Physioinnovation blog

www.physioinnovation.com are consulting within several fields related to sports performance through our subdivisions at www.myokinematics.dk | www.myokinematics.com | www.altitude-training-eu | www.alpcamps.com | www.virtuelsportscoach.dk | www.virtualsportscoaching.com. We have 12 years experience from extreme and endurance sports in the alps along with our professional skills in sports science. We offer consulting within mental training, nutrition and physical training programs for a variety of athletes as well as consulting within bike fitting, altitude training and the latest scientific knowledge applicable in sports science. We offer virtual consultation from wherever you are in the world.

IHT | Altitude Training

Altitude training is a recognized sports scientific method to increase performance in athletes, although many different protocols exists and there are many opinions about their effect.

Physioinnovation believes in some of the protocols in altitude training and we have tried to give you a digest of some of the studies regarding the altitude training in this blog… At AlpCamps Sports Institute we live in altitude and use the altitude training as a tool to increase performance, loosing weight, adapt to high amounts of metabolic waste products during anaerobic performance. Here is some of the evidence behind hypoxic training…

Although some studies have had a hard time finding the benefits of intermittent hypoxic training there are several studies that has found positive results, more recently by Faiss et al., (2013). The Swiss based research team tested the effect of hypoxic training on sprint ability and found a positive correlation in performance of the group that performed sprints in altitude compared to sealevel group and control group.


Interval training has been one of the most important factors in order to increase endurance performance, peripherally muscle buffer capacity increases, imagining your capillary system as one big spindle net, which increases in size and small branches when training with I.e. Interval training. Central factors such as heart size and ability to pump an increased amount of blood in the body are obviously also increased by interval training, these are just basic facts and benefits of physical training (Michalsik and Bangsbo, 2005). 


So how could you amplify this effect by training in hypoxic conditions?



Since late 90’s there has been a lot of attention into hypoxic training/ altitude training with the study by Levine and Gundersen (1997), whom showed an increase in haemaglobin levels (10%) and 5000m running time (5%) in the group living high and training low compared to a control group and a group both living and training high (∼2800m). 



However, this method is quite time consuming, since you’ll have to stay high for a minimum of 18days (Pialoux et al, 2009) in order to get any change in blood parameters and hereby performance, although best results has been obtained from at least a 24days stay in altitude until date (Levine and Gundersen, 1997). 



Intermittent hypoxic training, has gained far more attention recent years because of its less time consuming efficacy. Although it’s efficiency upon elite endurance athletes yet has to prove effective to a major degree, there has been in particular one study by Dufour et al. (2006), whom showed an increase in endurance for competitive distance runners. The results were promising from the method used in this study, a +5% increase in Vo2max and +35% time to exhaustion only in the group undergoing altitude training at ∼3000m (Dufour et al, 2006). 




Training in hypoxic condition or altitude cannot change blood values, since the amount of exposure in altitude like the study by Dufour et al. (2006) is not enough to change actual haemaglobin etc as seen in the recent study by the Swiss research tem (Faiss et al., 2013). However, in this type of training the peripheral factors increasing the buffer capacity in the muscles (the spindle net as mentioned above) is believed to change (Faiss et al. 2013, Dufour et al, 2006; Vogt et al, 2003) Hereby creating a better circulation and exchange in the blood/muscle barrier. 
Faiss et al, (2013) also discussed the possibility that fast twitch muscles had a better effect of the training in high altitude, since there could be a more dramatical shift in the ability of these fibers to get rid of metabolic waste products.


One of the reasons why there is such a change in buffer capacity (capillarity) while training in altitude is the stimulant of the so called master gene HIF-1 or hypoxic inducible factor 1, which starts the process of human adaptation to altitude (increased capillarity, mitochondrial content, glycolytic enzymes I.e.) (Vogt et al, 2001). These effects from the transcription of the Mrna gene was also seen in the hypoxic training group in the study by Faiss et al, (2013).  



Although there is not fully consensus about this master gene HIF-1 (Lundby et al, 2009) it is mentioned as one of the leading factors to human adaptation in altitude (Pialoux et al. 2009) and hereby also increase in endurance performance at least in altitude (Dufour et al. 2009)
 and possibly also the increased performance of sprint ability at sealevel (Faiss et al, 2013).

