Enough (N)SAID about Ibuprofen & Soreness

Posted on March 1, 2020 by cpfeifer

If I’m being honest here, it’s been a while since I’ve had a solid gym routine. But this semester I’ve been going pretty regularly, and let me tell you, I’ve felt the burn. My muscles have felt pretty sore in the 2-3 days following my workouts, so I’ve had to turn to ibuprofen a few times to relieve the pain. But even after taking ibuprofen in the morning, I’ve felt sore again by the end of the day. This got me thinking: how effective is ibuprofen at reducing muscle soreness?

Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly served over-the-counter at pharmacies. Some common forms you may recognize include aspirin and ibuprofen (Motrin, Advil). NSAIDs are taken for many reasons; they reduce pain and inflammation, lower fevers, and reduce clotting action.[1,2] The typical dosage for adults who are looking to reduce mild-moderate pain is 400 mg every 4-6 hours. For adults who have pain caused by osteoarthritis, the typical prescribed dose is 1200 mg.[3] However, despite their pain reducing use, NSAIDs could yield negative side effects such as increased risk in developing nausea, stomach pains, or an ulcer.[1]

The mechanism of NSAIDs when it comes to reducing pain and inflammation is known and understood. After intense workouts, prostaglandins are produced by muscle cells. They aid in the healing process of muscle, but this often leads to inflammation, pain, and fever. Enzymes called cyclooxygenases (COX-1, COX-2) produce the prostaglandins that promote inflammation, pain, and fever. The goal of NSAIDs is to inhibit COX-1 and COX-2 from producing prostaglandins, thus decreasing the pain. However, the COX-1 enzyme is responsible for creating prostaglandins that protect the stomach lining and support platelet aggregation, so the inhibition of the enzyme is what could lead to stomach ulcers and the promotion of bleeding.[1,2,4] The science behind NSAIDs seems promising, but clinical research may prove otherwise.

Athletes commonly take NSAIDs after performing physical activity because they claim the drugs reduce pain and decrease recovery time. But here is the issue: only very few studies have been able to support this claim. Some studies have reported results that do indicate a beneficial effect, by stating NSAIDs used prophylactically mitigate exercise-induced inflammation, circulating creatine kinase levels, and muscle soreness.[5] On the other hand, these claims made by athletes lack scientific support. NSAIDs are known to treat inflammation, but many histological studies have proven that most overuse injuries are caused by tissue degeneration and not inflammation. Also, NSAIDs temporarily “mask” the pain caused by tissue degeneration or soreness. This does not ensure that muscles or tissues are actively getting healthier; it only hides the pain from the athlete. [5] Clearly, there are many different opinions about the use of NSAIDs, specifically ibuprofen, in the sports medicine field. Let’s take a look at what the “research says” about it.

A study at the University of Saskatchewan was conducted to determine the effects of ibuprofen on muscle hypertrophy, strength, and soreness during resistance training. Participants (12 males, 6 females) trained their left and right biceps for six weeks, alternating arms on each day. The training program called for concentric curls at 70% of RM and eccentric curls at 100% of 1 RM. Every day after their training, they either received a 400 mg dose of ibuprofen or a placebo. On training days, each participant was asked to rate their soreness on a scale from 0-9. For both the placebo and ibuprofen, the participants reported soreness during the first week and that soreness decreased throughout the program to the point where participants felt no soreness in either arm during the final week. The researchers concluded that ibuprofen was not effective in reducing perceived soreness during the training. However, the researchers do not reflect on the limitations of their own study. They had a small and uneven sample size when it came to gender and there could have been discrepancies and residual effects that came along with taking ibuprofen inconsistently. Additionally, they seemed pretty convinced by their findings, but maybe the dose they chose was not strong enough to show any reduction in soreness in a long term study.[6]

On the other hand, another study drew opposite conclusions. Researchers in Greece conducted a study to determine the effects of ibuprofen on delayed onset muscle soreness (DOMS) and muscular performance. Participants (14 men, 5 women) who have not done strength training in the last 6 months performed eccentric leg curls at 100% RM. Nine (9) subjects were given a 400 mg dose of ibuprofen every 8 hours for 48 hours after exercise, while the remaining 10 subjects received a placebo. The subjects rated their amount of soreness on a scale of 1-10 prior to exercising, 24 hours after exercising and 48 hours after exercising. The results showed that muscle soreness was significantly lower for the ibuprofen group at both 24 hours and 48 hours after exercising. Similar to the previous study, the researchers did not evaluate the limitations of their study. The number of participants and number of each gender were low and uneven, respectively. Also, the soreness results were not discussed much in the conclusion of the paper. The researchers did not support why the soreness decreased with scientific evidence, which is what they did for the other the parameters they were testing for.[7]

Clearly, both studies came to different conclusions. However, both studies were conducted for different amounts of time, contained different exercises, and with subjects of different athletic abilities. There have been plenty of studies conducted to determine how effective ibuprofen is at reducing soreness, but each study contradicts the next.

