BJSM

Dr Rogerio Teixeira da Silva, from the Sao Luiz Hospital in Sao Paulo, Brazil, former President of the Brazilian Orthopaedic Sports Medicine Society, has a great interest in sports medicine, specifically upper extremity injuries in tennis players. He talks about his experiences with Gustavo Kuerten and what the athlete has meant for tennis in Brazil, the medical care of junior tennis players, hip range of motion, scapular dyskinesia and humeral stress reactions. He also previews the 13th STMS World Congress on Tennis Medicine and Science - Buenos Aires, 21-23 February 2013. See also: Stress reaction of the humerus in tennis players http://bit.ly/13UYSCh

In this podcast we look at what sports and exercise medicine around the world can learn from Australia, just one of the countries where the area is thriving.Scott Gardner is an Australian sports scientist currently working in the UK, recently with British Cycling, and he describes what’s going on at the Australian Institute of Sport, and why he thinks they’re so good at training clinicians (0.45).Sports medicine in football is where John Orchard, associate professor at the University of Sydney and sports physician for Australian cricket and the Sydney Roosters, thinks the country is getting it right. He argues that politics in the English Premier League can prevent clinicians from doing their job properly, whereas those working in Australia face a much more open culture (5.24).And Peter Brukner, previously head of Sports Medicine & Sports Science at Liverpool FC and media commentator, talks about how the media and public down under are very interested in, and hence knowledgeable about, sports injuries, and how this has a positive impact for clinicians. He also gives us a round up of what other countries are doing particularly well in sports and exercise medicine (13.11).Future BJSM podcasts will put other nations under the spotlight; Phil Glasgow will share Team GB’s Olympic success story in the next installment in this series.Drs Gardner, Orchard and Brukner spoke about sports and exercise medicine in Australia at a meeting organised by the Sporting Health Group, where Harriet Vickers (BMJ’s assistant multimedia editor) recorded this podcast.See also:Who is to blame for all the football inuries? http://bit.ly/NOJQF5On the value of team medical staff: can the “Moneyball” approach be applied to injuries in professional football? http://bit.ly/10aYJSY

Professor Kim Harmon from the University of Washington, former President of AMSSM, has a strong clinical record in managing concussion on sideline in football. She led the AMSSM’s consensus document on concussion and here she guides you as to how to interpret current concussion ‘guidelines’ into best practice for your players on game day. She also previews AMSSM’s Annual Meeting - San Diego, April 2012.

Jill Cook is BJSM’s deputy editor with particular emphasis on physiotherapy. She is a professor at Monash University, Frankston, Australia, and a renowned international tendon authority. In this podcast she answers questions she is commonly asked about the ‘continuum model’ of tendinopathy that she and Craig Purdam (Australian Institute of Sport) proposed. See also: Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy http://bit.ly/YKmKkM

GlobalPANet is the world’s first dedicated global physical activity communication network. GlobalPANet rapidly communicates the latest research around the globe via its unique e-News and website.GlobalPANet informs about recent physical activity developments, careers and events, as well as being linked to a global network of those with professional and personal interests in physical activity. It is brought to you by the International Society of Physical Activity and Health (ISPAH). Listen to Trevor explain this benefit or see the website.Feel free to submit content for the GlobalPANet site to Trevor via trevor.shilton@heartfoundation.org.au.

Every physical activity advocate dreams that physical activity will one day have the same ‘brand equity’ as popular products like Apple. Many folks know of successful media campaigns for physical activity promotion in various countries. There is a science behind this, and getting it right can save hundreds of thousands of dollars in failed campaigns.Dr Trevor Shilton, National Heart Foundation, Perth, Australia, is an international expert on promoting physical activity using various forms of media. He shares these secrets with BJSM editor Karim Khan. Think of it as Mad Men (marketing) meets Dragon’s Den (persuasion - selling a product!).See also:Fiona Bull’s podcast on the 7 investments http://bit.ly/R0asX0Related paper on 7 investments http://bit.ly/OY9t7oSocial marketing: why injury prevention needs to adopt this behaviour change approach http://bit.ly/ZK3m7G

Fiona Bull, professor at the School of Population Health, University of Western Australia, talks Karim Khan through the investments the Global Advocacy for Physical Activity has identified as key for getting more people active. These include public awareness, urban planning, sports programmes, and promoting activity in primary care and schools.See also:NON COMMUNICABLE DISEASE PREVENTION: Investments that Work for Physical Activity http://bit.ly/hcWRMN

Matthew Wilson, who runs the Sports Cardiology Research Programme at Aspetar Sports Medicine Centre, Qatar, talks Karim Khan through key issues, and the latest research, in sports cardiology. See also: BJSM supplement:Advances in Sports Cardiology http://bit.ly/RLIBWq

