Impairment of 40-km time-trial performance but not peak power output with external iliac kinking: a case study in a world-class cyclist.

Iliac blood-flow restrictions causing painful and "powerless" legs are often attributed to overtraining and may develop for some time before being correctly diagnosed. In the current study, differences between actual performance parameters and performance parameters predicted from the Lamberts and Lambert Submaximal Cycle Test (LSCT) were studied in a world-class cyclist with bilateral kinking of the external iliac artery before and after surgery. Two performance-testing sessions, including a peak-power-output (PPO) test and a 40-km time trial (TT) were conducted before surgery, while 1 testing session was conducted after the surgery. Actual vs LSCT-predicted performance parameters in the world-class cyclists were compared with 82 symptom-free trained to elite male cyclists. No differences were found between actual and LSCT-predicted PPO before and after surgical intervention. However, there were differences between actual and LSCT-predicted 40-km TT time in the tests performed before the surgery (2:51and 2:55 min:s, respectively). These differences were no longer apparent in the postsurgery 40-km TT (2 s). This finding suggests that iliac blood-flow restrictions seem to mainly impair endurance performance rather than peak cycling performance. A standard PPO test without brachial ankle blood-pressure measurements might not be able to reflect iliac blood-flow restrictions. Differences between actual and LSCT-predicted 40-km TT time may assist in earlier referral to a cardiovascular specialist and result in earlier detection of iliac blood-flow restrictions.

Measuring submaximal performance parameters to monitor fatigue and predict cycling performance: a case study of a world-class cyclo-cross cyclist.

Recently a novel submaximal test, known as the Lamberts and Lambert submaximal cycle test (LSCT), has been developed with the purpose of monitoring and predicting changes in cycling performance. Although this test has been shown to be reliable and able to predict cycling performance, it is not known whether it can measure changes in training status. Therefore, the aim of this study was to determine whether the LSCT is able to track changes in performance parameters, and objective and subjective markers of well-being. A world class cyclo-cross athlete (31 years) volunteered to participate in a 10-week observational study. Before and after the study, a peak power output (PPO) test with respiratory gas analysis (VO(2max)) and a 40-km time trial (40-km TT) test were performed. Training data were recorded in a training logbook with a daily assessment of well-being, while a weekly LSCT was performed. After the training period all performance parameters had improved by a meaningful amount (PPO +5.2%; 40-km TT time -2.5%; VO(2max) +1.4%). Increased training loads during weeks 2 and 6 and the subsequent training-induced fatigue was reflected in the increased well-being scores. Changes during the LSCT were most clearly notable in (1) increased power during the first minute of third stage, (2) increased rating of perceived exertion during second and third stages, and (3) a faster heart rate recovery after the third stage. In conclusion, these data suggest that the LSCT is able to track changes in training status and detect the consequences of sharp increases in training loads which seem to be associated with accumulating fatigue.