Are active normal joint movement exercises effective on biceps brachii delayed muscle pain and related parameters?

Öz

Purpose: The aim of this study was to investigate the effects of normal range of motion (ROM) exercises on M. Biceps Brachii delayed onset muscle soreness (DOMS) and symptoms.

Methods: A total of 25 participants from Acıbadem Mehmet Ali Aydınlar University were included in the study. In the study planned for five days, the protocol was applied for creating muscle soreness on the first day to all participants. Pain, muscle strength, ROM and circumference measurements were performed on the first day before and after the protocol and on the other days before and after the treatment. All applications were performed on M. Biceps Brachii. Therefore; while muscle strength of M. Biceps Brachii and M. Triceps Brachii was evaluated, normal ROM was measured for the angle of elbow flexion and extension. Normal ROM exercises (5x10 per day/4 day) were started 24 hours after the eccentric exercise for the DOMS protocol.

Results: The mean age of the participants was 21.04±2.65 years and the mean body mass index was 22.15±3.16 kg/cm2. After the treatment; palpation, rest and movement pain reduced (p<0.01), elbow flexor and extensor muscle strength increased (p=0.002; p=0.003) and joint limitation decreased (p=0.036). It was found that normal ROM exercises did not make a difference on upper arm circumference measurements (p> 0.05).

Conclusion: The application of normal joint movement exercises on M. Biceps Brachii can be successful in reducing the DOMS and it's symptoms.

Anahtar Kelimeler

• Muscle strength
• Range of motion
• Exercise
• Myalgia

Aktif normal eklem hareketi egzersizleri biceps brachii gecikmiş kas ağrısı ve ilgili parametreleri üzerinde etkili midir?

Öz

Amaç: Bu çalışmanın amacı; normal eklem hareketi (NEH) egzersizlerinin biceps brachii gecikmiş kas ağrısı (GKA) ve semptomları üzerinde etkilerini araştırmaktı.

Yöntem: Çalışmaya, Acıbadem Mehmet Ali Aydınlar Üniversitesi kampüsünde bulunan toplam 25 katılımcı dahil edildi. Beş gün olarak planlanan çalışmada; ilk gün GKA oluşturulmak üzere belirlenen protokol tüm katılımcılara uygulandı. İlk gün protokol öncesi ve sonrası, diğer günler ise tedavi öncesi ve sonrası; ağrı, kas kuvveti, NEH ölçümü ve çevre ölçümü yapıldı. Tüm uygulamalar biceps brachii üzerinde yapıldı. Bu nedenle; biceps brachii ve triceps brachiinin kas kuvveti değerlendirilirken, NEH dirsek fleksiyon ve ekstansiyon açıları ölçülerek bakıldı. NEH egzersizleri (günde 5x10/4 gün) GKA protokolü için yapılan eksantrik egzersizden 24 saat sonra başlatıldı.

Bulgular: Katılımcıların yaş ortalamaları 21,04±2,65 yıl ve beden kütle indeks ortalamaları 22,15±3,16 kg/cm2 olarak belirlendi. Uygulanan tedavi sonrası; istirahatte, palpasyonda ve harekette oluşan ağrıda azalma (p<0,01), dirsek fleksör ve ekstansör kas kuvvetinde artma (p=0,002; p=0,003) ve ekstansiyon limitasyonunda azalma (p=0,036) olduğu görüldü. NEH egzersizlerinin, çevre ölçümü sonuçlarında bir fark oluşturmadığı saptandı (p>0,05).

Sonuç: Biceps brachii kasında eksantrik egzersiz sonrası meydana gelen GKA ve semptomlarının azaltılmasında, NEH egzersizlerinin uygulanması başarılı sonuçlar verebilmektedir.

Anahtar Kelimeler

• Kas kuvveti
• Eklem hareket açıklığı
• Egzersiz
• Myalji.

