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Bjsm

Jill Cook

Bjsm Podcasts

Sports

Clinical sports medicin

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

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.

Physio education, with David Pope

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

The authors of the recent meta-analysis on dietary sugar and body weight, Lisa Te Morenga, and Jim Mann, from the Departments of Human Nutrition and Medicine at the University of Otago, join us to discuss their findings.

Also this week, the BMA wants doctors to be more involved in influencing policy on recreational drugs. Vivienne Nathanson, its director of professional activities, explains its new report, and how individual testimony can combine to convince governments to change policy.

The science of sugar

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

Paediatric exercise specialist Dennis Caine discusses hot topics relating to kids in sport.  How much is too much? What are the major risks?

See also:
BJSM January issue -  Kids in sport http://bit.ly/129d46L

Dennis Caine on exercise in children; how much, how safe?

Dr Genevieve Healy, from the University of Queensland, discusses the recently-recognised phenomenon of ‘sitting’ being a risk factor for cardiac events and mortality independently of ‘physical activity’. 

She reports that a single 30-minute bout of physical activity does not guarantee cardiac health. The practical implications are that there should be more ‘standing meetings’, ‘standing breaks’ and remote controls being kept out of reach while watching TV.

Genevieve Healy - Sedentary behaviour and mortality

Which type of ACL reconstruction is best? How does one decide? What are the rehabilitation implications of each? In this podcast, US and Norwegian knee specialists Elizabeth Arendt and Lars Engebretsen share their experiences from operations that have allowed thousands to return to sport at the highest level. But they also raise the question, “Does everyone who ruptures their ACL need an operation?”

Related articles

http://bjsm.bmj.com/cgi/content/abstract/bjsm.2009.058156v1
http://bjsm.bmj.com/cgi/content/abstract/bjsm.2009.058024v1

Other relevant links
Oslo Sports Trauma Research Center http://www.ostrc.no/en
IOC statement http://bjsm.bmj.com/cgi/content/abstract/42/6/394

Prof Lars Engebretsen & Elizabeth Arendt - ACL reconstruction and rehabilitation

Everything you wanted to know about the Zurich International Conference on Concussion

The Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008 is BJSM’s top download and this podcast takes you behind the scenes.

Professor Paul McCrory shares the reasons behind recent changes in management of concussion and provides practical tips for you to prevent concussion and treat it where necessary.

Part 1: An overview of the conference process and the highlights of the specific conference papers that you can find in the May supplement of BJSM. What is new in definitions of concussion, concussion in children, return to play guidelines, the role of neuroimaging and biomarkers and advances in protection.

Related articles:
http://bjsm.bmj.com/content/vol43/Suppl_1/ (Contents page for the Concussion Supplement)
http://bjsm.bmj.com/cgi/content/full/43/Suppl_1/i76 (Main Consensus Statement)
http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i85 (SCAT2)
http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i89 (Pocket SCAT2)

Concussion Update - Part 1

Everything you wanted to know about the Zurich International Conference on Concussion

The Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008 is BJSM’s top download and this podcast takes you behind the scenes.

Professor Paul McCrory shares the reasons behind recent changes in management of concussion and provides practical tips for you to prevent concussion and treat it where necessary.

Part 3: You are the expert – you teach concussion to fellows and you can recite the SCAT2 even if you have profound headache and retrograde amnesia. Professor McCrory provides tips from the Consensus Statement that have you on the same page as the 27 experts in Zurich. And maybe you were one of them. Listen anyway, send any additional tips to the BJSM blog (http://blogs.bmj.com/bjsm/) and share the news of this practical podcast.

Related articles:
http://bjsm.bmj.com/content/vol43/Suppl_1/ (Contents page for the Concussion Supplement)
http://bjsm.bmj.com/cgi/content/full/43/Suppl_1/i76 (Main Consensus Statement)
http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i85 (SCAT2)
http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i89 (Pocket SCAT2)

Concussion Update - Part 3

In this edition of the BJSM podcast, human movement specialist Evert Verhagen discusses ankle sprains and rehabilitation.

