BJSM Podcast

Professor Mark Batt graduated from Cambridge University Medical School in 1984 and trained in Family Medicine. He obtained a Diploma in Sports Medicine from the University of London in 1991 and completed a fellowship in Sports Medicine at the University of California, Davis in 1993. Since 1995, he has been in Nottingham, United Kingdom, as a consultant/senior lecturer in Sport and Exercise Medicine at the Nottingham University Hospitals where he was appointed Special Professor in 2004. He serves or served as a consultant for The England and Wales Cricket Board, The Rugby Football League, British Gymnastics, The English Institute of Sport, The Wimbledon Tennis Championships, ATP and the WTA. He is immediate past-president of the Faculty of Sport & Exercise Medicine and past Chairman of the Specialist Advisory Committee in SEM. He chaired the work-group which produced the successful case for SEM as a specialty of medicine (2005). He is director of the Arthritis Research UK (ARUK) Centre for Sport, Exercise and Osteoarthritis: a consortium of Nottingham, Oxford, Southampton, Bath, Loughborough, UCL and Leeds Universities investigating the relationship between acute and overuse injury and subsequent Osteoarthritis. In this podcast, Dr. Liam West (@Liam_West) poses questions that see Prof Batt take listeners through the objectives and aims of the ARUK centre and the research it is currently working on. Prof Batt also gives his views on how to ensure that research remains clinically relevant before finishing the podcast discussion the future avenues for the treatment of osteoarthritis. Further Reading ARUK Centre for Sport, Exercise and Osteoarthritis - http://www.sportsarthritisresearchuk.org/seoa/index.aspx ARUK Research Projects - http://www.sportsarthritisresearchuk.org/seoa/research-projects/index.aspx ARUK Work Packages - http://www.sportsarthritisresearchuk.org/seoa/work-packages/workpackages.aspx ARUK Centre Publications - http://www.sportsarthritisresearchuk.org/seoa/publications/index.aspx Isokinetic Football Medicine Conference, 11-12th April 2015, QEII Conference Centre, London http://www.footballmedicinestrategies.com/en/ Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis http://bjsm.bmj.com/content/48/21/1579.abstract  Optimal types of exercise for lower limb osteoarthritis http://bjsm.bmj.com/content/early/2014/02/18/bjsports-2013-093384.full  No benefit of surgery over physiotherapy for meniscal tears in adults with knee osteoarthritis http://bjsm.bmj.com/content/48/9/797 Osteoarthritis as an outcome of paediatric sport: an epidemiological perspective http://bjsm.bmj.com/content/early/2011/02/17/bjsm.2010.081984 Osteoarthritis in football: FIFA/F-MARC approach http://bjsm.bmj.com/content/45/8/673.extract

Sports rehabilitators and trainers specialise in exercise and sports rehabilitation and managing musculoskeletal conditions. They also promote exercise and healthy lifestyles. Listen here to BASRaT Chairman, Steve Aspinall from the University of Salford, and Continuing Professional Development Officer, Allan Munroe, University of Bradford. In addition to painting the picture of the profession, and the training pathway, our guests highlight BASRaT’s clinical contribution to Team True Spirit (rehabilitation of seriously injured servicemen ) and the Rugby Football Union (concussion information and management).

Chris Swier is a sports physiotherapist and has a Masters degree in Business Administration. As a physiotherapist, he has specialised in dry needling and myofascial release techniques. In 2006, he joined the ATP Medical Services Committee as one of their Sports Medicine Therapists on the ATP Wold Tour, traveling from tournament to tournament. He continues to work in clinical practice, mainly for Manual Fysion in Amsterdam. Chris has also worked with Dutch women's volleyball, Dutch Beach Volleyball and even the Argentinian Davis Cup team! His main interests include sports and orthopaedic rehabilitation of the ankle, knee, hip and shoulder. At the ATP World Tennis Tournament in Rotterdam he talks about his life and work on the ATP World Tour.

Physical rehab (physiotherapy), behavioural rehab and combinations of these have been mainstays of back pain treatment. Dr Kieran O’Sullivan shares his expertise on what to do and what not to do – lessons from 15 years of providing specialised clinical care and engaging in top level research. Specifically, what is the role of patient advice, targeted exercises, and novel therapies including injections? You can link to Dr O’Sullivan’s home page at the University of Limerick here: http://www.ul.ie/clinicaltherapies/node/443 Interested in back pain? Related resources: Editorial: Common misconceptions about back pain in sport: Tiger Woods’ case brings five fundamental questions into sharp focus http://bjsm.bmj.com/content/early/2015/02/08/bjsports-2014-094542.extract Podcast: Professor Peter O’Sullivan on Tiger Woods’ back and ‘core strength’ https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-peteosullivanpt-on-tiger-woods-back-and-core-strength?in=bmjpodcasts/sets/bjsm-1

Professor Chad Cook is a clinical researcher, physical therapist, and profession advocate with a long history of clinical care excellence and service. In this podcast he shares his passion for refining and improving the patient examination process and validating tools used in day-to-day physical therapist practice. His books, including Orthopaedic Manual Therapy, are game changers. For shoulder examination, Professor Cook refers to this paper in Physical Therapy in Sport. 2014 Aug 10. Combining orthopedic special tests to improve diagnosis of shoulder pathology: http://goo.gl/5wJzDe

