Neuromuscular function after exercise-induced muscle damage: theoretical and applied implications

Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults

BACKGROUND

Recovery strategies are often used with the intention of preventing or minimising muscle soreness after exercise. Whole-body cryotherapy, which involves a single or repeated exposure(s) to extremely cold dry air (below -100 °C) in a specialised chamber or cabin for two to four minutes per exposure, is currently being advocated as an effective intervention to reduce muscle soreness after exercise.

OBJECTIVES

To assess the effects (benefits and harms) of whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults.

SEARCH METHODS

We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, the British Nursing Index and the Physiotherapy Evidence Database. We also searched the reference lists of articles, trial registers and conference proceedings, handsearched journals and contacted experts.The searches were run in August 2015.

SELECTION CRITERIA

We aimed to include randomised and quasi-randomised trials that compared the use of whole-body cryotherapy (WBC) versus a passive or control intervention (rest, no treatment or placebo treatment) or active interventions including cold or contrast water immersion, active recovery and infrared therapy for preventing or treating muscle soreness after exercise in adults. We also aimed to include randomised trials that compared different durations or dosages of WBC. Our prespecified primary outcomes were muscle soreness, subjective recovery (e.g. tiredness, well-being) and adverse effects.

DATA COLLECTION AND ANALYSIS

Two review authors independently screened search results, selected studies, assessed risk of bias and extracted and cross-checked data. Where appropriate, we pooled results of comparable trials. The random-effects model was used for pooling where there was substantial heterogeneity. We assessed the quality of the evidence using GRADE.

MAIN RESULTS

Four laboratory-based randomised controlled trials were included. These reported results for 64 physically active predominantly young adults (mean age 23 years). All but four participants were male. Two trials were parallel group trials (44 participants) and two were cross-over trials (20 participants). The trials were heterogeneous, including the type, temperature, duration and frequency of WBC, and the type of preceding exercise. None of the trials reported active surveillance of predefined adverse events. All four trials had design features that carried a high risk of bias, potentially limiting the reliability of their findings. The evidence for all outcomes was classified as 'very low' quality based on the GRADE criteria.Two comparisons were tested: WBC versus control (rest or no WBC), tested in four studies; and WBC versus far-infrared therapy, also tested in one study. No studies compared WBC with other active interventions, such as cold water immersion, or different types and applications of WBC.All four trials compared WBC with rest or no WBC. There was very low quality evidence for lower self-reported muscle soreness (pain at rest) scores after WBC at 1 hour (standardised mean difference (SMD) -0.77, 95% confidence interval (CI) -1.42 to -0.12; 20 participants, 2 cross-over trials); 24 hours (SMD -0.57, 95% CI -1.48 to 0.33) and 48 hours (SMD -0.58, 95% CI -1.37 to 0.21), both with 38 participants, 2 cross-over studies, 1 parallel group study; and 72 hours (SMD -0.65, 95% CI -2.54 to 1.24; 29 participants, 1 cross-over study, 1 parallel group study). Of note is that the 95% CIs also included either no between-group differences or a benefit in favour of the control group. One small cross-over trial (9 participants) found no difference in tiredness but better well-being after WBC at 24 hours post exercise. There was no report of adverse events.One small cross-over trial involving nine well-trained runners provided very low quality evidence of lower levels of muscle soreness after WBC, when compared with infrared therapy, at 1 hour follow-up, but not at 24 or 48 hours. The same trial found no difference in well-being but less tiredness after WBC at 24 hours post exercise. There was no report of adverse events.

AUTHORS' CONCLUSIONS

There is insufficient evidence to determine whether whole-body cryotherapy (WBC) reduces self-reported muscle soreness, or improves subjective recovery, after exercise compared with passive rest or no WBC in physically active young adult males. There is no evidence on the use of this intervention in females or elite athletes. The lack of evidence on adverse events is important given that the exposure to extreme temperature presents a potential hazard. Further high-quality, well-reported research in this area is required and must provide detailed reporting of adverse events.

Effects of successive judo matches on fatigue and muscle damage markers

This study aimed to investigate the acute effects of simulated judo matches on fatigue and muscle damage markers. Twenty male judo athletes participated in this study. The athletes performed three 5-minute judo matches separated by 15 minutes of passive rest between each match. The following measurements were performed before and after each match: shoulder external/internal rotation isokinetic torque and countermovement jump (CMJ). Blood samples were taken before the first match and after the third match for serum creatine kinase (CK) and lactate dehydrogenase (LDH) analysis. T-tests for dependent samples and analysis of variance for repeated measures were used to compare the variables over the time; the level of significance was set at 0.05. An overall effect of the successive matches on shoulder internal (PTIN) and external (PTEX) rotation peak torque and CMJ performance was observed. PTIN and PTEX showed significant decreases in postmatch 2 and postmatch 3 when compared with the baseline (p < 0.01). Also, CMJ height declined in postmatch 2 and postmatch 3 (p < 0.01) when compared with the baseline. Serum CK and LDH activity increased significantly after the third match (p < 0.01). It was concluded that 3 successive judo matches induced a decline of peak torque and muscle power in the upper and lower limbs, respectively, and also provoked an increase of muscle damage markers. These findings may provide important knowledge for coaches and physical trainers to improve judo-specific strength training in both the upper and lower limbs.

Muscle damage produced during a simulated badminton match in competitive male players

The purpose of the study was to assess the occurrence of muscle damage after a simulated badminton match and its influence on physical and haematological parameters. Sixteen competitive male badminton players participated in the study. Before and just after a 45-min simulated badminton match, maximal isometric force and badminton-specific running/movement velocity were measured to assess muscle fatigue. Blood samples were also obtained before and after the match. The badminton match did not affect maximal isometric force or badminton-specific velocity. Blood volume and plasma volume were significantly reduced during the match and consequently haematite, leucocyte, and platelet counts significantly increased. Blood myoglobin and creatine kinase concentrations increased from 26.5 ± 11.6 to 197.3 ± 70.2 µg·L(-1) and from 258.6 ± 192.2 to 466.0 ± 296.5 U·L(-1), respectively. In conclusion, a simulated badminton match modified haematological parameters of whole blood and serum blood that indicate the occurrence of muscle fibre damage. However, the level of muscle damage did not produce decreased muscle performance.

