College of Physical and Health Education, Guangxi Normal University, Guilin, China.
Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu, China.
Medicine (Baltimore). 2022 Oct 21;101(42):e31259. doi: 10.1097/MD.0000000000031259.
Delayed onset muscle soreness (DOMS) is caused by unaccustomed exercise, especially eccentric exercise, and is highly likely to cause skeletal muscle injury. It mainly manifests as ultrastructural changes in skeletal muscle, as well as decreased muscle strength, muscle soreness, swelling, and elevated levels of creatine kinase (CK). Vibration training (VT) has been attracting increasing attention as a new type of rehabilitation therapy. It can effectively minimize the occurrence and relieve the symptoms of DOMS, reduce muscle stiffness and soreness, and reduce serum concentrations of CK and lactate dehydrogenase (LDH). This article systematically assessed the impact of VT on the mitigation of DOMS through a meta-analysis to provide updated evidence-based information.
Electronic databases such as China Knowledge Network, VIP Electronics, PubMed, EBSCO, and Web of Science were searched to identify randomized controlled trials of VT on DOMS. Searches were performed from database creation to November 2021. The quality of the literature was assessed using the Cochrane Manual for the Systematic Review of Interventions, and meta-analyses were performed using RevMan 5.4 software.
VT intervention in DOMS was shown to effectively reduce subjective pain, improve pain tolerance, and accelerate the reduction of serum CK and LDH concentrations. Subgroup analysis of different test time periods showed that subjective pain decreased more significantly after 48 hours than after the other 2 time periods, and pain tolerance increased more significantly after 72 hours than the other 2 time periods; serum CK was significantly increased after 24 and 48 hours of intervention, but showed no significant change compared with the control group after 72 hours. Serum LDH decreased significantly after 24 hours of intervention, but there was no significant difference compared with the control group after 48 hours or 72 hours.
VT effectively reduced the subjective pain sensation after DOMS, increased the pain threshold, reduced serum LDH and CK concentrations, and accelerated muscle damage repair compared with control interventions. However, the effect of improving the range of motion of the joints is not clear and should be studied further.
number: INPLASY2021120115.
延迟性肌肉酸痛（DOMS）是由不习惯的运动引起的，尤其是离心运动，很可能导致骨骼肌损伤。它主要表现为骨骼肌的超微结构变化，以及肌力下降、肌肉酸痛、肿胀和肌酸激酶（CK）水平升高。振动训练（VT）作为一种新型康复治疗方法越来越受到关注。它可以有效地减少 DOMS 的发生和缓解症状，降低肌肉僵硬和酸痛，降低血清 CK 和乳酸脱氢酶（LDH）浓度。本文通过荟萃分析系统评估了 VT 对缓解 DOMS 的影响，为提供更新的基于证据的信息。
检索中国知网、维普电子期刊、PubMed、EBSCO 和 Web of Science 等电子数据库，以确定关于 VT 对 DOMS 的随机对照试验。检索从数据库创建到 2021 年 11 月进行。使用 Cochrane 干预系统评价手册评估文献质量，并使用 RevMan 5.4 软件进行荟萃分析。
VT 干预 DOMS 可有效减轻主观疼痛，提高疼痛耐受力，加速血清 CK 和 LDH 浓度降低。不同测试时间段的亚组分析显示，48 小时后主观疼痛降低更显著，72 小时后疼痛耐受力增加更显著；血清 CK 在 24 和 48 小时干预后显著升高，但与 72 小时后对照组相比无显著变化。血清 LDH 在 24 小时干预后显著降低，但与 48 小时或 72 小时后对照组相比无显著差异。
与对照干预相比，VT 可有效减轻 DOMS 后的主观疼痛感觉，增加疼痛阈值，降低血清 LDH 和 CK 浓度，加速肌肉损伤修复。然而，改善关节活动度的效果尚不清楚，需要进一步研究。
编号：INPLASY2021120115。
