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Abstract
BACKGROUND Delayed onset muscle soreness (DOMS) is caused by unaccustomed exercise, especially eccentric exercise, and is highly likely to cause skeletal muscle injury. It mainly manifests as ultrastructural changes in skeletal muscle, as well as decreased muscle strength, muscle soreness, swelling, and elevated levels of creatine kinase (CK). Vibration training (VT) has been attracting increasing attention as a new type of rehabilitation therapy. It can effectively minimize the occurrence and relieve the symptoms of DOMS, reduce muscle stiffness and soreness, and reduce serum concentrations of CK and lactate dehydrogenase (LDH). This article systematically assessed the impact of VT on the mitigation of DOMS through a meta-analysis to provide updated evidence-based information. METHODS Electronic databases such as China Knowledge Network, VIP Electronics, PubMed, EBSCO, and Web of Science were searched to identify randomized controlled trials of VT on DOMS. Searches were performed from database creation to November 2021. The quality of the literature was assessed using the Cochrane Manual for the Systematic Review of Interventions, and meta-analyses were performed using RevMan 5.4 software. RESULTS VT intervention in DOMS was shown to effectively reduce subjective pain, improve pain tolerance, and accelerate the reduction of serum CK and LDH concentrations. Subgroup analysis of different test time periods showed that subjective pain decreased more significantly after 48 hours than after the other 2 time periods, and pain tolerance increased more significantly after 72 hours than the other 2 time periods; serum CK was significantly increased after 24 and 48 hours of intervention, but showed no significant change compared with the control group after 72 hours. Serum LDH decreased significantly after 24 hours of intervention, but there was no significant difference compared with the control group after 48 hours or 72 hours. CONCLUSION VT effectively reduced the subjective pain sensation after DOMS, increased the pain threshold, reduced serum LDH and CK concentrations, and accelerated muscle damage repair compared with control interventions. However, the effect of improving the range of motion of the joints is not clear and should be studied further. REGISTRATION number: INPLASY2021120115.
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Affiliation(s)
- Yikun Yin
- College of Physical and Health Education, Guangxi Normal University, Guilin, China
| | - Jialin Wang
- Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu, China
| | - Kangqi Duan
- College of Physical and Health Education, Guangxi Normal University, Guilin, China
| | - Hejia Cai
- College of Physical and Health Education, Guangxi Normal University, Guilin, China
| | - Junzhi Sun
- Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu, China
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Akehurst H, Grice JE, Angioi M, Morrissey D, Migliorini F, Maffulli N. Whole-body vibration decreases delayed onset muscle soreness following eccentric exercise in elite hockey players: a randomised controlled trial. J Orthop Surg Res 2021; 16:589. [PMID: 34641941 PMCID: PMC8513296 DOI: 10.1186/s13018-021-02760-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 09/30/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Delayed onset muscle soreness (DOMS) is a common non-structural muscle injury which can disrupt training and impair performance in elite athletes. Vibration therapy reduces inflammation and improves neuromuscular efficiency, leading to reductions in pain and stiffness, and may be effective for the prevention or treatment of DOMS. However, the effect of whole-body vibration (WBV) used after sport in elite athletes has not been reported. METHODS A randomised, controlled trial was performed. Participants were elite (national or international level) hockey players and underwent an eccentric exercise protocol previously shown to produce clinical DOMS. After exercise, one group underwent static stretching with WBV therapy, and the other performed stretching only. Baseline and serial post-exercise pain scores and measurements of quadriceps tightness were obtained. RESULTS Eleven participants were recruited into each study arm. There were no significant differences in baseline group characteristics. Participants receiving WBV had significant reductions in both pain (p = 0.04) and quadriceps tightness (p = 0.02) compared with stretching only. CONCLUSIONS Post-exercise WBV is effective in elite hockey players to reduce DOMS after eccentric exercise. Elite athletes in multi-sprint sports are at risk of DOMS during training and competition, and its reduction could contribute to reduced injury risk and improved performance. This treatment modality is favourable because it can be incorporated with minimal disruption into the recovery section of existing training regimes. These findings may also be extrapolated to other multi-sprint sports.
