Delayed Onset Muscle Soreness Flashcards

1
Q

What is Delayed Onset Muscle Soreness?

A

Muscle soreness that occurs 24-72hrs after exercise

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2
Q

What are the prevailing theories for the cause of DOMS?

A
  • Lactate accumulation/decreased pH
  • Muscle Spasm
  • Muscle Damage
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3
Q

What evidence is there that muscle damage is the cause of DOMS?

A

Muscle biopsy after eccentric exercise shows swelling, and decreased protein stained, meaning breakdown and escape of that protein

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4
Q

What can electron microscopy show us about muscle damage and DOMS?

A

Z-Band streaming is seen in muscles with DOMS; the sarcomeres are disrupted, or not intact at all

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5
Q

Explain increases in myoglobin and creatine kinase after exercise

A

Myoglobin peaks after 1 hour, then decreases to almost baseline after 72hr. Creatine Kinase increases until peak at 24 hours then slightly decreases by 72hrs

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6
Q

What can be done apart from invasive muscle biopsies to measure muscle damage?

A

Measure myoglobin and creatine kinase in the blood

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7
Q

With reference, What impact does muscle damage have on muscle function?

A

Clarkson et al 1992 found that extreme DOMS/muscle damage decreased maximal strength for over 10 days after exercise. Betts et al 2009 found the same effect for 7 days

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8
Q

With reference, what impact does muscle damage/DOMS have on motor skills?

A

Pearce et al 1998 found that DOMS limited the ability of an individual to follow a tracking cursor task, and got worse even with practice over the first few days

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9
Q

With reference, what impact does muscle damage/DOMS have on muscle glycogen?

A

Costill et al 1990 found that muscle glycogen concentrations did not increase to pre exercise levels 24hrs after exercise, and even decreased after 72hrs

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10
Q

Why does muscle damage/DOMS limit muscle glycogen?

A

White blood cells that have invaded the cell to heal it are taking up glucose

The architecture of the muscle is not able to hold as much glycogen due to damage

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11
Q

summarise the consequences of muscle damage/DOMS

A
  • Soreness
  • Decreased force production capability
  • Decreased skill
  • Decreased glycogen stores
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12
Q

What is Exertional Rhabdomyolysis?

A

Excessive protein breakdown from muscle damage entering the blood, over straining the kidneys trying to remove all the protein from the blood

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13
Q

What are the symptoms of Exertional Rhabdomyolysis?

A
  • dark Cola coloured urine
  • swelling around the abdomen
  • pain in the muscles
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14
Q

What can cause muscle damage?

A
  • Eccentric muscle actions
  • Calcium activated proteases?
  • Hyperthermia?
  • Free radicals?
  • Novel stimuli/sudden increase in training load after being sedentary
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15
Q

Why does eccentric muscle action cause muscle damage?

A
  • High forces?
  • Lower fibre recruitment?
  • Lengthening action?
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16
Q

What is the repeated bout effect?

A

Repeating an activity within 3-6 weeks reduces the amount of DOMS you will experience the second time (Byrnes et al 1985)

17
Q

With reference, what is the most likely cause for the sensation of pain in DOMS?

A

Inflammatory response and increased secretion of Prostaglandin E2