Local high-frequency vibration therapy following eccentric exercises reduces muscle soreness perception and posture alterations in elite athletes

Eur J Appl Physiol. 2019 Feb;119(2):539-549. doi: 10.1007/s00421-018-4026-5. Epub 2018 Oct 30.


Purpose: Exercise-induced muscle damage produces painful sensations (delayed onset of muscle soreness, DOMS). DOMS causes compensatory postural adaptations, which in turn affect athletes' walking and running gait biomechanics. It is still debated whether the postural changes are due to impaired proprioception or pain perception. To disambiguate between these two contrasting hypotheses, we designed a study that tested post-exercise postural adjustments in two groups of athletes: a group who was administered a vibration therapy (VT), to attenuate pain perception, and a control group.

Methods: Thirty professional futsal players were tested on five different occasions: baseline, eccentric exercises (EE) session day, 24, 48 and 72 h after EE. Vibration therapy (120 Hz) was applied on legs muscles for 15 min in the experimental group, while no vibration was applied in the control group. The measurements included: isokinetic evaluation, stabilometric test, perceived soreness evaluation and serum levels of creatine kinase, and lactate dehydrogenase.

Results: 48 h after EE, the control group showed changes in biomechanical parameters (antero-rotations of pelvis, p < 0.05). A substantial alteration in the hip kinematics was found, associated to a reduced contractile force (p < 0.01) and soreness perception. On the contrary, the VT group did not show any change in posture and pain perception. High-intensity VT decreases EE effects on muscle strength and DOMS.

Conclusions: DOMS significantly changes athletes' posture; but postural changes disappear following a VT therapy that decreases pain perception. It is concluded that soreness perception is the main cause of postural changes and that its effects can be counteracted using VT therapy.

Keywords: Balance; Futsal; Isokinetic; Muscle recovery; Pain; Posture; Vibration therapy.

MeSH terms

  • Athletes
  • Exercise / physiology
  • Female
  • Humans
  • Male
  • Muscle Strength / physiology
  • Muscle, Skeletal / physiopathology*
  • Myalgia / physiopathology
  • Myalgia / therapy*
  • Pain Measurement
  • Pain Perception / physiology*
  • Physical Therapy Modalities
  • Posture / physiology*
  • Vibration / therapeutic use*
  • Young Adult