Survey about Risk Factors for Rhabdomyoloysis (we will call it rhabdo in this survey) DEMOGRAPHICS and HISTORY
Current Age ___ ___ _______years Age you began swimming competitively _______ ______ years
Do you know whether you carry (have) the sickle cell gene? Yes No Unknown
Do you know whether you carry (have) the beta-Thalassemia gene? Yes No Unknown
Do you have any medical conditions? Yes No Unknown
If yes, to question x, please list each condition in the following space:
____________________________________________________________________________________
Were you taking any prescription medications at the time the winter workouts began? Yes No Unknown
If yes, to question x, please write down the name of each prescription medicine that you were taking at the time the winter workouts began _______________________________________________________
TRAINING AFTER HORIZON LEAGUE/MICHIGAN OPEN MEET
Did you participate in the Horizon League Championship meet? Yes No
Did you have an injury going into or immediately following the Horizon Championship or Michigan Open Swim Meet Yes No Unknown
If yes to question x, please describe the injury _____________________________________________________________________
Please specify in the table below how often you worked out during your “off week” (March 2nd - March 10th after the HL Championship meet, or longer if you were a Michigan Open swimmer) (check the applicable boxes):
Type of workout Daily Every other day Other (please specify) Never Weight lifting
Swimming
Other(please specify)
MARCH 17-23: MUSCLE SORENESS RATINGS
Using the muscle soreness chart above (bottom of chart in yellow), please provide a number (0-10; 0=not sore at all, 10=extremely sore) indicating how sore you were in you upper, lower and whole body at the END of each of the following training days:
o
March 17
th 4,000 m am swim; 30 station circuit for 30 secs on and 30 secs off; 2,000 yd pm swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________o
March 18
th sled push, 30x jump rope, 30 sec bike, 30 sec run on curve for a total of 10x through; 2,000 yd pm swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________o
March 19
th 4,000 m am swim; 30 station circuit for 30 secs on and 30 secs off ; 2,000 yd pm swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________o
March 20
th 3,000 yd am swim; 45 mins of car pushing; 1,000 yd pm swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________
o
March 21
st 4,000 m am swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________
o
March 22
nd– 23
rd no workouts
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________
Were any of your individual workouts different from above. Please explain:_______________________________________________________
MARCH 24-30: MUSCLE SORENESS RATINGS
o
March 24
th 4,000 m am swim; 30 station circuit for 35 secs on and 25 secs off; 5,000 yd pm swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________o
March 25
th am resistance band leg workout, 5,000 yd pm swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________
o
March 26
th 4,000 m am swim; 30 station circuit for 35 secs on and 25 secs off; 5,000 yd pm swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________o
March 27
th Arm competition day; 5,000 yd pm swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________
o
March 28
th 4,000 m am swim
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________
o
March 29
th 4,000 m am swim (40x50s IM order 10 of each stroke)
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________
o
March 30
th no workout
Upper body soreness score:__________ Lower Body soreness score:___________ Total body soreness score:________________
Were any of your individual workouts different from above. Please explain:_______________________________________________________
MARCH 26-30: PRODUCTS/DRINKS CONSUMED DURING RHABDO WEEK
During the period of March 26th – March 30th did you take/drink any of the following products or beverages? Please check the appropriate box for each product or beverage. Please check no if you did not take a specific product or drink a specific beverage.
Product or drink No Wednesday
March 26th
Thursday March 27th
Friday March 28th
Saturday March 29th
Sunday March 30th Take Advil or Motrin (ibuprophen)
Aleve (naprosyn), aspirin, or other anti-inflammatory medicine?
Take acetaminophen (Tylenol)?
Take flu or cold medicine?
Take protein supplements (like Muscle Milk)?
Drink energy drinks like Monster, Rockstar, Red Bull, Adrenaline Rush?
Drink pre-workout supplements like MetRx, Amped, NO- xplode, Pump Fuel, Monster Fuel, NO2, Ignite, Hot Rox, or Muscle Spike?
Drink caffeinated drinks such as coffee, tea, colas, Mountain Dew (NOT energy drinks)?
