Optimizar la recuperación: ¿cómo el estiramiento PNF y el masaje con hielo alivian los marcadores de DOMS? (Optimizing recovery: how PNF stretching and ice massage alleviate markers of DOMS?)
DOI:
https://doi.org/10.47197/retos.v58.107992Palabras clave:
PNF Stretching, Ice massage, DOMS, Creatine KinaseResumen
El dolor muscular de aparición retardada (DOMS) es un problema común tanto para individuos entrenados como no entrenados que se desarrolla después de un ejercicio excéntrico o desacostumbrado. El gran número de casos de DOMS y los resultados variables de la investigación relacionada con la prevención y el tratamiento de DOMS, implican la importancia de la investigación en la prevención eficaz de DOMS. El objetivo de esta investigación fue investigar los efectos post-ejercicio de la combinación de estiramientos de Facilitación Neuromuscular Propioceptiva (FNP) y masaje con hielo sobre los marcadores de daño muscular inducido por el ejercicio (DOMS). Treinta y nueve sujetos de entre 15 y 17 años fueron asignados aleatoriamente a los grupos experimental o de control. Los sujetos realizaron un entrenamiento en circuito con DOMS inducido por el ejercicio. El grupo experimental se sometió a 18 minutos de estiramientos PNF y 16 minutos de masaje con hielo, que se administró 2 horas después del ejercicio. El grupo de control no recibió ningún tratamiento. Se evaluaron los parámetros del DOMS (dolor muscular, creatina quinasa/CK, aspartato aminotransferasa/AST, neutrófilos) y la escala funcional de las extremidades inferiores (LEFS) a las 0 y 24 horas después del DOMS inducido por el ejercicio. En el análisis de los datos se utilizaron diferentes pruebas paramétricas y no paramétricas. Los grupos experimentales mostraron una reducción de los síntomas DOMS en forma de menos dolor muscular y AST, mejor LEFS en comparación con los grupos de control (p <0,05), pero no para la creatina quinasa y neutrófilos (p>0. 05), que es un indicador de daño tisular. En conclusión, la combinación de estiramientos PNF postejercicio y masaje con hielo fue eficaz para reducir la gravedad de las DOMS, pero no fue capaz de prevenirlas.
Palabras clave: Estiramientos PNF, Masaje Con Hielo, DOMS, Creatina Quinasa, Recuperación Muscular, Daño Muscular Inducido Por El Ejercicio
Abstract. Delayed onset muscle soreness (DOMS) is a common problem for both trained or untrained individuals that develop after eccentric or unaccustomed exercise. The large number of cases of DOMS and the varying results of research related to the prevention and treatment of DOMS, imply the importance of research in the effective DOMS prevention. The aim of this research was to investigate the post-exercise effects of combination Proprioceptive Neuromuscular Facilitation (PNF) stretching and ice massage on markers of exercise-induced muscle damage (DOMS). Thirty-nine subjects between the ages of 15 to 17 were randomly assigned to either the experimental or control groups. Subjects performed circuit training exercise-induced DOMS. The experimental group underwent 18 minutes of PNF stretching and 16 minutes of ice massage, which was given 2 hours after exercise. The control group did not receive any treatment. DOMS parameters (muscle soreness, creatine kinase/CK, aspartate aminotransferase/AST, neutrophil) and lower extremity functional scale (LEFS) were assessed at 0 and 24 hours after exercise-induced DOMS. The parametric and non-parametric different tests was used in data analysis. The experimental groups showed a reduction in DOMS symptoms in the form of less muscle soreness and AST, better LEFS compared to control groups (p<0.05), but not for creatine kinase and neutrophils (p>0.05) which is an indicator of tissue damage. In conclusion, the combination of postexercise PNF stretching and ice massage was effective in reducing the severity of DOMS, but it was not able to prevent DOMS.
