ДИАГНОСТИКА СИНДРОМА ОТСТАВЛЕННОЙ МЫШЕЧНОЙ БОЛЕЗНЕННОСТИ
Ключевые слова:
синдром отставленной мышечной болезненности, диагностика, клинико-лабораторные показатели, функциональные показатели, эксцентрическая физическая нагрузка, спорт
Аннотация
Цель исследования: оценить диагностические возможности комплекса клинико-лабораторных и функциональных показателей при синдроме отставленной мышечной болезненности (ОМБ) у лиц, занимающихся физической культурой и спортом. Материалы и методы. Исследование выполнено с участием 25 человек в возрасте от 21 до 41 года (13 женщин и 12 мужчин), средний возраст 32 ± 2,5 года, регулярно занимающихся физической культурой. Участники исследования выполняли ОМБ-индуцирующую физическую нагрузку с акцентом на эксцентрическую фазу движения и с максимальной амплитудой. Целевой мышечной группой была четырехглавая мышца бедра. За сутки до ОМБ-индуцирующей нагрузки и сутки после оценивались показатели клинического и биохимического анализа крови, стабилометрии, вариабельности ритма сердца в покое и при нагрузке, биоимпедансного анализа состава тела, пупиллометрии, эргоспирометрии при физической нагрузке, миографии, становой динамометрии и результаты опросника, основанного на визуально-аналоговой шкале боли. Результаты. В ответ на ОМБ-индуцирующую нагрузку были выявлены: 1) болевые ощущения в целевой мышечной группе, 2) снижение показателей общего анализа крови (красного и белого ростков крови), 3) повышение уровня КФК, 4) снижение скорости сужения зрачка в ответ на световой раздражитель, 5) тенденция к росту электромиографической активности, 6) изменение величины смещения центра тяжести во фронтальной и сагиттальной плоскостях. Заключение.
О развитии синдрома отставленной мышечной болезненности, который в данном исследовании верифицировался по достоверному росту ассоциированной с нагрузкой мышечной болезненности, могут свидетельствовать следующие диагностические признаки: высокий уровень КФК, замедление расширения и сужения зрачка в ответ на световой раздражитель, утомление постуральных мышц. Диагностика ОМБ может быть включена в мероприятия медико-биологического обеспечения спортсменов с целью предупреждения снижения спортивной работоспособности.
Литература
1. Дмитриев, А. Синдромы микроповреждения мышц и отсроченной мышечной болезненности в спорте высших достижений: роль в развитии утомления и профилактика / А. Дмитриев, Л. Гунина // Наука в олимпийском спорте. – 2020. – № 1. – С. 57–71. DOI: 10.32652/olympic2020.1_5
2. Йегер, Й.М. Мышцы в спорте. Анатомия. Физиология. Тренировка. Реабилитация / Й.М. Йегер, К. Крюгер; пер. на рус. яз. Д.Г. Калашникова и др. – М.: Практич. медицина, 2016. – 428 с.
3. Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics / T. Hotfiel, J. Freiwald, M. Hoppe et al. // Sportverletz Sportschaden. – 2018. – Vol. 32. – P. 243–250. DOI: 10.1055/a-0753-1884
4. Armstrong, R.B. Mechanisms of exercise–induced delayed onset muscular soreness: a brief review / R.B. Armstrong // Med Sci Sports Exerc. – 1984 – Vol. 16. – P. 529–538.
