The Throwing Injury Epidemic with Dr. Robert Bowers and Dr. Jason Zaremski EP#557

New-generation running shoes are being developed with the aim of enhancing an athlete's stride length and propulsion force. But what do podiatrists think about these innovative "super shoes"? In this podcast, Dr. Daniel Bastock explores this concept with Damir Metljak, a sports podiatrist based in Adelaide, South Australia. They discuss the biomechanical implications of these shoes, the potential for increased injury risk, and how to design the ideal orthotic to complement the unique characteristics of this footwear.

In this episode we have a chat with this year’s American Medical Society for Sports Medicine(AMSSM) Global Exchange Program to South Africa candidate Dr Emily Sweeney. Doctor Sweeney is a Pediatric Sport Medicine Physician currently practising at Children’s Hospital Colorado in Denver. She will also be a speaker at the biannual SASMA Conference in October later this year. Being a previous elite level gymnast who retired at a young age due to a back injury, Doctor Sweeney has a unique perspective to gymnastic medicine. Despite retiring as an athlete she remained very involved with the sport and now serves as a practitioner to many gymnasts suffering with gymnastics related injuries and pathology. https://journals.lww.com/acsm-csmr/fulltext/2018/11000/returning_to_sport_after_gymnastics_injuries.7.aspx?WT.mc_id=EMxALLx20100222xxFRIEND The discussion touches on numerous gymnastics medicine topics, like mental health, diversification of skills and lessons from the recent Paris Olympics. Some of the articles referred to in the episode: -Returning to Sports After Gymnastics Injuries -Health outcomes among former female collegiate gymnasts: the influence of sport specialization, concussion, and disordered eating

Dr Richard Budgett has been the Medical and Science Director of the International Olympic Committee (IOC) for the last 12 years. He talks to Dr Georgia Cahill from the Paris 2024 Olympic Games about his role and reflects on how the IOC has focussed on athlete safety and health promotion as he prepares to step down in December 2024.

Respiratory health in athletes, which is the most common system affected by illness in athletes, can often be tricky to manage or approach. This SASMA podcast delves into a very engaging and robust discussion with two very knowledgeable guests. Dr Kyle Winik chats with Dr Marcel Jooste and Dr Carolette Cloete, who are both Sports and Exercise physicians based at SEMLI, The Sport & Exercise Medicine Lifestyle Institute, in Pretoria, South Africa, under the leadership of Prof Martin Schwellnus. They discuss important tools or concepts to adopt in clinical practice as well as updates to current knowledge in respiratory illness in athletes. Attached are the Current IOC Guidelines in respiratory health as well as NB tips and tricks to get familiar with.   Jooste, Marcel & Schwellnus, Martin. (2024). Countermeasures to reduce the risk of infections at the 2024 Olympic and Paralympic Games—A balancing act. Journal of Sport and Health Science Prevention of Infections in Track and Field Athletes - Top Tips - Aspetar Journal Schwellnus M, Adami PE, Bougault V, et al International Olympic Committee (IOC) consensus statement on acute respiratory illness in athletes part 2: non-infective acute respiratory illness British Journal of Sports Medicine 20.22;56:1089-1103.

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Devin McFadden, MD, is joined by Dr. Robert Bowers, DO, PhD (X: @TheDrROBO) and Dr. Jason Zaremski, MD (X: @DrZSportsDoc) to discuss their research related to overuse throwing injuries, weighted ball throwing programs and more. For further discussion on this topic, check out a recent AMSSM webinar facilitated by Dr. Bowers and Dr. Zaremski on The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say, featuring an international panels of experts. Resources: Pitching Restriction Policies in Adolescent and High-School Baseball Pitchers: Is It Time for an Updated Paradigm? The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates Most high school baseball pitchers are using weighted ball throwing programs to increase ball velocity: crosssectional analysis of US high school pitchers

Golf is played by over 100 million persons globally. But what injuries do they get and how can you help treat and even avoid injuries.  Dr Corey Cunningham hosts, and is joined by Dr Andrew Murray (@docandrewmurray) to look at a recent systematic review and meta-analysis of injuries in amateur and professional golfers,  https://bjsm.bmj.com/content/58/11/606.abstract and look back at some resources in the popular BJSM e-edition https://bjsm.bmj.com/pages/e-edition-golfmedicine

In this podcast James Walsh speaks with Dr Dusty Narducci about ADHD in athletes. Dusty is one of the lead authors on the recent AMSSM ADHD position statement and is an expert in the treatment of ADHD in athletes. They discuss the different types of ADHD, how they can manifest in athletes, treatment and the implications of stimulant medication for cardiac health and competition.   References and further reading: https://www.docdusty.com/post/adhd-add-a-superpower-in-athletes https://journals.lww.com/cjsportsmed/Fulltext/2023/05000/Athletes_With_Attention_Deficit_Hyperactivity.1.aspx https://bjsm.bmj.com/content/53/12/741 Lakshaajeni Thevapalan, Martyna Stasiak, Lauren Harris, Anand S Pandit, Smart drugs among surgeons: future cause for concern?, British Journal of Surgery, Volume 110, Issue 8, August 2023, Pages 1000–1002, https://doi.org/10.1093/bjs/znad139 Cage S, Warner L, Cook A, Swindall R, Wadle C, Warner BJ. Prevalence of Self-Reported ADHD Symptoms Among Collegiate Athletes. The Internet Journal of Allied Health Sciences and Practice. 2023 Mar 20;21(2), Article 18.  Dikdan, S, Sun, M, Vyas, A. et al. MENTAL HEALTH AND THE YOUTH ATHLETE: AN ANALYSIS OF THE HEARTBYTES DATABASE. J Am Coll Cardiol. 2023 Mar, 81 (8_Supplement) 2173. Zhang L, Yao H, Li L, et al. Risk of Cardiovascular Diseases Associated With Medications Used in Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-analysis. JAMA Netw Open. 2022;5(11):e2243597. doi:10.1001/jamanetworkopen.2022.43597

Physical activity and exercise is known to be beneficial for individuals with both Type 1 and Type 2 Diabetes. This podcast is another in the BJSM and PACC series which looks to help health care professionals who are looking to have more conversations with patients about physical activity in long term conditions.  Nusrat Kausar is a dietician who sits on the BDA specialist groups for Sports and Exercise Nutrition and Exercise in diabetes. She has a wealth of experience in discussion physical activity with this patient group and in providing education for others to do so. She joins Dr Dan Fitzpatrick, a Sport and Exercise Medicine Registrar, to discuss this crucial area. The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at [email protected]  Resources discussed https://movingmedicine.ac.uk/pacc/   Type 1 -  Digibete - https://www.digibete.org/sports-page/ Team Type One Style - https://teamtypeonestyle.com/ JDRF - https://jdrf.org.uk/news-and-events/health-care-professional-events/ Diabetes UK - Type 1 events - https://www.diabetes.org.uk/how_we_help/type-1-events/healthcare-professional-volunteering EXTOD - https://www.extod.org/ The Glucose Never Lies - https://theglucoseneverlies.com/ Diabetes Chat - https://www.diabeteschat.net/   Type 2 -  The 5s - https://www.leicesterdiabetescentre.org.uk/news-blog/ldc-highlights-five-important-health-behaviours-for-diabetes-management Diabetes UK - https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/exercise , https://www.diabetes.org.uk/node/1155 , https://www.diabetes.org.uk/for-professionals/supporting-your-patients/information-prescriptions/information-prescriptions-qa#download NHS exercise links - https://www.nhs.uk/conditions/nhs-fitness-studio/, https://www.nhs.uk/live-well/exercise/ Other exercise videos -https://www.youtube.com/user/LWRFitnessChannel/videos?app=desktop     General education -  Updating general diabetes knowledge - https://pro.campus.sanofi/uk/type-2-diabetes/education , https://abcd.care/ , https://www.cdep.org.uk/ DSN forum - https://www.diabetesspecialistnurseforumuk.co.uk/hcp-resources Diabetes NNF - https://www.diabetes-nnf.co.uk/  Diabetes Professional Conference - https://www.diabetesprofessionalcare.com/

Mental Health problems are common and there is good evidence for physical activity as an important role to help prevent and treat mental health conditions. The BJSM has collaborated with the PACC programme to help develop this podcast and has invited Professor Brendon Stubbs, a global expert in this space. Brendon is a clinical-academic physiotherapist and has published more than 800 academic papers and has advised the WHO and the World Psychiatric Association.  “The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at [email protected]  PAPERS MENTIONED Physical activity Prevention of Mental Health Problems Physical Activity and Incident Depression: A Meta-Analysis of Prospective Cohort Studies - PubMed (nih.gov) Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies - PubMed (nih.gov) Physical activity and sedentary behaviour:  The association between sedentary behaviour and indicators of stress: a systematic review - PubMed (nih.gov) Testing the causal relationships of physical activity and sedentary behaviour with mental health and substance use disorders: a Mendelian randomisation study - PubMed (nih.gov) Changes in sedentary time are associated with changes in mental wellbeing over 1 year in young adults - PMC (nih.gov) Treatment of Mental Health conditions Exercise and internet-based cognitive-behavioural therapy for depression: multicentre randomised controlled trial with 12-month follow-up - PubMed (nih.gov) Antidepressants or running therapy: Comparing effects on mental and physical health in patients with depression and anxiety disorders - PubMed (nih.gov) Other resources mentioned:  https://movingmedicine.ac.uk Home - Mind

The Oxford Textbook of Children's Sport & Exercise Medicine released it's 4th edition in 2023. Dr. Liam West reached out on behalf of the BJSM community to the two editors, Prof. Neil Armstrong and Prof. Willem Van Mechelen, to discuss the journey that led to the 4th edition and get an insight into a few of the top tips inside the book that can help improve your clinical care for this population today!   Link to book - https://global.oup.com/academic/product/oxford-textbook-of-childrens-sport-and-exercise-medicine-9780192843968?cc=au&lang=en&