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[object Object],[object Object],March 25, 2011 Doug Stacey, MSc, BHScPT Sport Physiotherapist - Diploma
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Training Response Arja L.T. et al, 2001
Training Response Arja L.T. et al, 2001
[object Object],[object Object]
Central/Peripheral -  Metabolic Fatigue ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peripheral versus Central Fatigue ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Central/Peripheral -  Metabolic Fatigue Hargreaves, (2005)
“ Fatigue”  - the Numbers…. ,[object Object],[object Object],[object Object]
“ Recovery” ,[object Object],[object Object]
Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Low-Moderate Intensity Exercise ,[object Object],[object Object],[object Object]
Glycolytic System Low-Moderate Intensity Exercise glucose / glycogen pyruvate NAD NADH (mitochondria) NADH NAD H +  + e- O 2 lactate LDH acetyl CoA PDH
What’s the problem with increased lactate? Low-Moderate Intensity Exercise “  Lactic Acid ”  H +   +  Lactate  –    muscle  pH “ Metabolic inhibition” (   enzyme activity) “ Contractile inhibition” (   X-bridge cycling )
Metabolic Fatigue Accumulation of Metabolites – Acidosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Low-Moderate Intensity Exercise
Active Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Take home points…
[object Object]
Stretching ,[object Object],[object Object],[object Object],[object Object],“ Flexibility is the extent to which a muscle can be lengthened by a given amount of force” Limited scientific evidence
Stretching ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stretching ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stretching ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stretching ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stretching ,[object Object],[object Object],[object Object]
[object Object]
Nutrition and Hydration ,[object Object],[object Object]
Main Food Energy Sources in Exercise Metabolism •  amino acids 95-100% of total energy production “ fuel mix” depends on exercise intensity Nutrition •  glucose •  glycogen •  fatty acids •  triglycerides Carbohydrates (CHO) Lipids (Fats) Protein
Nutrition ,[object Object],[object Object],[object Object],[object Object],Strategies  -  (sport, type of exercise, intensity, duration, time)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nutrition
[object Object],Recovery of endurance running capacity 4 hr after the first run (70% VO2 for 90min) Fallowfield et al., (1995) Time Nutrition Long Term Glycogen Resynthesis –  Endurance Performance Recovery of endurance running capacity 22 hr after the first run (70% VO2 for 90min) Fallowfield et al., (1993) Time
[object Object],Recovery of intermittent high-intensity performance (15-min shuttle run) 22 hr after the first bout.  Nicholas et al., (1997) # shuttle runs/15 min Nutrition
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nutrition
[object Object],Net protein balance (synthesis minus breakdown) under the same condi- tions.  AA, amino acid; RE, resistance exercise.  Phillips, (2004) Nutrition
Protein and CHO
[object Object],[object Object],[object Object],Nutrition Take home points… ,[object Object],[object Object]
[object Object],[object Object],The results of this study suggest that chocolate milk is an effective recovery aid between two exhausting exercise bouts.  Nutrition
Hydration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hydration ,[object Object],[object Object],[object Object],[object Object],[object Object],Reilly and Ekblom, (2005)
Hydration Recommendations:  Institute of Medicine (IOM) – 2004 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hydration Kenny, (2006)
Hydration Recommendations:  Institute of Medicine (IOM) – 2004 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hydration Kenny, (2006)
How to Rehydrate? ,[object Object],[object Object],[object Object],[object Object],[object Object],Hydration
Take home points… Hydration IOM Guidelines, (2004) Sedentary Daily Allowance Sedentary Upper Limit Active/Athlete Daily Allowance Active/Athlete Upper Limit Water 3.7 L/day (male) 2.7 L/day (female) None 3.7 L/day (male) 2.7 L/day (female) None Sodium 1.5 g/day (3.8 g/day salt) 2.3 g/day (5.8 g/day salt) >1.5 g/day (>10 g/day salt) None Potassium 4.7 g/day None 4.7 g/day None
