Efetividade da massagem percussiva na intensidade da fadiga e dor muscular do quadríceps, torque muscular dos extensores de joelho e na altura do salto vertical:  protocolo de ensaio clínico randomizado cruzado

Raphael Oliveira Caetano; Bruno Soares Alves; Francisco Silveira Pires; Fernanda de Oliveira Lauria; Isabela Vergara Marques; Ana Carolina Nicolau Gomes; Diogo Simões Fonseca; Diogo Carvalho Felício

doi:10.5585/24.2025.27190

Authors

Raphael Oliveira Caetano Federal University of Juiz de Fora https://orcid.org/0000-0003-2282-1224
Bruno Soares Alves Federal University of Juiz de Fora https://orcid.org/0000-0001-9710-2393
Francisco Silveira Pires Federal University of Juiz de Fora https://orcid.org/0000-0002-1044-0689
Fernanda de Oliveira Lauria Federal University of Juiz de Fora https://orcid.org/0009-0005-6239-3748
Isabela Vergara Marques Federal University of Juiz de Fora https://orcid.org/0009-0008-0932-4008
Ana Carolina Nicolau Gomes Federal University of Juiz de Fora https://orcid.org/0009-0004-0949-9407
Diogo Simões Fonseca Federal University of Juiz de Fora https://orcid.org/0000-0002-3904-839X
Diogo Carvalho Felício Federal University of Juiz de Fora https://orcid.org/0000-0001-5138-1884

DOI:

https://doi.org/10.5585/24.2025.27190

Keywords:

Post-Exercise Recovery, Post-Exercise Recovery Techniques, Massage

Abstract

Introduction: Various methods have been employed to optimize post-training recovery, among which massage is prominent. Recently, percussive massage has gained attention; however, preliminary results are conflicting, and there are reports of adverse effects.
Objectives: This study aims to investigate the effectiveness of percussive massage on muscle fatigue intensity, muscle pain intensity, knee extensor torque, and vertical jump height.
Methodology: A randomized crossover clinical trial (RBR-33dz538) with evaluator blinding will be conducted. Active participants aged 18 to 40 years will be included, while those with self-reported musculoskeletal pain in the hip or knee at baseline will be excluded. Participants will be randomized to receive percussive massage (AVANUTRI®) and passive recovery following a knee extensor fatigue induction protocol. Muscle fatigue intensity and quadriceps muscle pain intensity during squatting (Numerical Visual Analog Scale), knee extensor muscle torque (PHYSIOCODE F-01® dynamometer), and vertical jump height (Baiobit® inertial sensor) will be assessed.
Discussion: It is anticipated that percussive massage will improve both objective and subjective test outcomes. This research may contribute to evaluating the effectiveness of percussive massage, which is widely used but still lacks robust scientific evidence.

Downloads

Author Biographies

Raphael Oliveira Caetano, Federal University of Juiz de Fora

Fisioterapeuta e Mestre no Programa de Pós-Graduação em Ciência da Reabilitação e Desempenho Físico Funcional Universidade Federal de Juiz de Fora

Bruno Soares Alves, Federal University of Juiz de Fora

Fisioterapeuta e Mestre no Programa de Pós-Graduação em Ciência da Reabilitação e Desempenho Físico Funcional Universidade Federal de Juiz de Fora

Francisco Silveira Pires, Federal University of Juiz de Fora

Fisioterapeuta e Mestrando no Programa de Pós-Graduação em Ciência da Reabilitação e Desempenho Físico Funcional Universidade Federal de Juiz de Fora

Fernanda de Oliveira Lauria, Federal University of Juiz de Fora

Acadêmica de Fisioterapia Universidade Federal de Juiz de Fora

Isabela Vergara Marques, Federal University of Juiz de Fora

Acadêmica de Fisioterapia Universidade Federal de Juiz de Fora

Ana Carolina Nicolau Gomes, Federal University of Juiz de Fora

Acadêmica de Fisioterapia Universidade Federal de Juiz de Fora

Diogo Simões Fonseca, Federal University of Juiz de Fora

Fisioterapeuta, Prof. Dr. Faculdade de Fisioterapia e Programa de Pós Graduação em Ciência da Reabilitação e Desempenho Físico Funcional Universidade Federal de Juiz de Fora

