The DOI matches its Crossref record.
Muscle function after exercise-induced muscle damage and rapid adaptation
Abstract
This brief review focuses on the time course of changes in muscle function and other correlates of muscle damage following maximal effort eccentric actions of the forearm flexor muscles. Data on 109 subjects are presented to describe an accurate time course of these changes and attempt to establish relationships among the measures. Peak soreness is experienced 2-3 d postexercise while peak swelling occurs 5 d postexercise. Maximal strength and the ability to fully flex the arm show the greatest decrements immediately after exercise with a linear restoration of these functions over the next 10 d. Blood creatine kinase (CK) levels increase precipitously at 2 d after exercise which is also the time when spontaneous muscle shortening is most pronounced. Whether the similarity in the time courses of some of these responses implies that they are caused by similar factors remains to be determined. Performance of one bout of eccentric exercise produces an adaptation such that the muscle is more resistant to damage from a subsequent bout of exercise. The length of the adaptation differs among the measures such that when the exercise regimens are separated by 6 wk, all measures show a reduction in response on the second, compared with the first, bout. After 10 wk, only CK and muscle shortening show a reduction in response. After 6 months only the CK response is reduced. A combination of cellular factors and neurological factors may be involved in the adaptation process.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Recall that the greatest declines in muscle function occur immediately following eccentric contraction-induced injury, yet markers of muscle damage are not fully apparent until 1–2 days after injury (34, 47, 52).”
From Phytoecdysteroids Accelerate Recovery of Skeletal Muscle Function Following in vivo Eccentric Contraction-Induced Injury in Adult and Old Mice (2021) · cites this paper as [52]
In the citing paper
“However, there is a dissociation between muscle function and histological markers of muscle damage that disputes the latter causal relationship.”
From Phytoecdysteroids Accelerate Recovery of Skeletal Muscle Function Following in vivo Eccentric Contraction-Induced Injury in Adult and Old Mice (2021) · cites this paper as [52]
Citations
Cited by
Sorted by citations
Items 901–967 of 967
Hashimoto, A., Sonohata, M., Kawaguchi, A., et al. (2021) · Pain Research and Management · doi:10.1155/2021/9914590
“Nonetheless, AST is a leakage enzyme commonly used in detecting muscle damage [22].”
BackgroundPathofysiologie van de kauwmusculatuur
Naeije, M. (2015) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-0433-2_4
“[4,23,24,25] Na elke spierinspanning met als resultaat vertraagde spierpijn blijkt het herstel, dat in de spier optreedt, uit te monden in een sterkere spier, die minder gevoelig is voor een volgende beschadiging, zelfs wanneer de volgende inspanning zwaarder is.”
BackgroundÜberblick und Zusammenfassung des ersten Abschnitts
Lederman, E. (2007) · Elsevier eBooks · doi:10.1016/b978-343757940-0.10007-0
Alamäkijuoksun vaikutukset juoksun taloudellisuuteen
Erojärvi, V. (2007) · Jyväskylä University Digital Archive (University of Jyväskylä)
Platt, D. J. (2014) · IUScholarWorks (Indiana University)
THE PATHOGENETIC MECHANISM IN DELAYED ONSET MUSCLE SORENES
Ravlić‐Gulan, J., Schnurrer-Luke-Vrbanić, T., Boschi, V., et al. (2007) · Bioline International (Bioline International)
Processos adaptativos do tecido muscular esqueletico e tecido conjuntivo
de Moraes, M. A. A. (1997) · doi:10.47749/t/unicamp.1997.114864
Shin, S. P., Kim, H., & Jeon, J. G. (2021) · The Journal of Korean Academy of Physical Therapy Science · doi:10.26862/jkpts.2021.12.28.3.30
A Convolutional Neural Network-based Framework for the Assessment of Human Muscles
Ali, N., Muhammad, A., Shaikh, M. B., Shahid, A. R., Poon, W. C. K., & Qureshi, R. (2021) · International Conference on Computing & Information Sciences (ICCIS) · doi:10.1109/iccis54243.2021.9676387 · Cited by 1
Park, J.-Y., Lee, H.-S., & Lee, H.-S. (2022) · Exercise Science · doi:10.15857/ksep.2022.00073
“이러 한 생리학적 반응은 부종을 발생시켜서 ROM이 감소하였으며, CIR과 통증이 증가하였다고 보고되고 있다[10,29,30].”
