BJSM Podcast

Professor James Hull is joined by Dr Eric Harbour and Professor Hege Clemm to discuss the fast growing trend of “breathwork’ in athletes and whether this is a useful novel area of interest or if it is a potentially dangerous fad.  Listen in for a lively discussion!   Info: Please find relevant references for further information below: Dr Eric Harbour recommends: Breath Tools review: https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2022.813243/full Breath tools website: https://www.breathtools.com/ Lancet review mentioned: https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(25)00437-0/fulltext   Prof. Hege Clemm recommends: IOC consensus BJSM: https://bjsm.bmj.com/content/bjsports/56/19/1066.full.pdf https://bjsm.bmj.com/content/bjsports/56/19/1089.full.pdf   Prof. James Hull has some resources in here: www. breathetowin.co.uk

In this episode, Dr. Jared Powell invites us to reflect on the mechanistic assumptions underlying exercise-based rehabilitation for musculoskeletal pain relief, based on his editorial recently published in BJSM.  It’s a great conversation that explores questions such as:  Why are these patients getting better?  How can we help those who do not respond to exercise?  What should be the next steps in research, and what should we be exploring in future clinical trials?  Should we offer exercise to all patients with musculoskeletal pain?  And how do we explain to patients that recovery may not be all about strength? Press play and enjoy!

In this episode, we focus on brain health and the evolution of the Premier League Head Injury Protocol, which is a key priority and area of focus within  the Premier League. Lynsey Hooper is joined first by Dr Matt Green (Head of Elite Performance), who outlines why brain health has become a central pillar of the Premier League’s player health strategy, and the breadth of activity currently underway to support players. Following this introduction, Prof. Mark Gillett (Chief Medical Officer) and Dr Dominic Townsend (Brain Health Advisor) take us through the origins of the Head Injury Protocol in the Premier League. Outlining how it was developed, the implementation, and the principles that continue to shape its operation today. Together, they also look ahead, covering how approaches to brain health may continue to evolve, and what the future could hold for clinical decision‑making. This episode offers a detailed insight into how policy, medicine and elite sport intersect in practice at the highest level of the game.  Concussion in football: the case for temporary concussion substitutions https://bjsm.bmj.com/content/59/23/1635

In this episode, we’re joined by two of the most experienced and respected players in English football. James Milner and Steph Houghton join Lynsey Hooper in conversation. Across more than two decades in the men’s and women’s professional game, James and Steph have lived through the evolution of elite football, where match demands have increased and a rapidly changing approach to player health and welfare has been observed. In this conversation, they reflect candidly on life as an elite footballer, the realities of injury and recovery, changes in match load, and the importance of the multidisciplinary support teams around them. This podcast expands on the themes explored in their joint ‘player voice’ editorial. https://bjsm.bmj.com/content/59/23/1703 It’s a thoughtful, honest and highly insightful discussion from two players who have seen and been a part of  the evolution of professional football.”

In this podcast Brooke talks with Katherine Wilford, who earned her Bachelor of Science degree in Health and Exercise Science from Colorado State University (2006), her Doctorate in Physical Therapy (DPT) from Boston University (2009), and her Doctor of Science from Texas Tech University Health Sciences Center (2023). Kat has 16 years of clinical experience working with individuals with musculoskeletal pain. Her research interests include exploring the connection between sociocultural constructs and sensorimotor control as it pertains to musculoskeletal injury risk assessment. In this episode, we discuss how Kat and her team synthesized existing literature to shed light on how cultural beliefs, gender roles, and societal expectations shape movement patterns.

On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Jesse Cook, PhD, to discuss Building a Sleep Health Plan for Athletes. In this conversation, which was recorded during the 2025 AMSSM Annual Meeting, Dr. Cook shares more information on his main stage lecture of the same name, which focused on best practices and essential principles. Dr. Cook is a postdoctoral fellow with a doctoral degree in Clinical Psychology from the University of Wisconsin-Madison. His research focuses on the intersection of sleep and mental health, with his primary program of research purposed to advance the classification, assessment, and treatment of unexplained hypersomnolence. He has additional research interests related to the strengths, limitations, and overall utility of wearable sleep tracking technology for research and clinical purposes, as well as the roles of sleep and circadian health in the performance and well-being of athletes. Clinically, he embraces an integrative orientation, drawing principally from CBT and third-wave therapy approaches (i.e., ACT and DBT). Registration is now open for the 2026 AMSSM Annual Meeting. Visit the conference website to learn more: annualmeeting.amssm.org/

In this podcast we are joined by Professor Alan McCall and Dr Tara Venkatesan, We talk about how music can be used in the clinical setting to improve outcomes in performance and recovery. We get into detail about styles of music  and how they could be used in different scenarios. Dr.Tara Venkatesan is the Senior Director of Cognitive Science Research at Universal Music Group. Her lab researches the impact of music on mental wellbeing and helps develop consumer products. She has a B.S. in Cognitive Science from Yale University and a Ph.D. in Experimental Psychology from Oxford University. Her research has been published in peer-reviewed journals and media, including The New York Times, BBC, Channel News Asia, and Health Magazine. She is an Honorary Fellow at the School of Advanced Study, University of London. Professor Alan McCall is a practitioner and researcher with over 20 years of experience in elite sport. He spent 12 years embedded day to day inside professional and national teams, before moving into consultancy, where for the past decade he has worked alongside coaches, medical, and performance staff across different sports and countries. He is currently Consulting Head of Research & Development at Arsenal Football Club and supports clubs, federations, and governing bodies across European leagues, as well as FIFA, UEFA, the NBA, and the NFL. Alongside his applied work, he has published over 130 papers in sports performance and holds visiting research fellowships and editorial roles, with a focus on what actually works in real-world sporting environments—helping teams make better decisions under pressure by connecting research, data, and lived experience. Links: The soundtrack to success: can music enhance elite athlete’s health and performance?bjsm.bmj.com

In this podcast we are discussing the use of low dose radiotherapy for musculoskeletal sports injury. We are joined by two experts in the field who give insight into the relatively unknown use of this modality. Geoff Scott is an internationally experienced Physiotherapist who has worked at the highest levels of elite sport, including over eight seasons as Head of Medicine and Performance at Tottenham Hotspur Football Club. He has also held senior roles at Fulham FC and consulted across global football, Olympic sport, and the performing arts industry. Dr Richard Shaffer is a global expert in the use of low-dose radiotherapy for benign (non-cancer conditions. He is co-founder of Reload Clinics (www.reloadclinics.com), which was set up to treat patients with tendonitis in a joint clinic with Geoff Scott. Radiotherapy for osteoarthritis review - https://www.redjournal.org/article/S0360-3016(22)00357-1/fulltext Plantar fasciitis: https://www.redjournal.org/article/S0360-3016(12)00848-6/fulltext

In this episode of the SASMA Podcast, Dr. Minjon Ras speaks with Dr. Izzy Moore, Joanna Perkins, and Dr. Leigh Gordon about the newly released World Rugby Guidelines on returning to rugby after pregnancy. Together they unpack the six-phase pathway designed to support female athletes, explore the physical and mental health considerations unique to postpartum recovery, and discuss the role of coaches, medical teams, and performance staff in creating a supportive environment. The conversation blends evidence, personal experiences, and practical advice—empowering athletes and practitioners to ensure that returning to rugby postpartum is safe, individualised, and sustainable. Please see link to the guidelines here : https://rfu.widen.net/s/nrjppzdnkv/postpartum-guidance---final

On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Tom Cross, MBBS, DCH, to discuss the Cross Bracing Protocol. In this conversation, Dr. Cross discusses the following: Background on the Cross Bracing Protocol (CBP) and its origins The selection criteria and the grading system for the CBP The rehabilitation considerations for the CBP and potential complications Future directions of research for the CBP Dr. Tom Cross has practiced sports medicine for the past 28 years and during that time successfully completed 5 years of specialist post-graduate training in sport & exercise medicine. He has broad sports medicine experience caring for recreational athletes (adults and children), musculoskeletal injuries that occur at work or home, elite/professional athletes and also military personnel. Resources: Healing of Acute Anterior Cruciate Ligament Rupture on MRI and Outcomes Following Non-Surgical Management with the Cross Bracing Protocol https://bjsm.bmj.com/content/57/23/1490 Cross’s Website, including additional resources and information about the CBP: https://www.stadiumclinic.com.au/dr-tom-cross-sports-doctor-sydney.html

In this BJSM podcast we are joined by Margie Davenport, lead author of the 2025 Canadian Guideline for Physical Activity, Sedentary Behaviour, and Sleep throughout the First Year Postpartum. This podcast provides crucial insights health and exercise professionals guiding new mothers and their support network through the return to physical activity. It highlights the importance of movement, individualized recovery, and sleep hygiene, all while addressing the unique challenges of postpartum life. Guidelines: https://bjsm.bmj.com/content/59/8/515 More about Margie’s research lab: https://www.ksr.ualberta.ca/exerciseandpregnancy/ourLab.php

On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Irfan Asif, MD, FAMSSM, and Dr. Jonathan Finnoff, DO, FAMSSM, to discuss the multi-faceted topic of Paralympic Sports Medicine. In this conversation, Dr. Asif and Dr. Finnoff discuss the following: How they first got involved in USOPC and Paralympic team sports The number of sports in Paralympic competition and the athlete classifications that aim to level the playing field for athletes of different abilities What it’s like to take care of Paralympic athletes and their unique requirements The planning process for delivering medical services for Team USA during the Paralympic Games Current and future research efforts regarding Paralympic athletes Overcoming the perceived barriers to entry when providing care for Paralympic athletes and ways to get more involved Dr. Asif is the associate dean for primary care and rural health and professor and chair of the Department of Family and Community at the University of Alabama at Birmingham (UAB). He currently serves as the 2nd Vice President for AMSSM and is an Associate Editor for both the British Journal of Sports Medicine and Sports Health: A Multi-Disciplinary Approach. Dr. Finnoff is the Chief Medical Officer for the United States Olympic and Paralympic Committee, a Clinical Professor in the Department of Physical Medicine and Rehabilitation, University of Colorado, and a Professor in the Department of Physical Medicine and Rehabilitation at Mayo Clinic College of Medicine and Science. He currently serves as the 1st Vice President for AMSSM. Resources: 2025 USOPC Paralympic Sports Medicine Conference https://www.usopc.org/2025-paralympic-sports-medicine-conference PARA-Wise Registry Screening Survey: https://redcap.link/PARAWISE

In this insightful episode, Dr Daniel Tadmor hosts two leading voices in sports medicine—Prof Jon Patricios and Dr Leigh Gordon—for a debrief on the Concussion in Sports Group (CISG) conference. The trio unpacks major updates to concussion management, emerging research themes, and the clinical implications following the Amsterdam Consensus Statement. Whether you're a clinician, researcher, or simply passionate about athlete brain health, this episode offers a sharp and accessible overview of where the field is headed.

In this episode, Dr. Roula Kotsifaki shares insights from her recent publication in the British Journal of Sports Medicine titled “Is 9 months the sweet spot for male athletes to return to sport after anterior cruciate ligament reconstruction?” She offers numerous clinical pearls on the key factors that influence a safe return to sport following ACL reconstruction. Dr. Kotsifaki is an experienced physiotherapist and biomechanist, currently serving as Head of the Assessment Lab at Aspetar Orthopaedic and Sports Medicine Hospital in Doha, Qatar. Drawing on her research findings, she discusses which tests clinicians should use, optimal timing for return to sport, and the crucial role of treatment adherence.

In this BJSM podcast, Dr Harvi Hart overview of the different types of body mass and body composition measurements, and they may impact common knee conditions, and what this means for clinicians, patients, and athletes. Harvi specializes in knee injuries and conditions, such as ACL injuries, patellofemoral pain, and osteoarthritis. Her research aims to develop targeted treatments that improve symptoms, mobility, and quality of life for individuals with knee conditions, using a combination of joint movement analysis, imaging, and clinical outcome measures. Links: Is body mass index associated with patellofemoral pain and patellofemoral osteoarthritis? A systematic review and meta-regression and analysis https://pubmed.ncbi.nlm.nih.gov/27927675/ Adiposity and cartilage lesions following ACL reconstruction: https://pubmed.ncbi.nlm.nih.gov/38631554/ Longitudinal changes in adiposity following anterior cruciate ligament reconstruction and associations with knee symptoms and function: https://pubmed.ncbi.nlm.nih.gov/38737984/ Obesity is related to incidence of patellofemoral osteoarthritis: the Cohort Hip and Cohort Knee (CHECK) study https://pubmed.ncbi.nlm.nih.gov/31705199/

In this episode, Diogo Gomes interviews internationally renowned physiotherapist and researcher Dr. Alison Grimaldi for a focused discussion on gluteal tendinopathy. They explore common myths and misconceptions surrounding the condition, clarify the current evidence base, and share valuable clinical insights for effective assessment and management. With a clear and practical approach, Dr. Grimaldi offers take-home messages that clinicians can immediately apply in practice. Whether you manage this condition regularly or are looking to refine your approach, this episode is a must-listen.

On this episode of the AMSSM Sports Medcast, host Dr. Jeremy Schroeder, DO, is joined by Dr. Jordan Lyons, MD, who delivered one of the Best Overall Case Presentations during the 2024 AMSSM Annual Meeting in Baltimore, MD. In this conversation, Dr. Lyons discusses his award-winning case – Collapse of a Special Operator: Exertional Illness or More Than Meets the Eye? – and shares the findings and takeaways from this crucial medical diagnosis. Resources: 2024 AMSSM Case Podium Presentations, published in the Clinical Journal of Sport Medicine Exercise Collapse Associated with Sickle Cell Trait Practice Recommendation

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jeremy Schroeder, DO, is joined by Dr. Mike Uihlein, MD, to share a glimpse into his main stage presentation about Paralympic Sideline Emergencies during the 2025 AMSSM Annual Meeting. Dr. Uihlein is the Associate Chief of Emergency Medicine for Education and Co-Director of the Adaptive Sports Medicine Clinic at the Clement J. Zablocki VA Medical Center. He also serves as an Assistant Professor in the Department of Emergency Medicine at the Medical College of Wisconsin. He has served on teams that have claimed 11 titles, including three Paralympic gold medals (2014, 2018, 2022); four world championships (2015, 2019, 2021, 2023); five Para Hockey Cups (formerly World Sled Hockey Challenge) titles (2015, 2016 (Jan.), 2016 (Dec.), 2017, 2019) as well as the 2016 IPC Pan-Pacific Championship and 2018 Turin Para Ice Hockey International Tournament. In-person and virtual attendance options are still available for the conference. Register to attend the 2025 AMSSM Annual Meeting at annualmeeting.amssm.org.

