Dr Kerry Costello and Dr Deepak Kumar discuss a BSJM paper that investigated gait and physical activity predictors of cartilage worsening in people with knee osteoarthritis from the MOST study, using a machine learning model. Kerry and Deepak do a brilliant job of explaining the biomechanical variables, and the advantages of machine learning, and what these findings might mean for clinicians treating people with knee osteoarthritis.

Link to paper: https://bjsm.bmj.com/content/early/2023/03/02/bjsports-2022-106142

Connect with Kerry: https://mae.ufl.edu/people/faculty/primary/profiles/kerry-costello/

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Stacy Sims, MSc, PhD (Insta: @drstacysims), to discuss her upcoming lectures on how nutrition affects performance during the 2023 AMSSM Annual Meeting.

Dr. Sims is an international exercise physiologist and nutrition scientist. She has directed research programs at Stanford, AUT University, and the University of Waikato, focusing on female athlete health and performance and pushed to improve research on all women. Her contributions to the international research environment and the sports nutrition industry has established a new niche in sports nutrition; and established her reputation as the expert in sex differences in training, nutrition and health. Dr. Sims has published over 70 peer-reviewed papers and several books.

In this conversation, Dr. Sims addresses the following topics:

* How her athletic background impacted her journey into the field of nutrition and performance

* Sharing a starting point for medical professionals to think about optimizing nutrition for athletes

* Ways to encourage athletes to be aware of their nutrition and how to effectively structure training sessions and nutritional plans

* Her standard approach on supplementation and why less can often be more

Learn more about her work and publications on her website (drstacysims.com), and register to attend the 2023 AMSSM Annual Meeting in-person or virtually at annualmeeting.amssm.org.

On this episode of the AMSSM Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Katie Rizzone, MD, MPH, and Dr. Megan Burleson, DO, to discuss the upcoming 2023 Collaborative Research Network (CRN) Research Summit on Justice, Equity and Inclusion.

Dr. Burleson and Dr. Rizzone are members of Summit Planning Committee for the one-day conference, which takes place Friday, April 28, in Phoenix, AZ. This conference, will emphasize specific areas within sports and exercise medicine where health disparities have been previously identified or where they need to be further investigated. It will also highlight best practices for conducting meaningful research in the field of sports and exercise medicine through an equity lens.

In this conversation, they address the following topics and questions:

* Origin and mission of the Collaborative Research Network

* The primary aims of the 2023 CRN Research Summit

* The current lack of available research regarding health disparities and how this conference seeks to explore those topics

* Some of the potential outcomes and future research directions of the Summit, and why they will be based on the conversations that happen during the conference

* The inclusive nature and applicability of the Research Summit, especially for clinicians who are not heavily involved in research

* Some of the biggest surprises the organizers have experienced while preparing for the Research Summit and the biggest highlights to look forward to

In-person and virtual attendance options are still available for the summit. Find complete details about the Research Summit and register here: https://annualmeeting.amssm.org/researchsummit.php

In this podcast, Brooke Patterson hosts Dr Erik Denison (PhD, Research Fellow Monash University) and Neil Hay (Rugby Victoria President) about a trial published in the BJSM which tested the effectiveness of an education program delivered by professional rugby players designed to stop homophobic language. They discuss openly and honestly the challenges in changing behaviour in community sport. It is not too often we get to chat to sports administrators more broadly about what is needed to drive change – whether it be related to health, safety, inclusion, or diversity. Should we be using the carrot or stick? What other strategies might work? What is your role as a clinician in creating a safe environment?

https://bjsm.bmj.com/content/early/2023/02/09/bjsports-2022-105916

https://bjsm.bmj.com/content/early/2023/02/07/bjsports-2022-105917

In this BJSM Podcast, we host Associate Professor Hanna Lindblom, who is a physiotherapist, researcher, and lecturer at Linkoping University in Sweden.

We discuss Hanna’s paper, which evaluated the preventive efficacy of an extended version of the Knee Control injury prevention exercise program compared with an adductor strength program in amateur adolescent and adult male and female football (soccer) players.

Coaches and player representatives received a printed and digital program material, and a practical workshop to show them how to use the programs.

The novelty of this trial is they also compared the extended Knee Control to a second comparison group; where the teams were where the teams already used a self-selected program and did not receive workshop or program material. Many of these comparison teams (50%) said they were self-using the old Knee Control program, providing a “real world” comparison and proven benefits of the Extended Knee Control program.

Hanna has hands-on experience designing and delivering injury prevention in a range of sports and has some great advice for clinicians looking to implement Knee Control and similar programs in amateur sports settings.

Paper link: https://bjsm.bmj.com/content/57/2/83.abstract

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Devin McFadden, MD (T: @ArmySportsDoc), is joined by Dr. Adam Tenforde, MD (T: @AdamTenfordeMD), to discuss the a recently published manuscript titled “Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear.”

