BJSM

Karim Khan catches up with associate professor Michele Sterling (Centre for National Research on Disability and Rehabilitation Medicine (CONROD), University of Queenstown, Australia) at the Canadian Physiotherapy Association Congress. As an international expert on neck pain, Michele explains what we currently do and don’t know about whiplash, and advises on managing the condition.She talks us through the importance of early pain management, the link with post traumatic stress disorder and what to do if you suspect this, manual and physical therapies, and treating chronic pain.Resources:Similar factors predict disability and posttraumatic stress disorder trajectories after whiplash injury http://bit.ly/Mod4ooCONROD’s whiplash evidence based information resource http://bit.ly/11A6xkg

Dr Mike Loosemore is a consultant in sports and exercise medicine who works at the English Institute of Sport and the University College London Hospital.In this podcast he emphasises the importance of clinicians taking an exercise/activity history. (See link Developing healthcare systems to support exercise: exercise as the fifth vital sign http://bit.ly/17Uhlyc). He provides practical tips for clinicians and highlights major health benefits from physical activity in a wide range of settings as diverse as patients with mental illness, breast cancer [2 links below], and those undergoing renal dialysis.See also:Physical activity interventions for cancer survivors http://bit.ly/ZFQ5jDPhysical activity and breast cancer risk: impact of timing, type and dose of activity and population subgroup effects http://bit.ly/ZJHPfb

Professor Jiri Dvorak, one of BJSM’s senior associate editors, shares his 17 years experience as the FIFA chief medical officer. He discusses How FIFA have reduced injuries in football [1], The evidence for football being a great medicine [2 a ,b] ‘Football for Health’ – FIFA’s successful foray into public health education in schools [3].This is a terrific story of research turning into action – improved health for football players and football players contributing to improve the health of their society.See also:[1] Injuries and illness of football players during the 2010 FIFA world Cup http://bit.ly/11gDgdG[2a] Executive summary: The health and fitness benefits of regular participation in small-sided football games http://bit.ly/17Mntpu[2b] Give Hippocrates a jersey: promoting health through football/sport http://bit.ly/15DIc21[3] ‘11 for Health’, a football-based health education programme for children: a two-cohort study in Mauritius and Zimbabwe http://bit.ly/13rSMVR

Jon Drezner, BJSM’s senior associate editor for sports cardiology, discusses prevention of sudden cardiac death. Jon discusses where ECG fits into screening, training sport physicians to confidently interpret ECGs, and the utility of automated external defibrillators.Jon is also president-elect of the American Medical Society of Sports Medicine, and he gives us a preview of the 2012 annual meeting in Atlanta (April 21-25).To listen to Jon Drezner’s opening keynote presentation at the IOC’s 3rd World Congress on Prevention of Injury and Illness in Sport (a joint lecture with Professor Antonio Pellucia), follow this link [http://www.ioc-preventionconference.org/] and see the ‘Online Presentations’ tab on the top right of the screen.

BASEM’s chair of education, Dr Andrew Franklyn-Miller, highlights the July issue of BJSM and previews the UKsem Congress in November 2011.Listen to an introduction to Marije T Elferink-Gemser’s paper [http://bit.ly/15DGYDR] on what it takes to be an elite athlete. Another paper of particular interest [http://bit.ly/mLoMpk] highlights the role of proximal stabilisers (eg hip) in patellofemoral pain.Considering the UKsem conference in London, November 23-26? You won’t regret it. Dr AFM discusses the key activities in the second half of the podcast.

South african sports medicine has advanced rapidly in recent years. In this podcast, president of the South African Sports Medicine Association (SASMA) Jon Patricios, and University of Cape Town professor Tim Noakes, share their views on the past, present and future of sports medicine in Africa.Patricios and Noakes review the influence of the 2011 FIFA World Cup on african sports medicine, and highlight the ‘Football For Health’ program which is underpinned by research published in BJSM in 2010 and 2011.Professor Noakes also discusses the Central Governor Model of performance and the role of industry in excessively promoting over-drinking in endurance events.Lastly, a preview of the 2011 SASMA Congress.

Exercise on prescription in Sweden started in the 1980s, and has now become widespread in the country. To help primary care clinicians navigate the evidence on prescribing exercise, the Swedish Institute of Public Health have produced the book Physical Activity in the Prevention and Treatment of Disease (available for personal use from http://www.fyss.se)In this podcast Mai-Lis Hellénius and Carl Johan Sundberg, two of the authors of the book, share their experience of exercise on prescription in Sweden, and give some tips for clinicians thinking of following their model.

