research
Mentioned in this podcast:
Good to Go - https://www.goodtogobook.com/
Methodology problems in sport science - https://fivethirtyeight.com/features/sports-science-is-finally-talking-about-its-methodology-problems/

The injury prevention myth – predicting, pretending, or preventing sports injuries? Episode #395

Predicting and preventing injuries is seen as the ‘holy grail’ of sports medicine. The literature is brimming with efforts to understand injury prevention, and popular buzzwords such as ‘artificial intelligence’ has seen the emergence of questionable methods to predict sports
injuries. In this podcast, Dr Nicol van Dyk speaks to Dr Sean Carmody about current concepts in injury prevention and the validity of the evidence underpinning them. Nicol draws on the experience of his PhD investigating risk factors for hamstring injuries in professional football to forecast the future for preventive efforts in elite sport. Key resources discussed in the podcast have been included below, and if you want to hear more on the topic, Nicol will be presenting at the South African Sports Medicine Association Conference in
October 2019.
Key Resources:
Why screening tests to predict injury do not work—and probably never will…: a critical review
Do not throw the baby out with the bathwater; screening can identify meaningful risk factors for sports injuries
Risk factors for hamstring in football - thinking fast and slow by Nicol van Dyk Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study
The quadrant of doom and hamstring injuries: sexy but too easy?
The acute:chronic workload ratio predicts injury: high chronic workload may decrease injury risk in elite rugby league players
The acute-chronic workload ratio: a critical appraisal
Aspetar – Hamstring Issue
The training—injury prevention paradox: should athletes be training smarter and harder?

World Rugby’s Concussion Journey: From Description to Intervention. Episode #394

Joining Dr Steffan Griffin in the studio this week are Drs Martin Raftery and Ross Tucker, Chief Medical Officer and one of the lead Research Scientists at World Rugby respectively.
Following on from their debut podcast two years ago, we dive into rugby’s complex relationship with concussion, and the journey that World Rugby have been on over the last few years to tackle the issue.
Much of the resources discussed will be in the special #RugbyMedicine e-Edition, that will
be launched in time for #RWC2019. In this podcast we cover:
- The concussion journey rugby has been through, and the interventions that have been trialled/implemented
- The high tackles sanction framework
- Recent law trials
- Advice to other governing bodies looking to prioritise player welfare

Mythbusting iliotibial band (ITB) pain with Dr Rich Willy (PT, PhD) – it’s not friction! #393

Is iliotibial band pain a friction problem? Or a load problem?
On this week’s BJSM podcast, Dr Rich Willy (T: @rwilly2003) and BJSM’s Daniel Friedman (T: @ddfriedman) discuss the clinical management of iliotibial band pain.
Dr. Richard Willy PT, PhD, is an Assistant Professor in the School of Physical Therapy, University of Montana (Missoula, MT, USA). He received his PhD in Biomechanics and Movement Science from the University of Delaware and his master of physical therapy from Ohio University. In addition to his research, Dr. Willy has been a clinician for 18 years specialising in the treatment of the injured runner. His research aims to develop clinically effective treatments for patellofemoral pain syndrome, Achilles tendon injuries and tibial stress fractures.
In this podcast, Dr Willy discusses:
· How to assess the injured runner with ITB pain
· Misconceptions about ITB pain – it’s not a friction problem and you need some tightness!
· How to progress the rehabilitation in managing ITB pain
· Is there a role for stretching and foam rolling?
The case study used in this podcast was originally from Pegrum James, Self Alex, Hall Nick. Iliotibial band syndrome BMJ 2019; 364 :l980 https://www.bmj.com/content/364/bmj.l980