Turczyn, D., McMillan, D. E., Gardiner, P. F., & Cornish, S. M. (2022) · International Journal of Kinesiology and Sports Science · doi:10.7575/aiac.ijkss.v.10n.1p.9
Sharkey, J. (2003) · Journal of Bodywork and Movement Therapies · doi:10.1016/s1360-8592(02)00122-5
Netto, J. (2000) · doi:10.47749/t/unicamp.2000.189594
Apostolopoulos, N. C. (2018) · Springer eBooks · doi:10.1007/978-3-319-96800-1_8
The Physiological and Perceptual Responses to Concurrent Training in Soccer Players
Sparkes, W. (2022) · Cronfa (Swansea University) · doi:10.23889/suthesis.60294
Effects of German Volume Training on Muscle Strength and Muscle Hypertrophy
Butt, M. Z., Iqbal, Y., & Ahmad, B. (2020) · THE THERAPIST (Journal of Therapies & Rehabilitation Sciences) · doi:10.54393/tt.v1i2.9
“These elements, in combination with sufficient rehabilitation after exercise, will encourage anabolic responses leading to increased muscular growth [10] and strength [11,12].”
BackgroundCengizhan, P. A. (2022) · Akademisyen Kitabevi eBooks · doi:10.37609/akya.1679
Pearson, A. G., Macnaughton, L. S., & Hind, K. (2023) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2022-0385
Ichikawa, A. I. T., Conter, F. D. S., Bubna, P., et al. (2023) · International Journal of Nutrology · doi:10.54448/ijn23228
“component, can cause ultrastructural damage to skeletal muscle myofibrils and the surrounding extracellular matrix [42,43].”
BackgroundEffects of cannabidiol on metabolic modulation and improving sports performance: a systematic review
Conter, F. D. S., Ishikawa, V. N., Gontijo, G. M., Ichikawa, A. I. T., & Bubna, P. (2023) · International Journal of Nutrology · doi:10.54448/ijn23401
Cai, S., Chen, Q., Xia, Y., et al. (2024) · Research Square · doi:10.21203/rs.3.rs-3904675/v1
Baumann, M., Hill, C., Camic, C. L., Chomentowski, P. J., Siqueira, V. A. A. A., Petruzzello, S. J., & Sebastião, É. (2024) · Journal of Aging and Physical Activity · doi:10.1123/japa.2023-0071 · Cited by 1
Johnston, C. I., Silva, A., Hodgson, W. C., et al. (2024) · Clinical Toxicology · doi:10.1080/15563650.2024.2349690
“Elevations in serum activity of CK are widely accepted as a good marker of severity of skeletal muscle injury [10].”
BackgroundInfluentialInterés del trabajo excéntrico en rehabilitación
Hubert, L. (2024) · EMC - Kinesiterapia - Medicina Física · doi:10.1016/s1293-2965(24)49289-x
Phase angle is not influenced by hydration status after an aerobic session in recreational runners
Silvino, V. O., Batista, M. C. C., Silva, A. S., Filho, É. J. B. D. A., Barros, E. M. L., Sales, K. C. G., Silva, K. R., Batista, N. K. C., do Nascimento, P. P., & dos Santos, M. A. P. (2024) · Science & Sports · doi:10.1016/j.scispo.2023.09.005 · Cited by 1
Interesse del lavoro eccentrico in rieducazione
Hubert, L. (2024) · EMC - Medicina Riabilitativa · doi:10.1016/s1283-078x(24)49383-8
Huang, X., Huang, L., & Liu, C. (2024) · European Journal of Applied Physiology · doi:10.1007/s00421-024-05669-y
“During eccentric actions, fewer motor units are activated compared to other exercise modes, leading to increased mechanical stress on the engaged units(Clarkson et al. 1992; Pedret et al. 2020; Pedret et al. 2020).”
