BJSM Podcast

Professor Jan Ekstrand is orthopedic surgeon and vice-chairman of the UEFA medical committee. He is professor of Sports Medicine at the University of Linköping, Sweden. He has been team physician of the Swedish National Soccer team. Since 1982, professor Ekstrand has been running prospective studies related to the epidemiology of sports injuries in football. Since 2001, he has carried out EUFA injury audits in elite professional football with the aim of increasing safety in football through prospective research of 75 professional football clubs from 10 different European countries. In this podcast with Babette Pluim, he discusses hamstring injuries. See also: Terminology and classification of muscle injuries in sport: The Munich consensus statement http://goo.gl/AnZxHL Hamstring muscle injuries in professional football: the correlation of MRI findings with return to play http://goo.gl/dXCJ8Z Return to play after thigh muscle injury in elite football players: implementation and validation of the Munich muscle injury classification http://goo.gl/8ETTeC Diagnosis and prognosis of acute hamstring injuries in athletes http://goo.gl/WhfzyN Recurrent hamstring muscle injury: applying the limited evidence in the professional football setting with a seven-point programme: http://bit.ly/1BjpMSB The predictive validity of a single leg bridge test for hamstring injuries in Australian Rules Football Players: http://bit.ly/1rd8uUJ Risk factors for hamstring injuries in community level Australian football: http://bit.ly/1rzW19c Predicting return to play after hamstring injuries: http://bit.ly/1sIJMvh Hamstring injury mini-symposium (BJSM papers that will help you manage hamstring injuries): http://bit.ly/1uWyHot Injuries will decide the English Premier League Title (once again!): http://bit.ly/1m18dN9

Professor Jan Ekstrand is orthopedic surgeon and vice-chairman of the UEFA medical committee. He is professor of Sports Medicine at the University of Linköping, Sweden. He has been team physician of the Swedish National Soccer team. Since 1982, professor Ekstrand has been running prospective studies related to the epidemiology of sports injuries in football. Since 2001, he has carried out EUFA injury audits in elite professional football with the aim of increasing safety in football through prospective research of 75 professional football clubs from 10 different European countries. In this podcast with Babette Pluim, he discusses the outcome and major trends of the UEFA Study. See also: Fewer ligament injuries but no preventive effect on muscle injuries and severe injuries: an 11-year follow-up of the UEFA Champions League injury study http://goo.gl/uyubyI Fifth metatarsal fractures among male professional footballers: a potential career-ending disease http://goo.gl/9gd93a Injuries affect team performance negatively in professional football: an 11-year follow-up of the UEFA Champions League injury study http://goo.gl/hunCiJ Methods for epidemiological study of injuries to professional football players: developing the UEFA model http://goo.gl/vKiYd4 Muscle injury rates in professional football increase with fixture congestion: an 11-year follow-up of the UEFA Champions League injury study http://bjsm.bmj.com/content/47/12/743 Comparison of injury incidences between football teams playing in different climatic regions http://goo.gl/kkLcmh Recurrence of Achilles tendon injuries in elite male football players is more common after early return to play: an 11-year follow-up of the UEFA Champions League injury study http://bjsm.bmj.com/content/47/12/763 The Nordic Football Injury Audit: higher injury rates for professional football clubs with third-generation artificial turf at their home venue http://goo.gl/Kazt3B The UEFA injury study: 11-year data concerning 346 MCL injuries and time to return to play http://bjsm.bmj.com/content/47/12/759.abstract Time-trends and circumstances surrounding ankle injuries in men’s professional football: an 11-year follow-up of the UEFA Champions League injury study http://bjsm.bmj.com/content/47/12/748.abstract Epidemiology of injuries in the Australian Football League, seasons 1997–2000: http://bit.ly/1m18vDV UEFA Champions League study: a prospective study of injuries in professional football during the 2001–2002 season: http://bit.ly/1pQSQuE Evaluating the level of injury in English professional football using a risk based assessment process: http://bit.ly/1oA2K5C Injury patterns in high-performance curlers (the sport has 2 million players worldwide although has 200x less publications than Aussie Rules Football!): http://bit.ly/1uAD636

Did you listen to Ray Moynihan’s podcast on ‘’Overdiagnosis in sports medicine”? That’s a ‘gold’ podcast (>5000 listens) and Peter O’Sullivan now extends those ideas into the realm of sports physiotherapy. “We can massively create health problems” warns Prof O’Sullivan speaking about the way clinicians may explain pathology to patients. If not explained appropriately, MRI and other imaging can have a negative effect on a patient’s perception of injury. Pete refers to this free paper in RADIOLOGY: McCullough et al. Lumbar MR imaging and reporting epidemiology: do epidemiologic data in reports affect clinical management? Radiology. 2012 Mar;262(3):941-6. doi: 10.1148/radiol.11110618. If you missed Ray Moynihan’s podcast, here’s the link: http://bit.ly/1oA45UC See also: Listen to Prof O'Sullivan discussing low back pain: http://goo.gl/WgseGQ It's time for change with the management of non-specific chronic low back pain: http://bjsm.bmj.com/content/46/4/224.full Successful antibiotic treatment in a subset of people with chronic low back pain: http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/ Professor Peter O’Sullivan (Curtin) walks you through two cases of low back pain: https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-curtin-walks-you-through-two-cases-of-low-back-pain ‘Overdiagnosis’ in sports medicine? FAI for example? The great Ray Moynihan (‘Selling sickness’: https://soundcloud.com/bmjpodcasts/overdiagnosis-in-sports-medicine-fai-for-example-the-great-ray-moynihan-selling-sickness

Who are the biggest names in the back pain world? Correct – Peter O’Sullivan is one of them. He's provocative, clinically-relevant, and vastly experienced. He’s desperate to help patients, that’s obvious! But not everyone has to agree. Listen to his take on management of both chronic, and acute, back pains – does it make sense to you? Peter O’Sullivan is Professor of Musculoskeletal Physiotherapy at Curtin University, Perth, (http://goo.gl/Dk6beV)and a Specialist Musculoskeletal Physiotherapist who consults at bodylogicphysiotherapy.com. ------ See also: It’s time for change with the management of non-specific chronic low back pain (2012) http://bit.ly/1nY6YxK Professor O’Sullivan discusses the risk of clinicians ‘overservicing’ or ‘overdiagnosing’ various conditions in another BJSM podcast: http://goo.gl/7HYDiX Successful antibiotic treatment in a subset of people with chronic low back pain: http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/ ‘Overdiagnosis’ / ‘overtreating’– relevant in sportsphysio/medicine? Professor Peter O’Sullivan: https://soundcloud.com/bmjpodcasts/overdiagnosis-overtreating-relevant-in-sportsphysiomedicine-peter-osullivan

