BJSM Podcast

Language, and how we use it, has a powerful influence on driving performance and clinical outcomes. Nick Winkelman, Head of Athletic Performance & Science for the Irish Rugby Football Union, has spent considerable time studying how effective communication can enhance performance. During this podcast with Dr Sean Carmody, Nick draws on the content from his book The Language of Coaching: The Art & Science of Teaching Movement to assess how visual cues and metaphors can be applied to improve your clinical or coaching practice. The Language of Coaching: The Art & Science of Teaching Movement

Dr. Andrea Mosler is a specialist sports physiotherapist and research fellow at La Trobe University, Melbourne. In this podcast, Liam West poses the questions that see Dr. Mosler explain how you should approach the prevention and management of hip and groin pain in athletes. She describes findings from her PhD and gives you the listener some clinical pearls to add to your “hip and groin” treatment toolbox!

Dr Mackenzie Herzog (@MackenzieHerzog) has a PhD in Sports Injury and Orthopaedic Epidemiology from the University of North Carolina at Chapel Hill. She is currently a Lead Epidemiologist on the Injury Surveillance and Analytics team at IQVIA. She was part of a team assessing the risks of sustaining an ankle sprain whilst playing in the NBA across four seasons. In this podcast we explore the findings from the paper (published in AJSM), the need to collect robust data to inform injury prevention strategies, how data science and sports epidemiology is evolving and her insights on working with teams in the NBA and NFL. https://www.iqvia.com/ Herzog et al. Ankle Sprains in the National Basketball Association, 2013-2014 Through 2016-2017. American Journal of Sports Medicine, 2020. 47;11: 2651-2658. https://journals.sagepub.com/doi/10.1177/0363546519864678 Bahr R, et al. International Olympic Committee consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport 2020 (including STROBE Extension for Sport Injury and Illness Surveillance (STROBE-SIIS)). British Journal of Sports Medicine, 2020;54:372-389. https://bjsm.bmj.com/content/54/7/372.info

Dr. Dan Rhon (T: @danrhon) is an active researcher for the US Department of Defence, a consultant and assistant professor at both Duke (North Carolina) and Baylor (Texas) Universities. He attended a manual therapy clinical fellowship at Brooke Army Medical Center in Texas, is a fellow in the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT), and an orthopaedic clinical specialist (OCS). He completed a postdoc research fellowship through the University of Utah and has a strong research interest in the effectiveness of clinical care pathways for musculoskeletal disease, both at primary and specialty care levels, and the intersection of these two. He was recently part of the investigating team who published a study on the effects of corticosteroid vs physiotherapy for managing knee osteoarthritis, published by the prestigious New England Journal of Medicine. In this discussion with associate editor Paul Blazey (T: @blazey85), he focuses on the findings of the study and the implications for the effective management of one of the most prevalent conditions seen in MSK clinics across the world. References Deyle, GD., Allen, CS., Allison, SC., et al. Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee. N Engl J Med 2020; 382:1420-1429 DOI: 10.1056/NEJMoa1905877 https://www-nejm-org.ezproxy.library.ubc.ca/doi/10.1056/NEJMoa1905877

Twitter: @Happysport_dk According to the literature, a substantial reduction in injury rates in youth sport is achievable. So why isn’t this translating into meaningful injury prevention in the real world? And what can we do about it? In this episode, Dr. Erin Macri asks Dr. Merete Møller to share her powerful insights on this topic and to introduce a novel research project (the HAPPY project) that aims to bridge the gap from injury prevention trials to real-world results on the field. Related Articles and Links Soomro N, Sanders R, Hackett D, et al. The Efficacy of Injury Prevention Programs in Adolescent Team Sports: A Meta-analysis. Am J Sports Med. 2016;44(9):2415‐2424. doi:10.1177/0363546515618372 Owoeye OBA, Palacios-Derflingher LM, Emery CA. Prevention of Ankle Sprain Injuries in Youth Soccer and Basketball: Effectiveness of a Neuromuscular Training Program and Examining Risk Factors. Clin J Sport Med. 2018;28(4):325‐331. doi:10.1097/JSM.0000000000000462 Emery CA, van den Berg C, Richmond SA, et al. Implementing a junior high school-based programme to reduce sports injuries through neuromuscular training (iSPRINT): a cluster randomised controlled trial (RCT) [published online ahead of print, 2019 Dec 10]. Br J Sports Med. 2019;bjsports-2019-101117. Sakata J, Nakamura E, Suzuki T, et al. Throwing Injuries in Youth Baseball Players: Can a Prevention Program Help? A Randomized Controlled Trial. Am J Sports Med. 2019;47(11):2709‐2716. doi:10.1177/0363546519861378 Bekker, S., Paliadelis, P. & Finch, C.F. The translation of sports injury prevention and safety promotion knowledge: insights from key intermediary organisations. Health Res Policy Sys 15, 25 (2017). https://doi.org/10.1186/s12961-017-0189-5 O'Brien J, Finch CF. The implementation of musculoskeletal injury-prevention exercise programmes in team ball sports: a systematic review employing the RE-AIM framework. Sports Med. 2014;44(9):1305‐1318. doi:10.1007/s40279-014-0208-4 Lindblom H, Carlfjord S, Hägglund M. Adoption and use of an injury prevention exercise program in female football: A qualitative study among coaches. Scand J Med Sci Sports. 2018;28(3):1295‐1303. doi:10.1111/sms.13012 Ageberg E, Bunke S, Lucander K, Nilsen P, Donaldson A. Facilitators to support the implementation of injury prevention training in youth handball: A concept mapping approach. Scand J Med Sci Sports. 2019;29(2):275‐285. doi:10.1111/sms.13323 Richmond SA, Donaldson A, Macpherson A, et al. Facilitators and Barriers to the Implementation of iSPRINT: A Sport Injury Prevention Program in Junior High Schools. Clin J Sport Med. 2020;30(3):231‐238. doi:10.1097/JSM.0000000000000579