At AlpCamps Sports Institute we daily live and exercise in Hypoxic conditions, ranging from altitudes at 400 - 3000 meters. We use a broad variety of methods, ranging from intermittent hypoxic training, train high live low, live high train low.

Physioinnovation consults athletes in proper use of altitude training, contact us for more information.

By Bjørn Toft @ Physioinnovation

References

Faiss, R., et al. (2013) Significant molecular and systemic adaptations after repeated sprint training in hypoxia, www.plosone.org


Bangsbo, J, Michalsik, L (2005), Aerob og anaerob træning, Danmarks idræts forbund, 1 udgave, 2 oplag, p.123-127



Lundby, C, Calbet, J.A., Robach, P (2009) The response of human skeletal muscle tissue to hypoxia, Cell mol Life Sci, sep.10



Levine, B.D, Gundersen, J.S (1997), ‘‘Living high-training low’’: effect of moderate-altitude acclimatization with low-altitude training on performance, the American Physiological Society



Vogt, M, Billeter, R, Hoppeler, H (2003), Effect of hypoxia on muscular performance capacity: “living low—training high”, Ther Umsch, Jul;60(7), 4p. 19-24



Pialoux, V, Brugniaux, J.V, Fellmann, N Richalet, J.P, Robach, P, Schmirr, L, Coudert, J, Mounier, R (2009), Oxidative stress and HIF-1 alpha modulate hypoxic ventilatory responses after hypoxic training on athletes, Respi physiol Neurobiol, Jun 30;167(2), p.217-20



Dufour, S.P, Ponsot, E, Zoll, J, Doutreleu, S, Lonsdorfer, W.E, Geny, B, Lamber, E, Flück, M, Hoppeler, H, Billat, V, Mettauer, B, Richard, R, Lonsdorfer, J (2006), Exercise training in normobaric hypoxia in endurance runners. I. Improvement in aerobic performance capacity, J Appl physiol, Apr;100(4), p.1238-48

By Bjørn Toft @Physioinnovation

Altitude Training (Intermittent hypoxic training protocols)

About IHE/HIH altitude training protocols, alternative passive recovery/performance enhancing strategies in altitude…

Different altitude-training protocols exist and there are more to come, but something that could draw attention to athletes is the most time efficient ways to gain in endurance capacity or to use recovery strategies. At Physioinnovation we consult and help you getting the right type of altitude training protocols for your sport, the timing of your peak performance, recovery strategies and so on.


More from the sports science concerning the IHT/HIH protocols, that we also offer at AlpCamps Sports Institute

Recently, Bonetti et al., (2009) conducted a trial of intermittent hypoxic exposure (IHE). IHE is described as being brief exposure to altitude ( less than 3 hours) (Bonetti and Hopkins, 2009). It has been proposed that muscular changes such as increased muscular buffering and haematological changes such as increased levels of reticolucytes (immature red blood cells – the carriers of oxygen) and haemaglobine (mature red blood cells – the carriers of oxygen) induced by a IHE protocol could possibly increase endurance performance (Bonetti et al., 2009).

Results from a study conducted by Bonetti and Hopkins (2009) obtained 3 days after the 3-week protocol by the test group (18 males) compared with a control group (8 males): The test group showed a 4,7% increase in cycling peak power, measured via a so-called incremental ramp test, where subjects increased the resistance on the bike every 3rd minute until exhaustion. These measurements was encountered in WATT, a tool that could be used by cyclists I.e. (SRM power data etc…)

Lactate profile power was increased (4,4%) – This would suggest that one conducting a sport were there is a period of lactic acid building, such as heavy and sore muscles would be able to prolong his period in where he/she could work intensively.



Heart rate profile power (6,5%) was increased as well, which would suggest that I.e. running 19,5km/hr would be 6,5% less hard for the cardiovascular system. Conclusively, the results would suggest that the increased cycling performance were due to peripheral changes, such as increased muscular buffering which means a better distribution of lactate acid elsewhere in the body, since there were no changes in haematological parameters such as haemaglobine.



Practically, the implementation of this time-efficient altitude training, would suggest a break through for competitive athletes, since it can be difficult to implement long duration live high train low protocols (>12 hours a day above 2500metres >21 days) within hard training periods. 

The  ultimate increase in performance within cycling peak power attenuated by increasing peripheral parameters such as lactate removal and more hence increase the efficiency of the muscle fibre can be obtained by consulting wihtin altitude training, as we propose at Physioinnovation

Lately Chui et al, (2012) discovered that IHT or here called HIH  Hypobaric intermittent hypoxia affected the cardiovascular system by an anti-hypertensive effect, although the study was conducted on rats the correlation to IHE on humans could might well be the same.



References
: Bonetti, D.L., Hopkins, W.G., Lowe, T.E., Kilding, A.E., (2009), Cycling Performance FollowingAdaptation to Two Protocols of Acutely Intermittent Hypoxia, International Journal of Sports Physiology and Performance, vol.4, p.68-83



Bonetti, D.L., Hopkins, W.G., (2009), Sea-level exercise performance following adaptation to hypoxia: a meta-analysis, Sports Med, vol. 39(2), p.107-27



Millet, G.P., Roels, B., Schmitt, L., Woorons, X., Richalet, J.P., (2010), Combining Hypoxic Methods for Peak Performance, Sports med

Fang Cui, Lu Gao, Fang Yuan, Ze-Fei Dong, Zhao-Nian Zhou, David D. Kline, Yi Zhang, De-Pei (2012), Hypobaric Intermittent Hypoxia Attenuates Hypoxia-induced Depressor Response, Plos one

By Physioinnovation

Brain activity during pedalling | 5KineticGears | MyoKinematics

Is pedalling in cycling a brain controlled activity or is it a self-controlled movement that is stored as a reflex in the spine? This recently published paper by Sanket et al., (2012) shows us that the pedalling motion is highly depending on brain (cortex) activity. How can this sports scientific knowledge bring us further in understanding the pedalling motion and teach people how it is done correctly? The pedalling and biomechanical/physical training concept 5KineticGears by Physioinnovation is an approach to pedalling motion that has a great bond with neurology. It fits perfectly into the approach that pedalling is a motion that needs kinesthetic attention, brain training and a well founded biomechanists to help you learn these movements towards perfection.


Some of the reasons behind…

Assuming that the neurological feedback system has a great impact upon how we use our brain is perhaps more than ever a very important issue. The feedback system staring at the foot through maximum pressure points, the shape of the soles, the positioning of the cleats, to the pelvis and it’s angle plus pressure points on the saddle, ending at the hands with pressure points on the steer gives us the feedback from pressure neurons. They loop through our spine to our brain, giving us what is called “feedback” together with the information from our joints and tendons informing us of the angle in our joints, stretch of passive and active structures such as ligaments, tendons and muscles.

If the pedalling motion is actively controlled by the brain as proposed by Sanket et al., (2012) and not a self regulated action, then the feedback system is more important than ever! A well functioning feedback loop will generate the most accurate feed forward, hence an accurate pedalling motion and MORE EFFICIENT POWER!

What are our possibilities of giving ourselves the perfect feedback at the moment? A small example of how we work through the MyoKinematics Bike Fitting concept is by looking at the feet. The stiffer and faster the construction of the foot, the more and the faster feedback is given to the brain. Assuming that a faster feedback will give a better chance for the brain to work is not totally out of proportion. Therefore we also offer a special performance constructed sole…

The MyoKinematics bike fitting concept is all about giving the most qualitative feedback for your brain, so that you have maximum amount of information to work with. This will give you more options on order to work efficiently with your feed forward (your muscle coordination). We can actually monitor brain activity by looking at how the muscles work during pedalling. The MyoKinematics concept has the same type of technique as used in this study, but much more easily to use, non-invasive and readily available. We have consulted professional athletes that wants to have this knowledge because they of all now that the difference is in the details and the changes in details often brings a return in terms of increased power and efficiency during cycling.

Check out the MyoKinematics website for more down to earth knowledge and bookings :-)

AlpCamps Sports Institute™’s photostream on Flickr.Endurance training in the form of ski touring at AlpCamps Sports Institute. This is super alternative training for cycling, triathlon and running and we had one of those epic days…
AlpCamps | SkiingTelemarkingAlpCamps | MoutaintopAlpCamps | Mont Blanc

AlpCamps Sports Institute™’s photostream on Flickr.

Endurance training in the form of ski touring at AlpCamps Sports Institute. This is super alternative training for cycling, triathlon and running and we had one of those epic days…

5KineticGears | Part of the MyoKinematics Bike Fitting Concept

image

So what is 5KineticGears and the whole MyoKinematics concept about?

Well, first and foremost it is a hybrid between becoming one with your bike and learning how to actually use your body correctly on a it, or in other words using your brain during pedalling… :-) Sounds awkward, well it is not, cycling is actually demanding a lot of coordination, we say: Take control of the bike, don’t let it control you, just because a bike’s pedals can only spin around in a very well defined direction does not mean that you can not control it… Your muscles and the way you decide to use them (brain-work) is determining how much you’ll ever get out of your career as a weekend warrior, frequent fitness spinner, pro-elite cyclist and passionate all round cyclist.

This is why the MyoKinematics concept has specified training methods that come together with an equation of a more comfortable position that is fully customized to the body’s possibilities. After correct positioning on a bike (post bike fit), the rest is brainwork, yes brain you are reading it right: brainwork…

Just an example of how pedalling technique is responsible for in cycling efficiency is a study by Mr. Wakeling, Blake and Chan (2009) that conducted a study that proposed “power output in the limb is limited by coordination of the muscles rather than the maximum power output by the muscle itself” – Wow! This is our vision with MyoKinematics in a nutshell

How do I work on my brain during pedalling to maximize my power output?

Well start looking at some videos at MyoKinematics TV and our work on 5KineticGears. We have introduced this method in Fitnessdk in Denmark, the largest fitness chain in Denmark. Follow our blog, and join the mother company on facebook, Physioinnovation , we’ll keep you updated.

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5 Kinetic Movement Patterns

 

Étude posturale vélo Suisse fait par MyoKinematics™ | Swiss Bike Fitting by MyoKinematics™

MyoKinematics™ offers mobile bike fitting services in Switzerland, France, Italy and Germany | MyoKinematics™ offre des prestations d’étude posturale en vélo et triathlon mobile en Suisse, France, Italie et Allemagne

Pedalling technique in cycling

developed by MyoKinematics

A special thanks to Bike Coach and certified 5KineticGears Master | Michael Andersen at Fitness DK Headcoach of the Fitness DK BIKE 2012/2013 Team, preparing for La Marmotte Cyclosportive in France

This video and blog is about the 5KineticGears or in Danish called “De 5 Kinetiske Gear” developped by MyoKinematics , providers of high end bike fitting using both kinetic and kinematic assessment methods (Physioinnovation™) used in the biggest fitness chain in Denmark called Fitness DK. This special team within Fitness DK is preparing for La Marmotte next year, a hard mountain cyclosportive next year in the Alps. Since Danish cyclists has a lack of mountains, MyoKinematics™ has developed at unique pedalling technique, that together with a bike fitting helps them to control their muscle coordination better.

The more efficient the cyclists can train the better. This is why we have tried to aim for specific muscle coordination strategies where 3 main factors will give them an advance if they train this after the MyoKinematics™  bike fitting protocol.

 

1: More muscle fibres will be recruited during changes of position hereby ther ewill be over time an increased aerobic fitness dur to increased endurance in the higher amount of muscle fibres being recruited… Although harder in the beginning, it will pay off! Check it in use during training in the mountains where we have our AlpCamps Sports Institute

2: More efficient lactate removal from specific muscle groups to another muscle group (Again the more you train these different technique, the higher endurance your muscle fibres will have) If you would like to speed up this process, it is recommended to have a look at Altitude Training (Training in 3500-4200 metres)

3: More fine tuned muscle coordination in as many muscle fibres as possible helps you to sustain a high average power distributed over a longer period*

*Highly individual how many muscle fibres you can recruit, since differences in individual movement capacity, tolerance towards stretch, muscle fibre types etc. This is why we recommend a MyoKinematics™ bike Fitting before entering any sort of training with the 5KineticGears, since we assess not only your position on the bike, but also how much your muscles are working, side differences, power, muscle control and fine coordination of them…  

Since the changes in terrain in demanding for road bikers coming to the Alps from the flatland like Denmark, this type of training gives you an advance and develops your ability on the bike. 

Highly demanding cyclosportives in the Alps, like the etape du tour, La Marmotte, Maratona del delomities or ötztaler radmarathon are challenging for flatlanders. Since our position is not changing as drastically during pedalling motion on the flats as you are required to in the mountains with its constant changes.