5. Changes in urinary titin N-terminal fragments as a biomarker of exercise-induced muscle damage in the repeated bout effect / S. Yamaguchia, K. Suzukib, K. Kandad et al. // Journal of Science and Medicine in Sport. – 2020. – Vol. 23, iss. 6. – P. 536–540. DOI: 10.1016/j.jsams.2019.12.023
6. Cheung, K. Delayed Onset Muscle Soreness: Treatment Strategies and Performance Factors / K. Cheung, P. Hume, L. Maxwell // J Sports Med. – 2003. – Vol. 33, no. 2. – P. 145–164. DOI: 10.2165/00007256-200333020-00005
7. Comparison among three different intensities of eccentric contractions of the elbow flexors resulting in the same strength loss at one day post exercise for changes in indirect muscle damage markers / T.C. Chen, G.L. Huang, C.C. Hsieh et al. // European Journal of Applied Physiology. – 2020. – Vol. 120. – P. 267–279. DOI: 10.1007/s00421-019-04272-w
8. Comparison between high- and low-intensity eccentric cycling of equal mechanical work for muscle damage and the repeated bout effect / G. Mavropalias, T. Koeda, O. Barley et al. // European Journal of Applied Physiology. – 2020. – Vol. 120. – P. 1015–1025. DOI: 10.1007/s00421-020-04341-5
9. Delayed-Onset Muscle Soreness: Temporal Assessment With Quantitative MRI and Shear-Wave Ultrasound Elastography / C.A. Agten, F.M. Buck, L. Dyer at al. // American Journal of Roentgenology. – 2017. – Vol. 208, no. 2. – P. 402–412. DOI: 10.2214/AJR.16.16617
10. Does delayed onset muscle soreness affect the biomechanical variables of the drop vertical jump that have been associated with increased ACL injury risk? A randomised control trial / M.C. Look, Y. Iyengar, M. Barcellona, A. Shortland // Human Movement Science. – 2021. – Vol. 76. – 102772. DOI: 10.1016/j.humov.2021.102772
11. Exercise induced muscle damage and recovery assessed by means of linear and non-linear sEMG analysis and ultrasonography / P. Sbriccoli, F. Felici, A. Rosponi et al. // J Electro-myogr Kinesiol. – 2001. – Vol. 11, iss. 2. – P. 73–83. DOI: 10.1016/s1050-6411(00)00042-0
12. Foam rolling for delayed-onset muscle soreness and recovery of dynamic performance measures / G.E. Pearcey, D.J. Bradbury-Squires, J.E. Kawamoto et al // Journal of athletic training. – 2015. – Vol. 50, no. 1. – P. 5–13. DOI: 10.4085/1062-6050-50.1.01
13. Hedayatpour, N. The effect of eccentric exercise and delayed onset muscle soreness on the homologous muscle of the contralateral limb / N. Hedayatpour, Z. Izanloo, D. Falla // Journal of Electromyography and Kinesiology. – 2018. – Vol. 41. – P. 154–159. DOI: 10.1016/j.jelekin.2018.06.003
14. Improving characterization and diagnosis quality of myofascial pain syndrome: a systematic review of the clinical and biomarker overlap with delayed onset muscle soreness / B. Vadasz, J. Gohari, D.W. West et al. // Eur J Phys Rehabil Med. – 2020. – Vol. 56, no. 4. – P. 469–478. DOI: 10.23736/S1973-9087.20.05820-7
15. Involvement of Neutrophil Dynamics and Function in Exercise-Induced Muscle Damage and Delayed-Onset Muscle Soreness: Effect of Hydrogen Bath // T. Kawamura, K. Suzuki, M. Takahashi at al. // Antioxidants (Basel). – 2018 – Vol. 7, no. 10. – P. 127. DOI: 10.3390/antiox7100127
16. Meamarbashi, A. Herbs and natural supplements in the prevention and treatment of delayed-onset muscle soreness / A. Meamarbashi // Avicenna J Phytomed. – 2017. – Vol. 7, no. 1. – P. 16–26.
17. Mizumura, K. Delayed onset muscle soreness: Involvement of neurotrophic factors / K. Mizumura, T. Taguchi // J Physiol Sci. – 2016. – Vol. 66, no. 1. – P. 43–52. DOI: 10.1007/s12576-015-0397-0
18. Neuromuscular dysfunction following eccentric exercise / J.M. Saxton, P.M. Clarkson, R. James et al. // Med Sci Sports Exerc. – 1995. – Vol. 27, no. 8. – P. 1185–1193.
