Accelerating Recovery from Exercise-Induced Muscle Injuries in Triathletes: Considerations for Olympic Distance Races

The triathlon is one of the fastest developing sports in the world due to expanding participation and media attention. The fundamental change in Olympic triathlon races from a single to a multistart event is highly demanding in terms of recovery from and prevention of exercise-induced muscle injures...

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Main Authors: Thilo Hotfiel, Isabel Mayer, Moritz Huettel, Matthias Wilhelm Hoppe, Martin Engelhardt, Christoph Lutter, Klaus Pöttgen, Rafael Heiss, Tom Kastner, Casper Grim
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Sports
Subjects:
Online Access:https://www.mdpi.com/2075-4663/7/6/143
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author Thilo Hotfiel
Isabel Mayer
Moritz Huettel
Matthias Wilhelm Hoppe
Martin Engelhardt
Christoph Lutter
Klaus Pöttgen
Rafael Heiss
Tom Kastner
Casper Grim
author_facet Thilo Hotfiel
Isabel Mayer
Moritz Huettel
Matthias Wilhelm Hoppe
Martin Engelhardt
Christoph Lutter
Klaus Pöttgen
Rafael Heiss
Tom Kastner
Casper Grim
author_sort Thilo Hotfiel
collection DOAJ
description The triathlon is one of the fastest developing sports in the world due to expanding participation and media attention. The fundamental change in Olympic triathlon races from a single to a multistart event is highly demanding in terms of recovery from and prevention of exercise-induced muscle injures. In elite and competitive sports, ultrastructural muscle injuries, including delayed onset muscle soreness (DOMS), are responsible for impaired muscle performance capacities. Prevention and treatment of these conditions have become key in regaining muscular performance levels and to guarantee performance and economy of motion in swimming, cycling and running. The aim of this review is to provide an overview of the current findings on the pathophysiology, as well as treatment and prevention of, these conditions in compliance with clinical implications for elite triathletes. In the context of DOMS, the majority of recovery interventions have focused on different protocols of compression, cold or heat therapy, active regeneration, nutritional interventions, or sleep. The authors agree that there is a compelling need for further studies, including high-quality randomized trials, to completely evaluate the effectiveness of existing therapeutic approaches, particularly in triathletes. The given recommendations must be updated and adjusted, as further evidence emerges.
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spelling doaj.art-48cd8a96e97d43bc9dfeef2f2203c4d62022-12-22T01:56:38ZengMDPI AGSports2075-46632019-06-017614310.3390/sports7060143sports7060143Accelerating Recovery from Exercise-Induced Muscle Injuries in Triathletes: Considerations for Olympic Distance RacesThilo Hotfiel0Isabel Mayer1Moritz Huettel2Matthias Wilhelm Hoppe3Martin Engelhardt4Christoph Lutter5Klaus Pöttgen6Rafael Heiss7Tom Kastner8Casper Grim9Department of Orthopedic, Trauma, Hand and Neuro Surgery, Klinikum Osnabrück GmbH, Osnabrück 49076, GermanyDepartment of Orthopedic Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen 91054, GermanyDepartment of Orthopedic Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen 91054, GermanyDepartment of Orthopedic, Trauma, Hand and Neuro Surgery, Klinikum Osnabrück GmbH, Osnabrück 49076, GermanyDepartment of Orthopedic, Trauma, Hand and Neuro Surgery, Klinikum Osnabrück GmbH, Osnabrück 49076, GermanyDepartment of Orthopedics, Rostock University Medical Center, Rostock 18057, GermanyB·A·D Group, Darmstadt 64295, GermanyDepartment of Radiology, University Hospital Erlangen, Erlangen 91054, GermanyDeutsche Triathlon Union (DTU), Frankfurt 60528, GermanyDepartment of Orthopedic, Trauma, Hand and Neuro Surgery, Klinikum Osnabrück GmbH, Osnabrück 49076, GermanyThe triathlon is one of the fastest developing sports in the world due to expanding participation and media attention. The fundamental change in Olympic triathlon races from a single to a multistart event is highly demanding in terms of recovery from and prevention of exercise-induced muscle injures. In elite and competitive sports, ultrastructural muscle injuries, including delayed onset muscle soreness (DOMS), are responsible for impaired muscle performance capacities. Prevention and treatment of these conditions have become key in regaining muscular performance levels and to guarantee performance and economy of motion in swimming, cycling and running. The aim of this review is to provide an overview of the current findings on the pathophysiology, as well as treatment and prevention of, these conditions in compliance with clinical implications for elite triathletes. In the context of DOMS, the majority of recovery interventions have focused on different protocols of compression, cold or heat therapy, active regeneration, nutritional interventions, or sleep. The authors agree that there is a compelling need for further studies, including high-quality randomized trials, to completely evaluate the effectiveness of existing therapeutic approaches, particularly in triathletes. The given recommendations must be updated and adjusted, as further evidence emerges.https://www.mdpi.com/2075-4663/7/6/143DOMSEIMDrecoveryregenerationmuscle injuriesCWIcompressionendurance
spellingShingle Thilo Hotfiel
Isabel Mayer
Moritz Huettel
Matthias Wilhelm Hoppe
Martin Engelhardt
Christoph Lutter
Klaus Pöttgen
Rafael Heiss
Tom Kastner
Casper Grim
Accelerating Recovery from Exercise-Induced Muscle Injuries in Triathletes: Considerations for Olympic Distance Races
Sports
DOMS
EIMD
recovery
regeneration
muscle injuries
CWI
compression
endurance
title Accelerating Recovery from Exercise-Induced Muscle Injuries in Triathletes: Considerations for Olympic Distance Races
title_full Accelerating Recovery from Exercise-Induced Muscle Injuries in Triathletes: Considerations for Olympic Distance Races
title_fullStr Accelerating Recovery from Exercise-Induced Muscle Injuries in Triathletes: Considerations for Olympic Distance Races
title_full_unstemmed Accelerating Recovery from Exercise-Induced Muscle Injuries in Triathletes: Considerations for Olympic Distance Races
title_short Accelerating Recovery from Exercise-Induced Muscle Injuries in Triathletes: Considerations for Olympic Distance Races
title_sort accelerating recovery from exercise induced muscle injuries in triathletes considerations for olympic distance races
topic DOMS
EIMD
recovery
regeneration
muscle injuries
CWI
compression
endurance
url https://www.mdpi.com/2075-4663/7/6/143
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