BJSM Podcast

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

AMSSM Podcast host Dr. Krystian Bigosinski is joined by Dr. Alessio Fasano, the W. Allan Walker Chair in Pediatric Gastroenterology and Nutrition and Director of the Center for Celiac Research and Treatment at Massachusetts General Hospital, as well as Dana Lis, RD, PhD, owner of Summit Sports Nutrition in Vancouver, British Columbia. Topics of conversation include the definition of gluten and FODMAPs and their potential role in leading to both gastrointestinal and constitutional symptoms in athletes, a practical diagnostic approach to evaluate an athlete manifesting GI symptoms, recognition of the spectrum of disease from gluten sensitivity to true celiac disease, when to consider initiating a restrictive diet and subsequently how to reintroduce foods, and the potential risks of athletes restricting their diets without a formal pathological diagnosis. Links: Noakes T, Volek JS, Phinney SD. Low-carbohydrate diets for athletes: what evidence?. Br J Sports Med 2014;48:1077-1078. http://bjsm.bmj.com/content/48/14/1077 Collins J, McCall A, Bilsborough J, et al. Football nutrition: time for a new consensus?. Br J Sports Med Published Online First: 02 March 2017. doi: 10.1136/bjsports-2016-097260 http://bjsm.bmj.com/content/early/2017/03/02/bjsports-2016-097260 Lis DM, Fell JW, Ahuja KDK, Kitic CM, Stellingwerff T. Commercial Hype Versus Reality: Our Current Scientific Understanding of Gluten and Athletic Performance. Current sports medicine reports. 2016;15(4):262-268. doi:10.1249/JSR.0000000000000282. http://journals.lww.com/acsm-csmr/fulltext/2016/07000/Commercial_Hype_Versus_Reality___Our_Current.11.aspx

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

One of the most influential cardiologists in Britain and a world leading expert in the prevention, diagnosis and treatment of heart disease, Dr Aseem Malhotra is a brave advocate for public health initiatives. An award-winning NHS cardiologist, Dr Malhotra has successfully motivated leading academics, the media and politicians to make sugar reduction a health priority in the UK. His academic publications can be found in the BMJ and BJSM (see links below) and he is prominent in mainstream media. He recently published what is already a best-seller, “the Pioppi Diet: A 21 day lifestyle plan”. https://www.penguin.co.uk/books/305991/the-pioppi-diet/ Links: Dr Malhotra explains that if folks want to lose weight they need address eating habits and food choices: http://bjsm.bmj.com/content/49/15/967 “You can’t outrun a bad diet” Dr Malhotra on saturated fat - it does not clog the arteries. Coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively reduced by healthy lifestyle interventions: http://bjsm.bmj.com/content/51/15/1111. Interesting in low-carb eating and the rationale for real food? Here is obesity warrior, Dr Sarah Hallberg on TEDx. She explains how to reverse Type 2 diabetes (‘sugar diabetes’). >2million views! https://www.youtube.com/watch?v=da1vvigy5tQ Previous related podcasts: Dr Aseem Malhotra: You cannot outrun a bad diet. https://soundcloud.com/bmjpodcasts/you-cant-outrun-a-bad-diet-draseemmalhotra-on-weight-loss-strategies Professor Tim Noakes: Time to revisit real food choices. https://soundcloud.com/bmjpodcasts/prof-tim-noakes-time-to-revisit-food-choices-the-real-meal-revolution-lchf-summit-for-health Dr Sarah Hallberg: Why we get fat. https://soundcloud.com/bmjpodcasts/why-we-get-fat-insulin-is-a-fat-storing-hormone-dr-sarah-hallberg-renowned-obesity-doctor