Angela Smith is an attending orthopaedist at Nemours/Alfred I duPont Hospital for children, and Clinical Professor of Orthopaedics and Paediatrics at Sidney Kimmel Medical College of Thomas Jefferson University. She is the past president of the American College of Sports Medicine, and acts as a member of the Executive Committee of FIMS. She draws upon her extensive clinical experience of working with youth athletes to discuss with BJSM’s Liam West the hotly debated topic of early sports specialisation. Is this needed in order for athletes to be success? Or are we causing a higher injury risk in these kids? All this and more inside the podcast… Further Reading: Caring for the young athlete: past, present and future - http://bjsm.bmj.com/content/51/3/141 Debunking early single sport specialisation and reshaping the youth sport experience: an NBA perspective - http://bjsm.bmj.com/content/51/3/142 Early sport specialisation, does it lead to long-term problems? - http://bjsm.bmj.com/content/47/17/1060 Youth sports injury prevention: keep calm and play on - http://bjsm.bmj.com/content/51/3/145 Sports specialised risks for re-injury in young athletes: A 2+ year clinical prospective evaluation - http://bjsm.bmj.com/content/51/4/334.2 Promoting the athlete in every child: physical activity assessment and promotion in healthcare - http://bjsm.bmj.com/content/51/3/143 Similar Podcasts:
Injuries in kids: Why do they occur? Is specialisation a problem? Sam Blanchard - http://bit.ly/1HqnXsf
AMSSM Podcast host Dr. Krystian Bigosinski is joined by Dr. Alessio Fasano, the W. Allan Walker Chair in Pediatric Gastroenterology and Nutrition and Director of the Center for Celiac Research and Treatment at Massachusetts General Hospital, as well as Dana Lis, RD, PhD, owner of Summit Sports Nutrition in Vancouver, British Columbia. Topics of conversation include the definition of gluten and FODMAPs and their potential role in leading to both gastrointestinal and constitutional symptoms in athletes, a practical diagnostic approach to evaluate an athlete manifesting GI symptoms, recognition of the spectrum of disease from gluten sensitivity to true celiac disease, when to consider initiating a restrictive diet and subsequently how to reintroduce foods, and the potential risks of athletes restricting their diets without a formal pathological diagnosis. Links: Noakes T, Volek JS, Phinney SD. Low-carbohydrate diets for athletes: what evidence?. Br J Sports Med 2014;48:1077-1078. http://bjsm.bmj.com/content/48/14/1077 Collins J, McCall A, Bilsborough J, et al. Football nutrition: time for a new consensus?. Br J Sports Med Published Online First: 02 March 2017. doi: 10.1136/bjsports-2016-097260 http://bjsm.bmj.com/content/early/2017/03/02/bjsports-2016-097260 Lis DM, Fell JW, Ahuja KDK, Kitic CM, Stellingwerff T. Commercial Hype Versus Reality: Our Current Scientific Understanding of Gluten and Athletic Performance. Current sports medicine reports. 2016;15(4):262-268. doi:10.1249/JSR.0000000000000282.
