BJSM Podcast

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

Julien Périard Tennis in the heat

Julien Périard is a Canadian research scientist. After racing on the International Triathlon Union Circuit, he completed a PhD at the University of Sydney, investigating the mechanisms that limit prolonged exercise in the heat. He continues to be intrigued by the mechanisms that mediate performance and fatigue in adverse conditions and is now based in Qatar, an ideal place conduct heat studies in athletes.
In this podcast he talks about a study he led with tennis players competing in both hot (37ºC) and cool (22ºC) conditions. He discusses the thermal, physiological and perceptual strain associated with match-play tennis in these conditions, as well as fatigue from a physical and neuromuscular performance perspective. He further discusses the impact of playing in the heat on oxidative stress, and the role of an individualized hydration regimen on performance under heat stress.
He gives several important take home messages for coaches and players who plan to compete in the heat.
See also:
Heat stress does not exacerbate tennis-induced alterations in physical performance: http://bjsm.bmj.com/content/48/Suppl_1/i39.full
Coping with heat stress during match-play tennis: Does an individualised hydration regimen enhance performance and recovery?: http://bjsm.bmj.com/content/48/Suppl_1/i64.full
Increase in tennis injuries at the Australian Open – media hype or evidence based: http://blogs.bmj.com/bjsm/2014/01/28/increase-in-tennis-injuries-at-the-australian-open-media-hype-or-evidence-based/
Australian Open – Hot Tennis. To play or not to play? That is the question: http://blogs.bmj.com/bjsm/2014/01/18/australian-open-hot-tennis-to-play-or-not-to-play-that-is-the-question/
Thermal, physiological and perceptual strain mediate alterations in match-play tennis under heat stress: http://bjsm.bmj.com/content/48/Suppl_1/i32.full
Hydration and thermal strain during tennis in the heat: http://bjsm.bmj.com/content/48/Suppl_1/i12.full
Core body temperature during competition in the heat: national boys’ 14s junior tennis championships: http://bjsm.bmj.com/content/41/11/779.full
An integrated physiological and performance profile of professional tennis: http://bjsm.bmj.com/content/41/8/531.full
The impact of match-play tennis in a hot environment on indirect markers of oxidative stress and antioxidant status: http://bjsm.bmj.com/content/48/Suppl_1/i59.full
Neuromuscular adjustments of the knee extensors and plantar flexors following match-play tennis in the heat: http://bjsm.bmj.com/content/48/Suppl_1/i45.full

Mark Huizinga, Olympic Judo champion, on his career

Mark Huizinga, a Dutch judoka, is 5 time European and Olympic Champion. Mark won the gold medal in the men’s under 90 kg class at the 2000 Summer Olympics and took bronze at both the 1996 and 2004 Summer Olympics. He retired after the 2008 Olympic Games and is currently national coach of the juniors in the Netherlands.
In this podcast he talks to BJSM deputy editor Babette Pluim about the most memorable moment during his distinguished judo career, about the traditions in judo, dealing with injuries, weight classes and weighing in and injury prevention in judo. He ends with an important lesson for sports physicians, which you will hear when you listen to this podcast!
See also:
Injuries in judo: a systematic literature review including suggestions for prevention: http://bjsm.bmj.com/content/47/18/1139.full
Energy demands during a judo match and recovery: http://bjsm.bmj.com/content/37/3/245.full
The common mechanisms of anterior cruciate ligament injuries in judo: a retrospective analysis: http://bjsm.bmj.com/content/44/12/856.full

Chris Littlewood - Tendons: Where does pain fit in the continuum model?

If you have wondered about the connection between pain and pathology in tendons, this podcast is for you.
In this new forum, a BJSM reader takes the hard questions to the experts, Chris Littlewood, who has expertise as a clinician and researcher in the rotator cuff, asks questions of Craig Purdam, who needs little introduction to you, and Ebonie Rio, who has expertise as a clinician in tendons and as a researcher in tendon pain.
Listen to the answers on the complex nature of tendons and the relationship between pain and pathology, and let us know via bjsm@bmjgroup.com if you have a pressing desire to ask an expert yourself about a clinical issue in a podcast. We are always open to suggestions.
See also:
Greater glycosaminoglycan content in human patellar tendon biopsies is associated with more pain and a lower VISA score: http://bjsm.bmj.com/content/48/6/469.full
Prospective study of change in patellar tendon abnormality on imaging and pain over a volleyball season: http://bjsm.bmj.com/content/40/3/272.full
Tendinopathy – rehab progression – part 1: http://blogs.bmj.com/bjsm/2013/07/23/tendinopathy-rehab-progression-part-1/
Achilles Tendinopathy: is foot strike important?: http://blogs.bmj.com/bjsm/2014/01/22/achilles-tendinopathy-is-foot-strike-important/
Australian football players’ Achilles tendons respond to game loads within 2 days: an ultrasound tissue characterisation (UTC) study: http://bjsm.bmj.com/content/early/2014/06/26/bjsports-2013-092713.full

Glen Hagemann on his term as President of the South African Sports Medicine Association

