BJSM Podcast

Are you responsible for pre-season screening and injury prevention in a football setting?

Rob Swire has had 22 years of experience at Manchester United. BJSM asked him ‘How do you screen a professional football team pre-season?’
He shares how it’s done, as well as the challenges of being a team clinician and struggling to keep up with continuing education. In the most recent season, Manchester United have moved to include a software package to simplify their screening data entry, risk calculation and the offer of advice as to what might be appropriate exercises in specific settings.
‘I’m a pragmatic (physio) surfing on a wave of science’ was how Steyn Van der Bruggen described his role. Previously at West Ham and more recently at Moscow Dynamo, he shares his approach on how to evaluate players’ functional capacity and then address limitations with targeted exercise.
See also:
Impact energy attenuation performance of football headgear: http://bjsm.bmj.com/content/34/5/337.full
Dehydration of football referees during a match: http://bjsm.bmj.com/content/37/6/502.full
Reductions in pre-season training loads reduce training injury rates in rugby league players: http://bjsm.bmj.com/content/38/6/743.full
The effect of pre-season dance training on physical indices and back pain in elite cross-country skiers: a prospective controlled intervention study: http://bjsm.bmj.com/content/38/2/148.full
Community football players’ attitudes towards protective equipment—a pre-season measure: http://bjsm.bmj.com/content/38/4/426.full
Concussion, risk assessment, and practical steps to reform: Learning from the Hugo Lloris example: http://blogs.bmj.com/bjsm/2013/11/21/concussion-risk-assessment-and-steps-to-reform-learning-from-the-lloris-example/

Dr Mike Loosemore on ‘Exercise is Medicine’ – technology & behaviour change

Are you an exercise advocate? Dr Mike Loosemore, leader of the ‘Exercise is Medicine’ task force in the UK shares recent advances in this field. He spearheaded a most successful conference in that topic in 2013 and shares highlights with BJSM Editor Karim Khan.
He previews the 2014 Exercise Medicine conference which you can catch at the Royal Society of Medicine in London on Friday June 20 and Saturday June 21. Keynote speakers include Professors Steven Blair and Greg Whyte. Here is the link for the meeting; themes include the role of technology, digital health and influencing behaviour change. http://www.rsm.ac.uk/academ/spe02.php
BJSM’s special 2014 issue on Exercise is Medicine, edited by Professors Steven Blair and Stewart Trost can be found here: http://bjsm.bmj.com/content/48/3.toc
See also:
Developing a strategic research framework for Sport and Exercise Medicine: http://bjsm.bmj.com/content/48/14/1120.full
Developing learning outcomes for an ideal MSc course in sports and exercise medicine: http://bjsm.bmj.com/content/39/1/20.full
Leisure-time aerobic physical activity, muscle-strengthening activity and mortality risks among US adults: the NHANES linked mortality study: http://bjsm.bmj.com/content/48/3/244.full
Physical activity and breast cancer risk: impact of timing, type and dose of activity and population subgroup effects: http://bjsm.bmj.com/content/42/8/636.full
Intensity of leisure-time physical activity and cancer mortality in men: http://bjsm.bmj.com/content/45/2/125.full
CT scans and X-rays increase risk of cancer – changing the goal posts in sports medicine: http://blogs.bmj.com/bjsm/2012/09/19/ct-scans-and-x-rays-increase-risk-of-cancer-changing-the-goal-posts-in-sports-medicine/
Physical activity more likely to prevent breast cancer in certain groups: http://blogs.bmj.com/bjsm/2008/05/18/physical-activity-more-likely-to-prevent-breast-cancer-in-certain-groups/

Prof Jiri Dvorak on anti-doping in sports; Athlete Biological Passport and 10 years in a freezer.

