I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

This week I summarise my thoughts on two papers that feature in the review, the first is an excellent meta analysis by Alex Dallaway et al "Age-related degeneration of the lumbar paravertebral muscles: Systematic review and three-level meta-regression" J.Exp. Gerontol. (2020) Online first

The second investigates Exercise induced Asthma in swimmers and highlights issues with chlorine being in the pool environment but not in the testing "Diagnosis of Exercise-induced Bronchoconstriction in Swimmers: Context Matters. " Med. Sci. Sports Exerc. (2020) Pre View

Hope you get something from it , and you can link to the written review and the papers by subscribing to the review

I am delighted to talk with Dr Enda King on his recent paper published this year in the American Journal of Sport Medicine "Factors Influencing Return to Play and Second Anterior Cruciate Ligament Injury Rates in Level 1 Athletes After Primary Anterior Cruciate Ligament Reconstruction: 2-Year Follow-up on 1432 Reconstructions at a Single Center."

This podcast links to my weekly research review and a full review and link to the paper are in that via the link at the bottom of the page notes.

Enda is a chartered physiotherapist and former Gaelic footballer, who is Head of Performance at the Sports Surgery clinic and has just completed his PhD in the Biomechanics of ACL Rehabilitation with Dr Siobhan Strike at University of Roehampton, London and is in current great demand for the rehabilitation of elite athletes around the world using 3D biomechanics as a tool to guide that process.

We discuss the paper, including challenges behind the data set, where this might go, the differences in outcome in Return to play and why that might be and the differences in re-injury rate between bone patellar bone and Hamstring grafts.

You can follow Enda on twitter @Enda_King and our clinic @sscsportsmed @sscsantry

I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

I am delighted to talk with Dr Eanna Falvey and Enda King on the background behind our series of papers published in British Journal of Sports Medicine.

Eanna is a Consultant in Sports and Exercise Medicine at the Sports Surgery Clinic, Dublin and Senior Lecturer in Sports Medicine at University College, Cork. A former Irish Amateur Heavyweight boxer he has been team doctor for the Irish Mens Rugby Team for over 6 years and two World Cups and as doctor to the British and Irish Lions. He has over 29 original publications, a PhD in Sports Medicine and is author of Clinical Sports Anatomy, McGraw Hill.

Enda King is a chartered physiotherapist and former Gaelic footballer, who is Head of Performance at the Sports Surgery clinic and has just completed his PhD in the Biomechanics of ACL Rehabilitation with Dr Siobhan Strike at University of Roehampton, London and is in current great demand for the rehabilitation of elite athletes around the world using 3D biomechanics as a tool to guide that process

In an evening discussion around the three papers published in the British Journal of Sports Medicine we start with anatomy, move to imaging and terminology and diagnostic sensitivity of tests, before moving onto the role of 3D biomechanics, how clusters have shaped our understanding and where they might go in the future before moving on to the success of the rehabilitation program and the various progression tools and use of HAGOS as a primary outcome measure.

Links to Papers below - all Open Access

"Athletic groin pain (part 1): a prospective anatomical diagnosis of 382 patients—clinical findings, MRI findings and patient-reported outcome measures at baseline" https://bjsm.bmj.com/content/50/7/423.long

"Athletic groin pain (part 2): a prospective cohort study on the biomechanical evaluation of change of direction identifies three clusters of movement patterns." https://bjsm.bmj.com/content/51/5/460.long

"Clinical and biomechanical outcomes of rehabilitation targeting intersegmental control in athletic groin pain: prospective cohort of 205 patients." https://bjsm.bmj.com/content/52/16/1054.long

You can follow Eanna on twitter @FalveyEanna and Enda King @Enda_King and our clinic @sscsportsmed @sscsantry

I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

Disclosure: I am a co-author of the paper

I am delighted to talk with Dr Joe Warne on the background behind his paper published in Journal of Sports Sciences in a discussion around the paper entitled "Kinetic changes during a six-week minimal footwear and gait-retraining intervention in

runners" which features in my next Research Review 153

Sign up here to receive a summary of the paper

drandyfranklynmiller.com/review.

We talk about running, running shoes, minimalist shoes, kinematics, impact, loading and running retraining all of which I will be speaking about this weekend at the New Zealand Physiotherapy Conference in Auckland.

