BJSM

What is COVID myocarditis and how strong is the data to create a link between COVID and potential arrhythmias? Was COVID myocarditis the leading factor in the recent decisions of some American athletic conferences to shut-down the fall sports season? What are the criteria to start participation again? On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine physicians and internationally renowned experts on Sports Cardiology Dr. Jonathan Drezner and Dr. Michael Ackerman, who have both been influential in the debate on whether a Collegiate Athletic season can safely occur in the midst of the ongoing COVID-19 Pandemic. Dr. Jonathan Drezner is a Professor from the Department of Family Medicine and Director of the University of Washington Center for Sports Cardiology, past president of the AMSSM, team physician for the Seattle Seahawks, UW Huskies, and OL Reign and deputy editor of the BJSM. Dr. Michael Ackerman is a Professor of Medicine, Pediatrics, and Pharmacology at the Mayo Clinic College of Medicine and Science. He is the Director of the Windland Smith Rice Genetic Heart Rhythm Clinic and Windland Smith Rice Sudden Death Genomics Laboratory, as well as the president of the Sudden Arrhythmia Death Syndromes (SADS) Foundation. In this 40 minute conversation Drs. Drezner and Ackerman addressed the following topics: What is COVID myocarditis and why is it so concerning? How strong is the link between COVID-19 and was this a driving factor in the cancelling of the FALL sports season by some collegiate conferences? What metrics need to be satisfied in order to safely return to play, and will that occur this year. Health and Well Being Considerations for PAC-12 Institutions: Guidance for Local Planning for Return to Sporting Activity https://xs.pac-12.com/2020-08/Pac-12%20Covid-19%20Return%20to%20Play%20Considerations%2008.10.2020.pdf Puntmann VO, Carerj ML, Weiters I. Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19) https://jamanetwork.com/journals/jamacardiology/fullarticle/2768916 Baggish A, Drezner JA, Kim J, et al. Resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes https://bjsm.bmj.com/content/early/2020/06/18/bjsports-2020-102516 Maron BJ, Zipes DP, Kovacs RJ, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: a scientific statement from the American Heart Association and the American College of Cardiology. Copublished in Circulation and the Journal of the American College of Cardiology 2015. https://www.acc.org/~/media/fb92803045d249ae91b715650dd0ebe4.pdf Pelliccia A, Solberg EE, Papadakis M, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). European Heart Journal 2019;40:19. https://academic.oup.com/eurheartj/article/40/1/19/5248228

There has been a huge shift in golfers over the last 10 to 15 years with many more golfers at the top of the game such as Tiger Woods, Rory Mcllroy and Brooks Koepka focusing on Strength and Conditioning (S&C) to improve performance. COVID-19 has stopped many sporting events and has provided some a unique opportunity to focus on S&C. Bryson DeChambeau took full advantage of this putting on large amounts of muscle and is the latest golfer to demonstrate the benefits of S&C in golf performance. In this podcast Dan Coughlan explains to Will Wynter Bee the shift in S&C in golf and how the different S&C programmes used by tour players can improve performance while minimising injury risk. He also discusses the S&C set up on the European tour. Additional information. https://bjsm.bmj.com/content/bjsports/53/1/13.full.pdf?casa_token=SP73J6k2B4AAAAAA:EmiTi99T9da2ALJWIbVB350UmxsyeNLtkCz43HLNyVAGaDqzP9F1bJZC6_ReinWhYHzI8TLCTvA https://shapeamerica.tandfonline.com/doi/abs/10.1080/02640414.2018.1559972#.Xw8soZNKhTY https://sportperfsci.com/strength-and-conditioning-in-golf-probability-of-performance-impact/ Dan’s Twitter and Instagram accounts https://twitter.com/etpi?lang=en https://www.instagram.com/etpi_performanceunit/

Are injury recurrences due to a return to sport prior to adequate biological healing? Can we accurately measure stages healing with imaging or blood tests? Professor Erik Witvrouw discusses the importance of respecting biological healing in sports musculoskeletal injuries with BJSM’s Liam West.

Language, and how we use it, has a powerful influence on driving performance and clinical outcomes. Nick Winkelman, Head of Athletic Performance & Science for the Irish Rugby Football Union, has spent considerable time studying how effective communication can enhance performance. During this podcast with Dr Sean Carmody, Nick draws on the content from his book The Language of Coaching: The Art & Science of Teaching Movement to assess how visual cues and metaphors can be applied to improve your clinical or coaching practice. The Language of Coaching: The Art & Science of Teaching Movement

Dr. Andrea Mosler is a specialist sports physiotherapist and research fellow at La Trobe University, Melbourne. In this podcast, Liam West poses the questions that see Dr. Mosler explain how you should approach the prevention and management of hip and groin pain in athletes. She describes findings from her PhD and gives you the listener some clinical pearls to add to your “hip and groin” treatment toolbox!

