I am thinking of measuring total CK or the isoenzyme CK-MM to monitor recovery in a football team, in a way to add information possibly useful in planning the individual daily plans. Thank you.
Interesting question! Have you come across the Reflotron system? It may be your best bet. Unfortunately the i-STAT device only does CK-MB, but you may be interested in some of the variables it can offer. Equally, the IPRO doesn’t do CK, though does provide markers like testosterone, cortisol, IGA, IL-6 and CRP using salivary samples that are used as part of workload monitoring systems too.
Links to each of these devices are attached. I hope that this is of some help.
Reflotron Plus, in my opinion is more useful. It possible to monitor muscle damage through CK analysis, but You can quantify Urea (protein turnover metabolite), creatine (loss muscle mass) and other biomarkers that helps in the recovery monitoring. But You should to establish a homeostatic set point for all parameters and athletes before initiate the training period.
We have found the Reflotron ck is most popular in sports, especially with their Sprint system. There are a few soccer clubs which still use this and I used it for many years myself in the 1990s during applied sport science work, but I moved away from ck on to other markers. A while back we tried to isolate ck-mm in saliva and this proved challenging, so we parked it for a while and may come back to it in the future. For the record, Ipro is Soma Bioscience now
With the phasing out of the Reflotron®, does anyone have suggestions for a point of care device that measures CK-MM?
Here is the message from Roche that I received: "Following on from our previous notification of the Reflotron® phase-out for CK, TG and UA in April 2020, Roche Diagnostics Australia would like to inform you that effective from May 2022, all Reflotron® tests, calibrators, controls, accessories and spare-parts will be discontinued. The product phase-out follows the discontinuation of Reflotron® systems in December 2016."