A respected global voice within Sports Physiotherapy, Phil Glasgow returns to the BJSM podcast to share his thoughts and expertise on loading for injury prevention and treatment. Phil has worked at numerous major international sporting events and was the Chief Physiotherapy Officer for Team GB at the Rio 2016 Olympics. As Former Head of Sports Medicine at Sports Institute, Northern Ireland, he has amassed extensive experience in high performance sport working with elite athletes from a wide range of sports learning their best loading patterns amongst the way. BJSM’s Liam West poses the questions that see Phil take you through the fundamental principles of loading, when to start loading after injury, different loading patterns based on tissue type and loading pattern variations during rehabilitation. Want to hear more on loading? Check out these two conferences below that Phil and other great speakers will be discussing loading patterns more in depth; - Second World Congress of Sports Physical Therapy in Belfast, Northern Ireland on 6th-7th October 2017 (http://www.opload2017.com) - New Zealand Sports Physiotherapy Conference in Auckland, 14th-15th October 2017 (http://bit.ly/2vudQmN). Some further reading: PRICE needs updating, should we call the POLICE? - http://bjsm.bmj.com/content/46/4/220 Optimal loading: key variables and mechanisms - http://bjsm.bmj.com/content/49/5/278 Optimising load to optimise outcomes - http://bjsm.bmj.com/content/51/13/985 A view from New Zealand and an invitation to Sports Physiotherapy New Zealand’s Symposium (14–15 October 2017) - http://bjsm.bmj.com/content/51/5/413 Training – injury prevention paradox. Should athletes be training smarter AND harder bjsm.bmj.com/content/early/2016…sports-2015-095788 Related Podcasts: Dream Team of training load management: How training influences injury and performance - http://bit.ly/29gPxxg
Putting load management evidence into practice: Sometimes you can’t! Dr Darren Burgess - http://bit.ly/2el00rR
One of the most influential cardiologists in Britain and a world leading expert in the prevention, diagnosis and treatment of heart disease, Dr Aseem Malhotra is a brave advocate for public health initiatives. An award-winning NHS cardiologist, Dr Malhotra has successfully motivated leading academics, the media and politicians to make sugar reduction a health priority in the UK. His academic publications can be found in the BMJ and BJSM (see links below) and he is prominent in mainstream media. He recently published what is already a best-seller, “the Pioppi Diet: A 21 day lifestyle plan”. https://www.penguin.co.uk/books/305991/the-pioppi-diet/ Links: Dr Malhotra explains that if folks want to lose weight they need address eating habits and food choices: http://bjsm.bmj.com/content/49/15/967 “You can’t outrun a bad diet” Dr Malhotra on saturated fat - it does not clog the arteries. Coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively reduced by healthy lifestyle interventions: http://bjsm.bmj.com/content/51/15/1111. Interesting in low-carb eating and the rationale for real food? Here is obesity warrior, Dr Sarah Hallberg on TEDx. She explains how to reverse Type 2 diabetes (‘sugar diabetes’). >2million views! https://www.youtube.com/watch?v=da1vvigy5tQ Previous related podcasts: Dr Aseem Malhotra: You cannot outrun a bad diet. https://soundcloud.com/bmjpodcasts/you-cant-outrun-a-bad-diet-draseemmalhotra-on-weight-loss-strategies Professor Tim Noakes: Time to revisit real food choices. https://soundcloud.com/bmjpodcasts/prof-tim-noakes-time-to-revisit-food-choices-the-real-meal-revolution-lchf-summit-for-health
Dr Sarah Hallberg: Why we get fat. https://soundcloud.com/bmjpodcasts/why-we-get-fat-insulin-is-a-fat-storing-hormone-dr-sarah-hallberg-renowned-obesity-doctor
Ian Needleman is a Professor of Restorative Dentistry at the Centre of Oral Health and Performance, University College London (UCL) Eastman Dental Institute. Prof Needleman is on a mission to combat poor oral health in athletes. Alongside his research team, he has proven oral healthcare at the elite level to be poor, that this leads to a decrease in performance and has suggested that oral health screening should be routine for athletes (link to these papers below). You can also check out, download and use an infographic on oral healthcare published in the BJSM (link below). BJSM's Medical Editor Dr. Liam West caught up with Prof. Needleman at the 2017 IOC Injury and Illness Prevention Conference (Monaco) to discuss why athletes should care about their oral healthcare. You can find out more from Ian and his team on their website - www.ucl.ac.uk/cohp - Extra Links Poor Oral Health in Professional Football Study - http://bjsm.bmj.com/content/50/1/41 Oral health screening should be routine in professional football: a call to action for SEM clinicians - http://bjsm.bmj.com/content/50/21/1295 Oral Healthcare Infographic - http://bjsm.bmj.com/content/51/9/757 London 2012 paper: http://bjsm.bmj.com/content/47/16/1054
Systematic review: http://bjsm.bmj.com/content/48/7/561.3
The American Medical Society for Sports Medicine (AMSSM) podcast is hosted by Dr Devin McFadden (Sports Medicine Fellow, Washington D.C) is your host. He chats with Dr Bert Fields (Sports Medicine Physician, Greensborough, North Carolina), Dr Robert Oh (Sports M edicine, Fort Benning, Georgia) and Dr Chad Asplund (Athletic Sports Medicine, Georgia Southern University). In this podcast (part 2 of 2), the experts on running injuries discuss: • What is the role of motion control shoes? • What factors unrelated to footwear do you look for in an injured runner? • What’s the role of the core? • Can nutrition contribute to obesity, metabolic syndrome even in distance runners? • What are the greatest risks to failing to meet your running goals? Link to Laurent Malisoux’s RCT on injury risk in motion control shoes vs standard shoes: http://bjsm.bmj.com/content/50/8/481 (Free) Link to part 1 of this podcast: https://soundcloud.com/bmjpodcasts/from-the-amssm-3-sportsmedicine-legends-on-running-injuries-illness-and-footwear
The next AMSSM Annual meeting will be in Orlando, Florida, April 24-29, 2018.
