BJSM Podcast

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Fit vs fat, with Steven Blair Apr 23, 2013

Show notes

Karim Khan talks to Steven Blair, professor at the Arnold School of Public Health, South Carolina. Professor Blair discusses the wealth of evidence he’s built up on the benefits of exercise, why physical inactivity is a bigger problem than obesity, and how much and of what we should all be doing.

0.51 Why physical inactivity is a greater health problem than obesity

3.20 Why physical inactivity is an important factor in causing the obesity epidemic

6.18 How the World Health Organisation is waking up to the fact physical inactivity is a major health problem

8.47 The impact of genetic makeup on the benefits gained from physical activity

10.44 The benefits of physical activity in those over 60

11.52 How much and of what sort of exercise should we be doing to get the benefits?

See also:

Physical inactivity: the biggest public health problem of the 21st century http://bit.ly/11yeqrJ

Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men http://bit.ly/10vSKQ4

Changes in Physical Fitness and All-Cause Mortality http://bit.ly/XT6yQS

Physical Fitness and All-Cause Mortality http://bit.ly/Zl6gEo

WHO Global status report on noncommunicable diseases 2010 http://bit.ly/i5ZiVf

Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues http://bit.ly/XT6HDM

Is physical activity or physical fitness more important in defining health benefits? http://bit.ly/17UmOFe

How Much Physical Activity is Good for Health? http://bit.ly/10vT29B

The shoulder in sport, with Ben Kibler Apr 23, 2013

Show notes

Babette Pluim (BJSM’s deputy editor) talks to Ben Kibler (medical director of the Lexington Clinic Sports Medicine Center, Lexington, Kentucky) about his varied and prolific career in tennis and baseball sports medicine. Dr Kibler discusses his research on the shoulder and also the tennis serve, the importance of considering biomechanics in injury prevention and recovery, and the role of surgery.

0.43 Founding the society for tennis medicine and science

2.34 The increasing focus on the shoulder in sports medicine research

3.45 Dr Kibler interest in the scapula

6.09 The tennis serve as a weapon

9.03 The importance of biomechanics in sports medicine

11.14 The Kibler rehabilitation programme

13.46 The role of surgery

15.02 Basics of the throwing motion conference

16.28 Do we need guidelines on how many serves young tennis players should hit?

19.11 The importance of the rotation of the shoulder and position of the scapula in preventing injury

See also:

Basics of the throwing motion conference

Tom Best on hamstring injuries Apr 23, 2013

Show notes

Tom Best, co-medical director of Ohio State University Sports Medicine and professor of Family Medicine, OSU College of Medicine, talks about his work on the treatment of hamstring injuries.

1.00 - Clinical scenario: acute hamstring injury

4.15 - Recovery time

9.34 - Considerations before returning to sport

17.00 - Recurrence

19.30 - Use of NSAIDs

23.30 - Role of massage in sports medicine injuries

26.20 - American College of Sports Medicine 2012 meeting in San Francisico

30.30 - Other hamstring injury resources

See also:

Carl Askling’s BJSM podcast on hamstring injuries http://bit.ly/zFjobU

BJSM article: Do you consider two types of injury? http://bit.ly/15Dzv8a

Feb 2012 issue of BJSM http://bjsm.bmj.com/content/46/2.toc

Tom also mentioned:

Gisela Sole’s paper http://bit.ly/10aHLnR

Jan Ekstrand http://bit.ly/ZMbrHW

Tom’s book is Evidence Based Sports Medicine

Exercise in pregnancy Apr 23, 2013

Show notes

Pregnancy is hardly an uncommon condition in women, so what are the ins and out of exercise during those nine months? Harriet Vickers (BMJ’s assistant multimedia producer) talks to Bronwyn Bell (consultant obstetrician and gynaecologist) about the benefits and risks of physical activity from conception to postpartum, and how to look after women at different levels of fitness.

0:00 Conception: Getting in shape before becoming a mum and optimising your chances of conception

2:16 BMI and pregnancy

2:40 Benefits of exercise during pregnancy

4:00 Does exercise put the fetus at risk? The role of core temperature.

5:40 Contact sports and preventing injury during pregnancy

6:00 Absolute contraindications to exercise during pregnancy

8:34 Physiological changes - energy balance and body changes

11:30 Case management - initiating an exercise program in the unfit and newly pregnant woman

12:50 Case management - advising the regularly exercising woman to exercise. The ‘talk rule’ and heart rate as guides.

15:44 Case management - the professional athlete and exercise during pregnancy

17:15 Post-natal exercise advice. Breast feeding and breast support.

See also:

Royal College of Obstetricians and Gynaecologists - Exercise in pregnancy statement http://bit.ly/ZMaYph

BMJ editorial - Exercise during pregnancy http://bit.ly/17Um2br

The South African Sports Medicine Association, with Glen Hageman Apr 23, 2013

Show notes

In this podcast, also recorded at UKSEM, Babette Pluim (BJSM deputy editor) interviews Glen Hageman (president of the South African Sports Medicine Association). They discuss the work of SASMA, and plans for the future.

The International Olympic Committee with Lars Engebretsen Apr 23, 2013

Show notes

In anther podcast recorded at the UKSEM conference held in London in November, Karim Khan (BJSM editor) talks to Lars Engebretsen (head of science and research for the International Olympic Committee). They discuss the IOC’s work in trauma research, health promotion, and the BJSM-IOC special issues.

2:32: The launch of the IOC’s focus on injury prevention and health promotion (IPHP).

4:00 - Periodic health exam - should athletes be screened prior to major competition? Can we prevent high level athletes from dying on the field?

6:20 - The IOC Centres of Excellence program - advancing applied sports and exercise medicine research

7:43 - Conference opportunities in the field - what is coming up?

Michael Turner on horse racing Apr 23, 2013

Show notes

Karim Khan talks to Michael Turner about his career as chief medical advisor for the British Horse Racing Association.

Hamstring injuries with Carl Askling Apr 23, 2013

Show notes

Hamstring injuries are the most prevalent muscle injuries in sport. Symptoms can be particularly prolonged, healing response poor, and the risk of re-injury high.

Carl Askling (Karolinska Institute, Stockholm) has been trialling a new way of categorising these injuries, thinking about them as high-speed running or stretching types. He explains to Karim Khan how these types can be diagnosed and the different treatment and monitoring they require. He also describes how to assess athletes post hamstring injury for return to sport.

See also:

High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis http://bit.ly/15Dzv8a

Hamstring strain injuries: are we heading in the right direction? http://bit.ly/LfwK2I

Hamstring issues in sports: still a major clinical and research challenge http://bit.ly/JTzgb7

February’s BJSM has a special focus on hamstring injuries, so there’s even more related content in the issue and on the website.

Michael Turner on tennis Apr 23, 2013

Show notes

BJSM editor Karim Khan talks to Michael Turner about his time as chief medical adviser of the Lawn Tennis Association, including the medical scandals that have cropped up and the advances he’s seen in the game’s sports medicine.

Dr Turner is also chief medical adviser for the British Horseracing Authority, but more of that in a future podcast…

Organising the olympics, with Richard Budgett Apr 23, 2013

Show notes

We’re well down the road to London 2012, but getting here has taken a herculean feat of organisation. In this BJSM podcast Richard Budgett, Chief Medical Officer British Olympic Association, explains how LOCOG has prepared to meet the medical needs of the olympians, their entourage, and their fans.

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