BJSM Podcast

Extracorporeal Shockwave Therapy in MSK Medicine with Dr. Adam Tenforde EP #516

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Dr. Adam Tenforde, MD to discuss the topic of Exercise for Extracorporeal Shockwave Therapy (ESWT) in Musculoskeletal Medicine.
Dr. Tenforde recently published a research about best practices for ESWT, which is used in a variety of clinical applications including the management of musculoskeletal conditions. In this conversation, he addresses the following topics and questions about shockwave therapy:
· What is ESWT?
· The origins of shockwave therapy use and some of its additional applications
· Describing the process of shockwave therapy and its effects
· Some of the factors to consider when performing ESWT, especially to clinicians who have never used this treatment option before
· Understanding the different types of shockwave therapy and how they can be used to treat injuries
· What types of providers can administer ESWT, and what are the recommended treatment protocols for medical teams?
· What is the reimbursement status of shockwave therapy for providers?
· What are some of the medical conditions that are best treated by ESWT, in both the lower and upper extremities?
Additional Resources
Best practices for extracorporeal shockwave therapy in musculoskeletal medicine: Clinical application and training consideration. PM&R 2022 May;14(5):611-619. doi: 10.1002/pmrj.12790. https://doi.org/10.1002/pmrj.12790
Bone stress injuries. Nat Rev Dis Primers. 2022 Apr 28;8(1):26. doi: 10.1038/s41572-022-00352-y. PMID: 3548413
A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel). 2021 Nov 24;11(12):1287. doi: 10.3390/life11121287.

Tackling the big issues and training smarter in female collision sports with Kathryn Dane. EP#515

Kathryn Dane is a physiotherapist and is a professional Irish rugby union player, and PhD candidate at Trinity College Dublin. We discuss her first PhD publication on the physical, technical, tactical demands and preparatory strategies in female field collision sports. Kathryn draws on her experience as an athlete, clinician, and researcher, and what practitioners should consider when designing training programs for female field collision sports.
Physical and Technical Demands and Preparatory Strategies in Female Field Collision Sports: A Scoping Review: https://pubmed.ncbi.nlm.nih.gov/35767989/

Hip joint imaging findings in football players and their relevance in injury management EP#514

Dr. Joshua Heerey chats on this podcast to BJSM’s Dr. Liam West about hip joint imaging. Josh gives us a sneak peek into the findings from the “Femoroacetabular impingement & hip OsteoathRitis Cohort (FORCe) study & how they may help clinicians manage their patients with hip and groin pain. The podcast is heavily based around clinical scenarios that are commonly faced in the clinic or sports team settings.
Dr Heerey is a physiotherapist and Hip Osteoarthritis Research and Development Lead at La Trobe University’s Sport and Exercise Medicine Research Centre in Melbourne, Australia. Dr Heerey obtained his PhD in 2021, with his research programme focusing on understanding the relationship between hip joint imaging findings and pain, and risk factors for development of early hip osteoarthritis in football players. He has published numerous articles examining the diagnosis and treatment of intra-articular hip conditions and is a current member of the International Hip-Related Pain Research Network and Young Athlete’s Hip Research Collaboration, which are multi-disciplinary international research teams created to improve the care of people living with hip and groin conditions.
Dr Heerey works clinically at Lifecare Prahran Sports Medicine Clinic. He has a particular interest in the management of longstanding hip and groin conditions
Relevant links:
- Heerey et al. What is the prevalence of imaging-defined intra-articular hip pathologies in people with and without pain? A systematic review and meta-analysis. Br J Sports Med. 2018;52(9):581-93. http://dx.doi.org/10.1136/bjsports-2017-098264
- Heerey et al. What is the prevalence of hip intra-articular pathologies and osteoarthritis in active athletes with hip and groin pain compared with those without? A systematic review and meta-analysis. Sports Med. 2019;49:951-972. https://doi.org/10.1007/s40279-019-01092-y
- Heerey et al. Prevalence of early hip OA features in high- impact athletes. The femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study. Osteoarthritis Cartilage. 2021; 29(3): 323-334. https://doi.org/10.1016/j.joca.2020.12.013
- Heerey et al. The size and prevalence of bony hip morphology do not differ between football players with and without hip and/or groin pain: Findings from the FORCe cohort. J Orthop Sports Phys Ther. 2021; 51(3): 115-125. https://www.jospt.org/doi/10.2519/jospt.2021.9622
- Heerey et al. Cam morphology is associated with MRI-defined cartilage defects and labral tears: a case–control study of 237 young adult football players with and without hip and groin pain. BMJ Open Sport & Exercise Medicine 2021;7:e001199. http://dx.doi.org/10.1136/bmjsem-2021-001199

Publication to the pitch – we all have a role. Professor Benita Olivier. EP# 513

In this podcast we host Professor Benita Olivier (Twitter @BenitaOlivier). Benita is a lecturer in musculoskeletal physiotherapy at the University of the Witwatersrand and is the Director of the Wits Cricket Research Hub. Benita provides great practical tips for clinicians and researchers to create time and increase access to evidence-based information to bridge the gap between publication and the pitch. We also discuss some of the emerging research in African athletes, and what we can learn from Kenyan endurance runners.

Wits Cricket Research Hub https://www.youtube.com/channel/UCIenu_8XdRB7ttG3lGMLcMw
Facebook: @witscricketresearchhub https://www.facebook.com/witscricketresearchhub
Instagram: @witscricketresearchhub https://www.instagram.com/witscricketresearchhub/
Twitter: @WitsCricketRH https://twitter.com/WitsCricketRH
LinkedIn: WITS Cricket Research Hub https://www.linkedin.com/company/wits-cricket-research-hub/

Knowledge and adherence towards evidence-based sports Physiotherapy standards among physiotherapists in Kenya https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2020.171

A prevalence of running-related injuries among professional endurance runners in the Rift Valley, Kenya https://journals.assaf.org.za/index.php/sajsm/article/view/10690

Musculoskeletal predictors of non-contact injury in cricketers e Few and far between? A longitudinal cohort study https://linkinghub.elsevier.com/retrieve/pii/S1466853X1830021X

Exercise for Post-Menopausal Women with Dr. NiCole Keith. EP#512

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by sports medicine researcher and past president of the American College of Sports Medicine, Dr. NiCole Keith, PhD to discuss the topic of Exercise for Post-Menopausal Women.
Dr. NiCole Keith (T: @nicolekeithphd) is a Professor from the Department of Kinesiology and associate dean of faculty affairs in the School of Health & Human Sciences at Indiana University-Purdue University Indianapolis. Her research interests include physical activity and health equity. In addition to serving as the current president of the ACSM she has previously served as the vice president of membership, communication, and policy and serves on both the Exercise is Medicine and American Fitness Index advisory boards.
In this 20 -minute conversation Dr. Keith addresses the following topics:
· Discussing the different stages of menopause and the importance of physical activity during these stages
· Creating effective exercise prescriptions, including the best physical activity recommendations and strategies
· The best types of exercises for post-menopausal women and several alternatives, based on potential health and risk factors
· Addressing health disparities between genders and communities, and making sure individuals can safely engage in physical activity

AIS Female Performance & Health Initiative with Dr. Rachel Harris EP#511

The Women in Sport Congress, happening in Melbourne 17-19 August 2022, is looking to start conversations on how we can optimise women’s performance programmes and overall health within a sporting context. Dr. Rachel Harris is a Sport & Exercise Medicine Physician based in Perth, Australia, who is the project lead for the AIS Female Performance & Health Imitative (FPHI) and is co-organising the Women in Sport Congress. During the podcast she discusses strategies we need to employ to keep women and girls engaged in physical activity with some bonus content on tips to get involved in Para-Sport!
Links
https://www.ais.gov.au/fphi
https://womeninsportcongress.org.au/

Applying Sport Psychology to Improve Clinical Performance with Dr Helen Church. EP #510

