Warm-up reduces delayed-onset muscle soreness but cool-down does not: a randomised controlled trial
Roberta YW Law and Robert D Herbert
The University of Sydney, Australia
Question: Does warm-up or cool-down (also called warm-down) reduce delayed-onset muscle soreness?The University of Sydney, Australia
Design: Randomised controlled trial of factorial design with concealed allocation and intention-to-treat analysis. Participants: Fifty-two healthy adults (23 men and 29 women aged 17 to 40 years).
Intervention: Four equally-sized groups received either warm-up and cool-down, warm-up only, cool-down only, or neither warm-up nor cool-down. All participants performed exercise to induce delayed-onset muscle soreness, which involved walking backwards downhill on an inclined treadmill for 30 minutes. The warm-up and cooldown exercise involved walking forwards uphill on an inclined treadmill for 10 minutes. Outcome measure: Muscle soreness, measured on a 100-mm visual analogue scale. Results: Warm-up reduced perceived muscle soreness 48 hours after exercise on the visual analogue scale (mean effect of 13 mm, 95% CI 2 to 24 mm). However cool-down had no apparent effect (mean effect of 0 mm, 95% CI –11 to 11 mm).
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Conclusion: Warm-up performed immediately prior to unaccustomed eccentric exercise produces small reductions in delayed-onset muscle soreness but cool-down performed after exercise does not. [Law RYW, Herbert RD (2007) Warm-up reduces delayed-onset muscle soreness but cool-down does not: a randomised controlled trial. Australian Journal of Physiotherapy 53: 91–95]
Key words: Exercise, Physical Activity, Sports, Prevention and Control, Muscles, Pain
source: Australian Journal of Physiotherapy
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