Dr Boris Gojanovic (@DrSportSante) is a specialist sports medicine physician and a board member of the Swiss Sports Medicine Society. In addition to his Sports Medicine training, he is certified in Internal Medicine (General Medicine). In this chat about paediatric sports development, training and injuries he shares tips on interdisciplinary management of concussion, knee injuries. He tackles hip pain including that related to femoroacetabular impingement. He reveals his lessons from working as the lead doctor for national teams in the sports of gymnastics and youth triathlon. The Young Athletes Forum conference is in Montreux, September 21, 22, 2017. http://yaf2017.org/, Twitter @YAFfoundation Links to related podcasts: Lars Engebretsen on whether or not to reconstruct the ACL in children: http://ow.ly/1Hzr30e9Fu6
Ben Clarsen on monitoring workload in team settings: http://ow.ly/q6iL30e9FDw
Andy Nicholettos @sportinjuryandy is co-founder and head of sports medicine at Prevail Golf Performance, a specialist academy that blends golf coaching, sports medicine and strength and conditioning practice. Andy is also the author of “a movement in golf performance”. Aside from golf, Andy is the clinical lead at the Pain Clinic Oxford. He has lectured nationally and internationally on the application of pain science to sports performance, and has contributed to literature spanning exercise physiology, and orthopedics The discussion includes: • The Tiger Woods effect • What is golf fitness? • Marrying research and clinical practice. • Back pain in the golfer • How to get patients off the treatment merry-go-round
• Myths in golf practice
New York physiotherapist Dr Karen Litzy @KarenLitzyNYC, host of physio podcast 'Healthy Wealth and Smart' poses the practical questions to Dublin’s Dr Marie-Elaine Grant. Dr Grant has been Ireland’s Olympic Team Chief Physiotherapist since 1992 and Chief Physiotherapist with the IOC Medical Commission for the London 2012 Games. The discussion includes: • Whether to tape or brace or not • For how long should an athlete use tape or brace? • If the athlete is superstitious? Is it OK to keep taping for luck • The K-tape question • Tape falling off – re-tape or not? • Any adverse events? Contraindications • How long do the properties of the tape last? • Bracing vs. neuromuscular training
Download the ‘BJSM’ mobile app to your phone, tablet or desktop computer if you want to benefit from over 200 experts sharing their tips.
Prof. Roald Bahr is the Head of the Aspetar Sports Injury & Illness Prevention Programme, Chair of the Oslo Sports Trauma Research Center and a member of the IOC medical committee. Prof. Bahr’s main research area is the prevention of injury and illness in athletes, and has published more than 200 papers and book chapters. In this podcast he talks to BJSM's Dr. Liam West about his views on musculoskeletal screening - why it doesn't work and probably never will. You can access his review paper on this topic using the link below: Bahr - Why screening tests to predict do not work - http://bjsm.bmj.com/content/50/13/776 Clarsen - Screening is dead. Long live screening! - http://bit.ly/2tPJ5Hu If you want to catch Prof. Bahr and other keynote speakers get along to the Dutch annual sports medicine scientific conference in Holland on the 23rd and 24th November 2017.
