Review article

Diagnosis, Treatment and Prevention of Overexertion Syndrome in Rescuers of the Russian EMERCOM

Samoylov A.S. 1, Rylova N.V. 1, Bolshakov I.V. 1, Tikhonova O.A. 1, Kazakov V.F. 1, Kish A.A. 1

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1 State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation

UDC 613.6+616.08

Pp. 56–61

Summary. The aim of the study is to evaluate modern scientific views on the problem of diagnosis, treatment and prevention of syndromes associated with physical and emotional overstrain in rescue workers of the Russian Ministry of Emergency Situations.

Study materials and methods. An analysis of domestic and foreign literature data was performed. The search was performed using the Google Academy search engine and electronic databases PubMed, MEDLINE, Embase, Scopus, Web of Science, eLIBRARY for the period from 2017 to 2022.

Results of the study and their analysis. Currently, early diagnosis of overexertion syndrome (overtraining) is quite complicated. It is caused by the absence of clear diagnostic criteria, gradual development of the pathology and nonspecificity of its symptoms. That is why a complex approach is important for timely and high-quality diagnosis of overexertion, which includes a set of diagnostic measures, such as collecting anamnesis and visual examination, completing psychological questionnaires, examination of hormone levels at rest and after exercise tests, examination of blood biochemical characteristics (determination of total protein concentration, lipoproteins, glucose, cholesterol, etc.) and instrumental examination. The main ways to fight against overtraining syndrome are emotional rest, gentle training regime, adequate replenishment of energy and plastic substrates, and a sufficient amount of sleep. Usage of manual therapy, therapeutic physical training and physiotherapy is also possible.

Keywords: diagnosis, fatigue, overexertion syndrome, overtraining syndrome, rehabilitation, Russian EMERCOM rescue workers, prevention, treatment

Conflict of interest. The authors declare no conflict of interest

For citation: Samoylov A.S., Rylova N.V., Bolshakov I.V., Tikhonova O.A., Kazakov V.F., Kish A.A. Diagnosis, Treatment and Prevention of Overexertion Syndrome in Rescuers of the Russian EMERCOM. Meditsina Katastrof = Disaster Medicine. 2023;2:56-61 (In Russ.). https://doi.org/10.33266/2070-1004-2023-2-56-61