Kaynakça

1. 1. Nosaka K, Aldayel A, Jubeau M, et al. Muscle damage induced by electrical stimulation. Eur J Appl Physiol. 2011;111:2427-2437.
2. 2. Curtis D, Fallows S, Morris M, et al. The efficacy of frequency specific microcurrent therapy on delayed onset muscle soreness. J Bodyw Mov Ther. 2010;14:272-279.
3. 3. Bae S-H, Lee Y-S, Kim G-D, et al. The effects of Kinesio-taping applied to delayed onset muscle soreness on changes in pain. pathogenesis. 2014;6:457-459.
4. 4. Lewis PB, Ruby D, Bush-Joseph CA. Muscle soreness and delayed-onset muscle soreness. Clin Sports Med. 2012;31:255-262.
5. 5. 5. Al-Nakhli HH, Petrofsky JS, Laymon MS, et al. The use of thermal infra-red imaging to detect delayed onset muscle soreness. J Vis Exp. 2012;59:1-9.
6. 6. Baroni BM, Leal Junior EC, De Marchi T, et al. Low level laser therapy before eccentric exercise reduces muscle damage markers in humans. Eur J Appl Physiol. 2010;110:789-796.
7. 7. Tseng CN, Chen CCH, Wu SC, et al. Effects of a range‐of‐motion exercise programme. J Adv Nurs. 2007;57:181-191.
8. 8. Veqar Z, Kalra R. Causes and management of delayed onset muscle soreness: A review. Elixir Human Physio. 2013;55:13205-13211.