On this week’s episode, we chat with BJSM Deputy Editor Dr Jane Thornton MD PhD about how clinicians can support athlete mental health during COVID-19. As a World Champion and former Olympic rower for Canada, Dr Thornton has been supporting Canadian athletes experiencing mental health issues related to COVID-19. In partnership with sports psychiatrist Dr Carla Edwards, Dr Thornton has also produced a range of mental health resources to help athletes combat COVID-19 anxiety. In this 25–minute podcast, Dr Thornton discusses her own experiences as an Olympic athlete, how to prepare for adversity, manage fear, and reset training and competition goals.

Associate Editor Paul Blazey (T: @blazey85) talks with Professor Chad Cook from Duke University (North Carolina, USA). Chad is a Professor in the Orthopaedic Surgery Division of Physical Therapy, with an interest in the effective diagnosis, intervention, and outcomes assessment of conservative and surgical treatment of orthopedic-related conditions. Today we focus on Chad’s experience with orthopaedic testing, especially when applied to femoroacetabular impingement syndrome, and the ability to effectively assess this condition over telehealth.

The global COVID-19 Pandemic has changed the way we practice medicine and live our daily lives. Things we traditionally have taken for granted now pose major challenges, and among those is the challenge of remaining active. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine physician and fitness enthusiast Dr. Jordan Metzl to discuss strategies for continuing to encourage physical activity even during “social distancing.” Dr. Metzl is a pediatrician with subspecialty training in sports medicine whose goal is to help patients and athletes maintain physically active lifestyles and recover from injuries to return to their chosen forms of activity. He has written multiple books and is well known for his Iron Strength workout series. To learn more about Dr. Metzl’s work, or sign-up for his listserv to be notified of future classes please visit his website at https://drjordanmetzl.com

Dr. Ben Sporer (T: @ben_sporer) is the current director of performance strategy, research and innovation at the Vancouver Whitecaps (MLS). He trained as an exercise physiologist and worked with the Canadian Sport Institute, supporting multisport, cycling and snowboarding athletes across three full Olympic cycles (summer and winter games). He brings a wealth of knowledge about developing elite athlete performance and wellbeing, as well as what it takes to build a performance team. Today in the discussion with associate editor Paul Blazey (T: @blazey85), we dive into:  what impact Ben’s exercise physiology background had on his management of the medical arm of his performance team  how the Whitecaps use data science to support medical and team decisions  what Ben looks for in developing a high performance medical and support team  how the team has managed the lockdown and the challenges of return to play in elite sport post covid-19 Resources Catapult Sport Data Capture Systems - https://www.catapultsports.com/

On this week's episode, we are joined again by Prof Fiona Bull to discuss why and how we should stay active in self-isolation. Prof Bull is the Programme Manager in the Department of Prevention of NCDs at the WHO in Geneva. She leads the WHO’s global work on physical activity. In this 15-minute podcast, Prof Bull explains what the WHO is doing to support countries increase physical activity in times of COVID-19 and outlines physical activity research priorities at a global level. #HealthyAtHome @WHO https://www.who.int/news-room/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome/healthyathome---physical-activity

In this cutting-edge podcast with Dr James Hull – a leading authority on respiratory health in athletes - we discuss the challenges facing athletes and healthcare professionals following infection with the novel coronavirus. We cover a few case-studies, and practical points for all SEM professionals to consider. Additional Links: Link to the published article in the Lancet Respiratory Medicine journal https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30175-2/fulltext#.XrHWOYDlNMw.twitter Dr James Hull’s twitter page: https://twitter.com/Breathe_to_win Link to Book: https://www.amazon.co.uk/Complete-Guide-Respiratory-Care-Athletes/dp/1138588350/ref=redir_mobile_desktop?ie=UTF8&qid=1586959229&ref_=tmm_pap_title_0&sr=8-1 BJSM Education Review on EILO https://bjsm.bmj.com/content/52/18/1211 BJSM podcast on EILO https://soundcloud.com/bmjpodcasts/do-you-know-athletes-who-have-a-wheeze-and-get-short-of-breath-easily-surely-asthma-right?in=bmjpodcasts%2Fsets%2Fbjsm-1&fbclid=IwAR3tViVFdNwqKZ04hU43y57HeuPcskYQ5OPuGoCJCF4hIlLd-BlL3k2SXVU

