• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.26 no.2
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• pp.1-10
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• 2020

Background: This study aimed to investigate the effect of hold-relax and antagonist contraction (HR-AC) technique and Kinesio taping on pain changes in delayed-onset muscle soreness (DOMS) of 20's adults. Methods: Based on voluntary participation, 14 participants with induced-DOMS were randomly divided into control (non-treatment, n=7) and experiment group (HR-AC technique and kinesio taping, n=7). Measurement were used visual analogue scale (VAS), heart rate variability (HRV), and brain wave (alpha). There were 5 sets of the HR-AC technique application on the 5th day from the day of DOMS induction (rest for 30s between sets). Kinesio taping was applied to the same area after HR-AC. Results: The VAS showed significant changes according to the period and in the interaction between the period and the group (p<.01). HRV and alpha wave (Fp1) showed significant changes according to the period (p<.001). The analgesic effect was more rapid and continuous in the experimental group than in the control group. Conclusion: This study showed that the HR-AC technique and Kinesio taping are effective interventions for the management of pain and stress caused by DOMS.

• Physical Therapy Korea
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• v.7 no.1
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• pp.22-31
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• 2000

Despite research to treat delayed onset muscle soreness (DOMS), no effective treatment has been reported. The purpose of this study is to investigate the effect of a hold-relax technique and cryotherapy on DOMS. Thirty-three subjects were randomly assigned to one of three treatment groups: control, hold-relax technique, or hold-relax technique and cryotherapy. DOMS was induced in the non-dominant biceps muscle through repeated eccentric contractions. Resting elbow joint position, flexion and extension (universal goniometer), pain (Visual Analogue Scale; VAS), and WBC count (blood analysis) were measured one hour before DOMS was induced and 24, 48, and 72 hours after DOMS was induced. The data were analyzed by repeated measure of two-way ANOVA. The results of this study were summarized as follows: 1) While analysis showed no significant differences between groups in relation to a resting elbow joint position, there were significant differences over time, especially at 24, 48 hours after DOMS was induced compared with resting elbow joint position before DOMS was induced. 2) While analysis showed no significant differences between groups in relation to range of flexion, there were significant differences between range of flexion before DOMS was induced and range of flexion 72 hours after DOMS was induced. 3) There were no significant differences between groups or over time in relation to range of extension. 4) While analysis showed no significant differences between groups in relation to VAS, there were significant differences over time in different hours. 5) There were no significant differences between groups or over time in relation to WBC count. 6) There were no interactions between groups or over time in all variables. This results suggested that hold-relax technique and cryotherapy were not effective to reduce DOMS.

• Physical Therapy Korea
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• v.7 no.2
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• pp.76-87
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• 2000

Delayed onset muscle soreness (DOMS) is a common problem that can interfere with rehabilitation as well as activities of daily living. The purpose of this study was to determine the effects of both transcutaneous electrical nerve stimulation (TENS) and microcurrent electrical neuromuscular stimulation (MENS) on DOMS, Twenty-seven untrained and male volunteer subjects were randomly assigned to one of three treatment groups: 1) a group that received TENS (7 Hz), 2) MENS (60 ${\mu}A$, .3 pps) or 3) a control group that received no treatment. Subjects performed repeated eccentric exercise of the non-dominant forearm flexor muscle with submaximal intensity by the simply designed eccentric exercise devices. Treatments were applied after 24 hours and 48 hours. Subjects attended on two consecutive days for treatment and measurement of elbow flexion, extension, resting angle (universal goniometer), and pain (visual analogue scale: VAS) on a daily basis. Measurements were taken after treatment. Analysis of results were as follows; 1) There were no significant differences between TENS and MENS by one-way repeated ANOVA, 2) The t-test for pain, resting, flexion and extension angle revealed significant differences within TENS group, 3) The t-test for resting angle revealed significant differences within MENS group.

