Importance of VO2max and Lactate Testing

Posted on February 6th, 2012 by Andries

By Andries Lodder for TriathleteSA Magazine Dec|Jan 2012 Issue

Is your training weakening your aerobic metabolism?

Blood pressure (BP) and cholesterol are used as predictors of potential disease, whereas fitness is a predictor of health. The healthier you are, the less chances you have of cardiovascular or respiratory diseases. We get our BP and cholesterol checked regularly, what should athletes be doing to check their fitness levels? VO2max and Lactate Tests accurately measure fitness and provide constructive feedback to athletes looking to increase their performance.

Why is this important for a runner, cyclist or triathlete?

Keep reading and you’ll soon find out.

What is VO2max?

VO2max is the maximum rate of oxygen consumed in millilitres one can use in one minute per kg of body weight. It is an important test for evaluating the cardiovascular capacity of an athlete and is the maximum capacity to transport and utilize oxygen during incremental exercise. It is also known as aerobic capacity, which reflects the physical fitness of a person. With an increase in oxygen consumption, you see cascades of positive events that all serve to increase the fuel economy of an athlete. Highly trained athletes generally have a higher VO2 max than untrained individuals.

Article

What is Lactate?

Lactate Threshold testing is considered to be the single most important determinant of success in endurance related activities. Training at the right intensity is important to help prevent over or under training. During the demands of high intensity exercise, the cells utilise a substantial amount of glucose and glycogen (stored glucose). The by-product of the glucose breakdown is lactate. This increase in lactate coincides with an increase in blood and muscle acidosis, therefore lactate is an excellent indirect marker of muscular cellular fatigue or the “burn” sensation or that feeling of hitting the wall.

Why are both tests important?

Both VO2max and lactate turnpoint are valuable and independent physiological markers for your current state of fitness, in addition the gas analysis measurements will allow you to determine the point at which your body is using fat as the primary energy source as opposed to carbohydrates. The threshold calculations are crucial for development of accurate heart rate zones and training parameters. Utilising information from the VO2max and lactate tests can identify the most appropriate training intensity and type of training for you specifically rather than a handed down program from a mate or a predetermined heart rate zone program designed for the “general” population who are just interested in getting fit, but not focused on improving their best time or getting to the top of their game.

Athletes who make the common mistake of engaging in training structures that are much too intense are subject to reduced aerobic efficiencies. It is always a shocking discovery for any athlete to be confronted with the fact that their training has actually led to a systematic weakening of their aerobic metabolism. In other words, because they were unaware that the majority of their training was done in excess of their lactate threshold, there has been little stimuli for the body to increase its oxygen consuming abilities.

Because the data from a Vo2max and Lactate test will provide a detailed outline of whether fat or carbohydrates are being used most readily and to what extent, it is possible to determine, to the calorie, how many grams of carbohydrates are necessary to continue fuelling at a given intensity and avoid complete muscle glycogen deficit.

If you would like to improve your ability to deal with lactate or to work in a zone that will primarily use fat as an energy source, this test can provide the accurate parameters needed.

If you are a runner, you should be tested whilst running, if you are a cyclist, you should be tested on your own bike. If you are triathlete, you should be tested on both the run and cycle as the information between the two efforts will vary in some cases by quite a margin.

From the tests you will identify:

VO2 max (ml/kg/min)

Anaerobic threshold (measured by gaseous exchange)
Lactate threshold and lactate turnpoint
Energy usage for any given heart rate
Fuel mixture for any given heart rate
Oxygen consumption at a range of exercise intensities
Calculation of INDIVIDUALIZED training zones
Following the test you will receive structured feedback and training suggestions which can be integrated into you regular programme.

Final words

The question is not what will I gain from doing these tests? The question is really by how much am I crippling myself by not doing these tests!

Ask an Expert: Backwards Running

Posted on February 6th, 2012 by Andries

By Andries Lodder for Modern Athlete Magazine Feb 2012 Issue

Backwards Running: Fact or Fiction?