In this conversation, Dr. Tenforde addresses the following topics related to the article:

● Explanation of the use of Carbon Fiber Plate (CFP) technology in footwear and why it’s become so popular

● Addressing the rapid changes and progression of record-breaking performance in the running community as a result of this footwear

● Discussing his article featuring a case series of navicular bone stress injuries in runners using CFP footwear

● Providing some general recommendations for safely using CFP footwear, as well as raising awareness on the possible health concerns of this new technology

Additional Resources:

Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear https://link.springer.com/article/10.1007/s40279-023-01818-z

Return to Sport Following Low-Risk and High-Risk Bone Stress Injuries: A Systematic Review and Meta-Analysis

https://bjsm.bmj.com/content/early/2023/01/24/bjsports-2022-106328

BJSM’s Liam West talks to Dr. Richard Weiler about concussion in Para Sport. Dr. Weiler and colleagues have investigated concussion experiences of blind male footballers turning up some very interesting results. To ensure that these findings are accessible to visually impaired individuals, they have gone down the novel route of creating an audio file of the entire paper – the link for this can be found below.

Links -

"Concussion through my eyes" audio paper

https://on.soundcloud.com/XQb2T

Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group - https://bjsm.bmj.com/content/55/21/1187

https://bjsm.bmj.com/content/early/2023/02/14/bjsports-2022-106256

In this podcast, we host Dr Chloë Williamson (Twitter @Chlobobs). Chloë is a Postdoctoral Fellow in Physical Activity for Health based in the Physical Activity for Health Research Centre at the University of Edinburgh. Her research (including PhD) over the past 4 years or so has focused on physical activity communication and messaging. We all know that physical activity is important but it is equally important to consider how PA messaging is delivered. Chloë provides a great overview on the findings of her research to date and her work on the development of a translational tool to bring PA messaging research into practice. In this podcast, we discuss on:

The framework of PA messaging and how to use it

Key points to focus on and consider when delivering PA messages

How we can use the framework findings to engage different partners and organisations

How we can make PA attractive to our target audience

Get the Message? A scoping review of physical activity messaging. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-00954-3

A modified Delphi study to enhance and gain international consensus on the Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01182-z

Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01230-8

How can we better promote physical activity to the public through messaging? https://blogs.bmj.com/bjsm/2020/11/10/how-can-we-better-promote-physical-activity-to-the-public-through-messaging/

Infographic: Walking on sunshine: scoping review of the evidence for walking and mental health: https://bjsm.bmj.com/content/53/14/903

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Polly de Mille, RN, MA, RCEP, CSCS, USAT, to discuss the topic of Exercise Physiology and how it can help figure out the missing links in training programs.

Polly de Mille is an exercise physiologist and the Director of Performance Services at Hospital for Special Surgery in New York. She will provide the American College of Sports Medicine (T: @ACSMNews) Exchange Lecture titled, “Inside the Running Lab:How to Evaluate Optimal Run Mechanics and Physiology” during the 2023 AMSSM Annual Meeting in Phoenix, AZ.

In this 20-minute conversation, she addresses the following topics:

· Sharing more information about her work as a certified exercise

physiologist at HSS

· How she and her team can help identify the causes of injuries and help athletes stay healthy in order to reach their goals

· How her background as a critical care nurse and an avid marathoner led her into the field of exercise physiology

· The ways she and her colleagues can help improve runner’s outcomes and how many different disciplines come together to play important roles to make that happen

· The different types of tests used by exercise physiologists and how they use that information to improve performance

· The possibilities of using nutrition to enhance physiologic training sessions

HSS Sports Rehabilitation and Performance Center: https://www.hss.edu/sports-rehabilitation-and-performance-center.asp

In this podcast, Dr Brooke Patterson hosts ACL injury and post-traumatic osteoarthritis leading experts Ass. Prof Jackie Whittaker and Dr Stephanie Filbay in part 2 of an ACL myth busting series. Jackie and Steph provide tips about how you can integrate new evidence into daily practice that may challenge existing beliefs and practices. In today’s episode you will find out if the following statements are TRUE or FALSE….

• ACL tears can heal

• ACL tears only heal if patients are braced immediately

• Open chain knee extension exercises are safe to perform in the first 4 weeks after ACLR

• Returning to high impact sports increases the risk of PTOA after ACL injury

• Having an early ACL reconstruction will reduce the risk of future structural OA

Whittaker et al 2022 OPTIKNEE consensus statement https://www.ncbi.nlm.nih.gov/pubmed/36379676

Whittaker et al 2022 OPTIKNEE review of risk factors http://bjsm.bmj.com/content/early/2022/10/05/bjsports-2022-105496.abstract

Filbay et al 2022 ACL healing paper http://dx.doi.org/10.1136/bjsports-2022-105473

OPTIKNEE website OPTIKNEE bit.ly https://bit.ly/OPTIKNEE