Konservative Therapie von Sehnenverletzungen

Hotfiel, Thilo; Bily, Walter; Bloch, Wilhelm; Gokeler, Alli; Krifter, Rolf Michael; Mayer, Frank; Weisskopf, Lukas; Engelhardt, Martin

doi:10.1016/j.orthtr.2017.07.003

Cited by 9 publications

(2 citation statements)

References 68 publications

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“…Furthermore, there is still no clear-cut definition for the diagnosis of DOMS; there are shifting overlaps between muscle overload, muscle damage, and muscle injury [5]. In recent years, DOMS has received increased scientific attention, particularly, concerning the pathophysiological process, imaging modalities or recovery interventions [10]. DOMS is associated with impaired muscular force capacities and increased soreness, pain, stiffness, and swelling, and also with some altered biomechanics to the adjacent joints [11 -13].…”

Section: Introductionmentioning

confidence: 99%

Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics

Hotfiel

Freiwald

Hoppe

et al. 2018

Sportverletz Sportschaden

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122

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Delayed-onset muscle soreness (DOMS) is a type of ultrastructural muscle injury. The manifestation of DOMS is caused by eccentric or unfamiliar forms of exercise. Clinical signs include reduced force capacities, increased painful restriction of movement, stiffness, swelling, and dysfunction of adjacent joints. Although DOMS is considered a mild type of injury, it is one of the most common reasons for compromised sportive performance. In the past few decades, many hypotheses have been developed to explain the aetiology of DOMS. Although the exact pathophysiological pathway remains unknown, the primary mechanism is currently considered to be the ultrastructural damage of muscle cells due to unfamiliar sporting activities or eccentric exercise, which leads to further protein degradation, apoptosis and local inflammatory response. The development of clinical symptoms is typically delayed (peak soreness at 48 – 72 h post-exercise) as a result of complex sequences of local and systemic physiological responses. The following narrative review was conducted to present an overview of the current findings regarding the damaging mechanisms as well as the pathophysiology of DOMS and its diagnostic evaluation.

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Section: Introductionmentioning

confidence: 99%

Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics

Hotfiel

Freiwald

Hoppe

et al. 2018

Sportverletz Sportschaden

Self Cite

122

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“…Heat has especially been used to treat soft tissue injuries in clinical and sports rehabilitation designs. The primary therapy target after muscle damaging exercises is to minimize the inflammatory response and the first choice is the application of cooling [24,25]. In later stages and based on pathophysiological foundations, local and whole-body heat applications can be used [26], but in future the application of heat must be evaluated in the context of the different phases of recovery.…”

Section: Heat Therapymentioning

confidence: 99%

Advances in Delayed-Onset Muscle Soreness (DOMS) – Part II: Treatment and Prevention

Heiß

Lutter

Freiwald

et al. 2019

Sportverletz Sportschaden

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Delayed-onset muscle soreness (DOMS) describes an entity of ultrastructural muscle damage. The manifestation of DOMS is caused by eccentric muscle contractions or unaccustomed forms of exercise. Clinical signs include impaired muscular force capacities, painful restriction of movement, stiffness, swelling, and altered biomechanics in adjacent joints. Although DOMS is categorised as a mild type of muscle damage, it is one of the most common reasons for compromised sportive performance. In the last decade, many hypotheses have been developed to explain the aetiology of DOMS, and there are a wide range of different interventions aiming to prevent or alleviate the symptoms. Many studies have evaluated various types of cold or heat therapy, compression, massage, physical therapy or nutritional interventions. Treatment considerations focus on the primary prevention of ultrastructural lesions during exercise, the treatment of the inflammatory response that leads to DOMS, and recovery strategies for manifest DOMS. This narrative review aims to present an overview of the current treatment and preventive strategies in the field of DOMS.

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