Take vitamins?
Take creatine?
Take carnitine?
Take laxatives?
Take water pills (diuretics)?
Take diet pills like Ephedra?
Eat licorice?
Drink alcohol including energy
drinks with alcohol like Four Loko?
Take medications for ADHD (attention deficit disorder) Take human growth hormone?
Take anabolic steroids by mouth?
Take anabolic steroids by shot?
Take any street drugs like cocaine, amphetamines, or bath salts?
Any product or drink not listed above (please specify)
If you answered “yes” for any of the above, please use the space below to specify the product/drinks and the amount/dose you consumed each day:
MARCH 26-30: SIGNS AND SYMPTOMS DURING RHABDO WEEK
Did you have any of the symptoms listed in the following table? Please check the box with the answer that best describes whether and when you had the symptoms.
Symptom No Anytime
during the two weeks after the
Horizon League meet?
Wednesday March 26th
Thursday March 27th
Friday March 28th
Saturday March 29th
Sunday March 30th
Nausea
Vomiting (not related to the workout)
Diarrhea Fever Chills Cough Sore throat
Very dark colored urine (brown pee)
Other (please specify in this box)
MARCH 27 WORKOUT
Did you do the upper body work out on 3/27/2014? Yes No Unknown
How many swimmers were in your group for the first competition round:___________________
How many swimmers were in your group for the second competition round:__________________
How many swimmers were in your group for the third competition round:____________________
If you did the upper body work out on 3/27/2014, please estimate how many:
Pull-ups did you complete overall?___________________________________________________________________________
Rows did you complete overall?_____________________________________________________________________________
Bench press did you complete overall?________________________________________________________________________
Were you apart of the tiebreaker group? Yes No Unknown
Were there any punishments such as “hallways”? Yes No Unknown
If yes to question x, please indicate what type of punishment exercise(s) you did and how many times.
Which workout group did you participate in? Morning Afternoon
Other exercise totals:_______________________________________________________________________________________________
_________________________________________________________________________________________________________________
How long did it take you to complete this workout? (Estimate if you do not know):_______________________________________minutes If you did the upper body workout on 3/27/2014, did you (check the one best answer):
□ Try to beat the best time.
□ Try to beat other athletes who did the workout when you did.
□ Just paced myself so I could finish
If did not complete as many reps as the other swimmers, do you think it was because (check the one best answer). If your performance was what you expected it to be or better than you expected it to be, please skip to question x:
□ I didn’t feel well
□ I was injured
□ I chose to pace myself
□ I pushed hard at the beginning and then ran into a wall and had to finish slowly
□ I was lifting more weight than other swimmers
□ It just didn’t feel right that day
□ I was tired from previous workouts Other please specify __________________
If you did the upper body workout on 3/27/2014, how did you feel WHILE DOING the workout (check the one best answer):
□ I felt good and the workout went well
□ I felt okay but the workout didn’t go quite as well as I hoped it would go
□ I felt crappy (such as everything hurt, I felt nauseated) and the work out went poorly
□ I felt crappy (such as everything hurt, I felt nauseated) but I finished the workout in a good time
Other: Please describe________________________________________________________________________________________
If you did the upper body work out on 3/27/2014, did you achieve complete exhaustion? Yes No Unknown
If you did the lower body work out on 3/27/2014, did you keep doing the exercises despite developing muscle cramps or feeling like your arms or
other muscle groups were dead? Yes □ No □ Unknown □
If you did the lower body work out on 3/27/2014, which of the following symptoms did you have during the workout or shortly afterwards:
□ Arm cramping or locking
□ Could not feel my arms
□ Back pain
□ Vomiting
□ None of these
Other, please describe ________________________________________________________________________________________________
Did you do the push-ups after you did the upper body work out? Yes No Unknown If you answered yes to question x, how did you feel while doing the push-ups (check the one best answer)?
□ The push-ups were hard but I did okay
□ The push-ups were really hard and I felt awful (such as everything hurt, I felt nauseated) Other please specify _________________________________
Did you participate in the afternoon swim workout on 3/27/2014? Yes No Unknown If you answered yes to question x, how did you feel WHILE DOING the workout (check the one best answer):
□ I felt good and the workout went well
□ I felt okay but the workout didn’t go quite as well as I hoped it would go
□ I felt crappy (such as everything hurt, I felt nauseated) and the workout went poorly (such as I hit the hurdles or I couldn’t do high knees)
□ I felt crappy (such as everything hurt, I felt nauseated) but I finished the workout in a good time
Other: Please describe________________________________________________________________________________________
MARCH 28 WORKOUT
Did you participate in the swimming workout on 3/28/2014? Yes No Unknown
□ If you answered yes to question x, how did you feel WHILE DOING the workout (check the one best answer):
□ I felt good and the workout went well
□ I felt okay but the workout didn’t go quite as well as I hoped it would go
□ I felt crappy (such as everything hurt, I felt nauseated) and the workout went poorly (such as I hit the hurdles or I couldn’t do high knees)
□ I felt crappy (such as everything hurt, I felt nauseated) but I finished the workout in a good time
Other: Please describe________________________________________________________________________________________
MARCH 29 WORKOUT
Did you participate in the Saturday morning swimming workout on 3/29/2014 ? Yes No Unknown
If you answered yes to question x, how did you feel WHILE DOING the workout (check the one best answer):
□ I felt good and the workout went well
□ I felt okay but the workout didn’t go quite as well as I hoped it would go
□ I felt crappy (such as everything hurt, I felt nauseated) and the workout went poorly (such as I hit the hurdles or I couldn’t do high knees)
□ I felt crappy (such as everything hurt, I felt nauseated) but I finished the workout in a good time
Other: Please describe________________________________________________________________________________________
Were water bottles allowed on the workout area? Yes No Unknown Were you given free access to fluids during the arm competition workout? Yes No Unknown
MARCH 27-29: THIRST RATINGS
Using the scale above, how thirsty were you before this arm workout began (0-10; 0=not thirsty at all, 10=extremely thirsty) During the workout (0-10 rating):________________
Immediately following the workout (0-10 rating):_______________________
If you participated in any of the workouts, what liquids did you drink before, during or immediately after the workout sessions? Please put a check in a box if you drank the beverage during a specific workout. Also please write in the box about how many cups or bottles you drank during that practice. For example, if you drank 6 bottles of sports drink during the workout on 3/27, put a check in the 3/27 workout column in the row for sports drink from a bottle and write 6 bottles next to the check.
Beverage Thursday 3/27/2014 AM Weight workout
Thursday 3/27/2014 PM Weight workout
Thursday 3/27/2014 Swim workout
Friday 3/28/2014 Swim workout
Saturday 3/29/2014 Swim workout Water
Sports drink from a bottle
Protein shake Other
MARCH 27-29: POST-PRACTICE ACTIVITIES
After any of the work outs did you do any of the following? If the answer is yes for a specific practice, please check the box for each date that you did the practice.
Practice Thursday
3/27/2014 pm
Friday 3/28/2014 am
Saturday 3/29/2014 Plunge
Contrast
Apply ice or cold to sore muscles Take a hot bath
Take a hot shower Take a cold bath Take a cold shower
Sit in the steam room at the rec center
Sit in a whirlpool or hot tub at the rec center
Get a massage Use the foam rollers
Apply topic creams, ointments, or patches like Icy Hot or BENGAY Use a heating pad or hot water bottle
Use Stim treatment
Over the weekend (3/29 to 3/30) did you:
Do your usual activities Yes □ No □ Unknown □
Party Yes No Unknown
Sleep a lot Yes No Unknown
Sit or lie down most of the weekend Yes No Unknown
If yes to question x or to question x, were you admitted to a hospital for treatment of rhabdo? Yes No Unknown Have you ever had rhabdo before? Yes No Unknown If yes to question x, when did you have rhabdo in the past? (what year?)_______________________________________
Have you ever passed brown or very dark urine in the past after exercise? Yes No Unknown
Do you have ideas about why some swimmers got rhabdo and some did not? Please share any ideas that you have about the cause of the problem.
Please share any concerns or fears or questions that you have. All comments will remain confidential.