19. Nosaka, K. Muscle Soreness and Damage and the Repeated–Bout Effect / K. Nosaka // P.M.Tiidus (Ed.) Skeletal Muscle Damage and Repair. – Champaign, IL, USA: Human Kinetics, 2008. – P. 59–76.
20. Relationship between Skin Temperature, Electrical Manifestations of Muscle Fatigue, and Exercise-Induced Delayed Onset Muscle Soreness for Dynamic Contractions: A Preliminary Study / J.I. Priego-Quesada, C. De la Fuente, M.R. Kunzler et al. // International Journal of Environmental Research and Public Health. – 2020. – Vol. 17, no. 18. – P. 6817. DOI: 10.3390/ijerph17186817
21. Rowlands, A.V. Effect of stride length manipulation on symptoms of exercise-induced muscle damage and the repeated bout effect / A.V. Rowlands, R.G. Eston, C. Tilzey // J Sports Sci. – 2001. – Vol. 19, no. 5. – P. 333–340. DOI: 10.1080/02640410152006108
22. Sonkodi, B. Have We Looked in the Wrong Direction for More Than 100 Years? Delayed Onset Muscle Soreness Is, in Fact, Neural Microdamage Rather Than Muscle Damage / B. Sonkodi, I. Berkes, E. Koltai // Antioxidants (Basel). – 2020. – Vol. 9, no. 3. – P. 212. DOI: 10.3390/antiox9030212
23. Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults / J.T. Costello, P.R. Baker, G.M. Minett et al. // Cochrane Data-base Syst Rev. – 2015. – No. 9. – CD010789. DOI: 10.1002/14651858.CD010789.pub2.
24. Yu, J.Y. Evaluation of muscle damage using ultrasound imaging / J.Y. Yu, J.G. Jeong, B.H. Lee // J Phys Ther Sci. – 2015. – Vol. 27. – P. 531–534. DOI: 10.1589/jpts.27.531
2. Yyeger Y.M., Kryuger K. Myshtsy v sporte. Anatomiya. Fiziologiya. Trenirovka. Reabilitatsiya [Muscles in Sports. Anatomy. Physiology. Workout. Rehabilitation], english translation: D.G. Kalashnikov et al. Moscow, Practical Medicine Publ., 2016. 428 p.
3. Hotfiel T., Freiwald J., Hoppe M. et al. Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics. Sportverletz Sportschaden, 2018, vol. 32, pp. 243–250. DOI: 10.1055/a-0753-1884
4. Armstrong R.B. Mechanisms of Exercise-Induced Delayed Onset Muscular Soreness: a Brief Review. Medical Science Sports Exerc., 1984, vol. 16, pp. 529–538. DOI: 10.1249/00005768-198412000-00002
5. Yamaguchia S., Suzukib K., Kandad K. et al. Changes in Urinary Titin N-Terminal Fragments as a Biomarker of Exercise-Induced Muscle Damage in the Repeated Bout Effect. Journal of Science and Medicine in Sport, 2020, vol. 23, iss. 6, pp. 536–540. DOI: 10.1016/j.jsams.2019.12.023
6. Cheung K., Hume P., Maxwell L. Delayed Onset Muscle Soreness: Treatment Strategies and Performance Factors. Journal Sports Med., 2003, vol. 33, no. 2, pp. 145–164. DOI: 10.2165/00007256-200333020-00005