Question:

I have heard so much about Backwards Running, but I’m not even sure what it is and if it is a fact or fiction.

Answer:

During locomotion the most involved joint of the lower body is the patello-femoral joint. Forming part of this joint is the patella, which is a sesamoid bone which reduces patello-femoral stresses, as well as increases the lever arm of the quadriceps muscles. The quadriceps muscle is the dynamic stabilizer of the patello-femoral joint. This joint is also the most common site for anterior knee pain, contributed by weakness of the quadriceps muscle.

Normal forwards running contracts your muscles (quadriceps and hamstrings) mainly concentrically (muscles shorten during the contraction for force production phase of running) and eccentrically (muscles elongates for muscle recovery phase) at specific points in your stride. Backwards running works your muscles concentrically (recovery phase) and mainly eccentrically (force production phase) at opposite points of your strides. Eccentric contractions cause more muscle damage and needs a longer time period for recovery, but increases the muscle mass and strength. The benefit of training eccentrically is that when you go back to the conventional forwards running, your stability will be improved because of the muscles being trained in the opposite way and therefore your opposing muscle groups will provide some contraction while they are supposed to be relaxed, to provide more support to the contracting agonistic muscle.

A study at Stellenbosch University showed that the technique of backwards running actually improved your cardiovascular fitness. They used female students over a six-week period, training three times a week compared with a female group that stuck with their normal training regimes. The findings of the study were that the backward runners were found to have significantly decreased their oxygen consumption, therefore improving aerobically and lost 2.5% body fat.

Dangers of backwards running also exist. One of them is that when running backwards you can’t see anything in front of you or in the way of your path. Turning your head around will reduce the chances of falling or loosing your balance, but could lead towards running much slower as well as increase neck strains.

Considering the benefits and the biomechanics behind the patello-femoral joint, backwards running would reduce the occurrence of patello-femoral joint pain due to the strengthening of the quadriceps and the increased flexibility, which corresponds to the rehabilitation for treatment of anterior knee pain including hamstring stretching and VMO (vastus medialis oblique) strengthening.

Therefore my final verdict is that it is more fact than fiction.

To read this article on the Modern Athlete webpage, follow link: Ask an Expert: Backwards Running or buy the Feb issue today

Plantar Fasciitis

Posted on February 2nd, 2012 by Andries

What’s that pain?

When your first few steps out of bed in the morning cause severe pain in the heel of your foot, you may have plantar fasciitis. It is one of the most common foot problems.

Plantar fasciitis is inflammation due to repeated overstretching of the plantar fascia ligament, usually at the point where the fascia is attached to the heel bone. This condition can also occur at the front of the foot. Tension develops in the plantar fascia both during extension of the toes and during depression of the longitudinal arch as the result of weight bearing.

When a patient has plantar fasciitis, the plantar fascia becomes inflamed and worn out; these abnormalities in return can make normal activities quite painful. The pain typically worsens early in the morning after sleep. This pain is the result of the foot resting in plantar flexion (toes pointing forward) overnight. This allows the fascia to shorten. When you wake up in the morning the shortened or contracted fascia is stretched by simple movements and pain occurs and that is why you’re first few steps out of bed in the morning is painful. As you begin to loosen the plantar fascia, the pain usually decreases, but often returns with prolonged standing or walking

A Couple of signs or symptoms are pain in the anterior medial heel, usually at the attachment of the plantar fascia to the calcaneus (heel), as well as pain during the first few steps in the morning or after a long period of sitting.

The risk of developing plantar fasciitis are people who are active in sport, people that are flat-footed, middle-aged or older people, overweight individuals, incorrect footwear as well as pregnancy.

Some treatments used:

Night splints. Use night splints to maintain a gentle, constant stretch across the plantar fascia.
Heel pads. Felt, gel, or synthetic heel pads spread and absorb shock as the heel lands easing pressure on the plantar fascia.
Decrease standing and stressful activities until heal pain is better.
PRICE – pressure, rest, ice, compression and elevation would reduce inflammation.
Stretch the heel cord and plantar fascia.
Massage area of pain, especially in morning after a warm bath or shower.

