Exercise as good as massage for sore muscles

The aches and pains people suffer after working out more than usual can be relieved just as well by exercise as by massage, according to a new study.

“It’s a common belief that massage is better, but it isn’t better. Massage and exercise had the same benefits,” said Lars Andersen, the lead author of the study and a professor at the National Research Center for the Working Environment in Copenhagen.

Earlier research has shown that massage can offer some relief from work out soreness.

To see how well light exercise compares, Andersen and his colleagues asked 20 women to do a shoulder exercise while hooked up to a resistance machine.

The women shrugged their shoulders while the machine applied resistance, which engaged the trapezius muscle between the neck and shoulders.

Two days later, the women came back to the lab with aching trapezius muscles. On average they rated their achiness as a five on a 10 point scale, up from 0.8 before they had done the shoulder work out.

Then the women received a 10-minute massage on one shoulder and did a 10-minute exercise on the other shoulder. Some women got the massage first, while others did the exercise first.

The exercise again involved shoulder shrugs; this time the women gripped an elastic tube held down by their foot to give some resistance. (Hygenic Corporation, which makes the tubing used in the study, supported the study.)

Andersen’s group found that, compared to the shoulder that wasn’t getting any attention, massage and exercise each helped diminish muscle soreness.

The effect peaked 10 minutes after each treatment, with women reporting a reduction in their pain of 0.8 points after the warm up exercise and 0.7 points after the massage.

“It’s a moderate change,” said Andersen, whose study appeared in the Journal of Strength and Conditioning Research.

He said he expects that athletes would notice a difference in having their soreness reduced by this amount.

“I think that for athletes…by reducing soreness then they’re able to perform better, but we didn’t measure this. But if you are sore your movements are very stiff and it’s difficult to perform,” he said.

Andersen said he’d like to see future studies track whether warming up the muscles to relieve soreness does indeed impact how well athletes perform.

The study suggests that “maybe (massage or exercise) has some benefit for individuals prior to an activity, even though the benefit may be short-lasting,” said Jason Brumitt, of the School of Physical Therapy at Pacific University, who was not involved in the research.

It’s not clear how massage or exercise would relieve soreness, but Brumitt said that it’s thought that they help to clear out metabolic byproducts associated with tissue damage.

Andersen recommends that people try light exercise to ease their pain. The effect is moderate, and only offers temporary relief, but the benefit of using exercise, Andersen said, is that it doesn’t require a trained therapist or travel time.

“If people go out and exercise and get sore they can find some relief in just warming up the muscles,” he said.

SOURCE: Journal of Strength and Conditioning Research, online March 21, 2013

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Acute effects of massage or active exercise in relieving muscle soreness: Randomized controlled trial Massage is commonly believed to be the best modality for relieving muscle soreness. However, actively warming up the muscles with exercise may be an effective alternative. The purpose of this study was to compare the acute effect of massage with active exercise for relieving muscle soreness. Twenty healthy female volunteers (mean age 32 years) participated in this examiner-blind randomized controlled trial ( ClinicalTrials.gov NCT01478451). Participants performed eccentric contractions for the upper trapezius muscle on a Biodex dynamometer. Delayed onset muscle soreness (DOMS) presented 48 hours (h) later, at which participants 1) received ten minutes (min) of massage of the trapezius muscle or 2) performed ten min of active exercise (shoulder shrugs 10 x 10 reps) with increasing elastic resistance (Thera-Band). First, one treatment was randomly applied to one shoulder while the contralateral shoulder served as passive control. Two hours later the contralateral resting shoulder received the other treatment. Participants rated intensity of soreness (scale 0-10) and a blinded examiner took measures of pressure pain threshold (PPT) of the upper trapezius immediately before treatment and 0, 10, 20 and 60 min after treatment 48 h post eccentric exercise. Immediately prior to treatment intensity of soreness was 5.0 (SD 2.2) and PPT was 138 (SD 78) kPa. In response to treatment, a significant treatment by time interaction was found for intensity of soreness (P<0.001) and PPT (P<0.05). Compared with control, both active exercise and massage significantly reduced intensity of soreness and increased PPT (i.e. reduced pain sensitivity). For both types of treatment the greatest effect on perceived soreness occurred immediately after treatment, while the effect on PPT peaked 20 min after treatment. In conclusion, active exercise using elastic resistance provides similar acute relief of muscle soreness as compared with massage. Coaches, therapists and athletes can use either active warm-up or massage to reduce DOMS acutely, e.g. before competition or strenuous work, but should be aware that the effect is temporary, i.e. the greatest effects occurs during the first 20 min after treatment and diminishes within an hour. ### Andersen, Lars L. PhD; Jay, Kenneth MSc; Andersen, Christoffer H. PhD; Jakobsen, Markus D. MSc; Sundstrup, Emil MSc; Topp, Robert RN, PhD; Behm, David G. PhD

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