BJSM Podcast

Dr Cristiano Eirale sul congresso mondiale di pubalgia nello sportivo e sul Doha consensus meeting

Il dottor Cristiano Eirale è un medico dello sport che lavora ad Aspetar, Qatar Orthopedic and Sport Medicine Center di Doha. In questo podcast interamente in italiano, discute con un misterioso intervistatore, la cui identità verrà rivelata alla fine del podcast stesso, sul congresso mondiale di pubalgia nello sportivo tenutosi nel novembre 2014 e sul Doha consensus sulla terminologia e sulle definizioni nella pubalgia dello sportivo.
Links:
Entire BJSM Theme Issue: http://bjsm.bmj.com/content/49/12
Groin Consensus Meeting Paper: http://bjsm.bmj.com/content/49/12/768.full

Dream Team of training load management: How training influences injury and performance

The BJSM community is well aware of the interest in the role of training load on injury. Dr Dr Tim Gabbett, Dr Alex Kountouris and Dr to be Michael Drew share insights into the principles that underpin successful player management. They give specific examples from football codes and cricket at the elite level. They also discuss what clinicians who do not have access to the full raft of data-gathering technology can do to advise players how to monitor load.
We thank Sports Physiotherapist Paul Visentini (who invented the VISA score for tendinopathy) for producing the very successful event and for sharing two podcasts with us. (The second will be posted here within a month). (Twitter = @PaulVisentini and @PhysioSports429)
The guests: Dr Tim Gabbett, Applied Sports Scientist who consults to elite teams the world over. He is one of only 5 invited Keynote Speakers at the IOC World Congress in Monaco 2017 #IOCPrev2017 @TimGabbett
Dr Alex Kountouris, Sports Science and Sports Medicine Director Cricket Australia @Alex_Kountouris
Mr Michael Drew Senior Sports Physiotherapist at the Australian Institute of Sport. @_MickDrew
Links to related podcasts:
Dr Tim Gabbett on how physiotherapists can work well alongside strength & conditioning coaches to prevent injuries and improve performance: http://ow.ly/10aOq2
Dr Alex Kountouris on how to prevent back pain in cricket: http://ow.ly/10aOHX
Link to papers on load monitoring:
Training – injury prevention paradox. Should athletes be training smarter AND harder (Gabbett) http://bjsm.bmj.com/content/early/2016/01/12/bjsports-2015-095788
Cricket fast bowling workload patterns as risk factors for tendon, muscle, bone and joint injuries. John W Orchard, Peter Blanch2, …, , Alex Kountouris et al, http://bjsm.bmj.com/content/early/2015/03/09/bjsports-2014-093683
And the home page with lots of good background for the conference (March 2016): http://physiosports.com.au/mastering-load-symposium-2016/

Can my athlete handle more training? High tech and low tech instruments: Dr Anna Saw

Dr Anna Saw is in the Faculty of Health in the School of Exercise & Nut. Sci.at Deakin University’s Burwood Campus.
Further reading:
Monitoring the athlete training response: subjective self-reported measures trump commonly used objective measures: a systematic review - http://ow.ly/ZEkmA

Wie können Verletzungen beim Skifahren möglichst vermieden werden?

Interview mit Ass.-Prof. Dr. Gerhard Ruedl (Innsbruck)
Das Skifahren ist eine beliebte Freizeitsportart bei Groß und Klein, Alt und Jung, Anfänger und Könner und zieht jedes Jahr Millionen von Wintersportlern in die Berge auf die Skipisten.
Doch wie groß ist das Verletzungsrisiko auf der Piste?
Was sind die häufigsten Verletzungsursachen?
Assistenz-Professor Dr. Gerhard Ruedl erörtert diese Fragen und mehr im Gespräch mit Dr. Markus Laupheimer (Associate Editor BJSM).
Gerhard ist Experte für Unfallursachen und Verletzungsrisiko beim Alpinen Skifahren, welches er mit seinen Kollegen an der Universität Innsbruck beforscht.
Gerhard erläutert uns auch seine neulich im BJSM veröffentlichte Studie, wodurch möglicherweise die große Zahl an Knieverletzungen bei Frauen reduziert werden könnte.
Auch werden mögliche Präventivmaßnahmen besprochen, welche uns und unseren Patienten helfen sollen verletzungsfrei durch die Skisaison zu kommen.
Dabei sollten wir nicht vergessen “Bewegung bringt Heilung” (https://soundcloud.com/bmjpodcasts/einfuhrung-in-die-bewegungsmedizin-bewegung-bringt-heilung-mit-dr-boris-gojanovic?in=bmjpodcasts/sets/bjsm-1)
Euch einen aktiven und bewegungsreichen Tag!
Nun viel Spaß mit diesem Ski Podcast des BJSM. Und vergesst nicht uns auf Twitter @BJSM_BMJ, Facebook oder google+ zu folgen. Da gibt es regelmäßig neue updates.
Für feedback oder Anregungen für neue Podcasts schreibt mir einfach eine mail markus@swisssportscare.com
Links:
Skibindung und Knieverletzung Paper 2016:
http://bjsm.bmj.com/content/50/1/37.abstract?sid=d457e29b-45f1-4b81-a09b-cfc04d4ae602
Ski Helm Editorial:
http://bjsm.bmj.com/content/46/16/1091.extract?sid=d457e29b-45f1-4b81-a09b-cfc04d4ae602