Keywords: PNF Stretching, Ice Massage, DOMS, Creatine Kinase, Muscle Recovery, Exercise-induced Muscle Damage
Citas
Agrawal, A., Suryakumar, G., & Rathor, R. (2018). Role of defective Ca2+ signaling in skeletal muscle weakness: Pharmacological implications. Journal of Cell Communication and Signaling, 12(4), 645–659. https://doi.org/10.1007/s12079-018-0477-z
Anbarian, M., & Tanaka, C. (2011). The Effects of a Combination Treatment (PNF Stretching"Pre-exercise", Ice Massage Plus Static Stretching-30s" Post-exercise) on Markers of Exercise-Induced Muscle Damage. Australian Journal of Basic and Applied Sciences, 5(12), 333–345. https://api.semanticscholar.org/CorpusID:26560289
Baird, M. F., Graham, S. M., Baker, J. S., & Bickerstaff, G. F. (2012). Creatine-kinase- and exercise-related muscle damage implications for muscle performance and recovery. In Journal of Nutrition and Metabolism. https://doi.org/10.1155/2012/960363
Baxter, C., Mc Naughton, L. R., Sparks, A., Norton, L., & Bentley, D. (2017). Impact of stretching on the performance and injury risk of long-distance runners. Research in Sports Medicine, 25(1), 78–90. https://doi.org/10.1080/15438627.2016.1258640
Bonilla, D. A., Pérez-Idárraga, A., Odriozola-Martínez, A., & Kreider, R. B. (2021). The 4r’s framework of nutritional strategies for post-exercise recovery: A review with emphasis on new generation of carbohydrates. International Journal of Environmental Research and Public Health, 8(1), 103. https://doi.org/10.3390/ijerph18010103
Cheung, K., Hume, P. A., & Maxwell, L. (2003). Delayed onset muscle soreness: Treatment strategies and performance factors. Sports Medicine, 33(2), 145–164. https://doi.org/10.2165/00007256-200333020-00005
Costello, J. T., Baker, P. R. A., Minett, G. M., Bieuzen, F., Stewart, I. B., & Bleakley, C. (2015). Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults. In Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010789.pub2
Costello, J. T., Baker, P. R., Minett, G. M., Bieuzen, F., Stewart, I. B., & Bleakley, C. (2016). Cochrane review: Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults. Journal of Evidence-Based Medicine. https://doi.org/10.1111/jebm.12187
Day, M., & Ploen, E. (2010). The Effectiveness of Cryotherapy in the Treatment of Exercise- Induced Muscle Soreness. Journal of Undergraduate Research XIII.
Dewantara, J., Yuniana, R., Graha, A. S., Sastaman B, P., Kushartanti, B. M. W., Nasrulloh, A., Septianto, I., Suryadi, D., Ardian, R., Widodo, A., Ridwan, A., & Haidar, M. D. (2024). What is the effectiveness of the combination of massage therapy and heat therapy on joint range of motion? Experimental study in patients with shoulder pain. Retos, 57(SE-Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas), 147–152. https://doi.org/10.47197/retos.v57.104224
Gadde, S., Even-Or, O., Kamaly, N., Hasija, A., Gagnon, P. G., Adusumilli, K. H., Erakovic, A., Pal, A. K., Zhang, X. Q., Kolishetti, N., Shi, J., Fisher, E. A., & Farokhzad, O. C. (2014). Development of therapeutic polymeric nanoparticles for the resolution of inflammation. Advanced Healthcare Materials. https://doi.org/10.1002/adhm.201300688
Haidar, M. D., Dewantara, J., Eken, Ö., Stojanović, S., & Agustina, D. (2024). Proprioceptive neuromuscular facilitation (PNF) stretching in futsal sport: How does it affect recovery pulse rate after high intensity interval training? Tanjungpura Journal of Coaching Research, 2(1), 23–30. https://doi.org/10.26418/tajor.v2i1.77617
