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Recovery for Performance in Sport PDF

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Recovery for Performance in Sport Institut National du Sport, de l'Expertise et de la Performance (INSEP) Christophe Hausswirth, PhD INSEP Iñigo Mujika, PhD University of the Basque Country Editors Human Kinetics Library of Congress Cataloging-in-Publication Data Recovery for performance in sport / Christophe Hausswirth, Iñigo Mujika, editors; The National Institute of Sport for Expertise and Performance (INSEP). p. ; cm. Includes bibliographical references and index. I. Hausswirth, Christophe, 1968- II. Mujika, Iñigo. III. Institut national du sport et de l’éducation physique (France) [DNLM: 1. Athletic Performance--physiology. 2. Athletic Injuries--prevention & control. 3. Recovery of Function. QT 260] 617’.03--dc23 2012037852 ISBN-10: 1-4504-3434-7 ISBN-13: 978-1-4504-3434-8 Copyright © 2013 by Institut National du Sport, de l’Expertise et de la Performance, Christophe Hausswirth, and Iñigo Mujika All rights reserved. Except for use in a review, the reproduction or utilization of this work in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including xerography, photocopying, and recording, and in any information storage and retrieval system, is forbidden without the written permission of the publisher. This book is a revised edition of Récupération et Performance en Sport, published in 2010 by INSEP/MAPI/Publications. Reference herein to any specific commercial products, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by Human Kinetics. The web addresses cited in this text were current as of October 24, 2012, unless otherwise noted. Acquisitions Editors: Karalynn Thomson and Amy N. Tocco; Developmental Editor: Judy Park; Assistant Editors: Brendan Shea, PhD, Kali Cox, Casey A. Gentis, Derek Campbell, and Erin Cler; Copyeditor: Joy Wotherspoon; Indexer: Bobbi Swanson; Permissions Manager: Dalene Reeder; Graphic Designer: Joe Buck; Graphic Artist: Tara Welsch; Cover Designer: Keith Blomberg; Photograph (cover): Courtesy of Jean-Romain Gautier; Photo Asset Manager: Laura Fitch; Visual Production Assistant: Joyce Brumfield; Photo Production Manager: Jason Allen; Art Manager: Kelly Hendren; Associate Art Manager: Alan L. Wilborn; Illustrations: © Human Kinetics, unless otherwise noted; Printer: Sheridan Books Printed in the United States of America 10 9 8 7 6 5 4 3 2 1 The paper in this book is certified under a sustainable forestry program. Human Kinetics Website: www.HumanKinetics.com United States: Human Kinetics Australia: Human Kinetics P.O. Box 5076 57A Price Avenue Champaign, IL 61825-5076 Lower Mitcham, South Australia 5062 800-747-4457 08 8372 0999 e-mail: [email protected] e-mail: [email protected] Canada: Human Kinetics New Zealand: Human Kinetics 475 Devonshire Road Unit 100 P.O. Box 80 Windsor, ON N8Y 2L5 Torrens Park, South Australia 5062 800-465-7301 (in Canada only) 0800 222 062 e-mail: [email protected] e-mail: [email protected] Europe: Human Kinetics 107 Bradford Road Stanningley Leeds LS28 6AT, United Kingdom +44 (0) 113 255 5665 e-mail: [email protected] E5770 Contents Contributors vii Preface viii Introduction xi Part I Fundamentals of Fatigue and Recovery 1 Chapter 1 Physiology of Exercise Training . . . . . . . . . . . . . . . . . . . . . . . .3 Overload Physiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Overload Variables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Training and Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Chapter 2 Overtraining Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Continuum of Fatigue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Prevalence of Overtraining . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Overtraining Syndrome Diagnosis Research . . . . . . . . . . . . . . . . . . . . .13 Assessment of Overtraining . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Part II Periodization and Managing Recovery 21 Chapter 3 Overtraining Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Periodization Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Models of Periodization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Monitoring Exercise Tolerance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Fitness and Fatigue Relationship . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Chapter 4 Active Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Recovery Methods and Interval Work . . . . . . . . . . . . . . . . . . . . . . . . .29 Recovery Methods and Development of Aerobic Fitness . . . . . . . . . . .33 Active Recovery and Repeated Performances . . . . . . . . . . . . . . . . . . .34 Single-Performance Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 iii iv Contents Chapter 5 Psychological Aspects of Recovery . . . . . . . . . . . . . . . . . . . .43 Effects of Poor Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Motivation and Burnout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Engagement and Motivation Pattern . . . . . . . . . . . . . . . . . . . . . . . . . .49 Evaluation Methods for Psychological Recovery . . . . . . . . . . . . . . . . . .50 Part III Strategies for Optimizing Recovery 53 Chapter 6 Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Types of Muscle Stretches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Physiology of Muscle Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 Effects of Stretching on Performance . . . . . . . . . . . . . . . . . . . . . . . . . .58 Stretching and Recovery Research . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 Chapter 7 Hydration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71 Distribution of Water Loss During Exercise . . . . . . . . . . . . . . . . . . . . . .72 Dehydration Processes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Dehydration and Physical Performance . . . . . . . . . . . . . . . . . . . . . . . .73 Dehydration and Mental Performance . . . . . . . . . . . . . . . . . . . . . . . . .74 Hydration Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Hyperhydration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Chapter 8 Nutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Protein Metabolism and Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Combining Protein, Carbohydrate, and Leucine for Muscle Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . .87 Branched-Chain Amino Acids and Postexercise Mental Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Sugar and Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Coingestion of Carbohydrate and Protein . . . . . . . . . . . . . . . . . . . . . .93 Chapter 9 Sleep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Stages of the Sleep Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100 Physiology of Sleep Deprivation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Sleep Deprivation and Exercise Performance . . . . . . . . . . . . . . . . . . .103 Sleep Deprivation and the Perceptual State . . . . . . . . . . . . . . . . . . . .105 Tryptophan and Sleep Cycles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Hyperhydration and Sleep Disturbances . . . . . . . . . . . . . . . . . . . . . . .106 Effects of Alcohol and Stimulants on Sleep Quality . . . . . . . . . . . . . .106 Advantages of Napping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Contents v Chapter 10 Massage and Physiotherapy . . . . . . . . . . . . . . . . . . . . . . . .111 Massage Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Physiological Effects of Massage . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Massage and Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 Electrostimulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120 Physiological Effects of Electrostimulation . . . . . . . . . . . . . . . . . . . . .122 Electrostimulation and Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Luminotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Aromatherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128 Chapter 11 Compression Garments . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Physiological Responses to Compression . . . . . . . . . . . . . . . . . . . . . .135 Effects During Exercise Performance . . . . . . . . . . . . . . . . . . . . . . . . .137 Compression and Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Chapter 12 Local Thermal Applications . . . . . . . . . . . . . . . . . . . . . . . . .145 Physiological Responses to Local Thermal Applications . . . . . . . . . . .145 Muscle Function and Performance Effects . . . . . . . . . . . . . . . . . . . . .151 Current Uses and Modes of Application . . . . . . . . . . . . . . . . . . . . . . .156 Chapter 13 Variations in Thermal Ambience . . . . . . . . . . . . . . . . . . . . .167 Physiological Responses to Air Temperature . . . . . . . . . . . . . . . . . . . .167 Whole-Body Cryotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169 Dry-Heat Sauna . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Far-Infrared Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182 Humid-Heat Steam Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 Chapter 14 Water-Immersion Therapy . . . . . . . . . . . . . . . . . . . . . . . . .191 Physiological Responses to Water Immersion . . . . . . . . . . . . . . . . . . .191 Exercise-Induced Muscle Damage and Immersion . . . . . . . . . . . . . . .192 High-Intensity Exercise and Immersion . . . . . . . . . . . . . . . . . . . . . . . .194 Field-Based Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .197 Part IV Unique Considerations for Recovery 203 Chapter 15 Gender Differences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .205 Recovery and Maintenance of Energy Stores . . . . . . . . . . . . . . . . . . .206 Metabolic Responses After Brief, Intense Exercise . . . . . . . . . . . . . . .210 Chronic Fatigue and Daily Energy Balance . . . . . . . . . . . . . . . . . . . . .211 Recovery and the Musculoskeletal Regeneration Process . . . . . . . . . .212 Targeted Recovery Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 vi Contents Chapter 16 Temperature and Climate . . . . . . . . . . . . . . . . . . . . . . . . . .221 Thermoregulation During Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . .222 Exercise-Induced Hyperthermia and Performance . . . . . . . . . . . . . . .223 Reducing Thermal Strain and Improving Performance . . . . . . . . . . . .225 Morphology and Heat Strain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226 Heat Stress and Exercise Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . .227 Chapter 17 Recovery at Altitude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .231 Physiological Responses to Altitude Exposure . . . . . . . . . . . . . . . . . . .231 Effects of Altitude on Performance . . . . . . . . . . . . . . . . . . . . . . . . . .233 Effects of Altitude on Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234 Effects of Altitude on Body Composition, Nutrition Patterns, and Sleep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234 References 239 Index 275 About the Editors 281 Contributors François Bieuzen, PhD Michael Lambert, PhD National Institute of Sport, Expertise MRC/UCT Research Unit for Exercise Science and Performance (INSEP) and Sports Medicine Research Department Sports Science Institute of South Africa Paris, France Newlands, South Africa Antoine Couturier, PhD Yann Le Meur, PhD National Institute of Sport, Expertise National Institute of Sport, Expertise and Performance (INSEP) and Performance (INSEP) Research Department Research Department Paris, France Paris, France Anne Delextrat, PhD Nicolas Lemyre, PhD Department of Sport and Health Sciences Department of Coaching and Psychology Oxford Brookes