Recovery and Regeneration Strategies The 24 Hour Athlete - Nick Grantham Director of Strength and Conditioning Smart Fitness
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Recovery and Regeneration Strategies…The 24 Hour Athlete Nick Grantham Director of Strength and Conditioning Smart Fitness
Overview • Progressive Overload – Supercompensation • Fatigue – What is fatigue? • Recovery and Regeneration – What can we do to recover from fatigue? • The Recovery Pyramid – Back to basics
It is the role of the coach to ensure that training programmes are structured such that the athlete attains the maximal possible physiological adaptations while reducing the risk of residual fatigue, which may result in illness or injury. Peak Performance (Hawley and Burke, 1998)
Recovery strategies are well recognised as being critical to optimise the benefits of training and facilitate performance.‟ Olympic Coach 15 (3) (Calder, 2003)
The Recovery Renaissance Paula Radcliffe revealed in the aftermath of her sensational European 10,000m gold that the secret to her success is a 10- minute ice bath after every race. “When we got back to the hotel, which is about 25 minutes from the stadium, we had ice baths out by the pool and then a quick dip in the pool”. Luke Narraway (Gloucester and England RFU)
Progressive Overload „nature has given the human body a wonderful engine management system. It actually responds to stress by adapting to cope with it better‟ Peter Keen – Coach to Chris Boardman – Training is designed to progressively overload the body systems and fuel stores. – If the training stress is inadequate to overload the physiological system, then no adaptations will occur. – If the workload is too great (applied too quickly, performed too often without adequate rest) then fatigue follows and the following performance will be reduced. – Adaptation is the biological response to stress
Progressive Overload Supercompensation •Recovery strategies speed-up training adaptations ADAPTATION TRAINING ADAPTATION RECOVERY FATIGUE TIME
What is Fatigue? Metabolic (energy stores) –Heavy Volume –Repeated workloads –Anaerobic sessions Tissue damage (DOMS) –Plyometrics –Contact sports –Eccentric loading I Takahashi et al (2007) & Ascensão et al (2007)
What is Fatigue? Neural (PNS) –High intensity work –Relative power development –Speed work Psychological (CNS and emotional stress) –Training monotony (it‟s a job) –Lifestyle issues –Heavy game/competition/training period/pressure plays –New training techniques Adapted from Calder, (1996)
What is Fatigue? •Environmental –Hot and cold environments –Travel (local, national, international) –Time differences –Competitions
Recovery and regeneration „The hardest thing for an athlete to do is not to train. You can‟t sit still. You feel you should be out there working‟ Graham Obree – World Champion Cyclist – Work alone is not enough to produce the best results. Athletes need time to adapt to training. – To encourage adaptation to training it is important to plan recovery activities which reduce residual fatigue. – The sooner you recover from fatigue and the fresher you are when you complete a training session, the better the chance of improving. – Increasing rate of recovery increases ability to train
What can we do to recover from fatigue? Prophylactic Therapeutic • Nutrition and supplementation • Rest/Recovery – Antioxidants (Vit C, E) – Active – Passive – HMB – CHO and protein • Pool work – Creatine • Massage – Hydration – Ice massage – BCAA‟s – Self – Med Sci Sports Exerc, 38 (11), 1918-1925 – Myofascial release • Ultrasound, TENS, HVPC • Compression garments • Hydrotherapies • Stretching – Contrast bathing • Prior eccentric exercise – Cold water immersion • Reactive programming – Whole body N.B. – little evidence in elite athletes! • NSAIDs
Recovery and Regeneration Jump on the bandwagon! – Change allows the field to stay interesting for us but it‟s easy to get caught up looking for the next big thing. – Everyone focuses on getting the „edge‟, looking for the one thing that will make the difference. They concentrate so hard on the 2% that they forget about the other 98%. www.winningedgefitness.co.uk
Recovery and Regeneration Back to Basics Psychological /environmental (floatation tanks etc), LEVEL 4 cryotherapy integrated approach with individual focus Recovery pool work, compression LEVEL 3 garments, ice baths, massage, contrast bathing Periodisation (training changes), reactive programming, ongoing LEVEL 2 monitoring, cool down, stretching Rest (active and passive), sleep, nutrition (refuelling LEVEL 1 and rehydration), self massage The Recovery Pyramid Grantham and Jarvis ©
Precovery • Instead of thinking about RECOVERY....we should be focusing on PRECOVERY. • Time should be spent making sure they are in the best possible physical state before they start to train or recover. • This is done by putting in place interventions that take effect long before training event starts (training diaries, sleep/naps, pre-workout meals).