7. Chen T.C., Huang G.L., Hsieh C.C. et al. Comparison Among Three Different Intensities of Eccentric Contractions of the Elbow Flexors Resulting in the Same Strength Loss at One Day Post Exercise for Changes in Indirect Muscle Damage Markers. European Journal of Applied Physiology, 2020, vol. 120, pp. 267–279. DOI: 10.1007/s00421-019-04272-w
8. Mavropalias G., Koeda T., Barley O. et al. Comparison Between High‑ and Low‑Intensity Eccentric Cycling of Equal Mechanical Work for Muscle Damage and the Repeated Bout Effect. European Journal of Applied Physiology, 2020, vol. 120, pp. 1015–1025. DOI: 10.1007/s00421-020-04341-5
9. Agten C.A., Buck F.M., Dyer L. et al. Delayed-Onset Muscle Soreness: Temporal Assessment With Quantitative MRI and Shear-Wave Ultrasound Elastography. American Journal of Roentgenology, 2017, vol. 208, no. 2, pp. 402–412. DOI: 10.2214/AJR.16.16617
10. Look M.C., Iyengar Y., Barcellona M., Shortland A. Does Delayed Onset Muscle Soreness Affect the Biomechanical Variables of the Drop Vertical Jump that have Been Associated with Increased ACL Injury Risk? A Randomised Control Trial. Human Movement Science, 2021, vol. 76, 102772. DOI: 10.1016/j.humov.2021.102772
11. Sbriccoli P., Felici F., Rosponi A. et al. Exercise Induced Muscle Damage and Recovery Assessed by Means of Linear and Non-Linear sEMG Analysis and Ultrasonography. Journal Electromyogr Kinesiology, 2001, vol. 11, iss. 2, pp. 73–83. DOI: 10.1016/s1050-6411(00)00042-0
12. Pearcey G.E., Bradbury-Squires D.J., Kawamoto J.E. et al. Foam Rolling for Delayed-Onset Muscle Soreness and Recovery of Dynamic Performance Measures. Journal of Athletic Training, 2015, vol. 50, no. 1, pp. 5–13. DOI: 10.4085/1062-6050-50.1.01
13. Hedayatpour N., Izanloo Z., Falla D. The Effect of Eccentric Exercise and Delayed Onset Muscle Soreness on the Homologous Muscle of the Contralateral Limb. Journal of Electromyography and Kinesiology, 2018, vol. 41, pp. 154–159. DOI: 10.1016/j.jelekin.2018.06.003
14. Vadasz B., Gohari J., West D.W. et al. Improving Characterization and Diagnosis Quality of Myofascial Pain Syndrome: a Systematic Review of the Clinical and Biomarker Overlap with Delayed Onset Muscle Soreness. European Journal Physical Rehabilitation Medicine, 2020, vol. 56, no. 4, pp. 469–478. DOI: 10.23736/S1973-9087.20.05820-7
15. Kawamura T., Suzuki K., Takahashi M. et al. Involvement of Neutrophil Dynamics and Function in Exercise-Induced Muscle Damage and Delayed-Onset Muscle Soreness: Effect of Hydrogen Bath. Antioxidants (Basel), 2018, vol. 7, no. 10, p. 127. DOI: 10.3390/antiox7100127
16. Meamarbashi A. Herbs and Natural Supplements in the Prevention and Treatment of Delayed-Onset Muscle Soreness. Avicenna Journal Phytomed., 2017, vol. 7, no. 1, pp. 16–26.