Jo Gibson is a Clinical Physiotherapy Specialist at the Liverpool Upper Limb Unit based at the Royal Liverpool Hospital, UK. She lectures both nationally and internationally about rehabilitation of the shoulder. Her research interests are shoulder instability and motor learning. Jo is currently Squad Physiotherapist for the Great Britain Endurance riding Team.
Dr. Jeremy Lewis is a Consultant Physiotherapist and Professor of Musculoskeletal Research (University of Limerick, Ireland). Originally born in New Zealand, he trained in Australia before moving to England where he now works in both the Public (NHS) and Private sectors. Dr. Lewis has distinguished himself and become a globally respected voice in the area complex shoulder issues in both clinical and research capacities. This podcast has been adapted from one originally published by our friends FXNL Media (www.fxnl.com - where you can find the full version). Dr. Lewis shares his thoughts with the listeners on; • Shoulder Impingement • Rotator Cuff tears • Shoulder special tests and why they aren't that special • Shoulder Surgery • Shoulder Symptom Modification Procedures and how they help treat patients • What mistakes we commonly make when treating shoulder pain For extra podcast resources on shoulder issues in SEM, check out; • Practical Clinical Shoulder Pearls with Adam Meakins - https://soundcloud.com/bmjpodcasts/shoulder-focus-with-leading-sports-physiotherapist-adam-meakins-practical-clinical-pearls?in=bmjpodcasts/sets/bjsm-1 • Prof McCormack on whether to operate on Shoulder Dislocations - https://soundcloud.com/bmjpodcasts/shoulder-dislocation-to-operate-or-rehabilitate-prof-bob-mccormack-olympic-physician?in=bmjpodcasts/sets/bjsm-1 • Scapular Summit with Ben Kibler - https://soundcloud.com/bmjpodcasts/scapular-summit-2013?in=bmjpodcasts/sets/bjsm-1 • 5 Clinical shoulder tips with Dr. Mark Hutchinson - https://soundcloud.com/bmjpodcasts/five-clinical-tips-for?in=bmjpodcasts/sets/bjsm-1 • Prof Jeremy Lewis on Rotator Cuff Tendinopathy - https://soundcloud.com/bmjpodcasts/prof-jeremy-lewis-rotator-cuff?in=bmjpodcasts/sets/bjsm-1 • Shoulder Injuries with Ann Cools - https://soundcloud.com/bmjpodcasts/shoulder-injuries-with-ann?in=bmjpodcasts/sets/bjsm-1 • The Shoulder in Sport with Ben Kibler - https://soundcloud.com/bmjpodcasts/the-shoulder-in-sport-with-ben?in=bmjpodcasts/sets/bjsm-1
• Clinical assessment of the Tennis Shoulder with Ben Kibler - https://soundcloud.com/bmjpodcasts/dr-ben-kibler-examination-and-diagnosis-of-the-tennis-player-part-one?in=bmjpodcasts/sets/bjsm-1
Assistant Professor Dr Fiona Wilson is a Chartered Physiotherapist in the discipline of Physiotherapy, Trinity College, Ireland. She has over 25 years of clinical experience in the UK, South Africa and Ireland. She has worked with elite and international athletes throughout her career and was Lead Physiotherapist for Rowing Ireland for 10 years. Her research has focused on sport and exercise medicine with a special focus on rowing and back pain and recently in rugby and concussion. She is editorial board member for BJSM and was awarded the prestigious Cochrane Fellowship in 2012. In this podcast Dr Wilson shares wisdom on topics such as: • Managing back pain in the mature rower • 3 common pitfalls / stroke issues to assess • How to assess the rowing athlete • How rowers monitor load / or not • How you can use technology and apps to monitor rowers • How to apply lessons from rowing to managing back pain in all sports and among the general public • Debate on stability and mobility – are planks associated with increased incidence of back pain? 3 previous BJSM