BJSM Podcast

In this BJSM Podcast, we host Associate Professor Hanna Lindblom, who is a physiotherapist, researcher, and lecturer at Linkoping University in Sweden. We discuss Hanna’s paper, which evaluated the preventive efficacy of an extended version of the Knee Control injury prevention exercise program compared with an adductor strength program in amateur adolescent and adult male and female football (soccer) players. Coaches and player representatives received a printed and digital program material, and a practical workshop to show them how to use the programs. The novelty of this trial is they also compared the extended Knee Control to a second comparison group; where the teams were where the teams already used a self-selected program and did not receive workshop or program material. Many of these comparison teams (50%) said they were self-using the old Knee Control program, providing a “real world” comparison and proven benefits of the Extended Knee Control program. Hanna has hands-on experience designing and delivering injury prevention in a range of sports and has some great advice for clinicians looking to implement Knee Control and similar programs in amateur sports settings. Paper link: https://bjsm.bmj.com/content/57/2/83.abstract

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Devin McFadden, MD (T: @ArmySportsDoc), is joined by Dr. Adam Tenforde, MD (T: @AdamTenfordeMD), to discuss the a recently published manuscript titled “Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear.” In this conversation, Dr. Tenforde addresses the following topics related to the article: ●Explanation of the use of Carbon Fiber Plate (CFP) technology in footwear and why it’s become so popular ●Addressing the rapid changes and progression of record-breaking performance in the running community as a result of this footwear ●Discussing his article featuring a case series of navicular bone stress injuries in runners using CFP footwear ●Providing some general recommendations for safely using CFP footwear, as well as raising awareness on the possible health concerns of this new technology Additional Resources: Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear https://link.springer.com/article/10.1007/s40279-023-01818-z Return to Sport Following Low-Risk and High-Risk Bone Stress Injuries: A Systematic Review and Meta-Analysis https://bjsm.bmj.com/content/early/2023/01/24/bjsports-2022-106328

BJSM’s Liam West talks to Dr. Richard Weiler about concussion in Para Sport. Dr. Weiler and colleagues have investigated concussion experiences of blind male footballers turning up some very interesting results. To ensure that these findings are accessible to visually impaired individuals, they have gone down the novel route of creating an audio file of the entire paper – the link for this can be found below. Links - "Concussion through my eyes" audio paper https://on.soundcloud.com/XQb2T Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group - https://bjsm.bmj.com/content/55/21/1187 https://bjsm.bmj.com/content/early/2023/02/14/bjsports-2022-106256

In this podcast, we host Dr Chloë Williamson (Twitter @Chlobobs). Chloë is a Postdoctoral Fellow in Physical Activity for Health based in the Physical Activity for Health Research Centre at the University of Edinburgh. Her research (including PhD) over the past 4 years or so has focused on physical activity communication and messaging. We all know that physical activity is important but it is equally important to consider how PA messaging is delivered. Chloë provides a great overview on the findings of her research to date and her work on the development of a translational tool to bring PA messaging research into practice. In this podcast, we discuss on: The framework of PA messaging and how to use it Key points to focus on and consider when delivering PA messages How we can use the framework findings to engage different partners and organisations How we can make PA attractive to our target audience Get the Message? A scoping review of physical activity messaging. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-00954-3 A modified Delphi study to enhance and gain international consensus on the Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01182-z Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01230-8 How can we better promote physical activity to the public through messaging? https://blogs.bmj.com/bjsm/2020/11/10/how-can-we-better-promote-physical-activity-to-the-public-through-messaging/ Infographic: Walking on sunshine: scoping review of the evidence for walking and mental health: https://bjsm.bmj.com/content/53/14/903

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Polly de Mille, RN, MA, RCEP, CSCS, USAT, to discuss the topic of Exercise Physiology and how it can help figure out the missing links in training programs. Polly de Mille is an exercise physiologist and the Director of Performance Services at Hospital for Special Surgery in New York. She will provide the American College of Sports Medicine (T: @ACSMNews) Exchange Lecture titled, “Inside the Running Lab:How to Evaluate Optimal Run Mechanics and Physiology” during the 2023 AMSSM Annual Meeting in Phoenix, AZ. In this 20-minute conversation, she addresses the following topics: ·Sharing more information about her work as a certified exercise physiologist at HSS ·How she and her team can help identify the causes of injuries and help athletes stay healthy in order to reach their goals ·How her background as a critical care nurse and an avid marathoner led her into the field of exercise physiology ·The ways she and her colleagues can help improve runner’s outcomes and how many different disciplines come together to play important roles to make that happen ·The different types of tests used by exercise physiologists and how they use that information to improve performance ·The possibilities of using nutrition to enhance physiologic training sessions HSS Sports Rehabilitation and Performance Center: https://www.hss.edu/sports-rehabilitation-and-performance-center.asp

