The effectiveness of acupuncture for pain reduction in delayed-onset muscle soreness: a systematic review

Abstract

Objective: The aim of this study was to systematically review the literature on acupuncture for delayed-onset muscle soreness (DOMS) and report upon study quality and treatment outcomes. Design: Systematic review. Data sources: Searches were conducted in the following electronic databases from their inception to 31 March 2018: CINAHL, MEDLINE, Allied and Complementary Medicine (AMED) and SPORTDiscus. Reference lists of all included studies and relevant reviews were hand-searched for additional studies. Eligibility criteria for selecting studies: Randomised controlled trials (RCTs) that evaluated the effectiveness of acupuncture in DOMS in adults measuring the pre-specified primary outcome (pain) were included. Data collection and analysis: Data were extracted using pre-defined extraction forms and the Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) checklist. Quality of studies was evaluated based on the Cochrane risk of bias assessment. Results: Five RCTs investigating laboratory-induced DOMS in the upper limbs with a total sample size of 182 healthy participants were included. Of the included studies, three reported superiority of acupuncture over no treatment in DOMS pain reduction as measured by visual analogue scale, pressure pain threshold or electrical pain threshold, while two studies yielded non-significant results. All studies demonstrated risk of bias in one or more areas, commonly lack of blinding of participants and personnel. Summary/conclusion: There is conflicting to limited evidence to support the effects of acupuncture on the relief of pain associated with DOMS. The findings were confounded by methodological limitations and reporting insufficiency. More rigorous, high-quality, and well-reported RCTs are required to further evaluate the effectiveness of acupuncture for DOMS.

The Prevalence of Use of Various Post-Exercise Recovery Methods after Training among Elite Endurance Athletes

“…However, there are methods with lack of scientific evidence of their effectiveness or contradictory data. The first group includes kinesiotaping, contrast baths, and acupuncture [ 13 , 14 , 15 , 16 , 17 , 18 ]. The second group of methods most likely includes cyclic compression therapy, stretching, general cryotherapy, and sauna use [ 19 , 20 , 21 , 22 , 23 , 24 ].…”

Does Acupuncture Benefit Delayed-Onset Muscle Soreness After Strenuous Exercise? A Systematic Review and Meta-Analysis

“…O'Connor and Hurley ( 2003 ) systematic review investigated the effectiveness of many physiotherapy interventions (including acupuncture) on DOMS and found no evidence to support that acupuncture helped reduce DOMS, but there were only two trials included in the review. Recently, another systematic review based on more randomized controlled trial (RCTs) (which were not pooled into a meta-analysis) indicated that the therapeutic effect of acupuncture analgesia in DOMS is conflicting (Ko and Clarkson, 2019 ). Therefore, this systematic review and meta-analysis aimed to update the current evidence to evaluate the effects of acupuncture intervention on reducing DOMS and improving muscle performance after strenuous exercise.…”

Are Combined Physiotherapeutic Interventions better than Stand-alone Interventions in Treating Exercise Induced Muscle Damage? A Systematic Review and Meta-Analysis

“…Exercise Induced muscle damage (EIMD) following strenuous unaccustomed exercise is common among recreational and professional athletes (1). It may be complicated by the development of delayed onset muscle soreness (DOMS) which may require a few minutes and up to one week recovery time depending on damage severity, and exercise duration and intensity (2,3). DOMS is associated with reduced performance and increased athletes" absenteeism from games.…”