May Day

May 1, 2016 by

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CJSM: bringing you clinical sports and exercise medicine research, from around the globe

Whether you are celebrating today as International Workers’ Day, running around a May pole, or watching Leicester City try to complete the 5000:1 shot of winning the Premiership, we are sure that today, May 1, can only be a good day:  our third issue of the year has just published.  And this May Day CJSM is full of offerings we’re sure will be of  interest to you.

Two of the articles have a special focus on physical activity as an intervention for medical conditions — one is a meta-analysis from Chinese colleagues finding a protective effect for physical activity against lung cancer, and the other is a prospective, single-blinded, randomized clinical trial looking at rock climbing as an intervention in the treatment of low back pain. This study is from Austria, and had positive findings for dependent measures of disability (the Oswestry Disability Index), a physical examination maneuver, and even the extent of disc protrusion on MRI.  We’re proud to publish these high quality studies from across the globe.

We are also proud to contribute to the growing body of literature on the effectiveness of “Exercise is Medicine.” Read more of this post

Filed under Evidence-based Medicine in SEM, Exercise Medicine, Female Athletes, Infectious disease in Sport, Physical activity interventions, Public Health in Sports and Exercise Medicine, Women in Sport, Youth Sport Tagged with ,

CJSM Podcast 12: The Effect of Viscosupplementation in the Treatment of Knee Osteoarthritis

November 17, 2015 by

jsm-podcast-bg-1For our 12th podcast, we have invited Dr. Tom Trojian to talk with us about a new CJSM offering, just published ‘On Line First,” for which he is the lead author: “AMSSM Scientific Statement Concerning Viscosupplementation Injections for Knee Osteoarthritis:  Importance for Individual Patient Outcomes.”

Dr. Trojian is a member of our partner society, the American Medical Society for Sports Medicine (AMSSM), and is a professor in the Department of Family, Community & Preventive Medicine at Drexel University College of Medicine, and the director of the Sports Medicine Fellowship program there.

He is also a wonderful guest to have on  the podcast–I learned a great deal from him about not only viscosupplementation in the treatment of knee osteoarthritis, but also the specific study design of a ‘network meta-analysis’ he and his co-authors used to evaluate the clinical importance of this intervention in our patients.

Knee osteoarthritis (OA) is such a common condition–and is one which so many sports medicine clinicians treat as part of their practice–that we find ourselves publishing a great deal of research on the topic.  Just this month, in the November 2015 CJSM, we have three pieces of original research on managing knee OA: i) the relative effectiveness of hip vs. leg strengthening  in treating the problem; ii)  the effect of lower body positive pressure (LBPP)-supported low-load treadmill walking program on knee joint pain, function, and thigh muscle strength in overweight patients with knee osteoarthritis (OA);  and iii) a prospective study on the safety and efficacy of intrarticular platelet lysates in early and intermediate knee OA.

T Trojian Screen Shot

Dr. Trojian, ‘in action’ on the podcast.

Check all those studies out.  And check out our newest podcast:  get out those headphones, tune up that iPhone, and listen to what Dr. Trojian has to say on the subject of viscosupplementation in the treatment of knee OA.

Thanks very much for the time you spent with us Tom!

 

Filed under CJSM Podcasts, Evidence-based Medicine in SEM, General Interest, Patient Outcome Measures Tagged with

Dr. Lyle Micheli

May 7, 2015 by 2 Comments

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Dr. Lyle Micheli (R): The Godfather of Sports Medicine? Dr. Kevin Klingele (L) is inclined to agree

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The undisputed ‘Godfather of Soul’: James Brown Picture: Dbking @ Flickr

If there is a ‘Godfather of Soul’ is there a ‘Godfather of Sports Medicine’?

I think there may be……..and I’m very lucky to have trained under him.

Speaking as an editor of a clinical journal, I am aware of the phenomenon of bias, and I would acknowledge at least one ‘limitation’ of this blog post is that I am guilty of selection bias.

In truth, however, there could be a very strong case made for Dr. Lyle J. Micheli‘s candidacy for that mythical title.  One argument for the (perhaps) uncanny resemblance between the two ‘Godfathers’ is Mr. James Brown’s nickname:  “The Hardest Working Man in Show Business.”  No doubt, if there were a “Hardest Working Man” in Sports Medicine, the award would be given to Dr. Lyle Micheli:  even still, at age 70+, it is rumored that he performs more surgeries than any other orthopedist in the New England region of USA.  This is a man who works six days a week, and on the seventh…..well, unlike God, Dr. Micheli doesn’t rest:  he writes. Research Manuscripts.

At CJSM, we have been the recipient of several of his studies that have made the peer review grade and been published.  They span a period from 1992 (Arthroscopic Evaluation and Treatment of Internal Derangements of the Knee in Patients Older than 60 Years) to 2015 (A Closer Look at Overuse Injuries in the Pediatric Athlete).  Recognize that CJSM itself is celebrating its 25th year, and so, in essence, Dr. Micheli has been publishing in our journal for as long as we have been in existence.

His career goes back farther, into those dim reaches of the sports medicine universe that precede the Big Bang, er, the birth of CJSM in 1990.  His career in sports medicine dates back to the 60’s.  He was treating athletes before Jim Fixx gave birth to a  running boom in the United States.  Put another way, he was Medical Director of the Boston Marathon when Americans were still winning the thing…..and he is still at the Finish Line: in 2015 and in the infamous 2013 Marathon about which I have written in this blog.

He is currently visiting here in Columbus, Ohio, ready to give Grand Rounds on ‘Spinal Injuries in Young Athletes,’ and it’s great to see him.  We’ll be doing a podcast together, and I plan on sharing a link to that on our CJSM Social Media.

For now, let me end this encomium with one last parallel between the two Godfathers.  Sure, James Brown was prolific:  over his career he produced how many hits? married how many times (4)? had how many children (6)?  Dr. Micheli?  Well, let’s just say he has ‘given birth’ to many sports medicine children, who continue to follow his path in the field of sports medicine practice and research:  Meehan, Stracciolini, d’Hemecourt, Luke, Loud.…even myself.  And so many, many more!   There are seemingly untold disciples spread across the globe continuing his example of hard work and research productivity. Micheli?  Prolific? Oh my, yes.

He’d be the first to say, however, that it’s all about evidence-based (not eminence-based medicine), and so I hear his voice in my conscience, telling me to stop this now!  And get to doing some real work:  run a regression, do those edits on the manuscript that is due, figure out the solution to a problem in the athletes you care for!

Besides, the day has passed, it’s the middle of the night, and I hear the Chimes of Midnight……Grand Rounds is less than 6 hours from now.  Good night!!!!!

Filed under Evidence-based Medicine in SEM, General Interest, Youth Sport Tagged with , ,

There Be Monsters

March 29, 2015 by

As I prepare for the 2015 OSU Sports Medicine Concussion Symposium (I am in front of my computer working on my Powerpoint Presentation), I am reminded of the post I penned exactly a year ago and am re-blogging today. Attending the 2014 symposium I shared my thoughts (see below) about the future of contact sports in our new world of concussion concern.

The intervening year has seen a veritable slew of new research and new thought on the attendant problems.  In our March 2015 CJSM, for instance, we have an editorial by Iain Murray on the need for a ‘culture change’ in sports concussion and several pieces of original research, including a study on the detection of concussion using cranial accelerometry.

I am looking forward to what co-panelists in the symposium have to say, including Stan Herring, who wears among many other hats that of co-author of the Zurich 4th International Consensus Statement on Concussion in Sport.  I am thankful to my friend Jim Borchers, the course co-director and Team physician for the Ohio State Buckeyes, for the chance to talk as well.   I’ll be sure to post the high points of the symposium, both here on the blog and on Twitter @CJSMonline

Clinical Journal of Sport Medicine Blog

“In like a lion, out like a lamb,” that’s what they say about March.

To the extent that expression applies to the weather this month and to this blog, I think 2014 may be the exception that proves the rule!  We may be going out like a lion in both areas.

The east coast of North America is ready for spring, but this month that opened up with winter is ending the same way.  If there was an outdoor lacrosse game in Buffalo, New York this weekend, the players were dealing with snow!

Mike_Fisher_throws_check_May_29_2006 More like a lion than a lamb: an NHL body check.

As for this blog, we opened the month with a post that had both sound and teeth, like the proverbial carnivore itself:  our first podcast was a discussion with Drs. Neil Craton and Oliver Leslie, the authors of the March 2014 CJSM lead editorial, 

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Filed under Concussion in Sport, Evidence-based Medicine in SEM, General Interest Tagged with , ,

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