Does Application Time Influence the Effect of Massage on Pain and Performance?

Does Application Time Influence the Effect of Massage on Pain and Performance? A Crossover Randomized Controlled Tria

Introduction: The massage technique is widely used for post-exercise recovery, however, there is still a gap regarding the ideal dosage in relation to the duration of its application. Objective: To analyze the influence of massage when applied at different times on the dominant (DOM) and non dominant (ÑDOM) quadriceps muscles and clinical variables. Methods: Study carried out with 11 men aged 21.5(2.1) years, in a two-week crossover design. Participants performed a jumping protocol followed by manual massage for 5 (G1) or 10 (G2) minutes. Assessments included strength testing, pain scale (VAS), perception of recovery and vital sign measurements up to one hour post-massage. Analysis onducted in SPSS, ANOVA was performed (with Bonferroni test, when necessary), providing effect sizes (p<0.05).

Study Overview

• Status: Completed
• Conditions: Health, Subjective
• Intervention / Treatment: Other: Massage

Detailed Description

The massage technique is widely used for post-exercise recovery, however, there is still a gap regarding the ideal dosage in relation to the duration of its application. The objective was to analyze the influence of massage when applied at different times with the participation of 11 men, in a two-week crossover design. Participants performed a jumping protocol followed by manual massage for 5 (G1) or 10 (G2) minutes. Assessments included strength testing, pain scale (VAS), perception of recovery and vital sign measurements up to one hour post-massage.

• Study Type: Interventional
• Enrollment (Actual): 11
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Brazil
  • PR - Paraná
    • Jacarezinho, PR - Paraná, Brazil, 86400-000
      • UNorteParana

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

IInclusion Criteria:

• Students
• Mens
• Aged 18 to 35 years
• Healthy (self-report) regularly enrolled in the Physiotherapy course at the Northern Paraná State University (UENP), from the 1st to the 5th year
• Who have not undergone
• Surgery in the last spine and lower limbs and were instructed not to perform any physical activity in the last 24 hours before the test.

Exclusion Criteria:

• People who are not enrolled in the Physiotherapy course at the State University of Northern Paraná
• Are not in good health
• Have undergone surgery on the lower limbs within a period of 12 months
• Have practiced physical activity in the last 24 hours

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 5 minutes massage group; The anatomical location chosen for applying the massage was the anterior part of the thigh (muscular quadriceps femoris), due to the effort required by the stress protocol. The participant was placed in the supine position and the massage was performed on the dominant limb (DOM) and the non-dominant limb (ÑDOM). The techniques used were: superficial and deep sliding, which is presented in two intensities, moderate or intense, with gradual increase. Intensity grading was controlled through participant self-reports. The massage was performed in the direction of the muscle fibers, from distal to proximal and following the lymphatic flow. The massage had the following rhythm: 1 second of sliding and 1 second to return the hand to the initial position, totaling 2 seconds of sliding. The rhythm of the massage was controlled by an electronic metronome that was used only by the therapists during the technique.	Other: Massage; Massage was applied in the both quads during 5 or 10 minutes, with differents pressures.
Experimental: 10 minutes massage group; The anatomical location chosen for applying the massage was the anterior part of the thigh (muscular quadriceps femoris), due to the effort required by the stress protocol. The participant was placed in the supine position and the massage was performed on the dominant limb (DOM) and the non-dominant limb (ÑDOM). The techniques used were: superficial and deep sliding, which is presented in two intensities, moderate or intense, with gradual increase. Intensity grading was controlled through participant self-reports. The massage was performed in the direction of the muscle fibers, from distal to proximal and following the lymphatic flow. The massage had the following rhythm: 1 second of sliding and 1 second to return the hand to the initial position, totaling 2 seconds of sliding. The rhythm of the massage was controlled by an electronic metronome that was used only by the therapists during the technique.	Other: Massage; Massage was applied in the both quads during 5 or 10 minutes, with differents pressures.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Muscle Strenght.	Isokinetic Device.	Pre stress protocol and 40 minutes post stress protocol.

Collaborators and Investigators

• Sponsor: Universidade Estadual do Norte do Parana
• Investigators: Study Director: Jessica Micheletti, UNorteParana

Study record dates

Study Major Dates

• Study Start (Actual): October 23, 2023
• Primary Completion (Actual): October 31, 2023
• Study Completion (Actual): November 25, 2023

Study Registration Dates

• First Submitted: February 20, 2024
• First Submitted That Met QC Criteria: July 30, 2024
• First Posted (Estimated): August 5, 2024

Study Record Updates

• Last Update Posted (Estimated): August 5, 2024
• Last Update Submitted That Met QC Criteria: July 30, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Keywords: Muscle Strength; Massage; Recovery of Function
• Other Study ID Numbers: UNorteParana

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No