Are you or your athletes in control of your ‘chimp’ (emotional, reactive part of your mind) at all times? We hear from Professor Steve Peters -- the brains behind ‘The Chimp Paradox’ and the much-heralded psychiatrist who has worked with the likes of Team Sky Cycling, Liverpool Football Club and the FA to improve athlete performance. Prof Peters explains the rationale for the seemingly simplistic model and shared example of how it can be applied in various sport settings. 

“The Chimp Paradox” has been among the most popular self-development books in recent years and it will of interest to many BJSM listeners from both a personal and professional standpoint.  http://amzn.to/1TNV3Xy

If you want to see Prof Peters speak – sign up for the BASEM Spring Conference (Friday April 8th) here! http://bit.ly/1TNV0en 

Timeline

1:10m: What is the chimp model?

4:15m: How does the ‘chimp’ model work in sport?

5:30m: Is it always an overactive chimp that holds athletes back?

7:45m: What works best with athletes?

9:30m: What can we do about unhelpful behavioural traits?

11:45m: What pitfalls can we avoid when dealing with young elite athletes?

13:30m: How can you talk to athletes about psychological performance?

16:55m: Does the chimp model work when split-second sporting decisions are needed?

18:30m: Mental Health in Sport

21:15m: Any tips for those wanting to work in sport?

BJSM Links: 

2016’s issue 3 of BJSM was devoted to mental health in sport. Table of contents link: 
http://bjsm.bmj.com/content/50/3.toc

An editorial on the issue of mental health and ‘mental toughness’ : 
Dr James Bauman: The stigma of mental health in athletes: are mental toughness and mental health seen as contradictory in elite sport?
http://bjsm.bmj.com/content/50/3/135.extract



Leading sports psychiatrist, Prof Steve Peters, shares secrets of working with the very best

You want the big names on BJSM podcasts and Twitter asked for Dr Graeme Close. Fresh from the UK undergraduate student conference, Graeme shares pearl after pearl on this top podcast. What do you do in a first consultation? How does nutrition in team sport vary from individual sport? What’s the key to a successful pre-game routine? How should nutrition change when an athlete is injured? Supplements? Coffee? Sleep? Take home tips – all in this 16 minute gem. 

Graeme has a great CV for his role in top sport. He is (i) a former professional rugby league player (clips here https://youtu.be/1mHljSGlQwA) (ii) a sports science PhD and now faculty at Liverpool John Moores University (iii) rumored to be the only person in the UK accredited with the official bodies for sports science (BASES), sports nutrition (SENr) and strength & conditioning (UKSCA). We call that the ‘triple crown’.

Kudos to medical student Tej Pandya for organizing the conference and for a great debut as a podcast host. BJSM’s podcasts have been hosted by 23 different interviewers and there are podcasts in 5 languages. Feel free to submit a podcast for our consideration. (info.bjsm@bmj.com)

Nutrition pearls for sport performance: Professor Graeme Close provides 27 practical tips

Are you confused about healthy nutrition, the role of insulin, this concept of ‘insulin resistance’? Can one largely ignore a macronutrient (i.e. carbohydrates) and not drop dead within a few days? 

Karim Khan, the Editor in Chief of the BJSM vouches for this podcast personally and describes Dr Hallberg as one of the people that has most influenced his understanding of a key medical concept. 

In addition to Dr Hallberg’s popular (nearing 2 million views!) TEDx talk https://youtu.be/da1vvigy5tQ

Here are her further credentials. https://www.virtahealth.com/about/hallberg

When Dr Hallberg refers to blood glucose being ‘100’ she is referring to the US convention – using mg/dL which is 5.6 mmol/L in many countries (Europe, UK, Australia, Canada etc.)   

Highlights include: 

Dr Hallberg has great training for exercise prescription from her undergraduate and Master’s degrees in Kinesiology. She’s a medical doctor who runs a clinic for obese patients – that’s a better place to speak from than a lot of theorists in the field. 

Dr. Sarah Hallberg is the Medical Director at Virta Health, a specialty medical clinic that reverses type 2 diabetes safely and sustainably, without the risks, costs, or side effects of medications or surgery.

As a physician and exercise physiologist with a passion for helping people be healthy through diet and exercise, she is responsible for providing medical supervision to Virta’s expert team of physicians and oversees the clinical strategy for Virta Clinic participants.

Dr. Hallberg is also the executive director of The Nutrition Coalition, a nonprofit organization that aims to educate the public and policymakers about the need to strengthen national nutrition policy so that it is founded upon a comprehensive body of science. 

Link to Dr Hallberg’s paper: 

Recent trial she refers to: http://diabetes.jmir.org/2017/1/e5/ A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes

Link to other podcasts on BJSM relating to this topic: 

Professor Timothy Noakes: “High-fat for health” (11k listens) https://soundcloud.com/bmjpodcasts/high-fat-for-health

Professor Stephen Phinney “Science behind lo-carb for performance” (9K listens) https://soundcloud.com/bmjpodcasts/prof-stephen-phinney-on-the-science-behind-low-carb-diets-for-athletes-a-rational-approach

Professor Jason Fung: “Diet and obesity and diabetes” (6K listens) https://soundcloud.com/bmjpodcasts/dr-jason-fung-on-the-impact-of-diet-on-obesity-and-type-2-diabetes-mellitus

Link to Dr Hallberg’s nearly 2 million view TEDx talk: “Reversing Type 2 diabetes starts with ignoring the guidelines” https://youtu.be/da1vvigy5tQ

Why we get fat. Insulin is a fat-storing hormone: Dr Sarah Hallberg, renowned obesity doctor

Dr. Jeremy Lewis is a Consultant Physiotherapist and Professor of Musculoskeletal Research (University of Limerick, Ireland). Originally born in New Zealand, he trained in Australia before moving to England where he now works in both the Public (NHS) and Private sectors.

Dr. Lewis has distinguished himself and become a globally respected voice in the area complex shoulder issues in both clinical and research capacities.

This podcast has been adapted from one originally published by our friends Kinetic Labs (https://kineticlabs.ca/ - where you can find the full version). Dr. Lewis shares his thoughts with the listeners on;

•	Shoulder Impingement
•	Rotator Cuff tears
•	Shoulder special tests and why they aren't that special
•	Shoulder Surgery
•	Shoulder Symptom Modification Procedures and how they help treat patients
•	What mistakes we commonly make when treating shoulder pain

For extra podcast resources on shoulder issues in SEM, check out;
•	Practical Clinical Shoulder Pearls with Adam Meakins - https://soundcloud.com/bmjpodcasts/shoulder-focus-with-leading-sports-physiotherapist-adam-meakins-practical-clinical-pearls?in=bmjpodcasts/sets/bjsm-1 
•	Prof McCormack on whether to operate on Shoulder Dislocations - https://soundcloud.com/bmjpodcasts/shoulder-dislocation-to-operate-or-rehabilitate-prof-bob-mccormack-olympic-physician?in=bmjpodcasts/sets/bjsm-1 
•	Scapular Summit with Ben Kibler - https://soundcloud.com/bmjpodcasts/scapular-summit-2013?in=bmjpodcasts/sets/bjsm-1
•	5 Clinical shoulder tips with Dr. Mark Hutchinson - https://soundcloud.com/bmjpodcasts/five-clinical-tips-for?in=bmjpodcasts/sets/bjsm-1
•	Prof Jeremy Lewis on Rotator Cuff Tendinopathy - https://soundcloud.com/bmjpodcasts/prof-jeremy-lewis-rotator-cuff?in=bmjpodcasts/sets/bjsm-1
•	Shoulder Injuries with Ann Cools - https://soundcloud.com/bmjpodcasts/shoulder-injuries-with-ann?in=bmjpodcasts/sets/bjsm-1
•	The Shoulder in Sport with Ben Kibler - https://soundcloud.com/bmjpodcasts/the-shoulder-in-sport-with-ben?in=bmjpodcasts/sets/bjsm-1
•	Clinical assessment of the Tennis Shoulder with Ben Kibler - https://soundcloud.com/bmjpodcasts/dr-ben-kibler-examination-and-diagnosis-of-the-tennis-player-part-one?in=bmjpodcasts/sets/bjsm-1

Dr Jeremy Lewis clarifies shoulder confusion: Common pitfalls and how to avoid them

Jo Gibson is a Clinical Physiotherapy Specialist at the Liverpool Upper Limb Unit based at the Royal Liverpool Hospital, UK. She lectures both nationally and internationally about rehabilitation of the shoulder. Her research interests are shoulder instability and motor learning. Jo is currently Squad Physiotherapist for the Great Britain Endurance riding Team.

