BJSM Podcast

Bob Sallis on exercise as medicine

Bob Sallis is a family physician and sports medicine expert who encourages his patients to take charge of their health by exercising.
With a passion for prevention, he lends his voice to the Every Body Walk Campaign and is an avid supporter and advocate of the Exercise is Medicine initiative of the ACSM. And Bob literally "walks the walk": he walks (or runs) every day!
He tells us about the Exercise is Medicine initiative, talks about dosing (and overdosing!) of exercise, discusses the role of the physician and the fitness industry in getting people to exercise, and gives some practical tips on how to prescribe exercises to someone who is injured or has a chronic disease.
See also:
Sallis RE. Exercise is medicine and physicians need to prescribe it! Br J Sports Med 2009;43:3-4.
http://bjsm.bmj.com/content/43/1/3.full
Sallis RE. Developing healthcare systems to support exercise: exercise as the fifth vital sign. Br J Sports Med 2011;45:473-474.
http://bjsm.bmj.com/content/45/6/473.full
http://everybodywalk.org/
http://www.exerciseismedicine.org/

Dr Cees-Rein van den Hoogenband on being Chief Medical Officer of the Netherlands’ Olympic team

Dr Cees-Rein van den Hoogenband is surgeon and Chief Medical Officer of the London 2012 Olympic Team from the Netherlands and is on the Dutch Olympic Committee.
Cees-Rein has worked for more than 25 years in soccer as the team doctor of football club PSV and is still responsible for their medical policies.
He has been awarded a PhD on diagnostic and therapeutic aspects of inversion trauma of the ankle joint.
He is also chairperson of the FINA medical commission and the father of Olympic Champion Pieter van den Hoogenband. He was part of the expert panel responsible for specialist recognition of sports medicine in the Netherlands and is the founder and leader of a four year masterclass for top sport physicians.
See also:
http://www.topsupport-anna.nl/
http://www.pietervandenhoogenband.nl/
http://www.psv.nl/
Sports injuries and illnesses in the 2009 FINA World Championships (Aquatics).
http://bjsm.bmj.com/content/44/7/522.long
Cox GR, Mujika L, van den Hoogenband CR. Nutritional recommendations for water polo. Int J Sport Nutr Exerc Metab. 2014 Aug;24(4):382-91.

Management and prevention of ACL injuries, with Assoc Prof Grethe Myklebust

Associate Professor Grethe Myklebust, physiotherapist and PhD from the Olympic Training Centre in Norway, was one of the pioneers to investigate the role of exercise for ACL prevention.
To discuss her research with her is Jodie McClelland from La Trobe University. Jodie’s experience is in the biomechanics of the knee in the normal and injured state, and she has the knowledge to extract the best information from Grethe about her research and its impact on the clinical management of those with, and at risk of, ACL injury.

Prof Stuart Biddle – Mythbusting Sports Medicine Australia Keynote Presenter: Physical Activity

Do you struggle to change your own behaviour? Do you find it hard to get ‘motivated’ or to motivate others? The opening keynote lecture at the tremendous Sports Medicine Australia conference (2014) addressed these issues and gave solutions. Prof Stuart Biddle is the Professor of Physical Activity & Health at Victoria University, Melbourne Australia. He is a recent ‘Aussie’ and a longtime leader at Loughborough University in the UK.
In this podcast you will be exposed to the current day thinking on the balance between internal and external factors on motivation. You’ll learn about influential models that help to change behaviour including ‘Nudge’ and the work of BJ Fogg (Stanford). An elegant combination of evidence and practical application, this is a must listen for those who aim to encourage more healthy behaviours.

Professor Renström reflects on his career in sports medicine

Emeritus Professor Renström, from the Karolinska Institute in Stockholm, covers a wide range of topics while talking to BJSM Deputy Editor Babette Pluim.
He discusses Lars Peterson's and his book on sports injuries, shares his 24-yr experience with the IOC medical commission, looks back on his time as Professor of Orthopedics in Vermont, explains the importance of periodisation in professional tennis, and analyses the role of the ATP, STMS and ITF in improving the medical care of tennis players and furthering the scientific knowledge in this area.
References:
Sports Injuries: their prevention and treatment.
http://www.humankinetics.com/products/all-products/sports-injuries-3rd-edition
The Duke of Edingburgh Prize
http://www.basem.co.uk/institute-of-sports-and-medicine.shtml
Sports Medicine Hall of Fame
http://www.prweb.com/releases/AOSSM/Per_AFH_Renstrom/prweb2574924.htm
Injury and illness definitions and data collection procedures for use in epidemiological studies in Athletics (track and field): Consensus statement
http://bjsm.bmj.com/content/48/7/483.long
Sports injuries and illnesses during the London Summer Olympic Games 2012
http://bjsm.bmj.com/content/47/7/407.long
Sports injuries and illnesses during the Winter Olympic Games 2010
http://bjsm.bmj.com/content/44/11/772.long\
Consensus statement on epidemiological studies of medical conditions in tennis
http://bjsm.bmj.com/content/43/12/893.long
An interview with Per Renström on his personal perspective of the changes and developments in the sports medicine field over the last 40 years
http://www.biomedcentral.com/2052-1847/5/8

