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Weight Lifting and Post Exercise Muscle Recovery
By Dr. John M Berardi, Ph.D.
First published at www.fitdv.com, Mar 2002.
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Did you ever wonder what's really happening to your muscles during and
after exercise? Sure, there's no doubt that something's going on down
in those contractile fibers, something strong enough to make you walk
like Frankenstein for a couple of days after your leg workout. But what
exactly happens to make you unable to negotiate curbs and doorsteps? Well,
since science can provide a little glimpse into the phenomenon of post-exercise
muscle recovery, in this article I'll address muscle recovery from a scientific
perspective. Therefore whether you're man, woman or child, you'll be able
to explain your pain.
Conventional weight lifting consists of two distinct phases of movement.
The concentric phase is the positive portion of the lift (i.e. the upward
push on the bar during a bench press) while the eccentric phase is the
negative portion of the lift (i.e. the downward lowering of the bar during
a bench press). Each portion of the lift can contribute to the muscle
damage seen during weight lifting as follows.
1) The eccentric portion of the lift is, by definition, a form of forced
lengthening of the muscle. Forced lengthening with high weight loads causes
microscopic tears in the small fibers that make up the muscle and the
connective tissues. Since eccentric contractions tend to involve fewer
muscle fibers than other contractions, each individual fiber that's recruited
takes a large beating. Therefore during exercise, the muscle is physically
damaged. (1;6)
2) The concentric portion of the lift, while the force is dispersed over
more fibers, tends to require much more metabolic activity. This metabolic
activity leads to depletion of muscle energy stores such as ATP and muscle
glycogen (carbohydrate). This depletion, while exercising, may lead to
greater susceptibility to the damage seen above. (1;3)
3) Both the physical damage caused as well as the metabolic depletion
can lead to altered cellular calcium balance during and after the exercise.
With this, the amount of calcium in the cell increases. This excess of
calcium can activate enzymes that break down cellular proteins including
contractile protein. In addition, calcium can build up in the mitochondrion
of the cells, thereby decreasing cellular energy production. (1;3;21)
4) As a result of all of this disruption, the body signals for help.
After all, there is dysfunctional muscle debris that needs to be cleaned
up. So after exercise, fluid begins to build up in the damaged cells in
order to bring immune cells such as neutrophils and macrophages to the
site of injury. While these cells end up clearing away damaged tissue,
their activity leads to the build up of pesky free radicals (these are
why we think antioxidants are so important). Free radicals may cause further
muscle damage, prolonging recovery time. (1;9;12;13;16)
5) While this cycle of destruction and healing persists, normal muscle
function, such as the ability to take up and store carbohydrates is compromised.
This leads to a prolonged recovery of muscle energy, further delaying
full healing. (10;11;22)
While it's nice to know what's going on at the microscopic level of skeletal
muscle after exercise, it's important to realize that these microscopic
changes lead to some profound functional changes.
1) During conventional weight lifting, muscle force production (strength)
is diminished for at least 1 to 3 days after the damage has occurred.
This loss of strength, which may take 7-14 days to recover, is most likely
due to several factors including the disruption of muscle calcium balance
and energy production, the poor recovery of muscle energy during this
period, and the decrease in muscle protein content. In addition, this
loss of strength can cause you to feel like a 90-lb weakling for several
days after exercise. Stay away from the beach for 7-14 days. (5;8;14;17)
2) Muscle swelling, as a result of fluid accumulation and immune cell
delivery, occurs almost immediately after exercise. This swelling typically
lasts 3-4 days but may take as many as 7 to subside. This swelling is
associated with muscle stiffness, decreased range of motion, and an inability
to comb your hair after arm day. This means bad hair days for 3-7 days.
(1;16)
3) Everyone's favorite, delayed onset muscle soreness (DOMS), typically
lasts from 2-4 days after exercise and is mostly gone within 5 days. This
soreness may come as a result of both swelling and stiffness but some
scientists now think that biochemical changes in the muscle may increase
nerve sensitivity, leading to muscle pain. Sensitivity is one thing but
crying is not allowed; in 5 days it will all be over. (1;16)
4) As discussed above, while the muscle is healing, its ability to "refuel"
with carbohydrate is decreased because of disruption of the muscle glucose
transport mechanisms. This means that no matter how many carbohydrates
you eat, you simply can't get your muscle energy back up to normal for
at least 48 hours after exercise. So don't convince yourself that pigging
out on pizza and beer will help you recover more quickly from your sore
muscles.
So this is a pretty scary picture, huh? Well, although it looks nasty,
ultimately (about a 7 -14 days later) the muscle damage stops, the immune
system does it's job, muscle energy is replenished, and the muscle fibers
are built back up bigger and stronger than before.
I hope you now realize that the only way to get improve your muscle size
and muscle strength is to allow adequate recovery time between performing
exercises with the same muscle groups. Without adequate recovery of calcium
balance, muscle energy, and muscle protein content, your muscle force
will be lower with each subsequent workout, thereby reducing the quality
of the workout in terms of the weight lifted. This is certainly not the
way to get stronger. In addition, unless you wait until full structural
recovery occurs, you will simply be destroying the new muscle tissue being
formed to replace the damaged tissue. And this is no way to get bigger.
So how long should one wait between weight lifting bouts using the same
body part? Well, based on the recovery data discussed above as well as
the detraining data discussed in sidebar #1, it appears that when doing
intense weight lifting workouts and letting nature take it's course, a
period of 7 or more days may be a good starting point. However each individual
may be different. In addition, as discussed in sidebar #2, certain recovery
techniques may speed up healing.
A few individualized methods for knowing whether it's time to destroy
the legs again are as follows.
1) Be sure that muscle soreness is completely gone.
2) Be sure that your range of motion has returned.
3) Be sure that your muscle strength is better than it was during the
previous workout.
4) For those of you who like to quantify things, you can measure your
relaxed muscle circumference before your training session and wait until
the swelling has gone down.
Although I don't think that understanding why you can't get out of bed
in the morning after a rough workout makes it any easier to do so, at
least you'll now be able to better plan your workouts. This way you will
be able to fully recover and your pain will not be in vain.
Detraining (Sidebar #1)
It's no surprise to anyone that a consistent weight-training program
produces gains in muscle strength and muscle size. Initially, the strength
changes occur as a result of increased neural efficiency. Long term increases
in strength are a result of increased muscle mass. These gains in muscle
mass occur as a result of changes in muscle protein status. As mentioned,
allowing the muscle to fully recover from muscle damage can maximize these
adaptations. Although it's difficult to determine exactly how long a muscle
needs to fully recover, it is not a good idea to simply wait two weeks
before training again. Therefore a fine balance must be reached between
waiting until the muscle has recovered and not waiting so long that the
muscle becomes detrained.
Detraining is defined as a prolonged period of reduced exercise volume
or muscle inactivity. Interestingly, although frequent and intense exercise
is needed to yield gains in muscle strength and size, detraining studies
have demonstrated that muscle strength and power can be maintained with
intense workouts separated by as much as 10-14 days. Other data show that
muscle strength actually increases with 8 days of low volume exercise
recovery and may even increase during 2- 8 days of complete detraining.
In the detraining group, strength was lost only after 8 days of detraining
(4).
It is clear that muscle force production improves with adequate recovery
and this may come as a result of full repair of muscle damage and full
muscle energy replenishment. This information, coupled with the recovery
data discussed earlier, provides more evidence for the idea that approximately
7 days but no more than 10 days should separate intense weight-training
workouts for a specific body part.
Recovery Techniques (Sidebar #2)
The normal recovery from weight training induced muscle damage brings
with it a host of symptoms including decreased range of motion, increased
muscle soreness, muscle stiffness, muscle swelling, and decreased muscle
force production. In order to accelerate muscle recovery several recovery
techniques have been suggested. These techniques include the following.
1) Light Exercise During Recovery - Research has shown that performing
a few sets of light exercise with the sore and damaged muscles may decrease
muscle soreness and increase force recovery (15;16). Both studies used
approximately 50 easily performed submaximal contractions in order to
promote this effect.
2) Massage - Research has suggested that muscle soreness can be improved
with regular massage therapy, however this modality does not appear to
increase blood flow or force recovery (2;18;19).
3) Underwater Warm Jet Massage - One study showed that 20 minutes of
underwater jet massage therapy 3x per week might help maintain performance
capacity during intense training (20).
4) Muscle Compression - In one recent study, a few days of continual
compression of damaged muscle tissue decreased markers of muscle damage
and increased force recovery (7).
5) Cold Water Immersion - Although few studies have been done with cold
water immersion, athletes have reported good results with immersion in
cold water for 20 minutes during the recovery period.
References
(1) Appell HJ, Soares JM, Duarte JA. Exercise,
muscle damage and fatigue. Sports Med 1992; 13(2):108-115.
