Subscribe to RSS
DOI: 10.1055/s-0033-1337944
Does Intermittent Pneumatic Leg Compression Enhance Muscle Recovery after Strenuous Eccentric Exercise?
Publication History
accepted after revision 07 February 2013
Publication Date:
19 April 2013 (online)
Abstract
Intermittent pneumatic compression (IPC) has gained rapid popularity as a post-exercise recovery modality. Despite its widespread use and anecdotal claims for enhancing muscle recovery there is no scientific evidence to support its use. 10 healthy, active males performed a strenuous bout of eccentric exercise (3 sets of 100 repetitions) followed by IPC treatment or control performed immediately after exercise and at 24 and 48 h post-exercise. Muscular performance measurements were taken prior to exercise and 24, 48 and 72 h post-exercise and included single-leg vertical jump (VJ) and peak and average isometric [knee angle 75º] (ISO), concentric (CON) and eccentric (ECC) contractions performed at slow (30° · s−1) and fast (180° · s−1) velocities. Plasma creatine kinase (CK) samples were taken at pre- and post-exercise 24, 48 and 72 h. Strenuous eccentric exercise resulted in a significant decrease in peak ISO, peak and average CON (30° · s−1) at 24 h compared to pre-exercise for both IPC and control, however VJ performance remained unchanged. There were no significant differences between conditions (IPC and control) or condition-time interactions for any of the contraction types (ISO, CON, ECC) or velocities (CON, ECC 30° · s−1 and 180° · s−1).However, CK was significantly elevated at 24 h compared to pre-exercise in both conditions (IPC and control). IPC did not attenuate muscle force loss following a bout of strenuous eccentric exercise in comparison to a control. While IPC has been used in the clinical setting to treat pathologic conditions, the parameters used to treat muscle damage following strenuous exercise in healthy participants are likely to be very different than those used to treat pathologic conditions.
-
References
- 1 Abu-Own A, Cheatle T, Scurr JH, Smith PDC. Effects of intermittent pneumatic compression of the foot on the microcirculatory function in arterial-disease. Eur J Vasc Surg 1993; 7: 488-492
- 2 Barnes M, Mündel T, Stannard S. Post-exercise alcohol ingestion exacerbates eccentric-exercise induced losses in performance. Eur J Appl Physiol 2010; 108: 1009-1014
- 3 Barnes MJ, Mündel T, Stannard SR. Acute alcohol consumption aggravates the decline in muscle performance following strenuous eccentric exercise. J Sci Med Sport 2010; 13: 189-193
- 4 Barnes MJ, Mündel T, Stannard SR. A low dose of alcohol does not impact skeletal muscle performance after exercise-induced muscle damage. Eur J Appl Physiol 2011; 111: 725-729
- 5 Barnett A. Using recovery modalities between training sessions in elite athletes – Does it help?. Sports Med 2006; 36: 781-796
- 6 Becker R, Awiszus F. Physiological alterations of maximal voluntary quadriceps activation by changes of knee joint angle. Muscle Nerve 2001; 24: 667-672
- 7 Bishop PA, Jones E, Woods AK. Recovery from training: a brief review. J Strength Cond Res 2008; 22: 1015-1024
- 8 Byrne C, Eston R. The effect of exercise-induced muscle damage on isometric and dynamic knee extensor strength and vertical jump performance. J Sports Sci 2002; 20: 417-425
- 9 Byrne C, Twist C, Eston R. Neuromuscular function after exercise-induced muscle damage – Theoretical and applied implications. Sports Med 2004; 34: 49-69
- 10 Cheung K, Hume PA, Maxwell L. Delayed onset muscle soreness – Treatment strategies and performance factors. Sports Med 2003; 33: 145-164
- 11 Clarkson PM, Sayers SP. Etiology of exercise-induced muscle damage. Can J Appl Physiol 1999; 24: 234-248
- 12 Davies V, Thompson KG, Cooper SM. The effects of compression garments on recovery. J Strength Cond Res 2009; 23: 1786-1794
- 13 Delis KT, Azizi ZA, Stevens RJG, Wolfe JHN, Nicolaides AN. Optimum intermittent pneumatic compression stimulus for lower-limb venous emptying. Eur J Vasc Endovasc Surg 2000; 19: 261-269
- 14 Delis KT, Nicolaides AN. Effect of intermittent pneumatic compression of foot and calf on walking distance, hemodynamics, and quality of life in patients with arterial claudication – A prospective randomized controlled study with 1-year follow-up. Ann Surg 2005; 241: 431-441
- 15 Duffield R, Cannon J, King M. The effects of compression garments on recovery of muscle performance following high-intensity sprint and plyometric exercise. J Sci Med Sport 2010; 13: 136-140