This podcast focuses on recent advances in sports imaging – particularly side-line ultrasound and the use of MR imaging at sporting venues where teams are based. It adds to the discussion raised in several papers in the December 2010 issues of BJSM (#16)The print issue has editorials by Kim Harmon and Fran O’Connor (AMSSM) [http://bit.ly/Y1bIfQ], as well by the head of Olympic radiology at Vancouver 2010 – Bruce Forster [http://bit.ly/10aB8lt].One of the papers discussed in the podcast [http://bit.ly/10aB8lt] relates to use of ultrasound at the sporting venue to undertake injections pre- and post-game.

Treating tendinopathies remains a challenge, despite many advances in the past decade. Listen to practical tips and a tip to consider the time course of tendon injury when making treatment decisions.More information can be found in Professor Cook’s paper Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy http://bit.ly/R0PDbTSee also:Jeremy Lewis on shoulder tendinopathy http://bit.ly/mm3C1fTendon-focussed issue, BJSM #5, April 2011http://bit.ly/11A4rRb

In this edition of the BJSM podcast, Robert Jan de Vos and Adam Weir discuss their research on the efficacy of platelet rich plasma injections for the treatment of tendon injury.

In this edition of the BJSM podcast, human movement specialist Evert Verhagen discusses ankle sprains and rehabilitation.

Everything you wanted to know about the Zurich International Conference on ConcussionThe Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008 is BJSM’s top download and this podcast takes you behind the scenes.Professor Paul McCrory shares the reasons behind recent changes in management of concussion and provides practical tips for you to prevent concussion and treat it where necessary.Part 3: You are the expert – you teach concussion to fellows and you can recite the SCAT2 even if you have profound headache and retrograde amnesia. Professor McCrory provides tips from the Consensus Statement that have you on the same page as the 27 experts in Zurich. And maybe you were one of them. Listen anyway, send any additional tips to the BJSM blog (http://blogs.bmj.com/bjsm/) and share the news of this practical podcast.Related articles:http://bjsm.bmj.com/content/vol43/Suppl_1/ (Contents page for the Concussion Supplement)http://bjsm.bmj.com/cgi/content/full/43/Suppl_1/i76 (Main Consensus Statement)http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i85 (SCAT2)http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i89 (Pocket SCAT2)

Everything you wanted to know about the Zurich International Conference on ConcussionThe Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008 is BJSM’s top download and this podcast takes you behind the scenes.Professor Paul McCrory shares the reasons behind recent changes in management of concussion and provides practical tips for you to prevent concussion and treat it where necessary.Part 2:Professor McCrory provides advice based on the Consensus Statement for the more junior clinician. You can’t remember whether the previous Consensus meeting was in Vienna or Prague (why do they get to go to all the cool places), you may have only learned about concussion in your university training (eek!) or you may not have worked in sports where concussion is prevalent. Now you are about to cover boxing or Australian Rules Football. Whack this podcast on your iPod and listen to it ringside (that team applies to Australian Football, don’t worry).Related articles:http://bjsm.bmj.com/content/vol43/Suppl_1/ (Contents page for the Concussion Supplement)http://bjsm.bmj.com/cgi/content/full/43/Suppl_1/i76 (Main Consensus Statement)http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i85 (SCAT2)http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i89 (Pocket SCAT2)

Everything you wanted to know about the Zurich International Conference on ConcussionThe Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008 is BJSM’s top download and this podcast takes you behind the scenes.Professor Paul McCrory shares the reasons behind recent changes in management of concussion and provides practical tips for you to prevent concussion and treat it where necessary.Part 1: An overview of the conference process and the highlights of the specific conference papers that you can find in the May supplement of BJSM. What is new in definitions of concussion, concussion in children, return to play guidelines, the role of neuroimaging and biomarkers and advances in protection.Related articles:http://bjsm.bmj.com/content/vol43/Suppl_1/ (Contents page for the Concussion Supplement)http://bjsm.bmj.com/cgi/content/full/43/Suppl_1/i76 (Main Consensus Statement)http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i85 (SCAT2)http://bjsm.bmj.com/cgi/reprint/43/Suppl_1/i89 (Pocket SCAT2)

Which type of ACL reconstruction is best? How does one decide? What are the rehabilitation implications of each? In this podcast, US and Norwegian knee specialists Elizabeth Arendt and Lars Engebretsen share their experiences from operations that have allowed thousands to return to sport at the highest level. But they also raise the question, “Does everyone who ruptures their ACL need an operation?”Related articleshttp://bjsm.bmj.com/cgi/content/abstract/bjsm.2009.058156v1http://bjsm.bmj.com/cgi/content/abstract/bjsm.2009.058024v1Other relevant linksOslo Sports Trauma Research Center http://www.ostrc.no/enIOC statement http://bjsm.bmj.com/cgi/content/abstract/42/6/394