BJSM

Host Dr. Giorgio Negron, MD is joined by Dr. Kenneth Mautner, MD on the AMSSM Sports Medcast to discuss orthobiologics, specifically PRP and stem cell treatments, and the current evidence for their use. Dr. Mautner is an associate professor in the Department of Physical Medicine and Rehabilitation and the Department of Orthopedics Surgery at Emory University in Atlanta, GA. In this 20-minute conversation Dr. Mautner addresses the following topics: What is PRP and how did it become so popular in the musculoskeletal world? What the variabilities that are important to know in PRP? What is a stem cell? How do we obtain stem cells? How can it help with musculoskeletal conditions? What are these “pop-up” stem cell clinics and their products they are advertising? What research are you currently working on?

In this Podcast, Dr Phil Hopley explains to Dr Will Wynter Bee the impact of the COVID crisis on athletes' mental health as well as discussing his role in setting up mental health services for the European tour. He also provides insights into how, clinically, he assesses and manages mental health conditions in elite athletes. Georgia Hopley discusses her research providing valuable insights into the prevalence of common mental health conditions in elite golfers. Useful links we discuss: Mental health in elite athletes: International Olympic Committee consensus statement (2019)- https://bjsm.bmj.com/content/53/11/667 Cognacity - https://www.cognacity.co.uk/ National institute of mental health - https://www.nimh.nih.gov/index.shtml Mind - https://www.mind.org.uk/information-support/tips-for-everyday-living/ Sane - http://www.sane.org.uk/ Calm - https://www.thecalmzone.net/

Can we learn more from our patients than you might think? Do they hold the answers to the clinical question that you face? Dr. Osman Ahmed is an Associate Editor at BJSM, co-leading the “Patient Voices” section of the journal alongside Dr. Tracey Blake. Osman discusses how we can engage our patients/athletes to improve the clinical applicability of our research, and highlights some areas of medicine that have already benefited from this approach. Links of articles discussed on the podcast: https://bjsm.bmj.com/content/52/24/1547 https://www.jospt.org/doi/full/10.2519/jospt.2019.0106

On the heels of a global pandemic, we have all been asked to quickly adapt to our new surroundings – in most cases our living room – and to carry on with delivering quality education. For many of us, this means scrambling to make our once classroom-based educational materials online-ready for the first time. Where do we begin? Dr. Erin Macri joins Dr. Jackie Whittaker in this BJSM episode to share tips and tricks for both delivering and receiving effective, high quality online education. Dr. Whittaker has delivered online university-level education for over six years, and her experience and insight are invaluable during these difficult times. For a list of resources please visit the BJSM blog: https://blogs.bmj.com/bjsm/2020/04/05/educators-in-a-dangerous-time-effective-online-healthcare-education-with-dr-jackie-whittaker/

Runners are constantly trying to find the perfect shoe that will combine increased performance with decreased injury risk. In this podcast, Dr. Liam West poses the questions to Dr. Laurent Malisoux to explore whether the current body of research is able to guide the clinician as to which shoe type is perfect for which foot type. Dr. Malisoux is a key researcher at the Sports Medicine Research Laboratory at the Luxembourg Institute of Health. His area of research and expertise centres on running shoes and potential risk factors for injury.

Assistant Dean at McMaster University, member of the FINA (World Swimming) and the IOC Working Group on Mental Health in Athletes, Dr Margo Mountoy (MD, Dip Sport Med [CASEM], PhD) shares practical insights. What 4 things should a team physician do to help an athlete who has mental health symptoms or a diagnosed mental health disorder. You’ll hear the FREE 2019 consensus paper referred to: http://ow.ly/hTpS50yKx7K

Football is the world's most popular sport, captivating the hearts and minds of millions of people every day. Supporting our national team or local club evokes a deep sense of pride, and provides a consistent source of entertainment. How could something so addictive be so good for you? Football has been found to be an effective adjunct for the treatment and prevention of a wide variety of conditions such as depression, some cancers and type 2 diabetes. In this podcast, Dr Daniel Parnell explains to Dr Sean Carmody the emerging research behind the broad spectrum health benefits attached to participating in football. Dr Daniel Parnell is a Senior Lecturer in Sports Business at the University of Liverpool and co-author of Football as Medicine: Prescribing Football for Global Health Promotion. Dr Sean Carmody is a doctor based in London.

Dr Imran Sajid is a frontline clinician, health policy maker, educator and researcher with a keen interest in behavioural economics. This podcast takes a 30,000-foot view of some of our daily clinical approaches—and dives down into specific cases to make important points. How do you get the right care to the right patient at the right time. Is there overdiagnosis and overtreatment in our field—the field of musculoskeletal care? Fee-for-service underpins a great deal of treatment in MSK medicine. Are our diagnoses (such as ‘locked knee’) really as solid as we may have been taught in the early 2000s? Do very common surgical procedures such as knee and shoulder arthroscopy add value for the patient? Dr Sajid gives 3 tips to improve the value of care for patients: 1) We need system change so the right care is provided at the right place. This generally requires a shift towards shared care in the community setting. 2) There needs to be a culture change away from the structural model—most health care burden does not derive from structures that can be fixed simply with a pill or a screw. 3) Clinicians need to be healthy skeptics about what works and what doesn’t. Humility helps! Don’t fall prey to those powerful cognitive biases. Just because we know about them doesn’t make them go away. Think of your favourite optical illusion! It’s hard to ‘see’ the truth!

