Dr Andy Franklyn-Miller Sports Medicine

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 conference@sportssurgeryclinic.com 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

I am delighted to talk with Prof Jens Bangsbo on the background behind this paper published in the Medicine & Science in Sports & Exercise, in a discussion around the paper entitled "Inhaled Beta2-agonist Increases Power Output and Glycolysis during Sprinting in Men. " which features in my Research Review 106, . We talk about the metabolism of muscle in sprinting efforts, the role of muscle fiber type, the effects of beta 2 agonists in muscle power generation in sprint effects and the prolonged effects on performance. We talk about doping and WADA support for research into the effects of doping and Jens’ current projects outside this study. Professor Jens Bangsbo is professor in exercise physiology at the Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Denmark. He has published more than 300 papers and more than 20 books including some within tactical training in football. In addition, he is the editor of a number of books regarding sport and science and he is a member of the international steering group of “Football and Science”.   He is a former elite soccer player with matches in the Danish National soccer team. He is UEFA Pro-licence coach as well as UEFA, and FIFA instructor. He was assistant coach for Juventus FC in 2001-2004, winning two Italian Championships, two Super Cups and reaching the final in the Champions League 2003. He also took part in the coaching staff of the Danish National soccer team for EURO2004, World Cup 2010 and EURO2012. Jens can be seen and heard at the Sports Medicine Australia Conference this year in the Gold Coast http://sma.org.au/conferences-events/conference/ Oct 21-24 2015 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 "Profiling the Training Practices and Performance of Elite Rowers. " which features in my Research Review 105. I am delighted to talk with Jacquie Tran on her paper published in the International Journal of Sports Physiology and Performance. We talk about the Internal and external load, the physiology of rowing training, skill efficiency, periodisation in the lead up to London 2012 Olympics of Australian Elite rowers. We talk about lightweight women versus heavyweight men and at t/500m Ergometer score and the T2 minute load quantification method. Jacquie is an applied sports scientist currently working for Geelong Football Club (Australian Rules Football), having studied for her PhD at Deakin University, Melbourne Australia Her website is http://www.jacquietran.com and her blog is here http://phdblog.jacquietran.com Follow her on twitter @jacquietran 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

I talk with Vern Gambetta on the pool deck in Portland, Oregon about strength and power training, periodisation and timing of dry land training for swimming. We cover 'go to' exercises, the role of multi chain single arm symmetry lifts, the need to prepare to swim, not swim to prepare and also touch on the performance benefits of rate of force development in starts and turns alongside the timing of training sessions. A founding father of athletic development, movement skills and coaching of multi sport athletes for over 40 years he is the go to guy for me on coaching. I would describe Vern as the 'Coaches Coach'. A physical educationalist and teacher at heart he has been strength and conditioning coach for professional sports from baseball to soccer, swimming to track and field. Currently working with multiple cross code athletes and swim teams his view are always stimulating. His website www.gambetta.com Blog http://www.functionalpathtrainingblog.com/about.html Twitter @coachgambetta The GAIN network is a training program and mentorship for coaches, sports scientists and teachers the world over and runs an annual meeting and network of resources challenging dogma and performance www.thegainnetwork.com

In a discussion around his paper entitled "The energy cost of sprint running and the role of metabolic power in setting top performances" which features in my Research Review 103. I am delighted to talk with Professor di Prampero on the background behind this paper published in the European Journal of Applied Physiology. We talk about the calculation of velocity, the measure of power and the use of GPS units in linear and maximal pace running, we talk regarding the future of the measures and ecological validity and the use in multi directional sport including the limitations of the model and GPS units. Professor di Prampero, University of Udine, Italy has over 250 peer reviewed publications on running, swimming and power sports in lower limb mechanics and exercise and muscle physiology. One of the pioneers in the field and it was an honour and pleasure to speak with him for this review. You can sign up at www.drandyfranklynmiller.com/review Follow me on twitter @afranklynmiller This podcast was arranged with the assistance of Christian Osgnach www.twitter.com/@COsgnach and Marco Vetter from http://www.gpexe.com A further expansion on Metabolic Power from Prof di Prampero is available here http://www.gpexe.com/en/blog/metabolic-power-really-understood.html