You can follow Joes work on https://www.facebook.com/TheRunningResearcher/

I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

I am delighted to talk with Assoc Prof Jacob Resch on the background behind his paper published in BMJ Open Sports and Exercise Medicine, in a discussion around the paper entitled "The sensitivity and specificity of clinical measures of sport concussion: three tests are better than one" which features in my next Research Review 132. Sign up here www.drandyfranklynmiller.com/review.

The paper is Open access and can be accessed here http://bmjopensem.bmj.com/content/2/1/e000012.abstract

We talk about the diagnosis of Concussion, the current state of neurocognitive function tests, the statistics behind them, and the basis for multiple tests and the improved sensitivity and specificity and also the future of concussion diagnosis.

Dr. Jacob Resch completed his undergraduate degrees and Athletic Training and Health Promotions at South Dakota State University before traveling to study and work in London, England. After returning to the United States, Jacob completed his MS in Exercise and Sport Science at South Dakota State while working clinically for Orthopedic Institute in Sioux Falls, SD. Jacob then pursued his Ph.D. in Exercise Science at the University of Georgia investigating current and novel measures of sport concussion and became increasingly involved with the global efforts to expand the profession of athletic training. Following the completion of his doctorate, Jacob obtained an assistant professor position at the University of Texas at Arlington for four years where he taught within the Athletic Training Education Program and conducted research addressing sport concussion in middle school, high school, and collegiate athletes.He now serves as faculty of the University of Virginia Department of Kinesiology in the Fall of 2014 where he teaches in the Graduate Athletic Training Program and continues to investigate current and novel measures of concussion as part of the Brain Injury and Sport Concussion Institute. Jacob also serves as an active member of the National Athletic Trainers’ Association International Committee and the World Federation of Athletic Training and Therapy.

The focus of Dr. Resch’s research is to investigate the measurement properties of current and novel measures of sport concussion in adult and adolescent athletes. Dr. Resch’s previous studies have addressed reliability and validity of computerized neurocognitive and balance measures. Dr. Resch is currently expanding upon his previous research with computerized neurocognitive and balance measures while investigating novel measures such as functional magnetic resonance imaging (fMRI), and other biomarkers.

You can follow Jacob on twitter @JResch

I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

I am delighted to talk with Dr Eanna Falvey on the background behind his paper published in British Journal of Sports Medicine, in a discussion around the paper entitled "Athletic groin pain (part 1): a prospective anatomical diagnosis of 382 patients—clinical findings, MRI findings and patient-reported outcome measures at baseline" which features in my Research Review 127 (Access here http://eepurl.com/bNSQYf). The paper is Open access and can be accessed here http://www.ncbi.nlm.nih.gov/pubmed/26626272

We talk about the diagnosis of Athletic Groin pain and the literature to date including historical cohorts to date. We cover the terminology, discuss the Doha Consensus and the clinical examination of patients in detail. We move on to the results of the paper itself an the positive predictive value and examination of clinical tests in series with MRI examination. We discuss hip pathology and the relevance in this study and the lack of hernia evidence. Eanna then discusses where the research is headed in the future.

Eanna is a Consultant in Sports and Exercise Medicine at the Sports Surgery Clinic, Dublin and Senior Lecturer in Sports Medicine at University College, Cork. A former Irish Amateur Heavyweight boxer he has been team doctor for the Irish Mens Rugby Team for over 6 years and two World Cups and as doctor to the British and Irish Lions in Australia. He continues as Director of Sports Medicine at the clinic and as Physician to Irish High Performance Boxing Unit. He has over 29 original publications, a PhD in Sports Medicine and is author of Clinical Sports Anatomy, McGraw Hill.

The Sports Surgery Clinic is in Dublin, Ireland

You can follow Eanna on twitter @FalveyEanna

I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

Disclosure: I am a co-author of the paper

I am delighted to talk with Anna Saw on her paper published in the British Journal of Sports Medicine this week, entitled "Monitoring the athlete training response: subjective self-reported measures trump commonly used objective measures: a systematic review " which features in my Research Review 112.

We talk about the both subjective and objective training load markers, unexplained underperformance syndrome and the validity and heterogeneity of the studies included. We discuss the associations between subjective and haematological, immunological and performance markers and then talk of the future work in the area.

