Altitude training for injured runners

Are you a runner dealing with injuries? Altitude training could be your best friend

Most runners have been injured, and it’s a dreadful part of sport. We spend hours pool running. We do endless glute bridges. And we watch our friends leave for runs and disappear into the abyss just like our abs. We get bored out of our minds, and stressed about losing the fitness we worked so hard to build.

As we lope and mope on the local gym’s elliptical machine, we think of three things:

How can I make cross-training less boring?

How can I maintain fitness?

Is this thing ever going to heal?

 Thankfully, there might be an answer to these questions that has nothing to do with stepping foot into the pool with an aqua belt.

 

Altitude training could be your most valuable cross-training tool. Here’s how:

Research shows that low-oxygen (hypoxic) training increases red blood cell count, which facilitates oxygen transport to the working muscles. Better oxygen transport can lead to more aerobic benefits (which can help us maintain fitness when we are injured) and decreased injury recovery time. As well, seeking out a new method of cross-training can be mentally refreshing, and can make our time away feel less terrible.

Plus, no matter where you are on the injury spectrum, altitude training can be your ally.

 

The Injury Spectrum

How might altitude training be helpful to you

Injury Prone

You’re not injured right now, but you push your limits and regularly find yourself sidelined. Maybe it’s pesky runner’s knee, or notoriously weak hips (they especially don’t lie when you’re a runner). You want to keep making gains, but you struggle handling your workload before a nagging “issue” turns into a full-blown problem. Do a portion of your training at altitude instead in order to maximize your time on your feet without additional stress to your weak spots. Your 75-minute run can become a 60-minute hypoxic run. Similar aerobic stimulus, less pounding.

On the Comeback

You are returning to training, and can only handle half your regular volume. Because you are doing less than what you are used to, you find it difficult to gain much fitness. Doing that reduced volume at hypoxia can produce physiological stimulus that will let you get fit at a faster rate. This way you can get back up to speed in a reasonable timeframe. See training at altitude as the bridge to get you back to your full volume of running again, but safely.

 

running your fastest 5K

Short-term Sideline

It’s the middle of your season, and you are in the shape of your life, and you are told to back off for three weeks. Not enough to kill the race goal, but enough to lose your edge. You don’t want to take time off, and you want to keep building fitness. For a short period, use an alternative form of training to maintain your fitness. Do it in low-oxygen conditions, and you might not miss a beat—red blood cell count and oxygen transport tends to spike after three weeks to a month of hypoxic training. You may actually come out of this mini-pause in your run training fitter than before. Plus, it’s a great excuse to try something new.

Out for the Season

You are riding great fitness, and come down with a pretty serious injury, say, a muscle tear or the dreaded stress fracture. You might be off for a few months, but you are motivated to stay fit. In the past, you’ve put in two to three hours of work on the bike or in the pool per day to get enough aerobic stimulus, only to come back to running with bike legs (this is when you discover how strong your quads can get) or pool arms (swimming reminds runners that a bit of upper body is perhaps not a bad thing).

But how can you maintain fitness for two months, without coming back with a body that would rather swim or cycle than run? Do that cross-training at altitude, and get the desired aerobic stimulus without having to cross-train excessively. This approach will also free your afternoon for more glute bridges or planks (which can be done at altitude as well). You’re welcome.

Far Gone

You have been injured for a long time, and feel like you have lost all fitness. Generally, the more unfit you are, the greater the results of hypoxic training. Use our training methods as your first step back to action, either on your own terms during our open gym time, or with the help of a coach and a personalized training plan.

If you are injured and want to get back to competition in a more effective and less painless way, give Altitude Athletic a try. If nothing else, it’s way more fun and adds stimulus than staring at the wall of your local pool for an hour.

Let’s talk about how altitude training can help you with your running injury. Schedule a time to meet with one of our expert Altitude coaches.

Altitude for Rehab and Re-conditioning

Why altitude training will help your clients get better results during rehab?

Most of us expect to lose some level of conditioning when we get injured. But that doesn’t have to be the case.

Altitude training for sports rehab can be used to create a stimulus that maximizes aerobic output, while reducing training intensity and load on recovering tissue.

Therefore, sessions at simulated altitude (i.e a walk on the treadmill in a simulated altitude chamber or a spin on the bike with an altitude mask) can be done at lower intensities with greater benefit and help recovering clients maintain cardiovascular fitness while injured.

The goal is to mitigate the de-conditioning effect and accelerate the re-conditioning process, providing maximum aerobic adaptations during recovery.

Injuries are never easy, but with intelligent program design and training, clients can get back to full fitness faster and stronger than before.

Minimize De-conditioning, Maximize Re-conditioning

Altitude Athletic can facilitate the return-to-fitness process using specific altitude protocols designed to maintain cardiovascular fitness during injury.

Protocols can be either passive (Intermittent Hypoxic Breathing*) or active and built for varying levels of exercise tolerance.

*Intermittent Hypoxic Breathing (IHB) consists of breathing very low oxygen air from a stationary position (seated) in a series of intervals interspersed with sea-level breathing.

altitude training for sports rehab

Altitude Training for Sports Rehab: Training Recommendations

  • “My client is recovering from an injury and can still exercise.”

If you have a client who can still train actively, use an active intermittent hypoxic training protocol.

For instance, a protocol that has been used for this scenario is 30 minutes of continuous aerobic exercise as close to 75% of max heart rate as possible at 14.5% O2. The goal is to ease the client into a reconditioning program that still elicits a greater performance adaptation. Therefore, reconditioning is more effective and faster than it would have been at sea level.

  • “My client is recovering from an injury and cannot tolerate exercise.”

If your client is struggles to exercise – for example an elderly individual or someone with cardiovascular disease – use a passive breathing protocol. These protocols are based on a tolerance test, for example: 4-6 rounds, 3-5 minutes ON 3-5 minutes OFF at 14.5%-10% O2.

With severely de-conditioned individuals, passive exposures can increase fitness level, aerobic capacity, exercise tolerance, performance and quality of life. Passive exposures can also offset some level of de-conditioning.

Opportunities for Physios and Clinics

By building altitude training into your client’s rehabilitation, you now have a solution to minimize unnecessary de-conditioning and maximize re-coniditioning at the acute and post-injury stages. The result is happier clients, better results achieved faster and greater success for your practice.

You’ve also opened the door to populations with low-exercise tolerance who previously had few solutions for re-conditioning. Intermittent Hypoxic Breathing is game-changing for their health and quality of life. The opportunities provided from this new market will offer a huge boost to your business.

References

(1) Training High-Living Low: Changes of Aerobic Performance and Muscle Structure with Training at Simulated Altitude

(2) Endurance Training in Normobaric Hypoxia Imposes Less Physical Stress for Geriatric Rehabilitation

(3) The effects of intermittent hypoxic training on aerobic capacity and endurance performance in cyclists

(4) The Effects of Aerobic Exercise at Hypoxic Condition during 6 Weeks on Body Composition, Blood Pressure, Arterial Stiffness, and Blood Lipid Level in Obese Women

(5) Effects of systemic hypoxia on human muscular adaptations to resistance exercise training

(6) The effect of acute exercise in hypoxia on flow-mediated vasodilation

(7) Intermittent hypoxia increases exercise tolerance in elderly men with and without coronary artery disease

(8) Intermittent hypoxia training as non-pharmacologic therapy for cardiovascular diseases: Practical analysis on methods and equipment