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Subjects
Participants were included if they were above 14 years of age, free from
injury and train regularly for at least 6 times a week. They were excluded
if they failed to comply with more than 60% of the intervention. 26 subjects
were included after written informed consent was signed by the subjects
or their guardian for those under 18 years of age. The intervention group
included 13 subjects from two teams and the control group included 13
subjects from three different teams. Efforts were made to recruit subjects
for making comparable groups. Four of the control group subjects withdrew
from the study during the intervention period because of injury not related
to the investigation (one), illness (two) and personal reasons (one).
One intervention group subject withdrew because of illness and another
was excluded because of low compliance in strength training. There was
an intention to recruit at least five subjects of each gender in each
group, but the withdrawals left only two male subjects in the control
group. The swimmers in the intervention group consisted of stroke specialists
in freestyle (five persons), butterfly (three), breaststroke (two) and
individual medley (one). Two of them were sprinters, the rest were middle
or long distance swimmers. The control group consisted of 6 freestyle,
one breaststroke, one backstroke and one butterfly swimmer. One of these
was a sprinter.
Lying body length was measured in a supine position with heels against
the wall, and the distance from the wall to the top of the scull was measured.
Reaching height was measured from heels to the tip of the middle finger
in a supine position with 180º bilateral shoulder flexion, and palm of
one hand on the back of the other. Body mass was measured on a balance
scale (Type 304, Stathmos, Sweden). Physical characteristics for all groups
are reported in Table 1.
Training
interventions
The intervention group underwent a combined strength and endurance training
regimen similar to Hoff et al (Hoff et al., 2002b). On average two combined training sessions were brought
out per week, but due to vacations, competitions and a training camp,
between one and three training sessions were carried out. A combined intervention
was chosen as few swimmers were available and this approach best represents
regular competitive swimming practice. Further, the mechanisms of the
interventions have been described earlier and do not negatively influence
each other. The endurance training was carried out in front crawl swimming
in a 25m pool. Before each interval training the swimmers carried out
a warm up of 20-40 minutes. A training regimen of 4 × 4 minute high intensity
intervals separated by three minute moderate intensity periods was used
(Helgerud et al., 2007). The four minute intervals were carried out at 90-95%
of individual HRmax. The three minute separation periods and three minute
cool down period consisted of moderate swimming at 60-75% of individual
HRmax. The subject's exercise heart rate was monitored using short range
radio telemetry units (Polar Electro Oy, Kempele, Finland) during the
interval training. Feedback was given immediately after each interval
based on the heart rate at the end. Those swimmers who did not use a short
range radio telemetry unit were instructed to increase velocity as steady
as possible up to
100m, and then keep velocity at a maximal performance
pace for the rest of the four minutes. They were instructed to measure
heart rate by the pulse of the carotid artery and a pace watch over 10
seconds immediately after every interval. The velocity during the intervals
was also monitored using a stop watch.
The strength training consisted of a 5-10 minute cardiovascular warm up
on an ergometer bike, a treadmill, or by swimming. In addition, a specific
warm up procedure using 10-15 repetitions of 50-80% of 1RM in the strength
training apparatus were performed before the intervention training. The
strength training consisted of five maximal repetitions for three series
with initial maximal mobilization of force in the concentric action and
a slow eccentric phase at one side of a cable cross over apparatus. As
the subjects managed to carry out a set of five repetitions, the load
was increased by 1 kg. A 2-5 minutes rest interval was allowed between
sets. The strength training was designed to imitate the butterfly stroke
starting at approximately 170º shoulder extension with parallel hands
on a bar and pulling the bar down to 10º shoulder extension by bilateral
shoulder flexion in one movement. Thereby the primarily engaged muscles
were the latissimus dorsi, triceps brachii and the rotator cuff which
are all important in freestyle swimming. All strength training was supervised,
and effort was put on all subjects to exercise with the heaviest load
possible at each session. Swimmers were allowed to drop the elbow below
the line between the hand and the shoulder to prevent from impingement-problems
and possibly shoulder pain. The intervention group was under close surveillance
during both strength training and high intensity intervals. Both groups
kept an individual training diary (Østerås et al., 2002) which recorded how many meters the swimmer covered in
total, in three intensity zones, and how much time was spent on dry land
exercise. The zones were as follows: zone one (60-85% of HRmax), zone
two (85-95% of HRmax) and zone three (>95% of HRmax). We included swimmers
from 5 different teams and had an intention to register as individually
correct training as possible. Therefore we felt the need to collect training
diaries from the swimmers as some might stay out of training or not conform
with the training prescribed from the coach. The swimmers were told that
they were supposed to write what they had done and not what they were
supposed to do, and that the diary was subject to professional secrecy.
