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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.
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“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]
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Validity of Serum Creatine Kinase as a Measure of Muscle Injury Produced by Lumbar Surgery
Kumbhare, D. A., Parkinson, W. L., & Dunlop, B. (2008) · Journal of Spinal Disorders & Techniques · doi:10.1097/bsd.0b013e31805777fb · Cited by 75
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“…probably due to the protective effect conferred by progressive overload started from very low-intensity, by which the knee extensors became resilient to eccentric contractioninducedmuscle damage (Clarkson et al., 1992; Howatson and van Someren, 2008; Hyldahl and Hubal, 2014; LaStayo et al., 2014).”
BackgroundSelf-citationMuscle damage protection by low-intensity eccentric contractions remains for 2 weeks but not 3 weeks
Chen, H.-L., Nosaka, K., & Chen, T. C. (2011) · European Journal of Applied Physiology · doi:10.1007/s00421-011-1999-8 · Cited by 72
“in muscle proteins in the blood, delayed onset muscle soreness) provides a strong protective eVect against muscle damage in the subsequent bouts of the same exercise performed within several weeks (Clarkson et al. 1992; Nosaka et al. 2001a, 2005).”
BackgroundSelf-citationDissociated Time Course of Recovery Between Genders After Resistance Exercise
Flores, D., Gentil, P., Brown, L. E., Pinto, R. S., Carregaro, R. L., & Bottaro, M. (2011) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e318212dea4 · Cited by 74
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BackgroundInfluentialMuscle Injury after Repeated Bouts of Voluntary and Electrically Stimulated Exercise
Black, C. D., & McCully, K. K. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181788dbe · Cited by 72
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Lee, J., & Clarkson, P. M. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000069553.47739.36 · Cited by 72
“Although there is no direct evidence, it is thought that this inflammation is responsible, at least in part, for the prolonged loss in MVC (25) and RANG (4,21), and the late appearance (3–5 d after exercise) of CK and Mb in the blood (5,6).”
BackgroundMethodResultInfluentialSelf-citationMcCartney, D., Benson, M. J., Desbrow, B., Irwin, C. G., Suraev, A. S., & McGregor, I. S. (2020) · Sports Medicine - Open · doi:10.1186/s40798-020-00251-0 · Cited by 79
“Exercise, particularly when strenuous, unfamiliar, and/or involving an eccentric component, can cause ultrastructural damage to skeletal muscle myofibrils and the surrounding extracellular matrix [36, 59].”
BackgroundNaproxen does not alter indices of muscle damage in resistance-exercise trained men
Bourgeois, J. M., MacDougall, D., MacDonald, J. R., & Tarnopolsky, M. A. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199901000-00002 · Cited by 70
Effects of Phosphatidylserine on Oxidative Stress following Intermittent Running
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Downhill Running: What Are The Effects and How Can We Adapt? A Narrative Review
Bontemps, B., Vercruyssen, F., Gruet, M., & Louis, J. B. (2020) · Sports Medicine · doi:10.1007/s40279-020-01355-z · Cited by 79
“Within this context, implementing specific DR sessions in the training program of runners could be recommended to benefit from the protective effects of the RBE and adapt well to the next DR session or to better tolerate DR sections in off-road or road races.”
BackgroundInfluentialThe Effects of Exercise-Induced Muscle Damage on Agility and Sprint Running Performance
Highton, J. M., Twist, C., & Eston, R. G. (2009) · Journal of Exercise Science & Fitness · doi:10.1016/s1728-869x(09)60004-6 · Cited by 70
“These results are consistent with previous research which has reported a similar temporal pattern of muscle soreness following eccentrically-biased exercise (Twist & Eston 2005; Clarkson et al. 1992; Cleak & Eston 1992a,b).”
BackgroundResultInfluentialAttenuation of Protective Effect Against Eccentric Exercise-Induced Muscle Damage
Nosaka, K., Newton, M. J., & Sacco, P. (2005) · Canadian Journal of Applied Physiology · doi:10.1139/h05-139 · Cited by 72
“Several indirect markers of muscle damage used in previous studies (Clarkson et al., 1992; Nosaka et al., 2001a; 2001b) were measured before (pre), immediately (i.e., within 5 min) after (post), and at approximately 24-hr intervals for 4 days after each exercise bout (D1–D4).”
