Sport and compression Improvement of performance or faster recovery phase?

Transcription

1 Sport and compression Improvement of performance or faster recovery phase? G. Willscheid, Orthopedics, Sports medicine Zürich, Switzerland

2 Effects of compression garments (CG) - During sports - In recovery phase - In exercise aher recovery - Delayed onset muscle sorness Main topics of presenta7on 2 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

3 CG are common in almost all kinds of sports Introduc7on

4 Different kinds of compression garments Usually it is compression class I Introduc7on Stockings Calf sleeves Shirts Shorts Tights Arm sleeves Pictures: CEP 4 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

5 Increase Marke7ng slogans promise - Blood flow - Strength and power Reduce - Exercise induced muscle damage (EIMD) Accelerate - Recovery processes Remove - Blood lactate faster Improve - Endurance performance 5 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

6 What is the current status of research? In the last 20 years more than 600 studies Very heterogeneouse study design Difficult to compare Just a view review papers are published Most cited literature Sperlich B et al. 2007, 2010, 2013, 2016, 2017 Hougton LA et al 2009 Chatard JC et al 2004 Kraemer et al 2001 and 2010 Duffield R et al2007 und 2008 Berry MJ et. McMurray RG 1987 and 1990 Perrey S Marqués-Jiménez D et al 2016 Ali A et al 2007 Rugg S et Sternlicht E Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

7 During sports performance Performance measured by [20, 22, 15, 16, 20, 26, 23] - gme to exhausgon - arterial lactate concentragon - heart rate - oxygen - Submaximal and maximal uptake - Saturagon - Pargal pressure 7 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

8 During sports performance - No significant change in - running performance [14, 15, 20, 21, 22, 36, 37, 40] - During maximal and submaximal exercise [20]; - Shuile run [10;22] - Repeated Sprint tests of 20x30m [15] - 2x 10km outdoor run [10] Also according to different compression garments: Pargal, full or non CG [20] = 8 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

9 During sport performance Benefit in [30,31, 32, 36, 38] - Reducing haematoma in - Contact sports - High impact sports 9 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

10 Recovery phase Faster recovery of muscle func7on afer exercise, which results by Significantly increased - Heart rate [13] - Stroke volume [12] - Cardiac output [12] Significantly reduced - Blood lactate concentragon [9, 12, 19, 23, 26] - Haematocrit [23] - LDH (lactate dehydrogenase) [9] - Muscle swelling [9] 10 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

11 BeKer subsequent performance by Exercise afer recovery phase Significantly improved - Greater mean counter movement jump hights [11, 32] - Maintenance and lower decrease of muscle power [11,23] - Improving sprint ability [32]; [36] 11 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

12 Delayed Onset Muscle Soreness (DOMS) (Muscle pain aher around 24h) Significant lower - Post-exercise ragngs of muscle soreness - 24h and 48h post-exercise [14, 15, 29, 30, 31, 32] Incoherent statements about the effect on the level of - serum concentragons of creagne kinase (CK) [9] 12 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

13 Conclusion During sports In Running No performance benefit In high impact sports Less haematoma muscle swelling Recovery phase Faster decrease of blood lactate Increased blood flow Exercise afer recovery better peformance Delayed onset muscle sorness Lower DOMS 13 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

14 Conclusion Most results obtained had high heterogeneity, thus their interpreta7on should be careful!!! Further studies are required 14 Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

15 15 Thank you

16 Literature 9 Marqués-Jiménez D, Calleja-González J, Arragbel I, Delextrat A, Terrados N; Are compression garments effecgve for the recovery of exercise-induced muscle damage? A systemagc review with meta-analysis. Physiol Behav Jan 1;153: doi: /j.physbeh Epub 2015 Oct Ali A, Caine MP, Snow BG; Graduated compression stockings: physiological and perceptual responses during and aher exercise. J Sports Sci Feb 15; 25(4): Rugg S, Sternlicht E the effect of graduated compression gghts, compared with running shorts on counter movement jump performances before and aher submaximal running Journal of Strength and Condigoning Research 2013; 27(4)/ Perrey S. (2008) Compression Garments: Evidence for their Physiological Effects (P208). In: The Engineering of Sport 7. Springer, Paris 13 Leoz I, Santos-Concejero J, Grobler L, Engelbrecht L, Aguado-Jimenez R. (2016). Running Performance While Wearing a Heat Dissipagng Compression Garment in Male Recreagonal Runners. Journal of Strength and Condigoning Research. 14 Duffield R, Edge J, Merrells R et al. The effects of compression garments on intermiient exercise performance and recovery on consecugve days. Int. J Sports Physiol. Perform 2008; Duffield R, Portus M Comparison of three types of full body compression garments on throwing and repeat-sprint performance in cricket players BrJ sports Med 2007; 41: ; discussion Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

17 Literature 16 Higgins T, Naughton GA, Burgess D. Effects of wearing compression garments on physiological and performance measures in a simulated game-specific circuit for netball. J Sci Med Sport 2009; 12: Berry MJ, McMurray RG Effects of graduated compression stockings on blood lactate following an exhausgve bout of exercise. Am J Phys Med Jun;66(3): Sperlich B, Haegele M., Achtzehn S et al. Differen types of compression clothing do not increase submaximal endurance performance in well trained athelets. Journal of Sports Sciences 2010; 28: Hougton LA, Dawson B, Maloney SK. Effects of wearing compression garments on thermoregulajon during simulated team sport acjvity in temperate environmental condijons. J Sci Med Sport 2009; 12: Chatard JC, Atlaoui D, Farjanel J et al. Elasgc stockings, performance and leg pain recovery in 63- year old sportsmen Eur J Appl Physiol 2004; 93: Berry MJ, Bailey SP, Simpkins LS et al Effect of elasgc gghts on post exercise response, Candian Journal of Sports Science 1990; 15: Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile

18 Literature 30 Kraemer WJ, Bush JA, Wickham RB et al. Congnuous Compression as an Effecgve Therapeugc Intervengon in Treagng Eccentric- Exercise-Induced Muscle Soreness. J Sport Rehabil 2001; 10: Kraemer WJ, Bush JA, Wickham RB et al. Influence of compression therapy on symptoms following soh gssue injury from maximal eccentric exercise. J Orthop Sports Phys Ther 2001; 31: Kraemer WJ, Flanagan SD, Comstock BA et al. Effects of a whole body compression garment on markers of recovery aher a heavy resistance workout in men and women. J Strength Cond Res 2010; 24: Davies V, Thompson KG, Cooper SM, The effects of compression garments on recovery. J Strength Cond Res 2009; 23: Gill ND, Beaven CM Cook C. Effecgveness of post-match recovery strategies in rugby players. Br J Sports Med 2006; 40: Dokumentenpfad manuell eingeben unter >Einfügen>Kopf-/Fusszeile