This BJSM podcast discusses how health care professionals can learn from the sports psychology world. Noting the similarities between athletes and health care professionals Dr Helen Church has put together a new PERFORM (Performance Enhancing Routine for Optimisation of Readiness using Metacognition) framework, using Performance Enhancing Routines to improve clinical performance. She provides practical advice on how you and your practise can benefit from simple sport psychology measures giving some fantastic examples for inspiration.
Dr Helen Church is a GP trainee and academic clinical lecturer at the University of Nottingham, working as a clinical assistant professor in medical education. This podcast is hosted by Dr Shona Kohlhardt.
Links to useful papers further discussing sports psychology in clinical performance:
1. Using Insights From Sports Psychology to Improve Recently Qualified Doctors’ Self-Efficacy While Managing Acutely Unwell Patients (Church et al., 2021) https://journals.lww.com/academicmedicine/Fulltext/2021/05000/Using_Insights_From_Sports_Psychology_to_Improve.41.aspx
2. Applying sport psychology in health professions education: A systematic review of performance mental skills training (Sandars et al., 2021)
https://www.tandfonline.com/doi/full/10.1080/0142159X.2021.196643
3. Applying sport psychology to improve clinical performance (Church et al., 2017)
https://www.tandfonline.com/doi/full/10.1080/0142159X.2017.135953
4. What can medical educators learn from the Rio 2016 Olympic Games? (Church et al., 2017)
https://www.tandfonline.com/doi/full/10.1080/0142159X.2016.127040

Is telehealth here to stay? Dr Allison Ezzat on patient and clinician pandemic experiences. EP #509

One of the silver linings of COVID-19 pandemic is the increased adoption of telehealth in allied health and sports medicine services for people with musculoskeletal conditions. In this podcast we talk to Dr Allison Ezzat about the experiences and attitudes of patients and clinicians in using telehealth. Allison has led the creation of a telehealth toolkit for patients and clinicians and discusses the future of telehealth. Allison is a Canadian physiotherapist, and a current post-doctoral research fellow at La Trobe University, Australia.
“It's second best”: A mixed-methods evaluation of the experiences and attitudes of people with musculoskeletal pain towards physiotherapist delivered telehealth during COVID-19 pandemic - https://www.sciencedirect.com/science/article/pii/S2468781221001843?via%3Dihub
Canadian Physiotherapists Integrate Virtual Care during the COVID-19 Pandemic https://utpjournals.press/doi/10.3138/ptc-2022-0092
“Much better than I thought it was going to be - telehealth delivered group-based education and exercise was perceived as acceptable among people with knee osteoarthritis” https://www.sciencedirect.com/science/article/pii/S2665913122000395
Telehealth toolkit for clinicians: https://telehealth.trekeducation.org/

Brain Health – a key concept for all working in sport. EP# 508

In this podcast, we are joined by Dr James Robson and Professor Craig Ritchie to discuss all things ‘brain health’. We discuss what is meant by this term, why it is important, and what some of the steps people can take to optimise their brain health.
Related resources:
Lancet Commission https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext
Sport and Exercise for Brain Health MOOC https://www.futurelearn.com/admin/courses/sport-and-exercise-for-brain-health/1

Assess, ask, reassure, and refer! Cancer exercise toolkit and tips with Dr Amy Dennett. EP #507

In this BJSM Podcast Dr Amy Dennett is hosted by Dr Brooke Patterson. Historically people with cancer have been told to rest, and patients and practitioners are often hesitant to get started with physical activity. Amy provides some great practical tips and resources - to support people with cancer exercise safely, safety and precautions, and tips for healthcare services and providers who want to get started with cancer exercise groups. Amy provides a huge array of resources available for healthcare services and clinicians.
Cancer exercise toolkit: https://cancerexercisetoolkit.trekeducation.org/
Cancer exercise toolkit paper: https://cancer.jmir.org/2022/2/e34903/authors
Treatment protocols https://www.eviq.org.au/
International registry and handouts on exercise and cancer https://www.exerciseismedicine.org/eim-in-action/moving-through-cancer/
Patient and clinician resources https://www.petermac.org/cancersurvivorship