Therefore this type of training called the 5KineticGears that we have developed is highly useful for you that prepares for La Marmotte, etape or other cyclosportive. This training should be conducted after a MyoKinematics™ bike fit, a type of bike fitting that is unique in the way that we look at your muscle coordination with high end muscle monitoring systems called MyoWave® from our Partner in US.

 Have a great training and look forward to some sore bum muscles :-)


Bjørn & Karin Have a look at MyoKinematics.ch and contact us for more information

 

Here is one of the results of Saturdays MyoKinematics bike fit with Niels Brandt Jorgensen (triathlete). Niels mentioned before the bike fit with the MyoWave, that he had a feeling having a strong and overloaded left hamstring (red line). Well, here is the actual result of what we achieved by training specific pedaling techniques on the hometrainer… (see photo). Yet there was still a big difference in muscle recruitment of the hamstring (red line) compared to the rectus femoris (yellow line) - which is a part of the quadriceps muscle.
Normally in cycling you would see a strong and well defined firing pattern (up and down) from the rectus femoris (yellow line). But here we where faced with a problem that the rectus femoris was too active all the time, but weak compared to the hamstring muscle. This corresponds nicely to what Niels says; that it is like he get’s more tired in his left rectus femoris muscle (yellow line) before the he feels the same fatigue on the opposite side.
The conclusion concerning the Achilles problems on the left side were therefore that Niels was over-firing the left hamstring and hence the posterior muscle chain. This leads to pull and shear forces upon the achilles and hence creating the unbalance that has been resulting in a chronic inflammation since 4 months. We are therefore emphasizing a very well defined pedaling technique program in order to relief the the left hamstring and achilles tendon, as well as strengthening left rectus femoris (yellow line), so we see a more well defined muscle recruitment pattern going up and down as he hamstring is currently doing.
Our guess is that Niels will still be doing a superb performance at hawaii ironman, he is a strong viking, go Niels!

Here is one of the results of Saturdays MyoKinematics bike fit with Niels Brandt Jorgensen (triathlete). Niels mentioned before the bike fit with the MyoWave, that he had a feeling having a strong and overloaded left hamstring (red line). Well, here is the actual result of what we achieved by training specific pedaling techniques on the hometrainer… (see photo). Yet there was still a big difference in muscle recruitment of the hamstring (red line) compared to the rectus femoris (yellow line) - which is a part of the quadriceps muscle.

Normally in cycling you would see a strong and well defined firing pattern (up and down) from the rectus femoris (yellow line). But here we where faced with a problem that the rectus femoris was too active all the time, but weak compared to the hamstring muscle. This corresponds nicely to what Niels says; that it is like he get’s more tired in his left rectus femoris muscle (yellow line) before the he feels the same fatigue on the opposite side.

The conclusion concerning the Achilles problems on the left side were therefore that Niels was over-firing the left hamstring and hence the posterior muscle chain. This leads to pull and shear forces upon the achilles and hence creating the unbalance that has been resulting in a chronic inflammation since 4 months. We are therefore emphasizing a very well defined pedaling technique program in order to relief the the left hamstring and achilles tendon, as well as strengthening left rectus femoris (yellow line), so we see a more well defined muscle recruitment pattern going up and down as he hamstring is currently doing.

Our guess is that Niels will still be doing a superb performance at hawaii ironman, he is a strong viking, go Niels!

(Source: myokinematics.com)

Niels Brandt Jorgensen about his experience with the MyoWave

Niels is a triathlete and a very good one. He explains in his blog, how he has been struggling with problems from his Achilles tendon for many months. We recently tested him with our MyoKinematics Bike Fitting method. We found a stunning 31% difference in his rectus femoris firing pattern (muscle coordination from the thigh) when we compared left and right side. We also found a huge difference on the hamstrings, which on the injured side was much more active then on the non-injured. This meant that there was a neuromuscular pattern that was at least partly responsible for this injury, if not not totally responsible. We have given exercises to prevent and treat the injury as well as working with specific pedaling techniques in order to restore the neuromuscular deficit and coordination for Niels.

This is an example of how powerful the MyoWave is when assessing muscle coordination. We will be supporting Niels on his way to Hawaii Ironman, go Niels!

