Institute of Biomedical Sciences Abel Salazar, University of Porto, Rua de Jorge Viterbo Ferreira No. 228, 4050-313, Porto, Portugal; Transdisciplinary Center of Consciousness Studies of Fernando Pessoa University, Porto, Portugal; Faculty of Health Sciences, Fernando Pessoa University, Rua Carlos da Maia, 296 4200-150, Porto, Portugal.
Faculty of Health Sciences, Fernando Pessoa University, Rua Carlos da Maia, 296 4200-150, Porto, Portugal; Research Centre in Physical Activity, Health and Leisure (CIAFEL), University of Porto, Rua Dr. Plácido Costa 91, 4200-450, Porto, Portugal.
J Bodyw Mov Ther. 2020 Jan;24(1):8-14. doi: 10.1016/j.jbmt.2019.03.015. Epub 2019 Apr 4.
Strenuous physical exercise may cause acute muscle soreness (AMS), which occurs directly after exercise, as well as delayed onset muscle soreness (DOMS), which occurs about 24 h after exercise. Studies of acupuncture's effect on DOMS have had contradictory results, whereas its effect on AMS has not been extensively studied. The main goal of this study was to evaluate acupuncture's effects on AMS and DOMS and on the prevention of DOMS.
45 volunteers were randomised into a verum acupuncture group, a sham acupuncture group and a control group. After exercise-induced muscle damage was elicited, muscle soreness and pressure pain threshold were assessed at different time points. The outcome assessments were performed before (T1) and 20 min after the first acupuncture treatment (T2); then, 24 h later, they were performed before (T3) and 20 min after the second acupuncture treatment (T4). In the verum and sham acupuncture groups, acupuncture was performed for 2 min, immediately after T1 and T3 assessments, whereas subjects in the control group simply rested for 2 min without treatment. Verum acupuncture was given at ST34, ST36 and LR3, whereas sham acupuncture was given at three nontraditional points.
We found that verum acupuncture can reduce the occurrence of AMS by one-half and DOMS by one-third. We also found specific and nonspecific acupuncture effects in AMS and DOMS.
The uneven induction of muscle damage identified by our study, as shown by heterogeneity in pressure pain threshold values, may have led to the contradictory results in published studies on DOMS.
剧烈的体育锻炼可能会导致急性肌肉酸痛(AMS),这种酸痛会在运动后直接发生,也会导致延迟性肌肉酸痛(DOMS),这种酸痛会在运动后约 24 小时发生。关于针刺对 DOMS 的影响的研究结果存在矛盾,而其对 AMS 的影响尚未得到广泛研究。本研究的主要目的是评估针刺对 AMS 和 DOMS 的影响,以及对 DOMS 的预防作用。
将 45 名志愿者随机分为真针刺组、假针刺组和对照组。在诱发运动性肌肉损伤后,在不同时间点评估肌肉酸痛和压痛阈。在第一次针刺治疗前(T1)和第一次针刺治疗后 20 分钟(T2)进行结果评估;然后,24 小时后,在第二次针刺治疗前(T3)和第二次针刺治疗后 20 分钟(T4)进行评估。在真针刺组和假针刺组中,在 T1 和 T3 评估后立即进行 2 分钟的针刺,而对照组的受试者则简单地休息 2 分钟而不进行治疗。真针刺组针刺 ST34、ST36 和 LR3,假针刺组针刺三个非传统穴位。
我们发现真针刺可以将 AMS 的发生减少一半,将 DOMS 减少三分之一。我们还发现了 AMS 和 DOMS 中的特异性和非特异性针刺效应。
我们的研究表明,肌肉损伤的不均匀诱导,如压痛阈值的异质性所表明的那样,可能导致了发表的关于 DOMS 的研究结果存在矛盾。