19 Mar 16 March 2012 – SEM Meeting – Muscle injuries in Sports
16 March 2012 – SEM Meeting – Muscle injuries in Sports
(CPD to be sought from FSEM)
Chandos House, The Royal Society of Medicine, London
Meeting Schedule
0800 Registration, Refreshments
0850 Meeting Welcome: Prof Nicola Maffulli
Morning Session 1 – The Scientific Bases of Muscle Injuries
0900 Mechanism of Hamstring Injuries – Dr Carl Askling (SWE)
0930 Mechano-transduction and its role in the control of muscle mass – Prof Martin Flück (UK)
1000 Neuromuscular disorders in Sports and Exercise Medicine – Dr Andrea Malaspina (UK)
1030 Refreshments
Morning Session 2 – Diagnosis for Muscle Injuries
1100 What is the future in sports-related muscle injuries classification, imaging and radiological treatment – Dr Otto Chan (UK)
1130 Muscle injuries at the lower leg .Is there a need for differential diagnosis – Dr Nat Padhiar (UK)
1200 Classifing the severity of the injury .Does it matters? – Dr Nikos Malliaropoulos (GRE)
1230 Question Session – All speakers
1300 Lunch
Afternoon Session 1 – Treating Muscle Injuries
1400 Autologous platelet rich plasma: a revolution in soft tissue sport injury management? – Prof Francisco Biosca (SP)
1430 How to rehabilitate a Muscle Injury – Dr Dylan Morrisey (UK)
1500 When to operate a Muscle Injury – Prof Nicola Maffulli (UK)
1530 Refreshments
Afternoon Session 2 –Preventing Muscle Injuries
1600 How can we prevent Hamstring Injuries? – Dr Carl Askling (SWE)
1630 Clinical Prognostic Values for Hamstring Injuries – Dr Nikos Malliaropoulos (GRE)
1700 Preventing muscle injuries in soccer – Prof Francisco Biosca (SP)
1730 Question Session – All speakers
1800 Meeting Close
Speaker Biographies
Professor Nicola Maffulli MD MS PhD FRCS (Orth)
Nicola Maffulli is Centre Lead and Professor of Sport & Exercise Medicine and Consultant Trauma and Orthopaedic Surgeon, Mile End Hospital. His main clinical interests lie in the management of lower limb sports injuries and in paediatric musculoskeletal sports medicine. Special interests include Anterior Cruciate Ligament and Patellar and Achilles tendons. His main research interests are the histology and biology of overuse tendon injuries and the effects of intensive training in young and older athletes. A florid research programme is under way with international collaborators, focusing on orthopaedic genetics, outcome measures and randomized controlled trials in trauma and orthopaedics, and tissue engineering of tendons.
Dr Nikos Malliaropoulos MSc, PhD DSM, FFSEM UK
Nikos is a sports medicine doctor who graduated from the American colledge ANATOLIA of Thessaloniki and then from the Medical School from Aristotle University of Thessaloniki. He has been Director of the Sports injuries clinic of Track and Field Association in Thessaloniki, since 1986 and was Chief Medical Officer of the Hellenic Olympic Team XXVIII Olympics Athens 2004. Additionally Nikos was Director of the Medical Services of the First South Eastern European Games 2007 and is a Founding member of the Greek Sports Medicine Association, a Member of the International Federation of Sports Medicine FIMS, a Member of the British Sports and Exercise medicine Association, a ΜFSEM Member Faculty of Sports and Exercise medicine Royal College of Surgeons Ireland and a Member of the Greek Trauma Association. Nikos is also a Balkan gold Medalist in Judo – 4 DAN.
Dr Carl Askling, PhD, PT
Carl is a researcher and lecturer at the Swedish School of Sport and Health Sciences and the Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. He defended his Thesis 2008, “Hamstring muscle strain”, and won the 2008 European Athletics Innovation Award for his paper “Hamstring muscle strain in sprinters”. He is working with prevention and rehabilitation of acute hamstring strains in elite sports especially in soccer and track and field.
Professor Francisco Biosca MD (Trauma & Orthopaedic Surgery)
Professor Biosca is a specialist in Orthopaedic Surgery, Professor of Anatomy at Lleida University (1994 to 2006) and Co-Director for the Masters in Sports Medicine for 8 years. He was Head of Medical Services at UE Lleida for 25 years and Head of Medical Services at Shakhtar Donestk FC for 7 years before joining Chelsea FC in July 2011 as Head of Medical Department. Professor Biosca is Ex-President of the Spanish Society for Sports Trauma; the Iberia Biomechanical Society and the European Federation for Orthopaedic & Sports Trauma (EFOST). He lectures extensively, participating in over 200 Sports Trauma and Sports Medicine courses internationally.
Dr Otto Chan MBBS, FRCS Ed, FRCS Glas, FRCR (UK), ATLS Instructor
Dr Chan is a Consultant Radiologist specialising in Imaging and radiology. Treatments/Procedures include CT scanning, MRI scanning, MRI scanning (open), Ultrasound, X-ray and Radiology, His professional memberships include BMA, BIR, ESGAR and BTS. Otto has extensive experience in all aspects of GI, thoracic radiology, Emergency radiology and MSK/Sports Medicine, including all aspects of MSK intervention. His multidisciplinary team approach to sports medicine diagnosis and management is unique, working with nationally and internationally renowned clinicians and with strong clinical and academic links with the Sports and Health and Exercise Department at Queen Mary’s College. The service is supported by a very experienced relaxed and friendly staff, as well as state of the art radiology equipment with a Siemens Antares Premium Edition US, Siemens 1.5T MR and a new Somaton Definition 128 MDCT system.
Prof Martin Flück PD PhD MSc
Prof Flück has an academic interest in exposing the signalling pathways of muscle plasticity as it pertains to the tuning of muscle power and endurance with exercise and their deconditioning with disuse. This is achieved by a holistic approach combining somatic gene transfer with genetical genomics in animal models of activity-dependent muscle remodeling. His research interests are in signalling pathways of muscle plasticity in health and disease and he has teaching specialisms in Muscle Cell Physiology, Chemistry and Molecular Biology. Prof Flück presented plenary lectures at the International Conference on the Biochemistry of Exercise (Guelph, Canada) and organised the international workshop on ‘Omics: Assembling Systems Biology’ (Centro Stefano Franscini, Ascona, Switzerland). Patent and publications on the gene therapy of muscle repair and measures against loss of muscle mass (sarcopenia). Prof Flück is also Editor for the European Journal of Physiology (Pflueger’s Archive), Editor for the European Journal of Applied Physiology. He is a member of the Scientific Council of the French Dystrophy Association, Research fellow in the Medical Faculty, University of Birmingham and Guest Professor at the Department of Cardiovascular Surgery, Insel – Hospital University of Berne, Switzerland.
Dr Andrea Malaspina
Dr Malaspina is a consultant neurologist at Spire Hartswood, at Barts and The London NHS Trust and at Basildon and Thurrock University Hospitals NHS Foundation Trust. He is a senior lecturer at Queen Mary University of London where he is developing a research programme at the Trauma and Neuroscience Centre at the Blizard Institute of Cell and Molecular science. Andrea trained in clinical neurology in centres of excellence in Italy and Austria, and at Imperial College, Barts and the London School of Medicine, where he has also developed a post-graduate research career. Following the award of a PhD in molecular neurobiology from Imperial College in 2001, Dr Andrea Malaspina has worked in the above NHS and academic Institutions, with an active role in clinical neurology and a significant involvement in clinical research. In 2009, he was appointed Co-Director of the North-East London and Essex Regional Care Centre for Motor Neurone Disease (MND) and MND Research Director for DeNDRoN, a large research organisation in neuroscience. Whilst Dr Malaspina’s clinical and research focus has always been in neuromuscular disorders, his clinical experience has encompassed all fields of clinical neurology and the complexity of molecular medicine applied to everyday clinical practice. He has been in private practice since 2002 and offers rapid access for patients, ensuring prompt decisions about investigations and treatments. These include structural and functional CT and MRI imaging, targeted neurophysiology like EEG and EMG/nerve conduction studies and appropriate molecular investigation. Building on his academic experience and on his contacts with expert colleagues, he aims to address unanswered questions in a very difficult medical discipline. Dr Malaspina has always adopted a professional approach to the human and personal side of each individual’s problems, along with a strict scientific-based method in the diagnosis and treatment of neurological disorders. Sports like rock-climbing and skiing are still possible despite his busy work schedule.
