Dan is a podiatrist and a senior lecturer at La Trobe University. He completed a PhD in 2019, where he investigated the use of foot orthoses for the prevention of injury in military recruits. In this episode, Brooke Patterson discusses with Dan the key considerations for clinicians when helping athletes make footwear choices. They discuss the role of performance and sponsorship, and Dan provides his opinion on Nike’s super spike in the lead up to the Tokyo Olympics. The role of injury, comfort, gender, and foot shape, and research in footwear design is discussed. Twitter: @DanielRBonanno

BJSM

Superspikes FTW? Footwear choice for athletes with Dr Dan Bonanno. Ep #482

What is a weighted ball velocity throwing program? Do they work, and what is the evidence of benefit? What are the risks involved and common injury patterns seen? Host Dr. Devin McFadden, MD is joined by Dr. Jason Zaremski, MD to explore these topics and more on the AMSSM Sports Medcast. Dr. Zaremski is a clinical associate professor holding a joint appointment from the Departments of Physical Medicine and Rehabilitation and the, Department of Orthopaedics and Rehabilitation at the University of Florida. In addition he is the Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida. He is a past participant in the AMSSM International Travelling Fellowship program, is a Co-Chair of the AMSSM Fellowship Committee and currently serves on the Board of Directors for the AMSSM. In this 17 minute conversation Dr. Zaremski addressed the following topics: Defining a weighted ball velocity program Considering the risks and benefits of their use Determining what populations should not use these programs and how to safely implement them if athletes decide to pursue one. Zaremski JL. Weighted Ball Velocity Throwing Programs Are Effective. Are the Benefits Worth the Risk? Clin J Sport Med. 2020 Mar 11. doi: 10.1097/JSM.0000000000000822. Epub ahead of print. PMID: 33914497. Caldwell JE, Alexander FJ, Ahmad CS. Weighted-Ball Velocity Enhancement Programs for Baseball Pitchers: A Systematic Review. Orthop J Sports Med. 2019 Feb 12;7(2):2325967118825469. doi: 10.1177/2325967118825469. PMID: 30800693; PMCID: PMC6378453. Melugin HP, Smart A, Verhoeven M, Dines JS, Camp CL. The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe? Curr Rev Musculoskelet Med. 2021 Feb;14(1):88-94. doi: 10.1007/s12178-020-09686-0. Epub 2021 Jan 6. PMID: 33403626; PMCID: PMC7930148.

Weighted Ball Velocity Throwing Programs: Injury Risk or Competitive Edge? EP #481

Today Brooke Patterson (@Knee_Howells) speaks with Dr Nonhlanhla Mkumbuzi (@DrNoeMkumbuzi). Dr Mkumbuzi is a physiotherapist, and completed her PhD in 2020 on the association of genetic risk factors with nociception and pain in chronic painful achilles and patellar tendinopathies. She is a post-doctoral research fellow at the University of Cape Town. Dr Mkumbuzi shares some eye-opening experiences as head physiotherapist for Zimbabwe National Rugby Teams. We discuss her recent editorial (https://bjsm.bmj.com/content/early/2021/05/10/bjsports-2021-104202) and the broad consideration of race, culture, gender, and economics in sport and exercise medicine. She shares some personal experience and advice for marginalised athletes, clinicians, and academics. Brooke discusses the opportunity to get involved in the BJSM global mentoring program (https://bjsm.bmj.com/pages/wp-content/uploads/sites/17/2021/03/BJSM-Global-SEM-Mentoring-Program.pdf). Mentors can submit a short statement of interest with your areas of expertise to bjsmglobalmentoring@bmj.com. Mentees can submit a short description of the proposed study, and the specific areas you could use assistance.

Out of sight, out of mind: the invisibility of female African athletes in SEM research. Ep #480

On this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, is joined by BJSM Editor-in-Chief Dr. Jonathan Drezner, MD, and Kimberly Harmon, MD, who are both Past Presidents of AMSSM. In this 23-minute conversation, Drs. Drezner and Harmon discuss the Outcomes Registry for Cardiac Conditions in Athletes (ORCCA) national registry and address the following topics: · Details about the ORCCA registry, what makes it unique and why it was created · The early findings of the registry and what they mean for team physicians and athletic trainers · How this study and others are impacting return-to-play decisions after COVID · The current recommendations regarding cardiac imaging in athletes · Finding the right balance in our professional and personal lives Resources: SARS-CoV-2 Cardiac Involvement in Young Competitive Athletes (https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.054824)