ACL injury and post-traumatic osteoarthritis experts, Prof Jackie Whittaker and Dr Stephanie Filbay, discuss ACL tear healing, safety of open chain knee extension exercises after ACL reconstruction, the risk of post-traumatic osteoarthritis after returning to high impact sports, and the misconceptions and challenges in ACL injury management.

Leading ACL injury and post-traumatic osteoarthritis experts, Prof Jackie Whittaker and Dr Stephanie Filbay, debunk myths in ACL injury management. They discuss the impact of ACL reconstruction on osteoarthritis risk, graft types and patellofemoral osteoarthritis. They debunk the belief that non-surgical management increases the risk of meniscal tears. They also explore the relationship between higher BMI and post-traumatic osteoarthritis risk, and challenge the misconception that increased knee laxity leads to osteoarthritis.

In this BJSM podcast Jackie Whittaker discusses the OPTIKNEE consensus clinical and research recommendations. Jackie is an Associate Professor in the Department of Physical Therapy, at the University of British Columbia. The OPTIKNEE initiative aims to shine the light on post-traumatic osteoarthritis after traumatic knee injury – who is most at risk, what should we be measuring and how, and what interventions should we be using? Jackie encourages clinicians to think about knee and overall health beyond the short-game of injury rehab and return to sport. There are some great tips on how you can set up patients at risk of post-traumatic osteoarthritis with the knowledge, skills, and motivation to self-manage in the long-term. OPTIKNEE Consensus Statement https://www.ncbi.nlm.nih.gov/pubmed/36379676 OPTIKNEE website and links to systematic reviews: bit.ly/OPTIKNEE

Exercise Medicine and Physical Activity Promotion with Dr. Irfan Asif EP# 519 On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Irfan Asif, MD, to discuss the topic of Exercise Medicine and Physical Activity Promotion. Dr. Asif, who is the Chair of the AMSSM Collaborative Research Network, helped lead the 2021 Research Summit, which produced several publications and educational resources related to Exercise Medicine and Physical Activity Promotion. In this conversation, he addresses the following topics and questions: •A refresher on the 2021 Research Summit and the significant outcomes from that event •How the Exercise Medicine and Physical Activity Promotion Core Curricula originated •More details about the interactive and freely available Exercise Medicine & Physical Activity Promotion Modules •How can physicians and other medical faculty integrate these resources into their clinical practices? •Providing information about the upcoming 2023 Research Summit on Justice, Equity and Inclusion, which takes place in April 2023 •Future publications, deliverables and other opportunities stemming from the 2021 Research Summit Additional Resources Exercise Medicine & Physical Activity Promotion Modules tinyurl.com/exercisemodules Exercise Medicine and Physical Activity Promotion: Core Curricula for US Medical Schools, Residencies and Sports Medicine Fellowships https://bjsm.bmj.com/content/bjsports/56/7/369.full.pdf

BJSM’s Dr. Liam West talks to James Alexander about running related knee injuries and what options the current published literature support for managing & preventing these injuries. James & his colleagues have just published a systematic review in the area, and he gives the clinical relevance of his findings within the podcast. You can access their paper using the link below, in addition to other related content. Review. Strategies to prevent and manage running-related knee injuries: a systematic review of randomised controlled trials: https://bjsm.bmj.com/content/early/2022/09/23/bjsports-2022-105553.abstract Infographic. Running Myth: recreational running causes knee osteoarthritis:https://bjsm.bmj.com/content/56/6/357 Infographic. Running myth: switching to a non-rearfoot strike reduces injury risk and improves running economy:https://bjsm.bmj.com/content/55/3/175 Infographic running myth: static stretching reduces injury risk in runners:https://bjsm.bmj.com/content/54/17/1058 Infographic. Running myth: strength training should be high repetition low load to improve running performance:https://bjsm.bmj.com/content/54/13/813