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Manual Therapy Randomised controlled trial

The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men-a randomized controlled trial.

Anyone who has done a hard leg workout knows the soreness that shows up a day or two later, delayed onset muscle soreness, and athletes often reach for percussive massage guns hoping they speed recovery. This small trial compared that approach against static stretching in physically active young men after a squat protocol designed to induce soreness, testing a shorter percussive massage session against a longer one. Across measures like jump performance, muscle activity during exercise, pain ratings, and knee range of motion, the longer percussive massage sessions showed better recovery at 48 hours than either stretching or the shorter massage sessions. This is interesting because it suggests dose may matter for this popular recovery tool, not just whether it is used at all.

The main limitation is the very small sample, just thirty men split across three groups, so these findings need confirmation in larger and more diverse populations before being treated as settled.

If you have ever felt that deep muscle soreness a day or two after an intense workout, you know how much it can affect how you move and perform. This study looked at whether a percussive massage device, the kind that delivers rapid tapping pressure to muscles, helps recovery from that soreness better than simple stretching. Thirty physically active young men did a squat routine designed to cause soreness, then received either stretching, a shorter massage session, or a longer massage session.

Researchers measured pain, knee flexibility, jump ability, and muscle activity over the following two days. The group that got the longer massage sessions showed better recovery on several of these measures than those who stretched or received the shorter massage, particularly by 48 hours afterward. These results are intriguing, but the study was small, involving only young men, so it cannot tell us how this would play out in women, older adults, or larger groups.

It also cannot confirm which specific factor about the longer sessions mattered most.

This is a summary of research, not medical advice. Talk to your own healthcare provider about anything affecting your care.

This randomized controlled trial compared static stretching against two durations of percussive massage therapy, twenty-five minutes and forty minutes, in thirty physically active male college students following a squat protocol used to induce delayed onset muscle soreness. Outcomes included visual analog scale pain scores, knee range of motion, countermovement jump metrics, and normalized integrated electromyography, assessed at baseline, post-protocol, post-intervention, and at twenty-four and forty-eight hours. At the forty-eight hour mark, the longer percussive massage group showed statistically significant advantages over both comparator groups across jump height, peak ground reaction force, and propulsion impulse during countermovement jump, with effect sizes reported as very large.

Normalized electromyography for vastus medialis, rectus femoris, and vastus lateralis was significantly lower in the long-duration group compared to both the short-duration massage and stretching groups, and pain scores and knee range of motion also favored the longer massage protocol relative to stretching. The design allows between-group comparison at each active intervention against stretching, and dose comparison between the two massage durations, but the sample size is very small per arm, limiting generalizability and increasing the risk that some reported effect sizes are unstable. No adverse events were reported in the abstract, and blinding of participants to intervention type was not addressed.

1

In this small trial of thirty men, forty-minute percussive massage sessions were associated with greater jump performance recovery at forty-eight hours than static stretching or twenty-five-minute sessions.

2

Muscle electrical activity during jumping was significantly lower in the long-duration massage group than in both comparator groups at forty-eight hours, suggesting less residual muscular fatigue or altered activation patterns.

3

With only thirty participants split across three groups, all involving young physically active men, these findings are preliminary and require replication in larger, more diverse samples before broader conclusions can be drawn.

Source

Frontiers in public health

Li H, Luo L, Zhang J et al. · 2025

doi: 10.3389/fpubh.2025.1561970

Read paper →
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A note on accuracy

Summaries are AI-generated from each paper's abstract and are for learning, not clinical decision-making. They may miss nuance or occasionally misstate details from the source, so always read the original paper before applying findings in practice. Nothing on this site is medical advice.