The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men—a randomized controlled trial

BackgroundDelayed onset muscle soreness (DOMS) is a common condition among physically active individuals, often resulting in reduced performance and discomfort. Although percussive massage treatment (PMT) is widely used as a recovery tool, there is limited evidence supporting its efficacy compared t...

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Main Authors: Haiwei Li, Liang Luo, Jing Zhang, Peipei Cheng, Qiang Wu, Xinping Wen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1561970/full
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author Haiwei Li
Liang Luo
Jing Zhang
Peipei Cheng
Qiang Wu
Xinping Wen
author_facet Haiwei Li
Liang Luo
Jing Zhang
Peipei Cheng
Qiang Wu
Xinping Wen
author_sort Haiwei Li
collection DOAJ
description BackgroundDelayed onset muscle soreness (DOMS) is a common condition among physically active individuals, often resulting in reduced performance and discomfort. Although percussive massage treatment (PMT) is widely used as a recovery tool, there is limited evidence supporting its efficacy compared to traditional methods such as static stretching.ObjectiveTo investigate the effect of PMT on recovery from DOMS in physically active young men.MethodsThirty physically active male college students were randomized into three groups: static stretching (SS) group, a short-duration PMT (S-PMT) group, and a long-duration PMT (L-PMT) group. All participants performed squats to induce DOMS, followed by interventions of static stretching, 25 min of PMT, or 40 min of PMT, respectively. Measurements included the visual analog scale (VAS) pain score, knee joint range of motion (ROM), countermovement jump (CMJ), and integrated electromyography (iEMG). These were measured at baseline (P0), post-DOMS protocol (P1), post PMT (P2), 24 h post-intervention (P3), and 48 h post-intervention (P4). Data were analyzed using repeated-measures ANOVA or nonparametric tests, with multiple comparisons conducted at a significance level of p < 0.05.ResultsCompared with the SS and S-PMT group, the L-PMT group at P4 demonstrated significantly greater jump height (SS group: p < 0.001, d = 8.691; S-PMT group: p = 0.006, d = 4.37), peak ground reaction force (SS group: p < 0.001, d = 19.174; S-PMT group: p < 0.001, d = 14.334), and propulsion impulse (SS group: p < 0.001, d = 8.302; S-PMT group: p = 0.003, d = 4.517) during the CMJ propulsion phase. Additionally, the normalized iEMGs of the three muscles in the L-PMT group were significantly lower than those in the S-PMT (VM: p < 0.001, d = −5.692; RF: p < 0.001, d = −8.222; VL: p < 0.001, d = −10) and SS groups at P4 (VM: p < 0.001, d = −12; RF: p < 0.001, d = −11.384; VL: p < 0.001, d = −15). At P4, the L-PMT group exhibited significantly lower VAS scores than the SS group (p = 0.003, d = −1.53), as well as significantly greater knee joint ROM compared to the SS group (p = 0.012,d = 4.77).ConclusionPMT was more effective than static stretching for DOMS recovery. Furthermore, two 40-min PMT sessions provided greater benefits than two 25-min sessions for treating DOMS. These findings suggest that PMT can be a valuable tool for physically active individuals seeking to enhance recovery and maintain performance.Clinical trial registrationThe study was registered on ClinicalTrials.gov on September 21, 2024, with the identifier number NCT06612502.
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spelling doaj-art-4c9f74a73e324d0caf7dec72f8a61fe02025-08-20T02:40:48ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-03-011310.3389/fpubh.2025.15619701561970The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men—a randomized controlled trialHaiwei Li0Liang Luo1Jing Zhang2Peipei Cheng3Qiang Wu4Xinping Wen5School of Physical Education, Shanxi Normal University, Taiyuan, ChinaSchool of Physical Education, Shanxi Normal University, Taiyuan, ChinaSchool of Physical Education, Shanxi Normal University, Taiyuan, ChinaSchool of Physical Education, Shanxi Normal University, Taiyuan, ChinaSchool of Physical Education, Shanxi Normal University, Taiyuan, ChinaDepartment of Physical Education, The Fifth Bridge Elementary School in Guodu Street, Xi'an, ChinaBackgroundDelayed onset muscle soreness (DOMS) is a common condition among physically active individuals, often resulting in reduced performance and discomfort. Although percussive massage treatment (PMT) is widely used as a recovery tool, there is limited evidence supporting its efficacy compared to traditional methods such as static stretching.ObjectiveTo investigate the effect of PMT on recovery from DOMS in physically active young men.MethodsThirty physically active male college students were randomized into three groups: static stretching (SS) group, a short-duration PMT (S-PMT) group, and a long-duration PMT (L-PMT) group. All participants performed squats to induce DOMS, followed by interventions of static stretching, 25 min of PMT, or 40 min of PMT, respectively. Measurements included the visual analog scale (VAS) pain score, knee joint range of motion (ROM), countermovement jump (CMJ), and integrated electromyography (iEMG). These were measured at baseline (P0), post-DOMS protocol (P1), post PMT (P2), 24 h post-intervention (P3), and 48 h post-intervention (P4). Data were analyzed using repeated-measures ANOVA or nonparametric tests, with multiple comparisons conducted at a significance level of p < 0.05.ResultsCompared with the SS and S-PMT group, the L-PMT group at P4 demonstrated significantly greater jump height (SS group: p < 0.001, d = 8.691; S-PMT group: p = 0.006, d = 4.37), peak ground reaction force (SS group: p < 0.001, d = 19.174; S-PMT group: p < 0.001, d = 14.334), and propulsion impulse (SS group: p < 0.001, d = 8.302; S-PMT group: p = 0.003, d = 4.517) during the CMJ propulsion phase. Additionally, the normalized iEMGs of the three muscles in the L-PMT group were significantly lower than those in the S-PMT (VM: p < 0.001, d = −5.692; RF: p < 0.001, d = −8.222; VL: p < 0.001, d = −10) and SS groups at P4 (VM: p < 0.001, d = −12; RF: p < 0.001, d = −11.384; VL: p < 0.001, d = −15). At P4, the L-PMT group exhibited significantly lower VAS scores than the SS group (p = 0.003, d = −1.53), as well as significantly greater knee joint ROM compared to the SS group (p = 0.012,d = 4.77).ConclusionPMT was more effective than static stretching for DOMS recovery. Furthermore, two 40-min PMT sessions provided greater benefits than two 25-min sessions for treating DOMS. These findings suggest that PMT can be a valuable tool for physically active individuals seeking to enhance recovery and maintain performance.Clinical trial registrationThe study was registered on ClinicalTrials.gov on September 21, 2024, with the identifier number NCT06612502.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1561970/fulldelayed onset muscle sorenesspercussion massage therapystretchingrecoveryrandomized controlled trial
spellingShingle Haiwei Li
Liang Luo
Jing Zhang
Peipei Cheng
Qiang Wu
Xinping Wen
The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men—a randomized controlled trial
Frontiers in Public Health
delayed onset muscle soreness
percussion massage therapy
stretching
recovery
randomized controlled trial
title The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men—a randomized controlled trial
title_full The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men—a randomized controlled trial
title_fullStr The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men—a randomized controlled trial
title_full_unstemmed The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men—a randomized controlled trial
title_short The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men—a randomized controlled trial
title_sort effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men a randomized controlled trial
topic delayed onset muscle soreness
percussion massage therapy
stretching
recovery
randomized controlled trial
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1561970/full
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