Exertional rhabdomyolysis in a 21-year-old, healthy female after performing three sets of the biceps curl exercise to failure with 30% 1RM: A case report

Background: The optimal resistance training program to elicit muscle hypertrophy has been consistently debated and researched. Although 3 sets of 10 repetitions at 70-80% of the 1-repetition maximum (1RM) is widely recommended, recent studies have shown that low-load (~30% 1RM), high-repetition (3 sets of 30-40 repetitions) resistance training can elicit similar muscular hypertrophy. Therefore, this type of resistance training has gained popularity, perhaps because less weight is lifted for a longer duration. In the process of testing this hypothesis in a research study in our laboratory, a subject diagnosed with exertional rhabdomyolysis after completing a single resistance training session that involved 3 sets to failure at 30% 1RM. Exertional rhabdomyolysis is a condition characterized by the excessive breakdown of striated skeletal muscle that releases proteins from the muscle cell, particularly myoglobin, into the blood that can be toxic to the kidneys and is a significant health concern. Case Report: Reviewed were the events leading up to and throughout the diagnosis of exertional rhabdomyolysis in a healthy, recreationally-trained, 21-year-old female that was enrolled in a study that compared the acute effects of the traditional high-load, low-repetition versus low-load, high-repetition resistance training. The subject completed a total of 143 repetitions of the bilateral dumbbell bicep curl exercise. Three days post-exercise she reported excessive muscle soreness and swelling and sought medical attention. She was briefly hospitalized and then discharged with instructions to take acetaminophen for soreness, drink plenty of water, rest, and monitor her creatine kinase (CK) concentrations. Changes in the subject’s CK concentrations, ultrasound-determined muscle thickness and echo intensity were monitored over a 14-day period are reported. Discussion: This case illustrates the potential risk of developing exertional rhabdomyolysis after a low-load, high-repetition resistance training session in healthy, young, recreationally-trained women. The fact that exertional rhabdomyolysis is a possible outcome is enough to warrant caution when prescribing this type of resistance exercise

Four weeks of high- versus low-load resistance training to failure on the rate of torque development, electromechanical delay, and contractile twitch properties

The purpose of this study was to investigate the effects of 4-weeks of high- versus low-load resistance training to failure on rate of torque development (RTD), electromechanical delay (EMD), and contractile twitch characteristics. Fifteen men (mean±SD; age=21.7±2.4 yrs) were randomly assigned to either a high- (80% 1RM; n=7) or low-load (30% 1RM; n=8) training group and completed elbow flexion resistance training to failure 3 times per week for 4 weeks. The participants were tested at baseline, 2-, and 4-weeks of training. Peak RTD (pRTDV) and RTD at 0-30 (RTD30V), 0-50 (RTD50V), 0-100 (RTD100V), and 0-200 (RTD200V) ms, integrated EMG amplitude (iEMG) at 0-30, 0-50, and 0-100 ms, and EMD were quantified during maximal voluntary isometric muscle actions. Peak twitch torque, peak RTD, time to peak twitch, 1/2 relaxation time and the peak relaxation rate were quantified during evoked twitches. Four weeks of high-load, but not low-load resistance training, increased RTD200V. There were also increases in iEMG during the first 30 ms of muscle activation for the high- and low-load groups, which may have indirectly indicated increases in early phase motor unit recruitment and/or firing frequency. There were no significant training-induced adaptations in EMD or contractile twitch properties

Four weeks of high- versus low-load resistance training to failure on the rate of torque development, electromechanical delay, and contractile twitch properties

The purpose of this study was to investigate the effects of 4-weeks of high- versus low-load resistance training to failure on rate of torque development (RTD), electromechanical delay (EMD), and contractile twitch characteristics. Fifteen men (mean±SD; age=21.7±2.4 yrs) were randomly assigned to either a high- (80% 1RM; n=7) or low-load (30% 1RM; n=8) training group and completed elbow flexion resistance training to failure 3 times per week for 4 weeks. The participants were tested at baseline, 2-, and 4-weeks of training. Peak RTD (pRTDV) and RTD at 0-30 (RTD30V), 0-50 (RTD50V), 0-100 (RTD100V), and 0-200 (RTD200V) ms, integrated EMG amplitude (iEMG) at 0-30, 0-50, and 0-100 ms, and EMD were quantified during maximal voluntary isometric muscle actions. Peak twitch torque, peak RTD, time to peak twitch, 1/2 relaxation time and the peak relaxation rate were quantified during evoked twitches. Four weeks of high-load, but not low-load resistance training, increased RTD200V. There were also increases in iEMG during the first 30 ms of muscle activation for the high- and low-load groups, which may have indirectly indicated increases in early phase motor unit recruitment and/or firing frequency. There were no significant training-induced adaptations in EMD or contractile twitch properties

Spatial Awareness is Related to Moderate Intensity Running during a Collegiate Rugby Match