I discuss the paper entitled "A comparison of methods to determine bilateral asymmetries in vertical leg stiffness" published in Journal of Sports Sciences which featured in my Research Review 103 Sean Maloney is completing his PhD at the University of Bedfordshire and is also a strength and conditioning coach working in junior badminton in particular and also interested in post activation potentiation research. We discuss the study and biomechanical terminology, stiffness and the reasons for identifying discrepancies, along with measures to effect change in stiffness also talk about future research direction. I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review and follow me on twitter @afranklynmiller You can follow Sean on twitter @MaloneyPerform and via his website http://www.maloneyperformance.com

I discuss the paper entitled "Whole body mechanics differ among running and cutting maneuvers in skilled athletes" published in Gait and Posture which featured in my Research Review 102 Kate completed her PhD and is working at University of Southern California in the United States and has research interests in change of direction of athletes in both injury risk, prevention and performance. We discuss the study in detail with existing evidence at walking pace change of direction, the role of the trunk and knee, the relationship between centre of mass and centre of pressure. We detail the methodology of the study involving 3D motion Capture and 2 force plate capture and 3 challenges of 45 degree and 90 degree cutting and also talk about future research direction. I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review and follow me on twitter @afranklynmiller Kate as yet is not on twitter

I discuss the paper entitled "Transfer effect of strength and power training transfer effect of Strength and Power training to the sprinting kinematics of International Rugby Players" published in the Journal of Strength and Conditioning Research which featured in my Research Review 99 which you can access here http://eepurl.com/bsZPBv Matt is working at University of Manitoba and is now Strength and Conditioning coach with NFL American football athletes having moved from Canadian Rugby and his PhD studies at Edith Cowan University We discuss his study in detail, power training and strength training in rugby, the translation of these variables to sprinting kinematics and changes in a cohort across a 12 month training window. We touch on Hamstring Nordic training and future studies in ground contact time, stiffness and maximal velocity mechanics. I write a weekly 4 paper research review summary in sports medicine, science, and performance and you can subscribe at www.drandyfranklynmiller.com/review and follow me on twitter @afranklynmiller Matt as yet is not on twitter

I discuss with Rob Lynall, from University of North Carolina his paper "Acute Lower Extremity Injury Rates Increase following Concussion in College Athletes" published in Medicine and Science in Sports and Exercise Medicine. This paper featured in my Research review 101 which you can link to here http://eepurl.com/bufWu1 We discuss the increase in injury rates following concussion in this study, Buffalo return to play assessment, and the requirements of multi directional assessment as part of field assessment. You can follow Rob on twitter here www.twitter.com/@roblynall You can follow me www.twitter.com/@afranklynmiller and sign up to the review here at www.drandyfranklynmiller.com

In a discussion around his paper entitled "Monitoring locomotor load in soccer: is metabolic power, powerful?" which features in my Research Review 99. I am delighted to talk with Martin on the background behind this paper published in the International Journal of Sports Medicine. We talk about the reliability of GPS, the measure of power and the use of training units in periodisation along with the soccer specific challenges. We touch on a number of Martin's other papers which can be accessed via his website in particular the variables of gait and assessing stride variables and vertical stiffness with GPS-embedded accelerometers Martin is both a research scientist with MSc's in S and C and Statistics and a PhD with over 100 peer reviewed publications, and a working sports scientist in elite sport, currently Head of Performance for Paris Saint-Germain FC, having been in 2009 part of the ASPIRE Academy in Doha, Qatar, as a physiologist in charge of calibrating training sessions. At the same time, in 2010 he integrated the research department of the French Football Federation. He has also held positions as consultant to the Australian Football League in Melbourne and Adelaide. You can link to Review 99 here http://eepurl.com/bsZPBv and sign up at www.drandyfranklynmiller.com/review Follow me on twitter @afranklynmiller Martins personal website and blog, along with many papers can be accessed here http://martin-buchheit.net and you can follow Martin on Twitter @mart1buch

