The surf was up at ACSEP 2017

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Let the koalas sleep — you won’t be doing much of that if you attend an ACSEP conference

One of the highlights of my 2016 was my first visit to the Australasian College of Sport and Exercise Physicians (ACSEP) annual meeting.  I wrote about the experience in several of these CJSM blog posts.

ACSEP is one of CJSM’s affiliated societies, and we greatly value our relationship with the college.  Two of our Associate Editors are members of the college: Hamish Osborne (NZ) and Steve Reid (AUS).

On a personal note, I also greatly valued the experience of attending the meeting. The venue (Surfer’s Paradise) was stunning — just the ticket for someone muddling through a Northern Hemisphere winter.  And the proceedings themselves — well, they were little short of perfect.  From the educational sessions to the food and social events — first class, all the way.

ACSEP 2016 was, without a doubt, one of the best sports medicine conferences I have ever attended.

I couldn’t make the 2017 edition, which also took place in Surfer’s Paradise. What was my misfortune turned out to have a pleasant side-effect, as Dr. Osborne was in attendance, and he graciously penned this letter giving an overview of the proceedings:

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ACSEP has been and gone and my promised blog post is now a thank you to all those who attended clearly our biggest but also our best-ever annual scientific conference. I arrived early, actually before most registrars as it turned out, to meet and greet and enjoy the excellent presentations from our new intake of trainees. The bar is going up and up. Looking forward to increasing research contributions from this group as they come through.

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Hi hon, really busy at the ACSEP meeting

The first afternoon of the conference was up there with perhaps the best series of 4 keynotes on SEM that I have ever heard. Read more of this post

Six Nations — a hymn to rugby

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In the President’s Box, watching South African Rugby — photo: A Brooks

One of Rugby Union’s big, international events – The Six Nations Championship – kicked off this weekend, and we’re looking forward to the great sport the event will offer through mid-March (the last competitions take place March 18).

I have a soft spot for rugby (union and league), though it is a sport I never played myself (a middle- and long-distance track runner, I would have been eaten up and spit out on the rugby pitch). I’ve lived at different times in southern Africa and New Zealand, where I was exposed to the glorious traditions of both Springbok and All Blacks rugby.  And I did my sports medicine training under Dr. Lyle Micheli, whom many know played rugby well into his sixties.  Inevitably, one gets to take care of plenty of rugby athletes when spending some time with Dr. Micheli.

Rugby is a sport that combines collision with endurance, fierce play with fluid movement.  It is also a sport about which it has been written:  “Rugby is a game for barbarians played by gentlemen. Football is a game for gentlemen played by barbarians.”  I don’t intend on offending fans of soccer/football, but I do want to emphasize the special character of so many of the players, coaches, referees and others I see in the sport of rugby.

“Building character since 1886”:  that’s how World Rugby, the sport’s international governing body states their mission.

Consequently I have become, over time, increasingly involved with USA Rugby and have written several of these CJSM blog posts on various issues related to the sport.  My interest continues to grow.

This personal interest parallels the interest CJSM has in publishing research related to the sport. Read more of this post

A Twitter Journal Club

casemI want to alert you to a very interesting innovation which was instituted at the end of 2016 and will continue into this new year:  the Canadian Academy of Sport and Exercise Medicine (CASEM) Twitter-based journal club.

You read that right — a journal club, on Twitter.

We’re all familiar with journal clubs.  In fact, the fellowship in which I teach (Nationwide Children’s Hospital Sports Medicine) just completed its monthly journal club yesterday, with the fellow (sports medicine physician in training, Jonathan Napolitano) leading the group of doctors through a study published in our January 2017 CJSM: Reliability Testing of the Balance Error Scoring System in Children Between the Ages of 5 and 14.

I recently wrote of the vital, and increasing, importance social media plays in the dissemination of sports medicine research.  A Twitter journal club is an example of that phenomenon.

The CASEM Journal Club just got off the ground at the end of 2016, and had as its first selection another CJSM study: Physical Exam Risk Factors for Lower Extremity Injuries in High School Athletes:  A Systematic Review. Seems like both CASEM and I found this to be particularly intriguing.  To wit, I cajoled the lead author of that study, Jimmy Onate, into recording a podcast with me.  And then he pulled duty on the CASEM Journal Club as the guest author, interacting on Twitter with folks from around the globe.  What a great opportunity — to get to ask the author directly the questions one has after reading his/her study.

The study for this month’s CASEM journal club is the same one we deconstructed in our fellowship yesterday:  the reliability of the BESS in a pediatric population  It hits close to my heart.   Read more of this post

Echocardiography as a screen to prevent SCD in athletes — 5 Questions with CJSM

 

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Dr. Gian Corrado performing screening cardiac ultrasound

For our first “5 Questions with CJSM” of 2017, we have a special guest:  Dr. Gianmichel Corrado, of Boston Children’s Hospital and Northeastern University.

Dr. Gian Corrado  is a doubly special guest for me: he is the lead author of a ‘published-ahead-of-print’ CJSM study and is someone who trained me in sports medicine at Boston Children’s Hospital.

I have fond memories of working alongside him, the head team physician for Northeastern University in Boston, as we cared for hockey and football athletes.  And I remember the work he was just beginning to do in his now-blossoming area of research.

The new study reports the findings of a novel ‘take’ on a controversial aspect of sports medicine: how might we screen for underlying disorders that predispose our athletes to sudden cardiac death (SCD)?

By the way, don’t let Dr. Gian Corrado’s name fool you — this is not that Dr. Corrado, (Domenico Corrado), who also has published on screening for SCD; but both Drs. Corrado share a similar concern: the primary prevention of this catastrophic event.

Dr. Gian Corrado’s approach is to use ‘screening echocardiography in front-line providers,’ and his findings can be found here:  ‘Early Screening for Cardiovascular Abnormalities with Pre-Participation Echocardiography:  Feasibility Study.’

Dr. Corrado has this to say about his important work:

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1. CJSM: What was the principal outcome measure you were looking at in this study? What were the secondary outcome measures?

GC: Central in the debate as to how to best identify athletes at risk for sudden death (SD) is cost-effectiveness.  The American Heart Association continues to recommend a history and physical (H&P) as the sole method for screening young athletes for the cardiac conditions that can cause SD.  The H&P has been shown to be a poor test to apply to the above dilemma as it misses athletes whom have potentially deadly cardiac conditions and falsely identifies those that do not.  Many feel that, given this reality, an electrocardiogram (ECG) screening program should be implemented.  This approach has been shown to have significant limitations as it too yields high false positive rates.  The Northeastern Group has suggested and demonstrated that with advances in portable ultrasound frontline providers (FLP) can obtain limited echocardiographic images pertinent to the structural conditions that dominate in culpability with SD. Read more of this post

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