Herbert, R. D., de Noronha, M., & Kamper, S. J. (2011). Stretching to prevent or reduce muscle soreness after exercise. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd004577.pub3
Jalalvand, A., Anbarian, M., & Khorjahani, A. (2012). The effects of a combination treatment (pre-exercise vitamin C & PNF stretching, post-exercise ultrasound treatment) on markers of exercise-induced muscle damage. Revista Brasileira de Medicina Do Esporte, 18(5), 322–329. https://doi.org/10.1590/S1517-86922012000500008
Kano, Y., Sonobe, T., Inagaki, T., Sudo, M., & Poole, D. C. (2012). Mechanisms of exercise-induced muscle damage and fatigue: Intracellular calcium accumulation. The Journal of Physical Fitness and Sports Medicine, 1(3), 505–512. https://doi.org/10.7600/jpfsm.1.505
Krityakiarana, W., Budworn, J., Khajohnanan, C., Suramas, N., & Puritasang, W. (2014). Effects of ice bag, dynamic stretching and combined treatments on the prevention and treatment of delayed onset muscle soreness. International Journal of Physiotherapy and Research, 2(6), 799–805. https://doi.org/10.16965/ijpr.2014.696
Liza, Bafirman, Masrun, Arief, I., Ishak, M., Khodari, R., Suganda, M. A., Suryadi, D., & Alimuddin. (2023). Does Combining Deep Tissue Massage and Stretching Help with the Healing of Low Back Pain Injuries? International Journal of Human Movement and Sports Sciences, 11(5), 994–1001. https://doi.org/10.13189/saj.2023.110507
Liza, Bafirman, Masrun, Samodra, Y. T. J., Suganda, M. A., Rifki, M. S., Suryadi, D., Okilanda, A., Purwanto, D. D., & Haïdara, Y. (2024). Can the combination of deep tissue massage and stretching influence the recovery process of lower back pain injuries? SPORT TK-Revista EuroAmericana de Ciencias Del Deporte, 13(SE-), 33. https://doi.org/10.6018/sportk.570621
Liza, Bafirman, Masrun, Suganda, M. A., Rubiyatno, Suryadi, D., Rifki, M. S., Purwanto, D. D., Ramli, Haïdara, Y., Samodra, Y. T. J., Hasan, B., & Fallo, I. S. (2024). Combination of deep tissue massage and stretching: Does it affect the healing of low back pain injuries? Fizjoterapia Polska, 24(2), 70–76. https://doi.org/10.56984/8ZG5608CA7
Mahesvi, H., Sukarmin, Y., Suhartini, B., & Graha, A. S. (2023). Effectiveness of massage therapy injury sports methods ali satia graha: experimental study against chronic ankle. Tanjungpura Journal of Coaching Research, 1(2), 56–62. https://doi.org/10.26418/tajor.v1i2.65216
McGRATH, R. P., Whitehead, J. R., & Caine, D. J. (2014). The Effects of Proprioceptive Neuromuscular Facilitation Stretching on Post-Exercise Delayed Onset Muscle Soreness in Young Adults. International Journal of Exercise Science, 7(1), 14–21.
Mukund, K., & Subramaniam, S. (2020). Skeletal muscle: A review of molecular structure and function, in health and disease. In Wiley Interdisciplinary Reviews: Systems Biology and Medicine (p. 1(2).e1462). https://doi.org/10.1002/wsbm.1462
Rizqi, F., & Ambardini, R. (2019). The Effectiveness of Combination PNF Stretching and Cryotherapy in The Prevention DOMS at the Lower Extremity. Advances in Social Science, Education and Humanities Research (ASSEHR), 330(6th International Conference on Educational Research and Innovation (ICERI 2018)), 430–433. https://doi.org/10.2991/iceri-18.2019.90
Smith, L. L. (1991). Acute inflammation: The underlying mechanism in delayed onset muscle soreness? Medicine and Science in Sports and Exercise.
