* The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
BJSM Podcast
The British Journal of Sports Medicine (BJSM) podcast offers the latest insights in sport and exercise medicine (SEM). Committed to advancing innovation, enhancing education, and translating knowledge into practice and policy, our podcast features dynamic debates on clinically relevant topics in the SEM field. Stay informed with expert discussions and cutting-edge information by subscribing or listening in your favourite podcast platform. Improve your understanding of sports medicine with the BJSM podcast, and visit the BMJ Group’s British Journal of Sports Medicine website - bjsm.bmj.com. BJSM podcast editing and production managed by: Jimmy Walsh.
Episodes
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Pregnancy is hardly an uncommon condition in women, so what are the ins and out of exercise during those nine months? Harriet Vickers (BMJ’s assistant multimedia producer) talks to Bronwyn Bell (consultant obstetrician and gynaecologist) about the benefits and risks of physical activity from conception to postpartum, and how to look after women at different levels of fitness.0:00 Conception: Getting in shape before becoming a mum and optimising your chances of conception2:16 BMI and pregnancy2:40 Benefits of exercise during pregnancy4:00 Does exercise put the fetus at risk? The role of core temperature.5:40 Contact sports and preventing injury during pregnancy6:00 Absolute contraindications to exercise during pregnancy8:34 Physiological changes - energy balance and body changes11:30 Case management - initiating an exercise program in the unfit and newly pregnant woman12:50 Case management - advising the regularly exercising woman to exercise. The ‘talk rule’ and heart rate as guides.15:44 Case management - the professional athlete and exercise during pregnancy17:15 Post-natal exercise advice. Breast feeding and breast support.See also:Royal College of Obstetricians and Gynaecologists - Exercise in pregnancy statement http://bit.ly/ZMaYphBMJ editorial - Exercise during pregnancy http://bit.ly/17Um2br
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
In this podcast, also recorded at UKSEM, Babette Pluim (BJSM deputy editor) interviews Glen Hageman (president of the South African Sports Medicine Association). They discuss the work of SASMA, and plans for the future.
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
In anther podcast recorded at the UKSEM conference held in London in November, Karim Khan (BJSM editor) talks to Lars Engebretsen (head of science and research for the International Olympic Committee). They discuss the IOC’s work in trauma research, health promotion, and the BJSM-IOC special issues.2:32: The launch of the IOC’s focus on injury prevention and health promotion (IPHP).4:00 - Periodic health exam - should athletes be screened prior to major competition? Can we prevent high level athletes from dying on the field?6:20 - The IOC Centres of Excellence program - advancing applied sports and exercise medicine research7:43 - Conference opportunities in the field - what is coming up?
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Karim Khan talks to Michael Turner about his career as chief medical advisor for the British Horse Racing Association.
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Hamstring injuries are the most prevalent muscle injuries in sport. Symptoms can be particularly prolonged, healing response poor, and the risk of re-injury high.Carl Askling (Karolinska Institute, Stockholm) has been trialling a new way of categorising these injuries, thinking about them as high-speed running or stretching types. He explains to Karim Khan how these types can be diagnosed and the different treatment and monitoring they require. He also describes how to assess athletes post hamstring injury for return to sport.See also:High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis http://bit.ly/15Dzv8aHamstring strain injuries: are we heading in the right direction? http://bit.ly/LfwK2IHamstring issues in sports: still a major clinical and research challenge http://bit.ly/JTzgb7February’s BJSM has a special focus on hamstring injuries, so there’s even more related content in the issue and on the website.
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
BJSM editor Karim Khan talks to Michael Turner about his time as chief medical adviser of the Lawn Tennis Association, including the medical scandals that have cropped up and the advances he’s seen in the game’s sports medicine.Dr Turner is also chief medical adviser for the British Horseracing Authority, but more of that in a future podcast…
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
We’re well down the road to London 2012, but getting here has taken a herculean feat of organisation. In this BJSM podcast Richard Budgett, Chief Medical Officer British Olympic Association, explains how LOCOG has prepared to meet the medical needs of the olympians, their entourage, and their fans.
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Coming together at the UKSEM conference in London, Professor Lars Engebretsen (Oslo Sports Trauma Research Center and IOC medical commission) talks to Dr Richard Frobell (Lund University, Malmo, Sweden) about his work on return to exercise after ACL (anterior cruciate ligament) injury.Dr Frobell describes the evidence already on this issue, and his recently published randomized trial on whether surgery or rehabilitation improves pain, symptoms, function in sports and recreation, and knee-related quality of life post-injurySee also:A randomized trial of treatment for acute anterior cruciate ligament tears http://bit.ly/rrS51YThe BJSM Warm up about this injury http://bit.ly/tBNdiuOur 2010 interview with Richard Frobell and coauthors of the NEJM paper above http://bit.ly/99leZd
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Diagnosing chronic exertional compartment syndrome relies on measuring intramuscular pressure, however Andrew Franklyn-Miller (Sports Surgery Clinic, Dublin; education director at BASEM) has shown the criteria for this are flawed (2.51). He talks to BJSM editor Karim Khan about what clinicians can do to get round this, his theory the condition is caused by biomechanical overload and his work looking at running re-education to alleviate symptoms (6.13).He also gives us his views on barefoot running (10.44) and talks about his research on orthotics (17.57).Finally, as UKsem’s director, Dr Franklyn-Miller gives us an update on the speakers and programme of the upcoming conference (21.04).See also:Foot Orthoses in the Prevention of Injury in Initial Military Training http://ajs.sagepub.com/content/39/1/30.abstractThe validity of the diagnostic criteria used in chronic exertional compartment syndrome: A systematic review http://bit.ly/10aEvc9Chronic exertional compartment syndrome testing: a minimalist approach http://bit.ly/ZkXNBcChronic exertional compartment syndrome http://bit.ly/oNUhJEBJSM podcast: July’s BJSM and the UKsem Congress, with Andrew Franklyn-MillerUKsem http://bit.ly/13rUCpJ
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Whether to opt for exercise treatment, new ‘biological therapies’ like platelet-rich plasma (PRP), or surgery is a clinical challenge. Sweden’s Professor Håkan Alfredson has unique experience in considering these options for patients with Achilles pain. He has 15 years experience as an international leader in sports and exercise medicine.In this podcast, he tells BJSM’s editor Karim Khan how to manage both straightforward (0.37) and complicated (7.34) Achilles tendinopathy. He shares novel insights into the contribution of the aberrant plantaris tendon to chronic medial leg pain (12.40).Prof Alfredson also provides a memorable clinical story to underscore the effectiveness of heavy loading eccentric training in one particularly stubborn patient (3.49). He argues against the use of PRP (17.37) and considers cortisone to be a short-term fix but long-term liability (15.24). The podcast concludes with discussion of both jumper’s knee (19.35) and lateral elbow tendinopathy (24.44).Related paper:Midportion Achilles tendinosis and the plantaris tendon http://bit.ly/11y79bcRelated podcasts:Robert Jan de Vos and Adam Weir on platelet rich plasma injections http://bit.ly/JdmFkJProfessor Jill Cook on managing tendinopathies in 2011 http://bit.ly/15DM8Qp