Swimming performance
Time trials of 50m, 100m and 400m front crawl maximal swimming were conducted
one to four days before VO2-tests in 25m pools. One subject
from the control group was ill over several days just before the pre test,
and three subjects from the intervention group were ill over several days
just before the post test. For these subjects their best times were retrieved
from their most recent personal records.
Bioenergetical parameters
The swimming economy test consisted of four submaximal swims at increasing
velocity, from 0.7 to 1.2 m·s-1, with increments of 0.05 or 0.1 m·s-1
depending on the development of the respiratory exchange ratio of the
previous velocity. After the fourth workload, a swim test of four to six
minutes with increasing intensity ending with a maximal effort was conducted
to measure peak oxygen uptake in swimming (VO2peak). Maximal
heart rate was monitored and recorded continuously using short range radio
telemetry (Polar S610i, Polar Electro Oy, Kempele, Finland) and a telemetry
antenna connected to the MetaMax II. Five strokes of the heart were added
to the heart rate at the end of the VO2peak-test and considered
their maximal swimming heart rate (HRmax).
Both swimming economy and VO2peak was measured in a 25m pool.
The term VO2peak was used as pilot investigations showed that
common criteria (Åstrand et al., 2003) for a VO2max measurement were difficult to
obtain in swimming. Especially, to reach a respiratory exchange ratio
equal to or above 1.15. A specially designed breathing valve for swimming
(Toussaint et al., 1987), modified to ensure a tighter fit of the apparatus to
the head of the swimmer, was attached to the subjects (Kjendlie et al.,
2003). Direct measurements of VO2 were made throughout
the tests using a portable mixing chamber gas-analyzer system (Cortex
MetaMax II, Cortex, Leipzig, Germany), which has formerly been found valid
(Medbø et al., 2002). Respiratory parameters were averaged in sequences of
10 seconds, and expressed in the MetaSoft version 1.11.5 software (Cortex
Biophysik GmbH). The valve with hoses (volume of 3.4 L each) was always
placed in a vertical manner to ensure minimal water resistance. Working
time for each submaximal trial was four to six minutes, the rest period
between each trial was passive and a minimum of 30 seconds as the valve
was very uncomfortable to wear and thus for them to have a break and stay
focused and motivated. Swimming economy was defined as the average VO2
·m-1 of the fourth and fifth 50m of the submaximal level, but if the VO2-values
fluctuated with more than 2 mL·kg-1 · min-1 an additional 50m
was included until stable values were obtained. A set of pace-lights controlled
the swimming velocity. These lights consisted of 23 clusters of LED-lights
attached to an A/D board (Arcom PCO24, Arcom Control Systems,
Kansas City, USA) and a computer. Turn time and increased kick-off velocity
was incorporated into the pattern of the moving lights. All work economy
bouts were of aerobic intensity to assess a general work economy measure
at a between-subject comparable velocity. The period from push-off at
the beginning of each lap to hand touch at the end of each lap was also
manually measured. To ensure that the measured velocity corresponded to
the velocity of the center of mass, the reaching height of the swimmer
was subtracted from the length of each lap. Swimming velocity was calculated
as the product of pool length minus reaching height divided on time in
seconds (m·s-1). During the VO2peak-measurement the pace-lights
regulated the swimming velocity stepwise for the first 200m to 350m of
the measurement, and the subject then further increased swimming velocity
stepwise per 50m on their own initiative. The swimmers were instructed
to push themselves as hard as they could for as long as they could towards
the end of the VO2peak-measurement.
