Scavenging Fatigue and Promoting Rehabilita- tion by Wave Energy and Wine Therapy
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Transcript of Scavenging Fatigue and Promoting Rehabilita- tion by Wave Energy and Wine Therapy
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The Journal of Bioscience and Medicine 2, 2 (2012) | Article
Scavenging Fatigue and Promoting Rehabilita-tion by Wave Energy and Wine Therapy
Zhiguan Huang1, Yuhe Li
1*, Xinghua Luo1, Ceqiong Fu2
1 Department of Sports and Health, Guangzhou Sport University, Guangzhou, Guangdong, 510500 China
2 Jiling medical equipment Co., LTD of Guangzhou, Guangzhou, Guangdong, 510080 China
Corresponding author *: Yuhe Li ([email protected])
ABSTRACT: Objective: To study the effect of Wave Energy and Wine Therapy (WEWT) on scavenging fatigue and pro-moting rehabilitation. Methods: After warming up on ergometer cycles, 20 healthy male judokas got exhaustion with an incremental maximal bicycling. Those 20 subjects were divided into WEWT and placebo groups followed by a single-blind recovery intervention. Subjects of WEWT group got WEWT (LongXian wine was smeared on Body surface. The wine ab-sorption was accelerated with electric heat and magnetic wave massage ), while placebo group were smeared distilled water instead of Longxian wine. Subjects RPE and reception of recovery were recorded, and blood samples were col-lected at pre-exercise, 5min and 8 hours post-exercise respectively for the measurement of blood lactic acid (BLA), blood urea nitrogen (BUN), Cortisol, 5-hydroxytryptamine (5-HT) and - aminobutyric acid (GABA) as well as Creatine kinase (CK) activity. Results: WEWT could increase reception of recovery. The levels of BLA ,BUN,CK, Cortisol,5-HT in serum
ascended significantly (p0.05) while GABA decreased 5min post exercise compared to that at the pre exercise. After intervention, the levels of BLA, BUN, CK, Cortisol,5-HT and GABA of all subjects recovered more or less, but the levels of
BLA, BUN, CK, Cortisol of WEWT group were significantly lower than those of placebo group (p0.05). Conclusion: Wave Energy and Wine Therapy could scavenge exercise induced fatigue and promote rehabilitation during recovery.
KEYWORDS: Wave Energy and Wine Therapy (WEWT); Exercise Induced fatigue; BLA; BUN;CK; Cortisol;5-HT; GABA
Received: 19 April 2012, Accepted: 22 June 2012, Published: 31 August 2012
F atigue can be defined as the reversible decline
in skeletal muscle contractile performance due
to intense muscle activity[1]. Fatigue often oc-
curs in aging, cancer, depression, HIV infection,
multiple sclerosis and Parkinsons disease [2] ,and is a com-
mon phenomenon in sports training or competition as well. It
is well known that the mechanism of physical fatigue may be
related to some theories about exhaustion, clogging, radical,
homeostasis disturbance, protective inhibition and mutation.
How to recover physically and psychologically as fast as pos-
sible, is very important for athletes. There are very few phar-
macological drugs or therapies available for the treatment of
fatigue[3]. Natural products can not only improve athletic abil-
ity, postpone fatigue and accelerate the elimination of fatigue
in human beings, but also lead few side effects[4, 5]. Wave
Energy and Wine Therapy (WEWT) is a new sanatory ther-
apy invented by Zhuang Guoming, which applies the physio-
therapy and the Chinese herbal medicine in promoting health
by accelerating blood flow, improving microcirculation, reduc-
ing blood sugar degrees, dissolving the blood sugar and cho-
lesterol, alleviating pain, eliminating cells toxin, supplying
energy, regulating immunity function, and so on. However, no
study on WEWT for scavenging exercise induced fatigue has
yet been reported. This study was designed to explore the
effects of WEWT on scavenging exercise induced fatigue and
promoting rehabilitation.
Material and Methods
Subjects: 20 healthy male judoka from Guangdong prov-
ince team (age: 21.51.0yr; stature: 172.84.0 cm; mass:
68.84.1kg; and judo training experience:4.00.9yr) partici-
pated in the study. The subjects were divided into WEWT and
placebo groups (10 per group) based on their level of body
mass index. All subjects were informed of the trial process,
diagnosed for good health status . All of them signed written
statement of consent.
Materials and instrumentation: LongXian wine
(LongXian wine Co., Ltd of Guangzhou, China) was sup-
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Zhiguan Huang et al.| Scavenging Fatigue and Promoting Rehabilitation by Wave Energy and Wine Therapy
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ported by Jiling medical equipment Co.,Ltd of Guangzhou.
The kits for BLA, CK, BUN, Cortisol, 5-HT, GABA were pur-
chased from Nanjing Jiancheng Bioengineering Institute
(Nanjing, China). Main equipments included energy bag and
energy wave converter (Guangzhou JiLing medical equip-
ment Co., Ltd), HR monitor (Polar RS300X, Finland), cycle
ergometers (MONARK 834 E, Switzerland), Plate reader
(TECAN Infinite M200,Switzerland), and 721 spectropho-
tometer.
Experimental procedure: One day before the trial all
participants started maintaining the same diet, with less inten-
sive training and more work-rest program until experiment
was over. During the trial, no subjects were allowed to take
drugs, coffee and cigarettes. Subjects entered the lab be-
tween 8.00 and 10.30 in the morning (60 min after breakfast).
Lab temperature and humidity were maintained at 232C
and 4510% respectively. Subjects got familiar with Borgs
scales, worn HR monitor and seated for 15min with blood
sample taken. Then subjects began to warm up with 20W
load for 5 min on ergometer cycles, followed by an incre-
mental maximal exercise, of which the load started at 50 W
and increased by 30 W every 3 min while the subjects kept
running at 60 rpm until exhausted. Subjects were asked to
complete as much work as possible before getting fatigue,
showing polyhidrosis, experiencing difficulty breathing and
RPE of 19 above, or having HR faster than 90% HRmax. Af-
ter that, subjects took 5 min break to wipe sweat and con-
sume 400 ml water, with blood sample taken. After another 5
min seated rest, subjects were given a single-blind recovery
intervention. For the WEWT group, subjects body surface
were smeared with 15 ml LongXian wine, followed by a 15
min hot steam in energy bag. After subjects got out of the
energy bag, they drank another 300 ml purified water, then
got massage through urinary bladder meridian, ren meridians
and du meridians by electric heat and magnetic wave, which
generated by energy wave converter and the far infrared mo-
lecular laser respectively. Placebo group were smeared with
distilled water instead of Longxian wine. After the intervention
all subjects had same diet and recumbent rest.
Subjective and biochemical parameters measurements:
Subjects rated their perceived exertion (RPE) on a scale of 6
to 20[6] during exercise. After the intervention Borgs10-point
scale was used to measure whole body fatigue and muscle
soreness[7-9]. Blood samples were collected in tubes without
anticoagulant via arm venipuncture at pre exercise, 5min and
8 hours post exercise respectively. The blood samples were
left to clot for 1 hour at room temperature. Serum was pre-
pared using centrifugation at 2000g, 4 for 15 min. Meas-
urements of BLA, CK, BUN, Cortisol, 5-HT, GABA in serum
were carried out following the recommended procedures from
the kits.
Figure 1 Effect of WEWT on whole body fatigue (a)and muscle soreness(b). p0.05 compared with placebo group. PreE: pre exercise; postE:
post exercise.
a
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Figure 2 Effect of WEWT on serum BLA and BUN contents.
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Zhiguan Huang et al.| Scavenging Fatigue and Promoting Rehabilitation by Wave Energy and Wine Therapy
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Statistical analysis: SPSS 16.0 software was used to
perform all statistical analysis. Continuous data were ex-
pressed as mean standard deviation. Differences between
groups were determined by analysis of variance and Stu-
dents t-test and statistical significance was defined as p
0.05.
Results
Effect of WEWT on whole body fatigue and muscle
soreness: As shown in Figure 1, all subjects whole body
fatigue (a) and muscle soreness(b) were higher than 9 at
5min post exercise. However, whole body fatigue and lower
muscle soreness of subjects of WEWT group recovered bet-
ter and faster than those of placebo group 8 hours after the
exercise (p0.05).
Effect of WEWT on subjects serum BLA and BUN: As
shown in Figure 2, the contents of serum BLA and BUN in
WEWT and placebo groups increased significantly 5min post
exercise, while no significant difference was observed be-
tween WEWT and placebo group. At 8h post exercise, serum
BLA and BUN contents of WEWT group were lower than
those of placebo group (P0.05).
Effect of WEWT on subjects serum CK and Cortisol:
As shown in Figure 3, the CK activity of WEWT and placebo
groups increased by 50% and 47.6% 5min post exercise
compared to the pre exercise level, while Cortisol level as-
cended by 46.2% and 56.0%. 8 hours post excercise, CK
activity and Cortisol level of WEWT group descended more
than those of placebo group (P0.05), respectively.
Effect of WEWT on Subjects serum 5-HT and GABA:
As shown in Figure 4, 5-HT content of WEWT and placebo
group increased by 57.4% and 58.0% 5min post exercise,
while GABA level declined 14.8% and 12.8% respectively. 8h
post exercise, 5-HT content of WEWT group was lower while
GABA level was higher than those of placebo group respec-
tively with no significant difference (P0.05).
Discussion:
In this study, a general physiotherapy, WEWT, was ap-
plied to scavenging exhaustive fatigue induced by the incre-
mental maximal bicycling and to promoting rehabilitation.
WEWT group used medicated wine(Longxian wine) which
contains effective ingredients( puerarin, big jujube, cordyceps
sinensis, longan, peachseed and rice wine, et al) extracted
from Chinese herbal medicine, and got help with far infrared
energy wave (produced by far infrared molecular lasers) as
well as massage and micro electric field stimulation (operated
Figure 3: Effect of WEWT on serum CK activity and Cortisol content.
Figure 4 Effect of WEWT on serum 5-HT and GABA contents.
a
0.10
0.20
0.30
0.40
preE 5min postE 8h postE
CK
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WEWT placebo
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preE 5min postE 8h postECo
rtis
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/m
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WEWT placebo
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preE 5min postE 8h postE
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WEWT placebo b
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preE 5min postE 8h postE
GA
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g/m
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WEWT placebo
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by the apparatus of dredging meridian and blood) to effec-
tively mediate the Chinese herbal ingredients into human
body. After the WEWT intervention during recovery period,
subjects got better recovery.
During high intensity exercise, muscle produces plenty of
lactic acid (LA) in the process of obtaining enough energy
from anaerobic glycolysis. Gluconeogenesis is one of the
main pathways to remove and convert excess LA into glu-
cose, while the excess glucose will be saved as hepatic gly-
cogen. The clearances of LA and BLA is good for inhibiting
the reduction of pH level in muscle tissue and blood, which
would help lower side effects of various harmful biochemical
and physiological processes. The accumulation of LA in mus-
cle has historically been suggested to be the major cause of
muscle fatigue[10]. Upon the completion of the exercise, the
level of BLA in serum dropped significantly (p0.05) .After
WEWT intervention, the level of BLA for WEWT group was
significantly lower than that of placebo group (p
0.05).WEWT may inhibit the accumulation and accelerate the
clearance of LA, which in turn regulates BLA level for scav-
enging fatigue.
Urea is formed in the liver as the end product of protein
metabolism and BUN was a sensitive index to evaluate the
bearing capability when body suffers from a physical load.
Carbohydrate is rich in big jujube, longan, peachseed and
rice of Longxian wine. During the recovery process, a lot of
carbohydrate may accumulate in the liver as an energy me-
tabolism mass, which may slow down the rate of conversion
of protein into urea and make BUN declined. Usually the
function of CK in cells is to add a phosphate group to
creatine, turning it into the high energy molecule phospho-
creatine, which is burned as a quick source of energy[11].
