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Juerg Feldmann

Fortiori Design LLC
Registered:
Posts: 1,530
 #1 
Many emails  ask me this question.
 How can you track progress with MOXY.

 There are different  options  so let's start  with the easiest  one.
 Performance and MOXY. I like to get rid  of  one part of the discussion  Here  an answer  from Ruud  on  some of the topics  idea.

 You will see for example during a ride when you do max efforts for certain time periods whether you have improved your wattage for that period of time. that is during a ride. Basically nothing more nothing less in terms of progress (not taking into account left right imbalances which you might try to mitigate). Off the bike you track things like training load (based on wattage (so performance based etc.) and other things.

 First of  all many MOXY users  are not using a bike  but they  walk   row , run, roller blade, roller ski  cross country ski  climb,   and so on  and than we have all the game sports  as well.
  Now  to not exclude  cyclists . You do not need to have a power meter  to see objective  progress. You juts need a you   and move  with a MOXY.
.
 Example.
 You have a  stretch  from your house  to the mailbox. . Now  you " warm " Up  as usual by  starting slow  out  and  you    every 5  -  10 min increase your speed somewhat  and  try to look at  SmO2  values.  I will show later how you can speed  up Oxygenation as well as  blood flow. . Now you reach your    today's  plateau  where SmO2  is +-  stable.  Now you walk form your house  to the mail box  or vica verca. . Take your time  and see  how  long it took you.  Now you have  a  base information. Progress is made, when you can walk with a stable SmO2  the same stretch  and time  drops.. You can to this   with running  roller blading  and  a you can see with  anything./
 An objective information on performance  is the   same physiological  load    but  in a  shorter  time.
 Even in cycling  world records  are    measured in time    or  distance per hour  as of yet  and not in wattage.. True  if you already bought a wattage meter you can do it with that as well.

  Now here a  4 month comparison. ( We used MOXY at least every second  day  during the workouts  to guide intensity over SmO2  and  tHb.

4 month smo2.jpg 
This  shows  4 10 min loads  which can be  walking running  or anything  where you can  objectively   measure performance  for the 10 min to be sure you load  a stable    10 min the same.
 Now   you can see, how  and what has changed
. Now here is the  " energy  supply  and utilization trend  with SmO2.
 We  can look  at the simple HR as a part of  CO

4 month HR.jpg



 The  " Limiter " in this case was    delivery  as of  SV  .
  So a   higher CO    with a  lower HR  would indicate  a higher SV  and as  such  we  should see that in tHB reaction  lets  see.


4 month tHbjpg.jpg

And  for us  to see, whether we  can get  SV  indirect feedback  from MOXY  by looking  at   tHB trends  we   for many test    combined    actual  noninvasive  cardiac  hemodynamic  assessment with Physio flow  and   NIRS. Here how a change in  SV  will look  when comparing changes  over time  with Physio flow.


GK right EF comp 2 intervall.jpg


Now this is  somewhat  more complex  so let's  stay simple.
 Left  HR  middle SV  and right is ejection; Ejection fraction in %
 The  brighter  yellow  and blue  is the 4 month after  assessment. We often look at  4  month or  12  weeks  as  minimal short term  structural change  but better is  to look at longer  sections like 1  - 3 years  to have a real  structural  change  as a feedback.

One part  we look than is  resting calibration  so that would look like this  here in numbers.

pf calibration.jpg 

Or  for the cardiac   more interested people   you look at  resting   hemodynamic cross  and what happens  during the test.  first resting , than   during  activity .

hemo cross rest.jpg

Than during the  load
pf hemodynamic cross.jpg 
Than  you add VO2  and blood testing, you combine  with  all  current ideas  from VO2  max  to MAX lass to  Max HR    and FTP  and more  and you end up with a  huge interesting  answer.
 
 IT is all about  energy supply  and demand.

moxy vo2 2.jpg 


ECGM.jpg 

  It is all about     how long  can I delivery  and how much  can I delivery  and  ho good can I utilize this  and how  long  can I   utilize   this in  loco motor  muscles before I  will have to  shut down  for survival reasons.

