Case Report: Training Monitoring and Performance Development of a Triathlete With Spinal Cord Injury and Chronic Myeloid Leukemia During a Paralympic Cycle

IntroductionParatriathlon allows competition for athletes with various physical impairments. The wheelchair category stands out from other paratriathlon categories, since competing in swimming, handcycling, and wheelchair racing entails substantial demands on the upper extremity. Therefore, knowledge about exercise testing and training is needed to improve performance and avoid overuse injuries. We described the training monitoring and performance development throughout a Paralympic cycle of an elite triathlete with spinal cord injury (SCI) and a recent diagnosis of chronic myeloid leukemia (CML).Case Presentation/MethodsA 30-year-old wheelchair athlete with 10-years experience in wheelchair basketball contacted us for guidance regarding testing and training in paratriathlon. Laboratory and field tests were modified from protocols used for testing non-disabled athletes to examine their physical abilities. In handcycling, incremental tests were used to monitor performance development by means of lactate threshold (POBLA) and define heart rate-based training zones. All-out sprint tests were applied to calculate maximal lactate accumulation rate (V˙Lamax) as a measure of glycolytic capabilities in all disciplines. From 2017 to 2020, training was monitored to quantify training load (TL) and training intensity distribution (TID).ResultsFrom 2016 to 2019, the athlete was ranked within the top ten at the European and World Championships. From 2017 to 2019, annual TL increased from 414 to 604 h and demonstrated a shift in TID from 77-17-6% to 88-8-4%. In this period, POBLA increased from 101 to 158 W and V˙Lamax decreased from 0.56 to 0.36 mmol·l−1·s−1. TL was highest during training camps. In 2020, after he received his CML diagnosis, TL, TID, and POBLA were 317 h, 94-5-1%, and 108 W, respectively.DiscussionTL and TID demonstrated similar values when compared with previous studies in para-swimming and long-distance paratriathlon, respectively. In contrast, relative TL during training camps exceeded those described in the literature and was accompanied by physical stress. Increased volumes at low intensity are assumed to increase POBLA and decrease V˙Lamax over time. CML treatment and side effects drastically decreased TL, intensity, and performance, which ultimately hindered a qualification for Tokyo 2020/21. In conclusion, there is a need for careful training prescription and monitoring in wheelchair triathletes to improve performance and avoid non-functional overreaching

Three Weeks of Detraining Does Not Decrease Muscle Thickness, Strength or Sport Performance in Adolescent Athletes

International Journal of Exercise Science 13(6): 633-644, 2020. The purpose of this study was to examine the effects of detraining following a block (BLOCK) or daily undulating periodized (DUP) resistance training (RT) on hypertrophy, strength, and athletic performance in adolescent athletes. Twenty-one males (age = 16 ± 0.7 years; range 15-18 years) were randomly assigned to one of two 12-week intervention groups (three full-body RT sessions per week): BLOCK (n = 9); DUP (n = 12). Subsequently a three-week detraining period was applied. Body mass, fat mass (FM), fat-free mass (FFM), muscle mass, muscle thickness (rectus femoris, vastus lateralis and triceps brachii), one-repetition maximum squat and bench press, countermovement jump (CMJ), peak power calculated from CMJ (Ppeak), medicine ball put distance, and 36.58m sprint were recorded before and after RT as well as after detraining. BLOCK and DUP were equally effective for improvements of athletic performance in young athletes. Both groups displayed significantly (ρ ≤ 0.05) higher values of all measures after RT except FM, which was unchanged. Only FM increased (p = 0.010; ES = 0.14) and FFM decreased (p = 0.018; ES = -0.18) after detraining. All other measurements were unaffected by the complete cessation of training. Values were still elevated compared to pre-training. Linear regression showed a strong correlation between the percentage change by resistance training and the decrease during detraining for CMJ (R² = 0.472) and MBP (R² = 0.629). BLOCK and DUP RT seem to be equally effective in adolescent athletes for increasing strength, muscle mass, and sport performance. In addition, three weeks of detraining did not affect muscle thickness, strength, or sport performance in adolescent athletes independent of previous resistance training periodization model used

CHANGES IN THE KINEMATIC AND KINETIC PROFILE OF HANDCYCLING PROPULSION DUE TO INCREASING WORKLOADS

The aim of this study was to examine changes in handcycling propulsion kinematics and kinetics due to increasing workloads. Twelve non-disabled male triathletes without handcycling experience performed a familiarisation protocol and an incremental step test in a recumbent racing handcycle that was attached to an ergometer. During the incremental test, the tangential crank kinetics, 3D joint kinematics, blood lactate and the rate of perceived exertion (local and global) were identified. The participants showed a significant increase in shoulder internal rotation and abduction and a decrease in elbow flexion and retroversion. Future studies should expand the test spectrum, consider the examination of muscle activation patterns (MAP) and replicate the study with elite handcyclists

The Science of Handcycling: A Narrative Review

The aim of this narrative review is to provide insight as to the history, biomechanics, and physiological characteristics of competitive handcycling. Furthermore, based upon the limited evidence available, this paper aims to provide practical training suggestions by which to develop competitive handcycling performance. Handbike configuration, individual physiological characteristics, and training history all play a significant role in determining competitive handcycling performance. Optimal handcycling technique is highly dependent upon handbike configuration. As such, seat positioning, crank height, crank fore-aft position, crank length, and handgrip position must all be individually configured. In regard to physiological determinants, power output at a fixed blood lactate concentration of 4 mmol L-1, relative oxygen consumption, peak aerobic power output, relative upper body strength, and maximal anaerobic power output have all been demonstrated to impact upon handcycling performance capabilities. Therefore, it is suggested that that an emphasis be placed upon the development and frequent monitoring of these parameters. Finally, linked to handcycling training, it is suggested that handcyclists should consider adopting a concurrent strength and endurance training approach, based upon a block periodization model that employs a mixture of endurance, threshold, interval, and strength training sessions. Despite our findings, it is clear that several gaps in our scientific knowledge of handcycling remain and that further research is necessary in order to improve our understanding of factors that determine optimal performance of competitive handcyclists. Finally, further longitudinal research is required across all classifications to study the effects of different training programs upon handcycling performance