[object Object]
Therapeutic modalities ,[object Object],[object Object]
A.  Hydrotherapy ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Wilcock et al., (2006) Hydrotherapy
REST, LIGHT EXERCISE OR CRYOTHERAPY: WHAT IS THE MOST EFFECTIVE WAY TO RECOVER BETWEEN REPEATED BOUTS OF INTENSE EXERCISE? Doug Stacey , BHScPT Sport Physiotherapist – Diploma B.W. Timmons ††  and M.J. Gibala † .  † Exercise Metabolism Research Group, Dept. of Kinesiology,  †† Children’s Exercise and Nutrition Center, McMaster University, Hamilton, ON  Hydrotherapy
Methods Recovery Intervention – 20 min Rest, Active, Cryo Familiarization VO 2peak Hydrotherapy Pre Week 1 Week 2 Week 3 Testing & Familiarization Training – 3 bouts Random intervention Training – 3 bouts Random intervention Training – 3 bouts Random intervention Bout1  50KJ Bout 3  50KJ Bout 2  50KJ Rest Blood Sample and Questionnaires Lactate, IL-6, CBC – RPE, VAS, Preparedness lactate lactate
* p  .≤ .05 vs bout 1 (main effect) * * Hydrotherapy
** * p  .≤ .05 vs Rest(main effect); **  p  .≤ .05 vs Passive, Cold * * * Hydrotherapy
* p  .≤ .05 vs Rest, Bout 2 (main effect) * Hydrotherapy
* p  .≤ .05 vs Rest (main effect); ** p  .≤ .05 vs Active, Passive ** * * Hydrotherapy
Conclusions ,[object Object],[object Object],[object Object],Hydrotherapy
Cryotherapy Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hydrotherapy
Cryotherapy Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hydrotherapy
Cryotherapy Summary ,[object Object],[object Object],[object Object],Hydrotherapy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Wilcock et al., (2006) Contrast therapy Hydrotherapy
[object Object],[object Object],[object Object],[object Object],Hydrotherapy
Testing the Water:  Are the Effects of Hydrotherapy More Psychological Than Physiological? Doug Stacey ,  Sport PT – dip.  K.   Martin-Ginis 2 , M. Poling 1 , and M.J. Gibala 1 .  1. Exercise Metabolism Research Group and 2. Health Psychology Laboratory, Dept. of Kinesiology, McMaster Univ., Hamilton, ON.  Hydrotherapy
Methods: Pre Training   Training Post Training Familiarization trials VO 2max Wingate Challenge ride VO 2max Wingate Challenge ride 5 5 6 4 4 Numbers represent the # of Wingate tests / training session Hydrotherapy N=6 Vs. Control N=6 Hydrotherapy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hydrotherapy
[object Object],[object Object],Hydrotherapy
[object Object],[object Object],[object Object],[object Object],Hydrotherapy
Contrast Therapy Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hydrotherapy
[object Object],[object Object],[object Object],[object Object],Hydrotherapy
Contrast Therapy Summary ,[object Object],[object Object],Hydrotherapy
Thermotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Wilcock et al., (2006) Hydrotherapy
Thermotherapy Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hydrotherapy
Hydrotherapy Benefits???? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hydrotherapy
Take Home Points…. ,[object Object],Hydrotherapy ,[object Object],[object Object]
B.  Massage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massage - Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massage - Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massage - Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massage - Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massage - Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massage - Research ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Rest ,[object Object],[object Object],[object Object],[object Object],Samuels, (2008)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Rest
[object Object],Rest ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Current interventions are still based largely on clinical experience and evidence derived from research in other fields (removed from elite athletes)
[object Object],[object Object]
“ Art  vs. Science”
Research Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Experience” ,[object Object],[object Object]
[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References (Cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References (Cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References (Cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References (Cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Recovery- Doug Stacey CSTS March 2011