The ORCCA registry and what it means for SEM clinicians. Ep #479

Dr Joanne Parsons (@@J_ParsonsUofM) is a physical therapist and an associate professor at the University of Manitoba. Dr Stephane Coen (@steph_coen) is a health geographer and assistant professor at the university of Nottingham in the UK. To date, ACL injury prevention and management has been approached from a sex-based biological point of view. In this episode, Dr Brooke Patterson (@Knee_Howells) discusses with Joanne and Stephanie how the traditional sex-based approach does not take into account the growing recognition of how sex and gender (a social construct) are ‘entangled’ and influence each other. They discuss their recent editorial (https://bjsm.bmj.com/content/early/2021/03/09/bjsports-2020-103173) and how clinicians can take a gendered approach to inform more effective approaches to injury prevention and management.

Beyond biology: a gendered approach to injury with Joanne Parsons and Stephanie Coen. Ep #478

In this podcast, Dr. Jane Thornton hosts Dr. Fiona Wilson and Kellie Wilkie to discuss their 2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers. Dr. Fiona Wilson is an associate professor and physiotherapist in the School of Medicine Trinity College Dublin where she is head of the physiotherapy programme. She was lead physiotherapist for Rowing Ireland for 10 years and still practices clinically focusing on managing low back pain. Kellie Wilkie is a Sport & Exercise Physiotherapist with her own private practice in Hobart, Tasmania. She was an Australian Rowing Team Physiotherapist from 2008-2016 and the Lead Physiotherapist in the Rio Olympic cycle. We cover: · What is rowing-related low back pain and how prevalent is it? · What causes rowing-related low back pain, and can it be prevented? · How should rowing-related low back pain be managed? · What this means for rowers, coaches and medical staff Links: https://bjsm.bmj.com/content/early/2021/03/11/bjsports-2020-103385.abstract World Rowing site: https://worldrowing.com/2021/05/11/guide-for-managing-low-back-pain-in-rowers/

How do we manage rowing-related low back pain? With Dr Fiona Wilson and Kellie Wilkie Ep# 477

Did you know that being on the International Space Station for a few months can have the same effect on bone density loss as a decade or more of aging here on earth? In this episode, Dr. Erin Macri asks Drs. Leigh Gabel and Kate Ackerman about a recent publication about predictors of bone loss on long-duration space flights – it’s not what you might think! – and how this new information might change how we approach bone health in sports medicine here on earth. Links and resources: https://twitter.com/AstroVicGlover/status/1337434468244746240 Gabel L, Liphardt AM, Hulme PA, Heer M, Zwart SR, Sibonga JD, Smith SM, Boyd S. Pre-flight exercise and bone metabolism predict unloading-induced bone loss due to spaceflight. British Journal of Sports Medicine. Published Online First: 17 February 2021. http://dx.doi.org/10.1136/bjsports-2020-103602 Ackerman KE, Popp KL, Bouxsein ML. Rocket science: what spaceflight can tell us about skeletal health on Earth. British Journal of Sports Medicine Published Online First: 21 April 2021. http://dx.doi.org/10.1136/bjsports-2021-104164

What can SEM learn from the International Space Station w/ Leigh Gabel and Kathryn Ackerman Ep #476

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Ashwin Rao, MD is joined by Dr. Crystal Wong, MD, a family medicine physician at the University of Washington and an Associate Medical Director at UW Neighborhood Clinics. She was instrumental in developing and implementing telemedicine services at the University of Washington during the COVID-19 pandemic, when UW saw a 29,000 percent increase of in telemedicine visits. In this 22-minute conversation, Dr. Wong discusses her experience with telehealth services and addresses the following topics: What do you see as the benefits of telemedicine in primary care and how might translate to other disciplines? What are some of the challenges and barriers of telemedicine? What types of visits are most amendable to the telehealth format? What about efforts to replicate a physical exam virtually? What are the challenges of administering telemedicine across state lines? Will telemedicine continue to have a prominent role in practice after the pandemic? What advice does she have for sports medicine providers interested in pursuing telemedicine services? Resources: Telemedicine Management of Musculoskeletal Issues - American Family Physician (aafp.org)

Don’t get hung up on telehealth and sports medicine, Dr Crystal Wong gives us a clear line. Ep #475

Professor Vicki Anderson is a paediatric neuropsychologist in Melbourne, Australia, with over 25 years of experience across clinical, research and academic sectors. She is the Director of Psychology at The Royal Children's Hospital, and Director of Clinical Sciences Research at Murdoch Children's Research Institute. Her research aims to better diagnose, manage and treat child concussion. In this episode, Brooke Patterson asks Vicki about who is most at risk of persistent symptoms after concussion, evidence-based intervention strategies, and digital health tools for monitoring child with post-concussion symptoms. Twitter: @bivianoanders Website https://www.mcri.edu.au/users/professor-vicki-anderson Resources: Raising Children Network - https://raisingchildren.net.au/guides/a-z-health-reference/concussion HeadCheck App - https://www.headcheck.com.au/

Heads up! Prof Vicki Anderson on the latest evidence in concussion management for the young. Ep #474

The Black Biomechanists Association (BBA) was recently cofounded by Associate Professor Matthew McCullough from North Carolina A&T State University, Kayla Seymore, PhD student at the University of Delaware, and Dr. Erica Bell, Postdoctoral fellow at the Mayo Clinic. In this episode, Dr. Erin Macri inquires about the need for organizations like this in our global scientific communities, and learns more about how the BBA is positioned to lead the charge in changing how we think about diversity, representation and anti-racism in biomechanics research. Twitter: @BlackBiomechs @Erin_Macri Links to articles and references: Become a member (allies welcome): bit.ly/BBA-member Contact us: blackbiomechanics@gmail.com Follow us: @BlackBiomechs on Twitter/Instagram Dr. Karl Zelik, Vanderbilt University: https://theconversation.com/chadwick-bosemans-black-panther-gives-a-boost-to-diversity-in-stem-a-black-engineers-take-on-personal-and-professional-inspiration-151983 Dr. Cherice Hill, Clemson University/Medical University of South Carolina: Hill CN, Reed W, Schmitt D, Sands LP, Queen RM. Racial differences in gait mechanics. Journal of biomechanics. 2020;112:110070 https://doi.org/10.1016/j.jbiomech.2020.110070

The Black Biomechanists Association: a movement for diversity and representation in SEM. Ep #473

Are concussions in para-sport a big issue? What are some of the challenges in this setting? Where do you start, when it comes to assessing para-athletes? In this 20-minute podcast with SEM consultant Dr Richard Weiler, you will learn the answers to all of the above, and know where to find some practical tips & tricks. Links: Link to paper https://bjsm.bmj.com/content/early/2021/04/08/bjsports-2020-103696

Concussion in Para-Sport, what should every SEM clinician know? With Dr Richard Weiler. Ep #472

Dr Simon Kemp is a Sport and Exercise Medicine consultant, and Medical Services Director at the Rugby Football Union. He is a leading researcher in Rugby Medicine, with a wide and high-impact research portfolio. Dr Patrick O’Halloran is a Sport and Exercise Medicine Registrar in the UK who is undertaking a PhD at the University of Birmingham. He also works as a senior medical advisor to Marker. They both join us in this podcast to talk about their recently published paper on the diagnostic signatures of concussion in the saliva of male athletes. In this 15-minute chat, we talk about the importance of developing objective measures in diagnosing concussions, how they went about their ground-breaking trial and much more. You can find their paper ‘Unique diagnostic signatures of concussion in the saliva of male athletes: the Study of Concussion in Rugby Union through MicroRNAs (SCRUM)’, via the link below: https://bjsm.bmj.com/content/early/2021/02/09/bjsports-2020-103274

A salivary test to diagnose concussion? We talk with Dr Simon Kemp and Dr Patrick O’Halloran Ep #471

The benefits of physical activity are unquestioned, but many health care providers still do a poor job of activity counseling and prescription. Frequently cited reasons for this apparent disconnect include a lack of time, poor reimbursement, and lack of training on how to incorporate exercise prescription into clinical practice. The AMSSM has assembled a team of international experts to help address these gaps and share best practices for incorporating exercise medicine into both clinical practice and academic medicine. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by Dr. Irfan Asif, MD is a Professor and Chair of the Department of Family and Community Medicine at the University of Alabama-Birmingham School of Medicine. He also serves on the AMSSM board of directors and is an associate editor for both the BJSM and Sports Health. In this 10-minute conversation Dr. Asif addresses the following topics: What is the focus of the upcoming AMSSM Collaborative Research Summit? What are the aims and anticipated outputs of the summit? Is this summit relevant to a clinician not currently engaged in multi-site research? The Virtual AMSSM Annual Meeting takes place from April 13-18, 2021. Registration is still open for both the main meeting and CRN Research Summit. More information can be found at https://annualmeeting.amssm.org/ Exercise is Medicine connects physical activity to healthcare: https://www.exerciseismedicine.org/ Joy E (L), Blair SN, McBride P, et al. Physical activity counseling in sports medicine: a call to action. Br J Sports Med. 2013;47:49-53. https://bjsm.bmj.com/content/bjsports/47/1/49.full.pdf Hebert ET, Caughy MO, Shuval K. Primary care providers’ perceptions of physical activity counseling in a clinical setting: a systematic review. Br J Sports Med. 2012;46:625-31. https://bjsm.bmj.com/content/bjsports/46/9/625.full.pdf

