The Efficacy of Sustained Heat Treatment on Delayed-Onset Muscle Soreness

Petrofsky, Jerrold S.; Berk, Lee; Bains, Gurinder; Khowailed, Iman Akef; Lee, Haneul; Laymon, Michael

doi:10.1097/jsm.0000000000000375

Cited by 24 publications

(24 citation statements)

References 70 publications

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“…For example, Mayer and coworkers reported that treatment with a heat wrap starting 4 h after a bout of eccentric lumbar extension exercise was more effective at reducing local pain than cryotherapy (24). Petrofsky and coworkers recently showed that a heat wrap placed over the quadriceps immediately after a bout of eccentric exercise significantly reduced perceived pain compared with a control intervention (36). This hypoalgesic effect of HT is thought to be caused in part by heat-induced increases in blood flow (13) and the consequent accelerated removal of factors that sensitize muscle nociceptors.…”

Section: Discussionmentioning

confidence: 99%

Impact of heat therapy on recovery after eccentric exercise in humans

Kim

Kuang

Song

et al. 2019

Journal of Applied Physiology

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The purpose of this study was to investigate the effects of heat therapy (HT) on functional recovery, the skeletal muscle expression of angiogenic factors, macrophage content, and capillarization after eccentric exercise in humans. Eleven untrained individuals (23.8 ± 0.6 yr) performed 300 bilateral maximal eccentric contractions of the knee extensors. One randomly selected thigh was treated with five daily 90-min sessions of HT, whereas the opposite thigh received a thermoneutral intervention. Peak isokinetic torque of the knee extensors was assessed at baseline and daily for 4 days and fatigue resistance was assessed at baseline and 1 and 4 days after the eccentric exercise session. Muscle biopsies were obtained 2 wk before and 1 and 5 days after the eccentric exercise bout. There were no differences between thighs in the overall recovery profile of peak torque. However, the thigh exposed to HT had greater fatigue resistance than the thigh exposed to the thermoneutral intervention. The change from baseline in mRNA expression of vascular endothelial growth factor (VEGF) was higher at day 1 in the thigh exposed to HT. Protein levels of VEGF and angiopoietin 1 were also significantly higher in the thigh treated with HT. The number of capillaries around type II fibers decreased similarly in both thighs at day 5. Exposure to HT had no impact on macrophage content. These results suggest that HT accelerates the recovery of fatigue resistance after eccentric exercise and promotes the expression of angiogenic factors in human skeletal muscle. NEW & NOTEWORTHY We investigated whether exposure to local heat therapy (HT) accelerates recovery after a bout of eccentric exercise in humans. Compared with a thermoneutral control intervention, HT improved fatigue resistance of the knee extensors and enhanced the expression of the angiogenic mediators vascular endothelial growth factor and angiopoietin 1. These results suggest that HT hastens functional recovery and enhances the expression of regulatory factors involved in muscle repair after eccentric exercise in humans.

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Section: Discussionmentioning

confidence: 99%

Impact of heat therapy on recovery after eccentric exercise in humans

Kim

Kuang

Song

et al. 2019

Journal of Applied Physiology

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“…In general, DOMS occurs between 24–48 hr after exercise and eventually induces a reduction in muscle function and range of motion with a concomitant increase in creatine kinase (CK) activity, thus causing psychological discomfort ( Evans et al, 1986 ; Kim and Lee, 2014 ; Serinken et al, 2013 ). Several interventions are recommended for reducing DOMS, including cold-water immersion, heat, manual therapy, vibration therapy, compression garments, and nutritional supplements ( Cochrane, 2017 ; Fonseca et al, 2016 ; Jakeman et al, 2010 ; Kim and Lee, 2014 ; Petrofsky et al, 2017 ; Urakawa et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of compression garments on delayed-onset muscle soreness and blood inflammatory markers after eccentric exercise: a randomized controlled trial

Kim¹,

Kim²,

Lee³

2017

J Exerc Rehabil

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The purpose of this study was to investigate how compression garments, applied after eccentric exercise, can affect delayed onset muscle soreness (DOMS) and inflammatory markers. Sixteen healthy male university students enrolled in this study and were randomly assigned to either the compression garment group (CG, n=8) or control group (CON, n=8). All participants performed two sets of eccentric exercise using elbow flexor with 25 repetitions per set on a modified preacher curl machine. Maximal isometric strength was measured before exercise and immediately, 24, 48, 72, and 96 hr after eccentric exercise. Muscle soreness was measured before exercise and 24, 48, 72, and 96 hr after eccentric exercise. Creatine kinase (CK) activity and tumor necrosis factor-alpha (TNF-α) levels were also measured before exercise and 3, 6, 24, and 48 hr after exercise. A repeated measures analysis of variance was used for statistical analysis. The CG group reported faster recovery of maximal isometric strength following exercise (P<0.001) and lower muscle soreness during the recovery period than the control group (P<0.05). However, there were no significant differences in either CK activity or TNF-α levels between the two groups (P>0.05). In conclusion, wearing compression garments during the postexercise period can be an effective way to reduce DOMS and accelerate the recovery of muscle function.

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“…Therefore, during the administration of heat therapy, relaxation belts in labor can maintain the vascular system components in a vasodilatation state so that blood circulation to the pelvic muscles becomes homeostatic, which can reduce anxiety and pain during labor. 18 The provision of heat therapy with a temperature of 45 ° C for 60 minutes in the T10, T11, T12, and L1 regions, will signal the hypothalamus stimulated through the spinal cord. The effector system will emit a signal in peripheral vasodilation.…”

Section: Discussionmentioning

confidence: 99%

Innovation relaxation belts to reduce labor pain itensity and increase β-endoprhine levels

Fitria

Runjati²,

Patriajati³

et al. 2020

medisians

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Background: Labor pain feels tremendous, and only 2-4% of mothers low pain during labor. Heat therapy is a non-pharmacological method. The heat therapy is still conventional, and this study uses a relaxation belt with more stable, dry heat media, and comfortable.Objective: This study aims to develop and test a relaxation belt for efforts to reduce labor pain intensity and increase β-endorphin levels in the primigravida of the active labor phase.Method: This study Research and Development (R&D). It consisted of 5 stages; stage I (literature study), stage II (product development), stage III (expert validity and phase I trials), stage IV (product revision and final product), and stage V (phase II trials).Results: The relaxation belt has been created, it has been validity experts test and field trials. The result that the relaxation belt is more effective in reducing pain and increasing β-endorphin levels than warm water compress (mean different pain labor 2.40; p<0.01; effect size 1.72 and mean different increasing β-endorphin levels 53,34; p<0.01; effect size 2.42).Conclusion: The relaxation belt is effective in reducing labor pain intensity and increasing β-endorphin levels.

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The Efficacy of Sustained Heat Treatment on Delayed-Onset Muscle Soreness

Abstract: Although cold is commonly used after heavy exercise to reduce soreness, heat applied just after exercise seems very effective in reducing soreness. Unlike cold, it increases flexibility of tissue and tissue blood flow. For joint, it is still probably better to use cold to reduce swelling.

Cited by 24 publications

References 70 publications

Impact of heat therapy on recovery after eccentric exercise in humans

Impact of heat therapy on recovery after eccentric exercise in humans

Effect of compression garments on delayed-onset muscle soreness and blood inflammatory markers after eccentric exercise: a randomized controlled trial

Innovation relaxation belts to reduce labor pain itensity and increase β-endoprhine levels

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