Podcasts about bjsm bmj

Live from the Combined Sections Meeting in Anaheim, California, we have another great interview with Dr. Karim Khan where we discuss the role physical therapists play in the healthcare team and the importance of daily physical activity on overall health. We are so fortunate to have Dr. Khan on the show. He is a Canadian sports physician, a professor at the University of British Columbia, and the editor of the British Journal of Sports Medicine. In this episode, we talk about: -Can physical therapists detect red flags and does direct access work -Who is leading musculoskeletal research and pushing the evidence forward -Physical therapists as leaders in exercise as medicine -The importance of being physically active role models for our patients -What macro nutrient is driving the obesity epidemic -How you can utilize social media to garner interest in niche fields -A live Q&A with Dr. Khan and Dr. Jill Cook -And so much more! It was great having Dr. Khan on the show! He offers great advice and support for the physical therapy profession and promotes an active lifestyle that can keep you Healthy Wealthy and Smart! You can find Dr. Khan on twitter (@BJSM_BMJ) and make sure to tune into the British Journal of Sports Medicine Podcast! Thank you so much for listening and subscribing! You can find me on twitter (@KarenLitzyNYC)   Xo Karen  

“Physical Therapists are the best suited clinicians to assess and treat the movement system” says Washington University (School of Medicine in St. Louis) Department of Physical Therapy Professor Shirley Sahrmann. Physical therapist and Assistant Professor, Dr Sylvia Czuppon (@czuppons), asks the questions. Timeline 0:30 mins - What differentiates elite athletes’ movement patterns from that of ‘normal’ people and of those with abnormalities? 2:00 mins - Why physical therapists are best suited to keeping the movement system functioning optimally 3:08m - The concepts of relative stiffness, relative flexibility – Professor Sahrmann’s Movement System Impairment approach 4:30m - How to perform muscle length assessment 5:45m - The spring-like behavior of muscles – a key contributor to abnormal movement patterns 6:40m - Hypertrophy of muscles increasing the stiffness of muscles and thus increasing passive stiffness: “It’s not just about muscle shortness” 8:00m - The role of microinstability and abnormal accessory movements contributing to pain. Practical examples including a case of tight Tensor Fascia Lata illustrating the concept that the body takes the path of least resistance 10:30m - Clinical reasoning in a patient with groin pain. Are there abnormal accessory movements? 13:00m - Practical tips on the assessment of a patient with FAI – femoroacetabular impingement 14:30m - Common musculoskeletal exam errors by young clinicians – what NOT to do 16:00m - The difference between the novice and expert in movement pattern examination 18:00m - Physical therapists as lifespan practitioners – and movement is critical to health across the lifespan. Physical therapists – optimising movement to enhance the life experience 19:00m - A call for physical therapists to “take back exercise”. Of course this is much more powerful than passive therapies Other links Professor Sahrmann’s Movement System Impairment Syndromes Courses: http://ow.ly/SFnWl Professor Gwen Jull on managing neck pain - http://ow.ly/SFooy Professor Paul Hodges on the balance between mobility and stability – http://ow.ly/S4UKE Please feel free to suggest links via @BJSM_BMJ or email karim.khan@ubc.ca The Movement System Impairment (MSI) syndromes were developed by Shirley Sahrmann, PT PhD and her colleagues at Washington University Program in Physical Therapy. These syndromes are described in her books, Diagnosis and Treatment of Movement Impairment Syndromes and Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spine.

Mo Farah has great running technique. You see it, you know it. But what are the elements of Mo Farah’s running style? Can we assess running patients and guide them to improve their technique? Might gait education prove more effective than medication to treat symptoms? Andy Cornelius has the answers. He’s a Graduate Sport Rehabilitator and head running coach who works in private clinics, premiership football and with high profile clubs and athletes. Posing the questions is Stephen Aspinall, Chairman of the British Association of Sports Rehabilitators and Trainers (BASRaT - http://www.basrat.org) and Lecturer in Sport Rehabilitation at the University of Salford, England. Timeline 1:20m - What are the key elements of running assessment? 2:45m - What you can learn by watching the runner from behind (frontal plane) and the side (sagittal plane) on the track and on the treadmill. 4:08m - The runner with injuries related to overstriding. What is overstriding? What can the clinician advise? 6:00m - Assessing cadence and helping the athlete to make a change of between 5-10% in cadence. 7:00m - Role of hip extension, angle of trunk lean. 7:40m - Treatment of the runner who over-strides. Exercises for rehabilitation: split stride, triple extension position, mat sliding exercise, TRX device, verbal queues. 10:20m - Stride width: consider this in conditions like ITB friction syndrome, medial tibial stress syndrome (overloading one side). 12:00m - Risk of knee pain with widening stride. 12:20m - Detailed exercise progression to adjust stride width. 14:30m - How to couple pelvic stability with hip mobility – the need to balance stability and mobility. 15:15m - Mo Farah as an example - what he does right. 16:00m - Exercise progressions to address limitations around the hip and pelvis. Strive for Mo Farah’s stride! 17:00m - When to introduce bounding, hopping drills. 17:40m - Learn more at running workshops organised by BASRaT, including at the BASRaT Annual Symposium - Manchester City’s Etihad Stadium, November 20, 2015. http://www.basrat.org/ Links Paul Hodges on the balance between mobility and stability – http://ow.ly/S4UKE The Telegraph on Mo Farah in 2013 - http://ow.ly/S4UQh Andy Franklyn Miller et al. Biomechanical overload syndrome: defining a new diagnosis. Br J Sports Med. 2014 Mar;48(6):415-6. (OPEN ACCESS) (@AndyFranklynMiller) http://www.ncbi.nlm.nih.gov/pubmed/22983122 Andy Franklyn Miller’s related podcast - biomechanics and running injuries - http://ow.ly/S4VBF (@AndyFranklynMiller) Christopher Napier’s Systematic Review gait retraining - http://ow.ly/S4V29 (ONLINE FIRST, live October 1st 2015) BASRaT Annual Conference – Friday November 20th, Manchester - http://www.basrat.org/ Please feel free to suggest links via @BJSM_BMJ or email karim.khan@ubc.ca

Over-diagnosis, over-treatment and industry influence. Surely not in sports medicine? Ray Moynihan is an internationally renowned contributor in the battle to limit any inappropriate influence of pharmaceutical, diagnostic, and technology companies on good clinical practice. He shares his concerns about the role of drug/implant companies but also argues that clinicians may well be contributing to suboptimal care – almost subconsciously. This is relevant for conditions such as femoroacetabular impingement (FAI). The issue of ‘preventive’ surgery to prevent future arthritis in currently pain-free hips is a massive issue in sports medicine of course. How do we know which patients need this treatment? Enjoy this podcast from a voice outside BJSM’s traditional network of physiotherapists, physicians, massage therapists, clinicians working with active people. When we planned the podcast, Ray Moynihan said he didn’t know about sport but I think you’ll agree that what he offers is hugely relevant to sport and exercise medicine. Thanks Ray! And the 2nd ‘Preventing Overdiagosis’ conference is at Oxford from September 15-17 – just google ‘overdiagnosis conference’. Share your thoughts to @BJSM_BMJ - is this a problem in sports medicine? See also: Online First editorial about FAI: http://goo.gl/ziOLNz In the June issue of BJSM we carry a review of PRP suggesting it isn’t helpful: http://goo.gl/xARb44 The authors of one of the key papers respond here: http://goo.gl/B1hxqc You can read several of Ray Moynihan’s papers in the BMJ including this one that summarises his thoughts on overdiagnosis: http://goo.gl/8uxcGS Repudiation of the ‘magic bullet’ approach to health improvement: a call to empower people to get moving and take charge: http://bjsm.bmj.com/content/46/5/303.full ‘Overdiagnosis’ / ‘overtreating’– relevant in sportsphysio/medicine? Professor Peter O’Sullivan: https://soundcloud.com/bmjpodcasts/overdiagnosis-overtreating-relevant-in-sportsphysiomedicine-peter-osullivan

Here’s the podcast that over 12,000 listeners have been demanding – physiotherapist Adam Meakins (@TheSportsPhysio)on a number of controversial topics, including: Is diagnostic palpation accurate? Can the sacroiliac joint really be ‘unstable’? How does ‘touch’ in physiotherapy have its therapeutic effect? Adam provides great value on Twitter and on his blog – here you can listen to him in your favourite podcast setting. Adam shares his way of explaining neural pain to patients and that alone is worth the price. He also discusses his popular blogs on ‘5 Least Favourite Shoulder Rehab Exercises’ as well as ‘Top 5 Shoulder Rehab Exercises’. He argues that the key to managing some knee conditions is to manage load and he refers to Scott Dye’s classic ‘envelope of function’ concept. And we close by discussing a couple of figures that have gained great traction in the Twittersphere. You might find them useful in your clinical practice. But it’s a risk on radio – I get that! Enjoy and comment via @BJSM_BMJ or on Facebook. See also: Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain: http://bjsm.bmj.com/content/47/17/1095.full Effectiveness of soft tissue massage and exercise for the treatment of non-specific shoulder pain: a systematic review with meta-analysis: http://bjsm.bmj.com/content/48/16/1216.full Rehabilitation for shoulder instability: http://bjsm.bmj.com/content/44/5/333.full Biomechanics laboratory-based prediction algorithm to identify female athletes with high knee loads that increase risk of ACL injury: http://bjsm.bmj.com/content/45/4/245.full