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DOI: 10.1055/s-0032-1304576
Eccentric Exercise and Delayed Onset of Muscle Soreness (DOMS) – an Overview
Exzentrisches Training und Muskelkater-Syndrom – ein ÜberblickPublikationsverlauf
received: 25. August 2011
accepted: 20. Januar 2012
Publikationsdatum:
13. April 2012 (online)
Abstract
Aim:
The aim of this literature based analysis was to identify the reasons, kinetics and intervention possibilities of delayed onset of muscle soreness (DOMS).
Material and Methods:
Literature analysis via common online search engines PubMed and MedLine supported by a clinical study with multiple evaluation points (before exercise, at 12, 13, 14, 16, 20 and 24 h after exercise and subsequently in 12 h intervals up to 156 h post exercise) to investigate pain kinetics. The study investigated the effect of walking down stairs with a total altitude of 300–400 m depending on body weight on muscle pain in 48 healthy subjects. Subjects rated pain on a 10 point categorical Likert scale.
Outcome and Discussion:
DOMS is almost exclusively caused by eccentric muscle contractions. The pain starts after 6–8 h and peak between 24–48 h after the exercise and can stay up to one week. There are numerous treatment methods for DOMS such as: medical, nutritional and physical interventions. Several methods were found to alleviate DOMS and/or to reduce the inflammation parameters, unfortunately, most of them only after 24–48 h. But the results for most approaches are still controversial. Use of non-steroidal anti-inflammatory drugs might initially reduce pain but on the expense of even a delay in recovery.
Conclusion:
Many treatment options were found that reduced inflammation and pain significantly. However, none of these treatments were found consistently to support or accelerate the structural and functional muscle regeneration. Regular physical training to condition the muscles to unfamiliar eccentric exercise appears to be the best preventive approach. Additional eccentric training during rehabilitation is beneficial for patients with reduced cardio-pulmonary capacity.
Zusammenfassung
Fragestellung:
Ziel dieser Literaturstudie war es, die Ursachen, den zeitlichen Verlauf und die Interventionsmöglichkeiten des Muskelkatersyndroms herauszustellen.
Material und Methoden:
Literaturanalyse über gängige Internetsuchmaschinen Pubmed und Medline.
Ergebnisse:
Muskelkater wird fast ausschließlich durch exzentrische Muskelkontraktion ausgelöst. Die Schmerzen beginnen nach 6–8 Stunden, erreichen ihren Höhepunkt 24–48 Stunden nach der Belastung und können eine Woche andauern. Es gibt zahlreiche Erfolg versprechende Maßnahmen zur Behandlung des Muskelkaters, wie z. B. medikamentöse, ernährungsbedingte und physikalische Interventionen.
Diskussion:
Es wurden einige Methoden gefunden, die den Muskelschmerz lindern und/ oder die Entzündungsparameter reduzieren, jedoch häufig erst nach 24 bzw. 48 Stunden. Viele Interventionen blieben wirkungslos oder minderten Erfolg versprechende Maßnahmen.
Schlussfolgerung:
Es wurden viele Möglichkeiten gefunden, die die Entzündungsparameter und den Schmerz signifikant reduzierten, wobei keine Intervention die strukturelle und funktionelle Regeneration beschleunigt.
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