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INSPIRATION a cramp response as part of an innate survival mechanism to protect the body from damage or injury. The cramp effectively forces an athlete to slow down during a race if energy reserves run low, or exercise intensity exceeds a certain threshold. When considered in the context of a protective mechanism, cramping is, therefore, more closely related to our ability to sustain effort at higher intensities for prolonged periods of time. The fatigue factor This thinking aligns with neural fatigue theory, which suggests that neuromuscular fatigue and the loss of inhibitory reflexes cause the excessive muscle activity during exercise that cause most cramps. Several studies into this theory have identified various EAMC risk factors, such as previous cramping experience (if you’ve cramped before you’re more likely to cramp again), the repetitive nature of the exercise, higher exercise intensities, and limiting a working muscle’s range of motion. Also, neural fatigue-related cramps seem to occur most frequently in two-joint muscles like your hamstrings, quads, calves or biceps because these muscles work as antagonistic pairs – contracting one muscle requires the relaxation of the opposing one. Essentially, as we fatigue, the mechanism that causes a muscle to contract becomes overstimulated, while the mechanism that causes muscles to relax is under-stimulated. This overstimulation results in a loss of neuromuscular control, which will eventually result in a sudden, sustained, involuntary muscle contraction – a cramp. This type of functional muscle cramp relates to a lack of adequate training or conditioning because a muscle may be unable to withstand the forces imposed on it. This would explain why you cramp during races and not while training – you’re pushing harder for longer than your muscle or muscles are able to sustain the effort. Finding solutions What this means is that, depending on which muscle or muscles cramp, you have a variety of potential remedies at your disposal. The easiest issue to address is ensuring adequate hydration and electrolyte intake during races. If the same muscles cramp during races, then you may need to address a strength imbalance (a qualified biokineticist can address this) or review your training programme to identify any possible conditioning shortfalls. 4 steps to help alleviate cramps: When a cramp sets in, or you start to feel the initial twitches, you should: 1. Decrease your pace or intensity. 2. Don’t stop, if possible. Keep moving the muscle and try to extend it through a fuller range of motion. 3. Sip on a carb-electrolyte drink or a gel to see if this helps – be careful not to drink too much, though. 4. If a cramp sets in, stretch the affected muscle with a simultaneous contraction of the opposite (antagonist) muscle to try and calm the reflex. 29