Dr. Rachel Lampert, MD joins host Devin McFadden, MD on AMSSM’s Sports Medcast (T: @TheAMSSM) to discuss athletic participation in athletes with cardioverter-defibrilators for known cardiac abnormalities. In this 20 minute conversation Dr. Lampert addresses the following topics: - What are the common causes of sudden cardiac death in athletes? - What is the data to support disqualifying patients with known cardiac disease (cardiomyopathies and channelopathies) from sports, and could they potentially participate safely? - How will future studies impact the way we practice further?

Has the principle of shared decision making in athletes with known cardiac abnormalities placed our athletes, teams, and medical system at risk? Are there situations where accepted medical standards and risk management trump patient autonomy? What further steps can we take to generate the data needed to ensure that the athletes we clear in the future are safe to participate? On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by internationally recognized expert Dr. Sanjay Sharma, MD to discuss the risks and benefits encountered while making clearance decisions in athletes with known cardiac abnormalities.

Nanette Mutrie (@NanetteMutrie) has been Chair of Physical Activity for Health at the University of Edinburgh since July 2012. She directs the Physical Activity for Health Research Centre (PAHRC) in the Institute for Sport, Physical Education and Health Sciences. Nanette is a Chartered Psychologist and a Fellow of the British Association of Sport and Exercise Sciences. She took a break from writing the 4th edition of ‘Psychology of Physical Activity” to speak with BJSM’s outgoing Editor-in-Chief Karim Khan (@BJSM_BMJ) In podcast 2 of 2 she discusses: The revolutionary physical activity and weight control intervention for men—Football Fans in Training. http://ow.ly/zOIv50yfYd0. She revisits the topic of too much sitting—which is different to physical inactivity. Prof Mutrie argues that we promote the short-term benefits of walking to the public. “You will get a boost in your mood and you will sleep better by just having a 10-minute walk.” That’s how Coke promotes their product—it’s not about promising long-term health benefits. What do you think about that? And she discusses ‘outrunning a bad diet’, weekend warriors and The Daily Mile. You’ll love this episode as much as the record-breaking first of this duet. If you missed that one here’s the link: http://ow.ly/NNtg50yfYk3

Nanette Mutrie (@NanetteMutrie) has been Chair of Physical Activity for Health at the University of Edinburgh since July 2012. She directs the Physical Activity for Health Research Centre (PAHRC) in the Institute for Sport, Physical Education and Health Sciences. In January 2015 Nanette was awarded an MBE in the New Year's Honours list for services to physical activity for health in Scotland. Nanette is a Chartered Psychologist and a Fellow of the British Association of Sport and Exercise Sciences—hence the expertise in behavioural interventions. She took a break from writing the 4th edition of ‘Psychology of physical activity” to speak with BJSM Editor in Chief Karim Khan (@BJSM_BMJ) This podcast (part 1 of 2) will help you; appreciate the power for walking for health and mental health even more than previously, realise why ‘brisk’ may not be the ideal adverb to associate with walking for certain populations. The chat swings from practical tips about which technology to consider to capture walking, to tips for physios in the clinic and to Prof Mutrie explaining that walking is one factor that can contribute to addressing the Climate Crisis. Enjoy!

Did you know that water can stop bullets? Dr. Erin Macri caught up with Dr. Ben Waller to learn more about the untapped and under-recognized power of water and its potential applications in everything from rehabilitation to high level athletic conditioning. Dr. Ben Waller is the Scientific Chair of the Finnish Sport physiotherapy association; Adjunct Professor at Reykjavik University, and Lecturer for the International Aquatic Therapy Faculty. Prior to this he was Senior Researcher at the University of Jyväskylä in Finland, where he also completed his PhD and postdoctoral work, all focused on aquatics. Ben’s current research is focused on quantifying and optimizing the prescription of aquatic exercise in the PAPESH research group in Reykjavik University (https://en.ru.is/papesh/).

Are passive therapies making patients worse? Does stretching help? Where do the bio, psycho and social components fit into patient management? This week Tom Goom joins us to chat about how to avoid the common pitfalls all clinicians can make. Known to many in the SEM community as the ‘Running Physio’, Tom is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course.

In our first episode of 2020, Associate Professor Shona Halson PhD joins us to chat about why our new year’s resolution should be to get more sleep! Shona is an Associate Professor in the School of Behavioural and Health Sciences at Australian Catholic University. Shona has a PhD in Exercise Physiology, recently finished up close to 16 years working at the Australian Institute of Sport as a senior recovery physiologist, and has been the Director of the Australian Olympic Committee Recovery Centre for the last three summer Olympic games.