In this podcast Glen Hagemann, a sports physician from Durban, South Africa, shares with you his two-year experience and lessons learned as President of the South African Sports Medicine Association (SASMA).
One of the highlights of his presidency was the 15th Biennial SASMA congress held recently at the Wild Coast Sun, and for those of you who are interested in viewing the presentations, please click on
https://www.dropbox.com/l/HcISe1tlrMdfzl8PioTiGb/invite to download these.
Keynote speakers such as Bob Sallis, Ann Cools, Peter Brukner, Babette Pluim and Michael Turner were integral to the success of the event.
During this congress, The Sharks won South Africa's premier rugby
competition, the Currie Cup, which immensely pleased Glen, as he oversees the medical care of the Sharks professional and Academy players at the Life Healthcare Sharks Medical Centre.
Glen is an Executive Committee member of SASMA and Exercise is Medicine (South Africa) and discusses the specific challenges facing this movement in South Africa, and the role of SASMA in helping to overcome these obstacles.
For more information on SASMA and Exercise is Medicine (South Africa) please see www.sasma.org.za.
Finally, he explains why social media are a "must" for all health
professionals in sports and exercise medicine.
See also:
Why some Africans stand out in a crowd: BokSmart for injury prevention and other SASMA-related jewels: http://bjsm.bmj.com/content/46/8/543.full
SASMA: happy to be ‘hip’, wary of being too ‘hip happy’: http://bjsm.bmj.com/content/48/14/1071.full
How BJSM embraces the power of social media to disseminate research: http://bjsm.bmj.com/content/48/8/680.full
SASMA Wins (3rd year in a row) – Best BJSM Cover: http://blogs.bmj.com/bjsm/2014/03/31/sasma-wins-3rd-year-in-a-row-best-bjsm-cover/

Sports Medcast Ep 4 - Practical tips on NSAIDs

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss practical tips on the use and safety of non-steroidal anti-inflammatory drugs (NSAIDs). Please feel free to contact us at thesportsmedcast@gmail.com, and follow us on twitter twitter.com/sportsmedcast.
See also:
Read the article that Scott and Cole discuss - bjsm.bmj.com/content/47/17/1127
Use of NSAIDs in triathletes: prevalence, level of awareness and reasons for use: bjsm.bmj.com/content/45/2/85.full
E-letter: Prophylactic use of NSAIDs in endurance runners: http://blogs.bmj.com/bjsm/2009/10/07/e-letter-prophylactic-use-of-nsaids-in-endurance-runners/
“Mythbuster” on NSAIDs in sports medicine, challenging nutrition dogma, and evidence-based practice: https://soundcloud.com/bmjpodcasts/mythbuster-on-nsaids-in-sports
Republished research: Non-steroidal anti-inflammatory drugs (NSAIDs): http://bjsm.bmj.com/content/early/2013/09/06/bmj.f3195.full
Do non-steroidal anti-inflammatory drugs adversely affect stress fracture healing? A short review: http://bjsm.bmj.com/content/39/2/65.full?sid=8f2906bc-ea42-48fc-a5c1-8a5132504322

“Mythbuster” on NSAIDs in sports medicine, challenging nutrition dogma, and evidence-based practice

In a podcast that may be of most interest to our general practice audience, Professor James McCormack has had a longstanding passion for scrutinising study results. One of his roles has been evaluating drug company trials [therapeuticseducation.org] and recommending with the British Columbia Provincial Government reimburse patients for those drugs or not. One category of drugs he is expert is NSAIDs.
In the podcast, he also explains why the science of nutrition resembles a smorgasbord of low quality studies.
Finally, (and for all health professionals), Prof McCormack shares a link to his ‘viral’ YouTube video ‘Viva La Evidence’ [bit.ly/13Wv5Eq] which shows that what marketing experts label ‘NMS’ is alive and well. (Nerd Market Segment). You’ll find a couple of videos that the BJSM Editor found hugely entertaining but that his adult children just rolled their eyes at.
See also:
Use of NSAIDs in triathletes: prevalence, level of awareness and reasons for use: bjsm.bmj.com/content/45/2/85.full
E-letter: Prophylactic use of NSAIDs in endurance runners: http://blogs.bmj.com/bjsm/2009/10/07/e-letter-prophylactic-use-of-nsaids-in-endurance-runners/
Sports Medcast Ep 4 - Practical tips on NSAIDs: https://soundcloud.com/bmjpodcasts/mythbuster-on-nsaids-in-sports
Republished research: Non-steroidal anti-inflammatory drugs (NSAIDs): http://bjsm.bmj.com/content/early/2013/09/06/bmj.f3195.full

Managing groin pain, with Andrew Franklyn-Miller

Are you wondering how to best manage sports-related groin pain? In this 2nd of two podcasts by, Dr Andrew Franklyn-Miller focuses on groin pain – particularly in football sports. He advocates a fresh look at the treatment and diagnosis of groin pain. In particular, he argues that the patient’s biomechanics can be best analysed using dynamic video capture systems.
Dr Franklyn-Miller has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), coauthored with Eanna Falvey and Peter Brukner, is an international best-seller.
Listen to his first podcast, on running injuries, here: http://bit.ly/187BA9b

Sports medcast in association with AMSSM: Journal club

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine.
In this episode, hosts Dr Scott Young and Dr Cole Taylor present clinical pearls on several topics from the recent sports medicine literature.
Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast.