BJSM Podcast

Shoulder dislocation is common in sports, and management for the active athlete who dislocates for the first time remains controversial. Canada’s Olympic Medical Committee Medical Director, Prof Bob McCormack, explains the ways to assess patients to help decide whether to trial rehabilitation first or to opt for reconstruction. Bob has vast experience as an Olympic team doctor (beginning with Sydney) and as a team physician in the Canadian Football League and Major League Soccer. This is the first of 3 podcasts; he discusses management of AC joint separation and clavicle fracture in the others. BJSM welcomes the Canadian Academy of Sport & Exercise Medicine (CASEM) as one of 17 member societies (Full access to all content).

With Ann Gates and Ian Ritchie (@ExerciseWorks and Royal College of Surgeons of Edinburgh, respectively). The ebullient Ann Gates, physical activity champion and social media phenomenon, explains that the campaign to train physicians to prescribe exercise is not squarely in the medical curriculum. In this joint podcast with Mr Ian Ritchie, we learn that surgeons are also taking up the cudgel to encourage physical activity before surgery, in hospital, and after surgery. Surgeons themselves need to be role models – to undertake 150 minutes of physical activity per week. Listen to the practical suggestions, share the free Nottingham University Medical School learning module at your institution. See Ann Gates’ full editorial at http://bjsm.bmj.com/content/early/2015/01/01/bjsports-2014-094442.extract The BJSM special issue on Physical Activity (2015) is issue #4 (Online first from January 30th, 2015)

Drs Jon Finnoff and John DiFiori on sports ultrasound. For several years, primary care sports medicine doctors have been mastering musculoskeletal ultrasound. With new technology comes a sharp learning curve and as the field matures, we begin to realise the full utility of point of care ultrasound. As sports medicine practitioners, we are now understanding that ultrasound has applications outside of the musculoskeletal system that may be advantageous for our practices. A couple of examples of this include FAST exam to look at abdominal trauma and limited echocardiography in pre-participation examination. This podcast highlights 2 articles that will be published in the AMSSM themed edition of BJSM in February, 2015. One on a new sports ultrasound curriculum for sports medicine fellowships and the other on a position paper on US- guided interventional procedures. Dr Ken Mautner discusses these articles with the chair of the AMSSM MSK US Task force, Dr Jon Finnoff, as well as with the immediate past president of AMSSM, Dr John Difiori. They will shed much more light on the transition to this new term “Sports Ultrasound” and how it may impact your practice. They will also discuss some aspects of their interventional position paper on MSK US which is timely as there is continued downward trends in reimbursement for interventional US. See also: American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine: http://bjsm.bmj.com/content/early/2014/10/19/bjsports-2014-094219.full American Medical Society for Sports Medicine recommended sports ultrasound curriculum for sports medicine fellowships: http://bjsm.bmj.com/content/early/2014/10/31/bjsports-2014-094220.full

Dr David Opar joins us for this BJSM podcast. David is a lecturer at the Australian Catholic University in Melbourne and one of the emerging voices in the field of hamstring strain injuries, having done work on the possible mechanism of injury as well as prospective studies aimed at better understanding eccentric strength as a risk factor for these injuries. His work also investigates the Nordic Hamstring Device, developed by the Queensland University of Technology Hamstring Group, looking into the potential of this device in prevention, treatment and rehabilitation of hamstring injuries. Nicol van Dyk, a physiotherapist in the Rehabilitation Department at Aspetar Sports Medicine & Orthopaedic Hospital in Qatar, leads the discussion around nordic hamstring exercises, the role of eccentric strength in hamstring strain injuries and the seeing the big picture in prevention and rehabilitation. With hamstring strain injuries continuing to receive much attention in the literature and mainstream media, David Opar elucidates some significant features of this common injury.

Cerebral Palsy (CP) Football in the UK gives players the opportunity to develop individual skills within a team environment, encased in an impairment competitive structure. The football programme contributes to the development of the England Cerebral Palsy Regional and National Squads, through talent identification with the goal to provide player performance pathway for elite performers, and also to provide participation opportunities for players of all abilities. Dr Osman Ahmed (@osmanhahmed) has a PhD in concussion & social media where his research was focused on the use of Social Networking Sites (specifically Facebook) in assisting the recovery from sports concussion. Since 2003 he has been involved with providing physiotherapy services to a range of disability football teams for the Football Association including CP, Learning Disability, Blind, Partially sighted and Amputee squads. Jordan Raynes (@jraynes32) has been involved with England CP Football team for many years now as a goalkeeper and has travelled with the squad to various competitions around the globe (including the Paralympic Games in Beijing in 2008). To discuss CP football and the medical issues involved with the sport with Osman and Jordan is Dr Liam West (@Liam_West). Liam is a Senior Associate Editor of the BJSM and a junior doctor in Oxford, UK. He also runs the “Undergraduate Perspective on SEM” blog series for BJSM, building on his passion for increasing awareness and opportunities in SEM for undergraduates. See also: http://www.thefa.com/my-football/player/disability-football/play http://www.thefa.com/news/england/development/2014/mar/cps-world-cup-at-sgp-200314 http://www.bbc.co.uk/sport/0/get-inspired/26545892 Enhancing performance and sport injury prevention in disability sport: moving forwards in the field of football http://goo.gl/l8sFs2

Bob Sallis is a family physician and sports medicine expert who encourages his patients to take charge of their health by exercising. With a passion for prevention, he lends his voice to the Every Body Walk Campaign and is an avid supporter and advocate of the Exercise is Medicine initiative of the ACSM. And Bob literally "walks the walk": he walks (or runs) every day! He tells us about the Exercise is Medicine initiative, talks about dosing (and overdosing!) of exercise, discusses the role of the physician and the fitness industry in getting people to exercise, and gives some practical tips on how to prescribe exercises to someone who is injured or has a chronic disease. See also: Sallis RE. Exercise is medicine and physicians need to prescribe it! Br J Sports Med 2009;43:3-4. http://bjsm.bmj.com/content/43/1/3.full Sallis RE. Developing healthcare systems to support exercise: exercise as the fifth vital sign. Br J Sports Med 2011;45:473-474. http://bjsm.bmj.com/content/45/6/473.full http://everybodywalk.org/ http://www.exerciseismedicine.org/

Dr Cees-Rein van den Hoogenband is surgeon and Chief Medical Officer of the London 2012 Olympic Team from the Netherlands and is on the Dutch Olympic Committee. Cees-Rein has worked for more than 25 years in soccer as the team doctor of football club PSV and is still responsible for their medical policies. He has been awarded a PhD on diagnostic and therapeutic aspects of inversion trauma of the ankle joint. He is also chairperson of the FINA medical commission and the father of Olympic Champion Pieter van den Hoogenband. He was part of the expert panel responsible for specialist recognition of sports medicine in the Netherlands and is the founder and leader of a four year masterclass for top sport physicians. See also: http://www.topsupport-anna.nl/ http://www.pietervandenhoogenband.nl/ http://www.psv.nl/ Sports injuries and illnesses in the 2009 FINA World Championships (Aquatics). http://bjsm.bmj.com/content/44/7/522.long Cox GR, Mujika L, van den Hoogenband CR. Nutritional recommendations for water polo. Int J Sport Nutr Exerc Metab. 2014 Aug;24(4):382-91.

Associate Professor Grethe Myklebust, physiotherapist and PhD from the Olympic Training Centre in Norway, was one of the pioneers to investigate the role of exercise for ACL prevention. To discuss her research with her is Jodie McClelland from La Trobe University. Jodie’s experience is in the biomechanics of the knee in the normal and injured state, and she has the knowledge to extract the best information from Grethe about her research and its impact on the clinical management of those with, and at risk of, ACL injury.

Do you struggle to change your own behaviour? Do you find it hard to get ‘motivated’ or to motivate others? The opening keynote lecture at the tremendous Sports Medicine Australia conference (2014) addressed these issues and gave solutions. Prof Stuart Biddle is the Professor of Physical Activity & Health at Victoria University, Melbourne Australia. He is a recent ‘Aussie’ and a longtime leader at Loughborough University in the UK. In this podcast you will be exposed to the current day thinking on the balance between internal and external factors on motivation. You’ll learn about influential models that help to change behaviour including ‘Nudge’ and the work of BJ Fogg (Stanford). An elegant combination of evidence and practical application, this is a must listen for those who aim to encourage more healthy behaviours.

Emeritus Professor Renström, from the Karolinska Institute in Stockholm, covers a wide range of topics while talking to BJSM Deputy Editor Babette Pluim. He discusses Lars Peterson's and his book on sports injuries, shares his 24-yr experience with the IOC medical commission, looks back on his time as Professor of Orthopedics in Vermont, explains the importance of periodisation in professional tennis, and analyses the role of the ATP, STMS and ITF in improving the medical care of tennis players and furthering the scientific knowledge in this area. References: Sports Injuries: their prevention and treatment. http://www.humankinetics.com/products/all-products/sports-injuries-3rd-edition The Duke of Edingburgh Prize http://www.basem.co.uk/institute-of-sports-and-medicine.shtml Sports Medicine Hall of Fame http://www.prweb.com/releases/AOSSM/Per_AFH_Renstrom/prweb2574924.htm Injury and illness definitions and data collection procedures for use in epidemiological studies in Athletics (track and field): Consensus statement http://bjsm.bmj.com/content/48/7/483.long Sports injuries and illnesses during the London Summer Olympic Games 2012 http://bjsm.bmj.com/content/47/7/407.long Sports injuries and illnesses during the Winter Olympic Games 2010 http://bjsm.bmj.com/content/44/11/772.long\ Consensus statement on epidemiological studies of medical conditions in tennis http://bjsm.bmj.com/content/43/12/893.long An interview with Per Renström on his personal perspective of the changes and developments in the sports medicine field over the last 40 years http://www.biomedcentral.com/2052-1847/5/8