Julien Louis

Effects of Whole-Body Cryotherapy vs. Far-Infrared vs. Passive Modalities on Recovery from Exercise-Induced Muscle Damage in Highly-Trained Runners

Enhanced recovery following physical activity and exercise-induced muscle damage (EIMD) has become a priority for athletes. Consequently, a number of post-exercise recovery strategies are used, often without scientific evidence of their benefits. Within this framework, the purpose of this study was to test the efficacy of whole body cryotherapy (WBC), far infrared (FIR) or passive (PAS) modalities in hastening muscular recovery within the 48 hours after a simulated trail running race. In 3 non-adjoining weeks, 9 well-trained runners performed 3 repetitions of a simulated trail run on a motorized treadmill, designed to induce muscle damage. Immediately (post), post 24 h, and post 48 h after exercise, all participants tested three different recovery modalities (WBC, FIR, PAS) in a random order over the three separate weeks. Markers of muscle damage (maximal isometric muscle strength, plasma creatine kinase [CK] activity and perceived sensations [i.e. pain, tiredness, well-being]) were recorded before, immediately after (post), post 1 h, post 24 h, and post 48 h after exercise. In all testing sessions, the simulated 48 min trail run induced a similar, significant amount of muscle damage. Maximal muscle strength and perceived sensations were recovered after the first WBC session (post 1 h), while recovery took 24 h with FIR, and was not attained through the PAS recovery modality. No differences in plasma CK activity were recorded between conditions. Three WBC sessions performed within the 48 hours after a damaging running exercise accelerate recovery from EIMD to a greater extent than FIR or PAS modalities.

Time-Course of Changes in Inflammatory Response after Whole-Body Cryotherapy Multi Exposures following Severe Exercise

The objectives of the present investigation was to analyze the effect of two different recovery modalities on classical markers of exercise-induced muscle damage (EIMD) and inflammation obtained after a simulated trail running race. Endurance trained males (n = 11) completed two experimental trials separated by 1 month in a randomized crossover design; one trial involved passive recovery (PAS), the other a specific whole body cryotherapy (WBC) for 96 h post-exercise (repeated each day). For each trial, subjects performed a 48 min running treadmill exercise followed by PAS or WBC. The Interleukin (IL) -1 (IL-1), IL-6, IL-10, tumor necrosis factor alpha (TNF-α), protein C-reactive (CRP) and white blood cells count were measured at rest, immediately post-exercise, and at 24, 48, 72, 96 h in post-exercise recovery. A significant time effect was observed to characterize an inflammatory state (Pre vs. Post) following the exercise bout in all conditions (p<0.05). Indeed, IL-1β (Post 1 h) and CRP (Post 24 h) levels decreased and IL-1ra (Post 1 h) increased following WBC when compared to PAS. In WBC condition (p<0.05), TNF-α, IL-10 and IL-6 remain unchanged compared to PAS condition. Overall, the results indicated that the WBC was effective in reducing the inflammatory process. These results may be explained by vasoconstriction at muscular level, and both the decrease in cytokines activity pro-inflammatory, and increase in cytokines anti-inflammatory.

Evidence of Disturbed Sleep and Increased Illness in Overreached Endurance Athletes