The Effect of a Simulated Basketball Game on Players' Sprint and Jump Performance, Temperature and Muscle Damage

Despite extensive data regarding the demands of playing basketball, the relative importance of factors that cause fatigue and muscle potentiation has been explored only tentatively and remains unclear. The aim of this experimental field study was to assess changes in leg muscle power and relate these changes to body temperature modifications and indices of exercise-induced muscle damage in response to a simulated basketball game. College-level male basketball players (n=10) were divided into two teams to play a simulated basketball game. Ten-meter sprint and vertical counter-movement jump tests, core body temperature and creatine-kinase activity were measured within 48 h after the game. The participants’ body temperatures increased after a warm-up (1.9%, p<0.05), continued to increase throughout the game, and reached 39.4 ± 0.4ºC after the fourth quarter (p<0.05). The increase in temperature during the warm-up was accompanied by an improvement in the 10-meter sprint time (5.5%, p<0.05) and jump height (3.8%, p<0.05). The players were able to maintain leg power up to the fourth quarter, i.e., during the major part of the basketball game. There was a significant increase in creatine-kinase at 24 h (>200%, p<0.05) and 48 h (>30%, p<0.05) after the game, indicating damage to the players’ muscles. The basketball players’ sprint and jump performance appear to be at least in part associated with body temperature changes, which might contribute to counteract fatigue during the larger part of a basketball game.

The relationship between lower-limb strength and match-related muscle damage in elite level professional European soccer players

In professional soccer, the benefits of lower limb strength training have been advocated. However, from an aspect of performance development, specifically with respect to expression of fatigue and injury prevention, the advantages of increased lower body strength have received limited attention at the elite level of the game. The primary aim of this cross-sectional investigation was to examine the association between lower body strength and the expression of markers of fatigue as evaluated through muscle damage assessment following match play in professional soccer players. Ten male professional soccer players participated in this investigation (mean ± SD age 26.2 ± 4.3 years, height 181.6 ± 4.8 cm and body mass 78.7 ± 6.1 kg); creatine kinase (CK) was collected 2-days post-match for a 5-month period and at three different time points (Phase 1, Phase 2 and Phase 3); muscular strength (e.g. 4 repetition half-squat) was measured 3-day post-match. No significant change in CK and muscular force across three time points was found (F = 0.60, P = 0.56, η(2) = 0.06 and F = 2.65, P = 0.10, η(2) = 0.23, respectively). Muscular force was negatively correlated (moderate to very large) with CK. It can be concluded that players who produce greater lower body force as a result of being stronger in the lower limbs show reduced levels of CK 48 h post-match.

Applied sport science of rugby league

Rugby league is a team sport in which players engage in repeated high-intensity exercise involving frequent collisions. Recent research, much of which has involved global positioning system (GPS) technology, has provided coaches and sport scientists with a deeper understanding of match demands, particularly at the elite level. This has allowed for the development of training programmes that prepare players for the most intense contact and running demands likely to be experienced in competition. At the elite level, rugby league players have well-developed aerobic and anaerobic endurance, muscular strength and power, reactive agility, and speed. Upper- and lower-body strength and aerobic power are associated with a broad range of technical and sport-specific skills, in addition to a lower risk of injury. Significant muscle damage (as estimated from creatine kinase concentrations) and fatigue occurs as a result of match-play; while muscle function and perceptual fatigue generally return to baseline 48 h following competition, increases in plasma concentrations of creatine kinase can last for up to 5 days post-match. Well-developed physical qualities may minimise post-match fatigue and facilitate recovery. Ultimately, the literature highlights that players require a broad range of physical and technical skills developed through specific training. This review evaluates the demands of the modern game, drawing on research that has used GPS technology. These findings highlight that preparing players based on the average demands of competition is likely to leave them underprepared for the most demanding passages of play. As such, coaches should incorporate drills that replicate the most intense repeated high-intensity demands of competition in order to prepare players for the worst-case scenarios expected during match-play.

Assessment of eccentric exercise-induced oxidative stress using oxidation-reduction potential markers

The aim of the present study was to investigate the use of static (sORP) and capacity ORP (cORP) oxidation-reduction potential markers as measured by the RedoxSYS Diagnostic System in plasma, for assessing eccentric exercise-induced oxidative stress. Nineteen volunteers performed eccentric exercise with the knee extensors. Blood was collected before, immediately after exercise, and 24, 48, and 72 h after exercise. Moreover, common redox biomarkers were measured, which were protein carbonyls, thiobarbituric acid-reactive substances, total antioxidant capacity in plasma, and catalase activity and glutathione levels in erythrocytes. When the participants were examined as one group, there were not significant differences in any marker after exercise. However, in 11 participants there was a high increase in cORP after exercise, while in 8 participants there was a high decrease. Thus, the participants were divided in low cORP group exhibiting significant decrease in cORP after exercise and in high cORP group exhibiting significant increase. Moreover, only in the low cORP group there was a significant increase in lipid peroxidation after exercise suggesting induction of oxidative stress. The results suggested that high decreases in cORP values after exercise may indicate induction of oxidative stress by eccentric exercise, while high increases in cORP values after exercise may indicate no existence of oxidative stress.

Nonsteroidal anti-inflammatory drug use and endurance during running in male long-distance runners

CONTEXT

The effect of ibuprofen on pain tolerance during exercise is controversial, and its effects on endurance performance have been poorly investigated.

OBJECTIVE

To investigate the effect of prophylactic administration of the nonsteroidal anti-inflammatory drug ibuprofen on the time until the self-report of fatigue (tlim) in runners with exercise-induced muscle damage.

DESIGN

Randomized controlled clinical trial.

SETTING

Laboratory.

PATIENTS OR OTHER PARTICIPANTS

Twenty healthy male long-distance runners (age = 18.8 ± 0.4 years, maximal oxygen consumption = 55.5 ± 5.9 mL·kg(-1)·min(-1)).

INTERVENTION(S)

Participants were assigned to 2 groups (ibuprofen group = 10, placebo group = 10) to perform tlim trials (speed corresponded to their previously determined secondventilatory thresholds) 48 hours before and 48 hours after the induction of a lower limb muscle-damage protocol (isokinetic dynamometry). One hour before the second tlim trial, the ibuprofen group received 1.2 g ibuprofen, and the placebo group received lactose orally.

MAIN OUTCOME MEASURE(S)

Time until self-reported fatigue, heart rate, respiratory quotient, oxygen consumption, and perceived exertion were recorded during each tlim test.

RESULTS

Both groups reported increases in muscle pain in the knee extensors and flexors 48 hours after the muscle-damage protocol. We observed a reduction in the endurance performance of both groups (P < .01) but no difference between groups (P = .55).