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Affiliation(s)
- Harold Akehurst
- Department of Trauma and Orthopaedics, Great Western Hospital, Swindon, UK
| | - John E Grice
- Department of Trauma and Orthopaedics, Great Western Hospital, Swindon, UK.,Centre for Sports and Exercise Medicine, William Harvey Research Institute, Queen Mary University of London, London, UK
| | - Manuela Angioi
- Centre for Sports and Exercise Medicine, William Harvey Research Institute, Queen Mary University of London, London, UK
| | - Dylan Morrissey
- Centre for Sports and Exercise Medicine, William Harvey Research Institute, Queen Mary University of London, London, UK
| | - Filippo Migliorini
- Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany.
| | - Nicola Maffulli
- Centre for Sports and Exercise Medicine, William Harvey Research Institute, Queen Mary University of London, London, UK.,Department of Trauma and Orthopaedics, University of Salerno School of Medicine, Surgery and Dentistry, Salerno, Italy
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3
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Tan J, Shi X, Witchalls J, Waddington G, Lun Fu AC, Wu S, Tirosh O, Wu X, Han J. Effects of Pre-exercise Acute Vibration Training on Symptoms of Exercise-Induced Muscle Damage: A Systematic Review and Meta-Analysis. J Strength Cond Res 2020; 36:2339-2348. [PMID: 32796411 DOI: 10.1519/jsc.0000000000003789] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Tan, J, Shi, X, Witchalls, J, Waddington, G, Lun Fu, AC, Wu, S, Tirosh, O, Wu, X, and Han, J. Effects of pre-exercise acute vibration training on symptoms of exercise-induced muscle damage: a systematic review and meta-analysis. J Strength Cond Res XX(X): 000-000, 2020-Exercise-induced muscle damage (EIMD) normally occurs after unaccustomed high-intensity eccentric exercises. Symptoms of EIMD include delayed-onset muscle soreness (DOMS), tenderness, stiffness, swelling, reduced strength, and increased creatine kinase (CK) levels in the blood. Vibration training (VT) may be useful as a pre-exercise intervention in attenuating EIMD on the basis of tonic vibration reflex (TVR) through a more efficient distribution of contractile stress over muscle fibers. The objective of this meta-analysis is to examine the effects of acute VT on symptoms of EIMD when performed as the pre-exercise intervention. Randomized controlled trials (RCTs) published in the 8 databases of Cochrane Library, PubMed, Embase, Web of Science, EBSCO, China National Knowledge Infrastructure, Airiti Library and WanFang Data from 1966 (the earliest available time) to January 2019 were searched. A total of 2,324 records were identified and 448 articles were screened with the title and abstract. Two investigators identified eligible studies, extracted data, and assessed the risk of bias independently. Review Manager 5.3 designed by Cochrane was used for the current meta-analysis. Six RCTs involving 180 subjects were included in the analysis. A low-to-moderate methodological quality of the included studies was revealed using the physiotherapy evidence database scale. The results showed that acute VT was superior to the control group for the reduction of DOMS on pain visual analogue scale at 24, 48 hours and pressure pain threshold at 24 hours. In addition, superior effects of acute VT were also found on the indirect markers of muscle damage including CK at 24, 72 hours, and lactate dehydrogenase at 24 hours. The current meta-analysis has collated the evidence to demonstrate that receiving acute VT before unaccustomed high-intensity eccentric exercises may be effective in attenuating markers of muscle damage and the development of DOMS when compared with a control group. The possible mechanisms of this effect could be attributed to an improved synchronization of muscle fiber caused by TVR, which could result in even distribution of exterior loads and eventually attenuate disruptions of muscle fibers. In addition, increased blood flow may also be helpful to prevent accumulation of metabolic substances and attenuate subsequent symptoms of EIMD. Vibration training may be used as a pre-exercise intervention to alleviate symptoms of EIMD caused by unaccustomed high-intensity eccentric exercise. Because of the limited quantity and quality of included studies, more high-quality studies are required to ascertain the effect of VT on symptoms of EIMD.
