blog.zitasport.com / 3426/2015/01/1

blog.zitasport.com / 3426/2015/01/14 / electrostimulation-neuromuscular-ems-the-controversy-this-served /
Raul Nieves
In zitaSport blog we posted in previous months very simple three post to try to show our readers that we have is called until today EMS , Electrical Muscle Stimulation. To be rigorous with the type of work we do with this technology from today will call the IAES; Integral Active electrostimulation. Then you will understand that we opted for this term.



Today's post is not without controversy, as 2014 ended with several publications in various blogs that have generated a big controversy. Notice that this post is a bit long but I think it will be worth it.

Today from our blog I will speak in my own name Raul Nieves, a specialist in electrostimulation. Until a month ago I was part of the team of trainers Xbody Newave as Master Trainer, tacho "Master" because I do not like Anglicisms and because I will not pretend I do not consider myself. For a year and a half I have trained trainers who are using the technology Newave Xbody. Specialist I like better define the time I have invested (probably more than a thousand hours of training, research and training in SEA).

For the post you do not so tedious, I recommend that you read with a coffee or a snack, because you have to spend 15-30 minutes if you want to get juice. I think the issue is serious enough to give the extent it deserves.

To add a touch of humor I will distribute in three parts:

1. Farándula Made in Spain.
2. Controversy dish served cold. Rhabdomyolysis, and CPK.
3. Conclusions of a humble lover health, sports and technology (in that order).

. 1. Farándula Made in Spain
Imagine something that the public today so in this blog (and stating that everything is absolutely true):

After more than 13 years in the world of Padel, practicing, teaching (as a teacher) and trained as a technician, I feel obliged to tell the contraindications to practice this discipline.

During these 13 years, (not in my classes fortunately) I have seen:
- Breaks septum by beatings with shovel.
- Breaks Achilles by making a bad heating.
- Loss of sense of taste for an impact on the neck with a side wall of a track.
- fibrillar breaks, tendinitis, tennis elbow, inflammation of the supraspinatus, knee injuries, ankle sprains ...
- Shocks left in the middle of August at 15:00 hrs.
- Fighting for discussion of a point, divorces to spend more hours playing Paddle with the couple and the children, friends ruptures couple of years to form and losing a championship ... and an endless variety of situations that you can not even imagine.

I pass three links of the Mapfre foundation where you can check the same highly dangerous sport.

Avoiding injury playing paddle.
Prevention of sports injuries Paddle.
Epidemiological study on leisure sport.

If we add the lack of training and lack of commitment of many of the professionals who are part of the sport, I can only recommend you to let "shovel" and other sport you practice.

Well, here you will be thinking:

1. Those who have no idea of ​​Padel: my mother would buy me a shovel and I would point to classes next month, yikes! or joke !! I better stay seated so not injured me.

2.- who practice it as a hobby you would generate less existential doubt.

3. The experts and professionals would say to me, you have no idea of ​​what you say, you can not generalize, injuries and contraindications are inherent to sport and the particularities of each individual. To do things right to eliminate the risk of injury.

Now if the sport or training system does not take long rooted in our country and there are no conclusive studies, doubt and distrust that discipline would be much higher. In this, you will agree with me.

Let spinning with today's topic. (I have not lost their way huh?)

2. Controversy dish served cold. Rhabdomyolysis and CPK.

Last May 2014 a colleague and respected course for their work Guillermo Alvarado, manager of the National Academy of Sports Medicine (NASM), director of Performa and fitness expert in Men's Health published a blog post Men's Health in which a contributing editor entitled:

Electro-stimulation vests. What do we really know?

Later in December he reissued on the subject:

Electrostimulation, risks and contraindications.

You can read them by clicking on the title thereof.

If we read the two post we can see (in my opinion) that gives a biased view on the EMS as I have done on the Paddle, yes, much more detailed and better written. Come on, that would be the most negative and pessimistic view we can do about theEMS, from my point of view. I can agree on many relevant to health, safety when applying the methods things, the warnings, etc.

To not much I summarize very briefly. They posed several problems and contraindications but the most important in my opinion are:

1. In the first post. It argues that the IAES the central nervous system is bypassed. I can agree with him, but if you know working with this technology should know something fundamental: that risk is eliminated if we always do the movements with a previous voluntary contraction . About this as I wrote in our blog (if you want to read click here).

