Recovery from Ultra- Endurance Competition

Transcription

1 Recovery from Ultra- Endurance Competition Martin D. Hoffman, MD, FACSM Professor of PM&R, University of California Davis Chief of PM&R, VA Northern California Health Care System Founding Member, Ultra Sports Science Foundation Chief Medical Officer, Ultra Medical Team Disclosure: The contents presented herewith do not represent the views of the Department of Veterans Affairs or the US Government. Competing Interests: None

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3 Overview Recovery from a 161-km ultramarathon (2015) RCTs of massage vs. IPC vs. control 161 km ultramarathon (2015) km ultramarathons (2016) Placebo controlled trial of Vit B2 vs. placebo (2016) Questions

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8 Time (--) Plasma [CK] (++) Age (-) Time (--) Plasma [CK] (++) Female Sex (++) Longest Training Run/Race (+) Time x Plasma [CK] (--) Time x Longest Training Run/Race (--) Time x Female Sex (-) Time (--) Plasma [CK] (++)

9 Conclusions from WSER Study of Recovery Lower body muscle pain, soreness and fatigue can return to baseline within ~5-7 days following a 161-km ultramarathon, but functional recovery requires more time. Recovery time is largely related to post-race plasma [CK]. A secondary factor includes longest training run (longer improves rate of functional recovery). So..appropriate training is an important method for enhancing ultramarathon recovery.

10 Are there interventions that can enhance the rate of recovery?

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16 Conclusions from WSER Study of massage vs. IPC vs. control A single post-race massage and IPC treatment provides immediate subjective benefit, but no evidence for extended subjective or functional benefits.

17 Might daily massage or IPC following a race be effective at enhancing ultramarathon recovery?

18 2016 Tarawara Ultramarathons (TUMs) Study

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20 A randomized controlled trial of manual therapy and pneumatic compression for recovery from prolonged running An extended study Amanda M. Heapy a*, Martin D. Hoffman b, Heidie H. Verhagen c, Samuel W. Thompson a, Pavitra Dhamija a, Fiona J. Sandford d and Mary C. Cooper a a Department of Health and Sport, Toi Ohomai Institute of Technology, Rotorua, New Zealand. b Department of Physical Medicine & Rehabilitation, Department of Veteran Affairs, Northern California Health Care System, Sacramento, CA and Ultra Sports Science Foundation. c Fortebody Reconditioning, Rotorua, New Zealand. d QE Health, Rotorua, New Zealand.

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22 Muscular Fatigue Score 400 m Run Time (sec) Muscle Pain and Soreness Rating 10 8 Control IPC MT Pre-Race Post-Race 0 Post-Race Day 1 Pre-Race Post-Race Post-Race Day 1 Post-Race Day 2 Post-Race Day 3 Post-Race Day 4 Post-Race Day 5 Post-Race Day 6 Post-Race Day 7 Post-Race Day 14 Control IPC MT Post-Race Day 2 Post-Race Day 3 Post-Race Day 4 Post-Race Day 5 Post-Race Day 6 Post-Race Day 7 Post-Race Day Pre-Race 1 Pre-Race 2 Post-Race Day 3 Post-Race Day 5 Post-Race Day 7 Control IPC MT Post-Race Day 14

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24 Conclusions from TUMs Study of massage vs. IPC vs. control Lower body muscle pain, soreness and fatigue, and 400 m run times can return to baseline within ~5 days following km ultramarathons. Daily post-race massage and IPC provide minimal immediate subjective benefit, but no evidence for extended subjective or functional benefits.

25 Does riboflavin before and during a 161-km ultramarathon control exercise-related muscle soreness during the event and improve functional and subjective recovery?

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31 Conclusions from Placebo Controlled Trial of Riboflavin vs. Placebo Preliminary work suggests that riboflavin supplementation before and during prolonged running might reduce muscle pain and soreness during the exercise, and may enhance early functional recovery.

32 Key Points Massage and IPC can make you feel a little better (temporarily), but do not appear to have extended benefits in this environment. Riboflavin deserves more investigation. If you want to recover faster, then be well trained!

33 Thank You! 3 rd Annual mdhoffman@ucdavis.edu Denver, Colorado May 23, 2017