17. Mizumura K., Taguchi T. Delayed Onset Muscle Soreness: Involvement of Neurotrophic Factors. Journal Physiology Science, 2016, vol. 66, no. 1, pp. 43–52. DOI: 10.1007/s12576-015-0397-0
18. Saxton J.M., Clarkson P.M., James R. et al. Neuromuscular Dysfunction Following Eccentric Exercise. Medical Science Sports Exerc., 1995, vol. 27, no. 8, pp. 1185–1193. DOI: 10.1249/00005768-199508000-00013
19. Nosaka K., Tiidus P.M. Muscle Soreness and Damage and the Repeated–Bout Effect. Skeletal Muscle Damage and Repair – Champaign, IL, USA: Human Kinetics, 2008, pp. 59–76. DOI: 10.5040/ 9781718209664.ch-005
20. Priego-Quesada J.I., De la Fuente C., Kunzler M.R. et al. Relationship between Skin Temperature, Electrical Manifestations of Muscle Fatigue, and Exercise-Induced Delayed Onset Muscle Soreness for Dynamic Contractions: A Preliminary Study. International Journal of Environmental Research and Public Health, 2020, vol. 17, no. 18, p. 6817. DOI: 10.3390/ijerph17186817
21. Rowlands A.V., Eston R.G., Tilzey C. Effect of Stride Length Manipulation on Symptoms of Exercise-Induced Muscle Damage and the Repeated Bout Effect. Journal Sports Science, 2001, vol. 19, no. 5, pp. 333–340. DOI: 10.1080/02640410152006108
22. Sonkodi B., Berkes I., Koltai E. Have We Looked in the Wrong Direction for More Than 100 Years? Delayed Onset Muscle Soreness Is, in Fact, Neural Microdamage Rather Than Muscle Damage. Antioxidants (Basel), 2020, vol. 9, no. 3, p. 212. DOI: 10.3390/antiox9030212
23. Costello J.T., Baker P.R., Minett G.M. et al. Whole-Body Cryotherapy (Extreme Cold Air Exposure) for Preventing and Treating Muscle Soreness After Exercise in Adults. Cochrane Database Syst Rev., 2015, no. 9, CD010789. DOI: 10.1002/14651858.CD010789.pub2.
24. Yu J.Y., Jeong J.G., Lee B.H. Evaluation of Muscle Damage Using Ultrasound Imaging. Journal Physical Therapy Science, 2015, vol. 27, pp. 531–534. DOI: 10.1589/jpts.27.531
2. Йегер, Й.М. Мышцы в спорте. Анатомия. Физиология. Тренировка. Реабилитация / Й.М. Йегер, К. Крюгер; пер. на рус. яз. Д.Г. Калашникова и др. – М.: Практич. медицина, 2016. – 428 с.
3. Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics / T. Hotfiel, J. Freiwald, M. Hoppe et al. // Sportverletz Sportschaden. – 2018. – Vol. 32. – P. 243–250. DOI: 10.1055/a-0753-1884
4. Armstrong, R.B. Mechanisms of exercise–induced delayed onset muscular soreness: a brief review / R.B. Armstrong // Med Sci Sports Exerc. – 1984 – Vol. 16. – P. 529–538.
5. Changes in urinary titin N-terminal fragments as a biomarker of exercise-induced muscle damage in the repeated bout effect / S. Yamaguchia, K. Suzukib, K. Kandad et al. // Journal of Science and Medicine in Sport. – 2020. – Vol. 23, iss. 6. – P. 536–540. DOI: 10.1016/j.jsams.2019.12.023
6. Cheung, K. Delayed Onset Muscle Soreness: Treatment Strategies and Performance Factors / K. Cheung, P. Hume, L. Maxwell // J Sports Med. – 2003. – Vol. 33, no. 2. – P. 145–164. DOI: 10.2165/00007256-200333020-00005
7. Comparison among three different intensities of eccentric contractions of the elbow flexors resulting in the same strength loss at one day post exercise for changes in indirect muscle damage markers / T.C. Chen, G.L. Huang, C.C. Hsieh et al. // European Journal of Applied Physiology. – 2020. – Vol. 120. – P. 267–279. DOI: 10.1007/s00421-019-04272-w
8. Comparison between high- and low-intensity eccentric cycling of equal mechanical work for muscle damage and the repeated bout effect / G. Mavropalias, T. Koeda, O. Barley et al. // European Journal of Applied Physiology. – 2020. – Vol. 120. – P. 1015–1025. DOI: 10.1007/s00421-020-04341-5
9. Delayed-Onset Muscle Soreness: Temporal Assessment With Quantitative MRI and Shear-Wave Ultrasound Elastography / C.A. Agten, F.M. Buck, L. Dyer at al. // American Journal of Roentgenology. – 2017. – Vol. 208, no. 2. – P. 402–412. DOI: 10.2214/AJR.16.16617