University Norwegian School of Sport Sciences Oxford, UK Oslo, Norway Kevin De Pauw, MSc Frank E. Marino, PhD, MD University of Brussels School of Human Movement Studies Department of Human Physiology & Sports Charles Sturt University Medicine Bathurst, Australia Brussels, Belgium Romain Meeusen, PhD Sylvain Dorel, PhD University of Brussels National Institute of Sport, Expertise Department of Human Physiology & Sports and Performance (INSEP) Medicine Research Department Brussels, Belgium Paris, France Iñigo Mujika, PhD Rob Duffield, PhD Department of Physiology School of Human Movement Studies Faculty of Medicine and Odontology Charles Sturt University University of the Basque Country Bathurst, Australia Leioa, Spain Jean Fournier, PhD Giuseppe Rabita, PhD National Institute of Sport, Expertise National Institute of Sport, Expertise and Performance (INSEP) and Performance (INSEP) Research Department Research Department Paris, France Paris, France Charles-Yannick Guézennec, PhD Melissa Skein, PhD Laboratory of Performance, Health and Altitude School of Human Movement Studies University of Perpignan Via Domitia Charles Sturt University Font-Romeu, France Bathurst, Australia Christophe Hausswirth, PhD National Institute of Sport, Expertise and Performance (INSEP) Research Department Paris, France vii Preface Physical training regularly exposes the body to ties are often planned and designed following workloads greater than those usually experi- experiences based on a trial-and-error approach . enced in order to induce a significant modification As a consequence, athletes and their support of the functions involved in executing the task . teams use a range of recovery strategies to opti- However, for high-level athletes who do inten- mize and enhance sport performance and to avoid sive training, severe workloads do not necessar- overtraining . However, the most efficient meth- ily improve their performance . Indeed, a complex ods to prepare athletes for elite-level competition combination of central and peripheral responses are those based on proven scientific principles . can induce marked decreases in performance fol- This book compiles for the first time the avail- lowing intense training sessions . This performance able scientific data on recovery . It presents its decline will only be reversed when adequate recov- physiological and psychological effects, as well as ery is provided . If recovery periods are insufficient how these effects relate to athletic performance or are not programmed in an appropriate way, the and its circumstances . It also presents the expe- state of fatigue may become so severe that com- rience-based practical knowledge of some of the plete rest will be the only efficient remedy . world’s most successful experts and the recovery A state of acute or chronic fatigue needs to methods currently used . A unique feature of this be recognized; its causes must be analyzed and book is that it addresses the concerns of sport sci- appropriate periods of recovery must be strategi- entists and students, physicians and physical ther- cally planned in combination with practical recov- apists, elite athletes and national coaches, and all ery modalities that are proportional to the train- those athletes and coaches in between who want ing load and the level of fatigue induced . Signs to improve performance, prevent injury, and avoid of fatigue must therefore be heard and perceived overreaching . We have done this by providing a both consistently and early on to adequately scientific base of information within a 17-chap- establish the athlete’s recovery needs . This is an ter text . To this highly technical text, we have absolute necessity to induce training adaptation, added several specific and practical elements to yield an improved performance, and allow the enable those who are not interested in the scien- athlete to repeat this performance multiple times . tific details to understand the basis of what really happens on the field . These include case studies How This Book Will Help written by coaches or sport scientists involved in You Practice Your Sport elite sports . Parts I and II of the book describe the physiol- Most athletes, coaches, and sport scientists are ogy of optimal training, how to prevent overtrain- aware of the key role of recovery in improving ing, and how to peak for optimal performance . performance in both training and competition, Part III focuses on the best way to optimize recov- but very few are certain about the most suitable ery by using several recovery strategies, and lists recovery strategies for their individual needs . This their practical applications in each chapter . Part IV element is often managed by coaches, physio- presents special situations for consideration . Each therapists (physical therapists), and the athletes part includes relevant scientific investigations in themselves . It is usually not programmed every thorough detail, both in the text and in figures day in an efficient or optimal way . When should and tables . All studies mentioned are fully refer- recovery start? How long should it last? Will the enced, so readers can explore the original studies athletes recover every day in the same way and for more details . However, the book also contains at the same time? Because there are no simple many features that are fully accessible to nonsci- answers to these questions, the recovery modali- entists, such as the case studies presented . viii

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In today’s competitive sport environment, discovering effective methods of facilitating optimal athletic performance is paramount to success. The recovery period is essential in maintaining athletes’ physical and psychological well-being and crucial in the pursuit of intense physical training an
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