In this concise, information-rich BJSM podcast, sports cardiologist Aaron Baggish shares his expertise on the critical issue of sudden cardiac death in sport. He explains how to determine which ECG changes in athletes are sinister and which may not be (such as right bundle branch block). He argues for a detailed screening program for elite athletes and gives advice for those whose care is not covered by a professional sporting organization. The Boston Marathon has provided valuable lessons for where to locate defibrillators in this type of event. A sports cardiology refresher in just 11 minutes! Recorded at the Summit – Leaders in Performance – New York (June 17/18 2014); with permission from Leaders (James Worrall). Aaron Baggish's session at Leaders was sponsored by Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar. See also: J Drezner, M Ackerman, J Anderson et al. Electrocardiographic interpretation in athletes: the ‘Seattle Criteria’ bit.ly/1ic8P6i P Biddinger, A Baggish, L Harrington, P d’Hemecourt, J Hooley, The Boston Marathon and Mass-Casualty Events bit.ly/1lEtkaK BMJ Learning: ECG interpretation in athletes: bit.ly/1lI8djo Incidence of sudden cardiac death in athletes: a state-of-the-art review: http://bjsm.bmj.com/content/48/15/1185.full The FIFA medical emergency bag and FIFA 11 steps to prevent sudden cardiac death: setting a global standard and promoting consistent football field emergency care: http://bjsm.bmj.com/content/47/18/1199.full Cardiovascular screening in adolescents and young adults: a prospective study comparing the Pre-participation Physical Evaluation Monograph 4th Edition and ECG: http://bjsm.bmj.com/content/48/15/1172.full Mass ECG screening of young athletes: http://bjsm.bmj.com/content/42/9/707.full Sudden Cardiac Arrest and Cardiac Screening: A trainee perspective: http://blogs.bmj.com/bjsm/2012/10/18/sudden-cardiac-arrest-and-cardiac-screening-a-trainee-perspective/ David Epstein – ‘The Sports Gene’ author (Part 2) – Hearts and blood: https://soundcloud.com/bmjpodcasts/david-epstein-the-sports-gene-author-part-2-hearts-and-blood

Irene Davis is a renowned biomechanics clinician and scientist. Barefoot running has been one of her areas of focus and she co-authored the Nature paper that received cover attention and created mainstream attention to that topic. She and first author Dr Patrick McKeon, conceived of the idea of a foot ‘core’; if certain foot muscles act as a core it has immediate implications for management in clinical practice. Listen to Professor Davis and see the linked paper (below). Let us know if you agree, disagree. Tweet or write a blog post (email to [email protected]). One of few researchers who addresses this issue, Prof Davis is a regular keynote speaker at major international conferences. In this BJSM podcast she shares her clinical approach to assessing patients where the ‘foot core’ may be relevant. See also: ‘The foot core system: a new paradigm for understanding intrinsic foot muscle function’: http://bit.ly/1zw4Syw Listen to Prof Davis discussing how to treat patellofemoral pain in another BJSM podcast: http://goo.gl/kxse10 Barefoot running: an evaluation of current hypothesis, future research and clinical applications: http://bjsm.bmj.com/content/48/5/349.full The foot core system: a new paradigm for understanding intrinsic foot muscle function: http://bjsm.bmj.com/content/early/2014/03/21/bjsports-2013-092690.full Running in a minimalist and lightweight shoe is not the same as running barefoot: a biomechanical study: http://bjsm.bmj.com/content/47/6/387.full Patellofemoral pain: consensus statement from the 3rd International Patellofemoral Pain Research Retreat held in Vancouver, September 2013: http://bjsm.bmj.com/content/48/6/411.full Baffled by the barefoot running vs traditional running shoe controversy? How to make an informed choice!: http://blogs.bmj.com/bjsm/2013/10/28/baffled-by-the-barefoot-running-vs-traditional-running-shoe-controversy-dont-be-make-an-informed-choice/ Patellofemoral pain syndrome? Consider orthoses or more comfortable shoes!: http://blogs.bmj.com/bjsm/2011/02/24/patellofemoral-pain-syndrome-consider-orthoses-or-more-comfortable-shoes/ Professor Irene Davis (Harvard) on treating patellofemoral pain: https://soundcloud.com/bmjpodcasts/professor-irene-davis-harvard-on-treating-patellofemoral-pain

The most prevalent condition diagnosed in most sports medicine clinics is patellofemoral pain. Professor Irene Davis is one of the world’s leading physiotherapists and researchers who addresses this issue. She’s a regular keynote speaker at major international conferences. In this BJSM podcast she shares her approach to assessing the patient with patellofemoral pain. From this basis she outlines a range of therapeutic options. Professor Davis was a catalyst for the International Patellofemoral Pain Research Retreats (IPFRR). You can read the full Consensus Statement from the 3rd of these conferences in the special BJSM theme issue highlighted by the Swiss Sports Physiotherapy Association (http://www.sportfisio.ch/) at the link below. See also: Patellofemoral Pain Consensus statement: http://bit.ly/RzNirr Introduction/overview – why have an international patellofemoral pain consensus meeting?: http://bit.ly/TZvtmO Professor Davis discussing ‘the foot core’ concept in another BJSM podcast: http://goo.gl/nUigMB Patellofemoral pain: consensus statement from the 3rd International Patellofemoral Pain Research Retreat held in Vancouver, September 2013: http://bjsm.bmj.com/content/48/6/411.full The 3rd International Patellofemoral Research Retreat: An international expert consensus meeting to improve the scientific understanding and clinical management of patellofemoral pain: http://bjsm.bmj.com/content/48/6/408.full Is hip strength a risk factor for patellofemoral pain? A systematic review and meta-analysis: http://bjsm.bmj.com/content/48/14/1088.full High knee abduction moments are common risk factors for patellofemoral pain (PFP) and anterior cruciate ligament (ACL) injury in girls: Is PFP itself a predictor for subsequent ACL injury?: http://bjsm.bmj.com/content/early/2014/03/31/bjsports-2013-092536.full Patellofemoral pain syndrome? Consider orthoses or more comfortable shoes!: http://blogs.bmj.com/bjsm/2011/02/24/patellofemoral-pain-syndrome-consider-orthoses-or-more-comfortable-shoes/ Professor Irene Davis - Does the concept of the abdominal ‘core’ apply to the foot too?: https://soundcloud.com/bmjpodcasts/does-the-concept-of-the-abdominal-core-apply-to-the-foot-too-professor-irene-davis-harvard

