BJSM Podcast

To provide additional insights to the April Injury Prevention Health Promotion (IPHP) issue of BJSM [http://bit.ly/YKvsQ5], Professor Meeuwisse takes you behind the scenes. What are the new elements for concussion management, why do some parents insist on unsafe practices for their children, how can you make sure you are up to date in your clinical practice? Professor Meeuwisse is from the University of Calgary and leader of the Brain Injury Initiative of the Hotchikiss Brain Institute. As well as being co-chair of the 4th International Consensus Conference on Concussion in Sport, he is co-chair of the University of Calgary Sport Injury Prevention Research Centre. Enjoy and send any questions you have to us via email (karim.khan@ubc.ca) or via Twitter (@BJSM_BMJ).

With Professor Roald Bahr, chairman of the Scientific Committee and member of the IOC Medical Commission. Are you planning your conference contribution or attendance for 2014? Those who attended the first 3 World Conferences on Injury & Illness Prevention in Sport are keen to make Monaco a destination in April 10-12, 2014. In this podcast, Professor Roald highlights the unique contribution of these triennial meetings, and reminds you of upcoming opportunities to contribute by proposing a workshop or submitting an abstract.

Lateral epicondylalgia, often referred to by patients as tennis elbow, has a range of treatment options available to the clinician. A group at the University of Queensland, Australia, headed by Bill Vicenzino have been investigating short and long term outcomes of different treatment modalities. Last month, they published an RCT in JAMA examining the effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia. Professor Jill Cook asks the hard question - is it time to drop corticosteroid injection from the treatment options for tennis elbow?

Malcolm Collins is professor of human biology at the University of Cape Town and a chief specialist scientist at the South African Medical Research Council. He is one of the leading researchers at the Exercise Science and Sports Medicine Research Unit, which is located at the Sports Science Institute of South Africa, a multidisciplinary institution committed to promoting sporting excellence and the health of Africans. This podcast complements BJSM’s recent chat with Professor Tim Caulfield [http://bit.ly/10xfp8w], but focuses more on sports injuries and talent identification in sport. Professor Collins, who discovered the first gene variants associated with chronic tendinopathies, explains the implications for clinical care and screening. He also has discovered some genetic variant relationships with ACL injuries and we discuss what that means for players, parents and coaches. We discuss the topic of ‘What makes champions’, a highly downloaded paper from BJSM’s 2012 archive. Finally, we return to the big question in the field - should you send your DNA to a lab to discover either (i) what sports you may excel in, or (ii) whether you are at risk for, or protected against, certain injuries? Prof Collins is not afraid to give clear suggestions and comments so enjoy this podcast with a preeminent sports genetics authority.

In questo podcast Cristiano Eirale, specialista dello sport in Aspetar, Qatar Orthopedic and Sport Medicine Center e medico della Nazionale del Qatar, intervista Stefano Della Villa, Presidente dell’Isokinetic Medical Group, su passato, presente e futuro della medicina dello sport in Italia.

As part of the series of podcasts highlighting the best of sports medicine the world over, Dr Stefano Della Villa shares a very successful model of sports medicine clinical care in Italy; Cristiano Eirale comments on his experiences in Italy and for the last 6 years in Qatar. Both sports physicians have tremendous football experience but a focus of the podcast is delivery of clinical care - the patient journey in setting a multidisciplinary clinical setting. Dr Della Villa highlights the ‘case manager’ role of the sports physician and this model has been critical in the Isokinetic clinics in Italy. The Isokinetic Medical Group, established in 1987, is a FIFA Medical Centre of Excellence. The headquarters and the very substantial Education and Research Department, directed by Professor Giulio Sergio Roi, are located in Bologna, with other outpatient clinics located in Rome, Milan, Turin, Verona and Rimini. The group has now expanded to Harley Street in London. Dr Eirale was the first sports physician recruited to Aspetar - Qatar Orthopaedic and Sports Medicine Hospital and he has witnessed not just the building of a massive state-of-the art hospital but the emergence of a new focus of sports medicine excellence in the Gulf Region. Those of you who appreciate the Italian language will enjoy Dr Della Villa being interviewed by Dr Eirale about other topics in the first Italian language podcast in the BMJ Grouphttp://bit.ly/15T7NCK.

This short podcast is directed to patients - specifically active sportspeople who have recently rupture an anterior cruciate ligament (ACL). Associate Professor Richard Frobell is the lead of the team that has addressed a key question with the most rigorous research study to date. Is there any benefit to immediate knee reconstruction? Will waiting for a knee reconstruction lead to more injury or arthritis? See also: Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial bit.ly/Yqr25b A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears bit.ly/cgTUfO Renström PA. Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection. Br J Sports Med. 2012 Aug 31 1.usa.gov/14M4mzO G Myklebust, R Bahr, Return to play guidelines after anterior cruciate ligament surgery bit.ly/ZK5pZk

In this second of two podcasts for clinicians, associate professor Richard Frobell discusses how his 2010 RCT was received by some members of the clinical community and how he addressed those concerns. His new paper sheds further light on the issues that generated debate. See also: Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial bit.ly/Yqr25b A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears bit.ly/cgTUfO Renström PA. Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection. Br J Sports Med. 2012 Aug 31 1.usa.gov/14M4mzO G Myklebust, R Bahr, Return to play guidelines after anterior cruciate ligament surgery bit.ly/ZK5pZk

Dr Richard Frobell is an associate professor in the Department of Orthopaedics at Lund University in Southern Sweden. His background is in physiotherapy but he’s worked as a specialist in clinical diagnosis for over a decade in a dedicated knee service program. In this podcast he discusses his recent BMJ paper, which is a follow up to the NEJM on ACL injury treatment. See also: Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial bit.ly/Yqr25b A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears bit.ly/cgTUfO Renström PA. Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection. Br J Sports Med. 2012 Aug 31 1.usa.gov/14M4mzO G Myklebust, R Bahr, Return to play guidelines after anterior cruciate ligament surgery bit.ly/ZK5pZk

Harm Kuipers, emeritus professor of the University of Maastricht, talks to Babette Pluim, BJSM deputy editor, about the meaning of sport, the challenges of being an editor, and his most exciting scientific research projects. These are overtraining, delayed onset muscle soreness and glycogen restoration during exercise. Harm recently wrote his autobiography “Starting on two left skates”. He is a former elite athlete and became world all-round speed skating champion in 1975. See also: Pre-exercise ingestion of carbohydrate and transient hypoglycemia during exercise bit.ly/ZK4Te3 Structural muscle damage and muscle strength after incremental number of isometric and forced lengthening contractions bit.ly/17UCjx6 Adaptation and overtraining in horses subjected to increasing training loads bit.ly/11AxqnY Carbohydrate feeding and glycogen synthesis during exercise in man bit.ly/13seQzR