Publicerat av Tomas Pihelgas

Träningsvärk






Träningsvärk är ofta resultatet av mycket intensivt muskelarbete eller av att en ovan rörelse utförts. Uppkomstmekanismen till DOMS (delayed onset of muscle soreness) är inte helt klarlagd men den excentriska fasen synes ha en avgörande roll för omfattningen av det inflammatoriska tillståndet.

Således är träningsvärken mer uttalad efter aktiviteter som exempelvis löpning i utförsbacke eller träning med tunga vikter, där det excentriska inslaget är betydande jämfört med cykling eller simning som kännetecknas av uteslutande koncentriska muskelkontraktioner. Förutom påtaglig subjektiv träningsvärk med palpationsömhet är tillståndet associerat med funktionsförsämring och avsevärd ödembildning som kan kvarstå i mer än en vecka.

I samband med arbetsinducerad DOMS har påvisats läckage av muskelenzymer och skador av enskilda muskelfibrer huvudsakligen lokaliserade till myofibrillens Z-disk. Lämplig behandling är att fortsätta att träna men med sänkt belastning, eventuellt i kombination med byte av träningsform under några dagar. Träningsvärk undviks genom sänkt belastning och kortare träningstid i samband med att en ovan övning påbörjas.

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