ACUTE EFFECTS OF MASSAGE OR ACTIVE EXERCISE IN RELIEVING MUSCLE SORENESS: RANDOMIZED CONTROLLED TRIAL
ACUTE EFFECTS OF MASSAGE OR ACTIVE EXERCISE IN RELIEVING MUSCLE SORENESS: RANDOMIZED CONTROLLED TRIAL
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DOI：
10.1519/jsc.0b013e3182908610
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发表时间：
2013-12-01
影响因子：
3.2
通讯作者：
Behm, David G.
中科院分区：
文献类型：
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作者：
Andersen, Lars L.;Jay, Kenneth;Behm, David G.
按摩通常被认为是缓解肌肉酸痛的最佳方式。然而，通过运动积极地热身肌肉可能是一个有效的选择。本研究的目的是比较按摩和主动运动对缓解肌肉酸痛的急性效果。20名健康女性志愿者（平均年龄32岁）参加了本随机对照试验（ClinicalTrials.gov NCT01478451）。参与者在Biodex测力仪上对上斜方肌进行偏心收缩。延迟性肌肉酸痛（DOMS）在48小时后出现，此时参与者(a)接受10分钟斜方肌按摩或(b)进行10分钟主动运动（肩部耸肩10 X 10次），并增加弹性阻力（Thera-Band）。首先，1种治疗方法随机应用于1个肩关节，而对侧肩关节作为被动对照。2小时后，对侧静息肩接受另一种治疗。参与者评定疼痛强度（评分0-10），盲法检查者在治疗前和治疗后48小时偏心运动后0,10,20和60分钟测量上斜方肌的压痛阈值（PPT）。治疗前即刻疼痛强度5.0 (SD 2.2), PPT 138 (SD 78) kPa。在治疗反应中，疼痛强度（p < 0.001）和PPT （p < 0.05）受时间交互作用的显著影响。与对照组相比，主动运动和按摩均显著降低了疼痛强度，增加了PPT（即疼痛敏感性降低）。对于两种类型的治疗，对感知疼痛的影响在治疗后立即出现，而对PPT的影响在治疗后20分钟达到峰值。总之，与使用按摩相比，使用弹性阻力的积极运动可以提供类似的肌肉酸痛急性缓解。教练、治疗师和运动员可以使用积极的热身或按摩来急剧减少DOMS，例如，为比赛或剧烈的工作做准备，但应该意识到效果是暂时的，也就是说，最大的效果发生在治疗后的前20分钟，并在一小时内减弱。
Massage is commonly believed to be the best modality for relieving muscle soreness. However, actively warming up the muscles with exercise may be an effective alternative. The purpose of this study was to compare the acute effect of massage with active exercise for relieving muscle soreness. Twenty healthy female volunteers (mean age 32 years) participated in this examiner-blind randomized controlled trial (ClinicalTrials.gov NCT01478451). The participants performed eccentric contractions for the upper trapezius muscle on a Biodex dynamometer. Delayed onset muscle soreness (DOMS) presented 48 hours later, at which the participants (a) received 10 minutes of massage of the trapezius muscle or (b) performed 10 minutes of active exercise (shoulder shrugs 10 X 10 reps) with increasing elastic resistance (Thera-Band). First, 1 treatment was randomly applied to 1 shoulder while the contralateral shoulder served as a passive control. Two hours later, the contralateral resting shoulder received the other treatment. The participants rated the intensity of soreness (scale 0-10), and a blinded examiner took measures of pressure pain threshold (PPT) of the upper trapezius immediately before treatment and 0, 10, 20, and 60 minutes after treatment 48 hours posteccentric exercise. Immediately before treatment, the intensity of soreness was 5.0 (SD 2.2) and PPT was 138 (SD 78) kPa. In response to treatment, a significant treatment by time interaction was found for the intensity of soreness (p < 0.001) and PPT (p < 0.05). Compared with control, both active exercise and massage significantly reduced the intensity of soreness and increased PPT (i.e., reduced pain sensitivity). For both types of treatment, the greatest effect on perceived soreness occurred immediately after treatment, whereas the effect on PPT peaked 20 minutes after treatment. In conclusion, active exercise using elastic resistance provides similar acute relief of muscle soreness as compared with that using massage. Coaches, therapists, and athletes can use either active warm-up or massage to reduce DOMS acutely, for example, to prepare for competition or strenuous work, but should be aware that the effect is temporary, that is, the greatest effects occurs during the first 20 minutes after treatment and diminishes within an hour.