Multisport Magazine October 2018 | Page 22

THE SCIENCE OF SLEEP B Y L E W I S C R A I G ( A PA M ) , M A S T E R S O F P H Y S I O T H E R A P Y S leep is an important part of recovery for any and every athlete. We exist in a training world where there is a delicate balance between training hard and recovering to maximise performance, whilst also avoiding injury. Monitoring our training volume is crucial, yet we must not neglect the other important element in the equation: recovery. “Why did I get injured?” is a question every athlete should ask. When training volume is spot on, loads are well monitored, the answer to the question can be because of poor recovery. Recovery involves many different elements, of which one of the most crucial is sleep. Looking at the literature on the importance of sleep, there are multiple studies linking sleep with injury or physical and cognitive performance. shown to be negatively affected by insufficient sleep or sleep restriction. • A review by Watson (2017) reported increased sleep duration and improved sleep quality in athletes were associated with improved performance and competitive success. In addition, better sleep may reduce the risk of both injury and illness in athletes, not only optimizing health but also potentially enhancing performance through increased participation in training • Napping – Useful, yet limit to 30 minutes and avoid in late afternoon or early evening • Milewski et al. (2014) found adolescent athletes who slept on average less than 8 hours per night were almost twice as likely to have had an injury compared with athletes who slept for more than 8 hours. • Reduce worry and anxiety – psychological skills of relaxation, goal setting, imagery, and self-talk have emerged as effective in reducing anxiety. Use of relaxation techniques prior to bed such as positive suggestion, and visualization are recommended as part of the sleep routine to ensure a clear mind and relaxed state when going to bed. Mobile apps that help people practice mindfulness skills, for instance, might prove to be effective in enhancing mental recovery (Birrer et al., 2012; Bird 2013). • A systematic review by Bonnar et al. (2018) looked at several interventions to improve performance, including sleep extension and napping, sleep hygiene, and post-exercise recovery strategies. Evidence suggests that sleep extension had the most beneficial effects on subsequent performance. • A review by Simpson et al. (2017) highlights that domains of athletic performance (e.g. speed and endurance), neurocognitive function (e.g. attention and memory), and physical health (e.g. illness and injury risk, and weight maintenance) have all been 22 | MULTISPORT MAGAZINE So how do you optimise your sleep? • Amount of sleep – a frequent generalisation is 7-9 hours, although adolescents or those with heavy training may require closer to 10 hours. Where possible see if you can extend your sleep. • Sleep habits - Maintain a regular routine of going to bed and waking up the same times, avoid computer or television use in bed, eliminate the bedroom clock and phone time, avoid coffee, nicotine or alcohol just prior to bed. • Recovery from Training or Competition – Strategies that reduce muscle soreness, inflammation, and pain may allow for improved sleep quality If you are monitoring training load, great! If you add in great recovery and sleep habits you will be well on your way to minimising injury risk and maximising performance.