Evert Verhagen on ankle sprains and rehabilitation

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

Exercise on prescription in Sweden started in the 1980s, and has now become widespread in the country. To help primary care clinicians navigate the evidence on prescribing exercise, the Swedish Institute of Public Health have produced the book Physical Activity in the Prevention and Treatment of Disease (available for personal use from http://www.fyss.se)

In this podcast Mai-Lis Hellénius and Carl Johan Sundberg, two of the authors of the book, share their experience of exercise on prescription in Sweden, and give some tips for clinicians thinking of following their model.

Exercise on prescription, Mai-Lis Hellénius and Carl Johan Sundberg

South african sports medicine has advanced rapidly in recent years. In this podcast, president of the South African Sports Medicine Association (SASMA) Jon Patricios, and University of Cape Town professor Tim Noakes, share their views on the past, present and future of sports medicine in Africa.

Patricios and Noakes review the influence of the 2011 FIFA World Cup on african sports medicine, and highlight the ‘Football For Health’ program which is underpinned by research published in BJSM in 2010 and 2011.

Professor Noakes also discusses the Central Governor Model of performance and the role of industry in excessively promoting over-drinking in endurance events.

Lastly, a preview of the 2011 SASMA Congress.

South African Sports Medicine Association theme issue - with Jon Patricios and Timothy Noakes

Ultrasound is rapidly revolutionising point-of-care medicine in many specialties. The last few years have seen technological advances make musculoskeletal ultrasound more practical, opening up opportunities for diagnostic and therapeutic interventions.

In this podcast, BJSM’s editor Karim Khan investigates the value of musculoskeletal ultrasound and how to integrate it into practice, with Kim Harmon, director of the Sports Medicine Fellowship at the University of Washington, US, and Sean Martin, Clinical Faculty at Eglin Airforce Base, US.

They discuss their experiences of the technique in clinical practice (0.44), which procedures it’s useful for (4.22), how to get started (12.03), using musculoskeletal ultrasound in the training room (13.33), the value of collaborating with radiologists and orthopaedics (15.58) and credentialing (17.46).

See also:
Musculoskeletal ultrasound education for sports medicine fellows: a suggested/potential curriculum by AMSSM http://bit.ly/XSYhwi
American Institute of Ultrasound in Medicine (AIUM) http://www.aium.org/
BJSM podcast: What is the future in sports imaging? Bruce Forster, David Hancock and John Orchard http://bit.ly/ZM6Q8C

Musculoskeletal ultrasound with Kim Harmon and Sean Martin

Professor Lars Nordsletten, from the Olso Sports Trauma Research Centre, talks to Karim Khan, BJSM editor, questioning the role of NSAIDs and COX-2 inhibitors in sport. He discusses how mediation of inflammatory response may not be in an athlete’s best interest. He shares data on NSAIDs delaying fracture healing, and discusses which drugs are most appropriate at various points during recovery.

See also:
Professor Nordsletten’s biography page http://bit.ly/10aK8XL
Abuse of medication during international football competition in 2010 – lesson not learned. Philippe Tscholl and colleagues. http://bit.ly/Y1smw1
Nonsteriodal anti-inflammatory drug use in sports medicine: Guidelines for practical but sensible use. Jason Paoloni and colleagues. http://bit.ly/10aV6MY

Professor Lars Nordsletten on NSAIDs and COX-2 inhibitors in sports medicine: A cautionary tale

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

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

Dr Juan Manual Alonso is a spanish sports physician and PhD with vast experience in track and field - six Summer Olympic Games just to start! He is the head of the IAAF (Athletics) where he had a global responsibility for antidoping (since 2003) and for guiding athlete care for all 200 countries in the Athletics Federation. He has recently begun working at Aspetar-Qatar Orthopaedic and Sports Medicine Hospital.

Jurdan Mendiguchia is a spanish physiotherapist with vast experience at home and in Italian football. He has published and lectured widely on rehabilitation with a focus on hamstring injuries. His 2012 BJSM editorial “Hamstring strain injuries: Are we heading in the right direction?” has had over 5,000 downloads http://tiny.cc/rgmrww. In this podcast he and Dr Alonso introduce the listeners to a multifactorial approach to managing hamstring strain.

Spanish speakers can listen to both Juan Manuel and Jurdan discussing sports medicine issues in detail in spanish here http://bit.ly/18FP3be.

Juan Manual Alonso - What can all nations learn from spanish sports medicine?

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.

Time to revisit inflammation in tendons, with Jon Rees

BMJ talk medicine