podcasts on back pain in sport include the very popular: • Tiger Woods – soon after his 2014 spinal surgery, @PeteOSullivanPT (Prof Peter O’Sullivan) feared for the worst. Was surgery a good idea? Remember this conversation predated Tiger Woods’ plunging down the world ranking. https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-peteosullivanpt-on-tiger-woods-back-and-core-strength • Tiger Woods – 2015 update. With @PeteOSullivanPT after a 2nd operation a year later. How helpful is the postoperative MRI scan? https://soundcloud.com/bmjpodcasts/test
• Dr Kieran O’Sullivan (no relation to Peter above) shares 7 habits of highly effective clinicians who manage back pain. It’s had 23K listens! https://soundcloud.com/bmjpodcasts/dr-kieran-osullivan-on-managing-back-pain-7-habits-of-highly-effective-clinicians-part-2-2016
Struggling with swimmers and their shoulders? It’s something we clinicians struggle with, and have been for a long time. Today we’re gonna take this head on, how we can move the model from external impingement to anterior superior internal impingement (ASII). We are joined on this BJSM podcast with Andrew Delbridge and Craig Boetcher from Australia. Craig completed his PhD through Sydney University examining shoulder EMG back in 2010. He’s been the physiotherapist for the Australian swim team for the last 8 years, and offers a unique perspective to this issue, having been an elite swimmer himself. Craig is currently supervising Kylie Holt who is completing her PhD on Shoulder pain and pathology in elite swimmers. Kylie is a senior sport physio at the Australian institute of sport, and has been looking after the swimming programme since 2009. Our second guest is Andrew Delbridge, who has been working with Craig at Regent St Physiotherapy for the last 17 years. Andrew has been working in elite sport with throwing athletes, and has found a fresh way of looking at the swimmer’s shoulder. 1:25 What is swimmer’s shoulder? External impingement model from the 70s outdated 2:00 Difference between primary and secondary impingement 3:40 We’ve got swimmer’s shoulder wrong. Andrew explains some of the reasons. 5:10 Spoiler alert - you guessed it, its internal impingement. ASII- Anterior superior internal impingement 6:00 Clinical background that initially drove the reason for the new ASII approach 8:20 What can baseball teach us about swimming? The loads don’t make sense! Buhrkart influenced throwing shoulder which led to applying that in swimmers 9:25 3 questions to understand the swimmer’s shoulder: 1) What is the unique position for swimmers in their stroke, 2) what is the anatomical relations in that position, 3) can we reconcile pathology we see? 10:00 Unique position for the demands of swimming - elevation and internal rotation while in large amount of elevation 10:30 Literature also looks at this position (classic Hawkins & Kennedy) investigating the anatomy in this position. 11:30 Position vs load - which causes the pain? It’s mix of tensile and compressive load 12:00 ASSI explained Swimmers are super overhead workers 13:15 The data are building, but it’s still early. 60 swimmers included in large MRI study 15:00 Does this only apply to elite swimmers? No. 16:25 Key differences in ASII model: Internal not external, tendinopathy (anterior or posterior). Mix loading (compressive load in ASII) which might apply to the whole cuff, Broad term of swimmer’s shoulder to vague, sub-classification needed to differentiate treatment 18:15 3 practical tips for the clinician: 1) Shift in thinking, apply your tendinopathy theory 2) Use dynamometry to assess cuff health
3) Monitor training load.