CONCLUSIONS

Ibuprofen did not reduce the effect of muscle damage and pain on performance. Prophylactic use of nonsteroidal anti-inflammatory drugs did not have an ergogenic effect on running performance after exercise-induced muscle damage in male long-distance runners.

The influence of soccer playing actions on the recovery kinetics after a soccer match

This study examined the relationship between the frequency of playing actions performed during a soccer match and the recovery kinetics after the match. Time motion analyses were performed on 10 professional soccer players during 4 competitive matches (14 observations) to determine the number of playing actions completed by players. Subjective ratings, creatine kinase, and physical tests (countermovement jump [CMJ], isometric maximum voluntary contraction of the hamstrings, 6-second sprint on a nonmotorized treadmill) were performed before the match and 24 hours, 48 hours, and 72 hours after the match. During the 72-hour recovery period, CMJ, isometric strength of the hamstring muscles, and peak sprint speed significantly (p ≤ 0.05) decreased, whereas muscle soreness increased (p ≤ 0.05). Significant correlations were observed between the increase in muscle soreness and number of short sprints (<5 m) performed at 48 hours (r = 0.74; confidence interval [CI], 0.35-0.91; p < 0.01) and 72 hours (r = 0.57; CI, 0.05-0.84; p ≤ 0.05) after match play. A significant relationship (r = -0.55; CI, -0.84 to -0.03; p ≤ 0.05) was also observed between CMJ performance decrement at 24 hours and the number of hard changes in direction performed. Soccer match play resulted in significant neuromuscular fatigue for up to 72 hours after match and was dependent on the number of sprints and hard changes in direction performed during the match. Time motion analysis data currently used during a soccer match should quantify hard changes in direction, acceleration and deceleration phases to enable better estimations of postmatch fatigue.

Differential susceptibility on myosin heavy chain isoform following eccentric-induced muscle damage

Based on myosin heavy chain (MHC) isoform, human skeletal muscle fibers can be categorized into three fiber types, type I, IIa, IIx fibers, and each fiber type has different characteristics. Typical characteristics are difference in force production, shortening velocity, and fatigue resistance. When the muscle is contract and stretched by a force that is greater than the force generated by the muscle, contraction-induced muscle damage frequently occurs. Several experimental models involving both human and animal have considered the susceptibility of different muscle fiber type and part of muscles to eccentric induced muscle damage. General consensus is a greater susceptibility of fast-twitch fiber or type II fiber to damage following eccentric contractions. However, the results from these previous efforts were not enough to conclude the susceptibility between each individual fiber types after eccentric contraction. Therefore, the purpose of this review is to explore detail limitation and interpretation of previous studies, and review the recent study that eliminated the prior limitations, such as strain magnitude, lengthening velocity, fiber type heterogeneity, and muscle architecture issue.

Neuromuscular responses to simulated brazilian jiu-jitsu fights

The aim of this study was to investigate the neuromuscular performance responses following successive Brazilian Jiu-Jitsu (BJJ) fights. Twenty-three BJJ athletes (age: 26.3 ± 6.3 years; body mass: 79.4 ± 9.7 kg; body height: 1.80 ± 0.1 m) undertook 3 simulated BJJ fights (10 min duration each separated by 15 min of rest). Neuromuscular performance was measured by the bench press throw (BPT) and vertical counter movement jump (VCMJ) tests, assessed before the 1st fight (Pre) and after the last one (Post). Blood lactate (LA) was measured at Pre, 1 min Post, and 15 min Post fights. Paired t-tests were employed in order to compare the BPT and VCMJ results. One-way ANOVA with Bonferroni post hoc tests were utilized to compare LA responses. The results revealed a significant (p < 0.05) increase in VCMJ performance (40.8 ± 5.5 cm Pre vs. 42.0 ± 5.8 cm Post), but no significant changes in the BPT (814 ± 167 W Pre vs. 835 ± 213 W Post) were observed. LA concentration increased significantly (p < 0.05) at Post, both in the 1st min (10.4 ± 2.7 mmol L-1) and the 15th min (6.4 ± 2.5 mmol L-1) of recovery. We concluded that successive simulated BJJ fights demanded considerable anaerobic contribution of ATP supply, reinforcing the high-intensity intermittent nature of the sport. Nevertheless, no negative impact on acute neuromuscular performance (power) was observed.

Foam rolling for delayed-onset muscle soreness and recovery of dynamic performance measures

CONTEXT

After an intense bout of exercise, foam rolling is thought to alleviate muscle fatigue and soreness (ie, delayed-onset muscle soreness [DOMS]) and improve muscular performance. Potentially, foam rolling may be an effective therapeutic modality to reduce DOMS while enhancing the recovery of muscular performance.

OBJECTIVE

To examine the effects of foam rolling as a recovery tool after an intense exercise protocol through assessment of pressure-pain threshold, sprint time, change-of-direction speed, power, and dynamic strength-endurance.

DESIGN

Controlled laboratory study.

SETTING

University laboratory.

PATIENTS OR OTHER PARTICIPANTS

A total of 8 healthy, physically active males (age = 22.1 ± 2.5 years, height = 177.0 ± 7.5 cm, mass = 88.4 ± 11.4 kg) participated.

INTERVENTION(S)

Participants performed 2 conditions, separated by 4 weeks, involving 10 sets of 10 repetitions of back squats at 60% of their 1-repetition maximum, followed by either no foam rolling or 20 minutes of foam rolling immediately, 24, and 48 hours postexercise.

MAIN OUTCOME MEASURE(S)

Pressure-pain threshold, sprint speed (30-m sprint time), power (broad-jump distance), change-of-direction speed (T-test), and dynamic strength-endurance.

RESULTS

Foam rolling substantially improved quadriceps muscle tenderness by a moderate to large amount in the days after fatigue (Cohen d range, 0.59 to 0.84). Substantial effects ranged from small to large in sprint time (Cohen d range, 0.68 to 0.77), power (Cohen d range, 0.48 to 0.87), and dynamic strength-endurance (Cohen d = 0.54).

CONCLUSIONS

Foam rolling effectively reduced DOMS and associated decrements in most dynamic performance measures.

