The efficacy of intermittent pneumatic compression and negative pressure therapy on muscle function, soreness and serum indices of muscle damage: a randomized controlled trial

Szczepan Wiecha, Martyna Jarocka, Paweł Wiśniowski, Maciej Cieśliński, Szymon Price, Bartłomiej Makaruk, Jadwiga Kotowska, Dorota Drabarek, Igor Cieśliński, Tomasz Sacewicz, Szczepan Wiecha, Martyna Jarocka, Paweł Wiśniowski, Maciej Cieśliński, Szymon Price, Bartłomiej Makaruk, Jadwiga Kotowska, Dorota Drabarek, Igor Cieśliński, Tomasz Sacewicz

Abstract

Background: The study aimed to assess whether intermittent pneumatic compression (IPC) and intermittent negative pressure (INP) would attenuate the muscle damaging effects of eccentric exercise.

Methods: Forty-five healthy males were recruited. Immediately post, 24 and 48 h post eccentric exercise consisting of 100 drop jumps, volunteers randomly received 30-min sessions of intermittent pneumatic compression (IPC, n = 15) or intermittent negative pressure (INP, n = 15), or sham microcurrent (PT, n = 15). Creatine kinase (CK), lactate dehydrogenase (LDH), isokinetic muscle strength, soreness and active flexion of the knee joint were measured after every therapy session.

Results: No significant intergroup differences were observed in biochemical or functional measurements. However, there was an increase in muscle soreness (P < 0.05), CK and LDH activity (P < 0.05), and a reduction in muscle strength (P < 0.05) and range of active knee flexion (P < 0.05).

Conclusions: The prescription of IPC and INP did not attenuate the reduction of markers to muscle function or pain perception up to 48 h after muscle damaging exercise. Future research should focus on the potential impact of treatment frequency and duration on muscle recovery. Trial registration The study was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR); The trial registration number: ACTRN12621001294842; date of registration: 24/09/2021.

Keywords: Compression; DOMS; Recovery; Soreness; Vacuum.

Conflict of interest statement

The authors declare they have no competing interests.

© 2021. The Author(s).

Figures

Fig. 1
Fig. 1
Design and flow of participants through the study. INP, intermittent negative pressure; IPC, intermittent pneumatic compression, PT, placebo therapy
Fig. 2
Fig. 2
Mean ± SD values of: A Quadriceps peak torque; B Hamstring to quadriceps ratio; C Range of motion; D Visual analogue scale; E Creatine kinase; F Lactate dehydrogenase, on the studied groups. Indicates a significant difference between pre-exercise and post-exercise (*P < 0.05). INP, intermittent negative pressure; IPC, intermittent pneumatic compression; PT, placebo therapy