Are you involved in the care of athletes, and now planning their return to sport? Have you fully considered their cardiac health, especially in those with suspected/confirmed novel coronavirus infection? In this 15-minute podcast with Prof Jon Drezner, one of the world’s leading Sports Cardiologists & Team Physicians, we dive into some case-studies and some of the emerging evidence in this interesting area. Please get in touch with us if you have any questions! Additional resources: Link to BJSM blog: https://blogs.bmj.com/bjsm/2020/04/24/the-resurgence-of-sport-in-the-wake-of-covid-19-cardiac-considerations-in-competitive-athletes/ Link to free ECG e-Academy https://uwsportscardiology.org/e-academy/ecg-modules/

Host Dr. Giorgio Negron, MD is joined by Dr. Kenneth Mautner, MD on the AMSSM Sports Medcast to discuss orthobiologics, specifically PRP and stem cell treatments, and the current evidence for their use. Dr. Mautner is an associate professor in the Department of Physical Medicine and Rehabilitation and the Department of Orthopedics Surgery at Emory University in Atlanta, GA. In this 20-minute conversation Dr. Mautner addresses the following topics: What is PRP and how did it become so popular in the musculoskeletal world? What the variabilities that are important to know in PRP? What is a stem cell? How do we obtain stem cells? How can it help with musculoskeletal conditions? What are these “pop-up” stem cell clinics and their products they are advertising? What research are you currently working on?

In this Podcast, Dr Phil Hopley explains to Dr Will Wynter Bee the impact of the COVID crisis on athletes' mental health as well as discussing his role in setting up mental health services for the European tour. He also provides insights into how, clinically, he assesses and manages mental health conditions in elite athletes. Georgia Hopley discusses her research providing valuable insights into the prevalence of common mental health conditions in elite golfers. Useful links we discuss: Mental health in elite athletes: International Olympic Committee consensus statement (2019)- https://bjsm.bmj.com/content/53/11/667 Cognacity - https://www.cognacity.co.uk/ National institute of mental health - https://www.nimh.nih.gov/index.shtml Mind - https://www.mind.org.uk/information-support/tips-for-everyday-living/ Sane - http://www.sane.org.uk/ Calm - https://www.thecalmzone.net/

Can we learn more from our patients than you might think? Do they hold the answers to the clinical question that you face? Dr. Osman Ahmed is an Associate Editor at BJSM, co-leading the “Patient Voices” section of the journal alongside Dr. Tracey Blake. Osman discusses how we can engage our patients/athletes to improve the clinical applicability of our research, and highlights some areas of medicine that have already benefited from this approach. Links of articles discussed on the podcast: https://bjsm.bmj.com/content/52/24/1547 https://www.jospt.org/doi/full/10.2519/jospt.2019.0106

On the heels of a global pandemic, we have all been asked to quickly adapt to our new surroundings – in most cases our living room – and to carry on with delivering quality education. For many of us, this means scrambling to make our once classroom-based educational materials online-ready for the first time. Where do we begin? Dr. Erin Macri joins Dr. Jackie Whittaker in this BJSM episode to share tips and tricks for both delivering and receiving effective, high quality online education. Dr. Whittaker has delivered online university-level education for over six years, and her experience and insight are invaluable during these difficult times. For a list of resources please visit the BJSM blog: https://blogs.bmj.com/bjsm/2020/04/05/educators-in-a-dangerous-time-effective-online-healthcare-education-with-dr-jackie-whittaker/

Runners are constantly trying to find the perfect shoe that will combine increased performance with decreased injury risk. In this podcast, Dr. Liam West poses the questions to Dr. Laurent Malisoux to explore whether the current body of research is able to guide the clinician as to which shoe type is perfect for which foot type. Dr. Malisoux is a key researcher at the Sports Medicine Research Laboratory at the Luxembourg Institute of Health. His area of research and expertise centres on running shoes and potential risk factors for injury.

Assistant Dean at McMaster University, member of the FINA (World Swimming) and the IOC Working Group on Mental Health in Athletes, Dr Margo Mountoy (MD, Dip Sport Med [CASEM], PhD) shares practical insights. What 4 things should a team physician do to help an athlete who has mental health symptoms or a diagnosed mental health disorder. You’ll hear the FREE 2019 consensus paper referred to: http://ow.ly/hTpS50yKx7K

Football is the world's most popular sport, captivating the hearts and minds of millions of people every day. Supporting our national team or local club evokes a deep sense of pride, and provides a consistent source of entertainment. How could something so addictive be so good for you? Football has been found to be an effective adjunct for the treatment and prevention of a wide variety of conditions such as depression, some cancers and type 2 diabetes. In this podcast, Dr Daniel Parnell explains to Dr Sean Carmody the emerging research behind the broad spectrum health benefits attached to participating in football. Dr Daniel Parnell is a Senior Lecturer in Sports Business at the University of Liverpool and co-author of Football as Medicine: Prescribing Football for Global Health Promotion. Dr Sean Carmody is a doctor based in London.

