Department of Kinesiology and Rehabilitation Science, Human Performance Research Laboratory, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
J Strength Cond Res. 2011 Dec;25(12):3506-13. doi: 10.1519/JSC.0b013e318216302f.
Cleary, MA, Sadowski, KA, Lee, SY-C, Miller, GL, and Nichols, AW. Exertional rhabdomyolysis in an adolescent athlete during preseason conditioning: a perfect storm. J Strength Cond Res 25(12): 3506-3513, 2011-The purpose of this brief review is to present a case of a healthy, male adolescent athlete (age = 16 years, body mass = 67.9 kg, height = 165.5 cm) who participated in a 3-day preseason wrestling camp which resulted in hospitalization for exertional rhabdomyolysis. As part of the preseason conditioning program directed by the coaches, the athlete completed 60 minutes of short, intense intervals of wall-sits, squats, sit-ups, push-ups, lunges, and plyometric jumps. The following day, the athlete continued his vigorous training consisting of running drills. That night he noticed voiding dark brown urine the color of cola. The day after the camp ended, the athlete reported to his Athletic Trainers with the chief complaint of severe bilateral leg pain in his quadriceps. Two days after the initial assessment, he was admitted to the hospital where he was diagnosed with exertional rhabdomyolysis based on creatine kinase (CK) levels that peaked at 146,000 IU·L, elevated far beyond normal (normal range = 58-280 IU·L). The athlete was hospitalized for 6 days where he received intravenous normal saline for rehydration, and his CK levels were assessed daily. Athletic Trainers, personal trainers, physical education teachers, and coaches should be aware that exertional rhabdomyolysis is the most common form of rhabdomyolysis and affects individuals who participate in novel and intense exercise to which they are unaccustomed. Stressful ambient conditions may lead to dehydration and exacerbation of the condition, particularly when the individual is not accustomed to the exercise intensity.
克利里，MA，萨多斯基，KA，李，SY-C，米勒，GL 和尼科尔斯，AW。青少年运动员在赛前训练中发生劳累性横纹肌溶解症：完美风暴。J 力量与体能研究 25（12）：3506-3513，2011-本综述的目的是介绍一位健康的男性青少年运动员（年龄= 16 岁，体重= 67.9 千克，身高= 165.5 厘米）的病例，他参加了为期 3 天的赛前摔跤训练营，导致劳累性横纹肌溶解症住院。作为教练指导的赛前训练计划的一部分，运动员完成了 60 分钟的短时间剧烈间隔的靠墙蹲、深蹲、仰卧起坐、俯卧撑、弓步和增强式跳跃。第二天，运动员继续进行剧烈训练，包括跑步训练。那天晚上，他注意到尿液呈深棕色，颜色像可乐。在训练营结束后的第二天，运动员向他的运动训练师报告，主要抱怨严重的双侧大腿前肌疼痛。在最初评估后的两天，他被送往医院，根据肌酸激酶（CK）水平诊断为劳累性横纹肌溶解症，峰值为 146,000IU·L，远远高于正常范围（正常范围= 58-280IU·L）。运动员住院 6 天，接受静脉注射生理盐水补液，并每天评估 CK 水平。运动训练师、私人教练、体育教师和教练应该意识到，劳累性横纹肌溶解症是横纹肌溶解症最常见的形式，影响那些参加不熟悉的新的和剧烈运动的个体。恶劣的环境条件可能导致脱水和病情恶化，特别是当个体不习惯运动强度时。
