Skip to main content
main-content
Erschienen in: Wiener Medizinische Wochenschrift 21-22/2015

01.11.2015 | originalarbeit

Hohe Kreatinkinase-Werte nach exzessiver Ganzkörper-Elektromyostimulation: gesundheitliche Relevanz und Entwicklung im Trainingsverlauf

verfasst von: Prof. Dr. Wolfgang Kemmler, Marc Teschler, Michael Bebenek, Simon von Stengel

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 21-22/2015

Einloggen, um Zugang zu erhalten

Zusammenfassung

Durch seine Zeiteffizienz, Individualisierbarkeit und Effektivität erfreut sich Ganzkörper-Elektromyostimulation (WB-EMS) zunehmender Beliebtheit. In jüngster Vergangenheit wurden nach Erstanwendung von WB-EMS hohe Kreatinkinase (CK)-Werte berichtet, die in einem gesundheitlich bedenklichen Bereich liegen. Ziel der Untersuchung war daher 1) die entsprechende Verifizierung hoher CK-Werte, 2) die Einschätzung der gesundheitlichen Relevanz dieser Werte und 3) deren trainingsbedingte Veränderung im Verlauf.
26 gesunde, sportliche Personen ohne WB-EMS Erfahrung nahmen an der Untersuchung teil. Eine ausbelastete Erstapplikation (bipolar, 85 Hz; 350 ms; intermittierend, 20 min) führte zu einem CK-Anstieg um das 117fache (28.545 ± 33.611 IE/l) mit Peak am 3.-4. Nachbelastungstag. Trotz dieser ausgeprägten Rhabdomyolyse, wurden keine gesundheitliche Komplikationen (Hyperkaliämie, Hypokalzämie, akutes Nierenversagen) erfasst. Ein 10wöchiges WB-EMS-Training mit einer Applikation/Woche führte zu einer signifikanten Reduktion des CK-Anstieges nach ausbelastetem WB-EMS auf Werte im Bereich konventioneller Kraftbelastungen (906 ± 500 IE/l).
Ausbelastende WB-EMS-Applikation muss zumindest zu Beginn des Trainingsprozesses vermieden werden, um gesundheitliche Risiken initial (zu) hoher Intensität auszuschließen.
Literatur
1.
Zurück zum Zitat Boeckh-Behrens W, Treu S.. Vergleich der Trainingseffekte von konventionellem Krafttraining, maxxF und EMS-Training in den Bereichen Körperzusammensetzung, Körperformung, Kraftentwicklung, Psyche und Befindlichkeit. Bayreuth: Institut für Sportwissenschaften der Universität Bayreuth; 2002. Boeckh-Behrens W, Treu S.. Vergleich der Trainingseffekte von konventionellem Krafttraining, maxxF und EMS-Training in den Bereichen Körperzusammensetzung, Körperformung, Kraftentwicklung, Psyche und Befindlichkeit. Bayreuth: Institut für Sportwissenschaften der Universität Bayreuth; 2002.
2.
Zurück zum Zitat Kemmler W, Birlauf A, von Stengel S. Einfluss von Ganzkörper-Elektromyostimulation auf das Metabolische Syndrom bei älteren Männern mit metabolischem Syndrom. Dtsch Z Sportmed. 2010;61:117–23. Kemmler W, Birlauf A, von Stengel S. Einfluss von Ganzkörper-Elektromyostimulation auf das Metabolische Syndrom bei älteren Männern mit metabolischem Syndrom. Dtsch Z Sportmed. 2010;61:117–23.
3.
Zurück zum Zitat Kemmler W, von Stengel S. Whole-body electromyostimulation as a means to impact muscle mass and abdominal body fat in lean, sedentary, older female adults: subanalysis of the TEST-III trial. Clin Interv Aging. 2013;8:1353–64. PubMedCentralCrossRefPubMed Kemmler W, von Stengel S. Whole-body electromyostimulation as a means to impact muscle mass and abdominal body fat in lean, sedentary, older female adults: subanalysis of the TEST-III trial. Clin Interv Aging. 2013;8:1353–64. PubMedCentralCrossRefPubMed
4.