PURPOSE This study aimed to examine whether (i) objective markers of sleep quantity and quality are altered in endurance athletes experiencing overreaching in response to an overload training program and (ii) potential reduced sleep quality would be accompanied with a higher prevalence of upper respiratory tract infections in this population. METHODS Twenty-seven trained male triathletes were randomly assigned to either overload (n = 18) or normal (CTL, n = 9) training groups. Respective training programs included a 1-wk moderate training phase followed by a 3-wk period of overload or normal training, respectively, and then a subsequent 2-wk taper. Maximal aerobic power and oxygen uptake (VO2max) from incremental cycle ergometry were measured after each phase, whereas mood states and incidences of illness were determined from questionnaires. Sleep was monitored every night of the 6 wk using wristwatch actigraphy. RESULTS Of the 18 overload training group subjects, 9 were diagnosed as functionally overreached (F-OR) after the overload period, as based on declines in performance and VO2max with concomitant high perceived fatigue (P < 0.05), whereas the other 9 overload subjects showed no decline in performance (AF, P > 0.05). There was a significant time-group interaction for sleep duration (SD), sleep efficiency (SE), and immobile time (IT). Only the F-OR group demonstrated a decrease in these three parameters (-7.9% ± 6.7%, -1.6% ± 0.7%, and -7.6% ± 6.6% for SD, SE, and IT, respectively, P < 0.05), which was reversed during the subsequent taper phase. Higher prevalence of upper respiratory tract infections were also reported in F-OR (67%, 22%, and 11% incidence rate for F-OR, AF, and CTL, respectively). CONCLUSION This study confirms sleep disturbances and increased illness in endurance athletes who present with symptoms of F-OR during periods of high volume training.

Parasympathetic Activity and Blood Catecholamine Responses Following a Single Partial-Body Cryostimulation and a Whole-Body Cryostimulation

The aim of this study was to compare the effects of a single whole-body cryostimulation (WBC) and a partial-body cryostimulation (PBC) (i.e., not exposing the head to cold) on indices of parasympathetic activity and blood catecholamines. Two groups of 15 participants were assigned either to a 3-min WBC or PBC session, while 10 participants constituted a control group (CON) not receiving any cryostimulation. Changes in thermal, physiological and subjective variables were recorded before and during the 20-min after each cryostimulation. According to a qualitative statistical analysis, an almost certain decrease in skin temperature was reported for all body regions immediately after the WBC (mean decrease±90% CL, -13.7±0.7°C) and PBC (-8.3±0.3°C), which persisted up to 20-min after the session. The tympanic temperature almost certainly decreased only after the WBC session (-0.32±0.04°C). Systolic and diastolic blood pressures were very likely increased after the WBC session, whereas these changes were trivial in the other groups. In addition, heart rate almost certainly decreased after PBC (-10.9%) and WBC (-15.2%) sessions, in a likely greater proportion for WBC compared to PBC. Resting vagal-related heart rate variability indices (the root-mean square difference of successive normal R-R intervals, RMSSD, and high frequency band, HF) were very likely increased after PBC (RMSSD: +54.4%, HF: +138%) and WBC (RMSSD: +85.2%, HF: +632%) sessions without any marked difference between groups. Plasma norepinephrine concentrations were likely to very likely increased after PBC (+57.4%) and WBC (+76.2%), respectively. Finally, cold and comfort sensations were almost certainly altered after WBC and PBC, sensation of discomfort being likely more pronounced after WBC than PBC. Both acute cryostimulation techniques effectively stimulated the autonomic nervous system (ANS), with a predominance of parasympathetic tone activation. The results of this study also suggest that a whole-body cold exposure induced a larger stimulation of the ANS compared to partial-body cold exposure.

Functional Overreaching : The Key to Peak Performance during the Taper?

PURPOSE The purpose of this study is to examine whether performance supercompensation during taper is maximized in endurance athletes after experiencing overreaching during an overload training (OT) period. METHODS Thirty-three trained male triathletes were assigned to either OT (n = 23) or normal training groups (n = 10, CTL) during 8 wk. Cycling performance and maximal oxygen uptake (V˙O2max) were measured after 1 wk of moderate training, a 3-wk period of OT, and then each week during 4-wk taper. RESULTS Eleven of the 23 subjects from the OT group were diagnosed as functionally overreached (F-OR) after the overload period (decreased performance with concomitant high perceived fatigue), whereas the 12 other subjects were only acutely fatigued (AF) (no decrease in performance). According to qualitative statistical analysis, the AF group demonstrated a small to large greater peak performance supercompensation than the F-OR group (2.6% ± 1.1%) and the CTL group (2.6% ± 1.6%). V˙O2max increased significantly from baseline at peak performance only in the CTL and AF groups. Of the peak performances, 60%, 83%, and 73% occurred within the two first weeks of taper in CTL, AF, and OR, respectively. Ten cases of infection were reported during the study with higher prevalence in F-OR (70%) than that in AF (20%) and CTL (10%). CONCLUSION This study showed that 1) greater gains in performance and V˙O2max can be achieved when higher training load is prescribed before the taper but not in the presence of F-OR; 2) peak performance is not delayed during taper when heavy training loads are completed immediately prior; and 3) F-OR provides higher risk for training maladaptation, including increased infection risks.