• The Journal of Korean Physical Therapy
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• v.17 no.4
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• pp.469-476
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• 2005

Purpose: The purpose of this study was to evaluate effect of kinesio taping on the delayed onset muscle soreness(DOMS). Methods Fourteen healthy subjects were randomly divided into two groups; experimental group(n=7) and control group(n=7). All subjets performed eccentric exercise of knee extensor until exhausted. After 24 hours experimental group was taped with kinesio tape to the quadriceps muscle and control group was not applied. To compare with the effectiveness of kinesio taping between two groups, I measured DOMS with pain(VAS) and temperature(DITI). The data were analyzed by Independence T-test. Results: The Experimental group was not significantly different the body temperature and pain than Control group at 24 hours after exercise without taping. The Experimental group was more decreased pain and temperature than Control group at 24 hours after exercise with taping. The Experimental group was more decreased pain than Control group at 48 hours after exercise. The Experimental group was more decreased pain and temperature than Control group at 72 hours after exercise. Conclusion: Experimental group more rapidly recovered temperature and more rapidly decreased pain after apply taping than control group.

• Physical Therapy Rehabilitation Science
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• v.7 no.4
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• pp.154-163
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• 2018

Objective: The purpose of this study was to investigate the effects of eccentric contraction training (ECT) and concentric contraction training (CCT) on the muscle thickness (MT), muscle strength (MS) and delayed onset of muscle soreness (DOMS) of the lower extremities in persons with chronic stroke. Design: Randomized controlled trial. Methods: Thirty persons with chronic stroke were randomly assigned to the ECT or the CCT group. The ECT was performed in a specially designed system of eccentric contraction of both legs and, the CCT was performed using a traditional stepper system for concentric contraction of both legs. The training was performed for 30 min/times, 3 times/wk for 6 weeks. Rehabilitation ultrasound imaging was used to measure MT of the vastus medialis/lateralis (VL), and soleus (SOL), a digital muscle tester was used to measure MS, and a visual analog scale was used to assess DOMS. Results: In the ECT group, MT was significantly improved except for SOL resting (p<0.01). In the CCT group, the MT was significantly improved except for VL contraction (p<0.05). The MS was significantly improved in both groups, especially in the ECT group (p<0.01). In the ECT group, muscle soreness was highest in the first week after training but gradually decreased, and in the CCT group, it was highest in the second week of training but gradually decreased (p<0.01). Conclusions: ECT can improve lower limb MT, MS, and DOMS of chronic stroke survivors. Therefore, it is recommended that ECT be used in the rehabilitation of persons with chronic stroke.

• Journal of Biomedical Engineering Research
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• v.40 no.2
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• pp.68-74
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• 2019

Lateral epicondylitis is caused by repeated use of the wrist, which causes inflammation and pain in the wrist extensor and tendon of the humerus. Delayed onset muscle soreness (DOMS) caused by repetitive resistance exercise affects the tendons connected in series with the muscle, leading to lateral epicondylitis. Although micro-current stimulation has been suggested as a possible treatment for tendinitis, there are insufficient studies on specific variables such as frequency. In this study, 15 healthy adult males and females developed DOMS in the wrist extensor and tendon in the humerus. The experimental group consisted of a low frequency group applying 20 Hz and a high frequency group applying 100 Hz according to the micro-current frequency. Each subject underwent an experiment for 5 days after DOMS, and the recovery rates were compared by measuring AROM, GPT, MST, PPT, and VAS. As a result, the 20 Hz group showed significant changes in AROM, MST, and VAS compared to the control group on the 4th day, and the recovery rate was also higher than that of the 100 Hz group. On the 5th day, recovery rate of 100 Hz group was higher than 20 Hz in AROM and PPT, and MST showed higher recovery rate than 20 Hz group, but there was no significant difference. These results indicate that microcurrent stimulation is effective for the treatment of delayed myalgia and tendon inflammation and that the 100 Hz group has faster recovery than the 20 Hz group.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.6
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• pp.2632-2640
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• 2012

The purpose of this study was to investigate whether medial gastrocnemius ultrasound imaging of the Delayed Onset Muscle Soreness (DOMS) has the possibilities as a measurement method. This study was conducted from April 21th 2011 to April 30th 2011. Thirty-five healthy subjects were included based on the absence of regular physical activity, and no history of recent trauma, musculoskeletal pathology, cardiovascular disease or drug intake. All subjects induced DOMS through climbing for 5 hours and we measured the visual analogue scale (VAS), creatine kinase (CK) and maximal voluntary isometric contraction (MVlC) of ankle plantar flexor prior to DOMS and at 24, 48 and 72 hours post DOMS and these measurements were compared with pennation angle of medial gastrocnemius measured by ultrasound imaging. Results of this study were as following. VAS, CK, and MVIC of ankle plantar flexor were found significant difference related measurement period (p<0.05) and pennation angle of medial gastrocnemius were found significant difference related measurement period (p<0.05). Furthermore, we confirmed that the flow of change between variables related measurment period was consistent. Through this study, we think that measuring the changes in pennation angle of medial gastrocnemius over time using ultrasound imaging will be able to be used as a new method measuring DOMS.