Tape to maintain arch and release tension off plantar fascia.

For more details or questions on this topic, don’t hesitate to contact me on 0834686544 or send me an email

Osgood Schlatters Disease

Posted on January 26th, 2012 by Andries

Osgood Schlatters Disease

Overuse injuries are increasing among young athletes. This type of injury is the result of an increasing load on the musculoskeletal structures. The problem develops over time due to repeated stress and can be very painful and frustrating that leads to a chronic problem.

Osgood Schlatter disease: Inflammation and swelling at the site of insertion of the main quadriceps tendon at the top of the tibia (the tibial tubercle) just below the knee. It is common in

adolescence and result from excessive physical activity. Most cases resolve with time and rest.

It occurs most frequently in the younger athlete, due to the differences in structure and anatomy of the growing bone compared with that of the adult leg. The structural differences between the adult and growing bone is as follows:

The articular cartilage of growing bone is thicker than in the adult bone, and the ability to remodel.
The tendon attachments seat to the growing bone consists of relatively weak cartilage plate, the incidence of avulsion fractures may be increased.
The metaphysis of long bones in children is more elastic and flexible, which causes the incomplete fractures (“greenstick” fractures) occurring only in children.
With rapid growth phases extending the leg faster than the muscle and tendon can stretch. This causes temporary coordination and movement problems.
Because of these differences, the younger athlete is more prone to cartilage and bone injuries, or a complete avulsion of the apophysis.

Osgood Schlatter presenting as anterior knee pain, usually associated with overuse or activity. The pain is felt by the attachment of the patella tendon to the tibial tubercle. The athlete will complain of pain during activities such as running, jumping, kneeling, squatting and up and down of stairs. In a sitting position with the knee in 90 ° flexion, a bony enlargement of the tibial tubercle is observed. Local tenderness over the anterior proximal tibial tubercle on palpation is a positive sign. The repeated irritation causes swelling, bleeding and gradual degeneration of the apophysis, which causes impaired circulation.

An effective examination of the lower limbs should be done to determine the extent of movement, particularly the flexibility of the hamstring and quadricep muscles. Muscle tests should be made to the strength in the knee and hip testing. The feet should also be tested for movement patterns that can lead to malalignment of knee injuries. Typical findings are external hip rotation, abduction movements and poor flexibility in the hamstring and quadricep muscles. Extension movements against a resistance will cause pain. Biomechanical tests that can be done include walking pattern, single and double leg squat (squat).

This condition is usually due to overuse. Overuse injuries are completely preventable for most young athletes. It is the responsibility of the parents and the coach to make sure that the young athlete’s program is not too demanding.Treatment is usually conservative. The goal of treatment is to reduce pain, increase strength and flexibility. Pain should be the main guideline to dictate the amount of activity.

Leg Length Inequality

Posted on January 25th, 2012 by Andries

By Dr. Bradley Waterer for Bio4Me

Is this leg longer?

Leg Length Inequality is extremely common. It may either be structural (where the bone in one leg is actually longer) or functional (where the problem is due to abnormal pelvic positioning).

Research indicates that Functional Leg Length Inequality (FLLI) exists in approximately 61% of the general population. Depending on the type and level of activity as much as 90% of an athletic team will have a Functional Leg Length Inequality. This condition predisposes people to acute and chronic recurring injuries involving ankles, knees, backs, necks and even shoulder and arm pain. One example of interest is that research found that 79% of people who experience lateral patella femoral pain have a Functional Leg Length Inequality. The condition almost always occurred in the “longer leg”.

If assessed correctly, Leg Length Inequalities can be identified to determine if a structural or functional abnormality is present. Once the problem is accurately identified the appropriate treatment you need can be administered.

