Influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletes

ObjectiveThis study compared the immediate effects of game-ready contrast therapy (GRT) and contrast water immersion therapy (CWT) on stiffness, muscle tone, flexibility, pressure pain threshold, and isometric muscle strength.DesignExperimental, single-blind, randomized controlled trial. Thirty volu...

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Main Authors: Robert Trybulski, Jarosław Muracki, Robert Roczniok, Wacław Kuczmik, Nicola Lovecchio, Adrian Kużdżał
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Physiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2025.1494762/full
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author Robert Trybulski
Robert Trybulski
Jarosław Muracki
Robert Roczniok
Wacław Kuczmik
Nicola Lovecchio
Adrian Kużdżał
author_facet Robert Trybulski
Robert Trybulski
Jarosław Muracki
Robert Roczniok
Wacław Kuczmik
Nicola Lovecchio
Adrian Kużdżał
author_sort Robert Trybulski
collection DOAJ
description ObjectiveThis study compared the immediate effects of game-ready contrast therapy (GRT) and contrast water immersion therapy (CWT) on stiffness, muscle tone, flexibility, pressure pain threshold, and isometric muscle strength.DesignExperimental, single-blind, randomized controlled trial. Thirty volunteers training MMA (age: 28.20 ± 7.57 years, BMI: 26.35 ± 4.06, training experience: 10.37 ± 7.34) were randomized to two groups: experimental (n = 15) and control (n = 15). In the first phase, the experimental group underwent GRT and the control–game-ready sham therapy (GRS). After a 2-week break, the experimental group underwent CWT and the control–contrast water sham therapy (CWS). The main outcome measures were muscle tone (T) stiffness (S) elasticity (E), pressure pain threshold (PPT), and maximum isometric strength (Fmax) assessed before therapy (Rest) and 5-min and 1-h after treatment (PostTh5min and PostTh1h).ResultsAnalysis of variance results for T, S, E, PPT, and Fmax showed statistically significant differences (p < 0.0001) for main effects and interactions. For both therapies GRT and CWT: T, S, and E were lower 5 min after therapy and 1 h after therapy compared to Rest (interaction effect, p < 0.00001). For both therapies GRT and CWT the PPT and Fmax were higher 5min and 1 h after therapy compared to Rest (interaction effect, p < 0.0001). The post hoc test showed statistically significant differences (p < 0.0001) for T, S, E, PPT, and Fmax in the experimental groups (GRT and CWT) for Rest-PostTh5min and Rest-Post1h. No statistically significant differences were found for Post5mi-Post1h. The effect size of Cohen’s d for S, E, PPT, and Fmax showed similar values, with only T being significantly more pronounced in the GRT group (large, d > 0.8). There were no statistically significant differences (p > 0.05) in the control groups (GRT for GRS and CWT for CWS) in the Rest-PostTh5min-PostTh1h range.ConclusionThe positive impact of both contrast therapy strategies as a stimulus influencing important aspects of biomechanics was confirmed. The results showed similar effects of CWT and GRT (both similarly lowering S and E and increasing Fmax and PPT) except for the analysis of muscle tone, where the lowering effect of GRT had larger effect. These findings can be directly applied by researchers, sports medicine specialists, and martial arts trainers interested in the biomechanical effects of therapy on athletes, improving their understanding and practice.
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spelling doaj-art-975de06c418f484c94d4b4139b9e2a052025-08-20T03:05:15ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2025-04-011610.3389/fphys.2025.14947621494762Influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletesRobert Trybulski0Robert Trybulski1Jarosław Muracki2Robert Roczniok3Wacław Kuczmik4Nicola Lovecchio5Adrian Kużdżał6Medical Department, Wojciech Korfanty Upper Silesian Academy, Katowice, PolandProvita Medical Center, Żory, PolandInstitute of Physical Culture Sciences, Department of Physical Culture and Health, University of Szczecin, Szczecin, PolandInstitute of Sport Science, Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, PolandDepartment of General Surgery, Vascular Surgery, Angiology and Phlebology, Medical University of Silesia, Katowice, PolandDepartment of Human and Social Sciences, University of Bergamo, Bergamo, ItalyInstitute of Health Sciences, College of Medical Sciences, University of Rzeszów, Rzeszów, PolandObjectiveThis study compared the immediate effects of game-ready contrast therapy (GRT) and contrast water immersion therapy (CWT) on stiffness, muscle tone, flexibility, pressure pain threshold, and isometric muscle strength.DesignExperimental, single-blind, randomized controlled trial. Thirty volunteers training MMA (age: 28.20 ± 7.57 years, BMI: 26.35 ± 4.06, training experience: 10.37 ± 7.34) were randomized to two groups: experimental (n = 15) and control (n = 15). In the first phase, the experimental group underwent GRT and the control–game-ready sham therapy (GRS). After a 2-week break, the experimental group underwent CWT and the control–contrast water sham therapy (CWS). The main outcome measures were muscle tone (T) stiffness (S) elasticity (E), pressure pain threshold (PPT), and maximum isometric strength (Fmax) assessed before therapy (Rest) and 5-min and 1-h after treatment (PostTh5min and PostTh1h).ResultsAnalysis of variance results for T, S, E, PPT, and Fmax showed statistically significant differences (p < 0.0001) for main effects and interactions. For both therapies GRT and CWT: T, S, and E were lower 5 min after therapy and 1 h after therapy compared to Rest (interaction effect, p < 0.00001). For both therapies GRT and CWT the PPT and Fmax were higher 5min and 1 h after therapy compared to Rest (interaction effect, p < 0.0001). The post hoc test showed statistically significant differences (p < 0.0001) for T, S, E, PPT, and Fmax in the experimental groups (GRT and CWT) for Rest-PostTh5min and Rest-Post1h. No statistically significant differences were found for Post5mi-Post1h. The effect size of Cohen’s d for S, E, PPT, and Fmax showed similar values, with only T being significantly more pronounced in the GRT group (large, d > 0.8). There were no statistically significant differences (p > 0.05) in the control groups (GRT for GRS and CWT for CWS) in the Rest-PostTh5min-PostTh1h range.ConclusionThe positive impact of both contrast therapy strategies as a stimulus influencing important aspects of biomechanics was confirmed. The results showed similar effects of CWT and GRT (both similarly lowering S and E and increasing Fmax and PPT) except for the analysis of muscle tone, where the lowering effect of GRT had larger effect. These findings can be directly applied by researchers, sports medicine specialists, and martial arts trainers interested in the biomechanical effects of therapy on athletes, improving their understanding and practice.https://www.frontiersin.org/articles/10.3389/fphys.2025.1494762/fullregenerationreadiness to playMMA fighterswater immersioncontrast therapymyotonometry
spellingShingle Robert Trybulski
Robert Trybulski
Jarosław Muracki
Robert Roczniok
Wacław Kuczmik
Nicola Lovecchio
Adrian Kużdżał
Influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletes
Frontiers in Physiology
regeneration
readiness to play
MMA fighters
water immersion
contrast therapy
myotonometry
title Influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletes
title_full Influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletes
title_fullStr Influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletes
title_full_unstemmed Influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletes
title_short Influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletes
title_sort influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletes
topic regeneration
readiness to play
MMA fighters
water immersion
contrast therapy
myotonometry
url https://www.frontiersin.org/articles/10.3389/fphys.2025.1494762/full
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