Friday, July 24, 2009
Occlusion training: Sparking Muscle Growth when Injured or Just Sick of Heavy Loads

But hypertrophy itself is a natural and indeed necessary part of strength development. And it can be hard to induce hypertrophy when coming back from an injury or just when pooped of dealing with heavy weig Occlusion training (restricting venus return for very short periods) has intriguingly been associated with muscle hypertrophy. This recent review shows that its combined use with low loads can be great for rehab of ACL injuries as well as general athletic prep.
The Use of Occlusion Training to Produce Muscle Hypertrophy
Loenneke, Jeremy Paul BS; Pujol, Thomas Joseph EdD, CSCS
Strength and Conditioning Journal:
June 2009 - Volume 31 - Issue 3 - pp 77-84
doi: 10.1519/SSC.0b013e3181a5a352
Articles
LOW-INTENSITY OCCLUSION (50-100 MM HG) TRAINING PROVIDES A UNIQUE BENEFICIAL TRAINING MODE FOR PROMOTING MUSCLE HYPERTROPHY. TRAINING AT INTENSITIES AS LOW AS 20% 1 REPETITION MAXIMUM WITH MODERATE VASCULAR OCCLUSION RESULTS IN MUSCLE HYPERTROPHY IN AS LITTLE AS 3 WEEKS. A TYPICAL EXERCISE PRESCRIPTION CALLS FOR 3 TO 5 SETS TO VOLITIONAL FATIGUE WITH SHORT REST PERIODS. THE METABOLIC BUILDUP CAUSES POSITIVE PHYSIOLOGIC REACTIONS, SPECIFICALLY A RISE IN GROWTH HORMONE THAT IS HIGHER THAN LEVELS FOUND WITH HIGHER INTENSITIES. OCCLUSION TRAINING IS APPLICABLE FOR THOSE WHO ARE UNABLE TO SUSTAIN HIGH LOADS DUE TO JOINT PAIN, POSTOPERATIVE PATIENTS, CARDIAC REHABILITATION, ATHLETES WHO ARE UNLOADING, AND ASTRONAUTS.
Great scott. Do you see capitol letters as shouting? this authors must be really excited about the research.
The part that is exciting is that if you can give a population a way to train their muscles and build their muscles at loads that are much lighter that what would be needed otherwise, you can imagine that the opportunities to get repair happening or growth happening could be, er, huge. Hypertrophy huge.
So let's take a quick peek at what hypertrophy is understood to be, and then at how occlusion training is generally applied.
Hypertrophy. Well, we know that if bodybuilders talk about hypertrophy they're talking about building muscle mass. But as said, anyone developing strength will get some hypertrophy happening. Why? How do we get stronger? That's complicated, but a simplified model would be: in the first instance, we are learning simply how to fire the muscles we have to do some new task, like lifting something heavy. So for someone who's never lifted, when starting a lifting program, say, they make big leaps in their strength in the first 8-12 weeks. A lot of that is neurological.
The other part of muscle building is laying down new muscle fibers to deal with trauma. When we train, we break down muscle tissue often deliberately in order to create an adaptation/growth. SO muscle literally gets pulled apart from time to time. Ironically, that is not what causes delayed onset muscle soreness (or DOMS). DOMS hits 24 - 48 hours after working out muscles (hence the delay part) and some theories are that it's the result of new muscle fibers butting up against each other and settling in - so it's the repair process rather than the damage process that is painful. Neat.

So let's say we're looking at getting the muscles around a knee injury built back up. The person is at a place where they can body squat, maybe do some light weight work, but (a) it may not be desireable for the person to do TONS of reps, but unless they do tons of reps with a light weight, desired hypertrophy - new muscle tissue growth - is not going to happen. Enter this really cool aspect of hypertrophy training, Occlusion training.
Likewise, OT *may* be useful to give athletes a break from high load work. Note, this does not mean do OT during a back off weak: the whole point of a back off weak is to let the body recover, not push it to adapt further.
Occlusion Training. Occlusion is a beautiful sounding word, isn't it? It's usually seen in visual contexts - to occlude something is to block it from view. If you put your mother's picture in front of that ugly stone someone gave you from their holiday in Crete, you have occluded the view of the offensive object that your loved ones won't let you chuck.
In occlusion training, we're talking about another kind of block. In this case, blocking the flow of blood - a bit, and for intervals. So what? How can that be good?
Well, an idea is, restricting blood flow causes fast twitch fibers to get involved in the process sooner than they otherwise would. Likewise a biggie in the effect is the production of blood by-products, and ones that trigger significant increases in GH. (i have visions now of Mike Mahler tying up his quads while doing lightweight kettlebell swings).
Caveats of Application. SO when we talk about restricting blood flow, what are we really talking about? IF we cut it off, don't our limbs drop off? Well, yes. So here, we're talking about restriction as opposed to total constriction, and also for particular intervals. And for light loads.
Ok what does that mean in practice? There are a variety of approaches described in the article that involve walking and the effects on strength. Pretty cool stuff. The authors, however, offer a sample protocol for strength:
A typical low-intensity prescription would involve an intensity of 20-50% of 1RM with a 2-second cadence for both the concentric and eccentric actions. The 1RM is calculated from the maximum amount of weight you can lift once under normal blood flow conditions. Three to five sets of each exercise are completed to volitional fatigue. This is done to ensure that there is a high metabolic buildup. The rest periods are 30 seconds to 1 minute in length and occur between every set, with the occlusion still being applied (5,6,27,35,36,39). At the conclusion of the last set, blood flow is restored to the muscle.Again, the important take away here is LIGHT loads for a few sets. Likewise the PROXIMAL end of the targetted muscle is what gets bound, as shown in the image below.
Cook et al. (6) compared different protocols of occlusion using percent maximal voluntary contraction (%MVC) and found that 20% MVC with continuous partial occlusion was the only protocol that elicited significantly more fatigue than the higher intensity protocol.

The above is not encouragement to go try tying off your friend's legs and asking them to jump around :) As the authors state about future work:
Future research on occlusion training should focus on studying the health risks associated with long-term use and determine populations in which this type of training may be contraindicated (6). Although the research has yet to define populations in which occlusion training is dangerous, we postulate that those with endothelial dysfunction should not use occlusion training because of the reduction in blood flow. Research should also further study the microdamage to blood vessels and subtle changes in blood flow, both of which may stimulate thrombosis (38). Also, one should seek to evaluate the gene expression at later stages of postexercise recovery after occlusion and in response to occlusion training (7). Finally, studies should begin to focus on the local regulators of muscular growth, such as growth factors and reactive oxygen species, to elucidate the mechanism for the present cooperative effects of exercise and occlusive stimuli (39).Take away: if you're looking to build up strength especially after an injury, short term use of occlusion training may be a good way to get back in the game. Likewise, if you're getting fatigued by heavy lifting or jus the thought of having to pick up a really heavy bar to make a difference is getting you down, doing some short term occulsion sets because of their effective LOW reps and LIGHT weight, may be just the thing to keep you training and provide the mental break necessary to get back at it.
Loenneke, J., & Pujol, T. (2009). The Use of Occlusion Training to Produce Muscle Hypertrophy Strength and Conditioning Journal, 31 (3), 77-84 DOI: 10.1519/SSC.0b013e3181a5a352 Tweet Follow @begin2dig
Thursday, July 23, 2009
Smart SMALL Dosing of Caffeine can be Super Performance Booster

Sökmen, Bülent; Armstrong, Lawrence E; Kraemer, William J; Casa, Douglas J; Dias, Joao C; Judelson, Daniel A; Maresh, Carl M
Cool. What the study suggests is that well hmm, all the use of taurine or (my fave) tyrosine to boost hard workouts etc may be set aside for a low dose snort for a few days leading up to that "intense training."Abstract
The ergogenic effects of caffeine on athletic performance have been shown in many studies, and its broad range of metabolic, hormonal, and physiologic effects has been recorded, as this review of the literature shows. However, few caffeine studies have been published to include cognitive and physiologic considerations for the athlete. The following practical recommendations consider the global effects of caffeine on the body: Lower doses can be as effective as higher doses during exercise performance without any negative coincidence; after a period of cessation, restarting caffeine intake at a low amount before performance can provide the same ergogenic effects as acute intake; caffeine can be taken gradually at low doses to avoid tolerance during the course of 3 or 4 days, just before intense training to sustain exercise intensity; and caffeine can improve cognitive aspects of performance, such as concentration, when an athlete has not slept well. Athletes and coaches also must consider how a person's body size, age, gender, previous use, level of tolerance, and the dose itself all influence the ergogenic effects of caffeine on sports performance.
Now the big contribution of this article for practical applications in coaching is that it looks at a bunch of effects that need to be considered to build an appropriate "dosing strategy"
Power/Speed Very Fast. The article begins its consideration by looking at caffeine's effects on power. Main hit: peak power in 6 secs of the wingate test. So benefit to phosphagen system dominant activities. Caffeien also seems to lower pain perception. hmm. IF you've ever done a wingate test that could be a Good Thing. Not so clear (yet) there's any big boost to glycolytic-heavy events.
Cognitive Function and Skill. Intriguingly in sports like Tennis, the paper shows, hitting accuracy has gone up. Now is that because of its mental altertness effects? or the CA++ happening? The authors really emphasize that caffeine use has to be thought of not as a single factor effect, but look at the range of ways it acts on physiologic as well as cognitive function. And habituation. A biggie on figuring out dosing is how habituated to it a person already is.
Withdrawl. Likewise, the inverse of being on caffeine is going off it. So if there's a desire to increase the effectiveness by getting off it for awhile before a competition, then the authors recommend being sure to do so at least a week before, since reactions to withdrawl are individual but generally peak 24-48 hours after stopping. From personal experience, these can be harsh. The authors actually suggest tapering off rather than cold turkey to reduce training impact.
The key thing in the study is not being a big caffeine head already so that one is not tolerant of it.
Dosing. And what do we mean by caffeine head? Apparently not necessarily a coffee drinker. Coffee it seems can actually blunt the effects of caffeine, so for performance, we're talking capsules.
THen the question is how much and when? low level doses during the day (75mg) improved cognitive function over the day. Costs? sleep gets screwed up, which has its own negative effects on other aspects of performance. SO how use the fact that caffeine effects peak about 75mins post ingestion and are cleared from the body in about 6-7 hours post ingestion?