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  • 4. Training Response Arja L.T. et al, 2001
  • 5. Training Response Arja L.T. et al, 2001
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  • 9. Central/Peripheral - Metabolic Fatigue Hargreaves, (2005)
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  • 15. Glycolytic System Low-Moderate Intensity Exercise glucose / glycogen pyruvate NAD NADH (mitochondria) NADH NAD H + + e- O 2 lactate LDH acetyl CoA PDH
  • 16. What’s the problem with increased lactate? Low-Moderate Intensity Exercise “ Lactic Acid ” H + + Lactate –  muscle pH “ Metabolic inhibition” (  enzyme activity) “ Contractile inhibition” (  X-bridge cycling )
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  • 28. Main Food Energy Sources in Exercise Metabolism • amino acids 95-100% of total energy production “ fuel mix” depends on exercise intensity Nutrition • glucose • glycogen • fatty acids • triglycerides Carbohydrates (CHO) Lipids (Fats) Protein
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  • 43. Take home points… Hydration IOM Guidelines, (2004) Sedentary Daily Allowance Sedentary Upper Limit Active/Athlete Daily Allowance Active/Athlete Upper Limit Water 3.7 L/day (male) 2.7 L/day (female) None 3.7 L/day (male) 2.7 L/day (female) None Sodium 1.5 g/day (3.8 g/day salt) 2.3 g/day (5.8 g/day salt) >1.5 g/day (>10 g/day salt) None Potassium 4.7 g/day None 4.7 g/day None
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  • 48. REST, LIGHT EXERCISE OR CRYOTHERAPY: WHAT IS THE MOST EFFECTIVE WAY TO RECOVER BETWEEN REPEATED BOUTS OF INTENSE EXERCISE? Doug Stacey , BHScPT Sport Physiotherapist – Diploma B.W. Timmons †† and M.J. Gibala † . † Exercise Metabolism Research Group, Dept. of Kinesiology, †† Children’s Exercise and Nutrition Center, McMaster University, Hamilton, ON Hydrotherapy
  • 49. Methods Recovery Intervention – 20 min Rest, Active, Cryo Familiarization VO 2peak Hydrotherapy Pre Week 1 Week 2 Week 3 Testing & Familiarization Training – 3 bouts Random intervention Training – 3 bouts Random intervention Training – 3 bouts Random intervention Bout1 50KJ Bout 3 50KJ Bout 2 50KJ Rest Blood Sample and Questionnaires Lactate, IL-6, CBC – RPE, VAS, Preparedness lactate lactate
  • 50. * p .≤ .05 vs bout 1 (main effect) * * Hydrotherapy
  • 51. ** * p .≤ .05 vs Rest(main effect); ** p .≤ .05 vs Passive, Cold * * * Hydrotherapy
  • 52. * p .≤ .05 vs Rest, Bout 2 (main effect) * Hydrotherapy
  • 53. * p .≤ .05 vs Rest (main effect); ** p .≤ .05 vs Active, Passive ** * * Hydrotherapy
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  • 60. Testing the Water: Are the Effects of Hydrotherapy More Psychological Than Physiological? Doug Stacey , Sport PT – dip. K. Martin-Ginis 2 , M. Poling 1 , and M.J. Gibala 1 . 1. Exercise Metabolism Research Group and 2. Health Psychology Laboratory, Dept. of Kinesiology, McMaster Univ., Hamilton, ON. Hydrotherapy
  • 61. Methods: Pre Training Training Post Training Familiarization trials VO 2max Wingate Challenge ride VO 2max Wingate Challenge ride 5 5 6 4 4 Numbers represent the # of Wingate tests / training session Hydrotherapy N=6 Vs. Control N=6 Hydrotherapy
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  • 85. “ Art vs. Science”
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Notas del editor

  1. When you finish one bout of exercise/training – you immediately begin preparing for the next
  2. When you finish one bout of exercise/training – you immediately begin preparing for the next
  3. When you finish one bout of exercise/training – you immediately begin preparing for the next
  4. When you finish one bout of exercise/training – you immediately begin preparing for the next
  5. When you finish one bout of exercise/training – you immediately begin preparing for the next
  6. When you finish one bout of exercise/training – you immediately begin preparing for the next
  7. When you finish one bout of exercise/training – you immediately begin preparing for the next
  8. When you finish one bout of exercise/training – you immediately begin preparing for the next
  9. When you finish one bout of exercise/training – you immediately begin preparing for the next
  10. When you finish one bout of exercise/training – you immediately begin preparing for the next