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jeremy Schroeder, DO, is joined by Dr. Margie Davenport, PhD, to provide a preview of her main stage presentation about Updates to Postpartum Return to Sport during the 2025 AMSSM Annual Meeting. Dr. Davenport is an exercise physiologist and Professor in the Faculty of Kinesiology, Sport, and Recreation at the University of Alberta. She holds the Christenson Professorship in Active Healthy Living and is the Director of the Program for Pregnancy and Postpartum Health. Over the last decade, Dr. Davenport has worked with numerous national and international organizations to support physical activity during and following pregnancy, and she is serving as a Featured International Speaker at this year’s Annual Meeting in Kansas City. In-person and virtual attendance options are still available for the conference. Register to attend the 2025 AMSSM Annual Meeting at annualmeeting.amssm.org.

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jeremy Schroeder, MD, is joined by Dr. Ashwin Rao, MD, to provide a preview of his main stage presentation about Microsurgical Tendon Debridement vs. Orthobiologics for Tendinopathy during the 2025 AMSSM Annual Meeting. Dr. Rao is board certified in family medicine and sports medicine, and is a Professor in UW School of Medicine's Department of Family Medicine. He is also a team physician for University of Washington Husky Athletics and a medical consultant for the Brooks Beast Middle Distance Track Club. He previously served as a team physician for the NFL’s Seattle Seahawks, Program Director of the UW Primary Care Sports Medicine Fellowship, and Co-Chair of the Education Committee on the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). In-person and virtual attendance options are still available for the conference. Register to attend the 2025 AMSSM Annual Meeting at annualmeeting.amssm.org.

On this episode of the AMSSM Sports Medcast, host Dr. Jeremy Schroeder, DO, is joined by Dr. Erin Hammer, MD, MPH, who received the Best Overall Research Award at the 2024 AMSSM Annual Meeting in Baltimore, MD. The study focused on the use of Guardian Caps and whether they were associated with a lower risk of sport-related concussion (SRC) during practices and games among high school football players. In this conversation, Dr. Hammer discusses her award-winning research, which was recently published in the British Journal of Sports Medicine, and also shares her personal advice for those looking to get more involved in scholarly research. Registration is now open for the 2025 AMSSM Annual Meeting in Kansas City, which takes place from April 22-27. Learn more and register now at annualmeeting.amssm.org.   Research Article Links The Association Between Guardian Cap Use During Practices and Sport-related Concussion Risk in High School American Football Players bjsm.bmj.com/content/59/4/257 2024 AMSSM Annual Meeting Research Podium Presentations journals.lww.com/cjsportsmed/fulltext/2024/03000/2024_amssm_research_podium_presentations.11.aspx

In this podcast James Walsh talks to Chris Macdonald and Professor Daniel Leiberman they  dive into the lively discussion generated by this paper. They discuss the reasons why exercise is not effective medicine from an evolutionary perspective, the differences between effective and efficacious interventions, and how clinicians can adapt their approach to help their patients get the most out of exercise. Why exercise may never be effective medicine: an evolutionary perspective on the efficacy versus effectiveness of exercise in treating type 2 diabetes | British Journal of Sports Medicine

In this episode, Dr Kyle Winik is joined by Adam Weir, Hans Tol, and Rod Whiteley, all actively involved in the Sport and exercise medicine field to discuss hamstring injuries and an approach to a challenging injury in practice. This was recorded live from the IOC 15th Advanced Team Physician Course, in Rome, Italy. Through the episode they discuss an approach to a patient with a hamstring injury but also tackle some important questions about if there are any ways to speed up or predict an accurate return to play.”

In this episode, Dr Brooke Patterson is joined by Dr Bas Vanhooren, an applied sport scientist and strength and conditioning specialist, and a national level athlete. They discuss the BJSM Academy award winning PhD on “Innovative approaches to injury prevention and performance enhancement in running: insights from PhD research on hamstring strengthening, running biomechanics and energetics, and wearable technology”. https://bjsm.bmj.com/content/early/2024/10/21/bjsports-2024-109159.long This podcast forms a part of an ongoing series which aims to highlight the work of early career researchers, via the BJSM PhD Academy Awards, and in this series, we will also be asking the guests how they first got involved in research, why they decided to do a PhD, what they loved and what they found most challenging, and their career pathway or plans post-PhD. There are many ways to for clinicians to be involved in research, and we hope to highlight these along the way. Brooke also highlights a new exciting initiative – The Training and Career Development Network developed by the IOC Research Centres. https://ucalgary.ca/sport-injury-prevention-research-centre/ioc-research-centres-training-and-career-development-network

In this episode Dr Kyle Winik is joined by Dr Lervasen Pillay, a Sport and Exercise Physician who has a keen interest in Exercise and Cancer. Through the episode they discuss an approach to a patient battling cancer and try to give an approach to change the narrative that exercise can be used as a tool in cancer management.

In this podcast, we are joined by Professor Lars Engebretson. After 17 years, Lars has stepped down as the Head of Scientific Activities of the Medical and Scientific Department for the International Olympic Committee. In this episode Lars reflects on his achievements, career, and the future of sport and exercise medicine research. You can follow Professor Engebretson on Twitter/X here

New-generation running shoes are being developed with the aim of enhancing an athlete's stride length and propulsion force. But what do podiatrists think about these innovative "super shoes"? In this podcast, Dr. Daniel Bastock explores this concept with Damir Metljak, a sports podiatrist based in Adelaide, South Australia. They discuss the biomechanical implications of these shoes, the potential for increased injury risk, and how to design the ideal orthotic to complement the unique characteristics of this footwear.

In this episode we have a chat with this year’s American Medical Society for Sports Medicine(AMSSM) Global Exchange Program to South Africa candidate Dr Emily Sweeney. Doctor Sweeney is a Pediatric Sport Medicine Physician currently practising at Children’s Hospital Colorado in Denver. She will also be a speaker at the biannual SASMA Conference in October later this year. Being a previous elite level gymnast who retired at a young age due to a back injury, Doctor Sweeney has a unique perspective to gymnastic medicine. Despite retiring as an athlete she remained very involved with the sport and now serves as a practitioner to many gymnasts suffering with gymnastics related injuries and pathology. https://journals.lww.com/acsm-csmr/fulltext/2018/11000/returning_to_sport_after_gymnastics_injuries.7.aspx?WT.mc_id=EMxALLx20100222xxFRIEND The discussion touches on numerous gymnastics medicine topics, like mental health, diversification of skills and lessons from the recent Paris Olympics. Some of the articles referred to in the episode: -Returning to Sports After Gymnastics Injuries -Health outcomes among former female collegiate gymnasts: the influence of sport specialization, concussion, and disordered eating

Dr Richard Budgett has been the Medical and Science Director of the International Olympic Committee (IOC) for the last 12 years. He talks to Dr Georgia Cahill from the Paris 2024 Olympic Games about his role and reflects on how the IOC has focussed on athlete safety and health promotion as he prepares to step down in December 2024.

Respiratory health in athletes, which is the most common system affected by illness in athletes, can often be tricky to manage or approach. This SASMA podcast delves into a very engaging and robust discussion with two very knowledgeable guests. Dr Kyle Winik chats with Dr Marcel Jooste and Dr Carolette Cloete, who are both Sports and Exercise physicians based at SEMLI, The Sport & Exercise Medicine Lifestyle Institute, in Pretoria, South Africa, under the leadership of Prof Martin Schwellnus. They discuss important tools or concepts to adopt in clinical practice as well as updates to current knowledge in respiratory illness in athletes. Attached are the Current IOC Guidelines in respiratory health as well as NB tips and tricks to get familiar with.   Jooste, Marcel & Schwellnus, Martin. (2024). Countermeasures to reduce the risk of infections at the 2024 Olympic and Paralympic Games—A balancing act. Journal of Sport and Health Science Prevention of Infections in Track and Field Athletes - Top Tips - Aspetar Journal Schwellnus M, Adami PE, Bougault V, et al International Olympic Committee (IOC) consensus statement on acute respiratory illness in athletes part 2: non-infective acute respiratory illness British Journal of Sports Medicine 20.22;56:1089-1103.

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Devin McFadden, MD, is joined by Dr. Robert Bowers, DO, PhD (X: @TheDrROBO) and Dr. Jason Zaremski, MD (X: @DrZSportsDoc) to discuss their research related to overuse throwing injuries, weighted ball throwing programs and more. For further discussion on this topic, check out a recent AMSSM webinar facilitated by Dr. Bowers and Dr. Zaremski on The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say, featuring an international panels of experts. Resources: Pitching Restriction Policies in Adolescent and High-School Baseball Pitchers: Is It Time for an Updated Paradigm? The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates Most high school baseball pitchers are using weighted ball throwing programs to increase ball velocity: crosssectional analysis of US high school pitchers

Golf is played by over 100 million persons globally. But what injuries do they get and how can you help treat and even avoid injuries.  Dr Corey Cunningham hosts, and is joined by Dr Andrew Murray (@docandrewmurray) to look at a recent systematic review and meta-analysis of injuries in amateur and professional golfers,  https://bjsm.bmj.com/content/58/11/606.abstract and look back at some resources in the popular BJSM e-edition https://bjsm.bmj.com/pages/e-edition-golfmedicine

In this podcast James Walsh speaks with Dr Dusty Narducci about ADHD in athletes. Dusty is one of the lead authors on the recent AMSSM ADHD position statement and is an expert in the treatment of ADHD in athletes. They discuss the different types of ADHD, how they can manifest in athletes, treatment and the implications of stimulant medication for cardiac health and competition.   References and further reading: https://www.docdusty.com/post/adhd-add-a-superpower-in-athletes https://journals.lww.com/cjsportsmed/Fulltext/2023/05000/Athletes_With_Attention_Deficit_Hyperactivity.1.aspx https://bjsm.bmj.com/content/53/12/741 Lakshaajeni Thevapalan, Martyna Stasiak, Lauren Harris, Anand S Pandit, Smart drugs among surgeons: future cause for concern?, British Journal of Surgery, Volume 110, Issue 8, August 2023, Pages 1000–1002, https://doi.org/10.1093/bjs/znad139 Cage S, Warner L, Cook A, Swindall R, Wadle C, Warner BJ. Prevalence of Self-Reported ADHD Symptoms Among Collegiate Athletes. The Internet Journal of Allied Health Sciences and Practice. 2023 Mar 20;21(2), Article 18.  Dikdan, S, Sun, M, Vyas, A. et al. MENTAL HEALTH AND THE YOUTH ATHLETE: AN ANALYSIS OF THE HEARTBYTES DATABASE. J Am Coll Cardiol. 2023 Mar, 81 (8_Supplement) 2173. Zhang L, Yao H, Li L, et al. Risk of Cardiovascular Diseases Associated With Medications Used in Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-analysis. JAMA Netw Open. 2022;5(11):e2243597. doi:10.1001/jamanetworkopen.2022.43597

Physical activity and exercise is known to be beneficial for individuals with both Type 1 and Type 2 Diabetes. This podcast is another in the BJSM and PACC series which looks to help health care professionals who are looking to have more conversations with patients about physical activity in long term conditions.  Nusrat Kausar is a dietician who sits on the BDA specialist groups for Sports and Exercise Nutrition and Exercise in diabetes. She has a wealth of experience in discussion physical activity with this patient group and in providing education for others to do so. She joins Dr Dan Fitzpatrick, a Sport and Exercise Medicine Registrar, to discuss this crucial area. The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at pacc@shu.ac.uk  Resources discussed https://movingmedicine.ac.uk/pacc/   Type 1 -  Digibete - https://www.digibete.org/sports-page/ Team Type One Style - https://teamtypeonestyle.com/ JDRF - https://jdrf.org.uk/news-and-events/health-care-professional-events/ Diabetes UK - Type 1 events - https://www.diabetes.org.uk/how_we_help/type-1-events/healthcare-professional-volunteering EXTOD - https://www.extod.org/ The Glucose Never Lies - https://theglucoseneverlies.com/ Diabetes Chat - https://www.diabeteschat.net/   Type 2 -  The 5s - https://www.leicesterdiabetescentre.org.uk/news-blog/ldc-highlights-five-important-health-behaviours-for-diabetes-management Diabetes UK - https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/exercise , https://www.diabetes.org.uk/node/1155 , https://www.diabetes.org.uk/for-professionals/supporting-your-patients/information-prescriptions/information-prescriptions-qa#download NHS exercise links - https://www.nhs.uk/conditions/nhs-fitness-studio/, https://www.nhs.uk/live-well/exercise/ Other exercise videos -https://www.youtube.com/user/LWRFitnessChannel/videos?app=desktop     General education -  Updating general diabetes knowledge - https://pro.campus.sanofi/uk/type-2-diabetes/education , https://abcd.care/ , https://www.cdep.org.uk/ DSN forum - https://www.diabetesspecialistnurseforumuk.co.uk/hcp-resources Diabetes NNF - https://www.diabetes-nnf.co.uk/  Diabetes Professional Conference - https://www.diabetesprofessionalcare.com/

Mental Health problems are common and there is good evidence for physical activity as an important role to help prevent and treat mental health conditions. The BJSM has collaborated with the PACC programme to help develop this podcast and has invited Professor Brendon Stubbs, a global expert in this space. Brendon is a clinical-academic physiotherapist and has published more than 800 academic papers and has advised the WHO and the World Psychiatric Association.  “The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at pacc@shu.ac.uk  PAPERS MENTIONED Physical activity Prevention of Mental Health Problems Physical Activity and Incident Depression: A Meta-Analysis of Prospective Cohort Studies - PubMed (nih.gov) Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies - PubMed (nih.gov) Physical activity and sedentary behaviour:  The association between sedentary behaviour and indicators of stress: a systematic review - PubMed (nih.gov) Testing the causal relationships of physical activity and sedentary behaviour with mental health and substance use disorders: a Mendelian randomisation study - PubMed (nih.gov) Changes in sedentary time are associated with changes in mental wellbeing over 1 year in young adults - PMC (nih.gov) Treatment of Mental Health conditions Exercise and internet-based cognitive-behavioural therapy for depression: multicentre randomised controlled trial with 12-month follow-up - PubMed (nih.gov) Antidepressants or running therapy: Comparing effects on mental and physical health in patients with depression and anxiety disorders - PubMed (nih.gov) Other resources mentioned:  https://movingmedicine.ac.uk Home - Mind

The Oxford Textbook of Children's Sport & Exercise Medicine released it's 4th edition in 2023. Dr. Liam West reached out on behalf of the BJSM community to the two editors, Prof. Neil Armstrong and Prof. Willem Van Mechelen, to discuss the journey that led to the 4th edition and get an insight into a few of the top tips inside the book that can help improve your clinical care for this population today!   Link to book - https://global.oup.com/academic/product/oxford-textbook-of-childrens-sport-and-exercise-medicine-9780192843968?cc=au&lang=en&

Physiotherapist and Lead AHP Physical Activity Clinical Champion Sarah Dewhurst is joined by Dr Lucy Gossage, Clinical Oncologist and co-founder of ‘Move Against Cancer. They discuss the importance of all healthcare professionals supporting people with cancer to be active through brief interventions in clinical settings. They summarise the evidence and share top tips to overcome some of the reported challenges which can make it difficult to bring up the topic to exercise in oncology. They also highlight some helpful resources to share with patients and promote further learning. https://www.cancercaremap.org/ https://www.moveagainstcancer.org/5k-your-way/ https://www.canrehab.com/canrehab-trust/ https://www.macmillan.org.uk/in-your-area/choose-location.html https://movingmedicine.ac.uk/

Behaviour change theory and Motivational Interviewing (MI) principles are often an area cited by healthcare professionals as something they would like more training on. The BJSM has collaborated with the PACC programme to develop this podcast and has invited Dr Tim Anstiss, an expert in this area, to explain some key behaviour change theory and motivational interviewing concepts in this conversation. Tim is a medical doctor specialising in behaviour change and wellbeing improvement. He trained as a trainer in motivational interviewing in the mid 90’s and has trained thousands of health and care professionals, managers and coaches in Motivational Interviewing, health coaching, brief interventions and shared decision making. “The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at pacc@shu.ac.uk For further information on behaviour change and MI please go to the moving medicine website: https://movingmedicine.ac.uk A great course run by Moving Medicine that you can sign up to improve understanding in behaviour change and up skill on principles of motivational interviewing is Active Conversations. Books mentioned: Motivational Interviewing in Health Care, Second Edition. Helping Patients Change Behaviour By Stephen Rollnick, William R. Miller, Christopher C. Butler Motivational Interviewing, Fourth Edition. Helping People Change and Grow. William R. Miller & Stephen Rollnick Tiny Habits, Big Results: Your method for success, BJ Fogg

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jake Wessels, MD, is joined by Dr. Marcia Faustin (X: @FaustinMarcia) to discuss her main stage presentation about Mental Health and Shared Decision-Making during the 2024 AMSSM Annual Meeting. Dr. Faustin is an Associate Professor in the Department of Family and Community Medicine and Physical Medicine & Rehabilitation at the University of California – Davis. She is the Associate Team Physician for the UC Davis Division I Collegiate Athletics team and the co-Head Team Physician for the USA Gymnastics Women's National Team. In this conversation, Dr. Faustin discusses aspects of her upcoming talk in Baltimore, MD, and address the following topics: Her journey to becoming a Division I athlete and working with elite level athletes The factors that led her to work with the US Women’s Gymnastics Team What shaped her shared decision-making process when caring for athletes – even at the highest levels of competition How her personal experiences impact the way she practices medicine The importance of mental health and why it should be a priority for providers Trends she has noticed in mental health care for athletes In-person and virtual attendance options are still available for the conference. Register to attend the 2024 AMSSM Annual Meeting at annualmeeting.amssm.org.

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Peter Brukner, MBBS, DSc (T: @DrPeterBrukner), to discuss his upcoming lectures on the placebo effect and fueling endurance athletes during the 2024 AMSSM Annual Meeting in Baltimore, MD. In this conversation, Dr. Brukner shares some background on both of his upcoming main stage talks at the AMSSM Annual Meeting, which are titled: Placebo Effect or Something More? How Nontangible Factors May Influence Perceived Outcomes with Injection Therapies Fueling the Endurance Athlete Dr. Brukner is a specialist sports and exercise physician and Professor of Sports Medicine at LaTrobe University. A former President of the Australasian College of Sports Physicians, he played a key role in establishing sports medicine as a medical specialty in Australia. He is the co-author of the widely used text book, Clinical Sports Medicine, and has been a team physician for professional football clubs as well as national athletics, swimming, soccer and cricket teams including Olympic and Commonwealth Games. Learn more about his work and publications on his website (www.peterbrukner.com), and register to attend the 2024 AMSSM Annual Meeting in person or virtually at annualmeeting.amssm.org.

This BJSM podcast discusses ACL reconstructions and when they may not meet the minimal important change (MIC) for the knee injury & osteoarthritis outcome score (KOOS) and quality of life (QoL). Dr Janina Kaarre and Dr Eric Hamrin Senorski discuss their latest research of ACL reconstruction outcomes from the Swedish National Knee Ligament Registry database and explain who may not benefit from surgical ACL reconstruction intervention. Hosted by Dr Shona Kohlhardt. Link to Paper: https://bjsm.bmj.com/content/57/9/528.abstract

In this BJSM Podcast Dr Brooke Patterson hosts Dr Shefali Christopher and Dr Rita Deering. If you are a clinician who sees women runners this podcast is for you. Get up to date with the latest clinical and research recommendations for return to running post-partum. Dr Christopher led a recent consensus which combined expert opinion of a large range of clinical and exercise professionals with the current evidence. This is part 2 of a 2-part podcast, where we  discuss developing a return to run program in more detail.   Links Consensus (Christopher) https://bjsm.bmj.com/content/early/2023/12/26/bjsports-2023-107489 Return to running (Deering) https://bjsm.bmj.com/content/early/2024/01/08/bjsports-2023-107490   Other resources: https://bjsm.bmj.com/content/57/17/1065 https://bjsm.bmj.com/content/57/18/1164 https://bjsm.bmj.com/content/55/22/1286 https://bjsm.bmj.com/content/57/20/1285 https://www.jospt.org/doi/full/10.2519/jospt.2020.0607 https://journals.lww.com/jwphpt/fulltext/2022/04000/rehabilitation_of_the_postpartum_runner__a_4_phase.3.aspx https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_b_.3.aspx https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_a_.2.aspx

In this BJSM Podcast Dr Brooke Patterson hosts Dr Shefali Christopher and Dr Rita Deering. If you are a clinician who sees women runners this podcast is for you. Get up to date with the latest clinical and research recommendations for return to running post-partum. Dr Christopher led a recent consensus which combined expert opinion of a large range of clinical and exercise professionals with the current evidence. This is part 1 of a 2-part podcast, where we will focus on the consensus recommendations. In part 2 we will discuss developing a return to run program in more detail.   Links Consensus (Christopher) https://bjsm.bmj.com/content/early/2023/12/26/bjsports-2023-107489 Return to running (Deering) https://bjsm.bmj.com/content/early/2024/01/08/bjsports-2023-107490   Other resources: https://bjsm.bmj.com/content/57/17/1065 https://bjsm.bmj.com/content/57/18/1164 https://bjsm.bmj.com/content/55/22/1286 https://bjsm.bmj.com/content/57/20/1285 https://www.jospt.org/doi/full/10.2519/jospt.2020.0607 https://journals.lww.com/jwphpt/fulltext/2022/04000/rehabilitation_of_the_postpartum_runner__a_4_phase.3.aspx https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_b_.3.aspx https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_a_.2.aspx

Prof Jon Drezner and Dr Nonhlanhla Mkumbuzi talk to Dr. Liam West about the important backstories to the BJSM achievements in 2023 and share with the listener the aims for 2024.

In this podcast, we are joined by Professor Roald Bahr, a Professor of Sports Medicine and the Chair of the Oslo Sports Trauma Research Center at the Norwegian School of Sports Sciences. In addition, he is chair of the IOC Medical Commission Games Group, and has been overseeing the organisation of the 7th IOC World Conference on Prevention of Injury and Illness in Sport. To find out more about the conference, check out this link or to follow Prof Bahr directly, you can follow him on Twitter/X here

On this episode of the AMSSM Sports Medcast, hosts Dr. Corinne Rivard, DO, and Dr. Taryn Ryan, MD, are joined by three experts to discuss several key factors regarding mental health in athletes. The panel of experts includes Chelsea Morales, PsyD; Samantha Morris, PsyD; and Andrew Toce, MEd, MBA, LPC, CMPC, and in this conversation, they address the following topics and questions about athlete mental health: Explaining some of the roles and stressors that contribute to mental health injuries in athletes How physicians can play a role in improving an athlete’s mental health Who should be part of the mental health team supporting athletes? What are some go-to mental health resources that student-athletes can utilize? Examining the link between physiological response to physical injury or illness What language can physicians use to address trauma and underfueling in athletes? Beneficial advice on how to navigate the complex world of social media Additional Resources Mental Health Issues and Psychological Factors in Athletes: Detection, Management, Effect on Performance and Prevention: AMSSM Position Statement—Executive Summary Mental Health Best Practices from the NCAA Sport Science Institute  2023 International Olympic Committee’s (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs)

In the last of this BJSM mini-series on the REDS (relative energy deficiency in sport) consensus statement, Dr Georgia Cahill hosts Monica Torstveit, a sports scientist who specialises in REDs and Dr. Kate Ackerman, sports medicine physician and director of the Female Athlete Program in Boston, USA. They discuss their paper, soon to be published in BJSM, regarding primary, secondary and tertiary prevention strategies for identifying and treating REDs. Kate provides tips for clinicians involved in athlete care while Monica outlines screening tools to identify at-risk athletes.   You can access their paper using the link below:   https://bjsm.bmj.com/content/57/17/1119

Professor Margo Mountjoy and Dr Trent Stellingwerff discuss the latest clinical assessment tool for REDs. They introduce the new International Olympic Committee Relative Energy Deficiency in Sport Clinical Assessment Tool - IOC REDs CAT2 – including how and when it is best to use it. Hosted by Dr Shona Kohlhardt, this podcast is part of the BJSM REDs Podcast Series. https://bjsm.bmj.com/content/57/17/1068

Prof. Sundgot-Borgen and Dr. Therese Mathisen draw on their personal and professional experiences to take the listener through the new consensus statement in body composition measurement in athletes. Packed full of clinical pearls, this podcast is part of the BJSM REDs Podcast Series.   https://bjsm.bmj.com/content/57/17/1148 https://bjsm.bmj.com/content/57/17/1073

Relative Energy Deficiency in Sport (REDs) can cause various health and performance consequences for physically active individuals. BJSM’s Dr Liam West poses the questions to our topic expert Prof Margo Mountjoy to give you the overview of the changes to the recent IOC REDs Consensus Statement Papers. Margo has a wealth of knowledge in the area both in a clinical and research capacity so is perfectly placed to help guide you through the top take home points and how to improve the care you offer your patients!   https://bjsm.bmj.com/content/57/17/1073

In this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Margot Putukian, MD (T: @MPutukian), and Dr. Siobhan Statuta, MD, to discuss the AMSSM Position Statement on Mononucleosis and Athletic Participation, which was published earlier this year. This position statement updates the Evidence-Based Subject Review on Mononucleosis by the American Medical Society for Sports Medicine published in 2008 and reviews the epidemiology, clinical manifestations, laboratory assessment, and management including RTS for the athlete with IM. It also addresses complications, imaging, special considerations, diversity and equity considerations, and areas for future clinical research. A Past President of AMSSM and the CMO of Major League Soccer, Dr. Putukian served as the co-lead author, and Dr. Statuta, sports medicine physician and team physician at the University of Virginia, was a co-author on the statement.   Additional Resources: American Medical Society of Sports Medicine Position Statement: Mononucleosis and Athletic Participation https://journals.lww.com/cjsportsmed/Fulltext/2023/07000/American_Medical_Society_of_Sports_Medicine.1.aspx

This BJSM podcast dives into the launch of 'Swimming as Medicine' with Dr Hussain Al-Zubaidi (GP, RCGP Lifestyle & Physical Activity Lead and Clinical Advisor for Swim England) and BJSM's host Dr Shona Kohlhardt. This podcast explores the benefits and practicalities of the 'Swimming as Medicine' campaign and both how patients and clinical practitioners can benefit and get involved. The following links are mentioned within the podcast: https://www.swimming.org/swimengland/health-fact-sheets-relaunched/ https://www.swimming.org/poolfinder/ Coming in September 2023: The NHS England eLearning on Aquatic Activity and Swimming for Health - and burning questions can be sent to health@swimming.org

In this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, (T: @thejschro) is joined by Dr. Dusty Narducci (T: @NarducciDusty) to discuss the updated AMSSM Position Statement regarding Athletes With Attention-Deficit/Hyperactivity Disorder. Dr. Narducci served as a co-author on the position statement, and in this conversation, she addresses the following topics: Why the position statement, which was originally published in 2011, was updated The recommended approach for diagnosis and management of athletes with ADHD Identifying the most common doppelgangers for ADHD and how to diagnose them Some of the key points related to the new diversity, equity, and inclusivity section Pharmacotherapy and the various medical treatment options for athletes with ADHD The role of exercise in the treatment of ADHD The relationship between ADHD and concussions Regulatory issues Resources: Athletes With Attention-Deficit/Hyperactivity Disorder: Position Statement of the American Medical Society for Sports Medicine Attention Deficit and Hyperactivity Disorder in Athletes: More Than Self-Rating Scales and Stimulants – Key Messages from the American Medical Society for Sports Medicine Position Statement

This podcast is a part of a BJSM mini-series on concussion in sport following the release of the 6th International Consensus Statement. In this episode Brooke Patterson hosts Prof Grant Iverson and Prof Bob Cantu to discuss the systematic review which evaluated the later-in-life health risks associated with participation in collision sports, repeated head impacts and concussion. The podcast will help clinicians have evidence-informed conversations about the risks with athletes, coaches, parents, sporting, and community organisations. https://bjsm.bmj.com/content/57/12/810 https://bjsm.bmj.com/content/57/12/822

This podcast Brooke Patterson hosts Prof John Leddy and Dr Margot Putukian, as a part of a BJSM mini-series on concussion, following the release of the 6th international consensus statement. They discuss the latest evidence on risks and benefits of physical activity, rest, cognitive activity, and sleep after sports related concussion. It will help clinicians guide athletes to return to exercise, school, and sport following concussion.     Links to reviews  Rest and exercise https://bjsm.bmj.com/content/bjsports/57/12/762.full.pdf Targeted interventions and their effect on recovery https://bjsm.bmj.com/content/57/12/771 Persisting symptoms and defining recovery https://bjsm.bmj.com/content/57/12/780 Defining recovery & role of technology https://bjsm.bmj.com/content/57/12/789 Clinical recovery from concussion: Return to school and sport https://bjsm.bmj.com/content/57/12/798   Social media posts Tag: John Leddy and Margot Putukian, Jon Patricios, Kathryn Schneider When can I exercise? Return to sport? Go back to school? How much rest? How can I progress physical activity? All the latest on the risks and benefits of physical activity, rest, cognitive activity, and sleep after sports related concussion.