(2) Ernst E. Does post-exercise massage treatment reduce delayed onset
muscle soreness? A systematic review. Br J Sports Med 1998; 32(3):212-214.
(3) Evans WJ, Cannon JG. The metabolic effects of exercise-induced muscle
damage. Exerc Sport Sci Rev 1991; 19:99-125.
(4) Gibala MJ, MacDougall JD, Sale DG. The effects of tapering on strength
performance in trained athletes. Int J Sports Med 1994; 15(8):492-497.
(5) Hakkinen K. Neuromuscular fatigue and recovery in male and female
athletes during heavy resistance exercise. Int J Sports Med 1993; 14(2):53-59.
(6) Hortobagyi T, Houmard J, Fraser D, Dudek R, Lambert J, Tracy J. Normal
forces and myofibrillar disruption after repeated eccentric exercise.
J Appl Physiol 1998; 84(2):492-498.
(7) Kraemer WJ, Bush JA, Wickham RB, Denegar CR, Gomez AL, Gotshalk LA
et al. Influence of compression therapy on symptoms following soft tissue
injury from maximal eccentric exercise. J Orthop Sports Phys Ther 2001;
31(6):282-290.
(8) Linnamo V, Hakkinen K, Komi PV. Neuromuscular fatigue and recovery
in maximal compared to explosive strength loading. Eur J Appl Physiol
Occup Physiol 1998; 77(1-2):176-181.
(9) McBride JM, Kraemer WJ, Triplett-McBride T, Sebastianelli W. Effect
of resistance exercise on free radical production. Med Sci Sports Exerc
1998; 30(1):67-72.
(10) Pascoe DD, Costill DL, Fink WJ, Robergs RA, Zachwieja JJ. Glycogen
resynthesis in skeletal muscle following resistive exercise. Med Sci Sports
Exerc 1993; 25(3):349-354.
(11) Pascoe DD, Gladden LB. Muscle glycogen resynthesis after short term,
high intensity exercise and resistance exercise. Sports Med 1996; 21(2):98-118.
(12) Pedersen BK, Steensberg A, Schjerling P. Muscle-derived interleukin-6:
possible biological effects. J Physiol 2001; 536(Pt 2):329-337.
(13) Petersen EW, Ostrowski K, Ibfelt T, Richelle M, Offord E, Halkjaer-Kristensen
J et al. Effect of vitamin supplementation on cytokine response and on
muscle damage after strenuous exercise. Am J Physiol Cell Physiol 2001;
280(6):C1570-C1575.
(14) Raastad T, Hallen J. Recovery of skeletal muscle contractility after.
Eur J Appl Physiol 2000; 82(3):206-214.
(15) Saxton JM, Donnelly AE. Light concentric exercise during recovery
from exercise-induced muscle damage. Int J Sports Med 1995; 16(6):347-351.
(16) Sayers SP, Clarkson PM, Lee J. Activity and immobilization after
eccentric exercise: I. Recovery of muscle function. Med Sci Sports Exerc
2000; 32(9):1587-1592.
(17) Sbriccoli P, Felici F, Rosponi A, Aliotta A, Castellano V, Mazza
C et al. Exercise induced muscle damage and recovery assessed by means
of linear and non-linear sEMG analysis and ultrasonography. J Electromyogr
Kinesiol 2001; 11(2):73-83.
(18) Tiidus PM. Manual massage and recovery of muscle function following
exercise: a literature review. J Orthop Sports Phys Ther 1997; 25(2):107-112.
(19) Tiidus PM, Shoemaker JK. Effleurage massage, muscle blood flow and
long-term post-exercise strength recovery. Int J Sports Med 1995; 16(7):478-483.
(20) Viitasalo JT, Niemela K, Kaappola R, Korjus T, Levola M, Mononen
HV et al. Warm underwater water-jet massage improves recovery from intense
physical exercise. Eur J Appl Physiol Occup Physiol 1995; 71(5):431-438.
(21) Warren GL, Ingalls CP, Lowe DA, Armstrong RB. Excitation-contraction
uncoupling: major role in contraction-induced muscle injury. Exerc Sport
Sci Rev 2001; 29(2):82-87.
(22) Widrick JJ, Costill DL, McConell GK, Anderson DE, Pearson DR, Zachwieja
JJ. Time course of glycogen accumulation after eccentric exercise. J Appl
Physiol 1992; 72(5):1999-2004.
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