Legendary England Football Chief Medical Officer on ACL injuries, RED-S and sport team culture

Dr Pippa Bennett has the CV and life experience that aspiring sport and exercise medicine doctors dream about. How’s this for a short version: Chief Medical Officer (CMO) for England Women’s Football Teams (15 years) including UEFA European Championships x 4 and FIFA World Cups x 2; CMO to British Gymnastics working at World and European events; World University Games x 3, Commonwealth Games, Olympic Games x 2 including Team GB Women’s Football in London 2012. English Institute of Sport including archery, athletics, swimming, hockey and wheelchair basketball. She completed a Masters in Sport and Exercise Medicine at Bath University. Describes herself as a keen football player who hung up her boots “due to old age and injury.“ In conversation with Dr Markus Laupheimer, they cover (i) ACL injuries and their prevention, (ii) the medical issues formerly known as the Female Athlete Triad which the IOC Consensus Group prefers to consider as the Relative Energy Deficiency Syndrome in Sport (RED-S) and (iii) Dr Bennett’s tips for junior clinicians – secrets from 15 years in the locker rooms in leading women’s and men’s sporting teams. TIMELINE 1:30m - Why are women more prone to ACL injuries? Addressing movement patterns for prevention; making players more robust. 4:00m - Prevention strategies - Dr Bennett’s experience in screening at schools and providing customised programmes for individual athletes to prevent injury. 5:20m - Relative Energy Deficiency in Sport (RED-S) - “a more rounded concept” focusing on the real culprit – energy deficiency - “Making sure your athlete is putting enough energy into the body”. 6:20m - Menstruation (in the context of amenorrhea) as well as in relation to performance and taboos. 7:00m - A case of a bone stress injury with an unusual underlying cause - “Treat the whole athlete”. 9:15m - Moving to Team Dynamics - Pippa shares her wide experience and contrasts men's and women's events in the same sport (e.g. gymnastics). 11:15m - The FIFA World Cup experience 13:20m - Advice for women clinicians considering applying for position in men’s teams: “Apply” Podcast and paper links (podcasts OPEN, most papers OPEN too): RED-S podcast with Dr Margot Mountjoy Major debate about energy deficiency among sportspeople: http://ow.ly/RMYRq RED-S consensus statement (2014) Mountjoy M1, Sundgot-Borgen J, Burke L, et al The IOC consensus statement: beyond the Female Athlete Triad--Relative Energy Deficiency in Sport (RED-S). Br J Sports Med. 2014 48(7):491-7. doi: 10.1136/bjsports-2014-093502. Hyperlink - http://ow.ly/RN0II RED-S Clinical Assessment Tool: Mountjoy M, Sundgot-Borgen J, Burke L, et al. RED-S CAT. Relative Energy Deficiency in Sport (RED-S) Clinical Assessment Tool (CAT). Br J Sports Med. 2015 Apr;49(7):421-3. Hyperlink - http://ow.ly/RN171 Female Athlete Triad consensus statement (2014): De Souza MJ1, Nattiv A, Joy E, et al. 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad Br J Sports Med. 2014 Feb;48(4):289. doi: 10.1136/bjsports-2013-093218. hyperlink - http://ow.ly/RN0Ae ACL mechanisms – Martin Hagglund -- Which 3 on-field football scenarios precede ACL rupture? http://ow.ly/RMYw5 Management and prevention of ACL injuries: Associate Prof Grethe Myklebust http://ow.ly/RMZcX ACL prevention paper – Norwegian experience: Myklebust G et al. Skjølberg A, Bahr R ACL injury incidence in female handball 10 years after the Norwegian ACL prevention study: important lessons learned. Br J Sports Med. 2013 May; 47(8):476-9. doi: 10.1136/bjsports-2012-091862. Epub 2013 Feb 12.

hyperlink - http://ow.ly/RN1jj