10. Does delayed onset muscle soreness affect the biomechanical variables of the drop vertical jump that have been associated with increased ACL injury risk? A randomised control trial / M.C. Look, Y. Iyengar, M. Barcellona, A. Shortland // Human Movement Science. – 2021. – Vol. 76. – 102772. DOI: 10.1016/j.humov.2021.102772
11. Exercise induced muscle damage and recovery assessed by means of linear and non-linear sEMG analysis and ultrasonography / P. Sbriccoli, F. Felici, A. Rosponi et al. // J Electro-myogr Kinesiol. – 2001. – Vol. 11, iss. 2. – P. 73–83. DOI: 10.1016/s1050-6411(00)00042-0
12. Foam rolling for delayed-onset muscle soreness and recovery of dynamic performance measures / G.E. Pearcey, D.J. Bradbury-Squires, J.E. Kawamoto et al // Journal of athletic training. – 2015. – Vol. 50, no. 1. – P. 5–13. DOI: 10.4085/1062-6050-50.1.01
13. Hedayatpour, N. The effect of eccentric exercise and delayed onset muscle soreness on the homologous muscle of the contralateral limb / N. Hedayatpour, Z. Izanloo, D. Falla // Journal of Electromyography and Kinesiology. – 2018. – Vol. 41. – P. 154–159. DOI: 10.1016/j.jelekin.2018.06.003
14. Improving characterization and diagnosis quality of myofascial pain syndrome: a systematic review of the clinical and biomarker overlap with delayed onset muscle soreness / B. Vadasz, J. Gohari, D.W. West et al. // Eur J Phys Rehabil Med. – 2020. – Vol. 56, no. 4. – P. 469–478. DOI: 10.23736/S1973-9087.20.05820-7
15. Involvement of Neutrophil Dynamics and Function in Exercise-Induced Muscle Damage and Delayed-Onset Muscle Soreness: Effect of Hydrogen Bath // T. Kawamura, K. Suzuki, M. Takahashi at al. // Antioxidants (Basel). – 2018 – Vol. 7, no. 10. – P. 127. DOI: 10.3390/antiox7100127
16. Meamarbashi, A. Herbs and natural supplements in the prevention and treatment of delayed-onset muscle soreness / A. Meamarbashi // Avicenna J Phytomed. – 2017. – Vol. 7, no. 1. – P. 16–26.
17. Mizumura, K. Delayed onset muscle soreness: Involvement of neurotrophic factors / K. Mizumura, T. Taguchi // J Physiol Sci. – 2016. – Vol. 66, no. 1. – P. 43–52. DOI: 10.1007/s12576-015-0397-0
18. Neuromuscular dysfunction following eccentric exercise / J.M. Saxton, P.M. Clarkson, R. James et al. // Med Sci Sports Exerc. – 1995. – Vol. 27, no. 8. – P. 1185–1193.
19. Nosaka, K. Muscle Soreness and Damage and the Repeated–Bout Effect / K. Nosaka // P.M.Tiidus (Ed.) Skeletal Muscle Damage and Repair. – Champaign, IL, USA: Human Kinetics, 2008. – P. 59–76.
20. Relationship between Skin Temperature, Electrical Manifestations of Muscle Fatigue, and Exercise-Induced Delayed Onset Muscle Soreness for Dynamic Contractions: A Preliminary Study / J.I. Priego-Quesada, C. De la Fuente, M.R. Kunzler et al. // International Journal of Environmental Research and Public Health. – 2020. – Vol. 17, no. 18. – P. 6817. DOI: 10.3390/ijerph17186817
21. Rowlands, A.V. Effect of stride length manipulation on symptoms of exercise-induced muscle damage and the repeated bout effect / A.V. Rowlands, R.G. Eston, C. Tilzey // J Sports Sci. – 2001. – Vol. 19, no. 5. – P. 333–340. DOI: 10.1080/02640410152006108
22. Sonkodi, B. Have We Looked in the Wrong Direction for More Than 100 Years? Delayed Onset Muscle Soreness Is, in Fact, Neural Microdamage Rather Than Muscle Damage / B. Sonkodi, I. Berkes, E. Koltai // Antioxidants (Basel). – 2020. – Vol. 9, no. 3. – P. 212. DOI: 10.3390/antiox9030212
23. Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults / J.T. Costello, P.R. Baker, G.M. Minett et al. // Cochrane Data-base Syst Rev. – 2015. – No. 9. – CD010789. DOI: 10.1002/14651858.CD010789.pub2.