Zurück zum Zitat Kemmler W, Teschler M, Bebenek M, et al. Selecting an efficient exercise method to improve strength and lean body mass – a comparison of High Intensity Resistance Exercise versus Whole-Body Electromyostimulation. A randomized controlled study. J Sports Sci. 2015 (submitted). Kemmler W, Teschler M, Bebenek M, et al. Selecting an efficient exercise method to improve strength and lean body mass – a comparison of High Intensity Resistance Exercise versus Whole-Body Electromyostimulation. A randomized controlled study. J Sports Sci. 2015 (submitted).
5.
Zurück zum Zitat Vatter J. Elektrische Muskelstimulation als Ganzkörpertraining – Multicenterstudie zum Einsatz von Ganzkörper-EMS im Fitness-Studio. AVM-Verlag München; 2010. Vatter J. Elektrische Muskelstimulation als Ganzkörpertraining – Multicenterstudie zum Einsatz von Ganzkörper-EMS im Fitness-Studio. AVM-Verlag München; 2010.
6.
Zurück zum Zitat Brancaccio P, Maffulli N, Limongelli FM. Creatine kinase monitoring in sport medicine. Br Med Bull. 2007;81–82:209–30. CrossRefPubMed Brancaccio P, Maffulli N, Limongelli FM. Creatine kinase monitoring in sport medicine. Br Med Bull. 2007;81–82:209–30. CrossRefPubMed
7.
Zurück zum Zitat Kastner A, Braun M, Meyer T. Two cases of rhabdomyolysis after training with electromyostimulation by 2 young male professional soccer players. Clin J Sport Med. 2014. Kastner A, Braun M, Meyer T. Two cases of rhabdomyolysis after training with electromyostimulation by 2 young male professional soccer players. Clin J Sport Med. 2014.
8.
Zurück zum Zitat Patil R, Uusi-Rasi K, Pasanen M, et al. Sarcopenia and osteopenia among 70-80-year-old home-dwelling Finnish women: prevalence and association with functional performance. Osteoporos Int. 2013;24:787–96. CrossRefPubMed Patil R, Uusi-Rasi K, Pasanen M, et al. Sarcopenia and osteopenia among 70-80-year-old home-dwelling Finnish women: prevalence and association with functional performance. Osteoporos Int. 2013;24:787–96. CrossRefPubMed
9.
Zurück zum Zitat Zutt R, van der Kooi AJ, Linthorst GE, et al. Rhabdomyolysis: review of the literature. Neuromuscul Disord. 2014;24:651–9. CrossRefPubMed Zutt R, van der Kooi AJ, Linthorst GE, et al. Rhabdomyolysis: review of the literature. Neuromuscul Disord. 2014;24:651–9. CrossRefPubMed
10.
Zurück zum Zitat Vatter J, Authenrieth S, Müller S. Betreuungshandbuch EMS health and beuty. Karlsruhe: Health and Beauty; 2014. Vatter J, Authenrieth S, Müller S. Betreuungshandbuch EMS health and beuty. Karlsruhe: Health and Beauty; 2014.
11.
Zurück zum Zitat Borg E, Kaijser L. A comparison between three rating scales for perceived exertion and two different work tests. Scand J Med Sci Sports. 2006;16:57–69. CrossRefPubMed Borg E, Kaijser L. A comparison between three rating scales for perceived exertion and two different work tests. Scand J Med Sci Sports. 2006;16:57–69. CrossRefPubMed
13.
Zurück zum Zitat Kobayashi Y, Takeuchi T, Hosoi T, et al. Effect of a marathon run on serum lipoproteins, creatine kinase, and lactate dehydrogenase in recreational runners. Res Q Exerc Sport. 2005;76:450–5. CrossRefPubMed Kobayashi Y, Takeuchi T, Hosoi T, et al. Effect of a marathon run on serum lipoproteins, creatine kinase, and lactate dehydrogenase in recreational runners. Res Q Exerc Sport. 2005;76:450–5. CrossRefPubMed
14.
