Massage Therapy Restores Peripheral Vascular Function After Exertion

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• 作者：Nina C. Franklin ; PhD^a ; ^b ; Mohamed M. Ali ; MD^a ; ^b ; Austin T. Robinson ; MS^a ; ^b ; Edita Norkeviciute ; BS^a ; Shane A. Phillips ; PT ; PhD^a ; ^b ; ^c ; ^{shanep@uic.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Endothelium ; Exercise ; Massage ; Rehabilitation
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2014
• 出版时间：June 2014
• 年：2014
• 卷：95
• 期：6
• 页码：1127-1134
• 全文大小：308 K

文摘

To determine if lower extremity exercise-induced muscle injury reduces vascular endothelial function of the upper extremity and if massage therapy (MT) improves peripheral vascular function after exertion-induced muscle injury.

c_2">Design

Randomized, blinded trial with evaluations at 90 minutes, 24 hours, 48 hours, and 72 hours.

c_3">Setting

Clinical research center.

c_4">Participants

Sedentary young adults (N=36) were randomly assigned to 1 of 3 groups: (1) exertion-induced muscle injury and MT (n=15; mean age ± SE, 26.6±0.3); (2) exertion-induced muscle injury only (n=10; mean age ± SE, 23.6±0.4), and (3) MT only (n=11; mean age ± SE, 25.5±0.4).

c_5">Intervention

Participants were assigned to exertion-induced muscle injury only (a single bout of bilateral, eccentric leg press exercise), MT only (30-min lower extremity massage using Swedish technique), or exertion-induced muscle injury and MT.

c_6">Main Outcome Measures

Brachial artery flow-mediated dilation (FMD) was determined by ultrasound at each time point. Nitroglycerin (NTG)-induced dilation was also assessed (0.4mg).

c_7">Results

Brachial FMD increased from baseline in the exertion-induced muscle injury and MT group and the MT only group (7.38%±.18% to 9.02%±.28%, P<.05 and 7.77%±.25% to 10.2%±.22%, P<.05, respectively) at 90 minutes and remained elevated until 72 hours. In the exertion-induced muscle injury only group, FMD was reduced from baseline at 24 and 48 hours (7.78%±.14% to 6.75%±.11%, P<.05 and 6.53%±.11%, P<.05, respectively) and returned to baseline after 72 hours. Dilations of NTG were similar over time.

c_8">Conclusions

Our results suggest that MT attenuates impairment of upper extremity endothelial function resulting from lower extremity exertion-induced muscle injury in sedentary young adults.