Anna has currently submitted her thesis at Deakin University in Melbourne and with a great start of 3 academic papers links here http://www.ncbi.nlm.nih.gov/pubmed/?term=Anna+E+Saw

You can follow Anna on twitter @annaesaw

I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

I am delighted to talk with Ryan Timmins on the background behind this paper published in Sports Medicine, in a discussion around the paper entitled " Is There Evidence to Support the Use of the Angle of Peak Torque as a Marker of Hamstring Injury and Re-Injury Risk? " which features in my Research Review 111.

We talk about the mechanism of hamstring injuries, the ease of peak torque, the differences in fascicle length and pennation angle, rate of force development and hamstring injury. We move on to existing work on injury prevention, testing of torque and the relationship between joint angle and the confounders of measurement. We then talk of the QUT-ACU work on the Nordbord strain load cells and testing of hamstring strength and then conditioning of the hamstrings.

Ryan is currently in his post pHD time having just submitted his thesis at Australian Catholic University in Melbourne and with a great start of 6 academic papers links here http://www.ncbi.nlm.nih.gov/pubmed/?term=Timmins+RG+%5BAu%5D

The Hamstring Injury group, a collaboration between Queensland University of Technology and Australian Catholic University led by Dr Anthony Shield twitter @das_shield and Dr David Opar @davidopar

You can follow Ryan on twitter @Ryan_Timmins

Details of the Nordbord as discussed via www.valdperformance.com or @TheNordBord

I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

I am delighted to talk with Prof Kim Bennell on the background behind her paper published in the JAMA, entitled "Effect of Physical Therapy on Pain and Function in Patients With Hip Osteoarthritis. A Randomized Clinical Trial. " which features in my Research Review 110.

We talk about the paper in detail in how to design and recruit patients in a placebo intervention, hip osteoarthritis, Impact factors in Sports Medicine, what is physiotherapy, why did the study show no benefit over placebo, compliance and what else is being researched in her unit.

Kim is a Professor at University of Melbourne, a member of the top 50 Universities in the World and Director of the Centre for Health, Exercise and Sports Medicine and is NHMRC Principal Fellow in Osteoarthritis research.Kim commenced a 4 year Future Fellowship in 2010 from the Australian Research Council and along with colleagues from the University of Queensland, she was awarded an NHMRC program grant of $7.57 million which commenced in 2011 to further her research into knee osteoarthritis.  

With over 200 papers and a research physiotherapist and accomplished speaker - her top publications can be found here http://www.findanexpert.unimelb.edu.au/display/person543#tab-publications

Kim can next be heard speaking in Dublin at the Sports Surgery Clinic Research Advisory Board Conference at Trinity College Dublin on 30 October 2015

Email [email protected] for a free space

CHESM is on twitter https://twitter.com/chesm_unimelb

I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

In a discussion around the paper entitled "Athletic groin pain: a systematic review and meta-analysis of surgical versus physical therapy rehabilitation outcomes " which features in my Research Review 107. I am delighted to talk with Enda King on the background behind his paper published in the British Journal of Sports Medicine in 2015.

We talk about the diagnosis of Athletic groin pain, the recent Doha Consensus statement and underlying anatomical diagnoses. We divide the literature in surgical versus rehabilitation for each of these diagnosis and the surprising lack of evidence in some of them.

We focus on some emerging work on return to play time and rate comparing pubic surgical and rehabilitation approaches and discuss the literature regarding interventions to date.

We expand to debate the direction of future research, and lack of true multi directional return to play tests and Enda highlights some work being carried out at the Sports Surgery Clinic using 3D Biomechanics of high speed movement.

Enda King is a Chartered Physiotherapist currently undertaking a PhD in Biomechanics at Roehampton University, London and is Head of Performance Rehabilitation at the Sports Surgery Clinic, Dublin.

His research career is developing fast with 5 academic publications to date and an author of the Groin Rehabilitation Chapter in a new book edited by David Joyce and Dan Lewindon published later this year

End is next speaking on Athletic Groin Rehabilitation at Therapy Expo in the UK http://www.therapyexpo.co.uk/page.cfm/Action=Visitor/VisitorID=91/loadSearch=20657_19

www.sportssurgeryclinic.com

Follow him on twitter @Enda_King

I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review

to get the latest issue and access the archive.

Follow me on twitter @afranklynmiller