“I can’t return to play” – When fear of reinjury dominates after ACL reconstruction: Adam Gledhill

Adam Gledhill (http://www.leedsbeckett.ac.uk/staff/adam-gledhill/) is a Senior Lecturer in Sport and Exercise Therapy at Leeds Beckett University. He has a terrific amount of experience in sport psychology in football at the elite level, particularly among top female football players.
Adam (@Gleds13) shares the case of Joanna (pseudonym) who has returned from ACL injury but is losing confidence ahead of a major game. We learn which specific tools can be used to address psychological readiness and how this worked out in real life.
We wish Adam the best as he completes his PhD focusing on psychosocial factors associated with talent development in female soccer.
Additional resources:
Read the systematic review: Psychosocial factors associated with outcomes of sports injury rehabilitation in competitive athletes: a mixed studies systematic review. Dale Forsdyke, Andy Smith, Michelle Jones, Adam Gledhill
http://bjsm.bmj.com/content/early/2016/02/17/bjsports-2015-094850.abstract
Links for sports psychology tools mentioned in the podcast:
Evans et al (2008) The development of a measure of psychological responses to injury (paper looking at the development of the psychological responses to sports injury inventory) http://www.ncbi.nlm.nih.gov/pubmed/18270384
Glazer (2009) Development and Preliminary Validation of the Injury-Psychological Readiness to Return to Sport (I-PRRS) Scale http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657021/
Smith et al (1990) The psychological effects of sports injuries: Coping (paper for the Emotional Responses of Athletes to Injury Questionnaire)http://link.springer.com/article/10.2165/00007256-199009060-00004
Walker et al. (2010) A preliminary development of the Re-Injury Anxiety Inventory (RIAI). http://www.ncbi.nlm.nih.gov/pubmed/20129120
Another paper that Adam didn't use with this particular client but that he also recommends is:
Taylor and May (1996) Threat and coping appraisal as determinants of compliance with sports injury rehabilitation: an application of Protection Motivation Theory (paper for the development of the sports injury rehabilitation beliefs survey) http://www.ncbi.nlm.nih.gov/pubmed/8981286
Further listening:
Also check this podcast by Dr Clare Ardern which discusses criteria-based return to play decisions in the case of "Sarah". This complements much of the work conducted with "Joanna" in this podcast. Great food for thought for practical return to play decision-making - https://soundcloud.com/bmjpodcasts/return-to-play

The face of WCPT: Dr Emma K Stokes unplugged (part 2): direct access, best practice, social media

Dr Emma K Stokes (@ekstokes) is the President of the World Confederation of Physical Therapy. This is the second of three podcasts.
Karim and Emma continue their discussion and touch on direct access to physiotherapy around the world, the changing role of the physiotherapist in the multi-disciplinary team, and best practice for dealing with social media as a professional.

Muskelverletzungen im Sport – Interview mit Priv.-Doz. Dr. Peter Ueblacker

Wie die Muenchener Klassifikation helfen kann, Athleten mit Muskelverletzungen besser zu behandeln
Peter Ueblacker ist ein international renommierter Orthopäde und Sportmediziner, der als einer der Mannschaftsärzte in den Jahren 2009 bis 2015 eine lange und erfolgreiche Karriere beim FC Bayern München hatte . Er arbeitet in eigener Praxis mit Hans-Wilhelm Müller-Wohlfahrt (http://ow.ly/U2mch ). BJSM Redakteur Dr Markus Laupheimer stellt die Fragen in deutscher Sprache.
Inhalt (Zeit)
1: 00min - Warum Muskelverletzungen klassifizieren?
3: 00min - Einschränkungen der früheren Klassifikationsverfahren und Notwendigkeit einer neuen Klassifikation - die Entstehungsgeschichte des Münchener Muskelklassifizierungssystems. Hier ist der Link zur Open-Access-Publikation in BJSM (> 55.000 views) http://ow.ly/U2pMG
4: 18min - Was sind die Vorteile für die medizinische Abteilung eines Fussballklubs (Physiotherapeuten, Arzte & Fitnesscoach), die die Münchener Klassifizierungssystem verwenden? Definition und Differenzierung von "direkten" und "indirekten" Muskelverletzungen.
5: 00min - Die Herausforderung der "funktionellen" (nicht-strukturellen) Muskelverletzungen. Keine Pathologie im MRT erkennbar - und doch von hoher Relevanz für Fußballmannschaften, weil diese Verletzungen häufig sind und Spieler nicht spielen können – „time-loss“-Verletzungen.
6: 00min - Verschiedene Typen von Muskelverletzungen ziehen unterschiedliche Fehlzeiten im Sport nach sich. Ist das eine 2-Wochen-oder 6-Wochen-Verletzung?
6: 40min - Der Versuch, die Prognose vorherzusagen - ist das möglich? Was können wir dem Trainer sagen? Hier finden Sie eine Gegenargument http://ow.ly/U2qFJ
7: 10min – Komm auf den Punkt! Strukturelle Muskelverletzungen. Intramuskuläre Sehnenverletzungen sind häufig und relevant (siehe Peter Brukner Papier: http://ow.ly/U2rBc)
8: 15min - Welchen Einfluß die Wirbelsäule auf Muskelverletzungen hat.
10: 00m - Ein praktischer Spaziergang durch das Management der ischiokruralen Muskelverletztungen („hamstrings“).
Weiterführende Links:
http://ow.ly/U2mUG - Podcast mit Professor Gino Kerkhoffs berücksichtigt auch das Münchener Konsenspapier. Ergänzt den vorliegenden Podcast in seinem größeren Fokus auf die Konsensprozesse und diskutiert die Wertigkeit des MRTs- bei Muskelverletzungen (auf englischer Sprache).
http://ow.ly/U2o0Q - Podcast mit Professor Jan Ekstrand Schwerpunkt auf Muskelfaserriss
Sie können ohne weiteres zugreifen auf BJSM Podcasts über unser Mobile App (BJSM). Neueste Sportmedizin Updates via Twitter (BJSM_BMJ) und auf der Google+ Community http://ow.ly/U2sNs, wo Sie aufgefordert, Inhalte zu veröffentlichen