Muscle Strength and Metabolism in Master Athletes

Knee extensor muscle strength and metabolism were examined in endurance trained young versus master athletes (10 elderly: 62.5+/-4.1 yr and 10 young: 26.2+/-2.4 yr). Before and immediately after a resistance strength training (RST), subjects performed a maximal isometric voluntary contraction (MVC) and a 10-min cycling test at a same relative intensity. During MVC, evoked contractions of the knee extensors muscles were performed to assess neuromuscular properties. Metabolism was assessed using oxygen uptake kinetics model. Before the RST session master athletes showed lower knee extensors MVC values than young subjects (257 vs. 354 N p<0.05) without any difference in oxygen kinetics (respectively for elderly and young: oxygen slow component (VO2(sc)): 231 vs. 214 ml . min(-1) and time constant (tau1): 27.8 vs. 25.1 s, p>0.05). After the RST session, a similar effect of fatigue was observed on muscular properties and oxygen kinetics whatever the group (respectively for elderly and young: MVC: -13.4 vs. -15.9%; VO2(sc): +11.8 vs.+25.2% and tau1: -15.4 vs. -13.9%). Our results suggest that the ability of master athletes to perform exercise at a given intensity is maintained despite a significant loss in strength with ageing.

Whole-Body Cryostimulation Limits Overreaching in Elite Synchronized Swimmers

INTRODUCTION Elite athletes frequently undergo periods of intensified training (IT) within their normal training program. These periods can lead athletes into functional overreaching, characterized by high perceived fatigue, impaired sleep, and performance. Because whole-body cryostimulation (WBC) has been proven to be an effective recovery method in the short term (<76 h), we investigated whether daily WBC sessions during IT could prevent exercise and sleep-related signs of overreaching. METHODS After a normal training week (BASE), 10 elite synchronized swimmers performed two 2-wk IT periods in a randomized crossover fashion using WBC daily (ITWBC) or not (ITCON), separated by 9 d of light training. Swim time trials (400 m) were performed at BASE and after each IT to quantify blood lactate ([La]B), HR (HR400), salivary alpha amylase ([α-amylase]s400), and cortisol ([cortisol]s400) responses. Swimmers wore a wrist actigraph nightly to monitor sleep patterns. RESULTS Swim speed (400 m), [La]B400, and [α-amylase]s400 decreased from BASE to ITCON, although no significant changes were found after ITWBC. Decreased swim speed was correlated to decreased HR400 and [cortisol]s400. During ITCON, significant decreases in actual sleep duration (-21 ± 7 min) and sleep efficiency (-1.9% ± 0.8%) were observed, with increased sleep latency (+11 ± 5 min) and fatigue compared with BASE, although these variables did not change during ITWBC. Using a qualitative statistical analysis, we observed that daily WBC use resulted in a 98%, 59%, 66%, and 78% chance of preserving these respective variables compared with ITCON. CONCLUSION WBC use during IT helped mitigate the signs of functional overreaching observed during ITCON, such as reduced sleep quantity, increased fatigue, and impaired exercise capacity. These results support the daily use of WBC by athletes seeking to avoid functional overreaching during key periods of competition preparation.

The electrically assisted bicycle: an alternative way to promote physical activity.

ObjectiveThe aim of this study was to analyze the physiologic demand of pedaling on an electrically assisted bicycle to test its potential as an alternative method to perform exercise. DesignTwenty participants (ten trained vs. ten untrained in endurance) novice in the electrically assisted bicycle performed the same cycling protocol composed of nine 5-min submaximal cycling periods without electrical support (NO), with a light support (S1), or with a high support (S4). The cycling conditions were tested at two different imposed speeds (16 and 21 km·hr−1) and one freely chosen speed (mean [SD], 18.1 [0.7] km·h−1). ResultsMean power output, intensity, and energy expenditure were significantly lowered by the use of an electrical support, in similar proportions between the groups. For all subjects, the intensity of the electrically assisted bicycle in all measured conditions (S1 or S4) was sufficiently high to achieve the standards for moderate-intensity health-enhancing physical activity for adults (>3 metabolic equivalents). However, a vigorous intensity (>6 metabolic equivalents) was reached with the NO and S1 supports in the untrained group whatever the cycling speed and only at 21 km·hr−1 with the light support (S1) in the endurance-trained group. ConclusionsBy reducing the perceived sensation of effort while maintaining a sufficiently high energy expenditure, the electrically assisted bicycle has a great potential to promote physical activity in industrialized societies.

Maximal exercise limitation in functionally overreached triathletes: role of cardiac adrenergic stimulation

Functional overreaching (F-OR) induced by heavy load endurance training programs has been associated with reduced heart rate values both at rest and during exercise. Because this phenomenon may reflect an impairment of cardiac response, this research was conducted to test this hypothesis. Thirty-five experienced male triathletes were tested (11 control and 24 overload subjects) before overloading (Pre), immediately after overloading (Mid), and after a 2-wk taper period (Post). Physiological responses were assessed during an incremental cycling protocol to volitional exhaustion, including catecholamines release, oxygen uptake (V̇o2), arteriovenous O2 difference, cardiac output (Q̇), and systolic (SBP) and diastolic blood pressure (DBP). Twelve subjects of the overload group developed signs of F-OR at Mid (decreased performance with concomitant high perceived fatigue), while 12 others did not [acute fatigue group (AF)]. V̇o2max was reduced only in F-OR subjects at Mid. Lower Q̇ and SBP values with greater arteriovenous O2 difference were reported in F-OR subjects at all exercising intensities, while no significant change was observed in the control and AF groups. A concomitant decrease in epinephrine excretion was reported only in the F-OR group. All values returned to baseline at Post. Following an overload endurance training program leading to F-OR, the cardiac response to exhaustive exercise is transiently impaired, possibly due to reduced epinephrine excretion. This finding is likely to explain the complex process of underperformance syndrome experienced by F-OR endurance athletes during heavy load programs.

Vitamin and mineral supplementation effect on muscular activity and cycling efficiency in master athletes

The influence of vitamin and mineral complex supplementation on muscular activity and cycling efficiency was examined in elderly endurance-trained master athletes during a heavy cycling trial. Master athletes were randomly assigned in a double-blind process to 1 of 2 treatment groups: antioxidant supplementation (n = 8: As group) or placebo (n = 8: Pl group) for 21 days. After that time, each subject had to perform a 10-min session of cycling on a cycloergometer at a heavy constant intensity. Twenty-four to 48 h after this session, subjects performed an isometric maximal voluntary contraction before and immediately after a fatiguing strength training (leg press exercise) and the same 10-min cycling test after fatigue. Isometric maximal voluntary force (MVF) of knee extensors was assessed before and after fatigue. Electromyographic (EMG) activity of the vastus medialis, the vastus lateralis (VL), and the biceps femoris was recorded with surface EMG. The knee-extensors MVF after the fatiguing exercise was reduced in similar proportions for both groups (As, -10.9%; Pl, -11.3%, p < 0.05). This MVF loss was associated with a significant reduction in EMG frequency parameters for both groups, with a lower decrease for the As group. Muscular activity and cycling efficiency during the cycling bouts were affected by the treatment. Cycling efficiency decreased significantly and the oxygen uptake slow component was higher after the fatiguing exercise for both groups. Furthermore, a decrease in cycling efficiency was associated with an increase in VL activity. However, these changes were significantly lower for the As group. The results of the present study indicate an overall positive effect of vitamin and mineral complex supplementation on cycling efficiency after fatigue, in the endurance-trained elderly.