Dr Shabaaz Mughal and Geoff Scott from Tottenham Hotspurs join James Walsh to talk about how to get into working in elite football, the multi-disciplinary team working environment in elite sport, concussion, Fabrice Muamba and cardiac arrest, as well as the Fifa 11+ and injury prevention. See also: A pilot study examining injuries in elite gaelic footballers: http://bjsm.bmj.com/content/34/2/104.full The FIFA medical emergency bag and FIFA 11 steps to prevent sudden cardiac death: setting a global standard and promoting consistent football field emergency care: http://bjsm.bmj.com/content/47/18/1199.full

Jon Patricios, President of the South African Sports Medicine Association (SASMA) and editor of BJSM July 2014, Volume 48, Issue 14, chats to Dr Josep "Chuck" Cakic, a renowned Croatian-born South African Hip Arthroscopist, chair of the South African Society for Hip Arthroscopy (SASHA) and an executive member of the International Society of Hip Arthroscopy (ISHA). They discuss key issues regarding hip injuries in sport, accurate diagnosis and selecting patients for surgery. See also: Hip Stage Screening Protocol: http://goo.gl/7BNrY2 Hip Joint Screening Initiative: http://goo.gl/kkEkvQ Risk factors for groin/hip injuries in field-based sports: a systematic review: http://bjsm.bmj.com/content/48/14/1089.full The association between hip and groin injuries in the elite junior football years and injuries sustained during elite senior competition: http://bjsm.bmj.com/content/44/11/799.full UEFA injury study: a prospective study of hip and groin injuries in professional football over seven consecutive seasons: http://bjsm.bmj.com/content/43/13/1036.full Hip flexibility and strength measures: reliability and association with athletic groin pain: http://bjsm.bmj.com/content/43/10/739.abstract Managing the PAINFUL hip and groin in sport – a focus on conservative Rx – Prof Mike Reiman (Part 2): https://soundcloud.com/bmjpodcasts/managing-the-painful-hip-and-groin-in-sport-a-focus-on-conservative-rx-mike-reiman-part-2 Duke University’s Assoc Prof Mike Reiman on managing the stiff hip in sport – is it FAI? (Part 1): https://soundcloud.com/bmjpodcasts/duke-universitys-assoc-prof-mike-reiman-on-managing-the-stiff-hip-in-sport-is-it-fai-part-1

This podcast logically follows (Part 1) below but it stands alone as well. Painful hip and groin pain requires a careful history looking for aggravating factors and risk factors, as well as targeted physical examination including but not limited to the hip and groin. Duke University’s Associate Prof Mike Reiman shares specific tips for both assessing, and rehabilitating, the patient with hip and groin pain. See also: Jo Kemp, Kay Crossley, Ewa Roos. What fooled us in the knee may trip us up in the hip: lessons from arthroscopy: bit.ly/1pifElu Per Holmich, Kristian Thorborg, Pedersen Nyvold. Does bony hip morphology affect the outcome of treatment for patients with adductor-related groin pain?: bit.ly/1ic7PPu UEFA injury study: a prospective study of hip and groin injuries in professional football over seven consecutive seasons: http://bjsm.bmj.com/content/43/13/1036.full Risk factors for groin/hip injuries in field-based sports: a systematic review: http://bjsm.bmj.com/content/48/14/1089.full The association between hip and groin injuries in the elite junior football years and injuries sustained during elite senior competition: http://bjsm.bmj.com/content/44/11/799.full Hip flexibility and strength measures: reliability and association with athletic groin pain: http://bjsm.bmj.com/content/43/10/739.abstract Jon Patricios - Hip injuries in sport, in association with SASMA: https://soundcloud.com/bmjpodcasts/hip-injuries-in-sport-in-association-with-sasma Duke University’s Assoc Prof Mike Reiman on managing the stiff hip in sport – is it FAI? (Part 1): https://soundcloud.com/bmjpodcasts/duke-universitys-assoc-prof-mike-reiman-on-managing-the-stiff-hip-in-sport-is-it-fai-part-1

Managing the athlete with hip stiffness detected at a physical exam or in a PPE is one of the hottest topics of 2014. Some would argue that nothing needs to be done given that the patient is asymptomatic but on the other hand many orthopaedic papers argue for ‘preventive’ osteotomy. Is this ‘overdiagnosis’ and ‘overtreatment’? Mike Reiman is a highly respected clinician-academic and he has integrated the literature on this topic with his clinical expertise. A ‘must’ podcast for physiotherapists, ATCs and doctors who take care of active people. See also: Diagnostic accuracy of clinical tests of the hip: a systematic review with meta-analysis: bit.ly/1inIRfW Physical examination tests for hip dysfunction and injury: bit.ly/1lHRoVP Jo Kemp, Kay Crossley, Ewa Roos, What fooled us in the knee may trip us up in the hip: lessons from arthroscopy: bit.ly/1pifElu Julianne Ryan, Neasa DeBurca, Karen McCreesh, Risk factors for groin/hip injuries in field-based sports: a systematic review: bit.ly/1sq5ip2 Hip chondropathy at arthroscopy: prevalence and relationship to labral pathology, femoroacetabular impingement and patient-reported outcomes: http://bjsm.bmj.com/content/48/14/1102.full Jon Patricios - Hip injuries in sport, in association with SASMA: https://soundcloud.com/bmjpodcasts/hip-injuries-in-sport-in-association-with-sasma Managing the PAINFUL hip and groin in sport – a focus on conservative Rx – Prof Mike Reiman (Part 2): https://soundcloud.com/bmjpodcasts/managing-the-painful-hip-and-groin-in-sport-a-focus-on-conservative-rx-mike-reiman-part-2