  1. Hauschild V.D., De Groot D.W., Hall S.M., et al. Fitness Tests and Occupational Tasks of Military Interest: A Systematic Review of Correlations. Occup. Environ. Med. 2017;74:144–153. DOI: 10.1136/oemed-2016-103684.
  2. Vrijkotte S., Meeusen R., Roelands B., et al. Refining Selection for Elite Troops by Predicting Military Training Outcome. Aerosp. Med. Hum. Perform. 2017;88:9:850–857. DOI: 10.3357/AMHP.4818.2017.
  3. Bell L., Ruddock A., Maden-Wilkinson T., et al. “Is It Overtraining or Just Work Ethic?”: Coaches’ Perceptions of Overtraining in High-Performance Strength Sports. Sports. 2021;9;6:85. DOI: 10.3390/sports9060085.
  4. Cadegiani F.A., Kater C.E. Hormonal Aspects of Overtraining Syndrome: a Systematic Review. BMC Sports Sci. Med. Rehabil. 2017;9:14. DOI: 10.1186/s13102-017-0079-8.
  5. Vrijkotte S., Roelands B., Pattyn N., Meeusen R. The Overtraining Syndrome in Soldiers: Insights from the Sports Domain. Mil. Med. 2019;184;5-6:e192-e200. DOI: 10.1093/milmed/usy274.
  6. Varenikov N.A., Popova I.E., Umarov S.A. Diagnosis of Overtraining in Sports. Mediko-Biologicheskiye i Pedagogicheskiye Osnovy Adaptatsii, Sportivnoy Deyatel’nosti i Zdorovogo Obraza Zhizni = Medico-Biological and Pedagogical Foundations of Adaptation, Sports Activities and a Healthy Lifestyle. Proceedings of the IX All-Russian Correspondence Scientific and Practical Conference with International Participation. Voronezh, Nauchnaya Kniga Publ., 2020. P. 309-315 (In Russ.).
  7. Chermyanin S.V., Blaginin A.A., Ishchuk V.N., Nikiforov D.A. Methodological Approaches to the Development of Standards for Medical and Psychological Rehabilitation of Military Personnel of the Aviation Personnel of the Armed Forces of the Russian Federation. Sovremennyye Protivorechiya i Napravleniya Razvitiya Aviatsionnoy i Kosmicheskoy Meditsiny = Modern Contradictions and Directions in the Development of Aviation and Space Medicine. Proceedings of the Scientific and practical conference Dedicated to the 60th Anniversary of the Department of Aviation and Space Medicine of the Military Medical Academy Named after S. M. Kirov. St. Petersburg Publ., 2018. P. 328–336 (In Russ.).
  8. Birrer D. Rowing Over the Edge: Nonfunctional Overreaching and Overtraining Syndrome as Maladjustment—Diagnosis and Treatment from a Psychological Perspective. Case Studies in Sport and Exercise Psychology. 2019;3;1:50-60.
  9. Ordzhonikidze Z.G., Demidov N.A., Pavlov V.I. Endocrine Aspect of Athletes’ Overtraining. Sportivnaya Meditsina: Nauka i Praktika = Sports Medicine: Science and Practice. 2018;8;4:16-21 (In Russ.).
  10. Grivas G.V. Diagnosis of Overtraining and Overreaching Syndrome in Athletes. Sport Exerc. Med. Open J. 2018;4;3:74-76. DOI: 10.17140/SEMOJ-4-165.
  11. Carrard J., Rigort A.C., Appenzeller-Herzog C., et al. Diagnosing Overtraining Syndrome: A Scoping Review. Sports Health. 2022;14;5:665-673. DOI: 10.1177/19417381211044739.
  12. Cadegiani F.A., da Silva P.H.L., Abrao T.C.P., Kater C.E. Diagnosis of Overtraining Syndrome: Results of the Endocrine and Metabolic Responses on Overtraining Syndrome Study: EROS-DIAGNOSIS. J. Sports Med. 2020;2020:3937819. DOI: 10.1155/2020/3937819.
  13. Kornyakova V.V., Badtiyeva V.A., Balandin M.Yu., Ashvits I.V. The Problem of Physical Fatigue in Sports. Chelovek. Sport. Meditsina = Human. Sport. Medicine. 2019;19;4:142 – 149. DOI: 10.14529/hsm190417 (In Russ.).
  14. Petibois C., Déléris G. Alterations of Lipid Profile in Endurance Over-Trained Subjects. Arch. Med. Res. 2004;35;6:532-539. DOI: 10.1016/j.arcmed.2004.11.013.
  15. Kajaia T., Maskhulia L., Chelidze K., et al. Implication of Relationship between Oxidative Stress and Antioxidant Status in Blood Serum. Georgian Med. News. 2018;284:71-76.
  16. Cadegiani F.A., Kater C.E. Body Composition, Metabolism, Sleep, Psychological and Eating Patterns of Overtraining Syndrome: Results of the EROS Study (EROS-PROFILE). J. Sports Sci. 2018;36:1902-1910. DOI: 10.1080/02640414.2018.1424498.
  17. Mikhaylova A.V. Features of Indicators of Heart Rate Variability in Athletes with Overstrain of the Cardiovascular System. Rossiyskiy Kardiologicheskiy Zhurnal = Russian Journal of Cardiology. 2020;1:34 (In Russ.).
  18. Kajaia T., Maskhulia L., Chelidze K., et al. The Effect of Non-Functional Overreaching and Overtraining on Autonomicnervous System Function in Highly Trained Atheletes. Georgian Med News. 2017;264:97-103.
  19. Kuznetsova I.A. Neurohumoral Regulation of Heart Rate in Various Electrocardiographic Syndromes of Chronic Physical Overstrain in Athletes. Sovremennye Voprosy Biomediciny = Modern Issues of Biomedicine. 2018;2;1:12-20 (In Russ.).
  20. Bian F. Electroencephalogram Analysis of Athletes with Over-Training Syndrome. Neuroquantology. 2018;16:153-157.
  21. Badtiyeva V.A., Pavlov V.I., Sharykin A.S., et al. Overtraining Syndrome as a Functional Disorder of the Cardiovascular System Caused by Physical Exercise. Rossiyskiy Kardiologicheskiy Zhurnal = Russian Journal of Cardiology. 2018;6:180-190 (In Russ.).
  22. Meeusen R., Duclos M., Foster C., et al. Prevention, Diagnosis and Treatment of the Overtraining Syndrome: Joint Consensus Statement of the European College of Sport Science and the American College of Sports Medicine. Med. Sci. Sports Exerc. 2013;45;1:186–205.
  23. Heydenreich J., Kayser B., Schutz Y., Melzer K. Total Energy Expenditure, Energy Intake, and Body Composition in Endurance Athletes Across the Training Season: A Systematic Review. Sports Med Open. 2017;3;1:8. DOI: 10.1186/s40798-017-0076-1.
  24. Huecker M., Sarav M., Pearlman M., Laster J. Protein Supplementation in Sport: Source, Timing, and Intended Benefits. Current Nutrition Reports. 2019;8;4:382-396. DOI: 10.1007/s13668-019-00293-1.
  25. Kartashev V.P., Shmeleva S.V. Prevention of Fatigue Syndrome in Athletes. Innovatsii i Traditsii v Sovremennom Fizkulturnom Obrazovanii = Innovations and Traditions in Modern Physical Education. Proceedings of the Interuniversity Scientific and. Moscow Publ., 2017. P. 189–193 (In Russ.).
  26. Ibragimova E.A., Kolechkina L.Yu., Shevchenko O.A., et al. Rehabilitation of Athletes with Overstrain Syndrome. SportMed–2018 = SportMed–2018. Collection of Abstracts of the XIII International Scientific Conference on the State and Prospects for the Development of Medicine in Sports Highest Achievements. Moscow Publ., 2018. P. 49–51 (In Russ.).
  27. Shchurov A.G., Romanov K.V., Butov A.Yu., et al. The use of physical therapy methods in military personnel under dispensary-dynamic observation for medical reasons. Part II. Perspektivnyye Napravleniya Nauchnykh Issledovaniy v Oblasti Fizicheskoy Kultury i Sporta (Teoriya i Praktika) = Promising Areas of Scientific Research in the Field of Physical Culture and Sports (Theory and Practice). A Collection of Articles of the final Scientific and Practical Conference for 2018, Dedicated to the 65th Anniversary of the Founding of the Research Center (for Physical Training and Military Applied Sports in the Armed Forces RF). St. Petersburg Publ., 2019, P. 291–301 (In Russ.).
  28. Kyröläinen H., Pihlainen K., Vaara J.P., et al. Optimising Training Adaptations and Performance in Military Environment. J. Sci. Med. Sport. 2018;21;11:1131-1138. DOI: 10.1016/j.jsams.2017.11.019.
  29. Martinez-Valdes E., Falla D., Negro F., et al. Differential Motor Unit Changes after Endurance or High-Intensity Interval Training. Med. Sci. Sports Exerc. 2017;49;6:1126-1136. DOI: 10.1249/MSS.0000000000001209.


The material was received 02.03.23; the article after peer review procedure 18.05.23; the Editorial Board accepted the article for publication 23.06.23