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The goal of this clinical trial is to learn whether isometric exercise can improve recovery following experimentally induced delayed onset muscle soreness (DOMS) in healthy young adults.
The main questions it aims to answer are:
Researchers will compare participants performing an isometric exercise program with a control group receiving no intervention to determine whether isometric exercise improves recovery after experimentally induced DOMS.
Participants will:
Delayed onset muscle soreness (DOMS) is a common consequence of unaccustomed or high-intensity physical activity, particularly exercises involving eccentric muscle contractions. DOMS is characterized by pain, tenderness, temporary reductions in muscle function, decreased range of motion, and impaired physical performance, typically peaking between 24 and 72 hours after exercise.
Various recovery strategies have been investigated to reduce the symptoms of DOMS; however, evidence regarding the effectiveness of isometric exercise in facilitating recovery remains limited. Previous studies have suggested that isometric muscle contractions may induce analgesic effects and increase pressure pain thresholds in musculoskeletal conditions. Whether these effects can improve recovery following exercise-induced muscle damage and DOMS has not been fully established.
The purpose of this randomized controlled trial was to investigate the effects of an isometric exercise program on recovery following experimentally induced DOMS in healthy adults. DOMS was induced using a standardized drop-jump protocol. Participants were randomly assigned to either an isometric exercise group or a control group. Outcome assessments were performed before DOMS induction, immediately after exercise, and during follow-up evaluations on Days 1, 3, and 5.
The findings of this study may contribute to the understanding of the role of isometric exercise as a simple, low-cost, and clinically applicable recovery strategy following exercise-induced muscle soreness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Isometric Exercise Group | Experimental | Participants in this group underwent a standardized protocol to induce delayed onset muscle soreness (DOMS) and subsequently performed a structured quadriceps isometric exercise program during the recovery period. |
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| Sham Exercise Group | Sham Comparator | Participants performed a sham exercise protocol following experimentally induced delayed onset muscle soreness. The sham intervention was designed to mimic the attention and participation associated with the experimental intervention without providing the intended therapeutic effect. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Isometric Exercise | Other | Participants performed a structured quadriceps isometric exercise program following experimentally induced delayed onset muscle soreness. The exercise protocol was applied according to the study protocol throughout the recovery period. |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure Pain Threshold | Pressure pain threshold measured using a digital pressure algometer following experimentally induced delayed onset muscle soreness (DOMS). | Baseline, immediately after exercise, Day 1, Day 3, and Day 5 following DOMS induction. |
| Pain Intensity | Pain intensity will be assessed using the Visual Analog Scale (VAS). The VAS consists of a 10-cm horizontal line ranging from 0 (no pain) to 10 (worst imaginable pain). Participants will indicate their perceived pain intensity by marking a point on the line. Higher scores indicate greater pain intensity. | Baseline, immediately after exercise, Day 1, Day 3, and Day 5 following DOMS induction. |
| Measure | Description | Time Frame |
|---|---|---|
| Knee Joint Range of Motion | Knee joint range of motion measured using a standard goniometer. | Baseline, immediately after exercise, Day 1, Day 3, and Day 5 following DOMS induction. |
| Quadriceps Muscle Strength |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| İstanbul Nisantasi University | Istanbul | Maslak | 34398 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41283559 | Background | Di Lorenzo L, Forte AM, Agosti V, Forte F, Lanciano T, Pirraglia N, D'Avanzo C. Advances in Non-Pharmacological Strategies for DOMS: A Scoping and Critical Review of Recent Evidence. J Funct Morphol Kinesiol. 2025 Nov 20;10(4):452. doi: 10.3390/jfmk10040452. | |
| 39632894 | Background | de Morais ACL, Machado AS, Pereira MEF, da Silva W, Priego-Quesada JI, Carpes FP. Intensity and volume of physical exercise influence DOMS and skin temperature differently in healthy adults. Sci Rep. 2024 Dec 5;14(1):30282. doi: 10.1038/s41598-024-79785-2. |
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De-identified individual participant data underlying the published results may be made available upon reasonable request to the corresponding author, subject to institutional approval and applicable ethical requirements.
De-identified individual participant data, study protocol, statistical analysis plan, and analytic code will be available beginning 6 months after publication of the primary study results and ending 5 years after publication.
De-identified individual participant data and supporting documents will be made available to qualified researchers upon reasonable request. Requests must include a methodologically sound research proposal and will be reviewed by the study investigators. Data will be provided after approval of the request and completion of an appropriate data-sharing agreement. Access will be limited to data necessary to achieve the approved research objectives.
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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Participants were randomly assigned to either an isometric exercise group or a control group. Delayed onset muscle soreness (DOMS) was induced using a standardized drop-jump protocol. The intervention group performed a structured isometric exercise program, whereas the control group received no intervention. Outcomes were assessed at baseline, immediately after exercise, and on Days 1, 3, and 5 following DOMS induction.
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| Sham Exercise | Other | Participants performed a sham exercise protocol following experimentally induced delayed onset muscle soreness. The sham intervention was designed to mimic the attention and participation associated with the experimental intervention without providing the intended therapeutic effect. |
|
Quadriceps muscle strength measured using a handheld dynamometer.
| Baseline, immediately after exercise, Day 1, Day 3, and Day 5 following DOMS induction. |
| Thigh Circumference | Thigh circumference measured using a tape measure to assess exercise-induced swelling. | Baseline, immediately after exercise, Day 1, Day 3, and Day 5 following DOMS induction. |
| 27513733 | Background | Rio E, van Ark M, Docking S, Moseley GL, Kidgell D, Gaida JE, van den Akker-Scheek I, Zwerver J, Cook J. Isometric Contractions Are More Analgesic Than Isotonic Contractions for Patellar Tendon Pain: An In-Season Randomized Clinical Trial. Clin J Sport Med. 2017 May;27(3):253-259. doi: 10.1097/JSM.0000000000000364. |
| 25979840 | Background | Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med. 2015 Oct;49(19):1277-83. doi: 10.1136/bjsports-2014-094386. Epub 2015 May 15. |
| 28985238 | Background | Fleckenstein J, Simon P, Konig M, Vogt L, Banzer W. The pain threshold of high-threshold mechanosensitive receptors subsequent to maximal eccentric exercise is a potential marker in the prediction of DOMS associated impairment. PLoS One. 2017 Oct 6;12(10):e0185463. doi: 10.1371/journal.pone.0185463. eCollection 2017. |