How to rehabilitate the athlete after shoulder surgery. Top physio Jo Gibson on shoulder and mind

A respected global voice within Sports Physiotherapy, Phil Glasgow returns to the BJSM podcast to share his thoughts and expertise on loading for injury prevention and treatment. Phil has worked at numerous major international sporting events and was the Chief Physiotherapy Officer for Team GB at the Rio 2016 Olympics. As Former Head of Sports Medicine at Sports Institute, Northern Ireland, he has amassed extensive experience in high performance sport working with elite athletes from a wide range of sports learning their best loading patterns amongst the way.

BJSM’s Liam West poses the questions that see Phil take you through the fundamental principles of loading, when to start loading after injury, different loading patterns based on tissue type and loading pattern variations during rehabilitation.

Want to hear more on loading? Check out these two conferences below that Phil and other great speakers will be discussing loading patterns more in depth;

-	Second World Congress of Sports Physical Therapy in Belfast, Northern Ireland on 6th-7th October 2017 (http://www.opload2017.com)
-	New Zealand Sports Physiotherapy Conference in Auckland, 14th-15th October 2017 (http://bit.ly/2vudQmN). 

Some further reading:

PRICE needs updating, should we call the POLICE? - http://bjsm.bmj.com/content/46/4/220

Optimal loading: key variables and mechanisms - http://bjsm.bmj.com/content/49/5/278

Optimising load to optimise outcomes - http://bjsm.bmj.com/content/51/13/985

A view from New Zealand and an invitation to Sports Physiotherapy New Zealand’s Symposium (14–15 October 2017) - http://bjsm.bmj.com/content/51/5/413 

Training – injury prevention paradox. Should athletes be training smarter AND harder bjsm.bmj.com/content/early/2016…sports-2015-095788

Related Podcasts:
Dream Team of training load management: How training influences injury and performance - http://bit.ly/29gPxxg 

Putting load management evidence into practice: Sometimes you can’t! Dr Darren Burgess - http://bit.ly/2el00rR

What is Optimal Loading? How do we achieve it? Top Sports physio Dr Phil Glasgow reveals all

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Eric Topol, founder and director of the Scripps Research Translational Institute. They discuss the impact that AI will have in medicine and how this will affect us all.

Relevant links related to this podcast:
About Dr Topol - https://drerictopol.com/about/
Nature Medicine AI review - https://www.nature.com/articles/s41591-018-0300-7
Twitter - https://twitter.com/EricTopol?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor
Book - https://drerictopol.com/book/deep-medicine/
NHS Topol review - https://www.hee.nhs.uk/our-work/topol-review

Deep Medicine with Eric Topol, author of the Topol NHS review

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!

What actually works? Hip and Groin masterclass with Dr. Andrea Mosler. Episode #437

Dr. Mark Matthews (@Mark_MatthewsNZ) is a Lecturer at Ulster University in Belfast, Northern Ireland. Prof. Bill Vicenzino (@Bill_Vicenzino) is Chair in Sports Physiotherapy and Director of Sports Injuries Rehabilitation and Prevention for Health (SIRPH) research unit at the University of Queensland in Brisbane, Australia. In this episode, Dr. Erin Macri (@Erin_Macri) asks these clinician-researchers about their recent trial comparing foot orthoses to hip exercises, and how their results change what we think we know about managing patellofemoral pain.
Part 1 – The FOHX trial for patellofemoral pain: webinar https://espace.library.uq.edu.au/view/UQ:cc0ee60
Part 2 – Patellofemoral pain panel discussion https://espace.library.uq.edu.au/view/UQ:c813701

The latest on treating patellofemoral pain, with Drs. Mark Matthews and Bill Vicenzino. Episode #442

On this week’s episode, we are joined by A/Prof Daniel Belavy (T: @BelavySpine) from the Institute of Physical Activity and Nutrition at Deakin University in Melbourne. A/Prof Belavy is a back pain and spine researcher, and Leader of the Spine Research Group at Deakin. In this 17-min podcast, A/Prof Belavy discusses: 
•         the most effective exercises to improve pain, physical function and mental in adults with non-specific chronic low back pain
•        how running and cycling affect spine health
•        how sitting and sedentary behaviour affect spine health

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