Recovery Strategies Level One Sleep/Rest (passive and active) – Sleep is the most important forms of passive rest – 30-36 hours of sleep deprivation can result in a loss of performance (physical, mental) – Sleep provides time for adaptation. – Passive rest includes listening to music etc. P H Walters (2002); Hewston et al (2005) and Faigenbaum et al (2002) Active rest could take the form of walking, flexibility training. Recover either: – physiological state – musculoskeletal system – psychologically Calder in Smart Sport (1996)
Recovery Strategies Level One Nutrition (refuelling and rehydration) – Athletes need to replace sweat losses and maintain fuel (glycogen) stores while recovering from a training session. – Fluid replacement is important to ensure the athlete re-hydrates sufficiently (1kg = ~1.2-1.5 litres of fluid) – Carbohydrate immediately post training. – In addition to carbohydrate a source of protein may help speed up the recovery process. – BCAA‟s
Recovery Strategies Level Two Periodisation – Verhoshansky, Matveyev, Zatsiorsky, Nadori, Bompa, Bondarchuk, Balyi Structured training programme – Sets – Reps – Volume – Intensity – Interference in concurrent training Planned periods of recovery – Half and full recovery weeks – Transition periods Jeffreys ( 2005) G Kazushige et al (2007)
Recovery Strategies Level Two Reactive Programming – There will always be changes! – The ability to anticipate and react is crucial – training is a process. – What can we record? Power outputs (jump height) Quality and quantity of sleep Contact times (jumps) Energy levels Subjective questionnaires Training quality (motivation, health, nutrition, energy levels) Muscle soreness Perceived soreness Heart rate (waking, sleeping Training history (8bpm Waldeck & Lambert 2003), variability) Weight
Recovery Strategies Level Two Monitoring - Training Diaries Date: 31.03.99 WHR (bpm): 63 Weight (kg): 65 Training: Warm up and stretch (10mins) Conditioning (leg circuit 20 mins) 40seconds work; 10seconds rest (squats, mat running, calf raises) p-bars, vault, rings, floor Comments: Supplements: Felt tired at start, legs sore. Boots multi vitamin (1) Good p-bar session, need to focus on dismount Nutrition: 1 2 3 4 5 Sleep: 1 2 3 4 5
Recovery Strategies Level Two Monitoring - Training Diaries THURSDAY / / QUALITY OF SLEEP 1 2 3 4 5 ENERGY LEVELS 1 2 3 4 5 TRAINING QUALITY 1 2 3 4 5 MUSCLE SORENESS 1 2 3 4 5 MOTIVATION 1 2 3 4 5 HEALTH 1 2 3 4 5 NUTRITION 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 RHR Sleep (Hrs) Travel (mins)
Recovery Strategies Level Two •All athletes should keep a daily training diary so they can monitor their responses to training. •Four essential markers – quality of sleep, morning resting heart rate, morning body weight, daily rating of energy levels. 5 12 4 10 8 3 6 2 4 1 2 0 01-Ap r-03 0 03-Ap r-03 05-Ap r-03 06-Ap r-03 07-Ap r-03 08-Ap r-03 10-Ap r-03 12-Ap r-03 13-Ap r-03 02-Ap r-03 04-Ap r-03 09-Ap r-03 11-Ap r-03 17-Mar-03 18-Mar-03 20-Mar-03 22-Mar-03 23-Mar-03 24-Mar-03 25-Mar-03 27-Mar-03 29-Mar-03 30-Mar-03 31-Mar-03 19-Mar-03 21-Mar-03 26-Mar-03 28-Mar-03 Hours of Sleep Quality of Sleep
Recovery Strategies Level Two Monitoring – Menu System – Particularly useful for athletes training remotely. – Allocation of points to different forms of recovery and regeneration strategy. – Points accumulated over the course of a week and the athlete aims to achieve a minimum total. – Reinforces the need to complete a range of recovery strategies – not to rely on one method. – Provides coach with a strong education tool.