Olympic distance duathlon and cardiac performance in highly‐trained triathletes
Donaldson, J. A., Wiles, J. D., Papadakis, M., Sharma, S., Sharma, R., & O’Driscoll, J. M. (2024) · Physiological Reports · doi:10.14814/phy2.70154
“Alternatively, the physiological and mechanical stress caused by prolonged strenuous exercise (PSE) may provide stimulus for cardiomyocyte adaptation, similar to the changes seen in skeletal muscle following exercise training (Clarkson et al., 1992; Shave et al., 2004).”
(2000) · Time to knit · doi:10.1016/s1283-0887(23)51578-4
(2000) · Time to knit · doi:10.1016/s1283-0887(17)56659-1
10.1016/b978-2-294-70609-7.50046-7
(2000) · Time to knit · doi:10.1016/b978-2-294-70609-7.50046-7
Singh, A., Tandel, B. K., & Sathe, A. (2024) · Saudi Journal of Sports Medicine · doi:10.4103/sjsm.sjsm_21_24
Hsu, F.-C., Hsieh, C.-C., Tang, C.-Y., et al. (2025) · Life · doi:10.3390/life15060919
“The primary mechanisms underlying exercise-induced muscle damage (EIMD) include mechanical stress, metabolic stress, or a combination of both [2].”
Kang, J., Kim, K.-H., & Kim, B.-K. (2025) · Medical Lasers · doi:10.25289/ml.25.013
Fundamentals of Muscle Damage and Repair of Skeletal Muscle
Kamal, M. J., Johnson, A., Wageh, M., Snijders, T., & Parise, G. (2025) · Springer eBooks · doi:10.1007/978-3-031-44270-4_2
Lin, S.-D., Chen, T. C., & Wang, H. (2025) · Sports · doi:10.3390/sports13090290
Intelangelo, L., Mista, C., Barone, M., Imaz, F., Laugero, S., Adur, J., Andersen, O. K., & Manresa, J. B. B. (2025) · European Journal of Pain · doi:10.1002/ejp.70118
Crampes et douleurs musculaires d'exercice
Coudreuse, J. M., Vandewalle, H., & Rochcongar, P. (2020) · Elsevier eBooks · doi:10.1016/b978-2-294-76248-2.00056-3
Ashida, Y., Minegishi, K., Motohashi, N., et al. (2025) · Methods in molecular biology · doi:10.1007/978-1-0716-4738-7_6
Acupuncture effects on delayed onset muscle soreness
Cardoso, R. (2014) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · doi:10.34626/9s2q-cq04
Thompson, D. (1999) · Loughborough University Institutional Repository (Loughborough University)
The effects of water immersion on recovery in Australianfootball
Elias, G. P. (2013) · Victoria University Research Repository (Victoria University)
The effect of whole body vibration on delayed-onset muscle soreness
Wheeler, A. A. (2011) · SHAREOK (University of Oklahoma; Oklahoma State University; Central Oklahoma University)
Recovery of muscle function following strength training in rowers
Gee, T. (2012) · Northumbria Research Link (Northumbria University)
Kobori, H., Huang, J., Tong, Y., Wang, S., Wu, C., Zhang, Z., Ma, S., Seki, Y., Roberts, L. A., & Suzuki, K. (2025) · Antioxidants · doi:10.3390/antiox15010023
Effectiveness of Foam Rolling in Reducing Delayed Onset Muscle Soreness (DOMS)
Kannan, N. W. A. M. H., Raimi, N. F., Mazlan, A. N., et al. (2026) · Lecture notes in bioengineering · doi:10.1007/978-981-95-0804-4_22
Lucas, F., Iatridi, V., Costello, R., Graham, C., Curtis, C., & Delextrat, A. A. (2026) · Advanced Exercise and Health Science · doi:10.1016/j.aehs.2026.03.001 · Cited by 1
Enache, I. (2012) · theses.fr (ABES) · doi:10.70675/e68457b5zb3d1z4aaez881czb5f2d211cb4b
“Les CK sont des marqueurs indirects des dommages musculaires à l’exercice et, plus particulièrement, de la modification de la perméabilité du sarcolemme (209, 210).”