Joining us for this BJSM podcast is the vastly experienced, Dr Roger Hawkes. We chat to him about a wide range of issues, from his role as CMO to the European Golf Tour - where he has built an incredible service, and provided incredible quality of care to the world’s best golfers – to common golfing injuries, and how to assess them. We also touch on the innovative work being done that is looking into the health benefits of golf, and the challenges of working in such a dynamic, and multi-disciplinary environment. So if you want to get better at assessing & managing the golfers that walk through your clinic door, or want to know more about the benefits of golf (so you can further justify next weekend’s round), look no further! Extra Resources Andrew Murray Golf & Health podcast: https://soundcloud.com/bmjpodcasts/andrew-murray-1 ETPI twitter account: https://twitter.com/ETPI_Physiounit Golf & Health Infographic: http://bjsm.bmj.com/content/51/1/20 The relationships between golf and health: a scoping review: http://bjsm.bmj.com/content/51/1/12 Pictorial review of wrist injuries in the elite golfer: http://bjsm.bmj.com/content/50/17/1053 Hip morphology in elite golfers: asymmetry between lead and trail hips: http://bjsm.bmj.com/content/50/17/1081
The prevalence, variety and impact of wrist problems in elite professional golfers on the European Tour: http://bjsm.bmj.com/content/47/17/1075
Are you confused about healthy nutrition, the role of insulin, this concept of ‘insulin resistance’? Can one largely ignore a macronutrient (i.e. carbohydrates) and not drop dead within a few days? Karim Khan, the Editor in Chief of the BJSM vouches for this podcast personally and describes Dr Hallberg as one of the people that has most influenced his understanding of a key medical concept. In addition to Dr Hallberg’s popular (nearing 2 million views!) TEDx talk https://youtu.be/da1vvigy5tQ Here are her further credentials. https://www.virtahealth.com/about/hallberg When Dr Hallberg refers to blood glucose being ‘100’ she is referring to the US convention – using mg/dL which is 5.6 mmol/L in many countries (Europe, UK, Australia, Canada etc.) Highlights include: Dr Hallberg has great training for exercise prescription from her undergraduate and Master’s degrees in Kinesiology. She’s a medical doctor who runs a clinic for obese patients – that’s a better place to speak from than a lot of theorists in the field. Dr. Sarah Hallberg is the Medical Director at Virta Health, a specialty medical clinic that reverses type 2 diabetes safely and sustainably, without the risks, costs, or side effects of medications or surgery. As a physician and exercise physiologist with a passion for helping people be healthy through diet and exercise, she is responsible for providing medical supervision to Virta’s expert team of physicians and oversees the clinical strategy for Virta Clinic participants. Dr. Hallberg is also the executive director of The Nutrition Coalition, a nonprofit organization that aims to educate the public and policymakers about the need to strengthen national nutrition policy so that it is founded upon a comprehensive body of science. Link to Dr Hallberg’s paper: Recent trial she refers to: http://diabetes.jmir.org/2017/1/e5/ A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes Link to other podcasts on BJSM relating to this topic: Professor Timothy Noakes: “High-fat for health” (11k listens) https://soundcloud.com/bmjpodcasts/high-fat-for-health Professor Stephen Phinney “Science behind lo-carb for performance” (9K listens) https://soundcloud.com/bmjpodcasts/prof-stephen-phinney-on-the-science-behind-low-carb-diets-for-athletes-a-rational-approach Professor Jason Fung: “Diet and obesity and diabetes” (6K listens) https://soundcloud.com/bmjpodcasts/dr-jason-fung-on-the-impact-of-diet-on-obesity-and-type-2-diabetes-mellitus
Link to Dr Hallberg’s nearly 2 million view TEDx talk: “Reversing Type 2 diabetes starts with ignoring the guidelines” https://youtu.be/da1vvigy5tQ
Whilst at the 2017 IOC Prevention of Injury & Illness Conference, BJSM’s Liam West spoke to a key figure within the concussion research world, Associate Professor Kathryn Schneider. Kathryn is a Clinical Specialist in Musculoskeletal Physiotherapy working at the Sport Injury Prevention Research Centre located at the University of Calgary, Canada. She was the lead author in the landmark RCT look at cervicovestibular rehabilitation in sport-related concussion in 2014 (link below). Her most recent research is discussed in this podcast and formed part of the discussion in the 2016 Berlin Concussion in Sport Meeting. Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial (2014) http://bjsm.bmj.com/content/48/17/1294.long Rest and treatment/rehabilitation following sport-related concussion: a systematic review (2017) http://bjsm.bmj.com/content/early/2017/03/24/bjsports-2016-097475 What strategies can be used to effectively reduce the risk of concussion in sport? (2017) http://bjsm.bmj.com/content/early/2017/03/01/bjsports-2016-097452 Remember to check out the literature on the new Sports Concussion Assessment Tool (SCAT5) here: http://bjsm.bmj.com/content/early/2017/04/28/bjsports-2017-097699