Dr Imran Sajid is a frontline clinician, health policy maker, educator and researcher with a keen interest in behavioural economics. This podcast takes a 30,000-foot view of some of our daily clinical approaches—and dives down into specific cases to make important points. How do you get the right care to the right patient at the right time. Is there overdiagnosis and overtreatment in our field—the field of musculoskeletal care? Fee-for-service underpins a great deal of treatment in MSK medicine. Are our diagnoses (such as ‘locked knee’) really as solid as we may have been taught in the early 2000s? Do very common surgical procedures such as knee and shoulder arthroscopy add value for the patient? Dr Sajid gives 3 tips to improve the value of care for patients: 1) We need system change so the right care is provided at the right place. This generally requires a shift towards shared care in the community setting. 2) There needs to be a culture change away from the structural model—most health care burden does not derive from structures that can be fixed simply with a pill or a screw. 3) Clinicians need to be healthy skeptics about what works and what doesn’t. Humility helps! Don’t fall prey to those powerful cognitive biases. Just because we know about them doesn’t make them go away. Think of your favourite optical illusion! It’s hard to ‘see’ the truth!

Dr. Rachel Lampert, MD joins host Devin McFadden, MD on AMSSM’s Sports Medcast (T: @TheAMSSM) to discuss athletic participation in athletes with cardioverter-defibrilators for known cardiac abnormalities. In this 20 minute conversation Dr. Lampert addresses the following topics: - What are the common causes of sudden cardiac death in athletes? - What is the data to support disqualifying patients with known cardiac disease (cardiomyopathies and channelopathies) from sports, and could they potentially participate safely? - How will future studies impact the way we practice further?

Has the principle of shared decision making in athletes with known cardiac abnormalities placed our athletes, teams, and medical system at risk? Are there situations where accepted medical standards and risk management trump patient autonomy? What further steps can we take to generate the data needed to ensure that the athletes we clear in the future are safe to participate? On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by internationally recognized expert Dr. Sanjay Sharma, MD to discuss the risks and benefits encountered while making clearance decisions in athletes with known cardiac abnormalities.

Nanette Mutrie (@NanetteMutrie) has been Chair of Physical Activity for Health at the University of Edinburgh since July 2012. She directs the Physical Activity for Health Research Centre (PAHRC) in the Institute for Sport, Physical Education and Health Sciences. Nanette is a Chartered Psychologist and a Fellow of the British Association of Sport and Exercise Sciences. She took a break from writing the 4th edition of ‘Psychology of Physical Activity” to speak with BJSM’s outgoing Editor-in-Chief Karim Khan (@BJSM_BMJ) In podcast 2 of 2 she discusses: The revolutionary physical activity and weight control intervention for men—Football Fans in Training. http://ow.ly/zOIv50yfYd0. She revisits the topic of too much sitting—which is different to physical inactivity. Prof Mutrie argues that we promote the short-term benefits of walking to the public. “You will get a boost in your mood and you will sleep better by just having a 10-minute walk.” That’s how Coke promotes their product—it’s not about promising long-term health benefits. What do you think about that? And she discusses ‘outrunning a bad diet’, weekend warriors and The Daily Mile. You’ll love this episode as much as the record-breaking first of this duet. If you missed that one here’s the link: http://ow.ly/NNtg50yfYk3

Nanette Mutrie (@NanetteMutrie) has been Chair of Physical Activity for Health at the University of Edinburgh since July 2012. She directs the Physical Activity for Health Research Centre (PAHRC) in the Institute for Sport, Physical Education and Health Sciences. In January 2015 Nanette was awarded an MBE in the New Year's Honours list for services to physical activity for health in Scotland. Nanette is a Chartered Psychologist and a Fellow of the British Association of Sport and Exercise Sciences—hence the expertise in behavioural interventions. She took a break from writing the 4th edition of ‘Psychology of physical activity” to speak with BJSM Editor in Chief Karim Khan (@BJSM_BMJ) This podcast (part 1 of 2) will help you; appreciate the power for walking for health and mental health even more than previously, realise why ‘brisk’ may not be the ideal adverb to associate with walking for certain populations. The chat swings from practical tips about which technology to consider to capture walking, to tips for physios in the clinic and to Prof Mutrie explaining that walking is one factor that can contribute to addressing the Climate Crisis. Enjoy!

Did you know that water can stop bullets? Dr. Erin Macri caught up with Dr. Ben Waller to learn more about the untapped and under-recognized power of water and its potential applications in everything from rehabilitation to high level athletic conditioning. Dr. Ben Waller is the Scientific Chair of the Finnish Sport physiotherapy association; Adjunct Professor at Reykjavik University, and Lecturer for the International Aquatic Therapy Faculty. Prior to this he was Senior Researcher at the University of Jyväskylä in Finland, where he also completed his PhD and postdoctoral work, all focused on aquatics. Ben’s current research is focused on quantifying and optimizing the prescription of aquatic exercise in the PAPESH research group in Reykjavik University (https://en.ru.is/papesh/).

Are passive therapies making patients worse? Does stretching help? Where do the bio, psycho and social components fit into patient management? This week Tom Goom joins us to chat about how to avoid the common pitfalls all clinicians can make. Known to many in the SEM community as the ‘Running Physio’, Tom is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course.

In our first episode of 2020, Associate Professor Shona Halson PhD joins us to chat about why our new year’s resolution should be to get more sleep! Shona is an Associate Professor in the School of Behavioural and Health Sciences at Australian Catholic University. Shona has a PhD in Exercise Physiology, recently finished up close to 16 years working at the Australian Institute of Sport as a senior recovery physiologist, and has been the Director of the Australian Olympic Committee Recovery Centre for the last three summer Olympic games.

At the 6 th International Patellofemoral Pain Research Retreat held in Milwaukee in October 2019, Erin Macri pulled four clinician-scientists (Dr. Simon Lack, Dr. David M. Bazett-Jones, Dr. Gretchen Salsich, Dr. Christian Barton) into the ring, with a goal of teasing out key concepts and providing guidance on how to incorporate dynamic knee valgus into the evaluation and treatment of individuals with patellofemoral pain. Should dynamic knee valgus always be treated? Find out in this episode.

This podcast features the heavily in-demand Dr Enda King. Enda is Head of Performance Rehabilitation at the Sports Surgery Clinic in Dublin, and world-leading authority on Hip, Groin and ACL injuries. In this 20-minute masterclass, Enda provides cutting-edge insight on a number of topics including: - The role of biomechanical factors in injury prevention and rehabilitation - Key biomechanical and clinical milestones in the rehabilitation process - How to identify and address common biomechanical patterns following ACL injury - Assessing biomechanical factors in the field You can find Enda on twitter: https://twitter.com/enda_king If you would like to keep up to date with the 10 th Arsenal SEMS conference, you can find all the details here: https://www.arsenal.com/semsconference

This week, Prof Lorimer Moseley joins us to explore how we can better apply contemporary understanding of pain in clinical practice. Lorimer is Professor of Clinical Neurosciences and Foundation Chair in Physiotherapy at the University of South Australia. Prof Moseley’s research group - Body in Mind - investigates the role of the brain and mind in chronic pain. He has over 25 years of clinical experience and has authored hundreds of articles, as well as five books.

What are the keys to good running form? Is there a magical number for step rate? Should we all be changing the way we run? This week Tom Goom joins us to chat about gait retraining and its role in helping injured runners. Known to many in the SEM community as the ‘Running Physio’, Tom is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course. In this 20-minute episode, Tom discusses the rationale for gait retraining, who needs it, how to assess the injured runner and his comprehensive gait retraining management plan.

On this week’s episode, we are joined by Dr Louise Tulloh to dive into the biopsychosocial realm of patient management in sport and exercise medicine. Dr Tulloh was recently elected as President of The Australasian College of Sport and Exercise Physicians (ACSEP) and has been practicing sport and exercise medicine for over 20 years. In this 20-minute podcast, we discuss: · Why we should all take a more biopsychosocial approach in SEM · How to explore a patient’s individual psychosocial factors · How to ask about a patient’s motivation to get better · Tips for shared decision making · How to discuss weight loss with patients · What makes a patient ‘complex’ Don’t miss out on ACSEP’s 2020 Annual Conference 2020 (Feb 7-9) https://www.acsep.org.au/page/events/conference-2020

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the second of this two-part episode, Dr. Krys Bigosinski and Dr. Cindy Chang converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care.

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the first of this two-part episode, Dr. Krys Bigosinski and Dr. Cindy Chang converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care. Dr. Chang is currently a Clinical Professor in the Departments of Orthopaedics and Family & Community Medicine at UCSF. Prior to this, she has served as president of AMSSM, was the head team physician for UC-Berkeley, and has published many papers and textbook chapters in sports medicine, including co-authoring a chapter titled The Role of Sleep in the Psychological Well Being of Athletes in the book Mental Health in the Athlete: Modern Perspectives and Novel Challenges For The Sports Medicine Provider. She was also active in writing the section on the effect of sleep on mental health in the upcoming AMSSM position statement on Psychological Issues in Athletes.

Dr Alex Hutchsinon PhD chats about the historic breakthrough that was equated to humans setting foot on the moon. Alex is an award-winning journalist, author and athlete who has a keen interest in exploring the science of endurance, fitness, and health. In this 20-minute podcast, Alex discusses: - The significance of Eliud Kipchoge’s unofficial record and its impact on our beliefs about the limits of human performance - Factors limiting and facilitating endurance performance in running - Kipchoge’s shoes - Regulating footwear in road running - What we can learn from Kipchoge’s fueling strategy - The next big psychological barriers in sport

In this special Athlete Voice edition of the podcast, we chat with Olympic and World Champion rifle shooter Abhinav Bindra about managing the mental pressures of elite sport. Abhinav is a 5 x Olympian, entrepreneur and active member of the IOC Athlete’s Commission. In this 20-minute podcast, Abhinav discusses: · How he found the sport of rifle shooting · Celebrating the ‘process’ throughout his decorated 22-year career · The importance of prevention, prehab and physical awareness · His current charitable work in India to prioritise athlete wellbeing and grow sport at the grassroots level Don’t miss out on the IOC World Conference Prevention of Injury & Illness in Sport (March 2020) https://ioc-preventionconference.org/

On this week’s episode, we chat with Dr Louise Tulloh about overcoming barriers for women in medical leadership. Dr Tulloh was recently elected as President of The Australasian College of Sport and Exercise Physicians (ACSEP) and has been practicing sport and exercise medicine for over 20 years. In this 20-minute podcast, we discuss: · Dr Tulloh’s new role as president of ACSEP · Barriers to women attaining leadership positions in medicine and how we can overcome them - Gender stereotypes within leadership - Changing sports culture and creating equity within organisations Don’t miss out on ACSEP’s 2020 annual conference 2020 (Feb 7-9) https://www.acsep.org.au/page/events/conference-2020

Welcome to this BJSM podcast with Elaine Wyllie MBE, a former headteacher in Stirling, Scotland who launched the hugely popular ‘Daily Mile’ initiative. She will be speaking at the BASEM conference in Glasgow on 21st November, but in advance we thought we’d get a few sneaky glimpses into what she will be discussing. For tickets to the BASEM conference in Glasgow: you can find them on the link here: https://basem.co.uk/event/basem-2019-annual-conference/ For some of the research behind the Daily Mile, follow this link: https://thedailymile.co.uk/research/

For our 400th episode, we chat with Amelia Boone--four-time Obstacle Racing World Champion, ultrarunner and attorney--about her battle with anorexia for the past 20 years. In July 2019, Amelia wrote publicly about her eating disorder, shining a light on RED-S, athlete mental health and recovery. In this 20-minute podcast, we discuss: · Amelia’s motivation for sharing her story · The impact of success on perception of food and body image · Common myths about athletes and eating disorders · What treatments did (and didn’t) work well with different clinicians · How clinicians should change the way we are talking about eating disorders

In this BJSM podcast, we hear from Associate Professor Jon Patricios, a South African Sport & Exercise Medicine physician who has extensive experience of working in Rugby Union. He has an interest in concussion, having written the concussion protocols for the BokSmart injury prevention programme and he is a member of the World Rugby Concussion Advisory Group. In this discussion, we discuss (among various things) - How things have changes from an immediate care point of view - How the HIA works at present? - The tools available that could help pick up a concussion at the professional level - What happens after match-day in terms of follow-up/advice - Clinical tips in terms of communicate the protocol to players/staff - Common pitfalls do you encounter when it comes to RTP after a concussion

Dr Martin Raftery and Dr Ross Tucker join the BJSM to discuss World Rugby’s injury prevention journey, and most recent player welfare initiatives. We also hear from World Rugby chairman Sir Bill Beaumont on how rugby has evolved in this regard. All links can be found in the e-Edition.

In this podcast, we are joined by Dr Stephen West to discuss all things load. Stephen recently completed his PhD at the University of Bath, looking into the Epidemiology of injury and associated risk factors in Professional Rugby Union. Topics covered include: - Athlete monitoring - The way we capture data - Practical tips for those working in sport - Where are the next big gains likely to be found? Resources: https://www.semanticscholar.org/paper/Athlete-Monitoring-in-Rugby-Union%3A-Is-Heterogeneity-West-Williams/b8e39759a7f83fb57c9c571d1212db8ea16bf406 https://researchportal.bath.ac.uk/en/publications/patterns-of-training-volume-and-injury-risk-in-elite-rugby-union- https://researchportal.bath.ac.uk/en/publications/better-way-to-determine-the-acute-chronic-workload-ratio

Should we still be using ice and cryotherapy? Do we need to foam roll before or after working out? Are we wasting our money on compression gear? On this week’s BJSM podcast, award-winning science writer and best-selling author Christie Aschwanden (T: @cragcrest) joins BJSM’s Daniel Friedman (T: @ddfriedman) to cut through all the hype and explain what works and what doesn’t when it comes to recovery. Christie Aschwanden is the author of New York Times bestseller GOOD TO GO: What the Athlete in All of Us Can Learn From the Strange Science of Recovery and co-host of EMERGING FORM, a podcast about the creative process. She’s the former lead science writer at FiveThirtyEight and was previously a health columnist for The Washington Post. Christie is a frequent contributor to The New York Times. She’s also been a contributing editor for Runner’s World. https://christieaschwanden.com/ In this podcast, Christie dissects the evidence for common recovery methods and discusses: - The changing definition of recovery and how we measure it - Ice and cryotherapy - Massage and foam rolling - Which recovery methods actually work and how to optimise them - The best indicators of recovery - How to improve the quality of recovery research Mentioned in this podcast: Good to Go - https://www.goodtogobook.com/ Methodology problems in sport science - https://fivethirtyeight.com/features/sports-science-is-finally-talking-about-its-methodology-problems/

Predicting and preventing injuries is seen as the ‘holy grail’ of sports medicine. The literature is brimming with efforts to understand injury prevention, and popular buzzwords such as ‘artificial intelligence’ has seen the emergence of questionable methods to predict sports injuries. In this podcast, Dr Nicol van Dyk speaks to Dr Sean Carmody about current concepts in injury prevention and the validity of the evidence underpinning them. Nicol draws on the experience of his PhD investigating risk factors for hamstring injuries in professional football to forecast the future for preventive efforts in elite sport. Key resources discussed in the podcast have been included below, and if you want to hear more on the topic, Nicol will be presenting at the South African Sports Medicine Association Conference in October 2019. Key Resources: Why screening tests to predict injury do not work—and probably never will…: a critical review Do not throw the baby out with the bathwater; screening can identify meaningful risk factors for sports injuries Risk factors for hamstring in football - thinking fast and slow by Nicol van Dyk Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study The quadrant of doom and hamstring injuries: sexy but too easy? The acute:chronic workload ratio predicts injury: high chronic workload may decrease injury risk in elite rugby league players The acute-chronic workload ratio: a critical appraisal Aspetar – Hamstring Issue The training—injury prevention paradox: should athletes be training smarter and harder?

Joining Dr Steffan Griffin in the studio this week are Drs Martin Raftery and Ross Tucker, Chief Medical Officer and one of the lead Research Scientists at World Rugby respectively. Following on from their debut podcast two years ago, we dive into rugby’s complex relationship with concussion, and the journey that World Rugby have been on over the last few years to tackle the issue. Much of the resources discussed will be in the special #RugbyMedicine e-Edition, that will be launched in time for #RWC2019. In this podcast we cover: - The concussion journey rugby has been through, and the interventions that have been trialled/implemented - The high tackles sanction framework - Recent law trials - Advice to other governing bodies looking to prioritise player welfare

Is iliotibial band pain a friction problem? Or a load problem? On this week’s BJSM podcast, Dr Rich Willy (T: @rwilly2003) and BJSM’s Daniel Friedman (T: @ddfriedman) discuss the clinical management of iliotibial band pain. Dr. Richard Willy PT, PhD, is an Assistant Professor in the School of Physical Therapy, University of Montana (Missoula, MT, USA). He received his PhD in Biomechanics and Movement Science from the University of Delaware and his master of physical therapy from Ohio University. In addition to his research, Dr. Willy has been a clinician for 18 years specialising in the treatment of the injured runner. His research aims to develop clinically effective treatments for patellofemoral pain syndrome, Achilles tendon injuries and tibial stress fractures. In this podcast, Dr Willy discusses: · How to assess the injured runner with ITB pain · Misconceptions about ITB pain – it’s not a friction problem and you need some tightness! · How to progress the rehabilitation in managing ITB pain · Is there a role for stretching and foam rolling? The case study used in this podcast was originally from Pegrum James, Self Alex, Hall Nick. Iliotibial band syndrome BMJ 2019; 364 :l980 https://www.bmj.com/content/364/bmj.l980

CrossFit: dangerous fad or fitness panacea? The AMSSM talks safety with Drs Sean Rockett and Robert Oh. Few topics in sports draw such universally strong opinions from medical providers as that of CrossFit. Most seem to love or hate it, but are their strong opinions justified? Does current data back-up the concerns many of us have regarding the safety of this sport? What are the common injury patterns that are found? Host Dr. Devin McFadden, MD is joined by Dr. Sean Rockett, MD and Dr. Robert Oh, MD to explore these topics and more on the AMSSM Sports Medcast. Dr. Sean Rockett is an Associate Professor of Orthopedic Surgery at Tufts University School of Medicine, president of Orthopedics New England and author of 321GoMD.com an injury prevention website for CrossFitters. He is head of the Orthopedic division for the Medical team for The CrossFit Games. Dr. Robert Oh, Sports Medicine physician and CrossFitter for 12 years. He’s the Chief of the Family Medicine Dept at Madigan Army Medical Center and Fellowship director for the Leader and Faculty Development at Madigan. References: 1. Sport Med - open. 2018;4(1):11. doi:10.1186/s40798-018-0124-5. 2. J Sports Med Phys Fitness. 2017;57(9):1147-1153. doi:10.23736/S0022-4707.16.06827-4 3. Orthop J Sport Med. 2018;6(10):2325967118803100. doi:10.1177/2325967118803100 4. J Sport Rehabil. 2018;27(3):295-299. doi:10.1123/jsr.2016-0040. 5. Sport Med. 2017;47(3):479-501. doi:10.1007/s40279-016-0575-0 6. Annals of epidemiology 2006; 16(9):712-719.) 7. Work Heal Saf. 2017. doi:10.1177/2165079916685568. 8. Mil Med. 2016;181(7):627-637. doi:10.7205/MILMED-D-15-00273 9. US Army Med Dep J.:36-47. http://www.ncbi.nlm.nih.gov/pubmed/24146241. Accessed August 5, 2018.

“Only by speaking out can we create lasting change” On this week’s BJSM podcast, Prof Margo Mountjoy (T:@margomountjoy) joins BJSM’s Daniel Friedman (T:@ddfriedman) to discuss harassment and abuse in sport. Prof Mountjoy is an Associate Clinical Professor in the Department of Family Medicine at McMaster University Medical School and Regional Assistant Dean of the Michael G. DeGroote School of Medicine, McMaster University. She is also a clinician scientist – sports medicine physician practicing at the Health + Performance Centre at the University of Guelph, as the Clinical + Academic Director. Prof Mountjoy works for several International Sports organizations in the field of sports medicine including the International Olympic Committee (Games Group), the International Federation for aquatics (FINA), the Association of Summer Olympic International Federations and for the World Anti-Doping Agency. In this episode, Prof Mountjoy discusses: · The Larry Nassar case · Sexual abuse in sport · MeToo movement’s impact on sport · Types of abuse and harassment and the impact on the athlete vs organisation · The Olympic Athlete Welfare Programme · Tips for clinicians to help prevent abuse and harassment in sport Mentioned in this podcast: Mountjoy M ‘Only by speaking out can we create lasting change’: what can we learn from the Dr Larry Nassar tragedy? British Journal of Sports Medicine 2019;53:57-60. https://bjsm.bmj.com/content/53/1/57 The Larry Nasser Tragey – BMJ https://blogs.bmj.com/bmj/2018/03/29/margo-mountjoy-on-the-larry-nassar-tragedy-never-again/ Reardon CL, Hainline B, Aron CM, et al Mental health in elite athletes: International Olympic Committee consensus statement (2019) British Journal of Sports Medicine 2019;53:667-699. https://bjsm.bmj.com/content/53/11/667 Safeguarding athletes from harassment and abuse in sport IOC toolkit https://www.iwf.net/wp-content/uploads/downloads/2018/10/IOC_Safeguarding_Toolkit_ENG.pdf You can find two of Professor Mountjoy’s previous podcasts here: Relative energy deficiency syndrome (RED-S): http://ow.ly/VCZK50v2A7f Psychological abuse in sport (2017) http://ow.ly/ljJt50v2Amt (Harrassment, abuse, bullying)

Jonathan Hanson is a Sports Medicine consultant with a background in emergency medicine. He works as team doctor for the Glasgow Warriors rugby union team, has worked as an Emergency care advisor to the FA and worked on Head injury systems and immediate care with the Senior men at the 2018 FIFA World Cup. Given his background, he has a particular interest in the human factors associated with working in SEM, especially in a pitch-side/pre-hospital setting. In this podcast, we discuss:  What is meant by the term ‘human factors’?  How do we develop these? Can they be developed at an individual level, or do they need to be embraced more broadly by a team/department as a whole?  Examples of how human factors have affected practice  Getting people to ‘buy-in’ to the importance of human factors? For listeners, you can follow Jonathan @SportsDocSkye – and the links to the resources we mentioned can be found below: BJSM Three-Part Blog Series: https://blogs.bmj.com/bjsm/2019/04/30/human-factors-in-sports-medicine-part-1/ https://blogs.bmj.com/bjsm/2019/05/17/human-factors-in-sports-medicine-part-2/ https://blogs.bmj.com/bjsm/2019/05/25/human-factors-part-3/ Just a routine operation: https://www.youtube.com/watch?v=JzlvgtPIof4 13 minutes to the moon: https://www.bbc.co.uk/programmes/w27vq4km

On this week’s BJSM podcast, BJSM deputy editor Dr Jane Thornton (T: @JaneSThornton) joins Daniel Friedman (T: @ddfriedman) to discuss physical activity counselling. Dr Jane Thornton MD PhD is a sports medicine physician and researcher currently based in London, Canada, and is an international advocate for physical activity. She has a wealth of international experience in the field of preventative medicine, with a particular passion for promoting physical activity as both prevention and treatment of chronic disease. Alongside a super impressive medical career, Dr Thornton is also a World Champion and former Olympic rower for Canada. In Part 2 of this 2-part podcast, Dr Thornton discusses: · Her efforts leading the Canadian Medical Education Strategy · Physical activity resources for clinicians and patients · Examples for successful physical activity counselling initiatives around the world · What SEM clinicians can start doing today to help their patients become more physically active Mentioned in this podcast: Make Your Day Harder http://www.makeyourdayharder.com/ PAPRICA (Switzerland) https://www.paprica.ch/ WHO Global Action Plan on Physical Activity https://www.who.int/ncds/prevention/physical-activity/gappa In-bed cycling for patients https://www.cbc.ca/news/canada/hamilton/biking-in-bed-is-good-for-icu-patients-says-new-mcmaster-study-1.3915472 Park Run https://www.parkrun.com/ PA prescription in Luxembourg http://www.sport-sante.lu/