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动态收缩-放松拉伸对健康个体延迟性肌肉酸痛的疗效:一项随机临床试验。

The Efficacy of Dynamic Contract-Relax Stretching on Delayed-Onset Muscle Soreness Among Healthy Individuals: A Randomized Clinical Trial.

作者信息

Xie Yanfei, Feng Beibei, Chen Kedi, Andersen Lars L, Page Phil, Wang Yuling

机构信息

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, PRC China.

Department of Rehabilitation Medicine, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

出版信息

Clin J Sport Med. 2018 Jan;28(1):28-36. doi: 10.1097/JSM.0000000000000442.

Abstract

OBJECTIVE

To evaluate the efficacy of dynamic contract-relax stretching on delayed-onset muscle soreness (DOMS) in the calf muscle of healthy individuals.

DESIGN

Randomized clinical trial.

SETTING

Research laboratory.

PARTICIPANTS

Three groups of 16 healthy participants (n = 48) were recruited by convenience sampling.

INTERVENTIONS

Three sets of resisted bilateral heel-raising exercises until exhaustion were conducted to initiate DOMS. Participants were randomly allocated into control group without any interventions, dynamic contract-relax stretching (DS), or static stretching (SS) groups. Dynamic contract-relax stretching and SS groups performed DS and SS, respectively, on the dominant leg twice a day for 5 consecutive days (before time points of outcome measurements at 24, 48, 72, 96, and 120 hours postexercise, respectively).

MAIN OUTCOME MEASURES

Muscle soreness, lower leg girth, pressure pain threshold (PPT), range of motion (ROM), and muscle strength were measured before exercise, immediately after, and at 24, 48, 72, 96, and 120 hours postexercise.

RESULTS

There was a significant effect of time in all outcome measures including muscle soreness, lower leg girth, PPT, ROM, and muscle strength; however, there were no significant group differences or group by time interactions.

CONCLUSIONS

The effect of DS on relieving DOMS in the calf muscle is insignificant in this study. Further evidence is needed to prove the efficacy of DS on DOMS.

CLINICAL RELEVANCE

Stretching is commonly recommended before and after exercise; however, this study showed no significant impact of DS or SS in treating DOMS.

摘要

目的

评估动态收缩-放松拉伸对健康个体小腿肌肉延迟性肌肉酸痛(DOMS)的疗效。

设计

随机临床试验。

地点

研究实验室。

参与者

通过便利抽样招募了三组,每组16名健康参与者(n = 48)。

干预措施

进行三组双侧抗阻提踵练习直至疲劳,以引发DOMS。参与者被随机分配到无任何干预的对照组、动态收缩-放松拉伸(DS)组或静态拉伸(SS)组。DS组和SS组分别在优势腿上每天进行两次DS和SS,连续进行5天(分别在运动后24、48、72、96和120小时的结局测量时间点之前)。

主要结局指标

在运动前、运动后即刻以及运动后24、48、72、96和120小时测量肌肉酸痛、小腿围度、压力痛阈(PPT)、活动范围(ROM)和肌肉力量。

结果

在所有结局指标中,包括肌肉酸痛、小腿围度、PPT、ROM和肌肉力量,时间均有显著影响;然而,组间无显著差异,也没有组与时间的交互作用。

结论

在本研究中,DS对缓解小腿肌肉DOMS的效果不显著。需要进一步的证据来证明DS对DOMS的疗效。

临床意义

运动前后通常建议进行拉伸;然而,本研究表明DS或SS对治疗DOMS没有显著影响。

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