Zurück zum Zitat Kratz A, Lewandrowski KB, Siegel AJ, et al. Effect of marathon running on hematologic and biochemical laboratory parameters, including cardiac markers. Am J Clin Pathol. 2002;118:856–63. CrossRefPubMed Kratz A, Lewandrowski KB, Siegel AJ, et al. Effect of marathon running on hematologic and biochemical laboratory parameters, including cardiac markers. Am J Clin Pathol. 2002;118:856–63. CrossRefPubMed
15.
Zurück zum Zitat Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale: Lawrence Earlbaum Associate; 1988. Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale: Lawrence Earlbaum Associate; 1988.
16.
Zurück zum Zitat Chen TC. Variability in muscle damage after eccentric exercise and the repeated bout effect. Res Q Exerc Sport. 2006;77:362–71. CrossRefPubMed Chen TC. Variability in muscle damage after eccentric exercise and the repeated bout effect. Res Q Exerc Sport. 2006;77:362–71. CrossRefPubMed
17.
Zurück zum Zitat Koch AJ, Pereira R, Machado M. The creatine kinase response to resistance exercise. J Musculoskelet Neuronal Interact. 2014;14:68–77. PubMed Koch AJ, Pereira R, Machado M. The creatine kinase response to resistance exercise. J Musculoskelet Neuronal Interact. 2014;14:68–77. PubMed
18.
Zurück zum Zitat Hoffmann MD, Ingwerson JL, Rogers IR, et al. Increasing creatine kinase concentration at the 161 Western States Endurance Run. Wilderness Environ Med. 2012;23:56–60. CrossRef Hoffmann MD, Ingwerson JL, Rogers IR, et al. Increasing creatine kinase concentration at the 161 Western States Endurance Run. Wilderness Environ Med. 2012;23:56–60. CrossRef
19.
Zurück zum Zitat Klapcinska B, Waskiewicz Z, Chrapusta SJ, et al. Metabolic responses to a 48-h ultra-marathon run in middle-aged male amateur runners. Eur J Appl Physiol. 2013;113:2781–93. PubMedCentralCrossRefPubMed Klapcinska B, Waskiewicz Z, Chrapusta SJ, et al. Metabolic responses to a 48-h ultra-marathon run in middle-aged male amateur runners. Eur J Appl Physiol. 2013;113:2781–93. PubMedCentralCrossRefPubMed
20.
Zurück zum Zitat Skenderi KP, Kavouras SA, Anastasiou CA, et al. Exertional Rhabdomyolysis during a 246-km continuous running race. Med Sci Sports Exerc. 2006;38:1054–7. CrossRefPubMed Skenderi KP, Kavouras SA, Anastasiou CA, et al. Exertional Rhabdomyolysis during a 246-km continuous running race. Med Sci Sports Exerc. 2006;38:1054–7. CrossRefPubMed
21.
Zurück zum Zitat Waskiewicz Z, Klapcinska B, Sadowska-Krepa E, et al. Acute metabolic responses to a 24-h ultra-marathon race in male amateur runners. Eur J Appl Physiol. 2012;112:1679–88. PubMedCentralCrossRefPubMed Waskiewicz Z, Klapcinska B, Sadowska-Krepa E, et al. Acute metabolic responses to a 24-h ultra-marathon race in male amateur runners. Eur J Appl Physiol. 2012;112:1679–88. PubMedCentralCrossRefPubMed
22.
Zurück zum Zitat Chen TC, Lin KY, Chen HL, et al. Comparison in eccentric exercise-induced muscle damage among four limb muscles. Eur J Appl Physiol. 2011;111:211–23. CrossRefPubMed Chen TC, Lin KY, Chen HL, et al. Comparison in eccentric exercise-induced muscle damage among four limb muscles. Eur J Appl Physiol. 2011;111:211–23. CrossRefPubMed
23.
Zurück zum Zitat Machado M, Willardson JM, Silva DR, et al. Creatine kinase activity weakly correlates to volume completed following upper body resistance exercise. Res Q Exerc Sport. 2012;83:276–81. CrossRefPubMed Machado M, Willardson JM, Silva DR, et al. Creatine kinase activity weakly correlates to volume completed following upper body resistance exercise. Res Q Exerc Sport. 2012;83:276–81. CrossRefPubMed