BackgroundBankolé, S. L. C. (2014) · theses.fr (ABES) · doi:10.70675/0d4d5dd2z8b73z4599zbeb1zf674fd67620b
“Son taux sanguin mesuré dépendra à la fois de sa diffusion à travers le sarcolemme et de sa clairance (Clarkson et al., 1992).”
BackgroundRécupération et exercice inducteur de dommages musculaires
Abaïdia, A. (2016) · theses.fr (ABES) · doi:10.70675/b344661cze948z4921z8027z205109bbcd8b
Adaptations physiologiques à l’exercice intermittent court et chronique
Rhibi, F. (2019) · theses.fr (ABES) · doi:10.70675/d5325eb1z4e2bz4439zb19cz7ed1ebd7f26b
Effects of acute synchronous whole-body vibration exercise
Hazell, T. J. (2010) · Scholarship@Western (Western University)
Fatigue, récupération, blessures lors de la répétition de matchs professionnels de football
Delaval, B. (2022) · theses.fr (ABES) · doi:10.70675/53d58c63z97e4z4806zaaefz63796dd5ac93
Poulios, A., Grammenos, N., Fatouros, I. G., Avloniti, A. A., Tsimeas, P. D., Papanikolaou, K., Syrou, N., Rosvoglou, A., Tsaousidis, I., Chatzinikolaou, A., et al. (2026) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000005526 · Cited by 1
Baumann, C. W., Ingalls, C. P., Nosaka, K., & Call, J. A. (2026) · Physiological Reports · doi:10.14814/phy2.70929
“Eccentric contractions are well known to cause skeletal muscle injury, typically evidenced by prolonged reductions in muscle function, such as decreased maximal voluntary contraction (MVC) strength (Clarkson et al., 1992).”
InfluentialSelf-citationRhabdomyolysis: What you need to know
Yamaji, F., & Coimbra, R. S. M. (2026) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0000000000005141
Watabe, R., Shiozaki, D., Ono, K., et al. (2026) · Frontiers in Physiology · doi:10.3389/fphys.2026.1924770
“The remaining variables, including thigh circumference; stiffness and pressure-induced soreness of the biceps femoris long head (BF), semitendinosus (ST), and semimembranosus (SM) muscles; and hip joint range of motion (ROM), were designated as secondary outcomes and were measured at the same time points, except at PO…”
InfluentialHolroyd, W. (2011) · Open University of Cape Town (University of Cape Town)
Gallaher, E. (2012) · Victoria University Research Repository (Victoria University)
Metadata
- Authors
- CLARKSON, P. M., NOSAKA, K., & BRAUN, B.
- Affiliations
- University of Massachusetts Amherst (US)
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 1992-05
- Volume
- 24
- Issue
- 5
- Pages
- 512???520
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2093625864
- Cited by
- 970
- References
- 0
- Citations by year
- 2026: 10 · 2025: 21 · 2024: 25 · 2023: 18 · 2022: 34 · 2021: 35 · 2020: 28 · 2019: 38 · 2018: 32 · 2017: 43 · 2016: 33 · 2015: 41 · 2014: 38 · 2013: 49 · 2012: 45
- FWCI
- 13.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- ScholarWorks@UMassAmherst (University of Massachusetts Amherst) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Exercise and Physiological Responses
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- Keywords
- exercise-induced muscle damage, eccentric exercise, forearm flexor muscles, muscle soreness, muscle swelling, maximal strength, creatine kinase, muscle shortening, recovery time course, neuromuscular factors
- MeSH terms
- Adaptation, Physiological, Creatine Kinase, Humans, Movement, Muscle Contraction, Muscles, Tensile Strength, Time Factors, Exercise
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review