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May 2022 - Volume 32 - Issue 3

  • Christopher Hughes, MBBS, MSc
  • 1050-642X
  • 1536-3724
  • 6 issues / year
  • Orthopedics 27/81
    Sport Sciences 18/82
    Physiology 27/81
  • 3.638
Other Supplements

Welcome to our May issue, coming to you just in time for the start of another major conference in the sport and exercise medicine calendar, the Canadian Academy for Sport and Exercise Medicine (CASEM) annual symposium.  

As I write this piece, I am just about to jet off to Quebec City for what CASEM promises this year to be a 'Méli-Mélo​' of sports medicine. Roughly translated by my online dictionary, this means that there will be a 'mish-mash' or 'hotch-potch' of topics coming the way of conference delegates and virtual participants. 

Looking at the CASEM conference programme, there is much to excite and I'm really looking forward to meeting up with colleagues again face-to-face. As ever, this issue we bring you all of the CASEM poster presentations and podium presentation abstracts, freely available. We hope that you enjoy reading these, and look forward to catching up with many of you at the conference. 

CJSM was at the American Medical Society for Sports Medicine annual symposium in Austin earlier this month. There was a packed programme, and it was truly wonderful to be able to catch up with colleagues in person. The conference was a resounding success, and was a great credit to AMSSM and to all of those involved in the organisation and delivery.  

This month's Editorial by Cucuzella and Teicholz​ poses the question 'Is it time for a lockdown on sugar?' 

The Authors highlight the issue of adverse patient outcomes seen amongst those with chronic diseases who have contracted the virus, and suggest possible mechanisms for these. They make a powerful argument for healthy lifestyle interventions in order to improve general population health and preparedness for future pandemics. 

COVID-19 features prominently amongst our research topics once again this issue, with articles on reported COVID-19 incidence in indoor winter sports amongst US high-school athletes, COVID-19 positive testing in Minnesota high school fall and winter sports, the impact of COVID-19 on mental health and training in US professional endurance athletes, and post-COVID-19 cardiovascular evaluation in National Collegiate Athletic Association division 1 athletes. 

A number of studies have highlighted the importance of video gaming to a large proportion of the population during the pandemic, with an ever-increasing number of participants playing games since 2020. Some of us take part in eSports and professional gaming acivities, and this has not gone unnoticed by the sport and exercise medicine medicine community although there is still some debate as to whether eSports are 'real' sports. Regardless of the views on this controversy, it is clear that there are care needs for those who regularly take part in these activities. 

The American Osteopathic Academy of Sports Medicine have written a Position Statement on eSports, active video gaming, and the role of the sports medicine physician which is included in this issue. In the Statement, there are sections on the evaluation of eSports athletes, common injuries and conditions seen amongst those participating in eSports and active gaming, diagnostic tests, treatment, and preventative modalities. Finally, there is a section on the future of eSports medicine and where sports physicians can take a lead on developments in this field. 

CJSM would love to hear your reaction to the AOASM Statement and, in particular, your thoughts on whether the care of eSports participants and those involved in active gaming should fall within the remit of the sport and exercise medicine physician. Are eSports really 'sports' at all? We will be exploring this question in a future issue, so watch this space. 

Sports Physicians and team doctors have many challenges to face in their day-to-day practice. Orchard and Colleagues present an interesting General Review and discussion of legal, ethical and governance issues facing team doctors​. Drawing on ethical principles and real-life cases, they highlight several important recommendations for team doctors. Governance issues are explored, and recommendations for sporting organizations to improve their medical governance are presented. Finally, practical implications are given for sports physicians to consider. 

There is so much more in this month's issue I could talk about, but time is of the essence and my plane beckons. I encourage you to read through the broad range of topics in this issue - you won't be disapppointed. 

CJSM will keep you updated on social media throughout the CASEM conference, so don't forget to keep an eye on us. 

A reminder that CJSM is now on Instagram as well as our other social media outlets including Twitter and Facebook, so  keep an eye out for us on these sites as well as on the CJSM Blog to keep up to date with what's going on in the world of Sports Medicine. 

Our CME articles on the Lippincott CME Connection website are free this month, with new topics being added regularly. We hope you'll take the opportunity to complete some of the modules and earn your CPD points.  

Finally, we hope you have fun testing your clinical reasoning skills with our clinical case studies, produced in association with AMSSM and AOASM and available for free on our website​

Stay safe, until next time. 

Best wishes, 



Christopher Hughes MBBS MSc


Coach Education Improves Adherence to Anterior Cruciate Ligament Injury Prevention Programs: A Cluster-Randomized Controlled Trial

Ling, Daphne I.; Boyle, Caroline; Schneider, Brandon; More

Clinical Journal of Sport Medicine. 32(4):348-354, July 2022.

Coach education improves adherence to anterior cruciate ligament injury prevention programs: a cluster-randomized controlled trial

Hydration Strategies for Physical Activity and Endurance Events at High (>2500 m) Altitude: A Practical Management Article

Trease, Larissa; Singleman, Glenn; Windsor, Jeremy; More

Clinical Journal of Sport Medicine. 32(4):407-413, July 2022.

Hydration strategies for physical activity and endurance events at high (>2500m) altitude: a practical management article