24.
Zurück zum Zitat Machado A, Garcia-Lopez D, Gonzalez-Gallego J, et al. Whole-body vibration training increases muscle strength and mass in older women: a randomized-controlled trial. Scand J Med Sci Sports. 2010;20:200–7. CrossRefPubMed Machado A, Garcia-Lopez D, Gonzalez-Gallego J, et al. Whole-body vibration training increases muscle strength and mass in older women: a randomized-controlled trial. Scand J Med Sci Sports. 2010;20:200–7. CrossRefPubMed
25.
Zurück zum Zitat Chapman D, Newton M, Sacco P, et al. Greater muscle damage induced by fast versus slow velocity eccentric exercise. Int J Sports Med. 2006;27:591–8. CrossRefPubMed Chapman D, Newton M, Sacco P, et al. Greater muscle damage induced by fast versus slow velocity eccentric exercise. Int J Sports Med. 2006;27:591–8. CrossRefPubMed
26.
Zurück zum Zitat Nosaka K, Newton M. Difference in the magnitude of muscle damage between maximal and submaximal eccentric loading. J Strength Cond Res. 2002;16:202–8. PubMed Nosaka K, Newton M. Difference in the magnitude of muscle damage between maximal and submaximal eccentric loading. J Strength Cond Res. 2002;16:202–8. PubMed
27.
Zurück zum Zitat Baird MF, Graham SM, Baker JS, et al. Creatine-kinase- and exercise-related muscle damage implications for muscle performance and recovery. J Nutr Metab. 2012;2012:960363. PubMedCentralCrossRefPubMed Baird MF, Graham SM, Baker JS, et al. Creatine-kinase- and exercise-related muscle damage implications for muscle performance and recovery. J Nutr Metab. 2012;2012:960363. PubMedCentralCrossRefPubMed
28.
Zurück zum Zitat Clarkson PM, Hubal MJ. Are women less susceptible to exercise-induced muscle damage? Curr Opin Clin Nutr Metab Care. 2001;4:527–31. CrossRefPubMed Clarkson PM, Hubal MJ. Are women less susceptible to exercise-induced muscle damage? Curr Opin Clin Nutr Metab Care. 2001;4:527–31. CrossRefPubMed
29.
Zurück zum Zitat Fernandez-Gonzalo R, Lundberg TR, Alvarez-Alvarez L, et al. Muscle damage responses and adaptations to eccentric-overload resistance exercise in men and women. Eur J Appl Physiol. 2014;114:1075–84. CrossRefPubMed Fernandez-Gonzalo R, Lundberg TR, Alvarez-Alvarez L, et al. Muscle damage responses and adaptations to eccentric-overload resistance exercise in men and women. Eur J Appl Physiol. 2014;114:1075–84. CrossRefPubMed
30.
Zurück zum Zitat Maxwell JH, Bloor CM. Effects of conditioning on exertional rhabdomyolysis and serum creatine kinase after severe exercise. Enzyme. 1981;26:177–81. PubMed Maxwell JH, Bloor CM. Effects of conditioning on exertional rhabdomyolysis and serum creatine kinase after severe exercise. Enzyme. 1981;26:177–81. PubMed
31.
Zurück zum Zitat Bird SR, Linden M, Hawley JA. Acute changes to biomarkers as a consequence of prolonged strenuous running. Ann Clin Biochem. 2014;51:137–50. CrossRefPubMed Bird SR, Linden M, Hawley JA. Acute changes to biomarkers as a consequence of prolonged strenuous running. Ann Clin Biochem. 2014;51:137–50. CrossRefPubMed
32.
