BJSM Podcast

Ian Needleman is a Professor of Restorative Dentistry at the Centre of Oral Health and Performance, University College London (UCL) Eastman Dental Institute. Prof Needleman is on a mission to combat poor oral health in athletes. Alongside his research team, he has proven oral healthcare at the elite level to be poor, that this leads to a decrease in performance and has suggested that oral health screening should be routine for athletes (link to these papers below). You can also check out, download and use an infographic on oral healthcare published in the BJSM (link below). BJSM's Medical Editor Dr. Liam West caught up with Prof. Needleman at the 2017 IOC Injury and Illness Prevention Conference (Monaco) to discuss why athletes should care about their oral healthcare. You can find out more from Ian and his team on their website - www.ucl.ac.uk/cohp - Extra Links Poor Oral Health in Professional Football Study - http://bjsm.bmj.com/content/50/1/41 Oral health screening should be routine in professional football: a call to action for SEM clinicians - http://bjsm.bmj.com/content/50/21/1295 Oral Healthcare Infographic - http://bjsm.bmj.com/content/51/9/757 London 2012 paper: http://bjsm.bmj.com/content/47/16/1054 Systematic review: http://bjsm.bmj.com/content/48/7/561.3

The American Medical Society for Sports Medicine (AMSSM) podcast is hosted by Dr Devin McFadden (Sports Medicine Fellow, Washington D.C) is your host. He chats with Dr Bert Fields (Sports Medicine Physician, Greensborough, North Carolina), Dr Robert Oh (Sports M edicine, Fort Benning, Georgia) and Dr Chad Asplund (Athletic Sports Medicine, Georgia Southern University). In this podcast (part 2 of 2), the experts on running injuries discuss: •What is the role of motion control shoes? •What factors unrelated to footwear do you look for in an injured runner? •What’s the role of the core? •Can nutrition contribute to obesity, metabolic syndrome even in distance runners? •What are the greatest risks to failing to meet your running goals? Link to Laurent Malisoux’s RCT on injury risk in motion control shoes vs standard shoes: http://bjsm.bmj.com/content/50/8/481 (Free) Link to part 1 of this podcast: https://soundcloud.com/bmjpodcasts/from-the-amssm-3-sportsmedicine-legends-on-running-injuries-illness-and-footwear The next AMSSM Annual meeting will be in Orlando, Florida, April 24-29, 2018.

Dr Boris Gojanovic (@DrSportSante) is a specialist sports medicine physician and a board member of the Swiss Sports Medicine Society. In addition to his Sports Medicine training, he is certified in Internal Medicine (General Medicine). In this chat about paediatric sports development, training and injuries he shares tips on interdisciplinary management of concussion, knee injuries. He tackles hip pain including that related to femoroacetabular impingement. He reveals his lessons from working as the lead doctor for national teams in the sports of gymnastics and youth triathlon. The Young Athletes Forum conference is in Montreux, September 21, 22, 2017. http://yaf2017.org/, Twitter @YAFfoundation Links to related podcasts: Lars Engebretsen on whether or not to reconstruct the ACL in children: http://ow.ly/1Hzr30e9Fu6 Ben Clarsen on monitoring workload in team settings: http://ow.ly/q6iL30e9FDw

Andy Nicholettos @sportinjuryandy is co-founder and head of sports medicine at Prevail Golf Performance, a specialist academy that blends golf coaching, sports medicine and strength and conditioning practice. Andy is also the author of “a movement in golf performance”. Aside from golf, Andy is the clinical lead at the Pain Clinic Oxford. He has lectured nationally and internationally on the application of pain science to sports performance, and has contributed to literature spanning exercise physiology, and orthopedics The discussion includes: •The Tiger Woods effect •What is golf fitness? •Marrying research and clinical practice. •Back pain in the golfer •How to get patients off the treatment merry-go-round •Myths in golf practice

New York physiotherapist Dr Karen Litzy @KarenLitzyNYC, host of physio podcast 'Healthy Wealth and Smart' poses the practical questions to Dublin’s Dr Marie-Elaine Grant. Dr Grant has been Ireland’s Olympic Team Chief Physiotherapist since 1992 and Chief Physiotherapist with the IOC Medical Commission for the London 2012 Games. The discussion includes: •Whether to tape or brace or not •For how long should an athlete use tape or brace? •If the athlete is superstitious? Is it OK to keep taping for luck •The K-tape question •Tape falling off – re-tape or not? •Any adverse events? Contraindications •How long do the properties of the tape last? •Bracing vs. neuromuscular training Download the ‘BJSM’ mobile app to your phone, tablet or desktop computer if you want to benefit from over 200 experts sharing their tips.

Prof. Roald Bahr is the Head of the Aspetar Sports Injury & Illness Prevention Programme, Chair of the Oslo Sports Trauma Research Center and a member of the IOC medical committee. Prof. Bahr’s main research area is the prevention of injury and illness in athletes, and has published more than 200 papers and book chapters. In this podcast he talks to BJSM's Dr. Liam West about his views on musculoskeletal screening - why it doesn't work and probably never will. You can access his review paper on this topic using the link below: Bahr - Why screening tests to predict do not work - http://bjsm.bmj.com/content/50/13/776 Clarsen - Screening is dead. Long live screening! - http://bit.ly/2tPJ5Hu If you want to catch Prof. Bahr and other keynote speakers get along to the Dutch annual sports medicine scientific conference in Holland on the 23rd and 24th November 2017. http://www.sportmedischwetenschappelijkjaarcongres.nl/pg-31582-7-113164/pagina/home.html

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.

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

Assistant Professor Dr Fiona Wilson is a Chartered Physiotherapist in the discipline of Physiotherapy, Trinity College, Ireland. She has over 25 years of clinical experience in the UK, South Africa and Ireland. She has worked with elite and international athletes throughout her career and was Lead Physiotherapist for Rowing Ireland for 10 years. Her research has focused on sport and exercise medicine with a special focus on rowing and back pain and recently in rugby and concussion. She is editorial board member for BJSM and was awarded the prestigious Cochrane Fellowship in 2012. In this podcast Dr Wilson shares wisdom on topics such as: •Managing back pain in the mature rower •3 common pitfalls / stroke issues to assess •How to assess the rowing athlete •How rowers monitor load / or not •How you can use technology and apps to monitor rowers •How to apply lessons from rowing to managing back pain in all sports and among the general public •Debate on stability and mobility – are planks associated with increased incidence of back pain? 3 previous BJSM podcasts on back pain in sport include the very popular: •Tiger Woods – soon after his 2014 spinal surgery, @PeteOSullivanPT (Prof Peter O’Sullivan) feared for the worst. Was surgery a good idea? Remember this conversation predated Tiger Woods’ plunging down the world ranking. https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-peteosullivanpt-on-tiger-woods-back-and-core-strength •Tiger Woods – 2015 update. With @PeteOSullivanPT after a 2nd operation a year later. How helpful is the postoperative MRI scan? https://soundcloud.com/bmjpodcasts/test •Dr Kieran O’Sullivan (no relation to Peter above) shares 7 habits of highly effective clinicians who manage back pain. It’s had 23K listens! https://soundcloud.com/bmjpodcasts/dr-kieran-osullivan-on-managing-back-pain-7-habits-of-highly-effective-clinicians-part-2-2016

Struggling with swimmers and their shoulders? It’s something we clinicians struggle with, and have been for a long time. Today we’re gonna take this head on, how we can move the model from external impingement to anterior superior internal impingement (ASII). We are joined on this BJSM podcast with Andrew Delbridge and Craig Boetcher from Australia. Craig completed his PhD through Sydney University examining shoulder EMG back in 2010. He’s been the physiotherapist for the Australian swim team for the last 8 years, and offers a unique perspective to this issue, having been an elite swimmer himself. Craig is currently supervising Kylie Holt who is completing her PhD on Shoulder pain and pathology in elite swimmers. Kylie is a senior sport physio at the Australian institute of sport, and has been looking after the swimming programme since 2009. Our second guest is Andrew Delbridge, who has been working with Craig at Regent St Physiotherapy for the last 17 years. Andrew has been working in elite sport with throwing athletes, and has found a fresh way of looking at the swimmer’s shoulder. 1:25 What is swimmer’s shoulder? External impingement model from the 70s outdated 2:00 Difference between primary and secondary impingement 3:40 We’ve got swimmer’s shoulder wrong. Andrew explains some of the reasons. 5:10 Spoiler alert - you guessed it, its internal impingement. ASII- Anterior superior internal impingement 6:00 Clinical background that initially drove the reason for the new ASII approach 8:20 What can baseball teach us about swimming? The loads don’t make sense! Buhrkart influenced throwing shoulder which led to applying that in swimmers 9:25 3 questions to understand the swimmer’s shoulder: 1) What is the unique position for swimmers in their stroke, 2) what is the anatomical relations in that position, 3) can we reconcile pathology we see? 10:00 Unique position for the demands of swimming - elevation and internal rotation while in large amount of elevation 10:30 Literature also looks at this position (classic Hawkins & Kennedy) investigating the anatomy in this position. 11:30 Position vs load - which causes the pain? It’s mix of tensile and compressive load 12:00 ASSI explained Swimmers are super overhead workers 13:15 The data are building, but it’s still early. 60 swimmers included in large MRI study 15:00 Does this only apply to elite swimmers? No. 16:25 Key differences in ASII model: Internal not external, tendinopathy (anterior or posterior). Mix loading (compressive load in ASII) which might apply to the whole cuff, Broad term of swimmer’s shoulder to vague, sub-classification needed to differentiate treatment 18:15 3 practical tips for the clinician: 1) Shift in thinking, apply your tendinopathy theory 2) Use dynamometry to assess cuff health 3) Monitor training load. Full text now available here: https://goo.gl/rQ4EMF