References

    1. Cheung K, Hume PA, Maxwell L. Delayed onset muscle soreness: treatment strategies and performance factors. Sports Med. 2003;33:145–164. doi: 10.2165/00007256-200333020-00005.
    1. Fatouros I, Jamurtas A. Insights into the molecular etiology of exercise-induced inflammation: opportunities for optimizing performance. J Inflamm Res. 2016;9:175. doi: 10.2147/JIR.S114635.
    1. Dupuy O, Douzi W, Theurot D, Bosquet L, Dugué B. An evidence-based approach for choosing post-exercise recovery techniques to reduce markers of muscle damage, soreness, fatigue, and inflammation: a systematic review with meta-analysis. Front Physiol. 2018;9:403. doi: 10.3389/fphys.2018.00403.
    1. Sonkodi B, Berkes I, Koltai E. Have we looked in the wrong direction for more than 100 years? Delayed onset muscle soreness is, in fact, neural microdamage rather than muscle damage. Antioxidants. 2020;9:212. doi: 10.3390/antiox9030212.
    1. Byrne C, Twist C, Eston R. Neuromuscular function after exercise-induced muscle damage. Sport Med. 2004;34:49–69. doi: 10.2165/00007256-200434010-00005.
    1. Houle M, Daneau C, Lessard A, Mercier M-A, Descarreaux M, Abboud J. Short-term effect of delayed-onset muscle soreness on trunk proprioception during force reproduction tasks in a healthy adult population: a crossover study. Eur J Appl Physiol. 2020;120:181–190. doi: 10.1007/s00421-019-04262-y.
    1. Leite CM, da Silva Profeta VL, Chaves SF, Benine RP, Bottaro M, Ferreira-Júnior JB. Does exercise-induced muscle damage impair subsequent motor skill learning? Hum Mov Sci. 2019;67:102504. doi: 10.1016/j.humov.2019.102504.
    1. Field A, Harper LD, Chrismas BCR, Fowler PM, McCall A, Paul DJ, et al. The use of recovery strategies in professional soccer: a worldwide survey. Int J Sports Physiol Perform. 2021;1:1–12. doi: 10.1123/ijspp.2020-0799.
    1. Martin JS, Friedenreich ZD, Borges AR, Roberts MD. Acute effects of peristaltic pneumatic compression on repeated anaerobic exercise performance and blood lactate clearance. J Strength Cond Res. 2015;29:2900–2906. doi: 10.1519/JSC.0000000000000928.
    1. Yogendrakumar V, Lun R, Khan F, Salottolo K, Lacut K, Graham C, et al. Venous thromboembolism prevention in intracerebral hemorrhage: a systematic review and network meta-analysis. PLoS ONE. 2020;15:e0234957. doi: 10.1371/journal.pone.0234957.
    1. Parganlija D, Nieberg V, Sauer M, Rittweger J, Bloch W, Zange J. Lower body negative pressure enhances oxygen availability in the knee extensor muscles during intense resistive exercise in supine position. Eur J Appl Physiol. 2019;119:1289–1303. doi: 10.1007/s00421-019-04113-w.
    1. Fonda B, Sarabon N. Effects of intermittent lower-body negative pressure on recovery after exercise-induced muscle damage. Int J Sports Physiol Perform. 2015;10:581–586. doi: 10.1123/ijspp.2014-0311.
    1. Jansen van Rensburg A, Janse van Rensburg D, van Buuren H, Grant C, Fletcher L. The use of negative pressure wave treatment in athlete recovery. S Afr J Sport Med. 2017;29.
    1. Maior AS, Tannure M, Eiras F, De Sá FA. Effects of intermittent negative pressure and active recovery therapies in the post-match period in elite soccer players: a randomized, parallel arm, comparative study. Biomed Hum Kinet. 2020;12:59–68. doi: 10.2478/bhk-2020-0008.
    1. Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche PC, Devereaux PJ, et al. CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340 mar23 1:c869–c869. doi: 10.1136/bmj.c869.
    1. Crinchton N. Information point: Visual analogue scale (VAS) J Clin Nurs. 2001;10:706–706.
    1. Czaplicki A, Jarocka M, Walawski J. Isokinetic identification of knee joint torques before and after anterior cruciate ligament reconstruction. PLoS ONE. 2015;10:e0144283. doi: 10.1371/journal.pone.0144283.
    1. Toonstra J, Mattacola CG. Test-retest reliability and validity of isometric knee-flexion and -extension measurement using 3 methods of assessing muscle strength. J Sport Rehabil. 2013 doi: 10.1123/jsr.2013.TR7.
    1. Cohen J. Statistical power analysis for the behavioral sciences. 2. Mahwah: Academic Press; 2013.
    1. Noguchi K, Gel YR, Brunner E, Konietschke F. nparLD: an R software package for the nonparametric analysis of longitudinal data in factorial experiments. J Stat Softw. 2012;50:1–23. doi: 10.18637/jss.v050.i12.
    1. Baird MF, Graham SM, Baker JS, Bickerstaff GF. Creatine-kinase- and exercise-related muscle damage implications for muscle performance and recovery. J Nutr Metab. 2012;2012:960363. doi: 10.1155/2012/960363.
    1. Brancaccio P, Maffulli N, Limongelli FM. Creatine kinase monitoring in sport medicine. Br Med Bull. 2007;81–82:209–230. doi: 10.1093/bmb/ldm014.
    1. Cochrane DJ, Booker HR, Mundel T, Barnes MJ. Does intermittent pneumatic leg compression enhance muscle recovery after strenuous eccentric exercise? Int J Sports Med. 2013;34:969–974. doi: 10.1055/s-0033-1337944.
    1. Haun CT, Roberts MD, Romero MA, Osburn SC, Healy JC, Moore AN, et al. Concomitant external pneumatic compression treatment with consecutive days of high intensity interval training reduces markers of proteolysis. Eur J Appl Physiol. 2017;117:2587–2600. doi: 10.1007/s00421-017-3746-2.
    1. Tokinoya K, Ishikura K, Ra S-G, Ebina K, Miyakawa S, Ohmori H. Relationship between early-onset muscle soreness and indirect muscle damage markers and their dynamics after a full marathon. J Exerc Sci Fit. 2020;18:115–121. doi: 10.1016/j.jesf.2020.03.001.
    1. Draper SN, Kullman EL, Sparks KE, Little K, Thoman J. Effects of intermittent pneumatic compression on delayed onset muscle soreness (DOMS) in long distance runners. Int J Exerc Sci. 2020;13:75–86.
    1. Northey JM, Rattray B, Argus CK, Etxebarria N, Driller MW. Vascular occlusion and sequential compression for recovery after resistance exercise. J Strength Cond Res. 2016;30:533–539. doi: 10.1519/JSC.0000000000001080.
    1. Cranston AW, Driller MW. Investigating the use of an intermittent sequential pneumatic compression arm sleeve for recovery after upper-body exercise. J Strength Cond Res. 2020.
    1. Gulick DT, Kimura IF, Sitler M, Paolone A, Kelly JD. Various treatment techniques on signs and symptoms of delayed onset muscle soreness. J Athl Train. 1996;31:145–152.
    1. Nosaka K, Clarkson PM. Variability in serum creatine kinase response after eccentric exercise of the elbow flexors. Int J Sports Med. 1996;17:120–127. doi: 10.1055/s-2007-972819.
    1. Winke M, Williamson S. Comparison of a pneumatic compression device to a compression garment during recovery from DOMS. Int J Exerc Sci. 2018;11:375–383.
    1. Chleboun GS, Howell JN, Baker HL, Ballard TN, Graham JL, Hallman HL, et al. Intermittent pneumatic compression effect on eccentric exercise-induced swelling, stiffness, and strength loss. Arch Phys Med Rehabil. 1995;76:744–749. doi: 10.1016/S0003-9993(95)80529-X.

Source: PubMed

Szponzorok és közreműködők

Egészségi állapot

Kábítószer-beavatkozások

3
Iratkozz fel