Most CK normally exists in the muscle. However, the more
CK released to blood from exhaustive muscle, the more likely
that muscle membrane structure is damaged[12]. Corticoster-
oid hormone Cortisol is produced by the adrenal cortex and is
known to be involved in stress suppression in the immune
system. Increased serum cortisol levels have been observed
during clinical depression and psychological stress as a result
of stressors such as hypoglycemia, illness, fever , trauma,
surgery , fear , pain, physical exertion or extremes of tem-
perature[13]. It is frequently asserted that massage therapy
(MT) reduces cortisol level, but Moyer CA review showed
that MTs effect on cortisol is generally very small and lower
cortisol cant be the cause of MTs well-established and sta-
tistically larger beneficial effects on anxiety, depression, and
pain[14]. After WEWT intervention, the levels of BUN, CK,
Cortisol in serum were significantly lower than those of pla-
cebo group (p0.05) , suggesting that WEWT could effec-
tively scavenge fatigue and promote rehabilitation. The origi-
nal central fatigue hypothesis emphasized the importance of
5-HT in the fatigue process, it also plays a important role in
various behavioral functions, such as sleep, pain and arousal
[15].GABA is one of the major inhibitory neurotransmitters in
the central nervous system and has been found in several
peripheral tissues. Intake of GABA-containing beverages may
help reduce both psychological and physical fatigue and im-
prove task-solving ability[16], and could work effectively as a
natural relaxant as well as immunity enhancer under stress
conditions[17]. In this study, upon the completion of the exer-
cise, 5-HT in serum ascended while GABA decreased com-
pared to the pre exercise level. After WEWT intervention, 5-
HT content was lower while GABA level higher than those of
placebo group respectively but no significant difference was
observed, which maybe the reason that the exercise did not
induced much central fatigue but mostly physical fatigue. In
fact, the effective ingredients extracted from Chinese herbal
medicine in medical wine have compound effect of anti-
fatigue and scavenge fatigue. Puerarin is extracted from the
traditional Chinese medicine Ge-gen or pueraria lobata,
which is often used to treat influenza, wrist stiffness and
headache, depressurization, heart muscle ischemia, amelio-
rate microcirculation, adjust lipid metabolism and scavenge
free radicals[18]. As a valued traditional Chinese medicine for
the treatment of many diseases and promotion of health, Cor-
dyceps sinensis attracted many research interests in recent
years for the anti-fatigue and antioxidant activity[19]. Kumar
suggested that the effect of cordyceps sinensis on promoting
exercise endurance and anti-fatigue were mediated by up-
regulation of skeletal metabolic regulators AMPK, PGC-1 and
PPAR- as well as activation of NRF-2-ARE pathway limiting
the oxidative stress[20]. Polyphenols from Chinese jujube
could prevent myocardial injury of rats induced by ISO
through remarkably inhibited increases in levels of MDA and
activities of some ATPases, reductions in activities of SOD,
GPx, CK, LDH[21]. So the Chinese herbal ingredients com-
bined with energy wave and massage will work very well for
fatigue scavenging and rehabilitation.
Conclusions:
WEWT has significant effect on scavenging exercise in-
duced fatigue and promoting rehabilitation, while increasing
reception of good recovery, accelerating the clearance of
BLA, decreasing the levels of BUN and Cortisol, and decreas-
ing CK activity, which maybe the pathway for rehabilitation.
Acknowledgements:
This study was financially supported by Science and
T e c h n o l o g y D e p a r t m e n t o f G u a n g d o n g
(No.2009B030803058) and Administration of Traditional Chi-
Zhiguan Huang et al.| Scavenging Fatigue and Promoting Rehabilitation by Wave Energy and Wine Therapy
Article
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DOI: 10.5780/jbm2012.13 | Page 5
nese Medicine of Guangdong (No.2009296) and cooperated
by Jiling Medical Device Co., Ltd of Guangzhou.
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Zhiguan Huang et al.| Scavenging Fatigue and Promoting Rehabilitation by Wave Energy and Wine Therapy
Article