Recovery Strategies Level Two Cool Down and Stretching – This is the time to bring the body back to is resting state – Muscular relaxation, removal of metabolic by-products – Active recovery – Static stretching post exercise has demonstrated benefits for injury reduction (Hartig & Henderson, 1999)
Recovery Strategies Level Three Recovery Pool Work – Ability to complete training with minimal impact on the body. Notes - fluid after laps Reps/Laps Reps/Laps 1 Walk - fwd/arm swing 1 12 Lateral step with arms - L 1 2 Walk - bckwd/arm swing 1 13 Lateral step with arms - R 1 3 Lateral step - L 1 14 Extended step (fwd) 1 4 Lateral step - R 1 15 Extended step (bckwd) 1 5 Backstroke 2 16 Side stroke - L 1 17 side stroke - R 1 Calf stretch 20-30s Side Flex 20-30s Adductors (L/R) (body swings) 20-30s Hamstring (wall/partner) 20-30s 6 Side stroke - L 1 7 Side stroke - R 1 Tricep (overhead) 20-30s 8 Walking Lunge - fwd/arm swing 1 back/shoulder (cross chest) 20-30s 9 Walking Lunge - bckwd/arm swing 1 Pecs (penguin) 20-30s 10 Lunge and rotate 1 Neck (side flex) 20-30s 11 Backstroke 1 Quads (L/R) (against wall/partner) 20-30s back/ham/glute (curl/stretch) 20-30s
Recovery Strategies Level Three Compression Garments – Growing body of evidence – Widely used in treatment of muscle and other soft tissue injury. – Reduces swelling – Improves alignment and mobility of scar tissue – Improves proprioception in an injured joint – Reduction in vibration resulting in less soft tissue damage Kraemer, French, Barry & Spiering 2004
Recovery Strategies Level Three Compression Garments Potential mechanisms are based on: – Reducing oedema through the creation of an external pressure gradient. – Reducing the space available for swelling to accumulate, which prevents haemorrhage and haematoma formation. – Provides mechanical support that facilitates capacity for force production. – Blood lactate removal and increased blood flow – Improves proprioception of injured joint following eccentric damage Kraemer, French, Barry & Spiering 2004
Recovery Strategies Level Three Compression Garments • >60mmHg is needed in order to induce sufficient peripheral venous return to have a beneficial effect....commercially available compression garments have much less compression. • Skins for example report 25mmHg at the ankle and 15mmHg at the waist.
Recovery Strategies Level Three Sports Massage – An evolving practice incorporating elements of „Swedish‟ massage, plus any combination of muscle release and stretching, muscle energy techniques, reciprocal inhibition, mobilisation and more ……… – More „art‟ than „science‟; techniques can vary significantly between practitioners. Level of therapist training has an impact on effectiveness (more than 950 hours). (Moraska, 2007) – There is a possibility that treatment will be uncomfortable or painful. It has been described as „conventional massage done harder.‟
Recovery Strategies Level Three Sports Massage – There is an increasing use of massage in the recovery strategies of many high performance sports and athletes. (Galloway and Watt, 2004; Callaghan, 1993; Bell, 1999) – Coaches and athletes see massage as a means of enhancing performance by preventing injury and facilitating recovery. (Angus, 2001; Field, 2002) – Increased local blood flow – enhancing delivery of oxygen and nutrients and removal of metabolic by- products. – Warming and stretching of soft tissues providing temporary flexibility gains.
Recovery Strategies Level Three Hydrotherapy Guidelines "It's absolute agony, and I dread it, but it allows my body to recover so much more quickly…“ Paula Radcliffe on ice baths – Hydrate before during and after Contrast Bathing – Alternate hot (35-37oC-37oC) cold (10oC-16oC) – Warm shower 1-2 mins, Cold shower 30-60 secs – Repeat 3 times or – Spa bath 3-4 mins, cold shower 30-60 secs – Repeat 3 times or – Cold immersion 5-10 minutes
Recovery Strategies Level Four Floatation Tanks – Minimal stimulation. – Improved ability to become emotionally calm. Omega Wave and Stress Diagnostics – An inside look – Heart regulation – Energy systems – CNS, gas exchange, hormonal Cryotherapy – Cryogenic chambers – 110-120 degree celsius for 3-4 minutes – 1-2 sessions per day (20-40 exposures)
Matching Recovery Strategies to the type of Fatigue Type of Fatigue Recovery Strategy Sleep, rest (passive and active) Nutrition Hydrotherapies (contrast bathing) Metabolic (Energy Stores) Massage Recovery pool work Compression clothing Sleep, rest (passive and active) Nutrition Hydrotherapies (cold baths) Tissue Damage Massage (not always appropriate) Compression clothing Recovery pool work
Matching Recovery Strategies to the type of Fatigue Type of Fatigue Recovery Strategy Sleep, rest (passive and active) Neurological (peripheral Hydrotherapies (cold baths) nervous system) Massage Psychological (CNS and Sleep, rest (passive and active) emotional fatigue) Floatation tanks Sleep, rest (passive and active) Environmental Hydrotherapies (contrast bathing, cold baths Recovery pool work
A spanner in the works! Don‟t believe everything you read...and don‟t only read everything you believe!
Recovery and regeneration Many athletes report: Perceived quicker recovery –Ability to increase training load But not always a concurrent improvement in performance! Should we be messing around with the bodies natural recovery mechanisms? www.winningedgefitness.co.uk
How Effective are Recovery Strategies? – Immediate use of artificial means which facilitate restoration (recovery) can weaken the natural ability of the body to restore itself and promote supercompensation. – Is muscle damage a pre-requisite for hypertrophy? – Could this increase the risk of „overtraining‟ (UPS) or injury?
How Effective are Recovery Strategies? • Are we looking to recover from a training stimulus ready for the next training session, or are we looking to recover from a match ready for the next one? • Heat protein research is now showing that some recovery methods such as cold baths may in fact blunt the functioning of these heat proteins. .
How Effective are Recovery Strategies? – Prolonged use of any given means of restoration (recovery) will decrease the recuperative effect. Eastern block experts recommend that the same recovery strategy should not be applied more than once or twice a week in the same form. – Can research findings be generalised to athletic population? – Might recovery strategies offer short-term benefits at the expense of long-term adaptation?
Summary – Fatigue has various forms (metabolic, tissue damage, neural, environmental, psychological). – The 24 hour athlete – it is what happens after training that is important. – Wide spread use of recovery strategies by many athletes. – Equivocal empirical evidence to support use of many recovery strategies.
Summary – Don‟t forget the basics – the recovery pyramid...ensure your athletes eat well and get adequate rest…..bells and whistles come later. – The overuse of any intervention leads to eventual ineffectiveness. – Should we be messing around with the bodies natural recovery mechanisms?
Take Home Message Restoration (recovery) is an integral part of overall training and practice, so that it must be applied with the short term and long term goals constantly in mind. Supertraining 4th Ed. (Siff, 2000)
Contact Details Nick Grantham E-mail nick@smartfitness.org.uk www.smartfitness.org.uk. www. nickgrantham.blogspot.com
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