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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 _____________________________________________________________________

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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:________________

(4)

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:_______________________________________________________

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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

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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:

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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:____________________

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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 __________________

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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 _________________________________

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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

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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

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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

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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.

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