  The result could be  what we  discuss here.  A  simple  fast noninvasive  tool  for anybody on the street  to  actually  see in the  least  important body part , when we start to have to limit the spending of  energy  to  have it supplied  to the right  needed d area  for survival.
 The end result  for the   NIRS users  who believe more in HHb  is    from the  same  4 month idea  now  here to close this  up.
o2 hb overlap.jpg

Ruud_G

Development Team Member
Registered:
Posts: 279
 #2 
Hi Juerg. You see that SmO2 curve for March is higher than for December. You state there was a SV limitation. In March you see lower HR and, but state that there is a higher CO. In that case I would say ThB would be higher for March, but actually this is not the case. How come?
Ruud_G

Development Team Member
Registered:
Posts: 279
 #3 
When tracking progress in terms of doing new assessments and if you're a cyclist with only the following options available: HR, cadence, wattage and the Moxy parameters do make sure you control as much as in your protocol (Same power steps, same recovery steps, same CADENCE) and in your environment (next to Moxy placement), because my experience is that otherwise it is hard to draw conclusions from it. Example cadence. You will immediately see the difference (also trend) in HR, SmO2 when you change your cadence compared to a former assessment.

This may sound like an open door. But be aware that these are important when you want to compare results from a previous TIP.

If you're not interested in comparing (i.e. NOT interested in tracking progress or differences in terms of physiological response) than this comment is obsolete [wink]. You can of course track progress then in terms of wattage your putting out in the steps (if you increase them), but can't compare the reactions in terms of the same load.
Juerg Feldmann

Fortiori Design LLC
Registered:
Posts: 1,530
 #4 
Ruud, thanks  for the  question. I was hoping somebody  would pick it up  and ask. Here what we talk about :
 In that case I would say ThB would be higher for March, but actually this is not the case. How come?

1. Remember : We  are  not  talking METRICS here  and  calculations  and assumptions. tHb is a  relative  information  and does not give  any kind of  metrics  in volumes  . It is  what it is : A trend information of blood flow.
 So  you can not  compare the level but you can compare the trend.
 Look once more   close  and  just go  with the trend  from baseline through the assessment. ???
 This  is  the  part we all have to get used  , when  wee are used  to absolute numbers. SmO2  So what you see is  : a) a lower HR  for the same given absolute performance .A  later  drop in SmO2  resp in the same absolute performance  barely a drop  but nearly a  plateau indicating  that  by that performance  the  athlete now  is nearly in a balanced  delivery  and O2  utilization state  and ass  such  the STEI  zone  has  moved upwards  to a higher  performance level.

tHb  look at baseline. The question is   between the  muscle compression  and the cardiac output pressure ?
 What can you see.
  Third    a  good idea, if you do this kind  of  workouts is  to do once in a while a  calibration of the information  of SmO2  and tHb . I will show  some  example how  athletes  calibrate to see, whether they reached  a maximal  vasculariation  situation  and or a maximal  Oxygenation level.
 This is the key in cardiac patients  , where we   some days like to work on the Stroke volume   and on other days on  re-vascularisation of the coronary arteries  to create  bypasses in a natural way.
 By the way this is possible. Just had a  client back  from the cardiac  unit  from XY, where they  did  an angiogram to see for a potential  bypass surgery  and they  said that they never seen that . He actually   created over the last 3 years since his  early Angina  symptoms  with controlled   cardiac    workouts ( running in this case )  enough natural bypasses, that he  not  has to get a bypass.
 Nice to see from a third  parry group , that  this is existing. Some more surprising   situation is the   fact , that the  nice  and great specialist  did not   had  an idea, that if  time  is on your side  and  live style  change   nature  may be a very great  medical  specialist. ????

