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
Recovery and Regeneration
Strategies…The 24 Hour Athlete

             Nick Grantham
 Director of Strength and Conditioning
               Smart Fitness
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
Recovery and Regeneration Strategies The 24 Hour Athlete - Nick Grantham Director of Strength and Conditioning Smart Fitness
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.
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     17-Mar-03

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                                                                                                                                                     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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