2. In the second. Rhabdomyolysis and high levels of CPK. This is already more serious. To document this aspect is supported by a study by the International Journal of Cardiology (J: Finsterer, C. Stöllberger / Int J Cardiology 180 (2015) 100-102) , (click on the title to read the abstract) on issues related to the use of EMS and rhabdomyolysis. This pathology is well known by professionals in the sports sector. Rhabdomyolysis is defined as: "disease caused by muscle necrosis causes release into the bloodstream of various substances normally found inside the cells that comprise muscle tissue, including creatine phosphokinase (CPK) and myoglobin. The latter is the cause of one of the most serious complications of kidney failure. "

Of course misuse of this technology can produce this clinical and biochemical syndrome, but as the practice of other sports, high impact and extreme muscle strength. I personally practiced triathlon for more than five years and was aware of the requirement to subjecting my workouts renal system with 4 hours daily (and more) 6 days a week. I've never had kidney problems even high alarm CPK. CPK levels in the blood rise when we subject the body to a large wear but with proper rest, adequate supply of nutrients and fluids is normalized. I will copy and paste a few examples that have been reported in the scientific literature about problems with high levels of CPK in different sports:

A 36 year old man was admitted to the emergency room after doing a half marathon with CPK 2975 U / L. Before the race had taken a pill with 30 mg. ephedrine, 30 mg. aspirin, 120 mg. caffeine, 80 mg. naringin (Rhidian, 2011).
In 1987 the case of a 47 years after running a marathon was diagnosed with rhabdomyolysis were reported. On the twelfth day this man died due to cardiovascular problems. Apparently CPK, relevant rhabdomyolysis were down after the sporting event. Day 0-42300 U / L, day 1-223000 U / L, day 2-148900 U / L, day 3-70000 U.. / L, day 4 -. 5,400 U / L. After the death of this man was held a biopsy of the rectus femoris, in the picture you could see the normal fibers degenerate or regenerated (Reid and McQuenn, 1987).
A 63 year old man presented rhabdomyolysis after making strenuous eccentric exercise (walking) in the heat. CPK levels rose to 12,218 U / L. The patient had been taking statins, so the authors suggest that strenuous eccentric exercise should be avoided when the medication (Saka, 2007) is taken.
A girl of 21 years was diagnosed with rhabdomyolysis after an indoor cycling class, growing to 132 170 U / L. CPK. (Benish et al. 2012).
A retrospective study showed 9 cases of rhabdomyolysis-induced indoor cycle. CPK levels in these patients ranged from 1,650 U / L. 165,000 U / L. (Montero et al. 2009).
A clinic magazine Semergen letter echoes a case of a boy of 24, who after a session of indoor cycling, presented rhabdomyolysis was made. CPK levels rose to 237 617 U / L. (Irun Pena et al. 2013).
There are many more but these examples help us to see that this condition occurs for different reasons. By this I do not mean that the IAES can not trigger it if misuse is made.

Luis Perea Couto (highly respected by me) works for Xbody, Higher Diploma in Physical Education, PhD in Exercise Physiology and Functional Biomechanics specialist. He published last November 27, 2014 on his blog a very interesting post:

Esotericism reaches electrostimulation (or things we should not do).

Luis has been applying the EIAS in clinical patients over 1 year and a half. Comment from a professional point of view very possible contraindications of misuse. It also tells how we can avoid them. If you are interested in the issue of EIAS you can not put it down.

3. Conclusion of a humble lover of sport, health and technology.

I want to make two special mentions:

1. A Ivan Gonzalo Martinez creator Training System Elements , professional like the crown of a pine, published in the blog on its website on 27 December:

Global electrostimulation. We do not demonize the tools.

A display of sanity and logic. He urged not to insult colleagues who are doing excellent work in this field no longer demonize the IAES.

2. A Fast Fitness. I want to thank the entire team for trying to make the IAES a field development for many professionals in physical activity and sports in addition to care very much this training system is a reliable tool for many people who want to start in the sport. If you want to know how to do a job 100% safe with EIAS you must know the system fast Their slogan sums it up. "What matters is not technology, is used as"

And now my humble opinion:

1. You can not generalize and trivialize as basic and important as health aspects. The responsibility lies with all profession

Results (English) 3:

blog.zitasport.com / 3426 / 2015 / 01 / 14 /电刺激神经肌肉的EMS服务/
劳尔Nieves
在zitasport博客我们发布前几个月非常简单的三后试图告诉我们的读者，我们是直到今天EMS所谓的争议，肌肉电刺激。要严格工作的类型，我们做的这个技术从今天会叫IAES；整体主动刺激。然后，你会明白，我们选择了这个词，今天的帖子是不是没有争议，截至2014年底，在不同的博客，产生了很大的争议，一些出版物。注意，这篇文章是有点长，但我认为这将是值得的。今天我们的博客

我将自己的名字劳尔，他说，一个专家在电刺激。直到一个月前，我是一个团队的一部分培训Xbody作为主教练，测速的“主人”因为我不喜欢英语，因为我不会假装我不认为自己。一年半，我已经训练培训师所使用的技术一个Xbody。我想更好的定义我所投资的时间（大概一千个小时的训练时间，和海训的研究）。

你不那么乏味的帖子，我建议你读一个咖啡或点心，因为如果你想买果汁你要花15-30分钟。我认为这个问题很严重，应该给予足够的程度，增加一点幽默，我会分三个部分：1。远ándula在西班牙。2。争议盘送达冷。横纹肌溶解症，和CPK。3。一个卑贱的人的健康，体育和技术（在这个顺序）的结论。1。远ándula在西班牙
想象的东西，所以在这个博客今天公开（和说明一切都是绝对真实的）：

经过13年多的踏板，世界的实践、教学（作为一名教师），作为一个训练有素的技术员，我觉得有义务告诉禁忌实践这门学科。

在这13年中，（在我班幸运的是）我看到了：
中断间隔的殴打和铲。通过使一个坏的加热，打破琉。对一个轨道的侧壁对颈部的影响的感觉的丧失。
-纤维断裂、肌腱炎、网球肘、冈上肌的炎症，膝关节损伤，踝关节扭伤…
-冲击左在八月中15:00小时。
-一点讨论打架，离婚会花更多的时间与这对夫妇和孩子玩桨，朋友破裂几年形成并失去冠军…和一个无限的各种各样的情况，你甚至无法想象。我通过三个环节的基础，你可以检查MAPFRE相同高度危险的运动。

避免损伤起着桨。预防运动损伤。对休闲体育的流行病学研究，如果缺乏对体育运动的许多专业人员的培训和缺乏的承诺，我只能建议你让“铲”和其他体育锻炼，在这里，你会想：1。那些不知道​​踏板：我妈妈会给我买一把铲子，我会点下个月班，呀！或笑话！我最好还是坐着，不要伤害我。2岁。他作为一种爱好，你会产生更少的生存疑问。3。专家和专业人士会对我说，你不知道​​你说什么，你不能一概而论，伤害和禁忌所固有的运动和每个个体的特殊性。如果体育和培训制度不植根于我国，没有确凿的研究，怀疑和不信任的纪律将是更高的。在这，你会同意我的。（我还没有失去他们的方式？）2。争议盘送达冷。横纹肌溶解和CPK。

去年五月2014同事，尊重他们的工作过程为Guillermo阿尔瓦拉多，美国运动医学院经理（NASM），对男性健康的形式和健身专家主任发表了一篇博客文章，男性健康，特约编辑权：

电刺激衣。我们真的知道吗？

后他在十二月重新发行主体：

电刺激、风险和禁忌。

你可以通过点击标题，他们读。

如果我们阅读后我们可以看到（在我看来），给出了一个偏颇的EMS我的桨，做是的，更详细的和更好的写的。加油，这将是最消极和悲观的看法，我们可以做EMS，从我的角度来看。我可以在许多相关的健康，安全性时应用的方法的东西，警告，等。他们提出的几个问题和禁忌，但最重要的是我认为：

1。在第一篇文章中。它认为，中枢神经系统是绕过IAES。我可以同意他，但如果你知道这项技术的工作应该知道的基本的东西：如果我们总是做运动与先前的自愿收缩，风险被消除。关于这个我在我们的博客（如果你想读点击这里）。在二。横纹肌溶解和高水平的CPK。这已经比较严重。这个文件是由国际心血管病杂志的一项研究支持（J：刘明生，C. STöllberger /国际心脏病学杂志180（2015）97-100），（点击标题阅读摘要）对EMS和横纹肌溶解症的使用相关的问题。这种病理是众所周知的体育部门的专业人士。横纹肌溶解症是指："disease caused by muscle necrosis causes release into the bloodstream of various substances normally found inside the cells that comprise muscle tissue, including creatine phosphokinase (cpk) and myoglobin. the latter is the cause of one of the most serious complications of kidney failure. "

of course to of this technology can produce this clinical and biochemical syndrome.但作为其他体育项目，高冲击和极端肌肉力量的做法。我亲自实践铁人三项超过五年，已经意识到需要对我的锻炼肾系统，每天4小时（甚至更多）一周6天。我从来没有肾脏问题甚至高报警CPK。CPK在血液中的水平上升时，我们的身体受到大的磨损而适当的休息，充足的营养物质和液体的供应是标准化的。我会复制和粘贴的几个例子，一直对高水平的CPK不同体育问题的科学文献报道：

是一名36岁的男子在做一个半程马拉松和CPK 2975 U/L比赛之前已采取一丸30毫克送进急救室。30毫克。阿司匹林，120毫克。咖啡因，80毫克。柚皮苷（rhidian，2011）。
1987例47年后参加马拉松比赛被诊断为横纹肌溶解症的报道。第十二天这个人死于心血管问题。显然，CPK，相关的横纹肌溶解症的下来后，体育赛事。一天0-42300 U/L，天1-223000 U/L，天2-148900 U/L，天3-70000美元。/升，4天—。5400你/ L在这个人的死举行活检的股直肌，图片中你可以看到正常的纤维退化或再生（1987瑞德麦克奎，）。
一名63岁的男子在剧烈的离心运动提出的横纹肌溶解（步行）在热。CPK水平升至12218 U/L的患者服用他汀类药物，所以作者认为剧烈的离心运动时应尽量避免用药（萨卡，2007）了。
一个21岁的女孩被诊断为横纹肌溶解症的动感单车课之后，增长到132 170 U/L CPK。（benish等人。2012）。
回顾性研究显示导致室内循环9例横纹肌溶解症。在这些患者中CPK水平为1650 U/L 165，000 U/L（蒙特罗等人。2009）。
临床杂志semergen信相呼应的一个24岁的男孩，谁一届室内循环后，出现横纹肌溶解了。CPK水平升至237 617 U/L（伊伦·佩纳等人。2013），有更多，但这些例子有助于我们看到，这种情况发生在不同的原因。这并不意味着它不能触发IAES如果误用了。

路易斯佩雷亚库托（非常尊敬我）作品Xbody，体育教育高级文凭、博士，运动生理学和生物力学功能专家。他去年2014年11月27日发表在自己的博客上一个很有趣的帖子：

密教及电刺激（或事情我们不应该这样做）。

路易斯已将评估在临床患者超过1年半。从专业的角度来看很可能禁忌误用的评论。它还告诉我们怎样才能避免它们。如果你是，你不能把它放下的问题感兴趣。

3。一个卑贱的体育、健康和技术的人的结论。伊凡贡萨洛马丁内兹创造者培训系统要素，专业像是松冠，公布在其网站上的博客在十二月27

全球电刺激。我们不要妖魔化的工具。

显示理智和逻辑。他呼吁不要侮辱同事在做这方面的工作优秀不再丑化IAES。

2。快速健身。我要感谢整个团队的努力使IAES为除了非常关心这个培训系统是许多人想在运动开始一个可靠的工具，体育活动和体育很多专业领域的发展。如果你想知道如何评估你必须知道系统快速他们的口号概括起来做一项工作100%的安全。”重要的不是技术，被用来作为“，现在我的卑下：”。你不能一概而论，轻视健康方面的基本的和重要的。责任在于所有职业