Electrolyte Blood Press.  2015 Dec;13(2):58-61. 10.5049/EBP.2015.13.2.58.

Spinning-induced Rhabdomyolysis: Eleven Case Reports and Review of the Literature

• Kim D
• Ko EJ
• Cho H
• Park SH
• Lee SH
• Cho NG
• Lee SY
• Jeong HY
• Yang DH

• KMID: 2152088
• DOI: http://doi.org/10.5049/EBP.2015.13.2.58

Abstract

Non-traumatic exertional rhabdomyolysis (exRML) occurs in individuals with normal muscles when the energy supplied to the muscle is insufficient. Here, we report 11 cases of spinning-induced rhabdomyolysis and review related literature. Spinning is a kind of indoor bicycle sport. The 11 patients who were diagnosed with exRML and admitted to CHA Bundang Medical Center were female and their ages ranged from 15 to 46 years. Two to three days prior to the presentation, the patients had attended a spinning class for the first time. All the patients had been otherwise healthy without any known medical illnesses. They were successfully treated without any complications, except mild non-symptomatic hypocalcemia. However, in the literature, severe complications such as compartment syndrome or acute kidney injury had been reported in relation to exRML including spinning-induced rhabdomyolysis. This spinning exercise needs prior guidelines and specific warnings to prevent exertional rhabdomyolysis.

Keyword

Creatine phosphokinase; Non-traumatic exertional rhabdomyolysis; Spinning

MeSH Terms

Acute Kidney Injury
Compartment Syndromes
Creatine Kinase
Female
Humans
Hypocalcemia
Muscles
Rhabdomyolysis*
Sports
Creatine Kinase

Figure

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  Fig. 1 Bone scan image of a spinning-induced rhabdomyolysis patient. Diffuse type of soft tissue uptake was observed in both thigh muscles (Case No.11, age: 24, Female).

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  Fig. 2 Serum levels of CPK in patients. CPK, creatine phosphokinase.

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