• Physical Therapy Korea
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• v.14 no.4
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• pp.1-6
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• 2007

This study examined the effects of hold-relax with agonist contraction (HR-AC) on the symptoms of delayed onset muscle soreness (DOMS) induced by intensive eccentric exercise of the non-dominant biceps brachii. Ten men (mean age=26.7 yrs, mean height=172.1 cm, mean weight=66.2 kg) and ten women (mean age=27.4 yrs, mean height=165.9 cm, mean weight=60.7 kg) who had not participated in a regular exercise program for the upper extremities in the previous six months were randomly assigned to one of two experimental groups: the HR-AC group, or the control group. We measured joint range of motion (ROM), maximal voluntary isometric contraction (MVIC), and muscle soreness before eccentric exercise, and 24, 48, and 72 hours after eccentric exercise. The subjects in the HR-AC group received the HR-AC technique in the non-dominant biceps brachii. The HR-AC technique was applied 24 and 48 hours after eccentric exercise. There was no significant difference between the HR-AC and the control group. However, the HR-AC group, compared to the control group, had a significant difference between the time points of the various parameters. Increased ROM (p<.05), decreased muscle soreness (p<.05), and reduced MVIC (p<.05) were found in the HR-AC group after 72 hours. Decreased ROM (p<.05) and MVIC (p<.05), and increased muscle soreness (p<.05) were observed in the control group. These findings suggest that the HR-AC technique effectively reduces muscle soreness and increases ROM 72 hours after eccentric exercise.

• Journal of Korean Medicine Rehabilitation
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• v.23 no.3
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• pp.107-116
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• 2013

Objectives The purpose of this study was to evaluate the most effective stimulating electrode in Microcurrent electrical neuromuscular stimulation (MENS) for pain relief, and to apply to the treatment of Delayed onset muscle soreness (DOMS). Methods We included 45 participants who met the inclusion criteria. DOMS of both Triceps Surae Muscles were experimentally induced through eccentric contractions. 24-hours after induction of DOMS, who scored more than 40 mm in visual analogue scale (VAS) were randomly assigned into three groups (n=44). In 15 of them, needle electrodes were inserted into BL57, BL56. In 15 of them, surface electrodes were applied on the same points and the others were treated with manual acupuncture. The effects of pain relief were assessed by visual analogue scale (VAS), mechanical pain threshold (MPT), surface electromyography (SEMG). Results In VAS, group comparison had no significant difference after all treatments had done. The difference in VAS between the time before the treatment was started (Day 2) and after all treatments were completed was greater in Acupuncture group than that of needle-electrode group. In MPT, there was no significant difference among groups. Electrical contraction decreased significantly at 2nd before-after treatment comparison in needle-electrode MENS group. But fatigue scores were not significantly different between groups. Conclusions The results suggest that the types of electrodes has no significant effect on microcurrent therapy in DOMS.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.12
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• pp.5789-5796
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• 2011

This study examined the effect of VT(Vibration Training) on the symptoms of DOMS (Delayed-Onset Muscle Soreness) before induced by eccentric exercise of the left leg triceps surae. Twenty one healthy adult men and women who had not participated in a regular exercise program for the lower extremities were assigned to one of two experimental groups: vibration training group, Control group. We measured the VAS(Visual Analogue Scale), ankle plantar flexor strength, triceps surae circumference, CK(Creatine Kinase) before and after exercise and 24, 48 and 72 hours after eccentric exercise. After inducing DOMS, VAS showed significant differences between groups at a point of time 48 hours, and showed significant differences within groups in accordance with the time of measurement(p<.05). Plantar flexor strength of groups with VT did not show significant difference between groups but, showed significant differences within groups in accordance with the time of measurement(p<.05). Triceps surae circumference of groups with VT did not show significant difference between groups but, showed significant differences within groups in accordance with the time of measurement(p<.05). CK of groups with VT did not show significant difference between groups but, showed significant differences within groups in accordance with the time of measurement(p<.05). As a result of the study, VT prior to eccentric exercise is effective to inhibit pain. So, this method can be suggested to prevent DOMS in doing an unfamiliar activites.