Massage therapy restores peripheral vascular function after exertion.

Massage therapy restores peripheral vascular function after exertion.
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DOI:
10.1016/j.apmr.2014.02.007
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发表时间:
2014-06
影响因子:
4.3
通讯作者:
Phillips, Shane A.
Phillips, Shane A.
中科院分区:
医学1区
文献类型:
--
作者:
Franklin, Nina C.;Ali, Mohamed M.;Robinson, Austin T.;Norkeviciute, Edita;Phillips, Shane A.

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To determine if lower extremity exercise-induced muscle injury (EMI) reduces vascular endothelial function of the upper extremity and if massage therapy (MT) improves peripheral vascular function after EMI. Randomized, blinded trial with evaluations at 90 minutes, 24 hours, 48 hours, and 72 hours. Clinical research center at an academic medical center and laboratory Thirty-six sedentary young adults were randomly assigned to one of three groups: 1) EMI + MT (n=15; mean age ± standard error (SE): 26.6±0.3), 2) EMI only (n=10; mean age ± SE: 23.6±0.4), and 3) MT only (n=11; mean age ± SE: 25.5 ± 0.4). Participants were assigned to either EMI only (a single bout of bilateral, eccentric leg-press exercise), MT only (30-minute lower extremity massage using Swedish technique), or EMI + MT. Brachial artery flow-mediated dilation (FMD) was determined by ultrasound at each time point. Nitroglycerin-induced dilation was also assessed (NTG; 0.4 mg). Brachial FMD increased from baseline in the EMI + MT group and the MT only group (7.38±0.18 to 9.02±0.28%, p<0.05 and 7.77±0.25 to 10.20±0.22%, p < 0.05, respectively) at 90 minutes remaining elevated until 72 hrs. In the EMI only group FMD was reduced from baseline at 24 and 48 hrs (7.78±0.14 to 6.75±0.11%, p<0.05 and 6.53±0.11, p<0.05, respectively) returning to baseline after 72 hrs. Dilations to NTG were similar over time. Our results suggest that MT attenuates impairment of upper extremity endothelial function resulting from lower extremity EMI in sedentary young adults.
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