Exertional rhabdomyolysis in a collegiate american football player after preventive cold-water immersion: a case report
Kahanov L, Eberman LE, Wasik M, Alvey T
Journal of athletic training · 9 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Reporte de caso (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2012-03-01 · J Athl Train · vol. 47 · número 2 · págs. 228–232
- Editorial
- National Athletic Trainers' Association
- Citado
- 20 citas · más que el 80% de estudios similares · 1.1× el promedio de su campo
- Referencias
- 49 trabajos
- Acceso
- Acceso abierto (copia en repositorio)
- Áreas de investigación
- Muscle and Compartmental Disorders · Exercise and Physiological Responses · Cardiovascular Effects of Exercise
- Palabras clave
- Medicine, Rhabdomyolysis, Heat illness, Creatine kinase, Football, Fluid replacement, Physical therapy, Anesthesia, Internal medicine
- MeSH
- humans, muscle cramp, rhabdomyolysis, creatine kinase, immersion, universities, football, male, cold temperature, physical exertion, young adult, athletes
4 autores
- Leamor Kahanov🇺🇸 · autor de correspondenciaIndiana State University
- Lindsey E. Eberman🇺🇸Indiana State University
- Mitchell Wasik🇺🇸Indiana State University
- Thurman Alvey🇺🇸Union Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To describe a case of exertional rhabdomyolysis in a collegiate American football player after preventive coldwater immersion.
Background
A healthy man (19 years old) participated in full-contact football practice followed by conditioning (2.5 hours). After practice, he entered a coach-mandated postpractice cold-water immersion and had no signs of heat illness before developing leg cramps, for which he presented to the athletic training staff. After 10 minutes of repeated stretching, massage, and replacement of electrolyte-filled fluids, he was transported to the emergency room. Laboratory tests indicated a creatine kinase (CK) level of 2545 IU/L (normal range, 45-260 IU/L), CK-myoglobin fraction of 8.5 ng/mL (normal < 6.7 ng/mL), and CK-myoglobin relative index of 30% (normal range, 25%-30%). Myoglobin was measured at 499 ng/mL (normal = 80 ng/mL). The attending physician treated the athlete with intravenous fluids.
Differential diagnosis
Exercise-associated muscle cramps, dehydration, exertional rhabdomyolysis.
Treatment
The patient was treated with rest and rehydration. One week after the incident, he began biking and swimming. Eighteen days later, the patient continued to demonstrate elevated CK levels (527 IU/L) but described no other symptoms and was allowed to return to football practice as tolerated. Two months after the incident, his CK level remained high (1900 IU/L).
Uniqueness
The athlete demonstrated no signs of heat illness upon entering the cold-water immersion but experienced severe leg cramping after immersion, resulting in a diagnosis of exertional rhabdomyolysis. Previously described cases have not linked cold-water immersion with the pathogenesis of rhabdomyolysis.
Conclusions
In this football player, CK levels appeared to be a poor indicator of rhabdomyolysis. Our patient demonstrated no other signs of the illness weeks after the incident, yet his elevated CK levels persisted. Cold-water immersion immediately after exercise should be monitored by the athletic training staff and may not be appropriate to prevent muscle damage, given the lack of supporting evidence.
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