BJSM Podcast

Die Evidenz basierte Medizin ist ein Grundpfeiler medizinischen Handelns und ist im täglichen Leben des Arztes und Physiotherapeuten nicht mehr wegzudenken. Dr Andreas Waltering (IQWIQ) gibt uns eine Einführung in die Evidenz basierte Medizin (EBM). Anfangen mit der Entstehungsgeschichte der EBM. Die EBM wurde im Gegensatz zu Deutschland von der Ärzteschafft selber gefordert. Im deutschsprachigen Raum wurde die EBM primär eingeführt um der Fehlversorgung entgegen zu wirken. Dr Markus Laupheimer (@swisssportscare) stellt die Fragen. Wieso ist EBM wichtig? Sollen wir den Vorlieben der Chef oder Oberärzte folgen? Oder sollen wir Patientenbezogen die EBM einsetzten? EBZ ist für ein Gesundheitssystem wichtig um Therapien die nachweislich was Bewirken zu fördern und zu bezahlen. Im Gegensatz dazu sollten Therapien die Nachweislich keinen Nutzen haben nicht von der Solidargemeinschaft bezahlt werden. Systematische Übersichtsarbeiten helfen Verzerrungen von einzelnen Studien zu vermeiden um den größten Aussagewert zu erhalten. Hierarchie der Evidenz: http://canberra.libguides.com/c.php?g=599346&p=4149721 Praktisches Beispiel in der Sportmedizin gibt es viele, jedoch eines der meisten untersuchten Therapien ist die Arthroskopie bei Gonarthrose, welche keinen Vorteil zu Placebo zeigt. #Bewegungsmedizin #Evidenzbasiert Dabei sollten wir nicht vergessen “Bewegung bringt Heilung” (https://soundcloud.com/bmjpodcasts/einfuhrung-in-die-bewegungsmedizin-bewegung-bringt-heilung-mit-dr-boris-gojanovic?in=bmjpodcasts/sets/bjsm-1) Weitere links zur Evidenzbasierten Medizin: Deutsches Netzwerk Evidenzbasierten Medizin e.V. http://www.ebm-netzwerk.de/ Center of evidence-based medicine University of Oxford IQWIQ : Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen https://www.iqwig.de/ Euch einen aktiven und bewegungsreichen Tag! Nun viel Spaß mit diesem Podcast des BJSM. Und vergesst nicht uns auf Twitter @BJSM_BMJ, Facebook oder google+ zu folgen. Da gibt es regelmäßig neue updates. Für feedback oder Anregungen für neue Podcasts schreibt mir einfach eine mail markus@swisssportscare.com

Dr. Michael Makdissi is a Sports & Exercise Medicine (SEM) Physician based in Melbourne. He has pursued a career that blends both clinical and research roles. His research is mainly based around concussion and it is this area where he has become a globally respected voice. Liam West poses the questions in this podcast that sees Dr. Makdissi discuss the new Sports Concussion Assessment Tool (SCAT) 5, common mistakes made when managing athletes with concussion, updates within the SCAT5 and tips on how to use it. To read the full paper related to the new SCAT5 please follow the link, The Consensus Statement - http://bjsm.bmj.com/content/51/11/838. Or head to the BJSM website to find further related papers: The Sport Concussion Assessment Tool 5th Edition (SCAT5): Background and rationale - http://bjsm.bmj.com/content/51/11/848; Sport concussion assessment tool - 5th edition - http://bjsm.bmj.com/content/51/11/851.

Professor Lorimer Moseley (PT, PhD) is Chair of Physiotherapy at the University of South Australia and a professor of Clinical Neurosciences. http://people.unisa.edu.au/lorimer.moseley He combines Oxford rigour with a laconic and very popular Australian style of communication. In this podcast he addresses the questions: What’s new in our understanding of the spinal cord? What should we be telling patients? Is the ‘hands on, hands off’ debate a useful one? How do you feel the profession is performing right now? On the subject of what should we be telling patients, he argues we should train them to ask clinicians 3 questions. 1.How do I know my pain system is over-protective? 2.What can I do to retrain my system to be less protective? 3.Am I safe to move? You can find his patient website ‘Tame the Beast’ here: https://www.tamethebeast.org/#home And is previous BJSM podcast was on tendons. It has had >17K listens: http://ow.ly/5OGN30gkaD7. And here is a link to the Pain Revolution website: https://www.painrevolution.org/

Allyson M Pollock is professor of public health and Director of Institute of Health and Society in the Medical Faculty of Newcastle University. She is a public health doctor and has been researching injuries and rugby injuries for more than ten years. She takes what she describes as the ‘child’s perspective’ and asks – Do children know the risks of playing school rugby? Do all schools have appropriate risk mitigation? She reminds us that the health benefits of physical activity are well proven – but if one critically reviews the literature those benefits have not been proven for school rugby. This is a controversial position that is strongly countered by others. BJSM doesn’t have a position in this debate – our job is to highlight that there is a respectful debate and to encourage scrutiny of the existing evidence. We encourage researchers to add new data to this question and similar ones in sport. Links: University of Newcastle Press Release: Prof Pollock’s letter to all 4 Chief Medical officers of the UK: http://www.ncl.ac.uk/press/news/2017/09/banrugbytackleforkids/ World Rugby’s reply to above call. From The Guardian. https://www.theguardian.com/sport/2017/sep/26/ban-harmful-contact-from-school-rugby-games-to-reduce-injury-risk-say-experts Professor Pollock’s call to ban tackling in rugby in the BMJ: http://blogs.bmj.com/bmj/2017/09/25/allyson-pollock-and-graham-kirkwood-tackle-and-scrum-should-be-banned-in-school-rugby/ A reply to Prof Pollock by Dr Ross Tucker and colleagues: http://bjsm.bmj.com/content/50/15/921 Prof Pollock’s reply to World Rugby: http://bjsm.bmj.com/content/51/15/1113 The BMJ profile of Prof Pollock – “BMJ Confidential” (must have BMJ subscription): http://www.bmj.com/content/359/bmj.j4625 Prof Pollock’s Wikipedia page: https://en.wikipedia.org/wiki/Allyson_Pollock

Why are groin injuries so difficult to manage? How has rehabilitation advanced over the years? In this BJSM podcast, we interview Professor Michael Callaghan, Professor of Physiotherapy at Manchester Metropolitan University and Head of Physical Therapies at MUFC. We discuss the pressures of dealing with groin injuries in a team environment, the use of 1%ers, and surgical options for dealing with the groin. Michael is involved with the organisation of the inaugural MUFC Conference starring experts in the field such as Damian Griffin, details of which can be found here: www.manutd.com/medicalconference Another key BJSM podcast focusing on the biomechanics of groin injury can be here: https://goo.gl/GWeQ62 Adam Weir, vastly experienced physiotherapists, also shares his pearls on groin treatment here: https://tinyurl.com/y88zplkb

This episode takes place from Surrey Sports Park, the training base of Harlequins Rugby Union. During the podcast, performance nutritionist David Dunne delves into the following topics with Dr Sean Carmody: -Managing weight loss safely in weight dependent sports (eg boxing, MMA) -Developing muscle mass appropriately in rugby union players -Nutritional considerations in the professional golfer In addition to his work with Harlequins, David has worked in several sports including Queens Park Rangers FC (football), Team Wiggins (cycling), GB Canoeing and professional boxing. David also holds a position with data analytics and sport science company, Orreco. Links to the research discussed during the podcast are listed below: https://www.researchgate.net/publication/304529333_Acute_Weight_Loss_Strategies_for_Combat_Sports_and_Applications_to_Olympic_Success https://www.researchgate.net/project/Waterloading-in-combat-sport-athletes-as-means-to-manipulate-body-mass http://www.tandfonline.com/doi/abs/10.1080/17461391.2017.1297489?scroll=top&needAccess=true&journalCode=tejs20 The Liverpool John Moores University observational MMA case study discussed is still currently in press. To keep up to date on this research follow the below profiles on researchgate: https://www.researchgate.net/profile/Carl_Langan-Evans https://www.researchgate.net/profile/Ben_Crighton

Michele Verroken is the founding director of Sporting Integrity, a consultancy which advises governing bodies about identifying, adopting and managing best practice procedures relating to risk, ethical and integrity standards and issues in sport. Formerly Director of Ethics and Anti-Doping at UK Sport, Michele has worked in elite sport for over thirty years. She currently works as an Anti-Doping advisor to the PGA European Tour and is Secretary of the Commonwealth Games Federation Medical Commission. Here, in conversation with Sean Carmody, Michele outlines her anti-doping efforts in golf, the problems with the TUE system, and the three key things that any clinician working in golf must consider in order to prevent doping.

Respiratory conditions are often neglected in the world of sports medicine, so we’ve got two world leaders on a podcast, recorded at the famous Centre for Health & Human Performance in London, to enlighten us on respiratory conditions in sport. Our guests Dr James Hull is Consultant Respiratory Physician with a specialist expertise in assessing athletes with unexplained breathlessness. He is an invited member of the American Thoracic Society expert committee for Exercise Induced Bronchoconstriction and is widely published in this field. Dr. John Dickinson is an Exercise Respiratory Physiologist with a specialist in assessing exercise respiratory symptoms in athletes. He has tested over 1,000 elite athletes from a range of sports including all Olympic and many professional sports, such as rugby and Premier League football. In this podcast we discuss: What are the common respiratory conditions that every sport & exercise medicine clinician should be comfortable with? What work-up do these athletes need? What is the gold-standard management of exercise-induced bronchoconstriction in athletes? What is EILO – and why is it important we know about it? Check out the BJSM social media channels for further resources!

Professor Jon Drezner is a family medicine physician from Seattle, USA with expertise in sports medicine and sports cardiology. He shares the new international criteria for electrocardiogram (ECG) interpretation in athletes - these lead to a lower false positive rate while maintaining sensitivity. He clearly defines the key changes and what to look out for on an ECG. You can access the International ECG Criteria paper below and also check out the conference Prof. Drezner is organising in Seattle 2-3 November 2017. International ECG Interpretation Criteria - http://bjsm.bmj.com/content/early/2017/03/03/bjsports-2016-097331. Conference: “Prevention of Sudden Cardiac Death in Athletes: Sports Cardiology for the Team Physician and Cardiology Consultant” - https://uw.cloud-cme.com/Ap2.aspx?EID=4649&P=5.

Angela Smith is an attending orthopaedist at Nemours/Alfred I duPont Hospital for children, and Clinical Professor of Orthopaedics and Paediatrics at Sidney Kimmel Medical College of Thomas Jefferson University. She is the past president of the American College of Sports Medicine, and acts as a member of the Executive Committee of FIMS. She draws upon her extensive clinical experience of working with youth athletes to discuss with BJSM’s Liam West the hotly debated topic of early sports specialisation. Is this needed in order for athletes to be success? Or are we causing a higher injury risk in these kids? All this and more inside the podcast… Further Reading: Caring for the young athlete: past, present and future - http://bjsm.bmj.com/content/51/3/141 Debunking early single sport specialisation and reshaping the youth sport experience: an NBA perspective - http://bjsm.bmj.com/content/51/3/142 Early sport specialisation, does it lead to long-term problems? - http://bjsm.bmj.com/content/47/17/1060 Youth sports injury prevention: keep calm and play on - http://bjsm.bmj.com/content/51/3/145 Sports specialised risks for re-injury in young athletes: A 2+ year clinical prospective evaluation - http://bjsm.bmj.com/content/51/4/334.2 Promoting the athlete in every child: physical activity assessment and promotion in healthcare - http://bjsm.bmj.com/content/51/3/143 Similar Podcasts: Injuries in kids: Why do they occur? Is specialisation a problem? Sam Blanchard - http://bit.ly/1HqnXsf