Zurück zum Zitat Jubeau M, Sartorio A, Marinone PG, et al. Comparison between voluntary and stimulated contractions of the quadriceps femoris for growth hormone response and muscle damage. J Appl Physiol (1985). 2008;104:75–81. CrossRef Jubeau M, Sartorio A, Marinone PG, et al. Comparison between voluntary and stimulated contractions of the quadriceps femoris for growth hormone response and muscle damage. J Appl Physiol (1985). 2008;104:75–81. CrossRef
34.
Zurück zum Zitat Patel DR, Gyamfi R, Torres A. Exertional rhabdomyolysis and acute kidney injury. Phys Sportsmed. 2009;37:71–9. CrossRefPubMed Patel DR, Gyamfi R, Torres A. Exertional rhabdomyolysis and acute kidney injury. Phys Sportsmed. 2009;37:71–9. CrossRefPubMed
35.
Zurück zum Zitat Bell M, Liljestam E, Granath F, et al. Optimal follow-up time after continuous renal replacement therapy in actual renal failure patients stratified with the RIFLE criteria. Nephrol Dial Transplant. 2005;20:354–60. CrossRefPubMed Bell M, Liljestam E, Granath F, et al. Optimal follow-up time after continuous renal replacement therapy in actual renal failure patients stratified with the RIFLE criteria. Nephrol Dial Transplant. 2005;20:354–60. CrossRefPubMed
36.
Zurück zum Zitat Brown SJ, Child RB, Day SH, et al. Exercise-induced skeletal muscle damage and adaptation following repeated bouts of eccentric muscle contractions. J Sports Sci. 1997;15:215–22. CrossRefPubMed Brown SJ, Child RB, Day SH, et al. Exercise-induced skeletal muscle damage and adaptation following repeated bouts of eccentric muscle contractions. J Sports Sci. 1997;15:215–22. CrossRefPubMed
37.
Zurück zum Zitat McHugh MP, Connolly DA, Eston RG, et al. Exercise-induced muscle damage and potential mechanisms for the repeated bout effect. Sports Med. 1999;27:157–70. CrossRefPubMed McHugh MP, Connolly DA, Eston RG, et al. Exercise-induced muscle damage and potential mechanisms for the repeated bout effect. Sports Med. 1999;27:157–70. CrossRefPubMed
38.
Zurück zum Zitat Nosaka K, Clarkson PM. Muscle damage following repeated bouts of high force eccentric exercise. Med Sci Sports Exerc. 1995;27:1263–9. CrossRefPubMed Nosaka K, Clarkson PM. Muscle damage following repeated bouts of high force eccentric exercise. Med Sci Sports Exerc. 1995;27:1263–9. CrossRefPubMed
39.
Zurück zum Zitat Nosaka K, Sakamoto K, Newton M, et al. How long does the protective effect on eccentric exercise-induced muscle damage last? Med Sci Sports Exerc. 2001;33:1490–5. CrossRefPubMed Nosaka K, Sakamoto K, Newton M, et al. How long does the protective effect on eccentric exercise-induced muscle damage last? Med Sci Sports Exerc. 2001;33:1490–5. CrossRefPubMed
40.
Zurück zum Zitat Noakes TD, Carter JW. The responses of plasma biochemical parameters to a 56-km race in novice and experienced ultra-marathon runners. Eur J Appl Physiol Occup Physiol. 1982;49:179–86. CrossRefPubMed Noakes TD, Carter JW. The responses of plasma biochemical parameters to a 56-km race in novice and experienced ultra-marathon runners. Eur J Appl Physiol Occup Physiol. 1982;49:179–86. CrossRefPubMed
Metadaten
Titel
Hohe Kreatinkinase-Werte nach exzessiver Ganzkörper-Elektromyostimulation: gesundheitliche Relevanz und Entwicklung im Trainingsverlauf
verfasst von
Prof. Dr. Wolfgang Kemmler
Marc Teschler
Michael Bebenek
Simon von Stengel
Publikationsdatum
01.11.2015
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 21-22/2015
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-015-0394-1

Weitere Artikel der Ausgabe 21-22/2015

Wiener Medizinische Wochenschrift 21-22/2015 Zur Ausgabe