Sonkodi, B. (2021). Delayed onset muscle soreness (Doms): The repeated bout effect and chemotherapy-induced axonopathy may help explain the dying-back mechanism in amyotrophic lateral sclerosis and other neurodegenerative diseases. Brain Sciences. https://doi.org/10.3390/brainsci11010108
Stožer, A., Vodopivc, P., & Bombek, L. K. (2020). Pathophysiology of exercise-induced muscle damage and its structural, functional, metabolic, and clinical consequences. Physiological Research, 69(4), 565–598. https://doi.org/10.33549/physiolres.934371
Su, Y., Gao, J., Kaur, P., & Wang, Z. (2020). Neutrophils and macrophages as targets for development of nanotherapeutics in inflammatory diseases. Pharmaceutics, 12(12), 1222. https://doi.org/10.3390/pharmaceutics12121222
Sumantri, R. J., Soegiyanto, Rumini, Setyawati, H., Suryadi, D., & Suganda, M. A. (2023). PNF stretching and static stretching exercises: Efforts to increase the flexibility of the hamstring muscles in futsal players. Fizjoterapia Polska, 23(2), 96–103. https://doi.org/10.56984/8ZG0DF55B
Supriyanto, A., Suherman, W. S., Kriswanto, E. S., Prasetyo, Y., Ambardini, R. L., Kushartanti, W., Wanodyana, W. B., Elumalai, G., Hidayah, T., Akhiruyanto, A., Yudhistira, D., & Virama, L. O. A. (2023). The Combination of Proprioceptive Neuromuscular Facilitation and Ice Massage: Does it Prevent Delayed Onset Muscle Soreness? International Journal of Human Movement and Sports Sciences, 11(5), 974–984. https://doi.org/10.13189/saj.2023.110505
Suryadi, D., Komaini, A., Suganda, M. A., Rubiyatno, R., Faridah, E., Fauzan, L. A., Fauziah, E., Putra, M. E., & Ayubi, N. (2024). Sports Health in Older Age: Prevalence and Risk Factors - Systematic Review. Retos, 53, 390–399. https://doi.org/10.47197/retos.v53.102654
Suryadi, D., Nasrulloh, A., Haryanto, J., Samodra, Y. T. J., Wati, I. D. P., Suganda, M. A., Nugroho, S., Dafun Jr, P. B., Kushartanti, B. M. W., & Fauziah, E. (2024). What are physical exercise interventions in older age? Literature review for physical and cognitive function. Pedagogy of Physical Culture and Sports, 28(3 SE-Articles), 201–212. https://sportpedagogy.org.ua/index.php/ppcs/article/view/2657
Suryadi, D., Susanto, N., Faridah, E., Wahidi, R., Samodra, Y. T. J., Nasrulloh, A., Suganda, M. A., Wati, I. D. P., Sinulingga, A., Arovah, N. I., & Dewantara, J. (2024). Exercise for health in old age: Comprehensive review examining the benefits and efficacy of interven-tions. Retos, 55(SE-Revisiones teóricas, sistemáticas y/o metaanálisis), 88–98. https://doi.org/10.47197/retos.v55.103771
Wilgus, T. A., Roy, S., & McDaniel, J. C. (2013). Neutrophils and Wound Repair: Positive Actions and Negative Reactions. Advances in Wound Care, 2(7), 379–388. https://doi.org/10.1089/wound.2012.0383
Wilke, J., & Behringer, M. (2021). Is “delayed onset muscle soreness” a false friend? The potential implication of the fascial connective tissue in post‐exercise discomfort. International Journal of Molecular Sciences, 22(17), 9482. https://doi.org/10.3390/ijms22179482
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Retos
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los autores que publican en esta revista están de acuerdo con los siguientes términos:
- Los autores conservan los derechos de autor y garantizan a la revista el derecho de ser la primera publicación de su obra, el cuál estará simultáneamente sujeto a la licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores pueden establecer por separado acuerdos adicionales para la distribución no exclusiva de la versión de la obra publicada en la revista (por ejemplo, situarlo en un repositorio institucional o publicarlo en un libro), con un reconocimiento de su publicación inicial en esta revista.
- Se permite y se anima a los autores a difundir sus trabajos electrónicamente (por ejemplo, en repositorios institucionales o en su propio sitio web) antes y durante el proceso de envío, ya que puede dar lugar a intercambios productivos, así como a una citación más temprana y mayor de los trabajos publicados (Véase The Effect of Open Access) (en inglés).
Esta revista sigue la "open access policy" de BOAI (1), apoyando los derechos de los usuarios a "leer, descargar, copiar, distribuir, imprimir, buscar o enlazar los textos completos de los artículos".
(1) http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess