Bjsm Podcasts

Physio podcasts

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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

Prof Antonio Pelliccia - Sports cardiology: the cutting edge and looking to the future

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 thesportsmedcast@gmail.com.

Sports medcast in association with AMSSM: Heat injury

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. 

Scapular summit 2013 with Ben Kibler

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

Time to revisit inflammation in tendons, with Jon Rees

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

Professor Ron Diercks talks about sports medicine research in the Netherlands

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 thesportsmedcast@gmail.com regarding this or any other Sports Medcast

Further reading:
Zurich consensus statement on concussion http://bjsm.bmj.com/content/47/5/250.full

Sport medcast in association with the AMSSM: Concussion

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


“Mechanotherapy” and why it’s important for clinicians with Karim Khan

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.

Gait retraining to reduce leg pain with Dr Andy Franklyn-Miller

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

Managing groin pain, with Andrew Franklyn-Miller

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

“Mythbuster” on NSAIDs in sports medicine, challenging nutrition dogma, and evidence-based practice

Welcome to the Latrobe Sports and Exercise Medicine Research Centre podcast,  Dr Joanne Kemp is an APA titled Sports Physiotherapist and is current a research fellow at Federation University in Ballarat.  Dr Kemp is an emerging name in the area of hip pain research and is currently involved in a number of research projects investing surgical and non-surgical management for hip pain both here in Australia and around the world.  Dr Kemp provides listeners with some great insights into the current status of hip research and some clinic ready skills for those of who treat patients with hip pain..

Latrobe Sports and Exercise Medicine Research Centre podcast featuring Dr Joanne Kemp

Treating tendinopathies remains a challenge, despite many advances in the past decade. Listen to practical tips and a tip to consider the time course of tendon injury when making treatment decisions.

More information can be found in Professor Cook’s paper Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy http://bit.ly/R0PDbT

See also:
Jeremy Lewis on shoulder tendinopathy http://bit.ly/mm3C1f
Tendon-focussed issue, BJSM #5, April 2011http://bit.ly/11A4rRb

Professor Jill Cook on managing tendinopathies in 2011

Diagnosing chronic exertional compartment syndrome relies on measuring intramuscular pressure, however Andrew Franklyn-Miller (Sports Surgery Clinic, Dublin; education director at BASEM) has shown the criteria for this are flawed (2.51). He talks to BJSM editor Karim Khan about what clinicians can do to get round this, his theory the condition is caused by biomechanical overload and his work looking at running re-education to alleviate symptoms (6.13).

He also gives us his views on barefoot running (10.44) and talks about his research on orthotics (17.57).

Finally, as UKsem’s director, Dr Franklyn-Miller gives us an update on the speakers and programme of the upcoming conference (21.04).

See also:
Foot Orthoses in the Prevention of Injury in Initial Military Training http://ajs.sagepub.com/content/39/1/30.abstract
The validity of the diagnostic criteria used in chronic exertional compartment syndrome: A systematic review http://bit.ly/10aEvc9
Chronic exertional compartment syndrome testing: a minimalist approach http://bit.ly/ZkXNBc
Chronic exertional compartment syndrome http://bit.ly/oNUhJE
BJSM podcast: July’s BJSM and the UKsem Congress, with Andrew Franklyn-Miller
UKsem http://bit.ly/13rUCpJ

Biomechanical overload and lower limb injuries, with Andrew Franklyn-Miller

Hamstring injuries are the most prevalent muscle injuries in sport. Symptoms can be particularly prolonged, healing response poor, and the risk of re-injury high.

Carl Askling (Karolinska Institute, Stockholm) has been trialling a new way of categorising these injuries, thinking about them as high-speed running or stretching types. He explains to Karim Khan how these types can be diagnosed and the different treatment and monitoring they require. He also describes how to assess athletes post hamstring injury for return to sport.

See also:
High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis http://bit.ly/15Dzv8a
Hamstring strain injuries: are we heading in the right direction? http://bit.ly/LfwK2I
Hamstring issues in sports: still a major clinical and research challenge http://bit.ly/JTzgb7

February’s BJSM has a special focus on hamstring injuries, so there’s even more related content in the issue and on the website.

Hamstring injuries with Carl Askling

Tom Best, co-medical director of Ohio State University Sports Medicine and professor of Family Medicine, OSU College of Medicine, talks about his work on the treatment of hamstring injuries.

1.00 - Clinical scenario: acute hamstring injury

4.15 - Recovery time

9.34 - Considerations before returning to sport

17.00 - Recurrence

19.30 - Use of NSAIDs

23.30 - Role of massage in sports medicine injuries

26.20 - American College of Sports Medicine 2012 meeting in San Francisico

30.30 - Other hamstring injury resources

See also:
Carl Askling’s BJSM podcast on hamstring injuries http://bit.ly/zFjobU
BJSM article: Do you consider two types of injury? http://bit.ly/15Dzv8a
Feb 2012 issue of BJSM http://bjsm.bmj.com/content/46/2.toc

Tom also mentioned:
Gisela Sole’s paper http://bit.ly/10aHLnR
Jan Ekstrand http://bit.ly/ZMbrHW
Tom’s book is Evidence Based Sports Medicine 

Tom Best on hamstring injuries

 Per Holmich, head of the Arthroscopic Centre at Amager University Hospital, has been working for many years on overuse problems especially hamstring, groin and hip problems focusing on exercise treatment and hip arthroscopy.

In this podcast he talks to Karim Khan about groin injuries, what to watch out for in diagnosis, and how to treat.

Groin injuries, with Professor Per Holmich

Jeremy Lewis, consultant physiotherapist and visiting professor of Physiotherapy at Chelsea and Westminister NHS Foundation Trust, talks to Prof Jill Cook about management of rotator cuff tendinopathy. They cover the role of the subacromial bursa in the condition, new treatment paradigms, hopes for future developments.

Bursa: 3.40
Changing treatment paradigms:  6.00
Future developments: 13.30

Prof Jeremy Lewis: Rotator cuff tendinopathies

Hans Tol (BJSM senior associate editor) talks to Gino Kerkhoffs (Orthopaedic Surgery, Academic Medical Centre, Amsterdam, Netherlands) about diagnosing and treating acute ankle injuries, as his group has just published clinical guidelines on this in BJSM.

0.37 Who the guidlines are aimed at

2.11 Risk factors for ankle injuries

5.09 Is there still a place for MRI in diagnosing acute ankle injuries?

11.50 Functional treatment - tape or brace?

15.03 Should injuries where the syndesmotic ligament is involved be treated the same as lateral injuries?

16.50 Surgery

21.45 Prevention after surgical repair

24.16  The future of diagnosis and treatment

26.24 What’s the evidence for platelet rich plasma treatment?

See also:
Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline http://bit.ly/Qn0UTG

Acute ankle injuries, with Professor Gino Kerkhoffs

Jill Cook is BJSM’s deputy editor with particular emphasis on physiotherapy. She is a professor at Monash University, Frankston, Australia, and a renowned international tendon authority. In this podcast she answers questions she is commonly asked about the ‘continuum model’ of tendinopathy that she and Craig Purdam (Australian Institute of Sport) proposed.

See also:
Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy bit.ly/YKmKkM
Is compressive load a factor in the development of tendinopathy? bit.ly/XTvZlk
Jeremy Lewis’s podcast on rotator cuff tendinopathies bit.ly/Nhll0U
Jill’s previous podcast on managing tendinopathies bit.ly/15DM8Qp

Jill Cook on the continuum model of tendinopathy

Lateral epicondylalgia, often referred to by patients as tennis elbow, has a range of treatment options available to the clinician. A group at the University of Queensland, Australia, headed by Bill Vicenzino have been investigating short and long term outcomes of different treatment modalities. Last month, they published an RCT in JAMA examining the effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia.

Professor Jill Cook asks the hard question - is it time to drop corticosteroid injection from the treatment options for tennis elbow?

Treating elbow pain: physiotherapy or cortisone injection: Profs Vicenzino, Cook & Dr Coombes

Paul McCrory, neurologist and sports medic at the University of Melbourne, gives us the new, take home messages from the latest concussion consensus statement.

For a guide to all the content in the latest injury prevention and health protection issue of BJSM, where the consensus is published, listen to Dr McCrory’s earlier podcast http://bit.ly/12XvGb5.

All the content from the issue can be found here http://bjsm.bmj.com/content/47/5.toc.

Dr Paul McCrory’s 3-minute snapshot of what’s new in managing concussion

Paul McCrory, neurologist and sports physician at the University of Melbourne, talks us through what to do if you think you’ve had a concussion, when you can go back to sport, and what the complications of concussion are.

Dr Paul McCrory on what athletes need to know about concussion

Professor Jiri Dvorak discusses the major public health initiative ‘Football for Health’ which has already been adopted in 19 countries. He also introduces that 11 steps to prevent cardiac death and revisits progess on the 11+, a warmup program that reduces lower limb injuries in football. Professor Dvorak is the Chief Medical Officer for FIFA and Chairman F-MARC.

Prof Jiri Dvorak on sudden cardiac death, and the Football for Health and 11+ programs

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

Carl Askling on hamstring injuries - in Swedish

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.

Groin injuries, with Professor Per Holmich

BMJ talk medicine