Effect of static magnetic therapy on recovery from delayed onset muscle soreness

Physical therapy interventions for the treatment of delayed onset muscle soreness (DOMS): Systematic review and meta-analysis

OBJECTIVE

To evaluate the impact of interventions on pain associated with DOMS.

DATA SOURCES

PubMed, EMBASE, PEDro, Cochrane, and Scielo databases were searched, from the oldest records until May/2020. Search terms used included combinations of keywords related to "DOMS" and "intervention therapy".

ELIGIBILITY CRITERIA

Healthy participants (no restrictions were applied, e.g., age, sex, and exercise level). To be included, studies should be: 1) Randomized clinical trial; 2) Having induced muscle damage and subsequently measuring the level of pain; 3) To have applied therapeutic interventions (nonpharmacological or nutritional) and compare with a control group that received no intervention; and 4) The first application of the intervention had to occur immediately after muscle damage had been induced.

RESULTS

One hundred and twenty-one studies were included. The results revealed that the contrast techniques (p = 0,002 I² = 60 %), cryotherapy (p = 0,002 I² = 100 %), phototherapy (p = 0,0001 I² = 95 %), vibration (p = 0,004 I² = 96 %), ultrasound (p = 0,02 I² = 97 %), massage (p < 0,00001 I² = 94 %), active exercise (p = 0,0004 I² = 93 %) and compression (p = 0,002 I² = 93 %) have a better positive effect than the control in the management of DOMS.

CONCLUSION

Low quality evidence suggests that contrast, cryotherapy, phototherapy, vibration, ultrasound, massage, and active exercise have beneficial effects in the management of DOMS-related pain.

[Medical relevance of magnetic fields in pain therapy]

BACKGROUND

Magnetic and electromagnetic fields have been accepted as real physical entities in medicine and are believed to achieve pain relief. Magnetic field therapy has been acknowledged as a non-invasive, safe and simple method for treatment of the site of injury, source of pain or inflammation, or other types of illnesses and pathologies. However, a consensus regarding the statistical relevance of the effects has not been established.

MATERIALS AND METHODS

A detailed literature research was performed and the results were evaluated. Inclusion criteria were that the studies had to be randomized, double-blind and placebo-controlled, and no additional forms of treatment other than magnetic effects were allowed to be used.

RESULTS

The evaluation of 17 studies with static magnetic fields showed on average no significant difference in pain relief between the group treated with magnetic fields and the placebo group. All studies using magnetic fields showed that forms of treatment conducted over a period of 30 min and at intervals of 1 week have no effects. In 10 studies with dynamic magnetic fields different effects were registered, which ranged from no effect to significant differences regarding pain relief between the treated and the control groups.

CONCLUSIONS

Static magnetic fields are ineffective with respect to pain therapy. Dynamic magnetic fields show diverse effects. Hence, this therapy should be researched in depth.

Aquatitan garments extend joint range of motion without effect on run performance

PURPOSE

To investigate the effects of uniquely processed titanium-permeated garments (Aquatitan) on the performance of and recovery from a high-intensity intermittent exercise.

METHODS

In a crossover, 14 nationally and regionally competing male soccer/hockey players performed two 5-d trials composed of a Loughborough Intermittent Shuttle Test on day 1, followed by 4 d of recovery assessment wearing randomly allocated Aquatitan- and placebo-treated clothing that covered their torso, limbs, and feet continuously throughout the study. Repeated sprint time was measured during the shuttle test, and muscle damage, joint range of motion, isometric strength, and running performance were measured during recovery.

RESULTS

The increase in sprint performance during the shuttle test (0.7%, 90% confidence interval = +/-0.9%) was likely trivial. During recovery, wearing of Aquatitan had a possible harmful effect on peak run velocity on day 3 (-1.1% +/- 1.6%) but a likely small benefit on day 5 (2.0% +/- 1.6%); combined (0.4% +/- 1.3%) and standardized outcomes suggest an overall trivial benefit. Aquatitan increased range of motion. For example, voluntary leg extension increased by 2.6% (+/-4.0%), hip flexion increased by 1.8% (+/-1.2%), plantarflexion increased by 4.8% (+/-2.8%), and shoulder extension and flexion increased by 4.2% (+/-3.0%) and 1.3% (+/-0.6%), respectively; forced voluntary differences at the hip and shoulder were trivial. Running efficiency was possibly increased on days 3 and 5. The effects on isometric strength were largely trivial, but a slight enhancement of the psychological state was observed. In a separate perception experiment, participants perceived tactile differences that were influenced by the knowledge of treatment.

CONCLUSIONS

For competitive subelite male soccer/hockey players, performance gains in response to wearing Aquatitan-treated garments are likely of trivial consequence. However, improved joint range of motion during recovery indicates that the garments reduced muscle–tendon stiffness, suggesting enhanced compliance, which warrants further investigation. Garment feel may also explain the outcomes.

Static magnetic field therapy: a critical review of treatment parameters

Static magnetic field (SMF) therapy, applied via a permanent magnet attached to the skin, is used by people worldwide for self-care. Despite a lack of established SMF dosage and treatment regimens, multiple studies are conducted to evaluate SMF therapy effectiveness. Our objectives in conducting this review are to:(i) summarize SMF research conducted in humans; (ii) critically evaluate reporting quality of SMF dosages and treatment parameters and (iii) propose a set of criteria for reporting SMF treatment parameters in future clinical trials. We searched 27 electronic databases and reference lists. Only English language human studies were included. Excluded were studies of electromagnetic fields, transcranial magnetic stimulation, magnets placed on acupuncture points, animal studies, abstracts, posters and editorials. Data were extracted on clinical indication, study design and 10 essential SMF parameters. Three reviewers assessed quality of reporting and calculated a quality assessment score for each of the 10 treatment parameters. Fifty-six studies were reviewed, 42 conducted in patient populations and 14 in healthy volunteers. The SMF treatment parameters most often and most completely described were site of application, magnet support device and frequency and duration of application. Least often and least completely described were characteristics of the SMF: magnet dimensions, measured field strength and estimated distance of the magnet from the target tissue. Thirty-four (61%) of studies failed to provide enough detail about SMF dosage to permit protocol replication by other investigators. Our findings highlight the need to optimize SMF dosing parameters for individual clinical conditions before proceeding to a full-scale clinical trial.