BJSM Podcast

Potential Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear. EP# 526

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Devin McFadden, MD (T: @ArmySportsDoc), is joined by Dr. Adam Tenforde, MD (T: @AdamTenfordeMD), to discuss the a recently published manuscript titled “Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear.”
In this conversation, Dr. Tenforde addresses the following topics related to the article:
● Explanation of the use of Carbon Fiber Plate (CFP) technology in footwear and why it’s become so popular
● Addressing the rapid changes and progression of record-breaking performance in the running community as a result of this footwear
● Discussing his article featuring a case series of navicular bone stress injuries in runners using CFP footwear
● Providing some general recommendations for safely using CFP footwear, as well as raising awareness on the possible health concerns of this new technology
Additional Resources:
Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear https://link.springer.com/article/10.1007/s40279-023-01818-z
Return to Sport Following Low-Risk and High-Risk Bone Stress Injuries: A Systematic Review and Meta-Analysis
https://bjsm.bmj.com/content/early/2023/01/24/bjsports-2022-106328

BJSM Concussion through my eyes, Dr Richard Weiler on blind football and concussion. ep #525

BJSM’s Liam West talks to Dr. Richard Weiler about concussion in Para Sport. Dr. Weiler and colleagues have investigated concussion experiences of blind male footballers turning up some very interesting results. To ensure that these findings are accessible to visually impaired individuals, they have gone down the novel route of creating an audio file of the entire paper – the link for this can be found below.
Links -
"Concussion through my eyes" audio paper
https://on.soundcloud.com/XQb2T
Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group - https://bjsm.bmj.com/content/55/21/1187
https://bjsm.bmj.com/content/early/2023/02/14/bjsports-2022-106256

Let’s Get Physical Activity Messaging Right With Dr Chloë Williamson EP# 524

In this podcast, we host Dr Chloë Williamson (Twitter @Chlobobs). Chloë is a Postdoctoral Fellow in Physical Activity for Health based in the Physical Activity for Health Research Centre at the University of Edinburgh. Her research (including PhD) over the past 4 years or so has focused on physical activity communication and messaging. We all know that physical activity is important but it is equally important to consider how PA messaging is delivered. Chloë provides a great overview on the findings of her research to date and her work on the development of a translational tool to bring PA messaging research into practice. In this podcast, we discuss on:
The framework of PA messaging and how to use it
Key points to focus on and consider when delivering PA messages
How we can use the framework findings to engage different partners and organisations
How we can make PA attractive to our target audience
Get the Message? A scoping review of physical activity messaging. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-00954-3
A modified Delphi study to enhance and gain international consensus on the Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01182-z
Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01230-8
How can we better promote physical activity to the public through messaging? https://blogs.bmj.com/bjsm/2020/11/10/how-can-we-better-promote-physical-activity-to-the-public-through-messaging/
Infographic: Walking on sunshine: scoping review of the evidence for walking and mental health: https://bjsm.bmj.com/content/53/14/903

Exercise Physiology with Polly de Mille. EP #523

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Polly de Mille, RN, MA, RCEP, CSCS, USAT, to discuss the topic of Exercise Physiology and how it can help figure out the missing links in training programs.
Polly de Mille is an exercise physiologist and the Director of Performance Services at Hospital for Special Surgery in New York. She will provide the American College of Sports Medicine (T: @ACSMNews) Exchange Lecture titled, “Inside the Running Lab:How to Evaluate Optimal Run Mechanics and Physiology” during the 2023 AMSSM Annual Meeting in Phoenix, AZ.
In this 20-minute conversation, she addresses the following topics:
· Sharing more information about her work as a certified exercise
physiologist at HSS
· How she and her team can help identify the causes of injuries and help athletes stay healthy in order to reach their goals
· How her background as a critical care nurse and an avid marathoner led her into the field of exercise physiology
· The ways she and her colleagues can help improve runner’s outcomes and how many different disciplines come together to play important roles to make that happen
· The different types of tests used by exercise physiologists and how they use that information to improve performance
· The possibilities of using nutrition to enhance physiologic training sessions
HSS Sports Rehabilitation and Performance Center: https://www.hss.edu/sports-rehabilitation-and-performance-center.asp

ACL MYTH BUSTING Part 2 with Prof Jackie Whittaker and Dr Stephanie Filbay. EP #522

In this podcast, Dr Brooke Patterson hosts ACL injury and post-traumatic osteoarthritis leading experts Ass. Prof Jackie Whittaker and Dr Stephanie Filbay in part 2 of an ACL myth busting series. Jackie and Steph provide tips about how you can integrate new evidence into daily practice that may challenge existing beliefs and practices. In today’s episode you will find out if the following statements are TRUE or FALSE….
• ACL tears can heal
• ACL tears only heal if patients are braced immediately
• Open chain knee extension exercises are safe to perform in the first 4 weeks after ACLR
• Returning to high impact sports increases the risk of PTOA after ACL injury
• Having an early ACL reconstruction will reduce the risk of future structural OA
Whittaker et al 2022 OPTIKNEE consensus statement https://www.ncbi.nlm.nih.gov/pubmed/36379676
Whittaker et al 2022 OPTIKNEE review of risk factors http://bjsm.bmj.com/content/early/2022/10/05/bjsports-2022-105496.abstract
Filbay et al 2022 ACL healing paper http://dx.doi.org/10.1136/bjsports-2022-105473
OPTIKNEE website OPTIKNEE bit.ly https://bit.ly/OPTIKNEE

ACL MYTH BUSTING Part 1 with Prof Jackie Whittaker and Dr Stephanie Filbay EP# 521

In this podcast, Dr Brooke Patterson hosts ACL injury and post-traumatic osteoarthritis leading experts Ass. Prof Jackie Whittaker and Dr Stephanie Filbay in part 1 of an ACL myth busting series. In today’s episode you will find out if the following statements are TRUE or FALSE….
● ACL reconstruction reduces the risk of osteoarthritis compared to non-surgical management
● Only patella tendon grafts get patellofemoral osteoarthritis after ACL reconstruction
● Non-surgical management of an ACL injury increases the risk of future meniscal tears
● Meniscal lesions at the time of ACL injury/surgery increases the risk osteoarthritis after ACL injury
● Higher BMI increases the risk of osteoarthritis after ACL injury
● People can return to sport without having an ACL reconstruction for their ACL tear
● Increased laxity increases the risk of osteoarthritis after ACL injury/surgery
Whittaker et al 2022 OPTIKNEE consensus statement https://www.ncbi.nlm.nih.gov/pubmed/36379676
Whittaker et al 2022 OPTIKNEE review of risk factors http://bjsm.bmj.com/content/early/2022/10/05/bjsports-2022-105496.abstract
OPTIKNEE website OPTIKNEE bit.ly https://bit.ly/OPTIKNEE

Don’t forget the long game after knee injury – OPTIKNEE consensus with Jackie Whittaker EP #520

In this BJSM podcast Jackie Whittaker discusses the OPTIKNEE consensus clinical and research recommendations. Jackie is an Associate Professor in the Department of Physical Therapy, at the University of British Columbia. The OPTIKNEE initiative aims to shine the light on post-traumatic osteoarthritis after traumatic knee injury – who is most at risk, what should we be measuring and how, and what interventions should we be using? Jackie encourages clinicians to think about knee and overall health beyond the short-game of injury rehab and return to sport. There are some great tips on how you can set up patients at risk of post-traumatic osteoarthritis with the knowledge, skills, and motivation to self-manage in the long-term.
OPTIKNEE Consensus Statement https://www.ncbi.nlm.nih.gov/pubmed/36379676
OPTIKNEE website and links to systematic reviews: bit.ly/OPTIKNEE

Exercise Medicine and Physical Activity Promotion with Dr. Irfan Asif EP# 519

Exercise Medicine and Physical Activity Promotion with Dr. Irfan Asif EP# 519
On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Irfan Asif, MD, to discuss the topic of Exercise Medicine and Physical Activity Promotion.
Dr. Asif, who is the Chair of the AMSSM Collaborative Research Network, helped lead the 2021 Research Summit, which produced several publications and educational resources related to Exercise Medicine and Physical Activity Promotion. In this conversation, he addresses the following topics and questions:
• A refresher on the 2021 Research Summit and the significant outcomes from that event
• How the Exercise Medicine and Physical Activity Promotion Core Curricula originated
• More details about the interactive and freely available Exercise Medicine & Physical Activity Promotion Modules
• How can physicians and other medical faculty integrate these resources into their clinical practices?
• Providing information about the upcoming 2023 Research Summit on Justice, Equity and Inclusion, which takes place in April 2023
• Future publications, deliverables and other opportunities stemming from the 2021 Research Summit
Additional Resources
Exercise Medicine & Physical Activity Promotion Modules tinyurl.com/exercisemodules
Exercise Medicine and Physical Activity Promotion: Core Curricula for US Medical Schools, Residencies and Sports Medicine Fellowships https://bjsm.bmj.com/content/bjsports/56/7/369.full.pdf

Running repairs with James Alexander, get up to speed with the latest research. EP#518

BJSM’s Dr. Liam West talks to James Alexander about running related knee injuries and what options the current published literature support for managing & preventing these injuries. James & his colleagues have just published a systematic review in the area, and he gives the clinical relevance of his findings within the podcast. You can access their paper using the link below, in addition to other related content.
Review. Strategies to prevent and manage running-related knee injuries: a systematic review of randomised controlled trials: https://bjsm.bmj.com/content/early/2022/09/23/bjsports-2022-105553.abstract
Infographic. Running Myth: recreational running causes knee osteoarthritis:https://bjsm.bmj.com/content/56/6/357
Infographic. Running myth: switching to a non-rearfoot strike reduces injury risk and improves running economy:https://bjsm.bmj.com/content/55/3/175
Infographic running myth: static stretching reduces injury risk in runners:https://bjsm.bmj.com/content/54/17/1058
Infographic. Running myth: strength training should be high repetition low load to improve running performance:https://bjsm.bmj.com/content/54/13/813

Less Pain. Better performance using contemporary science to improve both in all athletes EP#517

In this BJSM podcast Brooke Patterson hosts Prof Lorimer Moseley AO and Dr Ebonie Rio, physiotherapists and international leaders in pain science. This is a fascinating discussion about how we increase our ability as clinicians and to “own the modern science” and explain pain to patients. We discuss the “warm-up phenomena” with painful tendons, the competing demands of self-protection and performance, and how we can help change the internal conversations that patients have about their pain.