Dr Mackenzie Herzog (@MackenzieHerzog) has a PhD in Sports Injury and Orthopaedic Epidemiology from the University of North Carolina at Chapel Hill. She is currently a Lead Epidemiologist on the Injury Surveillance and Analytics team at IQVIA. She was part of a team assessing the risks of sustaining an ankle sprain whilst playing in the NBA across four seasons. In this podcast we explore the findings from the paper (published in AJSM), the need to collect robust data to inform injury prevention strategies, how data science and sports epidemiology is evolving and her insights on working with teams in the NBA and NFL. https://www.iqvia.com/ Herzog et al. Ankle Sprains in the National Basketball Association, 2013-2014 Through 2016-2017. American Journal of Sports Medicine, 2020. 47;11: 2651-2658. https://journals.sagepub.com/doi/10.1177/0363546519864678 Bahr R, et al. International Olympic Committee consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport 2020 (including STROBE Extension for Sport Injury and Illness Surveillance (STROBE-SIIS)). British Journal of Sports Medicine, 2020;54:372-389. https://bjsm.bmj.com/content/54/7/372.info

Dr. Dan Rhon (T: @danrhon) is an active researcher for the US Department of Defence, a consultant and assistant professor at both Duke (North Carolina) and Baylor (Texas) Universities. He attended a manual therapy clinical fellowship at Brooke Army Medical Center in Texas, is a fellow in the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT), and an orthopaedic clinical specialist (OCS). He completed a postdoc research fellowship through the University of Utah and has a strong research interest in the effectiveness of clinical care pathways for musculoskeletal disease, both at primary and specialty care levels, and the intersection of these two. He was recently part of the investigating team who published a study on the effects of corticosteroid vs physiotherapy for managing knee osteoarthritis, published by the prestigious New England Journal of Medicine. In this discussion with associate editor Paul Blazey (T: @blazey85), he focuses on the findings of the study and the implications for the effective management of one of the most prevalent conditions seen in MSK clinics across the world. References Deyle, GD., Allen, CS., Allison, SC., et al. Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee. N Engl J Med 2020; 382:1420-1429 DOI: 10.1056/NEJMoa1905877 https://www-nejm-org.ezproxy.library.ubc.ca/doi/10.1056/NEJMoa1905877

Twitter: @Happysport_dk According to the literature, a substantial reduction in injury rates in youth sport is achievable. So why isn’t this translating into meaningful injury prevention in the real world? And what can we do about it? In this episode, Dr. Erin Macri asks Dr. Merete Møller to share her powerful insights on this topic and to introduce a novel research project (the HAPPY project) that aims to bridge the gap from injury prevention trials to real-world results on the field. Related Articles and Links Soomro N, Sanders R, Hackett D, et al. The Efficacy of Injury Prevention Programs in Adolescent Team Sports: A Meta-analysis. Am J Sports Med. 2016;44(9):2415‐2424. doi:10.1177/0363546515618372 Owoeye OBA, Palacios-Derflingher LM, Emery CA. Prevention of Ankle Sprain Injuries in Youth Soccer and Basketball: Effectiveness of a Neuromuscular Training Program and Examining Risk Factors. Clin J Sport Med. 2018;28(4):325‐331. doi:10.1097/JSM.0000000000000462 Emery CA, van den Berg C, Richmond SA, et al. Implementing a junior high school-based programme to reduce sports injuries through neuromuscular training (iSPRINT): a cluster randomised controlled trial (RCT) [published online ahead of print, 2019 Dec 10]. Br J Sports Med. 2019;bjsports-2019-101117. Sakata J, Nakamura E, Suzuki T, et al. Throwing Injuries in Youth Baseball Players: Can a Prevention Program Help? A Randomized Controlled Trial. Am J Sports Med. 2019;47(11):2709‐2716. doi:10.1177/0363546519861378 Bekker, S., Paliadelis, P. & Finch, C.F. The translation of sports injury prevention and safety promotion knowledge: insights from key intermediary organisations. Health Res Policy Sys 15, 25 (2017). https://doi.org/10.1186/s12961-017-0189-5 O'Brien J, Finch CF. The implementation of musculoskeletal injury-prevention exercise programmes in team ball sports: a systematic review employing the RE-AIM framework. Sports Med. 2014;44(9):1305‐1318. doi:10.1007/s40279-014-0208-4 Lindblom H, Carlfjord S, Hägglund M. Adoption and use of an injury prevention exercise program in female football: A qualitative study among coaches. Scand J Med Sci Sports. 2018;28(3):1295‐1303. doi:10.1111/sms.13012 Ageberg E, Bunke S, Lucander K, Nilsen P, Donaldson A. Facilitators to support the implementation of injury prevention training in youth handball: A concept mapping approach. Scand J Med Sci Sports. 2019;29(2):275‐285. doi:10.1111/sms.13323 Richmond SA, Donaldson A, Macpherson A, et al. Facilitators and Barriers to the Implementation of iSPRINT: A Sport Injury Prevention Program in Junior High Schools. Clin J Sport Med. 2020;30(3):231‐238. doi:10.1097/JSM.0000000000000579

On this week’s episode, we chat with BJSM Deputy Editor Dr Jane Thornton MD PhD about how clinicians can support athlete mental health during COVID-19. As a World Champion and former Olympic rower for Canada, Dr Thornton has been supporting Canadian athletes experiencing mental health issues related to COVID-19. In partnership with sports psychiatrist Dr Carla Edwards, Dr Thornton has also produced a range of mental health resources to help athletes combat COVID-19 anxiety. In this 25–minute podcast, Dr Thornton discusses her own experiences as an Olympic athlete, how to prepare for adversity, manage fear, and reset training and competition goals.

Associate Editor Paul Blazey (T: @blazey85) talks with Professor Chad Cook from Duke University (North Carolina, USA). Chad is a Professor in the Orthopaedic Surgery Division of Physical Therapy, with an interest in the effective diagnosis, intervention, and outcomes assessment of conservative and surgical treatment of orthopedic-related conditions. Today we focus on Chad’s experience with orthopaedic testing, especially when applied to femoroacetabular impingement syndrome, and the ability to effectively assess this condition over telehealth.

The global COVID-19 Pandemic has changed the way we practice medicine and live our daily lives. Things we traditionally have taken for granted now pose major challenges, and among those is the challenge of remaining active. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine physician and fitness enthusiast Dr. Jordan Metzl to discuss strategies for continuing to encourage physical activity even during “social distancing.” Dr. Metzl is a pediatrician with subspecialty training in sports medicine whose goal is to help patients and athletes maintain physically active lifestyles and recover from injuries to return to their chosen forms of activity. He has written multiple books and is well known for his Iron Strength workout series. To learn more about Dr. Metzl’s work, or sign-up for his listserv to be notified of future classes please visit his website at https://drjordanmetzl.com

Dr. Ben Sporer (T: @ben_sporer) is the current director of performance strategy, research and innovation at the Vancouver Whitecaps (MLS). He trained as an exercise physiologist and worked with the Canadian Sport Institute, supporting multisport, cycling and snowboarding athletes across three full Olympic cycles (summer and winter games). He brings a wealth of knowledge about developing elite athlete performance and wellbeing, as well as what it takes to build a performance team. Today in the discussion with associate editor Paul Blazey (T: @blazey85), we dive into:  what impact Ben’s exercise physiology background had on his management of the medical arm of his performance team  how the Whitecaps use data science to support medical and team decisions  what Ben looks for in developing a high performance medical and support team  how the team has managed the lockdown and the challenges of return to play in elite sport post covid-19 Resources Catapult Sport Data Capture Systems - https://www.catapultsports.com/

On this week's episode, we are joined again by Prof Fiona Bull to discuss why and how we should stay active in self-isolation. Prof Bull is the Programme Manager in the Department of Prevention of NCDs at the WHO in Geneva. She leads the WHO’s global work on physical activity. In this 15-minute podcast, Prof Bull explains what the WHO is doing to support countries increase physical activity in times of COVID-19 and outlines physical activity research priorities at a global level. #HealthyAtHome @WHO https://www.who.int/news-room/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome/healthyathome---physical-activity

In this cutting-edge podcast with Dr James Hull – a leading authority on respiratory health in athletes - we discuss the challenges facing athletes and healthcare professionals following infection with the novel coronavirus. We cover a few case-studies, and practical points for all SEM professionals to consider. Additional Links: Link to the published article in the Lancet Respiratory Medicine journal https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30175-2/fulltext#.XrHWOYDlNMw.twitter Dr James Hull’s twitter page: https://twitter.com/Breathe_to_win Link to Book: https://www.amazon.co.uk/Complete-Guide-Respiratory-Care-Athletes/dp/1138588350/ref=redir_mobile_desktop?ie=UTF8&qid=1586959229&ref_=tmm_pap_title_0&sr=8-1 BJSM Education Review on EILO https://bjsm.bmj.com/content/52/18/1211 BJSM podcast on EILO https://soundcloud.com/bmjpodcasts/do-you-know-athletes-who-have-a-wheeze-and-get-short-of-breath-easily-surely-asthma-right?in=bmjpodcasts%2Fsets%2Fbjsm-1&fbclid=IwAR3tViVFdNwqKZ04hU43y57HeuPcskYQ5OPuGoCJCF4hIlLd-BlL3k2SXVU

Are you involved in the care of athletes, and now planning their return to sport? Have you fully considered their cardiac health, especially in those with suspected/confirmed novel coronavirus infection? In this 15-minute podcast with Prof Jon Drezner, one of the world’s leading Sports Cardiologists & Team Physicians, we dive into some case-studies and some of the emerging evidence in this interesting area. Please get in touch with us if you have any questions! Additional resources: Link to BJSM blog: https://blogs.bmj.com/bjsm/2020/04/24/the-resurgence-of-sport-in-the-wake-of-covid-19-cardiac-considerations-in-competitive-athletes/ Link to free ECG e-Academy https://uwsportscardiology.org/e-academy/ecg-modules/