International Journal of Exercise Science 9(5): 599-606, 2016. The purpose of the present study was to evaluate the relationship between spatial awareness, agility, and distance covered in global positioning system (GPS) derived velocity zone classifications during a collegiate rugby match. Twelve American collegiate rugby union players (mean±SD; age: 21.2±1.4 y; weight: 85.0±16.0 kg; 7 forwards & 5 backs) on a single team volunteered to participate in this investigation. The distances travelled at low (walking/jogging; \u3c2.7m/s), moderate (cruising/striding; 2.7-5.0 m/s), and high intensities (running/sprinting; \u3e5.0 m/s) were measured for each player using GPS sensors and normalized according to playing time during an official USA Rugby match. Spatial awareness was measured as visual tracking speed from one core session of a 3-dimensional multiple-object-tracking speed (3DMOTS) test (1.35±0.59 cm·sec-1). Agility was assessed utilizing the pro agility (5.05±0.28 sec) and t drill (10.62±0.39 sec). Analysis of variance revealed that athletes travelled the greatest distance during walking/jogging (39.5±4.5 m·min-1) and least distance during running/sprinting (4.9±3.5 m·min-1). Pearson product moment correlations revealed that only distance covered while cruising/striding (20.9±6.5 m·min-1) was correlated to spatial awareness (r=0.798, p=0.002). Agility did not correlate to distance covered at any velocity zone or spatial awareness. Spatial awareness, as determined by 3DMOTS, appears to be related to the moderate intensity movement patterns of rugby union athletes

Exertional rhabdomyolysis in a 21-year-old, healthy female after performing three sets of the biceps curl exercise to failure with 30% 1RM: A case report

Background: The optimal resistance training program to elicit muscle hypertrophy has been consistently debated and researched. Although 3 sets of 10 repetitions at 70-80% of the 1-repetition maximum (1RM) is widely recommended, recent studies have shown that low-load (~30% 1RM), high-repetition (3 sets of 30-40 repetitions) resistance training can elicit similar muscular hypertrophy. Therefore, this type of resistance training has gained popularity, perhaps because less weight is lifted for a longer duration. In the process of testing this hypothesis in a research study in our laboratory, a subject diagnosed with exertional rhabdomyolysis after completing a single resistance training session that involved 3 sets to failure at 30% 1RM. Exertional rhabdomyolysis is a condition characterized by the excessive breakdown of striated skeletal muscle that releases proteins from the muscle cell, particularly myoglobin, into the blood that can be toxic to the kidneys and is a significant health concern. Case Report: Reviewed were the events leading up to and throughout the diagnosis of exertional rhabdomyolysis in a healthy, recreationally-trained, 21-year-old female that was enrolled in a study that compared the acute effects of the traditional high-load, low-repetition versus low-load, high-repetition resistance training. The subject completed a total of 143 repetitions of the bilateral dumbbell bicep curl exercise. Three days post-exercise she reported excessive muscle soreness and swelling and sought medical attention. She was briefly hospitalized and then discharged with instructions to take acetaminophen for soreness, drink plenty of water, rest, and monitor her creatine kinase (CK) concentrations. Changes in the subject’s CK concentrations, ultrasound-determined muscle thickness and echo intensity were monitored over a 14-day period are reported. Discussion: This case illustrates the potential risk of developing exertional rhabdomyolysis after a low-load, high-repetition resistance training session in healthy, young, recreationally-trained women. The fact that exertional rhabdomyolysis is a possible outcome is enough to warrant caution when prescribing this type of resistance exercise

Stature, Body Mass, and BMI in High School American Football Players: Appropriate determinants of obesity prevalence?

The purpose of this study was to evaluate stature (HT), weight (WT), body mass index (BMI), and obesity prevalence based on BMI categories in a large sample (n = 7,175) of high school American football players enrolled as freshmen, sophomores, or juniors. Players were categorized by their positions: offensive linemen (OL), defensive linemen (DL), tight end (TE), defensive end (DE), linebacker (LB), running back (RB), quarterback (QB), defensive back (DB), and wide receiver (WR). HT, WT, and BMI increased as grade increased among all positions. OL and DL had the greatest HT, WT, and BMI (p≤0.05). Obesity prevalence was greatest in OL and DL. When accounting for age-related increases in BMI, WT increased to a greater degree than HT. If HT is an indirect indicator of skeletal size, while WT is more influenced by soft tissue, then the age-related BMI increases in the present study may be largely accounted for by soft tissue changes rather than skeletal growth. Even though obesity prevalence in OL (94.5%) and DL (78.4%) positions was greater than all other positions as determined from BMI, it is impossible to know the allocations of fat-free and fat mass—particularly in American football athletes. If obesity continues to be defined as an unhealthy accumulation of fat, then athletes who may have a greater relative proportion of lean soft tissue should not be classified as obese using BMI (WT÷HT²). More sophisticated, reliable, and sensitive measure of body composition, such as skinfolds, may be more appropriate field measurements

Strength Ratios Are Affected By Years Of Experience In American Collegiate Rugby Athletes: A Preliminary Study

