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Tramadol effects on physical performance and sustained attention during a 20-min indoor cycling time-trial: A randomised controlled trial

Authors

Holgado, Darias , Zandonai, Thomas , Zabala, Mikel , Hopker, James , PERAKAKIS, PANTELIS, Luque-Casado, Antonio , Ciria, Luis , Guerra-Hernandez, Eduardo , Sanabria, Daniel

External publication

No

Means

J. Sci. Med. Sport

Scope

Article

Nature

Científica

JCR Quartile

SJR Quartile

JCR Impact

3.623

Publication date

01/07/2018

ISI

000436384000003

Scopus Id

2-s2.0-85034434710

Abstract

Objectives: To investigate the effect of tramadol on performance during a 20-min cycling time-trial (Experiment 1), and to test whether sustained attention would be impaired during cycling after tramadol intake (Experiment 2). Design: Randomized, double-blind, placebo controlled trial. Methods: In Experiment 1, participants completed a cycling time-trial, 120-min after they ingested either tramadol or placebo. In Experiment 2, participants performed a visual oddball task during the time-trial. Electroencephalography measures (EEG) were recorded throughout the session. Results: In Experiment 1, average time-trial power output was higher in the tramadol vs. placebo condition (tramadol: 220W vs. placebo: 209W; p<0.01). In Experiment 2, no differences between conditions were observed in the average power output (tramadol: 234W vs. placebo: 230W; p>0.05). No behavioural differences were found between conditions in the oddball task. Crucially, the time frequency analysis in Experiment 2 revealed an overall lower target-locked power in the beta-band (p<0.01), and higher alpha suppression (p<0.01) in the tramadol vs. placebo condition. At baseline, EEG power spectrum was higher under tramadol than under placebo in Experiment 1 while the reverse was true for Experiment 2. Conclusions: Tramadol improved cycling power output in Experiment 1, but not in Experiment 2, which may be due to the simultaneous performance of a cognitive task. Interestingly enough, the EEG data in Experiment 2 pointed to an impact of tramadol on stimulus processing related to sustained attention. Trial registration: EudraCT number: 2015-005056-96. Crown Copyright (C) 2017 Published by Elsevier Ltd on behalf of Sports Medicine Australia. All rights reserved.

Keywords

Doping in sport; Opioid analgesic; Athletes; EEG; Exercise; Brain