Increase in Lactate Without Change in Nutritive Blood Flow or Glucose at Active Trigger Points Following Massage: A Randomized Clinical Trial

Moraska, Albert; Hickner, Robert C.; Rzasa-Lynn, Rachael; Shah, Jay P.; Hebert, Jonathan R.; Kohrt, Wendy M.

doi:10.1016/j.apmr.2018.06.030

Cited by 17 publications

(9 citation statements)

References 45 publications

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“…At the peripheral level, analgesia by pressing is commonly accompanied by increased local blood flow, improved metabolic environment, and enhanced local metabolism. 24 , 25 In addition, local sympathetic remodeling happens in MTrPs, which will cause sympathetic hyperinnervation and excessive release of local acetylcholine, finally leading to a variety of relevant symptoms. 26 Additionally, pressing on MTrPs can enhance the excitability of parasympathetic neurons while inhibiting the excitability of sympathetic nerves, resulting in decrease of acetylcholine release at the motor endplates, ultimately improving the symptoms.…”

Section: Discussionmentioning

confidence: 99%

Pressing Intervention Promotes the Skeletal Muscle Repair of Traumatic Myofascial Trigger Points in Rats

Jiang¹,

Xiang²,

Liú³

et al. 2021

JPR

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Objective: To observe the effect of pressing intervention on the skeletal muscle repair of myofascial trigger points (MTrPs) in rats and explore the mechanism of pressing intervention on the deactivation of trigger points. Methods: Thirty SPF rats were randomly divided into blank group, model group and press group, with 10 rats in each group. The MTrPs models were established by blunt striking plus eccentric exercise, and then evaluated. The press group was given a pressing intervention with a self-made device for 14 days, and the rats in the other two groups were fed normally. Soft tissue tension (STT) D 0.2 and pressure pain threshold (PPT) were measured before and after intervention. The skeletal muscle tissue at MTrPs was extracted and assessed by hematoxylin-eosin (HE) and Masson staining. The expression of collagen I, collagen III, α-smooth muscle actin (α-SMA), myosin heavy chain (MHC) and fibronectin (FN) were detected by Western Blotting. Enzyme linked immunosorbent assay (ELISA) was used to evaluate the expression of substance P (SP), 5-hydroxytryptamine (5-HT), cyclooxygenase 2 (COX-2) and prostaglandin E2 (PGE2). Results: (1) Compared with the blank group, the PPT and D 0.2 reduced (P < 0.05) in the model group; while compared with the model group, the PPT and D 0.2 increased (P < 0.05) in the press group. (2) Compared with the blank group, the model group showed obvious spontaneous potentials with higher amplitude and frequency, which were also much higher than those of the press group (P < 0.05). (3) The HE and Masson staining results showed evident fibrosis in the muscle tissue of the model group, with a larger area of collagen fibers relative to that of the press group (P < 0.05). ( 4) The amount of collagen I, collagen III, FN, α-SMA, SP, 5-HT, COX-2 and PGE2 increased and the content of MHC decreased (P < 0.05) in the model group, as compared to the blank group; while all the substances (P < 0.05), instead of MHC which increased (P < 0.05), in the press group were decreased as compared to the model group. Conclusion:Pressing intervention on the MTrPs in rats can alleviate chronic inflammation, inhibit fibrosis, promote skeletal muscle repair and relieve pain.

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Section: Discussionmentioning

confidence: 99%

Pressing Intervention Promotes the Skeletal Muscle Repair of Traumatic Myofascial Trigger Points in Rats

Jiang¹,

Xiang²,

Liú³

et al. 2021

JPR

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“…Foam rolling might be implemented after workouts to enhance recovery between training sessions [57]. There is also evidence of a favorable circulatory response after foam rolling, a reduction in arterial stiffness, an improvement in vascular endothelial function and an increase in arterial blood flow [37]. The use of foam rolling after training might be effective in some cases (e.g., to increase sprinting performance and flexibility or to reduce muscle pain sensation) [58].…”

Section: Discussionmentioning

confidence: 99%

“…Shalfawi et al found that using foam rolling as a self-myofascial release technique during recovery did not increase the rate of blood lactate clearance in the cycling test to exhaustion followed by a Wingate performance test [36]. Moreover, Moraska et al [37] stated that single trigger point release massage affected anaerobic metabolism. Our research did not support this theory, and the difference may be due to the size of the massaged muscle surface as well as the higher tolerance to high-intensity exercise and the recovery capacity of subjects.…”

Section: Plos Onementioning

confidence: 99%

Does the type of foam roller influence the recovery rate, thermal response and DOMS prevention?

2020

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Supporting post-exercise recovery requires choosing not only the right treatment but also the equipment, in which the impact is not always clear. The study aimed to determine the effect of foam rolling on the rate of lactate removal and DOMS prevention and whether the type of foam roller is effective in the context of post-exercise recovery. Methods This randomized trial enrolled 33 active healthy males divided into three groups of eleven individuals: foam rolling with a smooth (STH) or grid roller (GRID) or passive recovery (PAS). All the participants performed full squat jumps for one minute. Examination took place at rest (thermal imaging of skin temperature-[T sk ] and blood lactate-[LA]), immediately following exercise (T sk & LA), immediately after recovery treatment (T sk) and after 30 minutes of rest (T sk & LA). Their pain levels were assessed using the Visual Analog Scale (VAS) 24, 48, 72, and 96 hours after exercise.

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“…This causes removal of toxic metabolism products (lactic and pyruvic acids) from cells, which is producing local and general intoxication. [15][16][17] In our opinion, local pain might also worsen due to the increased arterial blood flow in the tissue and its temporary domination over venous outflow. This causes the tissue to ''swell,'' which results in temporary pain increase because of the herniated disk and space deficit (especially with narrow spinal canal).…”

mentioning

confidence: 81%

Acupuncture in the Treatment of Sequestered Intervertebral Disk Herniation

Buevich

Buevich²,

Buevich³

2021

Medical Acupuncture

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Objective: Most patients with sequestered intervertebral disk herniation (IVDH) are subjected to neurosurgery. This study was designed to demonstrate that acupuncture can be an effective treatment modality for patients with herniated disks unless the disease is complicated. Materials and Methods: Three patients with IVDH received 2-3 courses of acupuncture treatment (12 sessions each) combined with pharmacopuncture with chondroprotector. Visual analogue scale (VAS) for pain and magnetic resonance imaging findings were used to test the effectiveness of the treatment. Results: Decrease in pain severity has been observed from 7-8 points to 3-4 points in VAS after the first course of treatment. Complete resorption of hernia sequesters in 4-5 months after the treatment has been started. Conclusions: Acupuncture is an effective alternative for patients with IVDH unless surgery is indicated. Acupuncture treatment results in resorption of hernia sequester and improves pain syndrome.

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Increase in Lactate Without Change in Nutritive Blood Flow or Glucose at Active Trigger Points Following Massage: A Randomized Clinical Trial

Cited by 17 publications

References 45 publications

Pressing Intervention Promotes the Skeletal Muscle Repair of Traumatic Myofascial Trigger Points in Rats

Pressing Intervention Promotes the Skeletal Muscle Repair of Traumatic Myofascial Trigger Points in Rats

Does the type of foam roller influence the recovery rate, thermal response and DOMS prevention?

Acupuncture in the Treatment of Sequestered Intervertebral Disk Herniation

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