Raising the bar for SEM: the AMSSM Collaborative Research Summit with Dr. Irfan Asif. Ep #470

Linda Truong is a physical therapist and PhD trainee at the University of British Columbia, in Vancouver. Her research aims to understand how social support can improve recovery outcomes and delay post-traumatic osteoarthritis after a traumatic knee injury. In this episode, Brooke Patterson asks Linda about her recent scoping review and editorial regarding the need to embrace non-physical factors in the treatment of sports-related injury. Linda provides practical suggestions as to how to assess and treat social and contextual factors after sports-related knee injury. Twitter: @LKTphysio Resources: Multidimensional Scale of Perceived Social Support (MSPSS)- https://www.researchgate.net/publication/311534896_Multidimensional_Scale_of_Perceived_Social_Support_MSPSS_-_Scale_Items_and_Scoring_Information The PASS-Q: The Perceived Available Support in Sport Questionnaire - https://www.researchgate.net/publication/50936606_The_PASS-Q_The_Perceived_Available_Support_in_Sport_Questionnaire The ARSQ: The Athletes' Received Support Questionnaire - https://www.researchgate.net/publication/261256629_The_ARSQ_The_Athletes%27_Received_Support_Questionnaire Truong LK, Bekker S, Whittaker JL, Removing the training wheels: embracing the social, contextual and psychological in sports medicine, BJSM, Published Online First: 12 November 2020. - https://bjsm.bmj.com/content/early/2020/11/11/bjsports-2020-102679.abstract Truong LK, Mosewich AD, Holt CJ, Le CY, Miciak M, Whittaker JL. Psychological, social and contextual factors across recovery stages following a sport-related knee injury: a scoping review. BJSM, 2020. - https://bjsm.bmj.com/content/54/19/1149

Taking the social and contextual seriously in sports medicine with Linda Truong. Ep #469

We all know the benefits of physical activity, but have you ever considered the ways the area you live in influences your ability to and options for exercise? Many Americans live in areas that discourage rather than promote an active lifestyle. Lack of access to areas to safely exercise creates physical activity deserts, which like food deserts, where fresh produce is not readily available, have deleterious effects on the health and well-being of the population living there. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine researcher and president of the American College of Sports Medicine, Dr. NiCole Keith, PhD. Dr. NiCole Keith (T: @nicolekeithphd) is a Professor from the Department of Kinesiology and associate dean of faculty affairs in the School of Health & Human Sciences at Indiana University-Purdue University Indianapolis. Her research interests include physical activity and health equity. In addition to serving as the current president of the ACSM she has previously served as the vice president of membership, communication, and policy and serves on both the Exercise is Medicine and American Fitness Index advisory boards. In this 20-minute conversation Dr. Keith addresses the following topics: What are physical activity deserts? Who is a risk of these deserts and what are the consequences? What can we do to advocate for improved access to safe areas to be physically active on the local and national levels? Physical Activity Alliance: https://paamovewithus.org/ The American Fitness Index ranks America’s top 100 healthiest cities: https://americanfitnessindex.org/ Exercise is Medicine connects physical activity to healthcare: https://www.exerciseismedicine.org/ ActivEarth seeks to improve communities through physical activity and active transportation: https://www.acsm.org/acsm-membership/strategic-initiatives/activearth-(active-transportation)

Physical activity deserts: What they are and how to reduce them with Dr. NiCole Keith. Ep #468

British Journal of Sports Medicine (BJSM) is a multi-media information portal that provides original research, reviews and debate relating to clinically-relevant aspects of sport and exercise medicine. We contribute to innovation (research), education (teaching and learning) and knowledge translation (implementing research into practice and policy). We use web, print, video and audio material to serve the international sport and exercise medicine community. * The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

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