 This  are  real   live cases  and you can see why I like to work on both side : The fantasy  world  of dreams  and world  records   and the real live  of  you and me.
 This guy did in fact a  personal world record  far above and beyond   what we  lift up in the sky on performance athletes. He  just never  will be in a news  paper  and nobody  will stand besides  him as long he is successful but  nobody will drop him as his family  and friends   not care abut  Glory  but  more about  real live. Just ounce in a while  an eye opener  to bring as back to reality   and forget , that my  bike is 300 grams  too heavy  and  my new  front wheel has too much drag  so I need another one  for   800 $  to be faster. Is that real being fester ??? Just   for fun  some  critical questions  we have to ask our self   once in a while. ????
 I will meet in  1 hour  a  really good friend  , who just got  diagnosed  with ALS. This is  what  the real  question of  physiological  reactions  is. Wowwwwwwwwwww it hits  hard forget   EGO  enjoy  every  day you can

Juerg Feldmann

Fortiori Design LLC
Registered:
Posts: 1,530
 #5 
This may sound like an open door. But be aware that these are important when you want to compare results from a previous TIP.

If you're not interested in comparing (i.e. NOT interested in tracking progress or differences in terms of physiological response) than this comment is obsolete [wink]. You can of course track progress then in terms of wattage your putting out in the steps (if you increase them), but can't compare the reactions in terms of the same load.

Ruud , absolutely brilliant summary  and bang on.
 If you as a cyclist like to understand  why you push  more wattage and you really care  about  what caused the improvement you  exactly have to  do that. We  do this in cycling over  35 years. I  tracked  world  class cyclists  over 10 years ( before they switched  to  cycling  doctors  and coaches  and got  some different physiological help ???)) with  weekly assessment which are  an integrated part of  the workout. The " warm up"  is the key  to decide, whether you actually will do the workout  intensity in wattage you planned  or  you may have to readjust the wattage  due to the physiological feedback.
Go back to the  heat  and cold  FTP  study  from Australia . Look how %  of wattage  change  and as  such if  you follow an idea  on FTP  Stroke volume  development ,you have to ask., Do I stay in the %  from  my FTP assessment 1 month ago  or  do I stay in the feedback information I get  from MOXY  for optimal  preload live feedback  from MOXY  for example ???

 Now   in cycling there are more than HR cadence  and wattage.
 Sorry as  an outsider  to tell that to cyclists.
 There is  as well respiration  and with it position  on the bike.
 Why ??? Well I let  cycling experts give  me  the answer or here .
 Hint look at Froome  and read interviews. . The  TT winner  in front  of Fabian Cancallera  said in his  interview. I was  at the end  completely out of breath.
 How  would have been is  reaction of SmO2  and tHb  immediately faster the finish line  for the following 30 - 60 seconds.
 Was he really out of breath or  what was he ?
 It is  so interesting. The same guy will know  exactly how much tire  pressure he  has in his  front  and rear  tire. He  has no  clue  how big his TV is  or his RF   : How  come, what as a Pro cyclist his  actual  worktool his bike or his body ???
Juerg Feldmann

Fortiori Design LLC
Registered:
Posts: 1,530
 #6 
I like to get  back  to one  more great  information Ruud  sends us.

  Example cadence. You will immediately see the difference (also trend) in HR, SmO2 when you change your cadence compared to a former assessment.

Question to  cyclists.

 If   that is  true  what Ruud  writes  above than  what happens   for example  when I  ride in a  Zone 4  or  any  zone    and I  change RPM. Is the  Zone  4  in wattage  found  by  calculation on a FTP assessment  still zone 4  in terms of  physiology  or  is it just the  same wattage in terms of  power output ?
 It the power I create  sustainable  now  as it has to be  still in Zone  4  or could it be, that I   actually   moved myself into  another physiological  situation, which    would no be anymore  wattage zone 4  stimulation ?
 Is this  far off  reality  or not  ?  Now you ad  some more points  Ruud mentioned  like  outside temperature , nutritional daily  fluctuations  and   some  more  ideas  and you wonder   how we  can create a  zoning idea  and believe it works  without  any  physiological feedback  , juts blind  wattage  gospel ???  Would it be perhaps  time  to ask  , whether  we should combine  physiological live feedback  with the great tool we have in cycling  of  objective  power feedback  and than a readjust if we plan  to  work  a certain stimulation rather than  blindly looking  at metrics  with wattage ? 
Just some loud  and perhaps  wrong thinking ???

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