Dr Dylan Morrissey
Dr Morrissey has over 20 years experience of working in sports and exercise medicine. He completed an MSc at University College London in 1998 and a PhD in 2005 at King’s College London. He is now a consultant physiotherapist and senior clinical lecturer in sports and musculoskeletal physiotherapy at Bart’s and the London NHS trust / BL School of Medicine and Dentistry, QMUL. He leads a unique intercalated BSc in sports and exercise medicine and the MSc modules relating to sports injury assessment, and runs the Human Performance Laboratory. He has gained more than £1.3m in research funding, with the majority as first applicant, and has authored more than 30 peer reviewed full papers. His main research interests are tendinopathy, evidence translation and the link between movement and pathology. His current passion is paralympic sport, and he has recently been appointed as a headquarters physiotherapist for London 2012.
Dr Nat Padhiar MSc PhD FCPodS
Nat graduated in Podiatry from Chelsea School and pursued a career in Podiatric Sports Medicine and Podiatric Surgery. In 1989 he was awarded a research based Master of Science degree with distinction. This research was supported by ARC grant and was titled ‘A prospective study to evaluate radiological and biomechanical changes following Hallux Valgus surgery’. In 1993 he became Fellow of the Surgical Faculty, College of Podiatrists. In 1999 he was awarded a Doctor of Philosophy degree in the field of Orthopaedics & Sports Medicine from St Bartholomew’s and the Royal London School of the Medicine and Dentistry, Queen Mary, London University. In 1997 he was given a Gold Award for his presentation at the Scientific Meeting of British Association of Sports & Exercise Medicine. The presentation was in the field of Chronic Exertional Compartment Syndrome, which was the basis of his PhD thesis. In 1991 he was appointed Honorary Consultant Podiatrist in the Rheumatology Department at The Royal London Hospital. He is at present holding a dual Consultant Podiatric Surgeon post at The Royal London Hospital (BLT) in the Musculoskeletal & Surgical Directorate and, also at the Mile End Hospital (THPCT) in the Foot Health Department. He is also an Honorary Reader, Internal Examiner and Module Leader in the Centre for Sports & Exercise Medicine (CSEM), St Bartholomew’s and the Royal London School of the Medicine and Dentistry, Queen Mary, London University. In the last decade he has supervised over 60 research projects submitted by MSc students in SEM. Nat holds membership of various surgical and SEM institutions and, most recently was made Honorary Member of the European College of Sport & Exercise Physicians. Nat Padhiar is a keen sportsman continuing to play cricket, tennis and taking part in endurance sport (32 marathons). He has represented Uganda School boys at cricket. In his professional capacity he has been part of the medical team and has attended World Student Games (1991), Commonwealth Games (2002), Island Games (2003), Everest Marathon (1993,1995), Mongolian Sunrise to Sunset Marathon (2001-2003), Daily Telegraph/British Brain & Spine Foundation London Marathon Team (1999-2006) and London Triathlon (2005). He has been appointment as Expert Medical Volunteer and Clinical Lead for Podiatry for the London 2012 Olympic Games. He is not formally attached to any professional football clubs but, many clubs refer footballers to him at his private clinic at London Independent Hospital.