AlpCamps Sports Institute™ update August & September | Bike Fitting & Coaching

Physioinnovation™ & AlpCamps Sports Institute™ has had some busy weeks in August and September, including the launch of a new and innovative Bike Fitting concept using the MyoWave (see more at MyoKinematics™). The Bike Fitting method called MyoKinematics™ is the first of its kind in the world, that we have launched based from our journey in the United States together with Sonostics Inc. Here we have some videos of both our new bike fitting method and follow-up on in the Alps. At AlpCamps Sports Institute™ we have had visits of dedicated cycling enthusiasts who started a performance process of bike fitting in the spring. In the Alps they have been working with both pedaling technique, physical training and imagery techniques on steep and challenging climbs in our backyard at AlpCamps. Contact us for more information concerning tailor made training camps for you as an athlete no matter your level. See you at AlpCamps Sports Institute™ :-)

Have a look at our videos from both August & September

MyoWave® is used in bike fitting by MyoKinematics™ which is a part of Physioinnovation™, a consulting company within sport performance. Have a look at MyoKinematics™ and see learn more about our method of sports science based bike fitting. MyoWave® is a value adding tool for clinicians within the sports industry, a tool that will help you that has a background within anatomy, physiology and biomechanics to educate clients about the power of muscle coordination and to provide value adding sports science based knowledge to your clients. At AlpCamps Sports Institute™, we use the MyoWave® in both bike fitting and and after bike fitting, helping you as an athlete to identify what muscle chains you can train to achieve excellence in your sport, no matter your level. Have a look at AlpCamps Sports Institute™ to learn more about our training centre in the heart of the Alps.

Muscle efficiency in bike fitting and the use of MyoWave VMG technology to monitor it

We just recently launched the MyoKinematics bike fitting method, the first available kinetic and kinematic approach to bike fitting for the broad public. Here we present why the muscle efficiency is so important.

We have developed a novel method in partnership with Sonostics and the use of MyoWave (VMG) technology to help cyclists and triathletes to promote more efficient muscle coordination during pedaling and hereby lowering the metabolic cost of cycling (more endurance and more power).

In the quoted study by Wakeling, Blake and Chan (2010), the authors did several tests measuring lower limb muscle activity in a varied span of cadences and power output. The idea behind the testing was to monitor the variance of muscular efficiency in different position and by different coordination. Wakeling et al. (2010) found that by using EMG (Electromyography) they could monitor the metabolic cost by using different muscle coordination during pedaling. The lower the EMG signal for a given power/watt output, the more efficient the muscles were and hence a lower metabolic cost.

The conclusion is simple; the better coordination during pedaling, the more endurance and watt outputs can be sustained during cycling. This will make you a better cyclist or triathlete, since evidence shows that muscle coordination is one of the primary factors limiting power output, according to Wakeling et al. (2010).

At MyoKinematics™ we offer a laboratory based testing in a clinical setting, with a non-invasive technology called vibromyography (VMG). The VMG technology developed by Sonostics Inc. is highly accurate and delivers a highly valuable information about muscle balances, coordination and power output (strength). 

Follow our blog to see how we are applying this novel technology in sports science to help cyclists and triathletes, both elite, pro and weekend warriors to become better and more efficient in their pedaling. We at Physioinnovation™, developers of MyoKinematics™are proud to be the first ones in the world to promote the VMG technology by using the MyoWave to a broad public within bike fitting. 

By Bjørn Toft @ Physioinnovation

(Source: ncbi.nlm.nih.gov)

Check out the Sonostics channel, developers of the MyoWave

Physioinnovation has developed a unique bike fitting tool called MyoKinematics™. The method uses the MyoWave, a unique tool to assess muscle coordination, balance and strength as would it do in a laboratory setting. The difference is that the MyoWave is a non-invasive ready to use equipment, that works with highly sophisticated algorithms in a clinical setting, working excellent for physiotherapists, doctors, chiropractors and osteopaths. Have a look at myokinematics.ch

Proud to present the MyoKinematics bike fitting protocol that makes use of MyoWave, a highly sensititve device that measures muscle coordination and differences between up to 6 different muscles at the same time. The technology is called VMG and it is a very smooth and non-invasive way of testing muscles instead of EMG.

(Source: myokinematics.dk)