The new tool can be found here: http://bjsm.bmj.com/content/early/2017/04/28/bjsports-2017-097506SCAT5
Ahead of the Finnish Sports Physiotherapy Congress (June 9 and 10, 2017), BJSM editor in chief Karim Khan, chats with the senior author of a study that proved that partial removal of a degenerative torn meniscus does not alleviate mechanical symptoms when compared with sham surgery. That was Teppo Järvinen (http://bit.ly/2rlfW5I), professor of orthopaedics and traumatology at the University of Helsinki and a speaker at the Finnish Congress in June. Before that study (link below), orthopaedists were confident of the benefits of arthroscopic surgery on patients suffering from mechanical symptoms. However, “scientific proof of the benefits had been based entirely on uncontrolled follow-up studies,” said Dr Raine Sihvonen, specialist in orthopaedics at the Hatanpää Hospital in Tampere and first author of the study. Here is the link to the study in the New England Journal of Medicine: http://www.nejm.org/doi/full/10.1056/NEJMoa1305189#t=article In the podcast we cover: - A bird’s eye view of Bruce Moseley’s seminal sham surgery study – arthroscopy was no more helpful for knee arthroscopy in older people than sham surgery http://www.nejm.org/doi/full/10.1056/NEJMoa013259#t=article - The fact that MRI is not a good predictor of who will benefit from knee arthroscopy. Here’s Dr Martin Englund’s NEJM paper. http://www.nejm.org/doi/full/10.1056/NEJMoa0800777#t=article - Ewa Roos’ and Nina Kise’s study showing that exercise provides as good results as arthroscopic meniscectomy. Remember – the patients who fail rehab also fail surgery. Look for other solutions – not arthroscopy – to cure that patient. http://www.bmj.com/content/354/bmj.i3740 Links: Here’s a YouTube video summarizing the FIDELITY study in 4 minutes. https://www.youtube.com/watch?v=RaDWkJHmEB0 Here the link to the Finnish Sports Physiotherapy Congress – June 9 & 10, 2017.
Doping mit Prof Dr Patrick Diel12 May 2017
Doping ist immer ein heisses Thema, besonders in Jahren der Olympischen und Paralympischen Spiele. Dr Markus Laupheimer (London/Zürich) stellt die Fragen in deutscher Sprache an Prof. Dr. Patrick Diel. Patrick ist Professor an der Deutschen Sporthochschule Köln am Institut für Kreislaufforschung und Sportmedizin, Abteilung Molekulare und Zelluläre Sportmedizin. Er hat ein spezielles Interesse an präventiver Dopingforschung und beantwortet uns einige interessante Fragen: - Was ist Doping? - Wo liegen die Nutzen und Risiken von Nahrungsergänzungsmitteln? - Was ist Gen-Doping? - Was ist eine Medizinisch Therapeutische Ausnahmegenehmigung (TUE)? - Wie können wir unsere Athleten vor Doping schützen? Weitere Informationen zum Thema Doping findet Ihr unter: https://www.nada.de/de/nationale-anti-doping-agentur-deutschland/ http://www.doping-prevention.com/ https://www.dshs-koeln.de/visitenkarte/einrichtung/zepraedo/
Für weiter englischsprachige und deutschsprachige Inhalte folgen Sie uns gerne auf Twitter @BJSM_BMJ
Britain's leading anti-sugar campaigner and one of the most prolific doctors in the world influencing obesity thinking and highlighting the harms of too much medicine. In addition to being a Consultant Cardiologist, Dr Malhotra is a member of the board of trustees of UK health think tank, The King’s Fund and a member of the Academy of Medical Royal Colleges Choosing Wisely Steering Group Here’s the link to his website: http://doctoraseem.com/biography/ Topics covered include: No association of saturated fats and heart disease in primary or secondary prevention studies. Focus on sugar - • CVD mortality has come via reduction in smoking & trans fats with better acute AMI management. • Statins have a number needed to treat of 1 in 83 for mortality in secondary prevention in men • Stents save lives during heart attacks but not for 'stable' coronary disease • PREDIMED and Lyon heart study • Cholesterol is not the mechanism of action of how diet studies work • Practical explanation-of frying vegetable oils and dangerous omega 6 (high omega 6 to omega 3 is bad) • Butter and coconut oils have saturated fatty acids and are stable in cooking. • Criticism from the Centre for evidence based medicine (Oxford). Here is the editorial (Free) in BJSM:
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