We discuss in this episode a paper I reviewed in Research Review 100 by Isabel Moore from Cardiff Metropolitan University, UK. "Reduced oxygen cost of running is related to alignment of the resultant GRF and leg axis vector: A pilot study" has been published online in The Scandinavian Journal of Medicine and Science in Sports. We talk about the terminology of kinetics and kinematics of running,clarifying the terms including Torque, Force vector and 3D biomechanics, the factors influencing running economy in recreational runners and some of the details of the paper study design and the results. Follow Isabel on Twitter @izzymoorephd Follow my email based research review of 4 papers summarised to your inbox by email each week on Sports Science, medicine, rehabilitation and performance at www.drandyfranklynmiller.com/subscribe and me on twitter @afranklynmiller

We discuss in this episode the paper I reviewed in Research Review 98 by Bart Dingenen from KU University, Leuven. "Can two-dimensional video analysis during single-leg drop vertical jumps help identify non-contact knee injury risk? A one-year prospective study" has been published online in Clinical Biomechanics and we discuss the impact on clinical practice of the study, and implications of torso sway and moment. Follow the email based research review of 4 papers summarised to your inbox by email each week on Sports Science, medicine, rehabilitation and performance at www.dradyfranklynmiller.com/subscribe Follow Bart on twitter @BartDingenen

Part of a series following the paper review in my weekly subscription email bulletin Based on the Paper in Research Review 97 entitled " Lower extremity strength ratios of professional soccer players according to field position" in The Journal of Strength and Conditioning Research 2015 29(5) 1220-1226. We discuss with the first author reading the background, challenges and questions posed by this study Cassio is from the Exercise Research Laboratory, Physical Education School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil and currently researching at California State University, USA

This week I speak to Dr Adam Semciw @ASemciw about his paper " Gluteal Muscle function and Size in Swimmers" which features in this weeks review 96 www.drandyfrankynmiller.com/review In this new series of Podcasts, I expand on my weekly email research review. In that I review 4 papers on Sports Medicine, Science and rehabilitation and performance and discuss the study design and results. In this expanded podcast, I speak with one of the authors each week from the papers selected in the review and discuss their background, the study in more depth and where their research is going.

I am joined by Enda King, Head of Performance Rehabilitation at Sports Surgery Clinic, Dublin - We talk about his PhD studies into ACL post reconstruction biomechanics, the mechanics of coaching a cutting manoeuvre and the multi disciplinary team and some of the research coming out of SSC. Practical tips on coaching the cut with progressions and underlying fault spotting and mechanical observations. Enda King is a Clinical Specialist Physiotherapist in Sports Surgery Clinic. He completed his honours degree in physiotherapy in Trinity College in 2005 and completed his Masters in Manipulative Therapy with distinction in Curtin University, Perth, Australia in 2009.

A fantastic interview with Kieran Foy, Strength and Conditioning Coach at NTC, Tennis Canada gives an insight into some of the screening, LTAD and training demands of young tennis players and also touches on the single and multi sport debate and training opportunity windows. Kieran blogs at www.unchainedfitness.com and is on twitter @unchained_fit

At the Sports Surgery Clinic, we are working with our back pain patients to deliver a strength training programme focussing on deadlift and multifidus and erector spinae strength with success. This podcast discusses with Neil Welch, Head of S and C at the Sports Surgery Clinic and Jay Farrant, S and C Coach the programme, reasoning and some of its success.

In this podcast , Dr Andy Franklyn-Miller will highlight why the terminology to date makes understanding athletic groin pain frustrating, and how utilising 3D Biomechanics we can begin to get new insights into the driving mechanisms underlying it. This also highlights why surgical intervention can only at best allow a short term improvement

Dr Andy Franklyn-Miller discusses Running Re-education with John Foster at Sports Surgery Clinic Running lab. Covering Patient Case Example and moving through the Spring mass model and then to minimalist shoes and the Running re-education course plans

This podcast talks about the variety of conditions masquerading as exertional lower limb pain and about how these can be diagnosed and more importantly treated without recourse to Surgery. Using Video re-education and simply technique changes Dr Andy Franklyn-Miller and team have successfully treated over 400 patients with this condition