- 16 Eisele R, Kinzl L, Koelsch T. Rapid-inflation intermittent pneumatic compression for prevention of deep venous thrombosis. J Bone Joint Surg Am 2007; 89A: 1050-1056
- 17 Flam E, Berry S, Coyle A, Dardik H, Raab L. Blood flow augmentation of intermittent pneumatic compression systems used for the prevention of deep vein thrombosis prior to surgery. Am J Surg 1996; 171: 312-315
- 18 French DN, Thompson KG, Garland SW, Barnes CA, Portas MD, Hood PE, Wilkes G. The effects of contrast bathing and compression therapy on muscular performance. Med Sci Sports Exerc 2008; 40: 1297-1306
- 19 Froimson MJ, Murray TG, Fazekas AF. Venous thromboembolic disease reduction with a portable pneumatic compression device. J Arthroplasty 2009; 24: 310-316
- 20 Grieveson S. Intermittent pneumatic compression pump settings for the optimum reduction of oedema. J Tissue Viability 2003; 13: 98-104
- 21 Harriss DJ, Atkinson G. Update – Ethical standards in sport and exercise science research. Int J Sports Med 2011; 32: 819-821
- 22 Jacobs R, Bobbert MF, van Ingen Schenau GJ. Mechanical output from individual muscles during explosive leg extensions: The role of biarticular muscles. J Biomech 1996; 29: 513-523
- 23 Jakeman JR, Byrne C, Eston RG. Lower limb compression garment improves recovery from exercise-induced muscle damage in young, active females. Eur J Appl Physiol 2010; 109: 1137-1144
- 24 Kakkos SK, Geroulakos G, Nicolaides AN. Improvement of the walking ability in intermittent claudication due to superficial femoral artery occlusion with supervised exercise and pneumatic foot and calf compression: A randomised controlled trial. Eur J Vasc Endovasc Surg 2005; 30: 164-175
- 25 Kavros SJ, Delis KT, Turner NS, Voll AE, Liedl DA, Gloviczki P, Rooke TW. Improving limb salvage in critical ischemia with intermittent pneumatic compression: A controlled study with 18-month follow-up. J Vasc Surg 2008; 47: 543-549
- 26 Kraemer WJ, Bush JA, Wickham RB, Denegar CR, Gomez AL, Gotshalk LA, Duncan ND, Volek JS, Newton RU, Putukian M, Sebastianelli WJ. Continuous compression as an effective therapeutic intervention in treating eccentric-exercise-induced muscle soreness. J Sport Rehabil 2001; 10: 11-23
- 27 Kraemer WJ, Bush JA, Wickham RB, Denegar CR, Gomez AL, Gotshalk LA, Duncan ND, Volek JS, Putukian M, Sebastianelli WJ. Influence of compression therapy on symptoms following soft tissue injury from maximal eccentric exercise. J Orthop Sport Phys 2001; 31: 282-290
- 28 Kraemer WJ, Flanagan SD, Comstock BA, Fragala MS, Earp JE, Dunn-Lewis C, Ho JY, Thomas GA, Solomon-Hill G, Penwell ZR, Powell MD, Wolf MR, Volek JS, Denegar CR, Maresh CM. Effects of a whole body compression garment on markers of recovery after a heavy resistance workout in men and women. J Strength Cond Res 2010; 24: 804-814
- 29 MacRae BA, Cotter JD, Laing RM. Compression garments and exercise garment considerations, physiology and performance. Sports Med 2011; 41: 815-843
- 30 Montori VM, Kavros SJ, Walsh EE, Rooke TW. Intermittent compression pump for nonhealing wounds in patients with limb ischemia – The Mayo Clinic experience (1998–2000). Int Angiol 2002; 21: 360-366
- 31 Nagano A, Komura T, Yoshioka S, Fukashiro S. Contribution of non-extensor muscles of the leg to maximal-effort countermovement jumping. Biomed Eng Online 2005; 4: 1-10
- 32 Pandy MG. Computer modelling and simulation of human movement. Annu Rev Biomed Eng 2001; 245-273
- 33 Partsch H. Intermittent pneumatic compression in immobile patients. Int Wound J 2008; 5: 389-397
- 34 Ramaswami G, D’Ayala M, Hollier LH, Deutsch R, McElhinney AJ. Rapid foot and calf compression increases walking distance in patients with intermittent claudication: Results of a randomized study. J Vasc Surg 2005; 41: 794-801
- 35 Scanlan AT, Dascombe BJ, Reaburn PRJ, Osborne M. The effects of wearing lower-body compression garments during endurance cycling. Int J Sports Physiol Perform 2008; 3: 424-438
- 36 Schwenk W, Bohm B, Fugener A, Muller JM. Intermittent pneumatic sequential compression (ISC) of the lower extremities prevents venous stasis during laparoscopic cholecystectomy – A prospective randomized study. Surg Endosc 1998; 12: 7-11
- 37 Sheldon RD, Roseguini BT, Thyfault JP, Crist BD, Laughlin MH, Newcomer SC. Acute impact of intermittent pneumatic leg compression frequency on limb hemodynamics, vascular function, and skeletal muscle gene expression in humans. J Appl Physiol 2012; 112: 2099-2109
- 38 Wilcock IM, Cronin JB, Hing WA. Physiological response to water immersion – A method for sport recovery?. Sports Med 2006; 36: 747-765