Jennie Morton is a UCL Honorary Lecturer on the MSc in Performing Arts Medicine, and lectures for The British Association for Performing Arts Medicine, Dance UK and many performing arts schools and teaching organisations. She also co-runs a dance school in Tring, Hertfordshire, and is a faculty member of The Wells Summer School with Dancers of the Royal Ballet. She still performs as a professional singer with the Manhattan Music. She speaks with James Walsh about the challenges of treating performing artists and musicians, her work with the British Association of Performing Arts Medicine(http://www.bapam.org.uk), and the crossover project with the american college of sports medicine (http://athletesandthearts.com/). See also: Fitness levels of middle aged martial art practitioners: http://bjsm.bmj.com/content/38/2/143.full Risk of cervical injuries in mixed martial arts: http://bjsm.bmj.com/content/39/7/444.full Dance training intensity at 11–14 years is associated with femoral torsion in classical ballet dancers: http://bjsm.bmj.com/content/40/4/299.full Changes in hip and ankle range of motion and hip muscle strength in 8–11 year old novice female ballet dancers and controls: a 12 month follow up study: http://bjsm.bmj.com/content/35/1/54.full

Professor Lorimer Moseley holds the Inaugural Chair in Physiotherapy at the University of South Australia as well as being a Professor of Neurosciences. He completed his PhD in 2002 and has both learned and shared wisdom at the Universities of Queensland, Sydney and Oxford before settling in Adelaide. He leads the Body in Mind Research Group and coauthored the best-selling ‘Explain Pain’. In this podcast he answers questions from Ebonie Rio, Department of Physiotherapy, Monash University, covering the important difference between pain and nociception, and sharing thoughts on how pain science can help clinicians working in sports medicine. You’ll hear him share the best, and worst, ways to explain pain to patients. He predicts how low back pain management will look in 100 years’ time. As always with Lorimer Moseley. expect thoughtful reflections shared with big dob of humour and humility. See also: TEDx talk ‘Why things hurt’: http://www.youtube.com/watch?v=gwd-wLdIHjs Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: a randomised cross-over experiment http://goo.gl/zaNX8s Are children who play a sport or a musical instrument better at motor imagery than children who do not? http://goo.gl/Xv9Qum Exercise is medicine, for the body and the brain: http://bjsm.bmj.com/content/48/12/943.full Chronic traumatic encephalopathy in sport: a systematic review: http://bjsm.bmj.com/content/48/2/84.full

Apophyseal injury in children and adolescents are common and usually respond to simple unloading interventions. But what is the underlying pathology and why do some children succumb and others not? And why do some apophyses become painful and others fail completely with a complete avulsion? Despite these questions it is an area that is under-researched and few people have a specific interest in this area. Listen to the insights of Dr Matthieu Sailly, who is a French sports physician who has expertise and research interest in injuries in young athlete. He was the head of the Aspire Academy medical centre where he worked extensively with highly trained adolescent athletes and developed experience on growth related injuries and long term development strategies for immature athletes in various sports. See also: Physeal injuries in children’s and youth sports: reasons for concern?: http://bjsm.bmj.com/content/40/9/749.full Sports-related acute and chronic avulsion injuries in children and adolescents with special emphasis on tennis: http://bjsm.bmj.com/content/41/11/827.full “Goalkeeper’s hip”: acute haematogenous osteomyelitis secondary to apophyseal fractures: http://bjsm.bmj.com/content/40/9/808.full

Over-diagnosis, over-treatment and industry influence. Surely not in sports medicine? Ray Moynihan is an internationally renowned contributor in the battle to limit any inappropriate influence of pharmaceutical, diagnostic, and technology companies on good clinical practice. He shares his concerns about the role of drug/implant companies but also argues that clinicians may well be contributing to suboptimal care – almost subconsciously. This is relevant for conditions such as femoroacetabular impingement (FAI). The issue of ‘preventive’ surgery to prevent future arthritis in currently pain-free hips is a massive issue in sports medicine of course. How do we know which patients need this treatment? Enjoy this podcast from a voice outside BJSM’s traditional network of physiotherapists, physicians, massage therapists, clinicians working with active people. When we planned the podcast, Ray Moynihan said he didn’t know about sport but I think you’ll agree that what he offers is hugely relevant to sport and exercise medicine. Thanks Ray! And the 2nd ‘Preventing Overdiagosis’ conference is at Oxford from September 15-17 – just google ‘overdiagnosis conference’. Share your thoughts to @BJSM_BMJ - is this a problem in sports medicine? See also: Online First editorial about FAI: http://goo.gl/ziOLNz In the June issue of BJSM we carry a review of PRP suggesting it isn’t helpful: http://goo.gl/xARb44 The authors of one of the key papers respond here: http://goo.gl/B1hxqc You can read several of Ray Moynihan’s papers in the BMJ including this one that summarises his thoughts on overdiagnosis: http://goo.gl/8uxcGS Repudiation of the ‘magic bullet’ approach to health improvement: a call to empower people to get moving and take charge: http://bjsm.bmj.com/content/46/5/303.full ‘Overdiagnosis’ / ‘overtreating’– relevant in sportsphysio/medicine? Professor Peter O’Sullivan: https://soundcloud.com/bmjpodcasts/overdiagnosis-overtreating-relevant-in-sportsphysiomedicine-peter-osullivan

Here’s the podcast that over 12,000 listeners have been demanding – physiotherapist Adam Meakins (@TheSportsPhysio)on a number of controversial topics, including: Is diagnostic palpation accurate? Can the sacroiliac joint really be ‘unstable’? How does ‘touch’ in physiotherapy have its therapeutic effect? Adam provides great value on Twitter and on his blog – here you can listen to him in your favourite podcast setting. Adam shares his way of explaining neural pain to patients and that alone is worth the price. He also discusses his popular blogs on ‘5 Least Favourite Shoulder Rehab Exercises’ as well as ‘Top 5 Shoulder Rehab Exercises’. He argues that the key to managing some knee conditions is to manage load and he refers to Scott Dye’s classic ‘envelope of function’ concept. And we close by discussing a couple of figures that have gained great traction in the Twittersphere. You might find them useful in your clinical practice. But it’s a risk on radio – I get that! Enjoy and comment via @BJSM_BMJ or on Facebook. See also: Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain: http://bjsm.bmj.com/content/47/17/1095.full Effectiveness of soft tissue massage and exercise for the treatment of non-specific shoulder pain: a systematic review with meta-analysis: http://bjsm.bmj.com/content/48/16/1216.full Rehabilitation for shoulder instability: http://bjsm.bmj.com/content/44/5/333.full Biomechanics laboratory-based prediction algorithm to identify female athletes with high knee loads that increase risk of ACL injury: http://bjsm.bmj.com/content/45/4/245.full

