ORIGINAL RESEARCH article
Front. Physiol.
Sec. Exercise Physiology
Volume 16 - 2025 | doi: 10.3389/fphys.2025.1622377
The Impact of Various Post-Exercise Interventions on the Relief of Delayed-Onset Muscle Soreness: A Randomized Controlled
Provisionally accepted
- Shenyang Sport University, Shenyang, China
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Objective: This study aimed to compare the effectiveness of various recovery interventions in alleviating delayed-onset muscle soreness (DOMS), focusing on the comparative effects of vibration therapy, functional electrical stimulation (FES), static stretching, massage therapy, and cold-water immersion (CWI).This randomized controlled trial (RCT) was conducted at the university's physical training center from September 2024 to October. A total of 30 healthy male university students were recruited and randomly assigned to six groups, with five participants in each group. Healthy students were recruited via public announcements and randomly assigned to six groups: massage therapy (Group A), CMI(Group B), vibration therapy (Group C), static stretching (Group D), FES (Group E), and control (Group F). After DOMS was induced in the quadriceps, participants received the designated recovery interventions. Assessments were conducted at baseline, immediately post-exercise, and at 24, 48, and 72 hours, including tensiomyography (TMG), pressure pain threshold (PPT), knee joint range of motion (ROM), isokinetic strength (ISOK), and biochemical markers (CK, Ca²⁺, IL-6). Results: Thirty participants completed the study. Group C demonstrated the greatest improvement in contraction time (Tc) at 72 hours (p < 0.05) and the most significant reduction in IL-6 levels (p < 0.01). Group E significantly enhanced peak concentric power recovery from 24 to 72 hours (p < 0.001) and ranked second to Group B in early-phase IL-6 regulation (p < 0.05). Group D demonstrated a significant main effect on ROM recovery (F = 3.41, p < 0.05), while Group A most effectively reduced CK levels and stabilized Ca²⁺ homeostasis (p < 0.05). All variables showed significant main effects of time (Tc: η² = 0.760; Dm: η² = 0.824; IL-6: η² = 0.854), with interaction effects noted for Dm (η² = 0.360) and peak concentric power (η² = 0.336). Conclusion: Vibration therapy effectively enhanced muscle responsiveness by reducing Tc. Massage therapy was most effective in reducing IL-6, CK, and Ca²⁺ levels, alleviating muscle stiffness and soreness, and facilitating tissue repair. FES significantly increased PPT and muscle strength, mitigating DOMS-related pain and functional decline. Static stretching offered notable benefits in enhancing joint ROM, whereas CMI effectively suppressed early inflammatory responses.
Keywords: DOMS, Recovery strategies, Vibration therapy, Exercise physiology, CMI
Received: 03 May 2025; Accepted: 23 Jul 2025.
Copyright: © 2025 Wei, Liu and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ming Wei, Shenyang Sport University, Shenyang, China
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