Zebrowska Aleksandra, Trybulski Robert, Roczniok Robert, Marcol Wieslaw
Department of Physiological and Medical Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.
Department of Medical Sciences, The Wojciech Korfanty School of Economics, Katowice, Poland.
Clin J Sport Med. 2019 Jan;29(1):49-56. doi: 10.1097/JSM.0000000000000485.
Physical methods are reported to be important for accelerating skeletal muscle regeneration, decreasing muscle soreness, and shortening of the recovery time. The aim of the study was to assess the effect of the physical methods of lymphatic drainage (PMLD) such as manual lymphatic drainage (MLD), the Bodyflow (BF) therapy, and lymphatic drainage by deep oscillation (DO) on postexercise regeneration of the forearm muscles of mixed martial arts (MMA) athletes.
Eighty MMA athletes aged 27.5 ± 6.4 years were allocated to 4 groups: MLD, the BF device, DO therapy, and the control group. Blood flow velocity in the cephalic vein was measured with the ultrasound Doppler velocity meter. Maximal strength of the forearm muscles (Fmax), muscle tissue tension, pain threshold, blood lactate concentration (LA), and activity of creatine kinase were measured in all groups at rest, after the muscle fatigue test (post-ex) and then 20 minutes, 24, and 48 hours after the application of PMLD.
The muscle fatigue test reduced Fmax in all subjects, but in the groups receiving MLD, DO, and BF significantly higher Fmax was observed at recovery compared with post-ex values. The application of MDL reduced the postexercise blood LA and postexercise muscle tension.
The lymphatic drainage methods, whether manual or using electro-stimulation and DO, improve postexercise regeneration of the forearm muscles of MMA athletes. The methods can be an important element of therapeutic management focused on optimizing training effects and reducing the risk of injuries of the combat sports athletes.
据报道，物理方法对于加速骨骼肌再生、减轻肌肉酸痛和缩短恢复时间很重要。本研究的目的是评估手动淋巴引流（MLD）、Bodyflow（BF）疗法和深部振荡淋巴引流（DO）等物理淋巴引流（PMLD）方法对综合格斗（MMA）运动员前臂肌肉运动后再生的影响。
80名年龄在27.5±6.4岁的MMA运动员被分为4组：MLD组、BF设备组、DO疗法组和对照组。用超声多普勒流速仪测量头静脉的血流速度。在休息时、肌肉疲劳试验后（运动后）以及应用PMLD后20分钟、24小时和48小时，测量所有组的前臂肌肉最大力量（Fmax）、肌肉组织张力、疼痛阈值、血乳酸浓度（LA）和肌酸激酶活性。
肌肉疲劳试验使所有受试者的Fmax降低，但与运动后值相比，接受MLD、DO和BF的组在恢复时观察到显著更高的Fmax。MLD的应用降低了运动后血LA和运动后肌肉张力。
淋巴引流方法，无论是手动的还是使用电刺激和DO的，都能改善MMA运动员前臂肌肉的运动后再生。这些方法可以成为治疗管理的一个重要要素，重点是优化训练效果和降低格斗运动运动员受伤的风险。