Integrating athlete care – ‘one stop shop’ to optimize athlete care - sports medicine with a focus on PERFORMANCE. Dr Paul Dijkstra has vast experience in elite track and field athlete care. He shares his experience from UK Athletics – the team won 4 gold medals at the London Olympic Games. What’s new in this approach? This model of athlete care emphasises the partnership among not only the health professionals, but also with the strength and conditioning team and the coach(es). Also emphasised is performance – too often clinicians tend to focus exclusively on health whereas the athlete’s focus is performance. Dr Dijkstra provides case scenarios -- how the management model works in real life. He shares the public domain case of UK heptathlete Jessica Ennis who forewent the Beijing Olympic Games (2008) because of a navicular stress fracture, but chose full healing and a longer future over ‘patch up’ to get to the 2008 Olympic Games. The paper outlining this approach was featured in the April issue of BJSM supported by the IOC (Injury Prevention, Health Protection). You can read the Open Access paper here: http://bjsm.bmj.com/content/48/7/523.full See also: Seeing you through London 2012: eye care at the Olympics: http://bjsm.bmj.com/content/47/7/463.full The role of sports physiotherapy at the London 2012 Olympic Games: http://bjsm.bmj.com/content/48/1/63.full The London 2012 Summer Olympic Games: an analysis of usage of the Olympic Village ‘Polyclinic’ by competing athletes: http://bjsm.bmj.com/content/47/7/415.full Fit and healthy Paralympians—medical care guidelines for disabled athletes: a study of the injuries and illnesses incurred by the Polish Paralympic team in Beijing 2008 and London 2012: http://bjsm.bmj.com/content/47/13/844.full Massage provision by physiotherapists at major athletics events between 1987 and 1998: http://bjsm.bmj.com/content/38/2/235.full Care of the multisport athlete: lessons from Goldilocks: http://bjsm.bmj.com/content/45/14/1086.full Public health implications of establishing a national programme to screen young athletes in the UK: http://bjsm.bmj.com/content/45/7/576.full Suicide, sport and medicine: more education and awareness needed for athletes’ mental health: http://blogs.bmj.com/bjsm/2012/12/10/suicide-sport-and-medicine-more-education-and-awareness-needed-for-athletes-mental-health/ “How does a clinician know what’s in the athlete’s best interest?” An Olympic experience: http://blogs.bmj.com/bjsm/2012/08/24/what-defines-an-athletes-best-interest-an-olympic-experience/

Isabel van Obergen and Hannes Cleppe discuss their prevention platform for sports: a software program (SpartaNova) that is in the ‘e-Health’ category for physiotherapy and sports medicine. We begin with an obvious competing interest disclaimer. BJSM has no financial interest or association with SpartaNova. Because clinicians use specific products, such as ‘Theraband’ ® for example, BJSM will report on the utility of such products while being open about any competing interests. Have you considered using software in your practice? Feel free to suggest what we should assess. We love to share ‘success stories’ – and if a commercial product adds value for you we’d report that information. Our guests in this podcast are the CEO of SpartaNova, (IvO) who was attending London’s ‘Leaders in Performance’ conference in 2013, and Hannes Cleppe, who trained as a physiotherapist in Belgium and the US before focusing on developing the injury prevention module for this product. The team includes active clinical advisors as well as experts in computer sciences and maths and closely co-operates with science partners from its founding universities and a broader network of researchers. See also: Developing an injury tracking software system specific for volleyball: a case example: http://bjsm.bmj.com/content/45/6/545.3.abstract Visual or computer-based measurements: important for interpretation of athletes’ ECG: http://bjsm.bmj.com/content/48/9/761.full

With Rob Swire (Manchester United) and Stijn Vandenbroucke (Moscow Dynamo). ‘You always start off the season with a masterplan of what you are wanting to do but we’ve never had a master plan that works or goes anywhere near where it is supposed to, but you just try your best’. Given this validation of what you are doing, listen and see how you CAN make prevent injuries and improve team performance by working as a team with your other health professional as well as strength and conditioning colleagues. It’s all about load monitoring and here you can hear from two very experienced physios in the field. What role GPS? What role other software? This is a scenario where ‘e-Health’ or ‘M-health’ meets performance. Our guests speak about how to customise training and monitor players’ adaptation – What are the things to watch out for? When can a player return to training after an injury spell? Is the coach the greatest risk factor – and can the GPS help communicate load messages to the coach? See also: General practitioners’ perceptions and practices of physical activity counselling: changes over the past 10 years: http://bjsm.bmj.com/content/43/14/1149.full Technology in Paralympic sport: performance enhancement or essential for performance?: http://bjsm.bmj.com/content/44/3/215.full Planning and implementing a nationwide football-based health-education programme: http://bjsm.bmj.com/content/46/1/6.full Monitoring stress and recovery: new insights for the prevention of injuries and illnesses in elite youth soccer players: http://bjsm.bmj.com/content/44/11/809.full Reproducibility of computer based neuropsychological testing among Norwegian elite football players: http://bjsm.bmj.com/content/39/suppl_1/i64.full

Rob Swire has had 22 years of experience at Manchester United. BJSM asked him ‘How do you screen a professional football team pre-season?’ He shares how it’s done, as well as the challenges of being a team clinician and struggling to keep up with continuing education. In the most recent season, Manchester United have moved to include a software package to simplify their screening data entry, risk calculation and the offer of advice as to what might be appropriate exercises in specific settings. ‘I’m a pragmatic (physio) surfing on a wave of science’ was how Steyn Van der Bruggen described his role. Previously at West Ham and more recently at Moscow Dynamo, he shares his approach on how to evaluate players’ functional capacity and then address limitations with targeted exercise. See also: Impact energy attenuation performance of football headgear: http://bjsm.bmj.com/content/34/5/337.full Dehydration of football referees during a match: http://bjsm.bmj.com/content/37/6/502.full Reductions in pre-season training loads reduce training injury rates in rugby league players: http://bjsm.bmj.com/content/38/6/743.full The effect of pre-season dance training on physical indices and back pain in elite cross-country skiers: a prospective controlled intervention study: http://bjsm.bmj.com/content/38/2/148.full Community football players’ attitudes towards protective equipment—a pre-season measure: http://bjsm.bmj.com/content/38/4/426.full Concussion, risk assessment, and practical steps to reform: Learning from the Hugo Lloris example: http://blogs.bmj.com/bjsm/2013/11/21/concussion-risk-assessment-and-steps-to-reform-learning-from-the-lloris-example/