SO considering that the usually size of a caffeine pill is 200mg, are we perhaps overdosing?? The authors might say "that depends." What's your dosing strategy??
HYDRATION AND CAFFEINE. And did you know, the authors point out, that it's a big misconception that caffeine leads to dehydration. As to the popular use of blending caffeine with everything else? dunno - yet "The effects of ingesting caffeine with a carbohydrate solution, with an amino acid solution, and during creatine loading require further study."
Bottom line: caffeine use can be great for certain types of sports performance stuff; low dosing with as little as 5-10 mg (that's nothing - but it's super something) can be hugely significant.Key thing: figuring out a dosing strategy is "multi-factorial" - it's not well i gotta run all day tomorrow so i'll amp up caffeine in the morning with my double espresso." Dam.
DOSING STRATEGY: small. The above is a great example of what makes a survey article super: it's able to look at a wealth of data on a topic over years and see where the consensus lies, if there's consensus. Here, it's pretty clearly, happily, less is more, and can be a whole lot of more, when dosed smart.
Citation:
Sökmen B, Armstrong LE, Kraemer WJ, Casa DJ, Dias JC, Judelson DA, & Maresh CM (2008). Caffeine use in sports: considerations for the athlete. Journal of strength and conditioning research / National Strength & Conditioning Association, 22 (3), 978-86 PMID: 18438212Tweet Follow @begin2dig
Do Running Shoe Types Reduce Injury? How about No. But what about No Sneakers?
A new prospective study shows that when a running shoe store recommends a specific type of trainer for you, based on your foot type (you may stand on a type of light box or do a "wet test" for foot print, to be told based on your arch the kind of shoe you need), that is supposed to be more helpful to your stride etc etc, injury levels do not seem to be decreased.
The cool thing in the study is that it had a high no. of participants and a goodly fix of stats and it was able to look at stats for a standard set of tasks, Basic Combat Training (BCT).Journal of Strength and Conditioning Research:May 2009 - Volume 23 - Issue 3 - pp 685-697doi: 10.1519/JSC.0b013e3181a0fc63Original ResearchInjury Reduction Effectiveness of Selecting Running Shoes Based on Plantar Shape
Knapik, Joseph J; Swedler, David I; Grier, Tyson L; Hauret, Keith G; Bullock, Steven H; Williams, Kelly W; Darakjy, Salima S; Lester, Mark E; Tobler, Steven K; Jones, Bruce H
Knapik, JJ, Swedler, DI, Grier, TL, Hauret, KG, Bullock, SH, Williams, KW, Darakjy, SS, Lester, ME, Tobler, SK, and Jones, BH. Injury reduction effectiveness of selecting running shoes based on plantar shape. J Strength Cond Res 23(3): 685-697, 2009-Popular running magazines and running shoe companies suggest that imprints of the bottom of the feet (plantar shape) can be used as an indication of the height of the medial longitudinal foot arch and that this can be used to select individually appropriate types of running shoes. This study examined whether or not this selection technique influenced injury risk during United States Army Basic Combat Training (BCT). After foot examinations, BCT recruits in an experimental group (E: n = 1,079 men and 451 women) selected motion control, stability, or cushioned shoes for plantar shapes judged to represent low, medium, or high foot arches, respectively. A control group (C: n = 1,068 men and 464 women) received a stability shoe regardless of plantar shape. Injuries during BCT were determined from outpatient medical records. Other previously known injury risk factors (e.g., age, fitness, and smoking) were obtained from a questionnaire and existing databases. Multivariate Cox regression controlling for other injury risk factors showed little difference in injury risk between the E and C groups among men (risk ratio (E/C) = 1.01; 95% confidence interval = 0.88-1.16; p = 0.87) or women (risk ratio (E/C) = 1.07; 95% confidence interval = 0.91-1.25; p = 0.44). In practical application, this prospective study demonstrated that selecting shoes based on plantar shape had little influence on injury risk in BCT. Thus, if the goal is injury prevention, this selection technique is not necessary in BCT.
What was found to influence injury? Suprise surprise: general fitness.
The present study found a number of risk factors thatSo next time a buddy says they're getting a particular kind of "stabilization" shoe to help so they don't ankle roll or whatever, they may want to consider these results.
confirmed previous work in BCT. Higher injury risk pro-
gressively increased with progressively lower aerobic fitness,
lower muscular endurance, older age, less physical activity,
and more cigarette smoking, similar to results in much of the
BCT literature (1,9,14,16,22,28,29,37,41,43).
Indeed, what this study did not look at, intriguingly, is what would happen if INSTEAD of using sneakers of any kind, thin soled shoes like tiger Tai Chi's or similar were used. In other words, all other things being equal, would the promises of proprioceptive joy offered by the less is more approach to foot wear, where the twist test of a shoe means more joint mobilization in the foot, more proprioceptive signals shot out to the brain to judge where we are in space, could actually improve injury reduction? My *guess* would be, based on folks's reports of feeling better in less foot wear, that going the other way - out of cushy soles of any kind - just might.
Related Posts
- VFF b2d index - the many wonderful effects of foot freedom
Wednesday, July 22, 2009
Elite Rings Review - Gymnastic Fitness that's FUN for your workouts
Plus, great news: portable, super light Elite Rings are now available directly in the UK, so you can get FREE SHIPPING even in the UK (and canada too, holy cow).

When i was at the 9S sustenance course, at every break over five days, the number of folks playing on the rings over a break grew progressively. Guys trying out their muscle ups. Everyone just having a go and a pull, or grabbing one ring and swinging about.
Rings Rule: They're FUN
And if it's FUN we tend to do it MORE. I was doing way more pull ups on those rings than i do

Elite Rings
I happen to like Tyler Hass's Elite Rings. Why? It's a great product by someone who loves this equipment, uses it himself, and is a great small business. There's a great chart for how to get going with basic exercises, free training programs on the web site, so you have all you need to get going. That is if just hanging and swinging and pulling and flipping isn't fun enough.

That there is an olympian Jordan Jovtchev, demo'ing these rings and how-to moves is a pretty cool hook up between expert designer and expert practitioner to learn how these cool moves (yes, including the iron cross) are done.
I've had a link to Tyler's rings on this site for a long time, but i'm still buzzing from the memory of what a gas it was for us to have such easy access to these rings - not something that i can hook up where i live. So if you do have room to hang these from your rafters in a home or garage, or on some monkey bars or wherever, do! IF your gym doesn't have them, you may want to ask them to consider getting them in.
One of the biggest cool things about watching folks on the rings is the smiles. Not something one always sees at the pull up bar or for that matter swinging a heavy bell, or deadlifting.
Just hang off 'em once - let your body with feet on the ground - just move back and forth, and see how long before you're hooking your feet in those rings hanging upside down, swinging back and forth. "It's for spinal decompression." Sure! and that they're outrageously FUN is pretty good too.
Swinging is cool for your vestibular system too. Close your eyes. Open your eyes. Look Left. Look Right. Back and forth.
Swinging is cool for your visual system: near and far drills take on new dimensions for target acquisition and peripheral switching - all while working your grip, your upper body, your core. Rad. I really *hope* you can find a space to throw these up and have a go. The secret life of kettlebells exposed.
Here's to effortless happiness in each of your perfectly fun reps. Tweet Follow @begin2dig
Tuesday, July 21, 2009
Minute with Mike (2 ), Post Workout Recovery Window: Real or Myth?
In today's episode, we're again

Today's topic: The Recovery Window - that time that's supposed to exist after a workout when ya better get your protein in, or else. Well, or else what?
Are we wasting calories if we pump protein at 121minutess after exercise? Are we making ourselves catabolic if the window closes? How does it close? Is there a window, anyway? Mike?
Check out Mike's new site, extremehumanperformance.com
Once Mike gets a web cam, we'll be bringing you more Minutes With Mike - cracking the supposedly nutritionally known for athletic performance wide open.
Related Posts.
- nutrient timing of pre/post recovery fuel may make a difference.
- protein blends for omnivores and vegans