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The effect of topical thiocolchicoside in preventing and reducing the increase of muscle tone, stiffness, and soreness: A real-life study on top-level road cyclists during stage competition.

Abstract In professional road cyclists, the majority of overuse injuries affect the lower limbs and are mostly represented by contractures or muscle shortening, characterized by an increase of tone and stiffness and a variation of elasticity. Treatment and prevention of these specific conditions may include physical, supplementary, and pharmacologic support. The aim of this real-life study was to determine: first, the alterations of tone, stiffness, elasticity, and soreness of rectus femoris (RF) and biceps femoris (BF) in top class cyclists engaged in 3 multistage races, and second, whether any variable in the management of the athletes may affect the prevention and/or reduction of such alterations.Twenty-three professional cyclists competing in 3 international, cycling stage races were assessed. Athletes could receive, upon the approval of the medical staff, physical, dietary, and/or pharmacological management which could include treatments with topical over-the-counter myorelaxants to prevent and/or reduce muscle contractures. MyotonPro was used to daily measure tone, stiffness, and elasticity in RF and BF in relaxed and contracted state after every stage. In parallel, BF and RF soreness was also assessed with a Likert scale.All athletes received the same general massage management; none of them received dietary supplements; some of the athletes were treated with a topical myorelaxant thiocolchicoside (TCC 0.25%) foam 3 times daily. TCC was identified as the only variable able to affect these muscle parameters in the cyclists. Tone, stiffness (regardless of the state), and soreness significantly increased over time either in BF or RF in all athletes. In the group of athletes that used TCC (n = 11; TCC+) the increase in tone, stiffness, and soreness was significantly lower than in the group not receiving TCC (n = 12; No-TCC). Elasticity varied coherently with tone and stiffness.A very intense and protracted sport activity increases muscular tone, stiffness, and soreness over time. Topical TCC foam significantly attenuates these alterations and might represent an efficient strategy both to prevent and manage contractures and their consequences in professional cyclists as well in athletes from other disciplines involving similar workloads.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28746232
OWN - NLM
STAT- MEDLINE
DA  - 20170726
DCOM- 20170807
LR  - 20170807
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 30
DP  - 2017 Jul
TI  - The effect of topical thiocolchicoside in preventing and reducing the increase of
      muscle tone, stiffness, and soreness: A real-life study on top-level road
      cyclists during stage competition.
PG  - e7659
LID - 10.1097/MD.0000000000007659 [doi]
AB  - In professional road cyclists, the majority of overuse injuries affect the lower 
      limbs and are mostly represented by contractures or muscle shortening,
      characterized by an increase of tone and stiffness and a variation of elasticity.
      Treatment and prevention of these specific conditions may include physical,
      supplementary, and pharmacologic support. The aim of this real-life study was to 
      determine: first, the alterations of tone, stiffness, elasticity, and soreness of
      rectus femoris (RF) and biceps femoris (BF) in top class cyclists engaged in 3
      multistage races, and second, whether any variable in the management of the
      athletes may affect the prevention and/or reduction of such
      alterations.Twenty-three professional cyclists competing in 3 international,
      cycling stage races were assessed. Athletes could receive, upon the approval of
      the medical staff, physical, dietary, and/or pharmacological management which
      could include treatments with topical over-the-counter myorelaxants to prevent
      and/or reduce muscle contractures. MyotonPro was used to daily measure tone,
      stiffness, and elasticity in RF and BF in relaxed and contracted state after
      every stage. In parallel, BF and RF soreness was also assessed with a Likert
      scale.All athletes received the same general massage management; none of them
      received dietary supplements; some of the athletes were treated with a topical
      myorelaxant thiocolchicoside (TCC 0.25%) foam 3 times daily. TCC was identified
      as the only variable able to affect these muscle parameters in the cyclists.
      Tone, stiffness (regardless of the state), and soreness significantly increased
      over time either in BF or RF in all athletes. In the group of athletes that used 
      TCC (n = 11; TCC+) the increase in tone, stiffness, and soreness was
      significantly lower than in the group not receiving TCC (n = 12; No-TCC).
      Elasticity varied coherently with tone and stiffness.A very intense and
      protracted sport activity increases muscular tone, stiffness, and soreness over
      time. Topical TCC foam significantly attenuates these alterations and might
      represent an efficient strategy both to prevent and manage contractures and their
      consequences in professional cyclists as well in athletes from other disciplines 
      involving similar workloads.
FAU - Gervasi, Marco
AU  - Gervasi M
AD  - aDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino,
      Italy bDepartment of Physical Education and Sport, University of the Basque
      Country UPV/EHU, Vitoria-Gasteiz, Spain cMedical Department, Dompe Farmaceutici
      S.p.a., Milano dTechnical Committee of LCP Cycling Professional League, Rome,
      Italy.
FAU - Sisti, Davide
AU  - Sisti D
FAU - Benelli, Piero
AU  - Benelli P
FAU - Fernandez-Pena, Eneko
AU  - Fernandez-Pena E
FAU - Calcabrini, Cinzia
AU  - Calcabrini C
FAU - Rocchi, Marco B L
AU  - Rocchi MBL
FAU - Lanata, Luigi
AU  - Lanata L
FAU - Bagnasco, Michela
AU  - Bagnasco M
FAU - Tonti, Andrea
AU  - Tonti A
FAU - Vilberto, Stocchi
AU  - Vilberto S
FAU - Sestili, Piero
AU  - Sestili P
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Neuromuscular Agents)
RN  - SML2Y3J35T (Colchicine)
RN  - T1X8S697GT (thiocolchicoside)
SB  - AIM
SB  - IM
MH  - Administration, Topical
MH  - Adult
MH  - Athletes
MH  - Bicycling/*injuries/physiology
MH  - Colchicine/administration & dosage/*analogs & derivatives
MH  - Cumulative Trauma Disorders/physiopathology/*prevention & control
MH  - Elasticity
MH  - Hamstring Muscles/*drug effects/injuries/physiopathology
MH  - Humans
MH  - Massage
MH  - Muscle Tonus/drug effects
MH  - Myalgia/etiology/physiopathology/prevention & control
MH  - Neuromuscular Agents/*administration & dosage
MH  - Prospective Studies
MH  - Quadriceps Muscle/*drug effects/injuries/physiopathology
MH  - Time Factors
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2017/07/27 06:00
MHDA- 2017/08/08 06:00
CRDT- 2017/07/27 06:00
AID - 10.1097/MD.0000000000007659 [doi]
AID - 00005792-201707280-00063 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(30):e7659. doi: 10.1097/MD.0000000000007659.