9. 9. Cheung K, Hume P, Maxwell L. Delayed onset muscle soreness : treatment strategies and performance factors. Sports Med. 2003;33:145-164.
10. 10. McCluskey B, Pascoe D. The effect of prior activity on delayed-onset muscle soreness and markers of muscle damage. Med Sci Sports Exerc. 1994;26:54.
11. 11. Law RY, Herbert RD. Warm-up reduces delayed onset muscle soreness but cool-down does not: a randomised controlled trial. Aust J Physiother. 2007;53:91-95.
12. 12. Olsen O, Sjohaug M, van Beekvelt M, et al. The effect of warm-up and cool-down exercise on delayed onset muscle soreness in the quadriceps muscle: a randomized controlled trial. J Hum Kinet. 2012;35:59-68.
13. 13. Smith LL, Brunetz MH, Chenier TC, et al. The effects of static and ballistic stretching on delayed onset muscle soreness and creatine kinase. Res Q Exerc Sport. 1993;64:103-107.
14. 14. LaRoche DP, Connolly DA. Effects of stretching on passive muscle tension and response to eccentric exercise. Am J Sports Med. 2006;34:1000-1007.
15. 15. Narin S, Demirbüken İ, Özyürek S, et al. Dominant el kavrama ve parmak kavrama kuvvetinin önkol antropometrik ölçümlerle ilişkisi. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi. 2009;23:81-85.
16. 16. Ferhat A, Çekin R, Ziyagil MA. Genç Erkeklerde El Dominansının Hedefli Yüksek Atış Performansına Etkisi. CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi. 2015;10:1-8.
17. 17. Stay JC, Richard MD, Draper DO, et al. Pulsed ultrasound fails to diminish delayed-onset muscle soreness symptoms. J Athl Train. 1998;33:341-346.
18. 18. Aytar A. Gecikmiş kas ağrısında kesikli ultrason tedavisinin etkililiği. [Yüksek Lisans]: Başkent Üniversitesi; 2006.
19. 19. Hight RE, Beck TW, Bemben DA, et al. Adaptations in antagonist co-activation: Role in the repeated-bout effect. PLoS One. 2017;12:e0189323.
20. 20. Ibarra JM, Ge H-Y, Wang C, et al. Latent myofascial trigger points are associated with an increased antagonistic muscle activity during agonist muscle contraction. The Journal of Pain. 2011;12:1282-1288.
21. 21. Testing Protocol: Elbow and Forearm [Atıf tarihi: 2015 21.12]. Erişim adresi: https://www.a3bs.com/product-manual/12-0392x_inst_ver5-04_spreads_pushpullsmall.pdf.
22. 22. Van Harlinger W, Blalock L, Merritt JL. Upper limb strength: Study providing normative data for a clinical handheld dynamometer. PM&R. 2015;7:135-140.
23. 23. Hampton S, Armstrong G, Ayyar MS, et al. Quantification of perceived exertion during isometric force production with the Borg scale in healthy individuals and patients with chronic stroke. Top Stroke Rehabil. 2014;21:33-39.
24. 24. Mayhew JL, Ball TE, Arnold MD, et al. Relative muscular endurance performance as a predictor of bench press strength in college men and women. J Strength Cond Res. 1992;6:200-206.
25. 25. Cleak MJ, Eston RG. Muscle soreness, swelling, stiffness and strength loss after intense eccentric exercise. Br J Sports Med. 1992;26:267-272.
26. 26. Lin H-H, Huang T-F, Ma H-L, et al. Body mass index and active range of motion exercise treatment after intra-articular injection in adhesive capsulitis. J Chin Med Assoc. 2013;76:225-228.
27. 27. Vincent HK, Morgan JW, Vincent KR. Obesity exacerbates oxidative stress levels after acute exercise. Med Sci Sports Exerc. 2004;36:772-779.
28. 28. Germanou EI, Chatzinikolaou A, Malliou P, et al. Oxidative stress and inflammatory responses following an acute bout of isokinetic exercise in obese women with knee osteoarthritis. Knee. 2013;20:581-590.
29. 29. Almekinders LC. Anti-inflammatory treatment of muscular injuries in sport. An update of recent studies. Sports Med. 1999;28:383-388.
30. 30. Isabell WK, Durrant E, Myrer W, et al. The effects of ice massage, ice massage with exercise, and exercise on the prevention and treatment of delayed onset muscle soreness. J Athl Train. 1992;27:208-217.
31. 31. Lau WY, Blazevich AJ, Newton MJ, et al. Assessment of muscle pain induced by elbow-flexor eccentric exercise. J Athl Train. 2015;50:1140-1148.
32. 32. Kirmizigil B, Chauchat JR, Yalciner O, et al. The Effectiveness of Kinesio taping in recovering from delayed onset muscle soreness: A crossover study. J Sport Rehabil. 2019;1:1-9.
33. 33. Chang W-D, Wu J-H, Chang N-J, et al. Effects of laser acupuncture on delayed onset muscle soreness of the biceps brachii muscle: A randomized controlled trial. Evid Based Complement Alternat Med. 2019;2019:1-10.
34. 34. Sethi V. Literature review of management of delayed onset muscle soreness (DOMS). Int J Biol Med Res. 2012;3:1469-1475.
35. 35. Torres R, Ribeiro F, Alberto Duarte J, et al. Evidence of the physiotherapeutic interventions used currently after exercise-induced muscle damage: systematic review and meta-analysis. Phys Ther Sport. 2012;13:101-114.
36. 36. Zainuddin Z, Sacco P, Newton M, et al. Light concentric exercise has a temporarily analgesic effect on delayed-onset muscle soreness, but no effect on recovery from eccentric exercise. Appl Physiol Nutr Metab. 2006;31:126-134.
37. 37. Chen TC, Nosaka K, Wu C-C. Effects of a 30-min running performed daily after downhill running on recovery of muscle function and running economy. J Sci Med Sport. 2008;11:271-279.
38. 38. Dannecker EA, Koltyn KF, Riley JL, 3rd, et al. The influence of endurance exercise on delayed onset muscle soreness. J Sports Med Phys Fitness. 2002;42:458-465.
39. 39. Donnelly AE, Clarkson PM, Maughan RJ. Exercise-induced muscle damage: effects of light exercise on damaged muscle. Eur J Appl Physiol Occup Physiol. 1992;64:350-353.
40. 40. Xie Y, Feng B, Chen K, et al. The efficacy of dynamic contract-relax stretching on delayed-onset muscle soreness among healthy ındividuals: A randomized clinical trial. Clin J Sport Med. 2018;28:28-36.