BJSM's Dr. Liam West talks to internationally renowned Sports Neuropsychologist Dr. Ruben Echemendia about the new concussion assessment tool - the SCAT6 and SCOAT6. They discuss areas that were highlighted as requiring improvement from the implementation of the SCAT5, how these were addressed and how best to use the SCAT6. The differences between the SCAT6 and SCOAT6 are discussed as well as top tips for those looking to diagnose and manage concussions. SCAT6 Paper: https://bjsm.bmj.com/content/57/11/722

In this BJSM Podcast, Brooke Patterson hosts Kathryn Schneider and Jon Patricios. This your one-stop-shop for the updates from the 6th International Concussion in Sport Consensus Statement. They summarise findings from 10 systematic reviews and five years of work on topics related to concussion prevention, assessment, management, return to learn and sport, later in life health risks, and retirement decisions. The rigour of the consensus process is very clear—with careful consideration of all stakeholders, medical ethics, all age groups and sports (including para-sport).  https://bjsm.bmj.com/content/57/11/695  https://bjsm.bmj.com/content/57/11/712  https://bjsm.bmj.com/content/57/11/617 https://bjsm.bmj.com/content/57/11/722 https://bjsm.bmj.com/content/57/11/737 https://bjsm.bmj.com/content/57/12/762 https://bjsm.bmj.com/content/57/12/771 https://bjsm.bmj.com/content/57/12/780 https://bjsm.bmj.com/content/57/12/789 https://bjsm.bmj.com/content/57/12/798 https://bjsm.bmj.com/content/57/12/810 https://bjsm.bmj.com/content/57/12/822 https://bjsm.bmj.com/content/57/12/749

Dr Kerry Costello and Dr Deepak Kumar discuss a BSJM paper that investigated gait and physical activity predictors of cartilage worsening in people with knee osteoarthritis from the MOST study, using a machine learning model. Kerry and Deepak do a brilliant job of explaining the biomechanical variables, and the advantages of machine learning, and what these findings might mean for clinicians treating people with knee osteoarthritis. Link to paper: bjsm.bmj.com/content/early/2023…sports-2022-106142Connect with Kerry: mae.ufl.edu/people/faculty/prim…les/kerry-costello/

In this podcast, Steffan Griffin of the BJSM speaks to Dr Andrew Murray – SEM consultant & adventurer (amongst other things!), who is currently undertaking a PhD looking into ‘Golf and Health’. We talk about how the Golf and Health project was born, and some of the notable findings from his recently published scoping review. This is a must-listen for any SEM professional/student, not only due to some of the clinical pearls, but due to the fact that this is a shining light of what other sports could also be doing! Contents 1.00: Andrew tells us about the Golf and Health project 2.30: What are the main findings from the scoping review? 5.30: Deeper dive into the potential benefits 6.45: What about mental health? 7.30: Could spectators also be reaping some of the health rewards associated with playing? 9.45: What lessons are there for other sports? Links Scoping Review http://bjsm.bmj.com/content/early/2016/09/26/bjsports-2016-096625.full Infographic http://bjsm.bmj.com/content/early/2016/09/20/bjsports-2016-096866.full.pdf+html Golf and Health website http://www.golfandhealth.org/ Golf and Health twitter https://twitter.com/GolfAndHealth Golf and Health facebook https://www.facebook.com/GolfAndHealth/?fref=ts

Dr Clare Ardern is a sports physiotherapy researcher at Linkoping University in Sweden. She carries Australia’s prestigious NHMRC’s top scholarship for clinician researchers – the 4-year Fellowship Award. You may know of her publications that highlight the relatively low return to play rates after ACL reconstruction. In this podcast, she addresses return to play more broadly. From 12-15th October this year she will be a keynote speaker at Sports Medicine Australia’s conference. You can follow that via BJSM Twitter #SMAConf16 and Facebook. She was interviewed by Dr Christian Barton, who is a well-published physiotherapist PhD as well. He serves as BJSM Deputy Editor and the Editor responsible for Social Media (small job! easy!). Timeline: 1:00m - Where did the Return To Play Consensus come from? 2:00m - Defining Return to Play; what does it mean in different settings 3:00m - The difference in RTP for o/c acute – removal from play? 4: 10 - Decision making – how should the return to play decision be made? 3:30m - Return to Play is a continuum that requires meticulous planning 4:00m - When can the athlete return to a pre-injury (or better) level of performance? 4:30m - What is the evidence for return to play decisions? Spoiler alert! – It’s limited. 5:20m - Taking the emphasis of the ‘one day’ that players focus on to be back at sport. The concept of a continuum (from when you first see the athlete). 6:45 - Return to play and returning to perform at the previous level. Are there important differences? What can clinicians do to help players get back to that level? 8:30m - Does ‘Return to Play’ end? It’s very different for different athletes. 10:10m - Should athletes have ACL reconstruction after ACL injury? What does the research show? 11:40 - Clare’s perspective on the return to play data after ACL reconstruction in the non-elite players. 12:15 - An example of a player in the English Premier League who was ACL deficient.

Professor Peter O’Sullivan is among the top 3 most popular physiotherapy voices on podcasts and here he focuses on myths and harmful beliefs about back pain. He takes a swing at clinicians who rely excessively on imaging findings to attempt to explain the source of pain. He shares the story of a clinician who told a patient his spine was ‘shredded’. Prof O’Sullivan emphasizes the importance of history taking, finding factors that can sensitize neural tissue and gives an overview of treatment. He will be the keynote Refshauge Lecturer at Sports Medicine Australia’s 2016 Conference (#SMAConf16, @SMA_Events). Timeline: 0.35 m - A sneak preview of the Refshaughe lecture plan – back pain is a big problem and those in sport can learn from what is known in back pain in the general population 2.17 m - Patients respond well to a combination of explanation, being shown ways they can get back to the things they love to do, and appropriate progressive exercises 4.21 m - A case where a patient could have been treated with early investigation, aggressive medical intervention, potentially surgery. An alternative approach to management 6.48 m - How junior clinicians can approach the patient who presents with a bag of images or a medical note that may not reflect current best practice for managing back pain 9.45 m - The biology of how neural tissue can be sensitized by lack of sleep, stress. Fascinating neuroimmunology 10.55 m - You do treat the back don’t you? It’s not just explaining pain, counseling? 12.30 m - Parallels with work of other physiotherapists such as Prof Jill Cook (@ProfJillCook) and Dr Alison Grimaldi (@alisongrimaldi) who advocate for progressive loading as a stimulus for healing. “Backs love movement” 13.55 m - A 30-second summary! Related podcasts: Please consider downloading the mobile app “BJSM’ from iStore or GooglePlay. There are over 250 to choose from and the 10 most recent are very easy to get via the app. 1. Professor Peter O’Sullivan (@PeteOSullivanPT) on Tiger Woods’ back and ‘core strength’ http://ow.ly/uNgj304udUI 2. Dr Kieran O’Sullivan (@KieranOSull) on how top clinicians approach back pain http://ow.ly/18Ru304ue96

Professor Damian Griffin talks about the Warwick Agreement, an international consensus on the management of femoroacetabular impingement syndrome. This podcast brings you right up to date on the most current thinking about hip impingement or FAI. 0.38 Aim of the consensus 1.36 Consensus methodology 2.26 What is FAI syndrome? Symptoms, clinical signs, and imaging findings. 3.40 How should FAI syndrome be diagnosed? 6.26 What is the appropriate treatment for FAI syndrome? 8.26 What is the prognosis of FAI syndrome? 10.23 How should someone with an asymptomatic hip, with cam or pincer morphology, be managed? 11.53 What research is now needed? 14.15 How is this new definition of FAI syndrome going to influence clinical care? @DamianGriffin #WarwickAgreement Damian Griffin is the Professor of Trauma and Orthopaedic Surgery at the University of Warwick. He trained in Cambridge, Oxford and the United States, and worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick and helping to establish Warwick Medical School. Damian’s passion is the diagnosis and treatment of hip and groin pain in young adults. His clinical practice and research focus on joint-preserving surgery for early arthritis, hip arthroscopy, the management of femoroacetabular impingement and sport injuries of the hip. He runs the largest national referral service for young and active people with hip pain in the UK, based at the University Hospital of Coventry and Warwickshire NHS Trust, and for private patients and elite athletes in London and Coventry (www.hiparthroscopyclinic.co.uk). Damian leads a research team based at the University of Warwick, with a portfolio of hip research. In particular he is the chief investigator for the FASHioN trial, a large, multicenter randomised controlled trial of treatments for people with FAI syndrome, comparing surgery with physiotherapy-led rehabilitation:www.nets.nihr.ac.uk/projects/hta/1310302 You can follow Damian on Twitter @DamianGriffin and @WarwickOrtho or reach him on damian.griffin@warwick.ac.uk

Leicester City’s league title was widely seen as one of the biggest upsets in sporting history. But was it really that surprising? Christian Barton (La Trobe University) talks to Dr Paul Balsom, the Head of Sports Science at Leicester City and analyst with the Swedish National Football Team. In this podcast, Paul explains how teamwork and culture led to players avoiding the medical room. We then go on to discuss the role of evidence-based medicine in sports, and how the ideas employed by Leicester can be transitioned between sports. Lastly, the conversation moves on to the ongoing season, which will see an increased number of matches for the team and how to manage this load. Link to the upcoming SMA Conference where you can see Dr Balsom: http://tinyurl.com/jx739en And a podcast with one of the other keynote speakers: http://tinyurl.com/zaoncqq Timeline: 0.40 - The key factors behind the success of Leicester. 2.00 - How do you achieve good communication in a football club? 3.55 - Keeping all the players fit - by putting responsibility onto them! 5.40 - Optimising performance - what role does EBM have in sport? 7.22 - What medical teams can learn from each other. 9.02 - How to manage an injury free rate with increased load - looking at the new season. 10.45 - The principles behind measuring load in players.

ACL injuries are some of the most common and debilitating injuries in athletes. In this podcast, Tim Hewett and Kate Webster talk about the biomechanical risk factors for ACL injury, the role and potential of screening, and the use of ACL prevention programmes. Tim Hewett is an expert in biomedical engineering work at the Mayo Clinic and Kate Webster is an associate professor at La Trobe University. They are both speaking at the upcoming Sports Medicine Australia Conference-more details can be found here-http://tinyurl.com/h4ndfy2 Timeline: 0.40 - What is the biggest risk factor for ACL injury? 2.10 - How are ACL injuries preventable? 4.10 - Can we screen for injury risk? 6.00 - Key criteria for RTS. 9:40 - The high risk of re-injury following ACL damage. 13.00 - Are we returning athletes too soon post injury?

Often tendinopathy will be resistant to even the best traditional rehabilitation methods. Liam West chats to Dr Ebonie Rio, a PostDoctoral Fellow at La Trobe University’s Sports and Exercise Medicine Research Centre in Melbourne. Dr Rio’s research aims to explain the role of the primary motor cortex in tendinopathy. She discusses tendon neuroplastic training (TNT) and how it might help your tendinopathy patients regain pain free function in the clinic. Timeline 0.40 – Why traditional rehabilitation for tendinopathy might be unsuccessful 1.40 - Changes in primary motor cortex and motor control in tendinopathy 2.35 – What is TNT & how to utilise it? 5.30 – How long does it take for TNT to help patients? 6.30 – Cross education for tendinopathy Further Reading Tendon neuroplastic training: changing the way we think about tendon rehabilitation – OPEN ACCESS - http://bit.ly/29ergE3 Revisiting the continuum model of tendon pathology - http://bit.ly/29rSDPK Related Podcasts Prof Jill Cook revisits Tendon Pathology - http://bit.ly/1UR3tvL Prof Michael Kjaer on the pathogenesis of tendinopathy and tendon healing - http://bit.ly/29pOZol Defining tissue capacity - http://bit.ly/29iVSKc

Most clinicians who manage patients with tendinopathy will have encountered the situation where the clinical picture and imaging findings do not match up. Sean Docking, researcher at La Trobe University’s Sports and Exercise Medicine Research Centre in Melbourne, has been using Ultrasound Tissue Characterisation (UTC) to visualise changes associated with tendinopathy in 3D detail. In this podcast he talks to Liam West about how UTC may help us explain this discrepancy between current imaging and clinical pictures in tendinopathy. He also gives the listener an insight into the clinical relevance of UTC and the lessons that have been learnt from his research within the field. Timeline 0.45 – Current imaging modalities used in tendinopathy 3.45 – Disconnect between imaging findings and clinical picture 4.45 – Place imaging in clinical context 6.00 – Deep dive on UTC 7.55 – Tendon response to pathology 10.45 – Treat the donut, not the hole Further Reading Using UTC to measure game load on tendons in AFL - http://bit.ly/29rSr3k Pathological tendons have good amounts of normal structure - http://bit.ly/29iCfiG Revisiting the continuum model of tendon pathology - http://bit.ly/29rSDPK Further Related Podcasts Jill Cook revisits Tendon Pathology - http://bit.ly/1UR3tvL Michael Kjaer on the pathogenesis of tendinopathy and tendon healing - http://bit.ly/29pOZol

Damian Griffin is the Professor of Trauma and Orthopaedic Surgery at the University of Warwick. He trained in Cambridge, Oxford and the United States, and worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick and helping to establish Warwick Medical School. Damian’s passion is the diagnosis and treatment of hip and groin pain in young adults. His clinical practice and research are all around joint-preserving surgery for early arthritis, hip arthroscopy, the management of femoroacetabular impingement and sport injuries of the hip. He runs the largest national referral service for young and active people with hip pain in the UK, based at the University Hospital of Coventry and Warwickshire NHS Trust, and for private patients and elite athletes at the BMI Meriden Hospital. Damian leads a research team based at the University of Warwick, with a portfolio of hip research. In particular he is the chief investigator for the FASHioN trial, a large, multicenter randomised controlled trial of treatments for people with FAI syndrome, comparing surgery with physiotherapy-led rehabilitation: http://www.nets.nihr.ac.uk/projects/hta/1310302 You can follow him on Twitter @DamianGriffin and @warwickOrtho or reach him on damian.griffin@warwick.ac.uk, at www.hiparthroscopyclinic.co.uk or +44 1926 403529. BJSM is grateful for his contribution as a Senior Associate Editor. In this podcast, Damian speaks about Sports Hip 2016, a two day international conference held at St George’s park, the home of English football. The link to conference details: http://www2.warwick.ac.uk/fac/med/research/csri/orthopaedics/sportsurgery/hip/ Podcast timeline: 0.30 - St George’s Park and the England Football Association Perform Rehabilitation Centre 1.02 - Introduction to Sports Hip 2016: First time for a multidisciplinary meeting on sports hip injuries 1.58 - Instability of the hip 2.47 - Treatment of acute subluxation or dislocation, returning to 3.23 - Deep gluteal space, piriformis syndrome and sciatic nerve entrapment 4.54 - Cartilage repair 6.04 – Workshops in hip arthroscopy, hip replacement techniques suitable for athletes 6.00 - Workshop in hip arthroscopy 6.57 - New techniques in hip replacement suitable for young active people and athletes. 7.24 - World class rehabilitation after hip surgery 7.50 - Round table on challenges in managing elite athletes 8.15 - Femoroacetabular impingement (FAI) syndrome, and the movement towards reaching a consensus statement. 11.00 - Consensus meeting on FAI syndrome

Peter Gallagher has been the All Blacks physiotherapist for over 10 years. He discusses how they deal with RTP following ACL injuries and how shared decision-making can be used to set a RTP date. The conversation then branches out onto how changes in training load can be used to recondition players following injury and the need for exercises that provide eccentric muscle training. Finally, we consider alternative exercise programs and the role of functional movement screening for injury prevention. This open access paper by Dr Tim Gabbett summarizes the theory behind higher training loads and injury rates: http://tinyurl.com/heepexv Another paper here predicts injury using acute: chronic workload ratios: http://tinyurl.com/z89glpz An article discussing the limitations of functional screening: http://tinyurl.com/zf5dgpn Timeline: 0:51- The challenge of RTP in ACL injury. 4:30- How the decision is made to RTP? 5:39-Why lowering a player’s load after injury might be beneficial. 7:11- Some examples of modified training programmes and reconditioning. 13:04- Adapting alternative exercise programs into a training regime. 17:40- The part that functional movement screening could play in the future.