24. Yu, J.Y. Evaluation of muscle damage using ultrasound imaging / J.Y. Yu, J.G. Jeong, B.H. Lee // J Phys Ther Sci. – 2015. – Vol. 27. – P. 531–534. DOI: 10.1589/jpts.27.531
References
1. Dmitriyev A., Gunina L. [Syndromes of Muscle Microdamage and Delayed Muscle Soreness in Elite Sports. Role in the Development of Fatigue and Prevention]. Nauka v olimpiyskom sporte [Science in Olympic Sports], 2020, no. 1, pp. 57–71. (in Russ.) DOI: 10.32652/olympic2020.1_52. Yyeger Y.M., Kryuger K. Myshtsy v sporte. Anatomiya. Fiziologiya. Trenirovka. Reabilitatsiya [Muscles in Sports. Anatomy. Physiology. Workout. Rehabilitation], english translation: D.G. Kalashnikov et al. Moscow, Practical Medicine Publ., 2016. 428 p.
3. Hotfiel T., Freiwald J., Hoppe M. et al. Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics. Sportverletz Sportschaden, 2018, vol. 32, pp. 243–250. DOI: 10.1055/a-0753-1884
4. Armstrong R.B. Mechanisms of Exercise-Induced Delayed Onset Muscular Soreness: a Brief Review. Medical Science Sports Exerc., 1984, vol. 16, pp. 529–538. DOI: 10.1249/00005768-198412000-00002
5. Yamaguchia S., Suzukib K., Kandad K. et al. Changes in Urinary Titin N-Terminal Fragments as a Biomarker of Exercise-Induced Muscle Damage in the Repeated Bout Effect. Journal of Science and Medicine in Sport, 2020, vol. 23, iss. 6, pp. 536–540. DOI: 10.1016/j.jsams.2019.12.023
6. Cheung K., Hume P., Maxwell L. Delayed Onset Muscle Soreness: Treatment Strategies and Performance Factors. Journal Sports Med., 2003, vol. 33, no. 2, pp. 145–164. DOI: 10.2165/00007256-200333020-00005
7. Chen T.C., Huang G.L., Hsieh C.C. et al. Comparison Among Three Different Intensities of Eccentric Contractions of the Elbow Flexors Resulting in the Same Strength Loss at One Day Post Exercise for Changes in Indirect Muscle Damage Markers. European Journal of Applied Physiology, 2020, vol. 120, pp. 267–279. DOI: 10.1007/s00421-019-04272-w
8. Mavropalias G., Koeda T., Barley O. et al. Comparison Between High‑ and Low‑Intensity Eccentric Cycling of Equal Mechanical Work for Muscle Damage and the Repeated Bout Effect. European Journal of Applied Physiology, 2020, vol. 120, pp. 1015–1025. DOI: 10.1007/s00421-020-04341-5
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Опубликован
2023-03-02
Как цитировать
Зимова, К., Медведев, Д., Чиков, А., Киселев, А., & Крылова, М. (2023). ДИАГНОСТИКА СИНДРОМА ОТСТАВЛЕННОЙ МЫШЕЧНОЙ БОЛЕЗНЕННОСТИ. Человек. Спорт. Медицина, 22(4), 59-67. https://doi.org/10.14529/hsm220407
Выпуск
Раздел
Физиология
Copyright (c) 2023 Человек. Спорт. Медицина
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