The effect of vibration training on delayed muscle soreness: A meta-analysis

Abstract

Background: Delayed onset muscle soreness (DOMS) is caused by unaccustomed exercise, especially eccentric exercise, and is highly likely to cause skeletal muscle injury. It mainly manifests as ultrastructural changes in skeletal muscle, as well as decreased muscle strength, muscle soreness, swelling, and elevated levels of creatine kinase (CK). Vibration training (VT) has been attracting increasing attention as a new type of rehabilitation therapy. It can effectively minimize the occurrence and relieve the symptoms of DOMS, reduce muscle stiffness and soreness, and reduce serum concentrations of CK and lactate dehydrogenase (LDH). This article systematically assessed the impact of VT on the mitigation of DOMS through a meta-analysis to provide updated evidence-based information. Methods: Electronic databases such as China Knowledge Network, VIP Electronics, PubMed, EBSCO, and Web of Science were searched to identify randomized controlled trials of VT on DOMS. Searches were performed from database creation to November 2021. The quality of the literature was assessed using the Cochrane Manual for the Systematic Review of Interventions, and meta-analyses were performed using RevMan 5.4 software. Results: VT intervention in DOMS was shown to effectively reduce subjective pain, improve pain tolerance, and accelerate the reduction of serum CK and LDH concentrations. Subgroup analysis of different test time periods showed that subjective pain decreased more significantly after 48 hours than after the other 2 time periods, and pain tolerance increased more significantly after 72 hours than the other 2 time periods; serum CK was significantly increased after 24 and 48 hours of intervention, but showed no significant change compared with the control group after 72 hours. Serum LDH decreased significantly after 24 hours of intervention, but there was no significant difference compared with the control group after 48 hours or 72 hours. Conclusion: VT effectively reduced the subjective pain sensation after DOMS, increased the pain threshold, reduced serum LDH and CK concentrations, and accelerated muscle damage repair compared with control interventions. However, the effect of improving the range of motion of the joints is not clear and should be studied further. Registration number: INPLASY2021120115.

Physical Therapies for Delayed Onset Muscle Soreness: A Protocol for an Umbrella and Mapping Systematic Review with Meta-Meta-Analysis

“…Vibration therapy introduces an interesting dimension by potentially accelerating recovery through increased muscle activation and blood circulation [57]. This modality might stimulate muscle fibers and enhance neuromuscular performance, which could be particularly beneficial during the recovery phase [58].…”

The Effects of Massage Guns on Performance and Recovery: A Systematic Review

“…While massage guns are generally considered safe, there are some contraindications or situations where their use may not be recommended [49,59,[76][77][78][79][80]: (1) recent scars, open wounds, sunburns, rashes, bruises, bleeding or skin infections, as this can further damage the affected tissue(s) and increase the risk of infection; (2) recent fractures or bone chronic conditions (such as osteoporosis or rheumatoid arthritis), as the percussive force can interfere with the healing process or increase the risk of fracture; (3) deep-vein thrombosis or blood clotting disorders, as the pressure might dislodge blood clots and cause serious health complications; (4) diabetes and neuralgias, as it can result in numbness or loss of sensation, limiting the detection of further injury; (5) avoid using on sensitive areas of the body, such as the face, eyes, ears, head, neck, chest, spine, superficial nerves and vessels, or surgery/joint replacement (plates, metal pins, corneal or cochlear), as this can lead to serious injury and pain; (6) do not use repeatedly and aggressively, on the same area, for long periods of time (e.g., >30 min), as it can lead to muscle fiber damage, blood vessel dissections and internal bleeding (such as intra-muscular, hemartrosis, hemothorax or rhabdomyolysis); (7) for some medical conditions, its use can also be limited, such as pregnant women, fibromyalgia, migraines, hernias, hypertension, epilepsy, cancer/tumor, seizures or individuals with an implanted medications or medical devices (such as a pacemaker).…”

“…obstructive airway diseases [3], balance impairments [4], neurological diseases [ [6] and chronic [7] musculoskeletal pain, obesity [8], vascular insufficiency [9 syndrome [10], bone mineral density [11], urinary stones [12], refractory acute res distress syndrome [13], and enhance neuromuscular performance [14]) and p (from children [15] to the elderly [16], including athletes [17] to everyday profe [18]) conditions.…”

“…In those times, to hasten the recovery of injuries, a flexible saw was wrapped around the injured body part to transmit mechanical vibrations and improve the health in compromised individuals [ 1 ]. Progressively, with science and technology evolution, these interventions’ spectrum of use has increased, showing nowadays to be viable for various health issues (such as osteoporosis [ 2 ], chronic obstructive airway diseases [ 3 ], balance impairments [ 4 ], neurological diseases [ 5 ], acute [ 6 ] and chronic [ 7 ] musculoskeletal pain, obesity [ 8 ], vascular insufficiency [ 9 ], Down syndrome [ 10 ], bone mineral density [ 11 ], urinary stones [ 12 ], refractory acute respiratory distress syndrome [ 13 ], and enhance neuromuscular performance [ 14 ]) and patients’ (from children [ 15 ] to the elderly [ 16 ], including athletes [ 17 ] to everyday professionals [ 18 ]) conditions.…”