This 12-minute podcast relates to a special 2013 Consensus Meeting on Anti-Doping in Sports & its summary in BJSM’s Special Issue on Anti-Doping (May 2014).
On November 29, 2013, FIFA hosted a meeting of representatives from key Anti-Doping stakeholders. Represented were sports physicians, athletes, legal experts, biomedical scientists, as well as leadership of international sports federations, the IOC and the Word Anti-Doping Agency. To take a ‘giant leap' forward in the battle to ensure a level playing field in sport the group addressed two key questions. (1) ‘Are we doing the right thing?’ and (2) ‘What contemporary methods can move beyond the simple testing strategy that was begun in the 1960s?’
Listen to the ebullient Professor Dvorak analyse anti-doping options and share with you the reasons drug-cheats are either stopping or very nervous.
Read the full consensus statement:
http://bjsm.bmj.com/content/48/10/801.full
See also:
Monitoring of biological markers indicative of doping: the athlete biological passport: http://bjsm.bmj.com/content/48/10/827.full
FIFA’s approach to doping in football: http://bjsm.bmj.com/content/40/suppl_1/i3.full
Gene doping: an overview and current implications for athletes: http://bjsm.bmj.com/content/47/11/670.full
Anti-doping programme and physicians: http://bjsm.bmj.com/content/45/2/e2.2.abstract
Do drug cheats ever prosper?: http://bjsm.bmj.com/content/36/2/79.2.full
A doping sinner is not always a cheat: http://bjsm.bmj.com/content/42/7/549.full
Super athletes or gene cheats?:http://bjsm.bmj.com/content/37/3/192.full
Why we should allow performance enhancing drugs in sport: http://bjsm.bmj.com/content/38/6/666.full
FIFA’s future activities in the fight against doping: http://bjsm.bmj.com/content/40/suppl_1/i58.full
Ruling from the Court of Arbitration for Sport brings consistency, but anti-doping debate will rumble on: http://blogs.bmj.com/bjsm/2012/04/30/ruling-from-the-court-of-arbitration-for-sport-brings-consistency-but-anti-doping-debate-will-rumble-on-2/
Hot Topic: The Truth Behind Doping Scandals: https://soundcloud.com/bmjpodcasts/jiri-dvorak-on-the-future-of/edit
Hot Topic: Current Anti-Doping Policies: http://blogs.bmj.com/bjsm/2008/08/07/hot-topic-current-anti-doping-policies/
Guest Blog: Peter Brukner on Drugs and the London Olympics: http://blogs.bmj.com/bjsm/2012/08/20/guest-blog-peter-brukner-on-drugs-and-the-london-olympics/

Patellar dislocation in football, with Professor Philippe Neyret, France

Professor Philippe Neyret from Lyon, France, is a renowned sports orthopaedic surgeon. Following from his talk at the Isokinetic Football Medicine Conference in Milan, BJSM editor Karim Khan reached him via mobile phone.
Prof Neyret discusses patellar dislocation in the setting of football and explains that certain anatomic variations (including trochlea dysplasia) make the condition more likely to occur. For players who have suffered patellar dislocation, next steps are not straightforward. Professor Neyret explains which players he would recommend have surgery.
See also:
Injuries of the sporting knee: http://bjsm.bmj.com/content/34/6/467.1.full
Patient Information Sheet: Patellar Instabilities (dislocation or subluxation of the kneecap): http://blogs.bmj.com/bjsm/2008/10/16/patient-information-sheet-patellar-instability-dislocation-or-subluxation-of-the-kneecap/

AMSSM Sports Medcast: Overuse injuries and burnout

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine.In this episode, AMSSM members discuss the recently published 'Overuse Injuries and Burnout in Youth Sports: A Position Statement from the AMSSM' with statement authors Dr John DiFiori, Dr Joel S Brenner and Dr Neeru Jayanthi.Read the statement: http://goo.gl/lczEHoPlease feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast.

Lower back injuries in cricket players, with Alex Kountouris

Dr Alex Kountouris is the physiotherapist or the Australian men’s cricket team, a position he has held for 8 years. He has just completed his PhD on the relationship between quadratus lumborum and lumbar stress fractures.
In this podcast he discusses strategies for the prevention and treatment of lumbar spine injuries in cricket. The interesting questions posed to him come from our twitter followers, so hear his responses to your questions!
See also:
Biomechanics of lumbar spine injury in young Australian fast bowlers: http://bjsm.bmj.com/content/44/Suppl_1/i4.3.abstract
MRI findings in the lumbar spines of asymptomatic, adolescent, elite tennis players: http://bjsm.bmj.com/content/41/11/836.full
A stress fracture of the lumbar spine in a professional rugby player: http://bjsm.bmj.com/content/41/5/337.full
Injuries in West Indies cricket 2003–2004: http://bjsm.bmj.com/content/40/2/119.full
@PeterBrukner discusses today’s major headline: Successful antibiotic treatment in a subset of people with chronic low back pain: http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/
Book Review: Clinical anatomy of the lumbar spine and sacrum: http://blogs.bmj.com/bjsm/2008/10/16/book-review-clinical-anatomy-of-the-lumbar-spine-and-sacrum/

Cricket injuries, with Alex Kountouris

Dr Alex Kountouris tries to stay out of the limelight despite his position as physiotherapist to the Australian Men’s cricket team. Despite his attempts, he finds himself in the media talking about players’ injuries and the reasons behind their inclusion or exclusion from the team.
Listen to him discuss injury prevention and treatment in cricket, and for the first time hear the questions posed by our twitter followers.
See also:
Batting head injury in professional cricket: a systematic video analysis of helmet safety characteristics: http://bjsm.bmj.com/content/47/10/644.full
International cricket injury surveillance: a report of five teams competing in the ICC Cricket World Cup 2011: http://bjsm.bmj.com/content/47/10/637.full
Injuries in West Indies cricket 2003–2004: http://bjsm.bmj.com/content/40/2/119.full
Methods for injury surveillance in international cricket: http://bjsm.bmj.com/content/39/4/e22.full

Dr Bert Mandelbaum on PRP and stem cells for treatment / exercises for injury prevention

Dr Bert Mandelbaum is the team doctor for Team USA (soccer), the LA Galaxy, and Director of Research for Major League Baseball. He shares his optimism about the role of PRP in various injuries, while cautioning that stem cells, despite their promise, may still be like a ‘Ferrari without a steering wheel’.
He was a pioneer in ACL prevention research and believes that programs successful in women may well translate across to men in sport such as NFL football.
He takes 2 questions from @BJSM_BMJ Twitter followers. You can catch him next at the 23rd Isokinetic Football Medicine Conference in Milan, March 22-23, 2014 www.footballmedicinestrategies.com/en/
Read two of Dr Mandelbaum's prominent papers:
A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players bit.ly/1fWWCfu
Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes bit.ly/1lwfzt8
See also:
Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial bit.ly/1iXJRmS
Prevention of acute knee injuries in adolescent female football players: cluster randomised controlled trial bit.ly/LSeWgb
Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial bit.ly/1fWWjRF
Growth factor delivery methods in the management of sports injuries: the state of play: http://bjsm.bmj.com/content/42/5/314.full
The PRP debate: http://blogs.bmj.com/bjsm/2010/11/15/the-prp-debate/
IOC consensus paper on the use of platelet-rich plasma in sports medicine: http://bjsm.bmj.com/content/44/15/1072.full
What constitutes the safe use of PRP in sports injuries? Continuing the PRP debate: http://blogs.bmj.com/bjsm/2010/11/25/what-constitutes-the-safe-use-of-prp-in-sports-injuries-continuing-the-prp-debate/
No magical therapeutic benefit of PRP in Achilles tendinopathy — JAMA paper follow-up and BJSM podcast: http://blogs.bmj.com/bjsm/2011/10/18/no-magical-therapeutic-benefit-of-prp-in-achilles-tendinopathy-jama-paper-follow-up-and-bjsm-podcast/
Platelet-rich plasma: a ‘feeling' and ‘hope' ailing athletes: http://bjsm.bmj.com/content/44/Suppl_1/i1.2.abstract
Airway injury during high-level exercise: http://bjsm.bmj.com/content/46/6/385.full
PRP within the wider context of regenerative medicine: http://blogs.bmj.com/bjsm/2010/12/07/prp-within-the-wider-context-of-regenerative-medicine/

The Super Bowl Professor! A special day in the life of Dr Jonathan Drezner and the Seattle Seahawks

Dr Jonathan Drezner, BJSM Senior Associate Editor (Sports Cardiology) is the team physician for Seattle Seahawks in the National Football League.
Speaking in the week after his team’s first Super Bowl appearance, he shares thoughts with Karim Khan about a typical week at the Seahawks, the season’s climax in New Jersey, and what budding sports medicine clinicians might do if aspiring to work in the top levels of professional sport.
Off the playing field, Professor Drezner served as President of AMSSM in 2012, contributes to the Primary Care Sports Medicine Fellowship at the University of Washington, Seattle and heads the Sports Cardiology Centre.
To find more related to sports cardiology (not the subject of this podcast), please go to this BMJ Learning site – over 10,000 educational modules have been completed. http://tinyurl.com/o5jcc5v
See also:
Peter Brukner on – Lessons from 30 years as a team physician http://bjsm.bmj.com/articleusage?rid=47/10/610
The use of local anaesthetic injections in professional football: http://bjsm.bmj.com/content/35/4/212.full
Super Bowl: Two ACL tears and the landmark paper still under review: http://blogs.bmj.com/bjsm/2012/02/13/super-bowl-two-acl-tears-and-the-landmark-paper-still-under-review/

Andy Franklyn-Miller - Tuning up rehabilitation after ACL reconstruction

After a patient has undergone ACL surgery, rehabilitation is bread and butter in many physiotherapy/sports medicine clinics. Many BJSM podcast listeners will be expert in this role. If you are less expert and wondering if there is an ‘optimum’ way to guide the patient back to sport, Dr Andy Franklyn-Miller provides some food for thought.
He discusses some novel ways of assessing a patient’s progress after ACL reconstruction, advocates for the use of video in the clinic, and shares the dynamic tests he uses before allowing a player to return to sport. He shares exercises that both test, and help rehabilitate athletes in this setting.
Dr Franklyn-Miller is a sports physician at the Sports Surgery Clinic in Dublin, Ireland. He has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), co-authored with Eanna Falvey and Peter Brukner, is an international best-seller. You can follow him on Twitter @AFranklynMiller and his blog provides great resources (www.drAndyFranklyMiller.com) including a further series of podcasts.
See also:
His previous podcasts on BJSM relating to running injuries (http://bit.ly/1bqMh8C) and groin pain (http://bit.ly/1fo2TAW).
Consensus criteria for defining ‘successful outcome’ after ACL injury and reconstruction: a Delaware-Oslo ACL cohort investigation: http://bjsm.bmj.com/content/early/2013/07/23/bjsports-2013-092299.full
Lower extremity performance following ACL rehabilitation in the KANON-trial: impact of reconstruction and predictive value at 2 and 5 years: http://bjsm.bmj.com/content/47/15/980.full