Tiidus P M, Shoemaker J K
Department of Physical Education, Wilfrid Laurier University, Waterloo, ON, Canada.
Int J Sports Med. 1995 Oct;16(7):478-83. doi: 10.1055/s-2007-973041.
Manual massage is commonly assumed to enhance long term muscle recovery from intense exercise, partly due to its ability to speed healing via enhanced muscle blood flow. We tested these assumptions by daily (for four days) massaging the quadriceps muscles of one leg on subjects who had previously completed an intense bout of eccentric quadriceps work with both legs. Immediate post-exercise isometric and dynamic quadriceps peak torque measures had declined to approximately 60-70% of pre-exercise values in both legs. Peak torques for both the massage and control leg tended to slowly return toward pre-exercise values through the subsequent four days (96 hrs). There was no significant difference between the isometric and dynamic peak torques between massage and control legs up to 96 hours post-exercise. Leg blood flow was estimated by determining femoral artery and vein mean blood velocities via pulsed Doppler ultrasound velocimetry. Massage of the quadriceps muscles did not significantly elevate arterial or venous mean blood velocity above resting levels, while light quadriceps muscle contractions did. The perceived level of delayed onset muscle soreness tended to be reduced in the massaged leg 48-96 hours post-exercise. It was concluded that massage was not an effective treatment modality for enhancing long term restoration of post-exercise muscle strength and its use for this purpose in athletic settings should be questioned.
人们普遍认为，手动按摩有助于强化剧烈运动后肌肉的长期恢复，部分原因在于它能够通过促进肌肉血液循环来加速愈合。我们通过对之前双腿都进行过剧烈股四头肌离心运动的受试者，每天（持续四天）对其一条腿的股四头肌进行按摩，来验证这些假设。运动后即刻，双腿的等长和动态股四头肌峰值扭矩测量值均下降至运动前值的约60%-70%。在随后的四天（96小时）内，按摩腿和对照腿的峰值扭矩均倾向于缓慢恢复至运动前水平。运动后96小时内，按摩腿和对照腿的等长和动态峰值扭矩之间没有显著差异。通过脉冲多普勒超声测速法测定股动脉和静脉的平均血流速度来估计腿部血流量。股四头肌按摩并未使动脉或静脉平均血流速度显著高于静息水平，而轻度股四头肌收缩则会。运动后48-96小时，接受按摩的腿部延迟性肌肉酸痛的感知程度往往会降低。研究得出结论，按摩并非增强运动后肌肉力量长期恢复的有效治疗方式，在运动环境中为此目的使用按摩疗法值得质疑。