For questions and enquiries contact Dr. Bradley Waterer (Chiropractor) on 0828029314 or visit http://www.sandtonchiropractic.com

Frozen Shoulder Rehabilitation Exercises

Posted on January 25th, 2012 by Andries

Wand Exercises

Flexion: Stand upright and hold a stick in both hands, palms down. Stretch your arms by lifting them over your head, keeping your elbows straight. Hold for 5 seconds and return to the starting position. Repeat 10 times.
Extension: Stand upright and hold a stick in both hands behind your back. Move the stick away from your back. Hold the end position for 5 seconds. Relax and return to the starting position. Repeat 10 times.
External rotation: Lie on your back and hold a stick in both hands, palms up. Your upper arms should be resting on the floor, your elbows at your sides and bent 90°. Using your good arm, push your injured arm out away from your body while keeping the elbow of the injured arm at your side. Hold the stretch for 5 seconds. Repeat 10 times.
Internal rotation: Stand upright holding a stick with both hands behind your back. Place the hand on your uninjured side behind your head grasping the stick, and the hand on your injured side behind your back at your waist. Move the stick up and down your back by bending your elbows. Hold the bent position for 5 seconds and then return to the starting position. Repeat 10 times.
Shoulder abduction and adduction: Stand upright and hold a stick with both hands, palms down. Rest the stick against the front of your thighs. While keeping your elbows straight, use your good arm to push your injured arm out to the side and up as high as possible. Hold for 5 seconds. Repeat 10 times.
Scapular range of motion: Stand and shrug your shoulders up and hold for 5 seconds. Then squeeze your shoulder blades back and together and hold 5 seconds. Next, pull your shoulder blades downward as if putting them in your back pocket. Relax. Repeat this sequence 10 times.
Pectoralis stretch: Stand in a doorway or corner with both arms on the wall slightly above your head. Slowly lean forward until you feel a stretch in the front of your shoulders. Hold 15 to 30 seconds. Repeat 3 times.
Biceps stretch: Stand facing a wall (about 6 inches away from the wall). Raise your arm out to your side and place the thumb side of your hand against the wall (palm down). Keep your elbow straight. Rotate your body in the opposite direction of the raised arm until you feel a stretch in your biceps. Hold 15 seconds, repeat 3 times.

Written by Tammy White, MS, PT, and Phyllis Clapis, PT, DHSc, OCS, for RelayHealth.

Published by RelayHealth.

Backwards Running Fact or Fiction

Posted on January 18th, 2012 by Andries

During locomotion the most involved joint of the lower body is the patello-femoral joint. Forming part of this joint is the patella, which is a sesamoid bone that reduces patello-femoral stresses, as well as increases the lever arm of the quadriceps muscles. The quadriceps muscle is the dynamic stabilizer of the patello-femoral joint. This joint is also the most common site for anterior knee pain, contributed by weakness of the quadriceps muscle (medicolegal.com).

Backwards running has numerous benefits which include burning one third more calories than forward running, it also develops better balance and stamina, it works the quadriceps muscles more than forward running, improves flexibility, and reduces risk of injuries to the patello-femoral joint (http://www.runtheplanet.com/resources/historical/backwards.asp). It was also stated by Wright and Weyand (2001) that the volume of muscle active per unit of force applied to the ground was 10% greater when running backward than forward. Considering the benefits and the biomechanics behind the patello-femoral joint backwards running would reduce the occurrence of patello-femoral joint pain due to the strengthening of the quadriceps and the increased flexibility, which corresponds to the rehabilitation for treatment of anterior knee pain including hamstring stretching and VMO (vastus medialis oblique) strengthening. Reference List

Dixon, D. (2006). “The patello-femoral joint and impairment assessment.” Medico Legal. 26 July 2006. [Hyperlink http://www.medicolegal.com/newsletter]. 2 October 2007.

Run the Planet (2000). “History of Backward Running.” Run the Planet. June 2000. [Hyperlink http://www.runtheplanet.com/resources/historical/backwards.asp]. 2 October 2007.

Wright, S. & Weyand, P. G. (2001). The application of ground force explains the energetic cost of running backward and forward. The Journal of Experimental Biology, 204, 1805-1815.

Valentines Night Trail Run

Posted on January 12th, 2012 by Andries

Principles of Skeletal Muscle Adaptations

Posted on January 11th, 2012 by Andries

Some questions and answers on the principles of skeletal muscle adaptations during training and exercise.

Analyze the influences on muscle fiber type with reference to genetics and training.

Sports do not influence average muscle fiber type; athletes excel at different activities because of their muscle fiber types
Genetics influences muscle fiber type
Training influences muscle biochemistry
Myosin isotomes do not change due to training, its genetically determined
Endurance athletes cannot become a sprinter and vice versa
Intermediate transitions can happen, IIa to IIa and vice versa

Does endurance training cause adaptations in muscle structure?

Doesn’t effect cross-sectional area of muscle or muscle fibers
Adaptations include increased mitochondria proteins and increased glycolytic enzymes, therefore 2 X increase oxidative metabolism
Intensity and duration of training affects degree of adaptations
Degree of involvement of motor unit in person’s training affects adaptation

Does resistance training show specific adaptations in fiber-type?

Yes, repressed fastest MHC’s (myosin heavy chains) and increased expression of intermediate MHC’s
Resistance training makes cross-bridges cycle at a slower rate and therefore maintaining force of contraction
Resistance training decreases endurance capacity
Both training forms increases strength and endurance when trained concurrently

Does a decrease in physical activity change muscle structure?

Large reduction in usage of motor units or decrease load against motor units contractions
Decrease muscle and muscle fiber cross-sectional area
Decreased in metabolic proteins that support endurance performance
Marked atrophy from loss of myosin from myofibril pool
Decrease in specific tension because decrease ability of atrophied muscles to make cross-bridges

How does gender affect skeletal muscle differences?

Men have greater muscle mass and muscle cross-sectional area
Men have greater max force and max power capabilities
Endocrine differences between gender is reason for muscle differences
Cultural component as woman are often denied same level of physical activity as men
Most of the differences are accounted to because of differences in muscle mass between genders

If you have any queries or questions or would like more information on this topic please don’t hesitate to contact me at andries@topbio.co.za

Joint Health & Chiropractic

Posted on January 6th, 2012 by Andries

The Synovial Joint

Most of the joints in our bodies, which allow us to move, are synovial joints. These joints rely on the diffusion of oxygen and nutrients within the joint fluid to nourish the cartilage. Effective diffusion of oxygen and nutrients within our joints requires movement of the joints. Unfortunately as a result of poor posture, chronic dis-use and acute injuries, joints tend to become ‘fixated’ and lose their ability to move correctly and sufficiently. Reduced movement will decrease the oxygen and nutrient supply within a joint and predispose a joint to inflammation and degeneration.

Scientific research specifically aimed at studying degenerative changes as a result of joint fixation (hypomobility) show that the process and extent of degeneration is directly affected by the length of joint hypomobility. Symptoms are numerous but includes pain and stiffness among others. Fortunately Chiropractic Care can assess and correct these affected joints in most people and subsequently promote joint health!http://www.sandtonchiropractic.com The research article discussed above can be read here.

andrieslodderbiokineticist

Importance of VO2max and Lactate Testing

By Andries Lodder for TriathleteSA Magazine Dec|Jan 2012 Issue

Is your training weakening your aerobic metabolism?

Why is this important for a runner, cyclist or triathlete?

Keep reading and you’ll soon find out.

What is VO2max?

What is Lactate?

Why are both tests important?

From the tests you will identify:

Final words

Ask an Expert: Backwards Running

By Andries Lodder for Modern Athlete Magazine Feb 2012 Issue

Backwards Running: Fact or Fiction?

Question:

Answer:

Plantar Fasciitis

What’s that pain?

Contact Us

Contact Us

Verification

Osgood Schlatters Disease

Leg Length Inequality

Is this leg longer?

Frozen Shoulder Rehabilitation Exercises

Wand Exercises

Backwards Running Fact or Fiction

Valentines Night Trail Run

Principles of Skeletal Muscle Adaptations

Joint Health & Chiropractic

The Synovial Joint