Dr Aseem Malhotra is a Consultant Interventional Cardiologist who has been the central catalyst in igniting the debate around the harms of excess sugar consumption in the United Kingdom. He has achieved this via writing commentaries in the BMJ, appearances on majors new channels including BBC, Sky News, ITV & Channel 4 and the regular columns he writes for the Guardian Newspaper about heart disease and other health topics – http://www.theguardian.com/profile/aseem-malhotra. He is the Science Director of the campaign group “Action On Sugar” and has been appointed as Consultant Clinical Associate tot the Academy of Medical Royal Colleges. Aseem was recently named in the London evening standard's top 10 "super smart set" in their 1000 most influential list. He has also made the Health Service Journal's top 50 BME outstanding contribution to health care list for the past two years in succession.  Aseem has been arguably the most influential secondary care doctor in the UK on issues that effect population health. Thanks to his work it has now become government policy that AEDs will be introduced into all new schools. He is a keynote speaker at the Low Carb High Fat Summit in Cape Town between 19-22 February 2015. In this podcast, Liam West poses the questions that see Aseem take us through the evidence behind the effect of cholesterol, saturated fat and sugar on heart disease. Links to articles discussed in the podcast: Lancet burden of global diseases report http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60460-8/abstract http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61682-2/abstract NEJM – High fat Mediterranean diet versus low fat Mediterranean diet – impact on heart disease http://www.nejm.org/doi/full/10.1056/NEJMoa1200303?viewType=Print&viewClass=Print&activeTab=comments&page=3 EPIC Interact Study http://www.inter-act.eu/publications/publications---scientific-journals.html BMJ Article - Saturated Fat 2013 http://www.bmj.com/content/347/bmj.f6340 Sanja Basu & Robert Lustig – sugar consumption and availability worldwide http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0057873 Nutritional BMJ publications 12/2/15 – sugar industry bias http://www.bmj.com/company/wp-content/uploads/2015/02/sugar-invest.pdf http://www.bmj.com/content/350/bmj.h780 http://www.bmj.com/content/350/bmj.h231 http://www.bmj.com/content/350/bmj.h215 http://www.bmj.com/content/350/bmj.h219 http://www.bmj.com/content/350/bmj.h220 Twitter handles: @BJSM_BMJ @DrAseemMalhotra Low Carb High Fat Hashtag - #LCHF

Dr Jeppe Bo Lauersen, currently working as a medical doctor in Copenhagen, investigated exercise intervention and its effects during a pre-graduate scholarship year at the Institute of Sport Science in Copenhagen with co-authors Ditte Bertelsen and Lars Bo Andersen. Prof Andersen, who is the head of the Centre for Research in Childhood Health at the University of Southern Denmark and a professor the Norwegian School of Sport Sciences, joins him on this podcast. They discuss their systematic review and meta-analysis of randomized control trials investigating exercise interventions for sports injuries. In this podcast they share with us their interesting results, why some of the findings surprised them, and what conclusions we could take away from their work. Prof Andersen also shares some thoughts on the statistics and methods surrounding systematic reviews. With exercise and its effect on health receiving much attention in the wide stream media currently, the authors discuss the effectiveness of exercise interventions, and what we should focus on when considering treatment of sports injuries. Find their article here: http://bjsm.bmj.com/content/48/11/871.full

Clavicle fractures are common in contact sports as well as cycling trauma. Canada’s Olympic Team Chief Medical Officer shares dramatic results from a large RCT which has been a game changer. Thanks to the Canadian Academy of Sports and Exercise Medicine (CASEM) for permission to steal this content from the CASEM Annual Meeting. Enjoy this second of Bob McCormack’s three BJSM podcasts. The first was on first time shoulder dislocation: http://goo.gl/3rvsLC The third will cover AC joint separation.

Dr MP (Rien) Heijboer, orthopedic surgeon, works at the Dept at Orthopedic at the Erasamus Medical Centre in Rotterdam. He has extensive experience with sports-related injuries and has worked for more than 30 years as medical adviser of football club Feijenoord in Rotterdam. He is a member of the medical staff of the Dutch National Soccer Team and visited the world soccer championships in Brasil in 2014, which he describes as a "life-time experience"! He is president of the Dutch Orthopedic Society (NOV). Their annual congress will be held on February 5th and 6th 2015 in Maastricht: http://goo.gl/gzx2BS. He has a great interest in sports-related injuries and today Rien discusses the latest research findings on cam and hip impingement in soccer players. Further reading A cam deformity is gradually acquired during skeletal maturation in adolescent and young male soccer players: a prospective study with minimum 2-year follow-up: http://ajs.sagepub.com/content/42/4/798.abstract Pincer deformity does not lead to osteoarthritis of the hip whereas acetabular dysplasia does: acetabular coverage and development of osteoarthritis in a nationwide prospective cohort study (CHECK): http://www.oarsijournal.com/article/S1063-4584(13)00873-X/pdf Cam impingement causes osteoarthritis of the hip: a nationwide prospective cohort study(CHECK): http://ard.bmj.com/content/72/6/918.abstract The development of Cam-type deformity in adolescent and young male soccer players: http://ajs.sagepub.com/content/40/5/1099.abstract Clinical Graphics: https://www.clinicalgraphics.com/en/professionals/supporters/

“There is no essential human need for any carbohydrate” is just one of Professor Timothy Noakes’ quotes in this provocative chat. He explains insulin resistance, distinguishes between elite athletes and the general population, and provides examples of athletes who were likely insulin-resistant. He shares practical diet tips. BJSM asks whether diets high in protein and fat increase risk of bowel cancer or heart disease. Tim explains the surprising catalyst for Cape Town hosting the world’s first Low Carb High Fat Health Summit (February 19 to 22, 2015). There you can meet Gary Taubes (Good Calories Bad Calories), Nina Teicholz (Big Fat Surprise) and a diverse range of experts who draw similar conclusions about healthy eating. The podcast closes with BJSM challenging Tim about changing his mind – doing ‘U-turns’ – how can a Professor think different things on different days?