Prof Mario Maas on what sports clinicians need to know about radiology

Prof Mario Maas is professor of radiology, in particular musculoskeletal radiology, at the Academic Medical Centre in Amsterdam. His focus of research includes joint and tendon disorders, muscle pathology and sports imaging and he is a regular contributor to the BJSM I-test series.
Mario Maas explains the essence of sports imaging and what information a sports physician should include to make his referral note even more useful. He describes what he wants his students, fellows and young doctors to learn about sports medicine and what makes a good teacher.
Finally, he shares with us the aims and mission of ACES, the Academic Centre for Evidence Based Sports Medicine.
See also:
Predicting return to play after hamstring injuries
http://goo.gl/9uvlVf
MRI observations at return to play of clinically recovered hamstring injuries
http://bjsm.bmj.com/content/48/18/1370.long
I-test: a gymnast with anterior knee pain: not a typical case of jumper's knee
http://bjsm.bmj.com/content/48/6/476.extract
An 11-year-old high-level competitive gymnast with back pain
http://bjsm.bmj.com/content/47/14/929.extract
A long-distance runner with lateral knee pain
http://bjsm.bmj.com/content/44/16/1209.1.extract
Imaging techniques in sports medicine
http://www.ncbi.nlm.nih.gov/pubmed/19785847

Osteopath Rosi Sexton on mixed martial arts

In this podcast James Walsh talks with professional mixed martial artist (MMA) and osteopath Rosi Sexton.
They discuss performance enhancing drug use within MMA, the challenges of promoting a new sport to the public, and training and injury within MMA.

Dr Shabaaz Mughal (Tottenham) and Dr Ian Beasley Medical (FA) on new concussion protocols/rules

In this podcast James Walsh talks with Dr Shabaaz Mughal Tottenham Hotspurs team docor and Dr Ian Beasley Medical director of the FA about head injuries in football.
They discuss the new concussion protocols that have come in this season, rule changes and the FA’s “Use your head campaign”.
http://www.thefa.com/news/2014/aug/head-injuries-in-football

Dr Alison Grimaldi with practical physiotherapy tips on treating lateral hip pain

With over twenty years' experience, accreditation in Sports Physiotherapy, and a recent PhD in the topic of lateral hip pain, Alison Grimaldi (@AlisonGrimaldi) was invited to this podcast by BJSM’s Twitter community.
She is a popular conference speaker internationally. Here she walks you through each step of the assessment and treatment of an older patient with right hip pain. She then shares how to assess and treat a younger sportsperson.
In both cases, Dr Grimaldi emphasizes that compression is bad for tendons that run over bony prominences (trochanter in this case) and indicates how this can be addressed.
Enjoy one of our most practical podcasts. Recorded at the Physiotherapy New Zealand Conference, Auckland (September 2014) with thanks to the NZ Sports Physiotherapy Interest Group (@SportsPhysioNZ).
Links:
1) JL Cook, C Purdam Is compressive load a factor in the development of tendinopathy? Br J Sports Med 46(3):163-8. 2012 http://bjsm.bmj.com/content/46/3/163.abstract
2) Fearon A, Stephens S, Cook J, et al. The relationship of femoral neck shaft angle and adiposity to greater trochanteric pain syndrome in women. A case control morphology and anthropometric study. Br J Sports Med. 2012 http://bjsm.bmj.com/content/46/12/888.long

Diagnosing and treating acute hamstring injuries

This is a podcast by Dr Robert-Jan de Vos, sports physician in the Erasmus Medical Centre in the Netherlands, with Guustaaf Reurink, who is a registrar in Sports medicine in the Netherlands and is currently finishing his thesis on diagnosis and treatment of acute hamstring injuries. Recently, he published a paper in the New England Journal of Medicine about the role of Platelet-rich Plasma (PRP) treatment for acute hamstring injuries (http://www.nejm.org/doi/full/10.1056/NEJMc1402340).
We start with discussing this interesting study, which did not show a benefit of PRP injections in acute hamstring injuries. Dr Reurink expresses the methods and results of this study and possible explanations for these findings are debated.
Dr Reurink also performed a number of studies on the value of clinical tests and Magnetic Resonance Imaging (MRI) in acute hamstring injuries. Previously, he already showed that most MRIs are still abnormal when the athlete already returned to gameplay (http://bjsm.bmj.com/content/early/2013/11/19/bjsports-2013-092450.abstract?eaf).
We close by discussing the role of MRI and standardised clinical tests as a predictor of time to return to play and re-injury.