All parameters related to intensity of swimming are proportional to velocity
in the power of three (v3) as described by Kjendlie et al., 2004b. The v3 values were calculated and a regression line
between VO2 - v3, R - v3 and VE - v3 were established for each
subject. The values were entered into a scatter plot and the linear best
fit line and appurtenant formula was calculated with Microsoft®Office
Excel 2003 for every participant. These formulas were used to calculate
the energy cost of swimming at 1.1 m·s-1 for every subject as this represents
a feasible training velocity to all participants. R2-values were calculated
for describing the gathering of the values around the regression line.
To ensure true HRmax was found during the VO2peak-test, an
additional protocol of 2 × 300m maximal front crawl swimming after 20-40
minutes of warm up was conducted measuring the heart rate at the end of
each 300m. HRmax was considered the highest heart rate after the 300 meters.
The variables further analysed were swimming economy, VO2peak
with appurtenant ventilation, respiratory quotient and velocity, and the
highest measured HRmax.
Kinematical parameters
Stroke length, stroke rate and maximal velocity (vmax) were measured during
25 meter in water sprints. At least three maximal swims were recorded
and the values of stroke length, stroke rate and vmax were extracted from
the fastest of them. The rest period was minimum 2 minutes and the next
bout started at the subject's free will. The vmax value was calculated
from the mean velocity of the stroke cycles from 12.5m to 25m except the
last cycle in a 25m of maximal front crawl swimming. Variables were measured
by a calibrated 100 Hz speedometer with a coefficient of variation of
less than 2% (Pedersen and Kjendlie, 2006). The speedometer was connected to a computer and attached
to the swimmer with a line spun around a wheel (circumference was 0.09m)
specially turned to prevent toss. The wheel was connected to an incremental
encoder (nr. IS630, Leine & Linde, Strängnes, Sweden), and connected
to a digital encoding unit (DAQ 6024E data card, National Instruments,
USA). The system was programmed by digital acquisition software (LabVIEW
7), and the signal was treated in MatLab (The MathWorks Inc., USA). At
each stroke of the right hand a mark was registered for the software to
calculate stroke length and stroke rate.
Force and strength parameters
Maximal swimming force was attained from tethered maximal front crawl
swimming until fatigue. Swimmers were allowed three attempts and the highest
value was used. The rest period was minimum 2 minutes and the next bout
started at the subject's free will.
A belt was attached to the waist of the swimmer and a rubber tube at the
other end. The rubber tube was attached to a 100 Hz load cell (model TS
C2, AEP, Modena, Italy) connected to a Digital Force Indicator display
(AEP, Modena, Italy) which was also fastened to a pole on the pool deck
in a horizontal position. A peak-hold function of the load cell was used
to find the maximal peak force in front crawl swimming. A high reliability
of this system has been reported (Kjendlie and Thorsvald, 2006).
Maximal strength in bilateral shoulder extension (FL) was measured in
a Technogym cable cross over apparatus (Technogym, Gambettola, Italy)
from a starting position of 170 ± 10º shoulder flexion. During testing,
subjects were not allowed to decrease the angle of the elbow joint below
90º, jerk the body backwards before the shoulder extension, reduce the
angle in the hip joint below 170º or drop the elbow below the line between
the shoulder joint and the wrist of the hand. All precautions were made
to make the strength test as swim like as possible. Before the test the
subjects were allowed a whole body warm up of 10-15 minutes on a treadmill
or an ergometer cycle and a specific warm up with easier resistance in
the apparatus with technical supervision. The test started at a resistance
the subjects could easily carry out using a proper technique, and the
load was increased by 2.5 kg at each attempt until failure. A maximal
FL measurement was considered when subject could not fulfil an increased
resistance in three attempts under given technical demands.
Statistical procedures
Mean and standard deviation were used for presentation of the findings.
Since the control group included only two male subjects, data are presented
and compared between whole groups and female part of the groups. All differences
between the groups were calculated by a Mann-Whitney U test, and within
group differences between pre and post test were calculated by a Wilcoxon
matched-pairs signed-ranks test. Correlations were calculated by a Spearman
rank-difference correlation. All calculations were performed using SPSS
13.0 for Windows. The level of significance was p < 0.05.
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