F-MARC, the FIFA Medical Association and Research Centre, have recently launched a free online diploma primarily for doctors and other health practitioners who have little or no sports medicine knowledge or experience. There is, however, material that will appeal to anyone with an interest in sports medicine. There are currently 20 modules, which will expand to 42 by the end of the year and completion will lead to being awarded the diploma. Steffan Griffin talks to Dr Mark Fulcher, a sport and exercise medicine physician at the FIFA Medical Centre of Excellence in Auckland, New Zealand. The online diploma is FREE to do and can be accessed here: http://f-marc.com/footballdiploma/ Timeline: 0-1.42 What is the diploma? 1.42-3.00 People involved in creating the content. 3.00-3.56-How the website can be used by different specialties. 3.56-4.20 Development and evolution of the diploma. 4.20-6.55 A little bit about Dr Fulcher and his work.

Intramuscular Hamstring Injuries Professor Peter Brukner is a sports and exercise physician at La Trobe University’s Sports and Exercise Medicine Research Centre in Melbourne. He is Team Doctor for the Australian Cricket Team and formerly worked with Liverpool FC, Australian football in the 2010 World Cup and numerous Olympic Games. He discusses intramuscular tendon hamstring injuries, a difficult type of hamstring injury, which takes longer to recover than a typical strain. The conversation also branches out to diagnosis, management and rehabilitation of the injury. Here’s the associated paper with some very helpful figures: http://ow.ly/Hsci301NHpx Professor Brukner’s thoughts on recurrent hamstring strain can be found here: http://ow.ly/8NeB301NKCw And more on hamstring strain prevention here: http://ow.ly/PrSL301NLm0 Timeline: 1.00-Why some hamstring injuries are different (and difficult!) 2.30 Diagnosis of intramuscular tendon hamstring injuries. 4.30-Recognition on the MRI 5.30- Management of the injury. 7.50-Rehabilitation and return to play.

One of the most common complaints of athletes visiting clinicians is leg pain exacerbated by exercise. In this podcast, UK vascular surgeon Rob Hinchliffe explains how iliac artery endofibrosis develops in the sportsperson. He discusses the diagnostic approach for the clinician, potential therapies and gaps in the knowledge about this relatively new pathology, which too often remains undiagnosed for long periods of time. Thanks to BJSM editorial board member and sports physician Dr Yorck Olaf Schumacher from Aspetar, Qatar for having the idea and recording this fascinating podcast.

Whilst injuries will undoubtedly dominate the headlines at the Olympics, we shouldn't ignore the competitors' increased susceptibility to illnesses - which can cause just as much heartbreak. BJSM’s popular podcast host, Steffan Griffin (@lifestylemedic), speaks to Athletics New Zealand team sports and exercise medicine physician Dan Exeter. Dr Exeter will be in Rio in August for the 2016 Summer Games and he shares New Zealand’s secrets for prevention illness in individuals and across the New Zealand squad. Remember that the Australian College of Sports and Exercise Physicians (@ACSP_SportsDocs ) and Sports Physiotherapy New Zealand (@SportsPhysioNZ) are both BJSM member societies. If you belong to one of these (or BJSM’s other 21 member societies) you can access all BJSM content for free via your member organisation’s website. Not a member country yet? Email karim.khan@ubc.ca Links: Great podcast last week: How Rugby 7s are approaching their Olympic Games preparation and the demands of this new Olympic Sport. http://ow.ly/EfCY3017Z2B Norway’s very experienced team physiotherapist, @BenClarsen (PT, PhD) on a systematic approach to monitoring elite athletes on a regular basis even when they are on the road for long periods of time. http://ow.ly/6GHV3017VMX Professor Roald Bahr (@RoaldBahr) on the challenges of a team clinician making Return To Play decisions: http://ow.ly/TrSz3017Ycn BJSM publishes 4 Injury Prevention and Health Protection (IPHP) issue annually. Check them all out here: http://bjsm.bmj.com/content/by/year The paper (OPEN) on Illness and Injury at the London Olympic Games: http://ow.ly/gORM3017ZRT

Want to know more about one of the new Olympic sports, or perhaps want an insight into how to best manage jetlag in athletes? Dr James McGarvey, a sport and exercise medicine physician to the New Zealand Rugby Sevens team in Rio talks to Steffan Griffin (@LifestyleMedic) about everything 7s related - although something for all to take away! Related content: Podcast on travel with teams; This time 15s Rugby – Rugby World Cup by Prav Mathema: http://ow.ly/n1Nz300PRw5 Podcast on how Dr Nigel Jones worked with the England World Cup Rugby team (2015). http://ow.ly/2MbG300Q4bz Open access paper: A new model for managing athletes health and performance in partnership with coaches: http://ow.ly/Pzz1300QSxV BJSM App iTunes - itunes.apple.com/us/app/bjsm/id943071687?mt=8 Google Play - play.google.com/store/apps/detail…m.goodbarber.bjsm

Dr Donald Shelbourne is an orthopedic surgeon at The Shelbourne Clinic in Indianapolis, Indiana. He has performed more than 6,000 ACL reconstructions since 1982 and he is credited with developing the ‘accelerated rehabilitation program’. He discusses the history of the field and how he contributed to eliminating the big problem of the ‘stiff stable’ knee. He does NOT detail the rehabilitation method itself. He has an interesting thought on the role of ACL reconstruction in young people who suffer ACL tears. See the timeline below that includes a paper referred to in the discussion and two additional BJSM resources. If I had to create a short slogan for the podcast I would go with ‘Symmetric Motion is Key’. 1:00 How Dr Shelbourne discovered accelerated rehabilitation 3:00 The problem of knees that were too stiff after ACL surgery in the 1980s. 4:00 The problem of excessively large ACL grafts and graft hypertrophy blocking knee extension 4:40 Casts contributing to knees becoming ‘stiff-stable’. Knees not returning to full extension (1980s) 6:00 Moving patients from plaster to one hour a day of a limited motion brace 6:50 Dr Shelbourne comments on augmented lateral procedures today. Discusses hamstring grafts and allografts in this context. His rationale for ipsilateral patellar tendon grafts. 9:40 Patellar tendon donor site problems – the role of physiotherapy in solving the problem 9:10 A comment on Dr Leo Pinzewski’s 20 year post-ACL surgery followup study. (Hamstring graft) Paper in American Journal of Sports Medicine (http://ow.ly/hcRx300Eb58). See also Professors Hutchinson and McCormack discuss that paper in BJSM (http://ow.ly/f1JM300EcQ0). They also have a new editorial on ACL outcomes online first as this podcast goes live (http://ow.ly/gqdk300Edm7). 10:50 Stiffness is not acceptable. Patients prefer a bit of instability with full range of motion than a stiff stable knee. Stiff knee is a time bomb for osteoarthritis. 12:00 Who should have an ACL reconstruction? About half of patients who have ACL injuries are not getting back to sport at the previous level. “In a way you are much better off having non-operative treatment….” 13:00 If you are wondering whether to have surgery or not after ACL injury – go for conservative management first. “Nothing to lose”. “A stiff knee is a time bomb for osteoarthritis later on.” 13:45 Osteoarthritis. Patients who don’t get all their movement back have a high risk of osteoarthritis moving forward. Many surgeons overlook the loss of motion as a risk factor. Related podcasts: Dr Mark Hutchinson on ACL reconstruction: https://soundcloud.com/bmjpodcasts/markhutchinson2?in=bmjpodcasts/sets/bjsm-1 Dr Mark Hutchinson on meniscectomy for symptoms of painful locking and clicking: https://soundcloud.com/bmjpodcasts/mark-hutchinson?in=bmjpodcasts/sets/bjsm-1

Do you provide medical services for athletes or teams that travel nationally or internationally? Are you confident that your travel preparations cover every possible situation? Prav Mathema, the Head of Sports Medicine for the Welsh Rugby Union and physiotherapist to the British & Irish Lions Rugby Team, discusses his top tips for travelling with elite sports teams accrued from his years of experience. Your host is BJSM Senior Associate Editor Dr Liam West (@Liam_West). Related Reading: Derman, W. E. (2008). Medication use by Tea, South Africa during the XXVIIth Olympiad: A model for quantity estimation for multi-coded team events. South African Journal of Sports Medicine, 20(3), 78-84 Hadjichristodoulou, C., et al. (2005). Mass gathering preparedness: the experience of the Athens 2004 Olympic and Paralympic Games. Journal of Environmental Health, 67(9), 52-57 Herring, S. et al (2001). Sideline preparedness for the team physician: a consensus statement. Medicine & Science in Sports & Exercise, 33(5), 846-849 Herxheimer, A., & Petrie, K. J. (2002). Melatonin for the prevention and treatment of jet lag. Cochrane Database Systematic Review, 2, CD001520 Luks, A. M., et al. (2010). Wilderness, Medical Society consensus guidelines for the prevention and treatment of acute altitude sickness. Wilderness Environmental Medicine, 21, 146-155 Milne, C., & Shaw, M. (2008). Travelling to China for the Beijing 2008 Olympic Games. British Journal of Sports Medicine, 42, 321-326 Milne, C., Shaw, M. & Steinweg, J. (1999). Medical issues relating to the Sydney Olympic Games. Sports Medicine, 28, 287-298 Pipe, A. L. (2011). International travel and the elite athlete. Clinical Journal of Sports Medicine, 21, 62-66 Reilly, T. et al. (2007). Coping with jet-lag: A position statement for the European College of Sports Science. European Journal of Sport Science, 7(1), 1-7 Reilly, T., Waterhouse, J., & Edwards, B. (2005). Jet lag and air travel: Implications for performance. Clinics in Sports Medicine, 24, 367-380 Seto, C. K., Way, D., & O’Connor, N. (2005). Environmental illness in athletes. Clinical Sports Medicine, 24, 695-718 Shaw, M. T., & Leggat, P. A. (2000). Traveling to Australia for the Sydney 2000 Olympic and Paralympic Games. Journal of Travel Medicine, 7, 200-204 Shaw, M. T., Leggat, P. A., & Borwein, S. (2007). Travelling to China for the Beijing Olympic and Paralympic games. Travel Medicine and Infectious Diseases, 5, 365-373 Simon, L. M., & Rubin, A. L. (2008). Travelling with the Team. Current Sports Medicine Reports, 7, 138-143 Teichman, P. G., Donchin, Y., & Kot, R. J. (2007). International aeromedical evacuation. New England Journal of Medicine, 356, 262-270 Turbeville, S. D., Cowan, L. D., & Greenfield, R. A. (2006). Infectious disease outbreaks in competitive sports: a review of the literature. American Journal of Sports Medicine, 34, 1860-1865 Walters, A. (2000). Travel medicine advice to UK based international motor sport teams. Journal of Travel Medicine, 7, 267-274 Waterhouse, J., Reilly, T., & Atkinson, G. (1997). Jet-lag. Lancet, 350, 1611-1615 Waterhouse, J., Reilly, T., Atkinson, G., & Edwards, B. (2007). Jet lag: trends and coping strategies. Lancet, 369, 1117-1129 Young, M., Fricker, P., Maughan, R., (1998). The travelling athlete: issues relating to the Commonwealth Games, Malaysia, 1998. British Journal of Sports Medicine, 32, 77-81 BJSM App iTunes - itunes.apple.com/us/app/bjsm/id943071687?mt=8 Google Play - play.google.com/store/apps/detail…m.goodbarber.bjsm

Professor Adrian Bauman is as respected as it gets in the hard core epidemiology world. He advises the World Health Organisation among others and he is receiving an Honor Award at the American College of Sports Medicine meeting in Boston 2016. Here’s a link: http://ow.ly/YTDt300a6wz Focusing an all professionals within the BJSM community, he argues you can make a difference! Timeline: 1:00 m – Every health professional can make a difference to promoting physical activity 3:00 m – You don’t need to do a 16-step intervention to promote your patient’s health 5:00 m – Practical steps that every physiotherapist can do in her/his practice & consultation 7:00 m – Dealing with the main objections, no time! 9:00 m – Do something every day! 11:00 m – Sedentary behavior. In perspective Links: 7 investment document: OPEN ACCESS BJSM - http://bjsm.bmj.com/content/46/10/709.full 2012 podcast with Professor Fiona Bull on the 7 ways that physical activity can be promoted. http://ow.ly/QCgs300a80o

Eine Frage die Patienten, Therapeuten und Mediziner gleichermaßen beschäftigt. Keller Matthias und Ekaterina Sandakova. Ob Freizeitsportler oder Profiathlet - nach einer Verletzung stellt sich dem Sportler immer die gleiche Fragen. „Wann kann ich wieder zurück zu meinem Sport?“ Auch für Therapeuten und Mediziner ist es schwierig, diese Frage klar zu beantworten. Es zeichnet sich aber ab, dass Tests, welche komplexe Funktionen prüfen und sportartspezifische Belastungen simulieren als Entscheidungshilfe für eine sichere Rückkehr zum Sport dienen. Neben den spezifischen Anforderungen einer Sportart spielt auch das angestrebte Leistungsniveau des Sportlers eine entscheidende Rolle. Die von der Arbeitsgruppe um Matthias Keller beschreibt einen Return to Activity Algorithmus, der eine Rehabilitation messbar und objektivierbar gestalten lässt. Andere BJSM podcasts in Deutsch: 1) Wie können Verletzungen beim Skifahren möglichst vermieden werden? http://ow.ly/4mYqVI 2) Muskelverletzungen im Sport – Interview mit Priv.-Doz. Dr. Peter Ueblacker http://ow.ly/4mYr61 3) Einführung in die Bewegungsmedizin : “Bewegung bringt Heilung” mit Dr Boris Gojanovic http://ow.ly/4mYs2Y

The BJSM community wants practical tips and this podcast earns 10/10 for that feature. The guest, @DarrenBurgess25 is an international leader in working in sports medicine/sports science at the highest level. BJSM Associate Editor Paul Visentini (@PaulVisentini) asks great questions. 1. How do you bring the evidence into your practical job at High Performance Manager at Port Adelaide Football Club (Australian Rules Football) (1 minute in) 2. The art from a master. What are the clinical features you use to determine what the players need? (4 minutes in) 3. How do you reconcile individual differences when you are working with a team? (7 minutes in) 4. Usain Bolt, Luis Suarez – they don’t follow the textbook. What are the minimum requirements for strength? (9 minutes in) 5. Capacity in tissue – and for a whole player. How much can we alter/improve capacity? (See also Jill Cook’s podcast on this and paper, link below) 6. What other features – beyond GPS and data – What do you look for in player welfare? (14 minutes in) Personal note here from Karim Khan: What a great insight into top level sport!! I loved this podcast – the honesty, the specific points. Darren is a master of ‘the sticky message’. Has he read ‘Made to Stick’ or is he just a natural? Wow!! I feel privileged to be part of the BJSM community to learn like this. Next week. Dr Kieran O’Sullivan (Ireland, @KieranOSull) and a German-language podcast where Aspetar’s Ekaterina Sandakova asks the questions of Keller Mattias. #InternationalCommunity Links: 1. Very closely related podcast on load: Dream Team @TimGabbett and colleagues discuss how to manage load to improve performance and minimize injury risk http://ow.ly/4mYQmZ 2. Hear more from Darren Burgess here: Who should lead the sports medicine / high performance team? http://ow.ly/4mYRtm 3. The core concept of ‘tissue capacity’. @ProfJillCook and @SIDocking are the authors and here’s the link: http://ow.ly/4mYUMI 4. One cannot leave a load management chat without making sure you know about Tim Gabbett’s early contender for paper of the year. Open access: The training-injury prevention paradox: should athletes be training smarter and harder? http://ow.ly/4mYSkj

A recent keynote speaker at the Return to Play conference in Bern, the Arsenal FC Sport and Exercise Medicine Conference and the Isokinetic Football Medicine Strategies Return to Play conference in London, Clare Ardern is an emerging voice in sports medicine research. She currently occupies a postdoctoral position in the research department at Aspetar Sports Medicine Hospital, after doing the bulk of her research at La Trobe University in Melbourne, Australia. Her work focuses on the factors influencing return to play, particularly psychological readiness after ACL injury, as well as shared decision making and evidence based medicine. Follow Clare on Twitter @clare_ardern Timeline: 1:35 When can Sarah play again? Should she be playing again? 2:30 Need criteria-based progession through the rehab process , so that the focus shifts from “when” I can play again to “what” I need to achieve for successful return to play. 3:00 Education is key – both the patient and the coach. Motivation is important and can be positive or negative. Young athletes even more important 4:40 Are we moving back to biopsychosocial models, or have we moved on? 5:30 Understand the inherent risks that Sarah is facing, and make sure she understands them! 6:20 Psychological readiness for return to play – the ACL-Return to Sport after Injury (ACL-RSI) scale developed by Dr. Kate Webster and Dr. Julian Feller . It considers: confidence, risk appraisal and the athletes emotions. 12 questions completed in a few minutes. Also available as an Iphone app. It’s sport specific AND IT’S FREE!! 7:45 We should be thinking different for all time-loss injuries. 8:15 Criteria-based rehabilitation – but beware – early return to sport for young athletes increase the risk of re-injury. 9:00 We need to become more systematic to address the psychological/emotional aspects of return to play during our clinical management of these athletes. 12:00 Should we get “informed consent” from the athlete before return to play? 12:50 SUMMARY – When can I play again? 1.Reshape the question – Will I play again? Not all athletes get back, and that doesn’t mean fail. What is the right thing for Sarah? 2.Consider the psychological aspect more systematically! CONSENSUS PAPER on return to sport coming soon! Check out some recent papers from Dr. Ardern: Br J Sports Med 2014;48:1613-1619 doi:10.1136/bjsports-2014-093842The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction http://bjsm.bmj.com/content/48/22/1613.full Br J Sports Med 2014;48:1543-1552 doi:10.1136/bjsports-2013-093398 Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors http://bjsm.bmj.com/content/48/21/1543.full Br J Sports Med 2016;50:506-508 doi:10.1136/bjsports-2015-095475 It is time for consensus on return to play after injury: five key questions http://bjsm.bmj.com/content/50/9/506.full Further listening: Podcast from Adam Gledhill which discusses a case study of ACL return to play considerations and different examples of strategies used to aid return to play experiences - https://soundcloud.com/bmjpodcasts/i-cant-return-to-play-when-fear-of-reinjury-dominates-after-acl-reconstruction-adam-gledhill

Dr Emma K Stokes is the President of the World Confederation of Physical Therapy. The first two parts of her discussion with the BJSM community has already had >9,000 listeners in just two months. In this part she previews the excitement of the IFOMPT Conference (Glasgow, July 2016), opportunities for sports physiotherapist to develop their careers. @EKStokes closes with 3 take-home messages including one slightly quirky one. Thanks to James Walsh (@SportsOsteopath) BJSM podcast podcast associate editor. Links: First of 3 podcasts on BJSM: Physiotherapists in Leadership: https://soundcloud.com/bmjpodcasts/the-face-of-wcpt-dr-emma-k-stokes-unplugged-life-lessons-leadership-physiotherapy-success?in=bmjpodcasts/sets/bjsm-1#t=0:00 2nd of 3 podcasts: Direct Access, social media & more. https://soundcloud.com/bmjpodcasts/the-face-of-wcpt-dr-emma-k-stokes-unplugged-part-2?in=bmjpodcasts/sets/bjsm-1 Profile of President Stokes in the Independent of Ireland: http://www.independent.ie/life/health-wellbeing/health-features/world-leader-dr-emma-stokes-31375045.html Emma’s podcast for the MACP (45 minutes): https://soundcloud.com/macp-3/macp-emma-stokes-podcast Interviewed by social media leader for MACP: Gerard Greene (@gerardgreenephy) . Engage with WCPT here: http://www.wcpt.org/news/WCPT-look-forward

Il dottor Cristiano Eirale è un medico dello sport che lavora ad Aspetar, Qatar Orthopedic and Sport Medicine Center di Doha. In questo podcast interamente in italiano, discute con un misterioso intervistatore, la cui identità verrà rivelata alla fine del podcast stesso, sul congresso mondiale di pubalgia nello sportivo tenutosi nel novembre 2014 e sul Doha consensus sulla terminologia e sulle definizioni nella pubalgia dello sportivo. Links: Entire BJSM Theme Issue: http://bjsm.bmj.com/content/49/12 Groin Consensus Meeting Paper: http://bjsm.bmj.com/content/49/12/768.full

The BJSM community is well aware of the interest in the role of training load on injury. Dr Dr Tim Gabbett, Dr Alex Kountouris and Dr to be Michael Drew share insights into the principles that underpin successful player management. They give specific examples from football codes and cricket at the elite level. They also discuss what clinicians who do not have access to the full raft of data-gathering technology can do to advise players how to monitor load. We thank Sports Physiotherapist Paul Visentini (who invented the VISA score for tendinopathy) for producing the very successful event and for sharing two podcasts with us. (The second will be posted here within a month). (Twitter = @PaulVisentini and @PhysioSports429) The guests: Dr Tim Gabbett, Applied Sports Scientist who consults to elite teams the world over. He is one of only 5 invited Keynote Speakers at the IOC World Congress in Monaco 2017 #IOCPrev2017 @TimGabbett Dr Alex Kountouris, Sports Science and Sports Medicine Director Cricket Australia @Alex_Kountouris Mr Michael Drew Senior Sports Physiotherapist at the Australian Institute of Sport. @_MickDrew Links to related podcasts: Dr Tim Gabbett on how physiotherapists can work well alongside strength & conditioning coaches to prevent injuries and improve performance: http://ow.ly/10aOq2 Dr Alex Kountouris on how to prevent back pain in cricket: http://ow.ly/10aOHX Link to papers on load monitoring: Training – injury prevention paradox. Should athletes be training smarter AND harder (Gabbett) http://bjsm.bmj.com/content/early/2016/01/12/bjsports-2015-095788 Cricket fast bowling workload patterns as risk factors for tendon, muscle, bone and joint injuries. John W Orchard, Peter Blanch2, …, , Alex Kountouris et al, http://bjsm.bmj.com/content/early/2015/03/09/bjsports-2014-093683 And the home page with lots of good background for the conference (March 2016): http://physiosports.com.au/mastering-load-symposium-2016/

Dr Anna Saw is in the Faculty of Health in the School of Exercise & Nut. Sci.at Deakin University’s Burwood Campus. Further reading: Monitoring the athlete training response: subjective self-reported measures trump commonly used objective measures: a systematic review - http://ow.ly/ZEkmA

Interview mit Ass.-Prof. Dr. Gerhard Ruedl (Innsbruck) Das Skifahren ist eine beliebte Freizeitsportart bei Groß und Klein, Alt und Jung, Anfänger und Könner und zieht jedes Jahr Millionen von Wintersportlern in die Berge auf die Skipisten. Doch wie groß ist das Verletzungsrisiko auf der Piste? Was sind die häufigsten Verletzungsursachen? Assistenz-Professor Dr. Gerhard Ruedl erörtert diese Fragen und mehr im Gespräch mit Dr. Markus Laupheimer (Associate Editor BJSM). Gerhard ist Experte für Unfallursachen und Verletzungsrisiko beim Alpinen Skifahren, welches er mit seinen Kollegen an der Universität Innsbruck beforscht. Gerhard erläutert uns auch seine neulich im BJSM veröffentlichte Studie, wodurch möglicherweise die große Zahl an Knieverletzungen bei Frauen reduziert werden könnte. Auch werden mögliche Präventivmaßnahmen besprochen, welche uns und unseren Patienten helfen sollen verletzungsfrei durch die Skisaison zu kommen. Dabei sollten wir nicht vergessen “Bewegung bringt Heilung” (https://soundcloud.com/bmjpodcasts/einfuhrung-in-die-bewegungsmedizin-bewegung-bringt-heilung-mit-dr-boris-gojanovic?in=bmjpodcasts/sets/bjsm-1) Euch einen aktiven und bewegungsreichen Tag! Nun viel Spaß mit diesem Ski Podcast des BJSM. Und vergesst nicht uns auf Twitter @BJSM_BMJ, Facebook oder google+ zu folgen. Da gibt es regelmäßig neue updates. Für feedback oder Anregungen für neue Podcasts schreibt mir einfach eine mail markus@swisssportscare.com Links: Skibindung und Knieverletzung Paper 2016: http://bjsm.bmj.com/content/50/1/37.abstract?sid=d457e29b-45f1-4b81-a09b-cfc04d4ae602 Ski Helm Editorial: http://bjsm.bmj.com/content/46/16/1091.extract?sid=d457e29b-45f1-4b81-a09b-cfc04d4ae602

Adam Gledhill (http://www.leedsbeckett.ac.uk/staff/adam-gledhill/) is a Senior Lecturer in Sport and Exercise Therapy at Leeds Beckett University. He has a terrific amount of experience in sport psychology in football at the elite level, particularly among top female football players. Adam (@Gleds13) shares the case of Joanna (pseudonym) who has returned from ACL injury but is losing confidence ahead of a major game. We learn which specific tools can be used to address psychological readiness and how this worked out in real life. We wish Adam the best as he completes his PhD focusing on psychosocial factors associated with talent development in female soccer. Additional resources: Read the systematic review: Psychosocial factors associated with outcomes of sports injury rehabilitation in competitive athletes: a mixed studies systematic review. Dale Forsdyke, Andy Smith, Michelle Jones, Adam Gledhill http://bjsm.bmj.com/content/early/2016/02/17/bjsports-2015-094850.abstract Links for sports psychology tools mentioned in the podcast: Evans et al (2008) The development of a measure of psychological responses to injury (paper looking at the development of the psychological responses to sports injury inventory) http://www.ncbi.nlm.nih.gov/pubmed/18270384 Glazer (2009) Development and Preliminary Validation of the Injury-Psychological Readiness to Return to Sport (I-PRRS) Scale http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657021/ Smith et al (1990) The psychological effects of sports injuries: Coping (paper for the Emotional Responses of Athletes to Injury Questionnaire)http://link.springer.com/article/10.2165/00007256-199009060-00004 Walker et al. (2010) A preliminary development of the Re-Injury Anxiety Inventory (RIAI). http://www.ncbi.nlm.nih.gov/pubmed/20129120 Another paper that Adam didn't use with this particular client but that he also recommends is: Taylor and May (1996) Threat and coping appraisal as determinants of compliance with sports injury rehabilitation: an application of Protection Motivation Theory (paper for the development of the sports injury rehabilitation beliefs survey) http://www.ncbi.nlm.nih.gov/pubmed/8981286 Further listening: Also check this podcast by Dr Clare Ardern which discusses criteria-based return to play decisions in the case of "Sarah". This complements much of the work conducted with "Joanna" in this podcast. Great food for thought for practical return to play decision-making - https://soundcloud.com/bmjpodcasts/return-to-play

Dr Emma K Stokes (@ekstokes) is the President of the World Confederation of Physical Therapy. This is the second of three podcasts. Karim and Emma continue their discussion and touch on direct access to physiotherapy around the world, the changing role of the physiotherapist in the multi-disciplinary team, and best practice for dealing with social media as a professional.

Wie die Muenchener Klassifikation helfen kann, Athleten mit Muskelverletzungen besser zu behandeln Peter Ueblacker ist ein international renommierter Orthopäde und Sportmediziner, der als einer der Mannschaftsärzte in den Jahren 2009 bis 2015 eine lange und erfolgreiche Karriere beim FC Bayern München hatte . Er arbeitet in eigener Praxis mit Hans-Wilhelm Müller-Wohlfahrt (http://ow.ly/U2mch ). BJSM Redakteur Dr Markus Laupheimer stellt die Fragen in deutscher Sprache. Inhalt (Zeit) 1: 00min - Warum Muskelverletzungen klassifizieren? 3: 00min - Einschränkungen der früheren Klassifikationsverfahren und Notwendigkeit einer neuen Klassifikation - die Entstehungsgeschichte des Münchener Muskelklassifizierungssystems. Hier ist der Link zur Open-Access-Publikation in BJSM (> 55.000 views) http://ow.ly/U2pMG 4: 18min - Was sind die Vorteile für die medizinische Abteilung eines Fussballklubs (Physiotherapeuten, Arzte & Fitnesscoach), die die Münchener Klassifizierungssystem verwenden? Definition und Differenzierung von "direkten" und "indirekten" Muskelverletzungen. 5: 00min - Die Herausforderung der "funktionellen" (nicht-strukturellen) Muskelverletzungen. Keine Pathologie im MRT erkennbar - und doch von hoher Relevanz für Fußballmannschaften, weil diese Verletzungen häufig sind und Spieler nicht spielen können – „time-loss“-Verletzungen. 6: 00min - Verschiedene Typen von Muskelverletzungen ziehen unterschiedliche Fehlzeiten im Sport nach sich. Ist das eine 2-Wochen-oder 6-Wochen-Verletzung? 6: 40min - Der Versuch, die Prognose vorherzusagen - ist das möglich? Was können wir dem Trainer sagen? Hier finden Sie eine Gegenargument http://ow.ly/U2qFJ 7: 10min – Komm auf den Punkt! Strukturelle Muskelverletzungen. Intramuskuläre Sehnenverletzungen sind häufig und relevant (siehe Peter Brukner Papier: http://ow.ly/U2rBc) 8: 15min - Welchen Einfluß die Wirbelsäule auf Muskelverletzungen hat. 10: 00m - Ein praktischer Spaziergang durch das Management der ischiokruralen Muskelverletztungen („hamstrings“). Weiterführende Links: http://ow.ly/U2mUG - Podcast mit Professor Gino Kerkhoffs berücksichtigt auch das Münchener Konsenspapier. Ergänzt den vorliegenden Podcast in seinem größeren Fokus auf die Konsensprozesse und diskutiert die Wertigkeit des MRTs- bei Muskelverletzungen (auf englischer Sprache). http://ow.ly/U2o0Q - Podcast mit Professor Jan Ekstrand Schwerpunkt auf Muskelfaserriss Sie können ohne weiteres zugreifen auf BJSM Podcasts über unser Mobile App (BJSM). Neueste Sportmedizin Updates via Twitter (BJSM_BMJ) und auf der Google+ Community http://ow.ly/U2sNs, wo Sie aufgefordert, Inhalte zu veröffentlichen

Are you or your athletes in control of your ‘chimp’ (emotional, reactive part of your mind) at all times? We hear from Professor Steve Peters -- the brains behind ‘The Chimp Paradox’ and the much-heralded psychiatrist who has worked with the likes of Team Sky Cycling, Liverpool Football Club and the FA to improve athlete performance. Prof Peters explains the rationale for the seemingly simplistic model and shared example of how it can be applied in various sport settings. “The Chimp Paradox” has been among the most popular self-development books in recent years and it will of interest to many BJSM listeners from both a personal and professional standpoint. http://amzn.to/1TNV3Xy If you want to see Prof Peters speak – sign up for the BASEM Spring Conference (Friday April 8th) here! http://bit.ly/1TNV0en Timeline 1:10m: What is the chimp model? 4:15m: How does the ‘chimp’ model work in sport? 5:30m: Is it always an overactive chimp that holds athletes back? 7:45m: What works best with athletes? 9:30m: What can we do about unhelpful behavioural traits? 11:45m: What pitfalls can we avoid when dealing with young elite athletes? 13:30m: How can you talk to athletes about psychological performance? 16:55m: Does the chimp model work when split-second sporting decisions are needed? 18:30m: Mental Health in Sport 21:15m: Any tips for those wanting to work in sport? BJSM Links: 2016’s issue 3 of BJSM was devoted to mental health in sport. Table of contents link: http://bjsm.bmj.com/content/50/3.toc An editorial on the issue of mental health and ‘mental toughness’ : Dr James Bauman: The stigma of mental health in athletes: are mental toughness and mental health seen as contradictory in elite sport? http://bjsm.bmj.com/content/50/3/135.extract

Dr Emma K Stokes (@ekstokes) is the President of the World Confederation of Physical Therapy. This is the first of 3 podcasts Timeline: 1:00m - A fascinating career journey – from student at Trinity College Dublin to President of the World Confederation. 4:00m - “You have to be yourself but you have to understand yourself. Leadership is about bringing people on a journey. Make sure you understand how other people see, or feel about, that journey” 5:00m - The organisation you work in plays a big role too but you can make a difference from wherever you are. Students and early career physiotherapists are as important as the person on the top of the hierarchy 6:30m - The only constant is change (Emma’s nod to David Bowie but this was recorded before he died). Having a framework for adapting to change 7:50m - Practice change – applying the lessons to a typical health professional practice 10:00m - The role of the IFSPT – International Federation of Sports Physical Therapists – as leaders, advocates. A huge opportunity for leadership. Education, competency definition, congress organisation 12:00m - Physios as entrepreneurs. Social entrepreneurship – physiotherapists’ opportunities to contribute to society 13:30m - Emma’s experience on what makes a successful physiotherapy practice 15:00m - End of Part 1 – part two is scheduled for February 12th, 2016 Thanks to James Walsh (@SportsOsteopath) BJSM podcast podcast associate editor. Links: Drew Dudley "Leading with Lollipops" YouTube Video – helping people become better versions of themselves: https://www.youtube.com/watch?v=hVCBrkrFrBE Profile of President Stokes in the Independent of Ireland: http://www.independent.ie/life/health-wellbeing/health-features/world-leader-dr-emma-stokes-31375045.html Emma’s podcast for the MACP (45 minutes): https://soundcloud.com/macp-3/macp-emma-stokes-podcast Interviewed by social media leader for MACP – Gerard Greene (@gerardgreenephy) Engage with WCPT here: http://www.wcpt.org/news/WCPT-look-forward

The American Medical Society for Sports Medicine (AMSSM) is the world’s largest primary care sports medicine organisation and one of BJSM’s 23 member societies. It provides authoritative education for the public as well as for athletes and health professionals. BJSM is proud to host AMSSM experts discussing the potentially life-threatening condition that is widely known as ‘The Female Athlete Triad’. Dr Elizabeth Joy (Salt Lake City) and Dr Aurelia Nattiv (UCLA, Los Angeles) are both researchers and clinicians in this field so they provide a great overview as well as practical tips for athletes, parents and health professionals in this 20-minute podcast. (AMSSM’s guest host is Dr Britt Marcussen, U of Iowa). They are two of the lead authors on the 2014 International Consensus Statement on this topic: Br J Sports Med. 2014 Feb;48(4):289. doi: 10.1136/bjsports-2013-093218. http://bjsm.bmj.com/content/48/4/289.long Timeline: 2:00m - What is the ‘Female Athlete Triad’? 4:30m - What type of athletes are at risk? What should I look for? 6:15m - Energy availability, eating disorders, disordered eating. The role of anorexia nervosa, bulimia. Is this an essential element? 8:30m - Practical tips for parents. What to watch out for? 14:20m - If a parent is concerned what is the next step? 16:00m - What is the role of sport restriction in treating this condition? 21:00m - Take home messages: early recognition is key; seek help. An experienced multidisciplinary team (psychologists, nutritionist, sports physician) is key. Links: The definitive ‘Female Athlete Triad’ consensus statement in the BJSM: http://bjsm.bmj.com/content/48/4/289.long A complementary perspective on the issue – the IOC’s consensus statement: http://bjsm.bmj.com/content/48/7/491.long A 2015 podcast by the IOC’s Dr Margo Mountjoy – on the IOC’s perspective: http://ow.ly/XpkYO AMSSM e-learning elements: Podcasts and more! https://www.amssm.org/E-Learning.php

In this 9-minute podcast Zoe Harcombe asks whether dietary guidelines were based on evidence or whether there were other drivers. She summarises what was in the literature at the time the 1977 (US) and 1983 (UK) guidelines were created. Importantly, she highlights that food choices have major implications on the planet. The podcast was recorded in February 2015 – she was a keynote speaker at the Old Mutual 1st International Low Carb High Fat Health Summit 2015 hosted by Prof Tim Noakes & Karen Thomson (Cape Town). https://www.facebook.com/events/880528391966336/ There are plans for a future summit in London in 2016. BJSM senior associate editor Liam West (@Liam_West) led the BJSM team who attended the meeting – including Johann Windt and Ania Tarazi. BJSM has spaced out the recordings from that summit over 12 months and this is the last on the series from that event. Related podcasts were with Dr Stephen Phinney http://ow.ly/X70OP, Dr Jason Fung (http://ow.ly/X70AJ), Dr Aseem Malhotra http://ow.ly/X712D and Professor Timothy Noakes (http://ow.ly/X71rX). All have proven very popular. Timeline: 0m 30s: Why Zoe Harcombe (@ZoeHarcombe) challenges current dietary guidelines 3m 00s: What are the sensible food choices (according to the guest, of course)? 4m 40s: Challenges to supplying calorie-dense low carb foods for the world’s population: “I don’t know if we can feed 7-11 million people on animal based food, I don’t know if we can’t”. Grain requires topsoil and “we are raping the land of nutrients, topsoil, potentially destroying the planet’s ability to house any food”. 5m 50s: Time to revisit the guidelines? 7m 00s: Training doctors – what training do doctors get? (Link to the exercise prescription training module, a template, here: http://bjsm.bmj.com/content/49/4/207.extract Call to action for all health professionals to look at the evidence in an open-minded way. It may need a ‘bottom up’ approach – patients and the public – to draw attention to these issues. Links: The key paper for this podcast: Evidence from randomised controlled trials did not support the introduction of dietary fat guidelines in 1977 and 1983: a systematic review and meta-analysis http://openheart.bmj.com/content/2/1/e000196 An editorial in the same issue of OpenHeart: http://openheart.bmj.com/content/2/1/e000229.extract (11,000 views as of January 2016) Papers: Challenging beliefs in sports nutrition: are two 'core principles' proving to be myths ripe for busting? Peter Brukner (@PeterBrukner) http://www.ncbi.nlm.nih.gov/pubmed/23603852 Br J Sports Med. 2013 Jul;47(11):663-4. doi: 10.1136/bjsports-2013-092440. Epub 2013 Apr 20. It is time to bust the myth of physical inactivity and obesity: you cannot outrun a bad diet Malhotra A, Noakes T, Phinney S. Br J Sports Med. 2015 Aug;49(15):967-8. doi: 10.1136/bjsports-2015-094911. Epub 2015 Apr 22. http://www.ncbi.nlm.nih.gov/pubmed/25904145

Associate Professor Irfan Asif is Vice Chair of Academics and Research at the Greenville Health System and University of South Carolina. This podcast is unashamedly focused on the American Medical Society which we believe is the world’s largest member organisation for primary care sports medicine. For those of you wondering why it needed to be a ‘medical society for sports medicine’ (tautology?/redundancy?) the answer is that sports medicine is a broad field with many disciplines involved, so one could have an ‘orthopedic’ society for sports medicine, for example, or a ‘sports therapists’ society for sports medicine. Timeline: 1m 40s: What is AMSSM? What benefits does it provide primary care sports medicine physicians? 1m 20s: AMSSM President John Devine was at the White House for a national ‘bystanders’ conference – what can the public do to save lives? An initiative to ‘Stop the Bleed’. 1m 50s: Outline of the AMSSM Donjoy travelling fellowships in Australia (2014) and South Africa (2015) as well as the ECOSEP, Spain – providing international leadership. (Editors’ note, these are all BJSM member societies). 3m 20s: Junior NBA programme – NBA players (junior.nba.co) Sports Medicine Today – tips and fact sheets about different injuries for athletes, coaches, parents etc 4m 10s: Collaborative Solutions for Safety in Sport (CSSS): March 2015 meeting at the NFL headquarters (partnership with NATA). Emergency action plans – including Drs Jon Drezner, Kevin Guskiewicz and Doug Casa. Focused on factors such as personnel management, AEDs and prevention of heat stroke. Another example of AMSSM partnering to make changes across the US 5m 15s: Position statements that @theAMSSM is leading (completed and in the pipeline) Viscosupplementation (5:30) – Pros and cons of using Viscosupplementation in osteoarthritis (http://www.ncbi.nlm.nih.gov/pubmed/26729890) Mental Health – Under-recognised ‘silent injury’ – pressures of being an athlete per se Diagnostic ultrasound – building on previous work such as features in BJSM in 2015 (http://bjsm.bmj.com/content/49/3/145.1.long) Cardiovascular issues including ECG interpretation and pre-participation screening (coming out in 2016, ‘next year’ in the podcast because we recorded late in 2015) 6m 30s: Come to the Annual Meeting in Dallas, Texas, April 15-20 - http://ow.ly/X6yKo Hot topics and speakers include: Tendons (Hakan Alfredson), Running Medicine (Blaise Williams – ACSM exchange lecture), Medical issues (e.g. cardiovascular, respiratory) in sports including NBA protocols, pearls for event coverage, low back pain management advances, stress fracture prevention and Rx, emerging technologies in sports medicine. 7m 30s: Opportunities to serve AMSSM on exciting committees (not an oxymoron!) Links: AMSSM conference registration (and programme) http://ow.ly/X6AIx Hakan Alfredson’s classic (code for 2 years old now) BJSM tendon podcast http://ow.ly/X6AWA AMSSM Sports Medcast on injections with guest Matt Gammons (VP, AMSSM) http://ow.ly/X6BkZ Dr Irfan Asif’s recent podcast on HOW to promote lifestyle medicine (‘Exercise is Medicine’) http://ow.ly/X6Bww

Physiotherapist Dr Michael Skovdal Rathleff from the Research Unit for General Practice in Aalborg chats with Dr Dylan Morrissey from Queen Mary University of London and Barts Health NHS trust and Dr. Christian Barton from the new sport and exercise medicine research centre at Latrobe University in Australia. Both Dylan and Christian are clinically active physiotherapists working on moving research from journal papers into the hands of people who can put it to practical use. They discuss the challenges of clinicians being aware of the latest research and the researchers asking relevant questions. They propose to marry quantitative (eg. Systematic review) and qualitative (interviews, patient experience, clinician experience) approaches and they share examples of having already done this. Drs Rathleff, Morrissey & Barton will run a session on this topic at the Danish Sports Medicine and Physiotherapy Conference in Kolding, Denmark on 4-6th February. www.sportskongres.dk They’ll also speak on other topics (including running injuries) in an excellent programme packed with starts. Each speaker has many great papers and you can find two of those discussed in the podcast at these links: The 'Best Practice Guide to Conservative Management of Patellofemoral Pain': incorporating level 1 evidence with expert clinical reasoning. Barton CJ, Lack S, Hemmings S, Tufail S, Morrissey D. http://bjsm.bmj.com/content/49/14/923.full Conservative management of midportion Achilles tendinopathy: a mixed methods study, integrating systematic review and clinical reasoning Rowe V, Hemmings S, Barton C, Malliaras P, Maffulli N, Morrissey D http://www.ncbi.nlm.nih.gov/pubmed/23006143

All clinicians aim to classify muscle injury classifications to guide treatment and predict return – it’s a hot topic. The British Athletics Muscle Injury Classification is one helpful classification system and Dr Noel Pollock explains to Dr Markus Laupheimer (BJSM) how and why the Classification developed, as well as why the (older) Munich classification was not ideal. Listen for tips on how this classification adds something special and is of practical value for treating your athletes with muscle injuries. Timeline: 01:01m – Why a new muscle injury classification? 03:50m – Limitations of the Munich consensus Open access Munich Paper: http://bjsm.bmj.com/content/47/6/342.full.pdf+html 05:18m – British Athletics classification explained Open access British athletics paper: http://bjsm.bmj.com/content/48/18/1347.full 09:15m – Clinical application, follow up papers 12:00m – Discussion: MRI or not? http://bjsm.bmj.com/content/49/24/1579.full 14:05m – Future Development of muscle injury classification Links: British athletics muscle injury classification: a new grading system http://bjsm.bmj.com/content/48/18/1347.long (Open Access) Time to return to full training is delayed and recurrence rate is higher in intratendinous (‘c’) acute hamstring injury in elite track and field athletes: clinical application of the British Athletics Muscle Injury Classification http://bmj.co/1lWvDdy Previous podcast: The Munich muscle classification: Using it for more accurate diagnosis and treatment https://soundcloud.com/bmjpodcasts/the-munich-muscle-classification-using-it-for-more-accurate-diagnosis-and-treatment?in=bmjpodcasts/sets/bjsm-1 Range of BJSM podcast: http://bjsm.bmj.com/site/podcasts/ You can readily access BJSM podcasts via our Mobile App (BJSM). Latest sports medicine updates are posted via Twitter (@BJSM_BMJ)

AMSSM has a series of podcasts (https://www.amssm.org/E-Learning.php) and here experts highlight the management of shoulder, elbow and knee pain with a focus on the declining role of corticosteroid injections. The sports physicians discuss other injection treatment options – PRP, prolotherapy and viscosupplementation where relevant. Keep the AMSSM’s 2016 Annual Meeting in mind – Registration opens on January 8th. It will be in Dallas, Texas, April 15-20, 2016. And the special AMSSM issue of BJSM appears online first on January 18th, 2016.(Mental health theme). The experienced and popular hosts are Dr Blair Becker and Dr Scott Young, with special guest AMSSM Vice-President, Dr Matt Gammons. Timeline: 2:00 m Shoulder pain and subacromial corticosteroid injection – what is the level 1 evidence? 4:05 m What about corticosteroid for frozen shoulder? Does distention add benefits? 5:30 m Dr Gammons in his experience with adhesive capsulitis and shared decision making. 6:30 m The severity of symptoms may influence the decision. What would make it worth it for the patient to have an injection? 7:30 m PRP – platelet rich plasma. Again, as usually the case with PRP, no therapeutic benefit. What about prolotherapy? 8:30 m The AMSSM position statement on ultrasound guidance for shoulder injection. 12:30 m The elbow – an area where corticosteroids are becoming less popular. 15:30 m Is there support for long-term benefit of PRP? Nothing in the short term but a benefit at 2 years? 16:00 m Dr Gammons provides an overview. “Tools to add to the toolbox”, “Reasonable discussions to have with the patient”. Remember that the natural history is toward resolution. 17:00 m Shared decision making is key 17:30 m Moving on to the knee. Osteoarthritis and corticosteroid – short term benefit. Dealing with the acute flare-up. 18:40 m Viscosupplementation. See also the AMSSM scientific statement – (http://ow.ly/VKUxC ) and its recommendation for use in patients aged >60 years with grade 2 or 3 Kellgren-Lawrence. 20:00 m Dextrose prolotherapy for knee osteoarthritis (University of Wisconsin). 21:00 m Intra-articular PRP for knee osteoarthritis 23:30 m Other targets around the knee. Iliotibial band, pes anserinus as well as the patellar tendon. 25:30 m Summary of clinical practice – putting it all into perspective. Other links Clinical Journal of Sport Medicine blog and link to AMSSM Viscosupplementation position statement http://ow.ly/VKUxC Evidence against elbow PRP via Dr Robert-Jan de Vos: http://bjsm.bmj.com/content/48/12/952.long

The American Medical Society for Sports Medicine (AMSSM) is strongly committed to embedding Exercise is Medicine in the health of Americans. A member of the AMSSM’s leadership group is Associate Professor Irfan Asif, the Director of the Sports Medicine Fellowship within the Department of Family Medicine at the University of South Carolina Greenville. Our chat focuses on the practical aspects of Lifestyle Medicine – which is more than exercise medicine alone. You’ll hear about: (i) the patient’s journey through a 6-week clinical service, (ii) exercise being embedded in all 4 years of the medical curriculum, (iii) how medical students are engaging with high school students in very practical ways and with some surprising outcomes. We discuss the challenges of rolling out a lifestyle medicine programme in rural areas with minimal resources and the devil’s advocate asks the hard question: ‘Are doctors really the right persons in health care teams to prescribe exercise?’. Timeline: 00:47m - What is the Lifestyle Medicine clinic? Who is involved, what are the goals? 02:00m - The diet part – modifying the DASH diet with a Southern Flavour (Dietary Approaches to Stop Hypertension (http://ow.ly/VtPSR)) 04:00m - An example: walking through the patient’s journey – such as a patient with COPD. The role of partners such at the YMCA 05:30m - What the patient finds important – health or weight loss? 06:00m - How the curriculum embraces Lifestyle Medicine. See the link to Dr Jennifer Trilk’s work below (BJSM paper) 08:00m - Practical experiences of medical students within their communities. From given practical cooking advice to engaging high school students who are at risk of gang-related behaviour. Leadership concepts and team dynamic training – beyond the traditional medical model 10:00m - Physicians encouraging 7th & 8th grade children to ‘get your 30’ (minutes). Teaching CPR to children at this level. Encouraging young students to be open about concussion symptoms. Practical stuff 11:00m - Exercise Vital Sign: how many minutes do you exercise and how often do you exercise? Integrated into the Electronic Medical Record of the 13th largest health system in the US (with credit to Kaiser-Permanent as well). Flipping the health care system upside down from its focus on fee-for-service to prioritising prevention. 13:00m - Rural roll out: how to make this happen outside of major centres: ‘Think big but start small – practical first steps that will bring partners on board’ 14:45m - Taking a broader view – 'If we rely only on medical professionals to provide care our system is bound to sink'. 'There is plenty of pathology to go around'. The role of various health professionals in a team that provides excellence: 'Everyone plays a vital role' 15:30m - Dr Asif answers the hard question: 'What if an exercise professional feels he or she knows more about exercise prescription than the doctor?' Links: Incorporating ‘Exercise is Medicine’ into the University of South Carolina School of Medicine and Greenville Health System (Editorial, BJSM, 2014) - http://ow.ly/VtWv4 Check out the 2015 Physical Activity Issue of BJSM - http://bjsm.bmj.com/content/49/4.toc 2014 Physical Activity Issue of BJSM - http://bjsm.bmj.com/content/48/3.toc

In this 2nd of 2 podcasts for 2015 (link to previous one here http://ow.ly/V8h97) Professor Jill Cook from the La Trobe University Centre for Sports and Exercise Medicine Research (Australia) introduces the term ‘capacity’ for physical therapy / physiotherapy. ‘Capacity’ is a very practical concept that underpins successful tendon rehabilitation. Prof. Cook discusses how to use the figure from the linked paper to list exercises a patient should do. Practical stuff. 13 minutes of gold! Timeline: 1:00m - Why do we need the term ‘capacity’ in clinical practice? 1:30m - Definition – What is tissue ‘capacity’? 2:15m - The difference between ‘capacity’ and ‘function’ – capacity is tissue-specific 3:15m - Practical example: Hamstring muscle strain 5:30m - How to use this in the clinical setting – sitting with a patient and explaining the rehab programme 7:00m - The ‘Capacity’ figure – how to use it with patients to get buy-in to their rehabilitation 8:30m - ‘Building a bridge’ from what patients can do now to what they want to return to 9:00m - Practical tips including examples of (i) strength, (ii) energy storage, (iii) energy storage & release exercises 12:00m - Summary (30 seconds!) Previous podcast: How tendons fail, how to treat in season/out of season http://ow.ly/V8h97 Related papers: The Continuum model of tendinopathy http://ow.ly/V8hLr The challenge of managing tendinopathy during the season http://ow.ly/V8oTl Capacity – the paper (with Figure!) that underpins this podcast! http://bmj.co/1MIaBrx

Dr. Mark Hutchinson is professor of orthopaedics and head of the sports medicine services at the University of Illinois College of Medicine. He has been a team physician for the WNBA Chicago Sky, USA gymnastics, USA Field Hockey, USA Basketball and Team USA at two World University Games and the Paralympics Games. In this second of a two-part set, he discusses management of the patient who presents with recent onset of acute knee pain. You might be surprised by some of what this orthopaedic surgeon says! Timeline: 1:30m - Does everybody who ruptures an ACL need a knee reconstruction? 2:00m - How do you advise the person who wants to play soccer? 3:00m - How can you tell whether someone will make a good recovery or not with exercise therapy (not surgery)? 4:00m - OK for patients to go through a trial of physio to see if they are going to be stable or not 5:30m - Management of children who rupture their ACL. It’s a hot topic. On the one hand kids may be less compliant with ACL-risky behaviours than adults; on the other hand, operating and crossing growth plates can cause significant problems 7:30m - The key study by Håvard Moksnes and Lars Engebretsen – ACL injuries in kids (http://www.ncbi.nlm.nih.gov/pubmed/26025937) (not open access) 7:45m - How to discuss ACL management options with patients directly – ‘Tell us what you say to the patient Hutch’ (An introduction to shared decision-making) 9:15m - Non-operative, quality physiotherapy for ACL deficient patients 10:15m - Does ACL reconstruction prevent osteoarthritis? 11:15m - The elephant in the room – what about management of the patient whose ACL reconstruction has reruptured? 12:45m - Injuring the other knee – a disaster that occurs all too often! 13:30m - Psychological factors: a neglected part of the equation? http://bjsm.bmj.com/content/48/21/1543.abstract 14:30m - Return to play after reconstruction: the mind matters too! What is the optimal time for collagen healing? Coordination training, functional tests. 16:45m - Return to play with an unoperated knee: with a focus on neuromuscular training exercises Links: Previous BJSM podcasts: Pearls on knee examination: http://ow.ly/UBy3v Pearls on treating shoulder conditions and one wrist bonus: http://ow.ly/UBym YouTube videos on Physical Examination have been viewed more than 5 million times! https://www.youtube.com/user/BJSMVideos YouTube video: 39-minute lecture by Associate Editor Dr Clare Ardern on similar issues – return to play after ACL injury https://youtu.be/P_JJf0h6rhU Want a replay from last week? (1st podcast in this set) A 40-year old patient presents with an acute exacerbation of knee pain – Professor Hutchinson discusses whether arthroscopy is helpful in the arthritic knee. Which ones need orthopaedic referral? https://soundcloud.com/bmjpodcasts/mark-hutchinson?in=bmjpodcasts/sets/bjsm-1 Return to Play conference 2016: April 9-11, London (UK). The immensely successful annual Football Medicine Strategies conference focuses on Return to Play for all football injuries – not just ACL. Give this one serious consideration – top programme with over 100 invited speakers, terrific international audience (you will feel at home), friendly atmosphere and convenient venue. All the benefits of London without the need to own an expensive home there! http://www.footballmedicinestrategies.com/en/

Professor Mark Hutchinson, University of Chicago, Illinois, is an international leader in Orthopaedics and Sports Medicine. He has worked closely with the US Olympic Committee by serving at the Training Centre in Colorado and being part of Team USA at the Pan American Games in Canada (2015). In this first of two podcasts, he discusses management of the patient who presents with recent onset of acute knee pain. You might be surprised by some of what this orthopaedic surgeon says! Timeline 1:30m - Importance of a broad clinical workup 2:23m - In the arthritic knee, arthroscopy does not improve patient outcomes. 3:00m - Arthroscopy versus physiotherapy in MRI proven degenerative meniscal tears: no difference 3:30m - What about when there are mechanical symptoms such as ‘locking’ or ‘giving way’? Prof Hutchinson says these may warrant a surgical referral. 4:30m - What would most orthopaedic surgeons do when faced with our clinical scenario? 5:30m - How long should the patient /physiotherapist persist with conservative management? What are the indications for arthroscopy? “Arthroscopy generally doesn’t treat arthritis”. Links: Two previous podcasts on BJSM podcasts Pearls on knee examination: http://ow.ly/UBy3v Pearls on shoulder examination plus one wrist bonus: http://ow.ly/UBym8 Mark's YouTube videos on Physical Examination have been viewed more than 5 million times! https://www.youtube.com/user/BJSMVideos Next week: (2nd podcast) a patient presents after rupturing her/his ACL. Does she/he need a knee reconstruction and what are the issues about return to play?