Effect of a prior bout of preconditioning exercise on muscle damage from downhill walking

This study investigated whether reduced-duration downhill walking (DW) would confer a protective effect against muscle damage induced by a subsequent bout of longer duration DW performed 1 week or 4 weeks later. Healthy young adults were allocated to a control or one of the preconditioning exercise (PRE-1wk or PRE-4wk) groups (10 men and 4 women per group). PRE-1wk and PRE-4wk groups performed 20-min DW (-28% slope, 5 km/h, 10% body mass added to a backpack) 1 week and 4 weeks before 40-min DW, respectively, and the control group performed 40-min DW only. Maximal voluntary contraction (MVC) knee extension torque, plasma creatine kinase (CK) activity, and muscle soreness (100-mm visual analog scale) were measured before, immediately after, and 24, 48, and 72 h after DW, and the changes in these variables were compared among groups. The control group showed symptoms of muscle damage (e.g., prolonged decrease in MVC: -14% ± 10% at 48 h post-DW) after 40-min DW. Changes in all variables after 40-min DW of PRE-1wk and PRE-4wk groups were 54%-61% smaller (P < 0.05) than the control group, without significant differences between PRE-1wk and PRE-4wk groups for MVC and plasma CK activity. Importantly, changes after the preconditioning exercise (20-min DW) were 67%-69% smaller (P < 0.05) than those after the 40-min DW of the control group. These findings suggest that 20-min DW resulting in minor muscle damage conferred a protective effect against subsequent 40-min DW, and its effect could last for more than 4 weeks.

Musculoskeletal stiffness during hopping and running does not change following downhill backwards walking

Eccentric contractions that provide spring energy can also cause muscle damage. The aim of this study was to explore leg and vertical stiffness following muscle damage induced by an eccentric exercise protocol. Twenty active males completed 60 minutes of backward-walking on a treadmill at 0.67 m/s and a gradient of - 8.5° to induce muscle damage. Tests were performed immediately before; immediately post; and 24, 48, and 168 hours post eccentric exercise. Tests included running at 3.35 m/s and hopping at 2.2 Hz using single- and double-legged actions. Leg and vertical stiffness were measured from kinetic and kinematic data, and electromyography (EMG) of five muscles of the preferred limb were recorded during hopping. Increases in pain scores (over 37%) occurred post-exercise and 24 and 48 hours later (p < 0.001). A 7% decrease in maximal voluntary contraction occurred immediately post-exercise (p = 0.019). Changes in knee kinematics during single-legged hopping were observed 168 hours post (p < 0.05). No significant changes were observed in EMG, creatine kinase activity, leg, or vertical stiffness. Results indicate that knee mechanics may be altered to maintain consistent levels of leg and vertical stiffness when eccentric exercise-induced muscle damage is present in the lower legs.

Neuromuscular function, hormonal, and mood responses to a professional rugby union match

We examined the recovery time-course of neuromuscular function (NMF), the testosterone and cortisol hormonal milieu, and mood for 60 hours after a competitive match in professional rugby union players (n = 14). Thirty-six hours prematch (19:30 hours kick-off), baseline saliva samples (testosterone, cortisol, and testosterone to cortisol [T/C] ratio), countermovement jump performances (peak power output [PPO]), and mood disruption (Brief Assessment of Mood Questionnaire) were collected and was repeated at 12, 36, and 60 hours postmatch. Peak power output decreased below baseline at 12 hours (baseline 6,100 ± 565 W vs. 12 h 5,680 ± 589 W; p = 0.004) and 36 hours (5,761 ± 639 W; p < 0.001) but had recovered at 60 hours (5,950 ± 505 W; p = 0.151). Cortisol concentrations increased from baseline at 12 hours (baseline 0.40 ± 0.09 µg·dl-1 vs. 12 h 0.60 ± 0.20 µg·dl-1; p = 0.004) and 36 hours (0.60 ± 0.20 µg·dl-1; p = 0.027) but were similar at 60 hours postmatch. Testosterone concentrations decreased from baseline at 12 hours (baseline 214 ± 84 pg·ml-1 vs. 12 h 151 ± 56 pg·ml-1; p = 0.023) and 36 hours (173 ± 71 pg·ml-1; p = 0.016) but were similar at 60 hours postmatch. The T/C ratio decreased from baseline at 12 hours (baseline 551 ± 219 vs. 12 h 266 ± 123; p = 0.001) and 36 hours (310 ± 148; p = 0.027) before returning to baseline at 60 hours postmatch. Mood disturbance increased at 12 hours (p = 0.031) before returning to baseline at 36 and 60 hours postmatch. There were no relationships between changes in PPO, testosterone, cortisol, T/C ratio, and mood. In conclusion, postmatch changes in NMF, salivary hormones, and mood disturbance were identified in professional rugby union players. Players and coaches can expect reduced NMF and hormonal disruption for 36 hours before recovering at 60 hours postmatch, with mood recovered by 36 hours postmatch. Knowledge of these recovery time-courses may prove useful for player training program design and postmatch recovery strategies.

Deep mineral water accelerates recovery after dehydrating aerobic exercise: a randomized, double-blind, placebo-controlled crossover study

BACKGROUND

The effect of deep mineral water (DMW) with moderate mineralization on the recovery of physical performance after prolonged dehydrating aerobic exercise in the heat was studied in nine healthy, physically active (VO2max = 45.8 ± 8.4 mL kg(-1) min(-1)) women aged 24.0 ± 3.7 years.

METHODS

We conducted a randomized, double-blind, placebo-controlled crossover human study to evaluate the effect of ingestion of natural mineral water extracted from a depth of 689 m on recovery from prolonged fatiguing aerobic running conducted at 30°C.

RESULTS

Mean body weight decreased by 2.6-2.8% following dehydrating exercise. VO2max was 9% higher after 4 h of recovery after rehydrating with DMW compared with plain water. Leg muscle power recovered better during the slow phase of recovery and was significantly higher after 48 h of recovery after rehydrating with DMW compared with plain water.

CONCLUSIONS

DMW with moderate mineralization was more effective in inducing recovery of aerobic capacity and leg muscle power compared with plain water following prolonged dehydrating aerobic running exercise.

Assessment of magnetic resonance techniques to measure muscle damage 24 h after eccentric exercise

The study examined which of a number of different magnetic resonance (MR) methods were sensitive to detecting muscle damage induced by eccentric exercise. Seventeen healthy, physically active participants, with muscle damage confirmed by non-MR methods were tested 24 h after performing eccentric exercise. Techniques investigated whether damage could be detected within the quadriceps muscle as a whole, and individually within the rectus femoris, vastus lateralis (VL), vastus medialis (VM), and vastus intermedius (VI). Relative to baseline values, significant changes were seen in leg and muscle cross-sectional areas and volumes and the resting inorganic phosphate concentration. Significant time effects over all muscles were also seen in the transverse relaxation time (T2) and apparent diffusion coefficient (ADC) values, with individually significant changes seen in the VL, VM, and VI for T2 and in the VI for ADC. A significant correlation was found between muscle volume and the average T2 change (r = 0.59) but not between T2 and ADC or Pi alterations. There were no significant time effects over all muscles for magnetization transfer contrast images, for baseline pH, phosphocreatine (PCr), phosphodiester, or ATP metabolite concentrations or the time constant describing the rate of PCr recovery following exercise.

Effect of milk on team sport performance after exercise-induced muscle damage

INTRODUCTION

Exercise-induced muscle damage (EIMD) leads to increases in intramuscular proteins observed in the blood stream and delayed onset of muscle soreness, but crucial for athletes are the decrements in muscle performance observed. Previous research has demonstrated that carbohydrate-protein supplements limit these decrements; however, they have primarily used isokinetic dynamometry, which has limited applicability to dynamic sport settings. Therefore, the aim of this study was to investigate the effects of a carbohydrate-protein milk supplement consumed after muscle-damaging exercise on performance tests specific to field-based team sports.

METHODS

Two independent groups of seven males consumed either 500 mL of milk or a control immediately after muscle-damaging exercise. Passive and active delayed onset of muscle soreness, creatine kinase, myoglobin, countermovement jump height, reactive strength index, 15-m sprint, and agility time were assessed before and 24, 48, and 72 h after EIMD. The Loughborough Intermittent Shuttle Test was also performed before and 48 h after EIMD.

RESULTS

At 48 h, milk had a possible benefit for limiting increases in 10-m sprint time and a likely benefit of attenuating increases in mean 15-m sprint time during the Loughborough Intermittent Shuttle Test. At 72 h, milk had a possible benefit for limiting increases in 15-m sprint time and a likely benefit for the attenuation of increases in agility time. All other effects for measured variables were unclear.

CONCLUSION

The consumption of milk limits decrements in one-off sprinting and agility performance and the ability to perform repeated sprints during the physiological simulation of field-based team sports.

Architectural, functional and molecular responses to concentric and eccentric loading in human skeletal muscle

AIM

We investigated architectural, functional and molecular responses of human skeletal muscle to concentric (CON) or eccentric (ECC) resistance training (RT).

METHODS

Twelve young males performed 10 weeks of concentric (CON) or eccentric (ECC) resistance training (RT) (n = 6 CON, 6 ECC). An additional 14 males were recruited to evaluate acute muscle fascicle behaviour and molecular signalling in biopsies collected from vastus lateralis (VL) after 30 min of single bouts of CON or ECC exercise. VL volume was measured by magnetic resonance imaging. Muscle architecture (fascicle length, Lf; pennation angle, PA) was evaluated by ultrasonography. Muscle remodelling signals to CON or ECC loading [MAPK/AKT-mammalian target of rapamycin (mTOR) signalling] and inflammatory pathway (TNFαMurf-1-MAFbx) were evaluated by immunoblotting.

RESULTS

Despite the ~1.2-fold greater load of the ECC group, similar increases in muscle volume (+8% CON and +6% ECC) and in maximal voluntary isometric contraction (+9% CON and +11% ECC) were found after RT. However, increases in Lf were greater after ECC than CON (+12 vs. +5%) while increases in PA were greater in CON than ECC (+30 vs. +5%). Distinct architectural adaptations were associated with preferential growth in the distal regions of VL for ECC (+ECC +8% vs. +CON +2) and mid belly for CON (ECC +7 vs. CON +11%). While MAPK activation (p38MAPK, ERK1/2, p90RSK) was specific to ECC, neither mode affected AKT-mTOR or inflammatory signalling 30 min after exercise.

CONCLUSION

Muscle growth with CON and ECC RT occurs with different morphological adaptations reflecting distinct fibre fascicle behaviour and molecular responses.

What is the ideal dose and power output of low-level laser therapy (810 nm) on muscle performance and post-exercise recovery? Study protocol for a double-blind, randomized, placebo-controlled trial

Background

Recent studies involving phototherapy applied prior to exercise have demonstrated positive results regarding the attenuation of muscle fatigue and the expression of biochemical markers associated with recovery. However, a number of factors remain unknown, such as the ideal dose and application parameters, mechanisms of action and long-term effects on muscle recovery. The aims of the proposed project are to evaluate the long-term effects of low-level laser therapy on post-exercise musculoskeletal recovery and identify the best dose andapplication power/irradiation time.

Design and methods

A double-blind, randomized, placebo-controlled clinical trial with be conducted. After fulfilling the eligibility criteria, 28 high-performance athletes will be allocated to four groups of seven volunteers each. In phase 1, the laser power will be 200 mW and different doses will be tested: Group A (2 J), Group B (6 J), Group C (10 J) and Group D (0 J). In phase 2, the best dose obtained in phase 1 will be used with the same distribution of the volunteers, but with different powers: Group A (100 mW), Group B (200 mW), Group C (400 mW) and Group D (0 mW). The isokinetic test will be performed based on maximum voluntary contraction prior to the application of the laser and after the eccentric contraction protocol, which will also be performed using the isokinetic dynamometer. The following variables related to physical performance will be analyzed: peak torque/maximum voluntary contraction, delayed onset muscle soreness (algometer), biochemical markers of muscle damage, inflammation and oxidative stress.

Discussion

Our intention, is to determine optimal laser therapy application parameters capable of slowing down the physiological muscle fatigue process, reducing injuries or micro-injuries in skeletal muscle stemming from physical exertion and accelerating post-exercise muscle recovery. We believe that, unlike drug therapy, LLLT has a biphasic dose–response pattern.

Trial registration

The protocol for this study is registered with the Protocol Registry System, ClinicalTrials.gov identifier NCT01844271.

Effects of a low volume injury prevention program on the hamstring torque angle relationship

The effects of a 4-week lower body injury prevention program on knee muscle torque-angle relationship were examined in soccer players. Twenty men were randomly allocated to either a control (n = 10) or training group (n = 10). The training group underwent three training sessions per week, comprising 3 sets of 8 repetitions of one open-chain exercise (Nordic curl) and two closed-chain exercises-forward lunges on a Bosu balance trainer and eccentric single leg dead lifts. Maximal peak knee flexion torque was measured at 35°, 45°, 60°, 80°, 90°, and 100° pre- and post-intervention. Significant improvements were observed only at 80° (p = .001; d = .94) along with a nonsignificant trend at 35° (p = .081; d = .43). As these modifications might protect athletes against muscle and joint injuries, the use of both stable-open and unstable-closed kinetic chain exercises emphasizing eccentric hamstring and knee stabilization actions should be integrated into injury prevention programs in team sports athletes.

Influence of physical qualities on post-match fatigue in rugby league players

OBJECTIVES

This study examined the influence of physical qualities on markers of fatigue and muscle damage following rugby league match-play.

DESIGN

Between subjects design.

METHODS

Twenty-one male youth rugby league players (age 19.2 ± 0.7 years; height 180.7 ± 5.6 cm; body mass 89.9 ± 10.0 kg) participated in the study. Yo-Yo intermittent recovery test (level 1), 3 repetition maximum back squat and bench press were assessed prior to 2 competitive fixtures. Neuromuscular fatigue (countermovement jump [CMJ] and plyometric push-up [PP]), and blood creatine kinase (CK) were assessed before and after match-play. During match-play, movements were recorded using microtechnology. Players were divided into high- and low-groups based on physical qualities.

RESULTS

High Yo-Yo and squat performance resulted in greater loads during match-play (p<0.05). There were larger reductions in CMJ power in the low Yo-Yo group at both 24 (ES=-1.83), and 48 h post-match (ES=-1.33). Despite greater internal and external match loads, changes in CMJ power were similar between squat groups. There were larger increases in blood CK in the low Yo-Yo group at 24 (73% vs. 176%; ES=1.50) and 48 h post-match (28% vs. 80%; ES=1.22). Despite greater contact loads, the high squat group exhibited smaller changes in blood CK post-match (ES=0.25-0.39).

CONCLUSIONS

Post-match fatigue is lower in players with well-developed high-intensity running ability, and lower body strength, despite these players having greater internal and external match loads.

Peak power is reduced following lengthening contractions despite a maintenance of shortening velocity

Following repetitive lengthening contractions, power (the product of torque and velocity) is impaired during shortening contractions. However, the relative contribution of each component to power loss and the underlying factors are unclear. We investigated neuromuscular properties of the dorsiflexors in 8 males (27 ± 3 years) and 8 females (26 ± 4 years) for a potential sex-related difference before, during, and after 150 unaccustomed maximal lengthening actions. Velocity-dependent power was determined from shortening contractions at 8 levels (1 N·m to 70% of maximum voluntary isometric contraction (MVC)) before, after, and throughout recovery assessed at 0–30 min, 24 h, and 48 h. Immediately following task termination, both sexes displayed similar impairments of 30%, 4%, and 10% in MVC torque, shortening velocity, and overall peak power, respectively (P < 0.05). Peak rate of isometric torque development (RTD) was reduced by 10% in males, but females exhibited a 35% reduction (P < 0.05). Rate of torque development for the MVC remained depressed in both sexes throughout the 30 min recovery period; however, the RTD returned to normal by 24 h in males but did not recover by 48 h in females. Power was reduced preferentially at higher loads (i.e., 60% MVC), with a greater loss in females (65%) than males (45%). For lower loads (<20% MVC), power was impaired minimally (4%–8%; P < 0.05) and recovered within 30 min in both groups. The reduction in maximal angular velocity persisted until 30 min of recovery, and peak power did not recover until 24 h for both sexes. Unaccustomed lengthening contractions decreased power preferentially at higher loads, whereas peak power was reduced minimally owing to maintenance of maximal shortening velocity.

Profiling the time-course changes in neuromuscular function and muscle damage over two consecutive tournament stages in elite rugby sevens players

OBJECTIVES

Many International Rugby Board (IRB) sevens competitions require that two tournament stages are played over consecutive weekends, but the impact this has on player physical performance and recovery is lacking. We examined the influence of two consecutive tournaments on neuromuscular function (NMF) and muscle damage in rugby sevens players.

DESIGN

Ten elite international rugby sevens players completed this observational study over 2 tournaments, separated by 5 days, during the IRB sevens series.

METHODS

On the morning of day 1 and 2, of both tournament 1 (T1) and 2 (T2), players performed countermovement jumps (CMJ; jump height [JH]) and capillary blood samples (creatine kinase [CK]) were collected. After the last match of each day, further capillary samples were collected. Additional, CMJ were performed 12 and 60 h post-T1.

RESULTS

Player JH decreased from day 1 to day 2 during T1 (mean ± SD; -6.0 ± 5.4%; P=0.016), was reduced at 12 (-26.1 ± 5.0%; P<0.001) and 60 h post-T1 (-7.1 ± 4.8%; P=0.003) and remained lower, at am day 1 of T2 (-8.0 ± 6.0%; P=0.007), when compared with day 1 of T1. Player JH was lower on day 1 and 2 of T2, compared with T1 (P<0.05). CK concentrations were greater than baseline at all time points during each tournament (P<0.001); no between tournament differences in CK responses existed (P=0.302).

CONCLUSIONS

A single sevens tournament reduces NMF such that players are not fully recovered by the start of the second competition stage, however CK returns to baseline in-between and shows the same pattern across two consecutive tournaments.

Physiological responses to an intensified period of rugby league competition

This study investigated the physiological responses to an intensified period of rugby league competition and the subsequent impact on match performance. The participants were 7 rugby league players competing in an international student tournament. The tournament involved three 80-minute games over a 5-day period, with 48 hours between each match. Baseline measures of upper and lower body neuromuscular functions via a plyometric press-up (PP) and countermovement jump (CMJ), respectively (peak power and peak force were measured), blood creatine kinase (CK), and perceptions of well-being were assessed with a questionnaire. These measures were repeated every morning of the competition; neuromuscular fatigue and CK were additionally assessed within 2 hours after the cessation of each game. During each match, player movements were recorded via global positioning system units. There were meaningful reductions in upper (effect size [ES] = -0.55) and lower body (ES = -0.73) neuromuscular functions, and perceptual well-being (ES = -1.56) and increases in blood CK (ES = 2.32) after game 1. These changes increased in magnitude as the competition progressed. There were large reductions in the relative distance covered in high-speed running (ES = -1.49) and maximal accelerations (ES = -0.85) during game 3. Additionally, moderate reductions in the percentage of successful tackles completed were observed during game 3 (ES = -0.59). Collectively, these results demonstrate that during an intensified period of rugby league competition, characterized by only 48 hours between matches, fatigue will accumulate. This cumulative fatigue may compromise high-intensity match activities such as high-speed running, accelerations, and tackling. Furthermore, CMJs and PPs appear to be sensitive measures for monitoring neuromuscular function in rugby league players.

Aging, functional capacity and eccentric exercise training

Aging is a multi-factorial process that ultimately induces a decline in our physiological functioning, causing a decreased health-span, quality of life and independence for older adults. Exercise participation is seen as a way to reduce the impact of aging through maintenance of physiological parameters. Eccentric exercise is a model that can be employed with older adults, due to the muscle's ability to combine high muscle force production with a low energy cost. There may however be a risk of muscle damage before the muscle is able to adapt. The first part of this review describes the process of aging and how it reduces aerobic capacity, muscle strength and therefore functional mobility. The second part highlights eccentric exercise and the associated muscle damage, in addition to the repeated bout effect. The final section reviews eccentric exercise interventions that have been completed by older adults with a focus on the changes in functional mobility. In conclusion, eccentric endurance exercise is a potential training modality that can be applied to older adults for improving muscle strength, aerobic capacity and functional ability. However, further research is needed to assess the effects on aerobic capacity and the ideal prescription for eccentric endurance exercise.

Monitoring Fatigue and Recovery in Rugby League Players

Rugby league is a contact team sport performed at an average intensity similar to that of other team sports (~70–80% VO2max), made up of unsystematic movements of varying type, duration, and frequency. The high number of collisions, repeated eccentric muscle contractions associated with accelerating and decelerating, and prolonged aerobic nature of rugby league matches result in the development of fatigue in the days after exercise. Monitoring the presence and magnitude of this fatigue to maximize performance and training adaptation is an important consideration for applied sports scientists. Several methods have been proposed to measure the magnitude of fatigue in athletes. Perceptual measures (eg, questionnaires) are easy to employ and are sensitive to changes in performance. However, the subjective nature of such measures should be considered. Blood biochemical markers of fatigue may provide a more objective measure of homeostatic disturbances associated with fatigue; however, the cost, level of expertise required, and high degree of variability of many of these measures often preclude them from being used in the applied setting. Accordingly, simple measure of muscle function (eg, jump height) and simulated performance offer the most practical and appropriate method of determining the extent of fatigue experienced by rugby league players. A meaningful change in each measure of fatigue for the monitoring of players can be easily determined, provided that the reliability of the measure is known. Multiplying the coefficient of variation by 0.3, 0.9, and 1.6 can be used to determine a small, moderate, and large change, respectively.

Muscle performance following an acute bout of plyometric training combined with low or high intensity weight exercise

To determine the time course of performance responses after an acute bout of plyometric exercise combined with high and low intensity weight training, a 3-group (including a control group), repeated-measures design was employed. Changes in performance were monitored through jumping ability by measuring countermovement and squat jumping, and strength performance assessment through isometric and isokinetic testing of knee extensors (at two different velocities). Participants in both experimental groups performed a plyometric protocol consisting of 50 jumps over 50 cm hurdles and 50 drop jumps from a 50 cm plyometric box. Additionally, each group performed two basic weight exercises consisting of leg presses and leg extensions at 90-95% of maximum muscle strength for the high intensity group and 60% of maximum muscle strength for the low intensity group. The results of the study suggest that an acute bout of intense plyometric exercise combined with weight exercise induces time-dependent changes in performance, which are also dependent on the nature of exercise protocol and testing procedures. In conclusion, acute plyometric exercise with weight exercise may induce a substantial decline in jumping performance for as long as 72 hours but not in other forms of muscle strength.

Eccentric muscle damage increases intermuscular coherence during a fatiguing isometric contraction

AIM

The purpose of this study was to determine the effect of eccentric muscle damage on muscle activation patterns and intermuscular coherence during a fatiguing isometric contraction involving the elbow flexor muscles.

METHODS

Ten young subjects participated in three experimental sessions that involved the performance of maximum voluntary contractions (MVCs), a constant-force task at 30% MVC, and a fatiguing isometric contraction at 30% MVC. The three sessions were performed before, 2 h after and 2 days after eccentric exercise to induce muscle damage in elbow flexor muscles. Task performance was quantified with electromyography (EMG) from the elbow flexor (biceps brachii, brachialis and brachioradialis) and extensor (triceps brachii) muscles, M-wave amplitude of biceps brachii, elbow flexor force fluctuations and endurance time of a fatiguing contraction. Intermuscular coherence during the fatiguing contraction was quantified from the rectified surface EMGs between muscle pairs.

RESULTS

Eccentric exercise resulted in several indicators of muscle damage, such as a prolonged decline in muscle strength and an increase in muscle soreness 2 days after exercise. A 29% reduction in endurance time was observed 2 h after eccentric muscle damage, which returned to baseline 2 days later. The reduced endurance time 2 h after muscle damage was accompanied by an increase in EMG-EMG coherence between biceps brachii and brachialis muscles, which was observed at the end of the fatiguing contraction.

CONCLUSION

These findings suggest that eccentric muscle damage produces a decrease in endurance time that is accompanied by an increase in intermuscular coherence in the presence of fatigue.

Neuromuscular impairment following backpack load carriage

Load Carriage using backpacks is an occupational task and can be a recreational pursuit. The aim of this study was to investigate the mechanisms responsible for changes in neuromuscular function of the m. quadriceps femoris following load carriage. The physiological responses of 10 male participants to voluntary and electrically stimulated isometric contractions were measured before and immediately after two hours of treadmill walking at 6.5 km•h ⁻¹ during level walking with no load [LW], and level walking with load carriage (25 kg backpack) [LC]. Maximal voluntary contraction force decreased by 15 ± 11 % following LC (p=0.006), with no change following LW (p=0.292). Voluntary activation decreased after LW and LC (p=0.033) with no difference between conditions (p=0.405). Doublet contraction time decreased after both LW and LC (p=0.002), with no difference between conditions (p=0.232). There were no other changes in electrically invoked doublet parameters in either condition. The 20:50 Hz ratio did not change following LW (p=0.864) but decreased from 0.88 ± 0.04 to 0.84 ± 0.04 after LC (p=0.011) indicating reduced Ca2+ release from the sarcoplasmic reticulum during excitation contraction coupling. In conclusion, two hours of load carriage carrying a 25 kg back pack caused neuromuscular impairment through a decrease in voluntary activation (i.e. central drive) and fatigue or damage to the peripheral muscle, including impairment of the excitation contraction coupling process. This may reduce physical performance and increase the risk of musculoskeletal injury.

Walking kinematics and kinetics following eccentric exercise-induced muscle damage

The goal of this investigation was to investigate how walking patterns are affected following muscle-damaging exercise by quantifying both lower limb kinematics and kinetics. Fifteen young women conducted a maximal isokinetic eccentric exercise (EE) muscle damage protocol (5×15) of the knee extensors and flexors of both legs at 60°/s. Three-dimensional motion data and ground reaction forces (GRFs) were collected 24h pre-EE while the participants walked at their preferred self-selected walking speed (SWS). Participants were asked to perform two gait conditions 48h post-EE. The first condition (COND1) was to walk at their own speed and the second condition (COND2) to maintain the SWS (±5%) they had 24h pre-EE. Walking speed during COND1 was significantly lower compared to pre-exercise values. When walking speed was controlled during COND2, significant effects of muscle damage were noticed, among other variables, for stride frequency, loading rate, lateral and vertical GRFs, as well as for specific knee kinematics and kinetics. These findings provide new insights into how walking patterns are adapted to compensate for the impaired function of the knee musculature following muscle damage. The importance to distinguish the findings caused by muscle damage from those exhibited in response to changes in stride frequency is highlighted.

Biomechanics of sit-to-stand transition after muscle damage

The purpose of the study was to examine the effects of exercise-induced muscle damage on the biomechanics of the sit-to-stand transition (STST). Seventeen volunteers participated in an intense, eccentric based, muscle damage protocol of knee flexors and extensors via an isokinetic dynamometer. Kinematic and kinetic data were collected using a 10-camera optoelectronic system and a force plate 24h before and 48h after exercise. Statistical analysis showed significant differences in kinematic and kinetic parameters after exercise. Forty-eight hours after exercise, the strategy did change and the knee joint relative effort level increased significantly. Pelvic and hip kinematics, in conjunction with the knee extension joint moment, provided an efficient mechanism to support the participants' locomotor system during the STST. These results may be of great significance in designing supportive devices, as well as composing rehabilitation programs for young or elderly individuals, with various musculoskeletal pathologies.

The metabolic, hormonal, biochemical, and neuromuscular function responses to a backward sled drag training session

We examined the metabolic, hormonal, biochemical, and neuromuscular function (NMF) responses to a backward sled drag training session (STS) in strength-trained men (n = 11). After baseline collection of saliva (testosterone and cortisol), whole blood (lactate and creatine kinase [CK]), and countermovement jumps (peak power output), participants completed 5 sets of 2 × 20-m (30 second-recovery between drags and 120 second-recovery between sets) maximal backward sled drags (loaded with 75% body mass). Participants were retested immediately, 15 minutes, 1, 3, and 24 hours after STS. Peak power output decreased after STS (baseline, 4,445 ± 705 vs. 0 minute, 3,464 ± 819 W; p = 0.001) and remained below baseline until recovering at both the 3- and 24-hour time points. No changes in CK levels were seen at any time point after STS. Blood lactate increased immediately after STS (baseline, 1.7 ± 0.5 vs. 0 minute, 12.4 ± 2.6 mmol·L-1; p = 0.001) and remained elevated at 60 minutes (3.8 ± 1.9 mmol·L-1; p = 0.004) before returning to baseline at 3 and 24 hours. Testosterone peaked at 15 minutes post (baseline, 158 ± 45 vs. 15 minutes, 217 ± 49 pg·ml-1; p < 0.001) before decreasing below baseline at the 3-hour time point (119 ± 34 pg·ml-1; p = 0.008), but then increased again above baseline at 24 hours (187 ± 56 pg·ml-1; p = 0.04). Cortisol tended to increase at 15 minutes (baseline, 3.4 ± 1.8 vs. 15 minutes, 5.2 ± 2.7 ng·ml-1; p = 0.07) before declining below baseline at 3 hours (1.64 ± 0.93 ng·ml-1; p = 0.012) and returning to baseline concentrations at 24 hours. In conclusion, sled dragging provides an effective metabolic stimulus, with NMF restored after ≤3 hours of recovery. Characterizing the recovery time course after sled training may aid in athlete training program design.

Intra- and interday reliability of voluntary and electrically stimulated isometric contractions of the quadriceps femoris

The reliability of voluntary and electrically stimulated isometric contractions of m. quadriceps femoris of male participants (n=10; age 30±8years; height 1.79±0.05m; body mass 79.4±8.3kg) was investigated using ratio limits of agreement (LoA) on a time scale common to examine recovery from muscle damaging exercise. No systematic changes in reliability occurred over time (baseline versus 2, 24, 48, and 72h). Maximal voluntary contraction (MVC) and interpolated twitch technique (ITT) showed no mean bias (P>0.05) with 95% LoA of ±12.7 and ±5.4, respectively. Resting twitch and potentiated doublet peak force showed no mean bias (P>0.05). However, 95% LoA were smaller for the doublet (±13.9) than the twitch (±32.0). Twitch and doublet rates showed similar trends. Ratio of low (20Hz) to high (50Hz) frequency forces showed no mean bias (P>0.05) and 95% LoA of (±9.2). However, there was significant mean bias (P<0.05) and wider 95% LoA for peak force, contraction and relaxation parameters of the low and high frequency forces. In conclusion, MVC, ITT, potentiated doublet and the ratio of low to high frequency forces are recommended to most reliably examine functional muscle recovery between 2 and 72h after damaging exercise.

Recovery in soccer: part I - post-match fatigue and time course of recovery

In elite soccer, players are frequently required to play consecutive matches interspersed by 3 days and complete physical performance recovery may not be achieved. Incomplete recovery might result in underperformance and injury. During congested schedules, recovery strategies are therefore required to alleviate post-match fatigue, regain performance faster and reduce the risk of injury. This article is Part I of a subsequent companion review and deals with post-match fatigue mechanisms and recovery kinetics of physical performance (sprints, jumps, maximal strength and technical skills), cognitive, subjective and biochemical markers. The companion review will analyse recovery strategies used in contemporary professional soccer. Soccer involves many physically demanding activities including sprinting, changes in running speed, changes of direction, jumps and tackles, as well as technical actions such as dribbling, shooting and passing. These activities lead to a post-match fatigue that is linked to a combination of dehydration, glycogen depletion, muscle damage and mental fatigue. The magnitude of soccer match-induced fatigue, extrinsic factors (i.e. match result, quality of the opponent, match location, playing surface) and/or intrinsic factors (i.e. training status, age, gender, muscle fibre typology), potentially influence the time course of recovery. Recovery in soccer is a complex issue, reinforcing the need for future research to estimate the quantitative importance of fatigue mechanisms and identify influencing factors. Efficient and individualized recovery strategies may consequently be proposed.