Are you an exercise advocate? Dr Mike Loosemore, leader of the ‘Exercise is Medicine’ task force in the UK shares recent advances in this field. He spearheaded a most successful conference in that topic in 2013 and shares highlights with BJSM Editor Karim Khan. He previews the 2014 Exercise Medicine conference which you can catch at the Royal Society of Medicine in London on Friday June 20 and Saturday June 21. Keynote speakers include Professors Steven Blair and Greg Whyte. Here is the link for the meeting; themes include the role of technology, digital health and influencing behaviour change. http://www.rsm.ac.uk/academ/spe02.php BJSM’s special 2014 issue on Exercise is Medicine, edited by Professors Steven Blair and Stewart Trost can be found here: http://bjsm.bmj.com/content/48/3.toc See also: Developing a strategic research framework for Sport and Exercise Medicine: http://bjsm.bmj.com/content/48/14/1120.full Developing learning outcomes for an ideal MSc course in sports and exercise medicine: http://bjsm.bmj.com/content/39/1/20.full Leisure-time aerobic physical activity, muscle-strengthening activity and mortality risks among US adults: the NHANES linked mortality study: http://bjsm.bmj.com/content/48/3/244.full Physical activity and breast cancer risk: impact of timing, type and dose of activity and population subgroup effects: http://bjsm.bmj.com/content/42/8/636.full Intensity of leisure-time physical activity and cancer mortality in men: http://bjsm.bmj.com/content/45/2/125.full CT scans and X-rays increase risk of cancer – changing the goal posts in sports medicine: http://blogs.bmj.com/bjsm/2012/09/19/ct-scans-and-x-rays-increase-risk-of-cancer-changing-the-goal-posts-in-sports-medicine/ Physical activity more likely to prevent breast cancer in certain groups: http://blogs.bmj.com/bjsm/2008/05/18/physical-activity-more-likely-to-prevent-breast-cancer-in-certain-groups/

This 12-minute podcast relates to a special 2013 Consensus Meeting on Anti-Doping in Sports & its summary in BJSM’s Special Issue on Anti-Doping (May 2014). On November 29, 2013, FIFA hosted a meeting of representatives from key Anti-Doping stakeholders. Represented were sports physicians, athletes, legal experts, biomedical scientists, as well as leadership of international sports federations, the IOC and the Word Anti-Doping Agency. To take a ‘giant leap' forward in the battle to ensure a level playing field in sport the group addressed two key questions. (1) ‘Are we doing the right thing?’ and (2) ‘What contemporary methods can move beyond the simple testing strategy that was begun in the 1960s?’ Listen to the ebullient Professor Dvorak analyse anti-doping options and share with you the reasons drug-cheats are either stopping or very nervous. Read the full consensus statement: http://bjsm.bmj.com/content/48/10/801.full See also: Monitoring of biological markers indicative of doping: the athlete biological passport: http://bjsm.bmj.com/content/48/10/827.full FIFA’s approach to doping in football: http://bjsm.bmj.com/content/40/suppl_1/i3.full Gene doping: an overview and current implications for athletes: http://bjsm.bmj.com/content/47/11/670.full Anti-doping programme and physicians: http://bjsm.bmj.com/content/45/2/e2.2.abstract Do drug cheats ever prosper?: http://bjsm.bmj.com/content/36/2/79.2.full A doping sinner is not always a cheat: http://bjsm.bmj.com/content/42/7/549.full Super athletes or gene cheats?:http://bjsm.bmj.com/content/37/3/192.full Why we should allow performance enhancing drugs in sport: http://bjsm.bmj.com/content/38/6/666.full FIFA’s future activities in the fight against doping: http://bjsm.bmj.com/content/40/suppl_1/i58.full Ruling from the Court of Arbitration for Sport brings consistency, but anti-doping debate will rumble on: http://blogs.bmj.com/bjsm/2012/04/30/ruling-from-the-court-of-arbitration-for-sport-brings-consistency-but-anti-doping-debate-will-rumble-on-2/ Hot Topic: The Truth Behind Doping Scandals: https://soundcloud.com/bmjpodcasts/jiri-dvorak-on-the-future-of/edit Hot Topic: Current Anti-Doping Policies: http://blogs.bmj.com/bjsm/2008/08/07/hot-topic-current-anti-doping-policies/ Guest Blog: Peter Brukner on Drugs and the London Olympics: http://blogs.bmj.com/bjsm/2012/08/20/guest-blog-peter-brukner-on-drugs-and-the-london-olympics/

Professor Philippe Neyret from Lyon, France, is a renowned sports orthopaedic surgeon. Following from his talk at the Isokinetic Football Medicine Conference in Milan, BJSM editor Karim Khan reached him via mobile phone. Prof Neyret discusses patellar dislocation in the setting of football and explains that certain anatomic variations (including trochlea dysplasia) make the condition more likely to occur. For players who have suffered patellar dislocation, next steps are not straightforward. Professor Neyret explains which players he would recommend have surgery. See also: Injuries of the sporting knee: http://bjsm.bmj.com/content/34/6/467.1.full Patient Information Sheet: Patellar Instabilities (dislocation or subluxation of the kneecap): http://blogs.bmj.com/bjsm/2008/10/16/patient-information-sheet-patellar-instability-dislocation-or-subluxation-of-the-kneecap/

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, AMSSM members discuss the recently published 'Overuse Injuries and Burnout in Youth Sports: A Position Statement from the AMSSM' with statement authors Dr John DiFiori, Dr Joel S Brenner and Dr Neeru Jayanthi. Read the statement: http://goo.gl/lczEHo Please feel free to contact us at [email protected] regarding this or any other Sports Medcast.

Dr Alex Kountouris is the physiotherapist or the Australian men’s cricket team, a position he has held for 8 years. He has just completed his PhD on the relationship between quadratus lumborum and lumbar stress fractures. In this podcast he discusses strategies for the prevention and treatment of lumbar spine injuries in cricket. The interesting questions posed to him come from our twitter followers, so hear his responses to your questions! See also: Biomechanics of lumbar spine injury in young Australian fast bowlers: http://bjsm.bmj.com/content/44/Suppl_1/i4.3.abstract MRI findings in the lumbar spines of asymptomatic, adolescent, elite tennis players: http://bjsm.bmj.com/content/41/11/836.full A stress fracture of the lumbar spine in a professional rugby player: http://bjsm.bmj.com/content/41/5/337.full Injuries in West Indies cricket 2003–2004: http://bjsm.bmj.com/content/40/2/119.full @PeterBrukner discusses today’s major headline: Successful antibiotic treatment in a subset of people with chronic low back pain: http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/ Book Review: Clinical anatomy of the lumbar spine and sacrum: http://blogs.bmj.com/bjsm/2008/10/16/book-review-clinical-anatomy-of-the-lumbar-spine-and-sacrum/

Dr Alex Kountouris tries to stay out of the limelight despite his position as physiotherapist to the Australian Men’s cricket team. Despite his attempts, he finds himself in the media talking about players’ injuries and the reasons behind their inclusion or exclusion from the team. Listen to him discuss injury prevention and treatment in cricket, and for the first time hear the questions posed by our twitter followers. See also: Batting head injury in professional cricket: a systematic video analysis of helmet safety characteristics: http://bjsm.bmj.com/content/47/10/644.full International cricket injury surveillance: a report of five teams competing in the ICC Cricket World Cup 2011: http://bjsm.bmj.com/content/47/10/637.full Injuries in West Indies cricket 2003–2004: http://bjsm.bmj.com/content/40/2/119.full Methods for injury surveillance in international cricket: http://bjsm.bmj.com/content/39/4/e22.full

Dr Bert Mandelbaum is the team doctor for Team USA (soccer), the LA Galaxy, and Director of Research for Major League Baseball. He shares his optimism about the role of PRP in various injuries, while cautioning that stem cells, despite their promise, may still be like a ‘Ferrari without a steering wheel’. He was a pioneer in ACL prevention research and believes that programs successful in women may well translate across to men in sport such as NFL football. He takes 2 questions from @BJSM_BMJ Twitter followers. You can catch him next at the 23rd Isokinetic Football Medicine Conference in Milan, March 22-23, 2014 www.footballmedicinestrategies.com/en/ Read two of Dr Mandelbaum's prominent papers: A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players bit.ly/1fWWCfu Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes bit.ly/1lwfzt8 See also: Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial bit.ly/1iXJRmS Prevention of acute knee injuries in adolescent female football players: cluster randomised controlled trial bit.ly/LSeWgb Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial bit.ly/1fWWjRF Growth factor delivery methods in the management of sports injuries: the state of play: http://bjsm.bmj.com/content/42/5/314.full The PRP debate: http://blogs.bmj.com/bjsm/2010/11/15/the-prp-debate/ IOC consensus paper on the use of platelet-rich plasma in sports medicine: http://bjsm.bmj.com/content/44/15/1072.full What constitutes the safe use of PRP in sports injuries? Continuing the PRP debate: http://blogs.bmj.com/bjsm/2010/11/25/what-constitutes-the-safe-use-of-prp-in-sports-injuries-continuing-the-prp-debate/ No magical therapeutic benefit of PRP in Achilles tendinopathy — JAMA paper follow-up and BJSM podcast: http://blogs.bmj.com/bjsm/2011/10/18/no-magical-therapeutic-benefit-of-prp-in-achilles-tendinopathy-jama-paper-follow-up-and-bjsm-podcast/ Platelet-rich plasma: a ‘feeling' and ‘hope' ailing athletes: http://bjsm.bmj.com/content/44/Suppl_1/i1.2.abstract Airway injury during high-level exercise: http://bjsm.bmj.com/content/46/6/385.full PRP within the wider context of regenerative medicine: http://blogs.bmj.com/bjsm/2010/12/07/prp-within-the-wider-context-of-regenerative-medicine/

Dr Jonathan Drezner, BJSM Senior Associate Editor (Sports Cardiology) is the team physician for Seattle Seahawks in the National Football League. Speaking in the week after his team’s first Super Bowl appearance, he shares thoughts with Karim Khan about a typical week at the Seahawks, the season’s climax in New Jersey, and what budding sports medicine clinicians might do if aspiring to work in the top levels of professional sport. Off the playing field, Professor Drezner served as President of AMSSM in 2012, contributes to the Primary Care Sports Medicine Fellowship at the University of Washington, Seattle and heads the Sports Cardiology Centre. To find more related to sports cardiology (not the subject of this podcast), please go to this BMJ Learning site – over 10,000 educational modules have been completed. http://tinyurl.com/o5jcc5v See also: Peter Brukner on – Lessons from 30 years as a team physician http://bjsm.bmj.com/articleusage?rid=47/10/610 The use of local anaesthetic injections in professional football: http://bjsm.bmj.com/content/35/4/212.full Super Bowl: Two ACL tears and the landmark paper still under review: http://blogs.bmj.com/bjsm/2012/02/13/super-bowl-two-acl-tears-and-the-landmark-paper-still-under-review/

After a patient has undergone ACL surgery, rehabilitation is bread and butter in many physiotherapy/sports medicine clinics. Many BJSM podcast listeners will be expert in this role. If you are less expert and wondering if there is an ‘optimum’ way to guide the patient back to sport, Dr Andy Franklyn-Miller provides some food for thought. He discusses some novel ways of assessing a patient’s progress after ACL reconstruction, advocates for the use of video in the clinic, and shares the dynamic tests he uses before allowing a player to return to sport. He shares exercises that both test, and help rehabilitate athletes in this setting. Dr Franklyn-Miller is a sports physician at the Sports Surgery Clinic in Dublin, Ireland. He has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), co-authored with Eanna Falvey and Peter Brukner, is an international best-seller. You can follow him on Twitter @AFranklynMiller and his blog provides great resources (www.drAndyFranklyMiller.com) including a further series of podcasts. See also: His previous podcasts on BJSM relating to running injuries (http://bit.ly/1bqMh8C) and groin pain (http://bit.ly/1fo2TAW). Consensus criteria for defining ‘successful outcome’ after ACL injury and reconstruction: a Delaware-Oslo ACL cohort investigation: http://bjsm.bmj.com/content/early/2013/07/23/bjsports-2013-092299.full Lower extremity performance following ACL rehabilitation in the KANON-trial: impact of reconstruction and predictive value at 2 and 5 years: http://bjsm.bmj.com/content/47/15/980.full

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

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

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

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

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

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

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

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

Dr Andrew Franklyn-Miller is a renowned sports and exercise medicine physician whose background includes providing care to the UK Defence Forces and elite athletes. He has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), coauthored with Eanna Falvey and Peter Brukner, is an international best-seller. In this podcast he shares secrets from 15 years of experience in treating runners and running injuries.