BACKGROUND: Hamstring:quadriceps ratios (HQRs) have been studied as potential markers for an athlete\u27s risk of injury, but little is known about how sport-specific experience affects HQRs. OBJECTIVE: This study compared isokinetic and isotonic strength measures, including determining HQRs, between American collegiate male rugby athletes with at least two years of experience (XP; n = 10) and those with less than two years of experience (IN; n = 14). METHODS: Isokinetic concentric (ConH) and eccentric (EccH) hamstring and concentric only quadriceps (ConQ) strength was measured at 60 and 180./s. The strength ratio: Hcon/Qcon (HQR), was calculated for both velocities, HQR60, HQR180, while the strength ratio: ConH/ConQ, the dynamic control ratio (DCR), was likewise calculated, DCR60 and DCR180. The isotonic strength was assessed via squat 1-repetition maximum. Analysis of covariance was used to examine differences between IN and XP while body weight and age served as the covariates. RESULTS: No significant differences were noted between groups in isokinetic or isotonic strength. However, a significant difference was observed in DCR60 (p = 0.047) between the two groups, with XP (0.94 ± 0.11) being greater than IN (0.81 ± 0.16). CONCLUSIONS: In view of the preliminary nature of this study, the implication of this finding is yet obscure. However, given the role of the DCR in an underlying proneness to injury, we suggest that a more comprehensive study with a substantial followup period is undertaken for uncovering the potential importance of this ratio vis-a-vis other major functional parameters as well as injury prediction and assessment of rehabilitation

Influence Of Baseline Muscle Strength And Size Measures On Training Adaptations In Resistance-Trained Men

International Journal of Exercise Science 11(4): 198-213, 2018. The influence of baseline strength or muscle size on adaptations to training is not well-understood. Comparisons between novice and advanced lifters, and between stronger and weaker experienced-lifters, have produced conflicting results. This study examined the effect of baseline muscle strength and size on subsequent adaptations in resistance-trained individuals following a traditional high-volume, short-rest resistance training protocol. Fourteen resistance-trained men (24.0±2.7 y; 90.1±11.7 kg; 169.9±29.0 cm) completed pre-training (PRE) ultrasound measurements of muscle cross-sectional area (CSA) in the rectus femoris (RF), vastus lateralis (VL), pectoralis major, and triceps brachii (TRI) prior to strength assessments (e.g., one-repetition maximum strength bench press and back-squat). Post-training (POST) assessments were completed following 8-wks (4 d∙wk-1) of resistance training. Comparisons were made between stronger (STR) and weaker (WKR) participants, and between larger (LGR) and smaller (SMR) participants, based upon PRE-muscle strength and size, respectively. When groups were based on upper-body strength, repeated measures analysis of variance indicated a significant group x time interaction where greater improvements in bench press strength were observed in WKR (12.5±8.6%, p = 0.013) compared to STR (1.3±5.4%, p=0.546). Within this comparison, STR also possessed more resistance training experience than WKR (mean difference=3.1 y, p=0.002). No other differences in experience or adaptations to training were observed. These data suggest that following a short-duration training program (8-weeks), baseline size and strength have little impact on performance gains in resistance-trained individuals who possess similar years of experience. However, when training experience is different, baseline strength may affect adaptations

Altering Work to Rest Ratios Differentially Influences Fatigue Indices During Repeated Sprint Ability Testing

La Monica, MB, Fukuda, DH, Beyer, KS, Hoffman, MW, Miramonti, AA, Riffe, JJ, Baker, KM, Fragala, MS, Hoffman, JR, and Stout, JR. Altering work to rest ratios differentially influences fatigue indices during repeated sprint ability testing. J Strength Cond Res 30(2): 400-406, 2016—This study examined the influence of recovery time on fatigue indices, performance (total work [TW], peak power [PP], and mean power [MP]), and oxygen consumption during repeated sprint ability (RSA) on a cycle ergometer. Eight recreationally-trained men performed 3 RSA protocols consisting of 10 × 6 s sprints with 12 s, 18 s, and 24 s rest intervals between each sprint. Fatigue indices were determined as percent decrement (%Dec) and rate of decline using either a log transform method or standard slope approach for TW, PP, and MP during respective RSA protocols. The maximal V[Combining Dot Above]O2 value in response to given sprint intervals and the minimal V[Combining Dot Above]O2 value in response to given rest periods (V[Combining Dot Above]O2work and V[Combining Dot Above]O2rest, respectively) were recorded. A repeated measures analysis of variance was used to analyze all variables. Average V[Combining Dot Above]O2work was not different among rest interval trials. Average V[Combining Dot Above]O2rest with 12 s rest was greater than 18 s and 24 s (2.16 ± 0.17 L·min−1, 1.91 ± 0.18 L·min−1, 1.72 ± 0.15 L·min−1, respectively), while 18 s was greater than 24 s. Average TW and MP were greater with 24 s rest than 12 s (4,604.44 ± 915.98 J vs. 4,305.46 ± 727.17 J, respectively), with no differences between RSA protocols for PP. No differences in %Dec were observed. Both methods of calculating rates of decline per sprint for PP and TW were greater during 12 s than 18 s or 24 s. Since changes were only noted between the 12 s and 24 s protocols, a 6 s differential in rest intervals may not be enough to elicit alterations in TW, PP, MP, or %Dec in RSA performance. Rate of decline may be a more sensitive measure of fatigue than %Dec