The focus of this podcast is health promotion and behaviour change.Joining Karim Khan, BJSM editor, and Domhnall McAuley, BMJ primary care editor, is Mike Evans, associate professor of family medicine at the University of Toronto and founder of the Health Design Lab. Dan Heath, senior fellow at Duke University’s Center for the Advancement of Social Entrepreneurship, and co-author of a book “Switch – how to change things when change is hard” also joins the panel.The Health Design Lab’s viral video 23 and 1/2 hours: What is the single best thing we can do for our health? has been watched over 2.5m times, and is freely available on youtube http://bit.ly/sHJgx6See also: www.heathbrothers.comwww.myfavouritemedicine.comThis podcast is a BMJ production, previously published here http://bit.ly/InCkgD

Karim Khan, BJSM editor, crosses the table to be quizzed on the evidence behind exercise. He briefly reviews Steven Blair’s findings about exercise and mortality, and answers the ubiquitious question “how much should I actually be doing?” He also highlights a new report on next steps - how we can move from ‘exercise is medicine’ to actually implementing physical activity across community sectors.

Liam West, a medical student at University Hospital of Wales in Cardiff and passionate student of sport & exercise medicine, talks to Karim Khan about the barriers to developing a career path in sports and exercise medicine. He shares a successful approach to carving out a path while also coping with the rigid obligations of medical school. Liam also coordinates a blog series for the BJSM on the undergrad’s perspective, and has helped set up a national network for undergraduate students who will be the future doctors in SEM called USEMS (Undergraduate Sports & Exercise Medicine Society).0.49 - Getting into SEM3.10 - Barriers to starting your career6.00 - Overcoming the obstacles8.15 - Undergrad SEM societies10.41 - Take home messagesSee alsoOriginal article Physical activity education in the undergraduate curricula of all UK medical schools. Are tomorrow’s doctors equipped to follow clinical guidelines? http://bit.ly/PARRhnReview: Investments that work for physical activity. http://bit.ly/OY9t7o This is the WHO blueprint for physical activity promotion across sectors. Undergraduate students should be aware of it and please look for ways to incorporate it into your student society information pages and the medical curriculum! Liam’s BJSM blogs http://bit.ly/XTu9B1

Phillip Newman (assistant professor of physiotherapy, University of Canberra) gives his advice on shin pain, and explains how two simple tests can predict those at higher risk of developing Medial Tibial Stress Syndrome. BJSM editor Karim Kham asks the questions.0.33 Studying shin pain in the military population1.51 The shin palpation test and the shin oedema test and how they’re useful5.45 Are these tests useful in the broader population?6.22 A quick summary of the findings7.40 Treatment of shin pain9.29 The use of orthotics10.21 Professor Newman’s views on barefoot runningSee also:Two simple clinical tests for predicting onset of medial tibial stress syndrome: shin palpation test and shin oedema test http://bit.ly/17NbVCoManaging leg pain - focus on chronic exertional compartment syndrome http://bit.ly/ZMnOnr

Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, and star of the three million times viewed BJSM physical examination videos [http://bit.ly/17UzOuu], gives Karim Khan an update on examination and management of leg pain. He explains why he doesn’t use the term ’shin splints’.In this podcast Dr Hutchinson covers: (i) clinical work-up of persistent leg pain (ii) investigating compartment pressure (iii) two or four compartments? (iv) tips for surgeons treating compartment syndrome (v) fasciotomy or fasciectomy?Three extremely relevant papers in BJSM include:Chronic exertional compartment syndrome testing: a minimalist approach http://bit.ly/10aWJu3Chronic exertional compartment syndrome http://bit.ly/ZMnzIWIntracompartmental pressure testing: results of an international survey of current clinical practice, highlighting the need for standardised protocolshttp://bit.ly/17Nbvfd

Dr Robert Sallis (Exercise Is Medicine Advisory Board chairman) offers advice on how to get patients and colleagues engaged with exercise as medicine. Karim Khan (BJSM editor) asks him about his experience promoting this at Kaiser Permanente, and resources and schemes available.As Dr Sallis is a former president of the American College of Sports Medicine, they also discuss what’s coming up for the organisation.An update on Exercise Is Medicine 0.51How to get started with Exercise Is Medicine 2.00The Everybody Walks scheme 3.00Getting exercise as a vital sign into consultations 4.11Referral resources 6.23How encorporating exercise into healthcare has worked for Kaiser Permanente 11.06The upcoming triathlon conference in Kona 13.30ACSM in 2013 15.57The National Activity Plan in the US 18.49See also:Podcast: Exercise on prescription, Mai-Lis Hellénius and Carl Johan Sundberg http://bit.ly/13USrPHPodcast: Mike Loosemore - how to prescribe exercise http://bit.ly/naC5QV

Darren Burgess, head of fitness and conditioning at Liverpool FC and former strength and conditioning coach of the Socceroos, talks to Karim Khan about his role and how he deals with the unique challenges of the premier league. They discuss the interface between the conditioning team the coach and the manager and how technology has changed the way in which players fitness needs are understood. One specific topic of interest to many will be how GPS can help guide training volumes.1.25 - Assessing a player for fitness to play5.26 - Words of advice for emerging sports scientists7.21 - Resolving tensions between strength and conditioning and medical teams11.30 - Player tracking systems19.25 - Top 3 recovery tips