Diogo Carvalho Felício, Federal University of Juiz de Fora

Fisioterapeuta, Prof. Dr. Faculdade de Fisioterapia e Programa de Pós Graduação em Ciência da Reabilitação e Desempenho Físico Funcional Universidade Federal de Juiz de Fora

References

1. Ahtiainen JP, Walker S, Silvennoinen M, Kyröläinen H, Nindl BC, Häkkinen K, Nyman K, Selänne H, Hulmi JJ. Exercise type and volume alter signaling pathways regulating skeletal muscle glucose uptake and protein synthesis. Eur J Appl Physiol. 115(9):1835-45, 2015.

2. Alonso-Calvete A, Lorenzo-Martínez M, Pérez-Ferreirós A, Couso-Bruno A, Carracedo-Rodríguez E, Barcala-Furelos M, Barcala-Furelos R, Padrón-Cabo A. why percussive massage therapy does not improve recovery after a water rescue? A preliminary study with lifeguards. healthcare (basel). 7;10(4):693, 2022.

3. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 8(12):1153-7, 2001.

4. Butala S, Galido PV, Woo BKP. Consumer perceptions of home-based percussive massage therapy for musculoskeletal concerns: inductive thematic qualitative analysis. JMIR Rehabil Assist Technol. 5;11:e52328, 2024.

5. Camuncoli F, Barni L, Nutarelli S, Rocchi JE, Barcillesi M, Di Dio I, Sambruni A, Galli M. Validity of the Baiobit Inertial measurements unit for the assessment of vertical double and single-leg countermovement jumps in athletes. Int J Environ Res Public Health. 9;19(22):14720, 2022.

6. Cheatham SW, Baker RT, Behm DG, Stull K, Kolber MJ. Mechanical percussion devices: a survey of practice patterns among healthcare professionals. Int J Sports Phys Ther. 2;16(3):766-777, 2021.

7. Chen J, Zhang F, Chen H, Pan H. Rhabdomyolysis after the use of percussion massage gun: a case report. Phys Ther. 4;101(1):pzaa199, 2021.

8. Dupuy O, Douzi W, Theurot D, Bosquet L, Dugué B. An evidence-based approach for choosing post-exercise recovery techniques to reduce markers of muscle damage, soreness, fatigue, and inflammation: a systematic review with meta-analysis. Front Physiol. 26;9:403, 2018.

9. Dwan K, Li T, Altman DG, Elbourne D. CONSORT 2010 statement: extension to randomised crossover trials. BMJ. 366:l4378, 2019.

10. Ferreira RM, Silva R, Vigário P, Martins PN, Casanova F, Fernandes RJ, Sampaio AR. The Effects of massage guns on performance and recovery: a systematic review. J Funct Morphol Kinesiol. 18;8(3):138, 2023.

11. Folland JP, Irish CS, Roberts JC, Tarr JE, Jones DA. Fatigue is not a necessary stimulus for strength gains during resistance training. Br J Sports Med. 36(5):370-3; discussion 374, 2002.

12. García-sillero, m.; Jurado-castro, J M.; Benítez-Porres, J. Acute Effects of a Percussive Massage Treatment on Movement Velocity during Resistance Training. Int J Environ Res Public Health, 8(15):7726, 2021.

13. Germann D, El Bouse A, Shnier J, Abdelkader N, Kazemi M. Effects of local vibration therapy on various performance parameters: a narrative literature review. J Can Chiropr Assoc. 62(3):170-181, 2018.

14. Jackson SM, Cheng MS, Smith AR Jr, Kolber MJ. Intrarater reliability of hand held dynamometry in measuring lower extremity isometric strength using a portable stabilization device. Musculoskelet Sci Pract. 27:137-141, 2017.

15. Konrad A, Glashüttner C, Reiner MM, Bernsteiner D, Tilp M. The acute effects of a percussive massage treatment with a Hypervolt device on plantar flexor muscles' range of motion and performance. J Sports Sci Med. 19;19(4):690-694, 2020.