Overall, many studies show that ibuprofen is a short term solution to hiding muscle soreness, but it may not be effective long term. Though, I’m still going to keep on using it to treat my soreness.

Questions to consider:

Do you take NSAIDs to reduce your soreness after working out? How effective do you find them to be?
Do you think there’s a better way to measure soreness and how ibuprofen affects our muscles?
Do you think the length of the study has any correlation with the effectiveness of ibuprofen?

Sources:

(n.d.) Nonsteroidal Anti-inflammatory Drugs (NSAIDs). Retrieved from https://www.medicinenet.com/nonsteroidal_antiinflammatory_drugs/article.htm#what_are_nsaids_and_how_do_they_work
Tscholl, M., et al (2016). A sensible approach to the use of NSAIDs in sports medicine . Swiss Sports & Exercise Medicine , 65(2), 15–20.
(n.d.) Ibuprofen (Oral Route). Retrieved from https://www.mayoclinic.org/drugs-supplements/ibuprofen-oral-route/proper-use/drg-20070602
(n.d.) What Are NSAIDs? Retrieve from https://orthoinfo.aaos.org/en/treatment/what-are-nsaids/
Stuart J. Warden (2010) Prophylactic Use of NSAIDs by Athletes: A Risk/Benefit Assessment, The Physician and Sportsmedicine, 38:1, 132-138, DOI: 10.3810/ psm.2010.04.1770
Krentz , J. (2008). The effects of ibuprofen on muscle hypertrophy, strength, and soreness during resistance training. Applied Physiology Nutrition and Metabolism , 33(3), 470–475. doi: 10.1139/H08-019

Free Weights vs. Machines: How Should You Choose?

Posted on April 3, 2018 by smmart

A major choice when deciding what workout to do is whether to use machines or free weights. Machines are typically resistance training devices that have cables, adjustable weight stacks, and levers to customize workouts for the user in a controlled manner, while free weight exercises are more ‘free-form’ and involve using dumbbells or plates on utility benches or squat racks. Some people may prefer machines because the workouts are guided, as the machine controls the path of motion of the weight and has diagrams to properly explain how to use the machine. However, free weights are more similar to real-life movement patterns, requiring the same types of forces common in daily activities and sports. So how should you choose which workout style is best? This depends on what your goal is. So first, we’ll talk about the pros and cons of both machines and free weights.

There are several studies that have looked at the pros and cons of free weights and machines, with this round table discussion being the most interesting. Free weights are inherently unguided, so when performing exercises, like squatting with a barbell, not only are the muscles to lift the weight required, but also the supporting muscles to help you balance and stabilize while you perform the squat are active. Using free weights directly translates to typical daily activities, like lifting bags of groceries or unloading heavy items from a car, as mentioned by McBride. Additionally, free weights are typically less expensive to purchase and maintain than machines because they only require the actual weight, not a large piece of equipment to guide and apply the weight. Once purchased, free weights can be more cost effective than machines because they don’t have any moving parts that need to be greased or cleaned, or cables that may break if rust accumulates. Another advantage to free weights is that they come in many different shapes and sizes, so they are more customizable for the individual as there is no minimum or maximum height requirement to use free weights, and the same weights can be used for multiple different types of exercises.


Free weights come in different shapes and sizes so workouts can be adjusted for the individual.	Free weights sometimes require using a spotter and special racks to hold the weights.

However, free weights can often be intimidating for novice users because they require knowledge of different types of exercises, as well as understanding how heavy the weights should be for these different exercises to prevent injury while still seeing results. Some free weight exercises, like bench presses, are best performed with spotters and special racks, so this may add additional cost as well as requiring another person to work out with you, which is not always convenient. Another disadvantage to free weights is that they often require more space than machines; ample room is required surrounding the individual using free weights to avoid hitting anyone or anything while performing exercises.

On the other hand, machines are attractive to novice weight lifters and athletes and are very user-friendly. As mentioned previously, machines are advantageous because they control the movement of the exercise. This controlled movement guides users to perfect form and minimizes potential for injury. Additionally, machines bear utility for injured persons who still seek to exercise uninjured areas but cannot move free weights into the necessary start position due to their injuries. Still further, machines allow users to quickly change weights between sets, making for a more efficient workout. Lastly, machine users never require a spotter and thus allow athletes to exercise safely alone, a major pro mentioned in the round table discussion.


Machines guide the user’s motion during exercise, decreasing risk of injury.	Cables and pulleys on machines can wear over time, increasing the cost of maintenance for exercise equipment.

One drawback of machines is their high cost, as they are significantly more expensive than free weights on average. Due to the guided load path offered by machines, they suffer from limited stabilizer muscle activation. Additionally, machines typically isolate single muscle groups, which does not allow for explosive training. Further, the isolated nature of machines does not mimic real world movements or lift patterns.

In conclusion, if you desire an effective workout and prefer to workout alone and have no cost limit, machines may be the best choice for you. However, if you like to workout with a partner or are short on funds, free weights may be the better choice. Both workout types show results when utilized correctly, so be sure to experiment with both machines and free weights to find the workout type that works for you!

Questions to Consider:

Are there any sports that would soley benefit from one lifting modality versus the other?

If you’re trying to isolate muscle groups in the legs, would you benefit more from a machine or free weight workout?

In your experience, do you find machines or free weights more user friendly? Do you find either to give you a more satisfying workout?

References for Further Reading:

Haff, G. G. (2000). Roundtable Discussion: Machines Versus Free Weights. Strength and Conditioning Journal, 22(6), 18. https://doi.org/10.1519/1533-4295(2000)022<0018:RDMVFW>2.0.CO;2
McBride JM. Machines versus free weights. NSCA Hot Topic Series. Available from: http://www.nsca-lift.org.
McCaw, Steven T., and Jeffrey J. Friday. “A comparison of muscle activity between a free weight and machine bench press.” J Strength Cond Res 8.4 (1994): 259-64.
Santana, Juan Carlos. “Machines versus Free Weights.” Strength & Conditioning Journal 23.5 (2001): 67.

CrossFit vs. Bodybuilding, Apples to oranges or two sides to the same coin?

Posted on March 6, 2018 by dneumann

Recently workout fads have been popping up all over mainstream media and in different fitness centers. Everyone seems to have the ultimate plan to burn fat and build muscle, these routines have become more intricate and choreographed, often requiring a coach or instructor to oversee the work out. Older workout conventions have had to adapt to meet the changing needs and desires from society. We are here to figure out, is CrossFit the ‘glow up’ of Body building or are these two style of exercise completely unique?

First, what are CrossFit and bodybuilding?

Example of a typical CrossFit exercise

CrossFit is recognized as one of the fastest growing high intensity functional training regimens to date, popping up in 142 countries worldwide. But what is this mysterious new fad and does it actually work? The purpose of CrossFit training is to get as ‘fit as personally possible’, but is not specifically focused on just one fitness area. CrossFit aims to optimize physical ability not only in strength, but in cardiovascular endurance, flexibility, power, speed, coordination, agility, balance, and accuracy as well [1]. This lead trainers to develop a plan that incorporates multiple training theories into one ‘Workout Of the Day’ to keep a variety of fitness elements working.These workouts involve elements from gymnastics, weightlifting, and cardiovascular exercises which are performed quickly with little rest between sets.

The goal of Bodybuilding (muscle specific) training is so lose as much fat content as possible while maximizing your bodies muscle mass. This kind of training is where terms like ‘leg day’ and ‘back day’ came from, it is devoting an entire workout to a few muscle groups and working them to exhaustion. When you undergo this type of training your body experiences hypertrophy of all muscle fiber types.[2] A bodybuilding workout focuses on keeping the heart rate steady and high weight low rep exercises to slowly break down and rebuild one’s muscle fiber. This is proven to be an effective method if one is only worried about shear size and growth of muscles [3].

Expected muscle growth of Bodybuilders

After hearing this do you believe they are the same? Here’s what science said.

The approaches of these two exercise styles are most definitely unique, but are the fitness results actually all that different? In one research study called “Functional vs. Strength Training in Adults” 101 subjects, averaging an age of about 55, were separated into two groups that each performed 24 sessions of (functional or strength) training protocol twice per week. Each subject was assessed before and after the study using a quantitative Y-balance test and a qualitative Functional Movement Screen test. The changes between pretest and post test were analyzed and results showed that there were no significant differences in improvement between the training protocols as a whole. However, functional training was less effective for women compared to men in the same group [4]. The variability in prior athletic training must be taken into consideration when interpreting these results. Some participants may have needed additional training to better their basic skills before partaking in these specific training protocols.

Another study looked at ‘The effects of high-intensity intermittent exercise(HIIE) training on fat loss and fasting insulin levels of young women”[5] comparing the effects of CrossFit(HIIE) training to steady state weight lifting over the course of 15 weeks(exercising three times a week). While this study focused on insulin levels they reported a variety of information on lean body mass, fat content, and weight loss that can be used to draw conclusions about the exercise types as well, see that diet was not changed between the groups. This study showed that women who underwent the CrossFit style training showed a significant decrease in total body mass(they lost more weight) 3.5kg weight loss, compared to the steady state weight lifters who showed a 0.5kg increase in body mass. Demonstrating that while CrossFit participants and bodybuilders may both be used for strenuous high demand exercise, CrossFit is a more effective method of losing weight whereas bodybuilding promotes the act of ‘bulking up.’ While this study was full of information, it does not completely validate the idea that Crossfit and Bodybuilding are the same results with a different method it does help share some information that can point future studies in the right direction.