Karim Khan calls mechanotherapy “the most important fundamental concept that underpins rehabilitation exercises”. Listen to Karim explain that all exercise-based rehabilitation relies on the cells of the injured tissue sensing the exercise stimulus, converting that signal to protein synthesis, and repairing tissue. He explains why ‘rest doesn’t work’ and argues that mechanotherapy has substantial evidence in its favour. The process applies to all body tissues – to injuries / pathology in bone, muscle, tendon and cartilage. Read the review article, which has had over 32,000 full-page views since 2009: Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair - http://bjsm.bmj.com/content/43/4/247.full

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of concussion evaluation and management with Dr Jeffrey Kutcher, a neurologist at the University of Michigan, and the Director of Michigan NeuroSport. Please feel free to contact us at [email protected] regarding this or any other Sports Medcast Further reading: Zurich consensus statement on concussion http://bjsm.bmj.com/content/47/5/250.full

This podcast comes together with the Dutch Sports Medicine Association edition of BJSM. Guest editor Hans Zwerver talks with Prof Ron Diercks, head of the Sports Medicine Center of the University Medical Center in Groningen, about the development of sports medicine research in the Netherlands and the Groningen Sport Science Institute. Ron discusses the impact of the expected recognition of Sports Medicine in the Netherlands and also comments on the shoulder consensus statement and of course the cover photo of the Dutch BJSM edition... See that great cover, and all the content from the special edition, here: http://bjsm.bmj.com/content/47/14.toc

It is currently widely accepted among clinicians that chronic tendinopathy is caused by a degenerative process devoid of inflammation. The evidence for non-inflammatory degenerative processes alone as the cause of tendinopathy is surprisingly weak. In this podcast, Jon Rees a rheumatologist at Cambridge University Hospitals NHS Foundation Trust tells Jill Cook why the role of inflammation offers potential opportunities in treating chronic tendinopathies and should be explored further. Read the article online: http://bjsm.bmj.com/content/early/2013/03/08/bjsports-2012-091957.full

Adam Weir talks to Ben Kibler from the Shoulder Center of Kentucky about the 2013 consensus statement on scapular dyskinesis in shoulder injury. Read the editor's choice article for free online: http://bjsm.bmj.com/content/47/14/877.full The second international consensus conference on the scapula was held in Lexington Kentucky. The purpose of the conference was to update, present and discuss the accumulated knowledge regarding scapular involvement in various shoulder injuries and highlight the clinical implications for the evaluation and treatment of shoulder injuries.

Welcome to the first Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of heat injury evaluation and management with Dr Fran O'Connor, Chair of Military Medicine at the Uniformed Services University in Bethesda, MD. We'd very much like to hear your feedback on this episode, email us at [email protected].

David Pope (@DavidKPope) is a practicing physiotherapist in Australia and a pioneer in social media for physio education. His podcasts via ClinicalEdge (www.clinicaledge.com.au/pages/podcast) with stellar guests such as David Butler and Jill Cook have had many tens of thousands of listeners. In this podcast, BJSM turns the microphone around and asks him to share the secrets of contemporary clinical teaching methods and clinical reasoning.

In questo Podcast, il Prof Antonio Pelliccia, esperto a livello modiale nell’ambito della Cardiologia dello Sport, parla della prevenzione della morte improvvisa nello sportivo. Campo in continuo sviluppo, la cardiologia dello sport trova nell’Italia uno dei paesi pionieristici, sia in ambito clinico che nella ricerca scientifica. You can listen to an English version of this podcast here: http://goo.gl/4VgAfC

In this podcast, Prof Antonio Pelliccia, Institute of Sport Medicine and Science, Rome, Italy, an international expert in sports cardiology, talks about the prevention of sudden death in athletes. In a field in continuous development, sports cardiologists in Italy are leading the way, both in clinical and scientific research. This podcast is also available in Italian: http://goo.gl/5fweGj

Dr Peter Brukner has been looking at nutrition for health, both of athletes and in the wider population. In this podcast he speaks to Professor Tim Noakes, author of The Lore of Running, originator of the central governor theory, and a strong exponent of the low carbohyrate-high fat diet. Tim talks about his views on carbohydrate, and how his experience of a very low carb diet has changed the way he views the decades old advice of low-fat intake - particularly when it comes to treatment of patients with type-2 diabetes and cardiovascular disease. They discuss this diet in the specific setting of sport - long distance and football codes. Professor Noakes has over 21,000 followers on Twitter (https://twitter.com/ProfTimNoakes) and his most recent book, Challenging Beliefs, includes an introduction to his thoughts on this topic. Peter Brukner's editorial on this topic is in the July 2013 issue of BJSM - http://bjsm.bmj.com/content/47/11/663.full

We are talking tendons again in this podcast because the next International Scientific Tendinopathy Symposium has been scheduled for September 5 and 6 in Oxford, UK. This exciting event follows on from two successful conferences in Vancouver in 2012 and Umea in 2010. The consensus paper from the Vancouver conference is open access in the June 2013 edition of BJSM [http://bit.ly/13fLIN1]. In this podcast I am talking to with Dr Mark Thompson, a biomedical engineer from Oxford University, who leads the Oxford Mechanobiology Group. Amongst other things he is working with Prof Andy Carr, who has a large number of publications particularly on the rotator cuff tendon. Mark discusses the mechanics of tendon and tendinopathy, and how mechanics contribute to the clinical perspectives of the condition.

Carl Askling, Ph.D., P.T., är forskare och lektor på Gymnastik och Idrottshögskolan, Stockholm och är knuten till Karolinska Institutet, Stockholm. Carl Askling har skrivit en avhandling om akuta skador av hamstringsmuskulaturen, “Hamstring Muscle Strain”, Karolinska Institutet, 2008, och har fortsätt att forska runt akuta hamstringsskador på bl.a. fotbollspelare. I den här podcasten talar idrottsläkare Babette Pluim med Carl om hans senaste forskningsresultat. See also: Carl’s podcast on hamstring injuries in English bit.ly/zFjobU Return to play after thigh muscle injury in elite football players: implementation and validation of the Munich muscle injury classification bit.ly/14Jo4rY Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols bit.ly/11b99pH High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis bit.ly/13FToJj Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level bit.ly/YUKEgJ