16. Kwiecien SY, McHugh MP, Hicks KM, Keane KM, Howatson G. Prolonging the duration of cooling does not enhance recovery following a marathon. Scand J Med Sci Sports. 31(1):21-29, 2021.

17. Leabeater AJ, Clarke A, James LP, Huynh M, Driller MW. Under the gun: the effect of percussive massage therapy on physical and perceptual recovery in active adults. J Athl Train. 26, 2023.

18. Leabeater, AJ, James, LP , Huynh, M, Vleck, V, Plews, DJ , Driller, MW. All the gear: the prevalence and perceived effectiveness of recovery strategies used by triathletes. Performance Enhancement & Health. 10.4:100235, 2022.

19. Matsudo, S.; Timóteo, A.; Marsudo, V. et al., Questinário internacional de atividade fisica (IPAQ): estudo de validade e reprodutibilidade no Brasil / International physical activity questionnaire (IPAQ): study of validity and reability in Brazil. Rev. bras. ativ. fís. Saúde, 6(2): 05-18, 2001.

20. Monteiro ER, Neto VG. Effect of different foam rolling volumes on knee extension fatigue. Int J Sports Phys Ther. 11(7):1076-1081, 2016

21. Mu J, Fan W. Lens subluxation after use of a percussion massage gun: a case report. Medicine (Baltimore). 9;101(49):e31825, 2022.

22. Navalta JW, Stone WJ, Lyons TS. Ethical issues relating to scientific discovery in exercise science. Int J Exerc Sci 12(1): 1-8, 2019.

23. Sackner MA, Gummels E, Adams JA. Nitric oxide is released into circulation with whole-body, periodic acceleration. Chest. 127(1):30-9, 2005.

24. Sams L, Langdown BL, Simons J, Vseteckova J. The effect of percussive therapy on musculoskeletal performance and experiences of pain: a systematic literature review. Int J Sports Phys Ther. 1;18(2):309-327, 2023.

25. Sarac DC, Kocak UZ, Bayraktar D, Gucenmez S, Kaya DÖ. The effects of 2 different soft tissue mobilization techniques on delayed onset muscle soreness in male recreational athletes: A Single-Blinded Randomized Controlled Trial. J Sport Rehabil. 12;33(2):63-72, 2023.

26. Simjanovic, M, Hooper, S, Leveritt, M, Kellmann, M, Rynne, S. The use and perceived effectiveness of recovery modalities and monitoring techniques in elite sport. Journal of Science and Medicine in Sport, 12, S22, 2009.

27. Skinner, B.; Dunn, L.; Moss, R. The Acute Effects of Theragun™ Percussive Therapy on Viscoelastic Tissue Dynamics and Hamstring Group Range of Motion. J Sports Sci Med, 22(3):496-501, 2023.

28. Sulkowski K, Grant G, Brodie T. Case report: vertebral artery dissection after use of handheld massage gun. Clin Pract Cases Emerg Med. 6(2):159-161, 2022.

29. Szymczyk, P.; W˛egrzynowicz, K.; Trybulski, R. et al. Acute Effects of Percussive Massage Treatment on Drop Jump Performance and Achilles Tendon Stiffness. Int. J. Environ. Res. Public Health, 19(22):15187, 2022.

30. Vanderthommen M, Makrof S, Demoulin C. Comparison of active and electrostimulated recovery strategies after fatiguing exercise. J Sports Sci Med. 1;9(2):164-9, 2010.

31. Wang F, Zhang Z, Li C, Zhu D, Hu Y, Fu H, Zhai H & Wang Y. Acute effects of vibration foam rolling and local vibration during warm-up on athletic performance in tennis players. PLoS One, 17(5), e0268515, 2022.

32. YANG, C.; HUANG, X.; LI, Y. Acute Effects of Percussive Massage Therapy on Thoracolumbar Fascia Thickness and Ultrasound Echo Intensity in Healthy Male Individuals: A Randomized Controlled Trial. Int J Environ Res Public Health, 7;20(2):1073, 2023.