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Affiliation(s)
- Jingwang Tan
- School of Kinesiology, Shanghai University of Sport, Shanghai, China
| | - Xiaojian Shi
- School of Kinesiology, Shanghai University of Sport, Shanghai, China
| | - Jeremy Witchalls
- Research Institute for Sport and Exercise, University of Canberra, Bruce, Australia
| | - Gordon Waddington
- Research Institute for Sport and Exercise, University of Canberra, Bruce, Australia
| | - Allan C Lun Fu
- Discipline of Physiotherapy, Faculty of Health Sciences, the University of Sydney, Sydney, Australia
| | - Sam Wu
- Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia
| | - Oren Tirosh
- Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia
| | - Xueping Wu
- School of Physical Education and Sport Training, Shanghai University of Sport, Shanghai, China
| | - Jia Han
- School of Kinesiology, Shanghai University of Sport, Shanghai, China.,Research Institute for Sport and Exercise, University of Canberra, Bruce, Australia.,Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia
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4
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Otadi K, Ghasemi M, Jalaie S, Bagheri H, Azizian M, Emamdoost S, Sarafraz H, Sepahvand M. A prophylactic effect of local vibration on quadriceps muscle fatigue in non-athletic males: a randomized controlled trial study. J Phys Ther Sci 2019; 31:223-226. [PMID: 30936635 PMCID: PMC6428647 DOI: 10.1589/jpts.31.223] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2018] [Accepted: 12/10/2018] [Indexed: 12/03/2022] Open
Abstract
[Purpose] This study was conducted to investigate the immediate prophylactic effects of
local vibration on quadriceps muscle fatigue in young non-athletic males. [Participants
and Methods] Thirty healthy young males were randomly assigned to vibration and sham
control groups. Participants in the local vibration group received a single session
vibration (2 minutes, 30 Hz). They also in the control group received a 2-minute
vibration, while the vibration system was off. MVC, RMS and median frequency of EMG
findings and time to reach fatigue were measured. [Results] Time to reach fatigue and MVC
in the local vibration group was significantly high than those in the sham control group.
[Conclusion] It seems that the prior local muscle vibration may be useful to attenuate
some signs and symptoms of muscle fatigue.
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Affiliation(s)
- Khadijeh Otadi
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences: Tehran, Iran
| | - Mehri Ghasemi
- Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Iran
| | - Shohreh Jalaie
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences: Tehran, Iran
| | - Hossein Bagheri
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences: Tehran, Iran
| | - Morteza Azizian
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences: Tehran, Iran
| | - Saeid Emamdoost
- Department of Physiology, Tehran University of Medical Sciences, Iran
| | - Hadi Sarafraz
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences: Tehran, Iran
| | - Mustaph Sepahvand
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences: Tehran, Iran
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Lu X, Wang Y, Lu J, You Y, Zhang L, Zhu D, Yao F. Does vibration benefit delayed-onset muscle soreness?: a meta-analysis and systematic review. J Int Med Res 2019; 47:3-18. [PMID: 30526170 PMCID: PMC6384495 DOI: 10.1177/0300060518814999] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Accepted: 10/30/2018] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE Delayed-onset muscle soreness (DOMS) is a symptom of exercise-induced muscle injury that is commonly encountered in athletes and fitness enthusiasts. Vibration is being increasingly used to prevent or treat DOMS. We therefore carried out a meta-analysis to evaluate the effectiveness of vibration in patients with DOMS. METHOD We searched nine databases for randomized controlled trials of vibration in DOMS, from the earliest date available to 30 May 2018. Visual analogue scale (VAS) and creatine kinase (CK) levels were set as outcome measures. RESULTS The review included 10 identified studies with 258 participants. The meta-analysis indicated that vibration significantly improved the VAS at 24, 48, and 72 hours after exercise, and significantly improved CK levels at 24 and 48 hours, but not at 72 hours. CONCLUSION Vibration is a beneficial and useful form of physiotherapy for alleviating DOMS. However, further studies are needed to clarify the role and mechanism of vibration in DOMS.
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Affiliation(s)
- Xingang Lu
- College of YueYang, Yueyang Hospital of Integrated Chinese and
Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai,
P. R. China
- Department of Traditional Chinese Medicine, Shanghai Key
Laboratory of Clinical Geriatric Medicine, HuaDong Hospital, FuDan University,
Shanghai, P. R. China
| | - Yiru Wang
- LongHua Hospital, Shanghai University of Traditional Chinese
Medicine, Shanghai, P. R. China
| | - Jun Lu
- Department of Orthopedics, BaoShan Hospital of Integrated
Traditional Chinese and Western Medicine, Shanghai University of Traditional
Chinese Medicine, Shanghai, P. R. China
| | - Yanli You
- Department of Traditional Chinese Medicine, ChangHai Hospital,
Second Military Medical University, P. R. China
| | - Lingling Zhang
- Department of Traditional Chinese Medicine, First People’s
Hospital of Taicang, JiangSu, P. R. China
| | - Danyang Zhu
- Department of Traditional Chinese Medicine, TongRen Hospital,
School of Medicine, Shanghai JiaoTong University, Shanghai, P. R. China
| | - Fei Yao
- School of Acupuncture-Moxibustion and Tuina, Shanghai University
of Traditional Chinese Medicine, Shanghai, P. R. China
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