Massage Alleviates Delayed Onset Muscle Soreness after Strenuous Exercise: A Systematic Review and Meta-Analysis.

Massage Alleviates Delayed Onset Muscle Soreness after Strenuous Exercise: A Systematic Review and Meta-Analysis.
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DOI:
10.3389/fphys.2017.00747
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发表时间:
2017
影响因子:
4
通讯作者:
Chen X
Chen X
中科院分区:
医学2区
文献类型:
--
作者:
Guo J;Li L;Gong Y;Zhu R;Xu J;Zou J;Chen X

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目的:本系统回顾和荟萃分析的目的是评价按摩对缓解剧烈运动后延迟性肌肉酸痛(DOMS)和肌肉功能的效果。方法:检索截至2016年12月的PubMed、Embase、EBSCO、Cochrane图书馆、Web of Science、CNKI、万方等7个数据库。随机对照试验(RCT),以肌肉酸痛、运动能力(包括肌肉最大等长力(MIF)和峰值扭矩)和肌酸激酶(CK)的结果来评估推拿干预对DOMS的疗效。结果:共23个数据点的11篇文章(涉及504名参与者)符合纳入标准,纳入Meta分析。结果显示,在24 h(SMD:-0.61,95%CI:-1.17~-0.05,P=0.03)、48 h(SMD:-1.51,95%CI:-2.24~-0.77,P<0.001)、72h(95%CI:-2.59~-0.33,P=0.001)和总积分(SMD:-1.16,95%CI:-1.60~-0.72)。此外,推拿治疗还能改善MIF(SMD0.56,95%CI:0.21~0.90,P=0.002)和峰力矩(SMD0.38,95%CI:0.04~0.71,P=0.03)。此外,经推拿干预后,血清CK水平降低(SMD值:-0.64,95%CI:-1.04~-0.25,P=0.001)。结论:目前的证据表明,剧烈运动后的推拿治疗可以有效地缓解DOMS,改善肌肉功能。
Purpose: The purpose of this systematic review and meta-analysis was to evaluate the effects of massage on alleviating delayed onset of muscle soreness (DOMS) and muscle performance after strenuous exercise. Method: Seven databases consisting of PubMed, Embase, EBSCO, Cochrane Library, Web of Science, CNKI and Wanfang were searched up to December 2016. Randomized controlled trials (RCTs) were eligible and the outcomes of muscle soreness, performance (including muscle maximal isometric force (MIF) and peak torque) and creatine kinase (CK) were used to assess the effectiveness of massage intervention on DOMS. Results: Eleven articles with a total of 23 data points (involving 504 participants) satisfied the inclusion criteria and were pooled in the meta-analysis. The findings demonstrated that muscle soreness rating decreased significantly when the participants received massage intervention compared with no intervention at 24 h (SMD: –0.61, 95% CI: –1.17 to –0.05, P = 0.03), 48 h (SMD: –1.51, 95% CI: –2.24 to –0.77, P < 0.001), 72 h (SMD: –1.46, 95% CI: –2.59 to –0.33, P = 0.01) and in total (SMD: –1.16, 95% CI: –1.60 to –0.72, P < 0.001) after intense exercise. Additionally, massage therapy improved MIF (SMD: 0.56, 95% CI: 0.21–0.90, P = 0.002) and peak torque (SMD: 0.38, 95% CI: 0.04–0.71, P = 0.03) as total effects. Furthermore, the serum CK level was reduced when participants received massage intervention (SMD: –0.64, 95% CI: –1.04 to –0.25, P = 0.001). Conclusion: The current evidence suggests that massage therapy after strenuous exercise could be effective for alleviating DOMS and improving muscle performance.
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