Based on what we have found we can draw a similar conclusion to previous posts about these training styles. We concur with the groups from previous years that current studies show that while the methods of achieving a lower fat content are different, the overall outcomes of the training types are very similar. In order to better compare these two very different approaches to fitness, there needs to be more extensive research done. The current scientific literature related to CrossFit specifically is lacking. Few studies with high level of evidence at low risk of bias have been widely recognized [1]. As of now we cannot truly compare this new workout fad to the traditional bodybuilding without more extensive studies with conclusive evidence.

By; Ellen Dudzinski and Destiny Neumann

Questions to consider:

Are CrossFit and bodybuilding the only ways to build muscle quickly and effectively?
Is CrossFit or bodybuilding for everyone, why or why not?
What athletes should attempt at least one of these training types?
After reading this, how would you further evaluate the similarities and differences between CrossFit and bodybuilding?
Would supplementation increase the results from either training style?

Free Weight vs Machines: Is One Better Than the Other?

Posted on March 6, 2017 by adehope

Searching for the best possible way to make gains in the gym can often be tricky or overwhelming. When you walk into the gym you can probably find a wide range of weight machines along with rows of dumbbells and squat racks. Many lifters incorporate a mix of free weights and machines when they are training. Free weight exercises require balance and they allow for movement in multiple planes while weight machines provide movement over a fixed range of motion. Some people swear by free weights alone and wouldn’t dare touch an exercise machine at the gym. Others solely use weight machines in their workouts. Which method of lifting is the best way to get in shape?

The benefits of using weight machines are that they are easy to use and figure out which is especially helpful for beginners. They are considered “safe” in the sense that you will not drop a heavy weight on yourself or someone. It is also easier to change resistance and loads on a machine. However, the movements one makes on a weight machine do not imitate natural movements we make every day. The exercises done on a weight machine usually do not target large muscle groups so isolated training is required.

The advantages of free weights are that they mimic real world movements and they target larger muscle groups, working more muscles in one exercise at a time. They require the use of stabilizing muscles so one must balance to perform the exercises. This coordination is part of the reason they are more natural movements that can help in day to day activities. Common disadvantages are that they are intimidating to beginners and some exercises require a spotter.

Lifters often quantify their strength by their one repetition maximum (1RM) or the heaviest weight a muscle/muscle group can successfully lift just one time with correct form. A study published in the Journal of Strength and Conditioning compared the force produced by muscles when squatting and bench pressing free weights or in a Smith machine. The results showed that participants had a greater 1RM in squatting with a Smith machine. Alternatively, participants had a greater 1RM when bench pressing using free weights. A previous study comparing free weight squats and bench press to machines showed greater 1RM in machines than in free weights, however the differences were not significant.

Example of a man squatting under a smith machine.

Another study done by Schick et. al. (2010) was conducted to compare the activation of muscles when bench pressing on Smith machine or a free weight bench press. The results found that there was significantly greater activation of the medial deltoid in the free weight bench press than in the Smith machine bench press. The instability caused by the free weight bench press requires more use of medial deltoid to both stabilize the body and produce the force necessary to lift the weight. The results did not show differences of activation in the larger chest muscles. The study used experienced and inexperienced lifters to determine whether one exercise was better beginners or not, but they did not find any significant differences between groups. It should be noted, however, that the study defined experienced as someone who consistently benched twice a week for 6 months. It may have been more helpful to use subjects with some more time and experience lifting.

The studies conducted do not necessarily favor any mode of exercise over another. I believe that more experiments should be performed to study the long-term effects of using free weights vs machines and whether one method may lead to faster results.

When deciding on whether to choose to lift using free weights or machines, it is best to determine what your goals are. If you want to be more efficient in the gym and use the most muscles in less exercises, free weights are your best bet. If you do want to isolate certain muscles and have more time to spare weight machines will work well. Many people incorporate both free weights and machines in their workout regime. I think it is most important to keep in mind that free weights are safe and activate more muscles when performed correctly. While weight machines may help in making you stronger, they avoid working those stabilizing muscles to help with balance. So, when your buddy needs help moving his couch up 3 floors to his apartment, you might wish you trained with free weights instead.

BMEG442: Engineering Exercise and Sports

Applying engineering principles to exercise

Tag Archives: free weights

Enough (N)SAID about Ibuprofen & Soreness

Free Weights vs. Machines: How Should You Choose?

CrossFit vs. Bodybuilding, Apples to oranges or two sides to the same coin?

Free Weight vs Machines: Is One Better Than the Other?

Recommended Further Reading: