par Fred le 14/10 00h21
un autre article très intéressant:
Injury and High Intensity
August 25, 2005 09:40 AM
Fong asks such an important question. I have taken it from the comments to post it here.
"I hope you can expand your theories on fitness to include injury prevention when training fast twitch muscles. While I note the usual advice of "warm up-stretch" and "do not play in pain", I hope you can look into why and how this type of injury occurs for everyone no matter how careful.
Just as you have personally experienced, almost everyone who is active in sports and exercise will eventually experience a painful injury that may set them back from exercise from weeks to years.
Unlike repetitive-type injuries that come from slower workouts which have a more graduated and repeated feedback signal - high intensity workouts
injury happen quickly and often without any signs to easy off during workout. These include strains, tears, pulls even heavy cramping.
This "sudden injury" nature of high intensity workouts may even be THE limiting factor and darwinian filter - allowing someone like yourself to fully express your genes while "ordinary" folks exercising in the general same way would have long ago suffered enough injury to modify their workout to a lower intensity.
My own anecdotal experience is that high school athletes performing at state level are often not fit for combat vocations in my country's conscript army because of a muscle-skeleton injury received during sports. The funny thing is that they continue to compete at the state level despite their injury."
My incomplete thoughts on this...
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First, a little about incentives. There is, of course, a volitional aspect to how much one can do when injured. What would disqualify a military conscript from service has a lot to do with the willingness of the person to enter service. Thus, what would seem to keep a conscript out of the service might be a relatively minor injury; one that a motivated athlete might easily work through.
Now to the topic. I can say personally that I have had only one injury from my training as I moved into the higher intensity work. That was a torn biceps tendon. I ignored the inflammation, which was caused by mechanical friction or impingement of the tendon in the shoulder. The impingement was caused by a prior, not very good surgery. Inflamed tissue is weak; remember inflammation is like a process to increase the permeability of tissues, so it weakens membranes and connective tissue.
Sudden movements are extremely taxing on tissues, particularly tight or weak tissues. I know at least three people who tore a tendon in the thigh from slipping on ice or walking down hill. President Clinton did it too. You are more apt to be injured this way than training at what is called high intensity in my experience.
In reading the literature one finds there is no consistent definition or measure of high intensity. In aerobic work it is measured as percent of VO2max or watts. In weight lifting it is often measured as a percent of maximum weight, the so-called RM (1 repetition maximum). You can also see it measured as total work or volume. Fong is adding to this list the onset duration of the force generated; that is the time or degree of acceleration in the beginning of the movement. This might also be called "jerking" the weight when it is done improperly.
There is also the problem of integrating the work load over a longer period of time; a rep, a set, a work out, a week, a month and so on. High intensity might be measured by the volume over a longer time period. Or by the peaks and valleys. The complexity of the pattern. And so on. Clearly, high intensity cannot only refer to what you do in the gym or in your work out routine.
This is too complex to tackle here, I am dealing with it in the book. But, I do have a few guidelines that I use.
1. No sudden onset of force. Start smooth at the beginning of a movement and then accelerate through part of the movement, but not to the end. In other words, smoothness at the ends of the range of motion. Acceleration in between and at different parts of the movements on different days.
2. I do not take a percentage of my max wattage or my max weight. I don't know what any of these are, except that all the cycle machines seem to peak at 600 watts, so that is my max. Too many people get hurt trying to do a max lift; I never do this.
3. Keep the volume down. Fatigue is a primary cause of injury. Forcing a depleted muscle through another rep is just asking for trouble. There are no phosphates left in the muscle; this is a protection measure to avoid injury. Listen to the message. If, over a period of days or weeks, you find your blood pressure drifting upward you are way over doing it. Each work out should feel good and lower your blood pressure, with a slight elevation of your pulse during the post-work out period.
4. Don't count repetitions. Go for the burn and then stop. Your core body temperature should rise also. Both are signals of good hormone drives. It is your hormones that you are altering in the workout.
5. You want to push hard enough to ascend the fiber hierarchy, but going beyond that is of small value. That is, trigger all the fibers from ST to FTa to FTb/z. Then stop and move on to the next exercise. High volume training causes a convergence of muscle fibers composition: ST moves toward FTa and FTb/z moves toward FTa. So, you become an FTa sort of person. Pretty good, but not good enough for me. I go after FTb/z and that requires less volume.
6. You might expect that I have a slightly different perspective on intensity. I do subscribe to the complexity of the movements as a measure of intensity. Intensity is involving the most muscle volume you can engage in a movement. So, intensity, to me, is more about the total muscle volume in a movement, than straining hard. I never, ever strain; I work out hard, but that is a matter of tolerating the lactic acid a bit.
7. Finally, I like to pay attention to the most I do in a day or in an hour and the least I do. I want a lot of difference between my highest intensity and my lowest intensity activities. If I sleep well and deeply and have a good strong movement of some kind in a day, that is a really good day. Another way to think about this is in terms of METS, a measure of how far your maximum energy expenditure is above your resting metabolic expenditure. I call this metabolic headroom. It is a measure of how far from equilibrium you are. When there is a large difference between the most you can do and the least you can do, you are living far from equilibrium. When the two are equal, you are dead. Exercise capacity is the best predictor of longevity in a model that controls for a variety of other measures.
My favorite picture of a powerful, free, far-from-equilibrium creature is the dolphin. Powerful and smooth swimmers who have so much FT fiber that they leap far above the water for the pure joy of it. Their playful leaping is probably an adaptation that lets them engage their FT fibers often enough to keep them powerful, but playfully and intermittently so they are not injured. If they did high volume leaping, their FTb/z (or even wilder type) fibers would degrade into more ordinary FTa or even ST fibers.
What is the meaning of RM, sets, or reps to a dolphin? Or to a hunter-gatherer? Both are known to follow a power law in their activities; they can't help it because they are part of the natural world. So, a playful, burst/rest intermittency is the natural way to live and train.
Training is a lot like playing for me. When I finish here I am going over to the field with my 8 pound medicine ball. I throw it as far as I can and then run after it and do it again. I build to maximum throws gradually. And I vary how fast I run to pick it up (not all that far at that weight). I vary how I throw it: underhanded, overhanded, side ways and straight up over head. Its fun and a great full-body work out. I'll take my visiting granddaughter with me and we'll play at this.[/i]