Leading sports psychiatrist, Prof Steve Peters, shares secrets of working with the very best

Are you or your athletes in control of your ‘chimp’ (emotional, reactive part of your mind) at all times? We hear from Professor Steve Peters -- the brains behind ‘The Chimp Paradox’ and the much-heralded psychiatrist who has worked with the likes of Team Sky Cycling, Liverpool Football Club and the FA to improve athlete performance. Prof Peters explains the rationale for the seemingly simplistic model and shared example of how it can be applied in various sport settings.
“The Chimp Paradox” has been among the most popular self-development books in recent years and it will of interest to many BJSM listeners from both a personal and professional standpoint. http://amzn.to/1TNV3Xy
If you want to see Prof Peters speak – sign up for the BASEM Spring Conference (Friday April 8th) here! http://bit.ly/1TNV0en
Timeline
1:10m: What is the chimp model?
4:15m: How does the ‘chimp’ model work in sport?
5:30m: Is it always an overactive chimp that holds athletes back?
7:45m: What works best with athletes?
9:30m: What can we do about unhelpful behavioural traits?
11:45m: What pitfalls can we avoid when dealing with young elite athletes?
13:30m: How can you talk to athletes about psychological performance?
16:55m: Does the chimp model work when split-second sporting decisions are needed?
18:30m: Mental Health in Sport
21:15m: Any tips for those wanting to work in sport?
BJSM Links:
2016’s issue 3 of BJSM was devoted to mental health in sport. Table of contents link:
http://bjsm.bmj.com/content/50/3.toc
An editorial on the issue of mental health and ‘mental toughness’ :
Dr James Bauman: The stigma of mental health in athletes: are mental toughness and mental health seen as contradictory in elite sport?
http://bjsm.bmj.com/content/50/3/135.extract

The face of WCPT: Dr Emma K Stokes unplugged. Life lessons, leadership, physiotherapy success

Dr Emma K Stokes (@ekstokes) is the President of the World Confederation of Physical Therapy. This is the first of 3 podcasts
Timeline:
1:00m - A fascinating career journey – from student at Trinity College Dublin to President of the World Confederation.
4:00m - “You have to be yourself but you have to understand yourself. Leadership is about bringing people on a journey. Make sure you understand how other people see, or feel about, that journey”
5:00m - The organisation you work in plays a big role too but you can make a difference from wherever you are. Students and early career physiotherapists are as important as the person on the top of the hierarchy
6:30m - The only constant is change (Emma’s nod to David Bowie but this was recorded before he died). Having a framework for adapting to change
7:50m - Practice change – applying the lessons to a typical health professional practice
10:00m - The role of the IFSPT – International Federation of Sports Physical Therapists – as leaders, advocates. A huge opportunity for leadership. Education, competency definition, congress organisation
12:00m - Physios as entrepreneurs. Social entrepreneurship – physiotherapists’ opportunities to contribute to society
13:30m - Emma’s experience on what makes a successful physiotherapy practice
15:00m - End of Part 1 – part two is scheduled for February 12th, 2016
Thanks to James Walsh (@SportsOsteopath) BJSM podcast podcast associate editor.
Links:
Drew Dudley "Leading with Lollipops" YouTube Video – helping people become better versions of themselves: https://www.youtube.com/watch?v=hVCBrkrFrBE
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

Sports Medcast from the AMSSM: A deeper dive into the female athlete triad. Drs Joy and Nattiv

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