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，