BackgroundMethodInfluentialSelf-citationIntramuscular pressure, torque and swelling for the exercise‐induced sore vastus lateralis muscle
Crenshaw, A. G., Thornell, L.-E., & Fridén, J. O. (1994) · Acta Physiologica Scandinavica · doi:10.1111/j.1748-1716.1994.tb09806.x · Cited by 70
STRETCH‐ACTIVATED CHANNELS IN STRETCH‐INDUCED MUSCLE DAMAGE: ROLE IN MUSCULAR DYSTROPHY
Yeung, E. W., & Allen, D. G. (2004) · Clinical and Experimental Pharmacology and Physiology · doi:10.1111/j.1440-1681.2004.04027.x · Cited by 70
Potential Role of Amino Acid/Protein Nutrition and Exercise in Serum Albumin Redox State
Wada, Y., Takeda, Y., & Kuwahata, M. (2017) · Nutrients · doi:10.3390/nu10010017 · Cited by 75
Tanabe, Y., Fujii, N., & Suzuki, K. (2021) · Nutrients · doi:10.3390/nu14010070 · Cited by 77
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BackgroundEffects of Antioxidant Therapy in Women Exposed to Eccentric Exercise
Bloomer, R. J. (2004) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.14.4.377 · Cited by 68
Eston, R. G., Byrne, C., & Twist, C. (2004) · ChesterRep (University of Chester) · Cited by 68
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BackgroundExercise-Induced Muscle Damage after a High-Intensity Interval Exercise Session: Systematic Review
Leite, C. D. F. C., Zovico, P. V. C., Rica, R. L., Barros, B. M., Machado, A. F., Evangelista, A. L., Leite, R. D., Barauna, V. G., Maia, A. F., & Bocalini, D. S. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20227082 · Cited by 70
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BackgroundDamage to the human quadriceps muscle from eccentric exercise and the training effect
Bowers, E. J., Morgan, D. L., & Proske, U. (2004) · Journal of Sports Sciences · doi:10.1080/02640410310001655796 · Cited by 67
“Therefore, consistent with previous findings (Clarkson et al., 1992), swelling peaks at a time when soreness is beginning to subside and is therefore unlikely to be directly responsible for the pain.”
ResultHuman Muscle Proteome Modifications after Acute or Repeated Eccentric Exercises
Hody, S., Leprince, P., Sergeant, K., Renaut, J., Croisier, J., Wang, F., & Rogister, B. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318222edf3 · Cited by 65
Pain During and Within Hours After Exercise in Healthy Adults
Dannecker, E. A., & Koltyn, K. F. (2014) · Sports Medicine · doi:10.1007/s40279-014-0172-z · Cited by 66
Muscle Fascicle Behavior during Eccentric Cycling and Its Relation to Muscle Soreness
Peñailillo, L., Blazevich, A. J., & Nosaka, K. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000473 · Cited by 67
“muscles that have not been exposed to eccentric contractions regularly (10).”
BackgroundSelf-citationWu, J.-L., WU, Q.-P., Huang, J.-M., et al. (2007) · Physiological Research · doi:10.33549/physiolres.930937 · Cited by 66
Progressive resistance training temporarily alters hamstring torque–angle relationship
Kilgallon, M., Donnelly, A., & Shafat, A. (2005) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.2005.00491.x · Cited by 65
“For example, plasma creatine kinase reactivity is reduced for as long as 6 months after a single eccentric bout, indicating long-lasting adaptation (Nosaka et al., 1991; Clarkson et al., 1992).”
BackgroundInfluentialLong-term spinal cord injury increases susceptibility to isometric contraction-induced muscle injury
Bickel, C. S., Slade, J. M., & Dudley, G. A. (2004) · European Journal of Applied Physiology · doi:10.1007/s00421-003-0973-5 · Cited by 65
“While plasma CK is not a direct marker of muscle injury, it has been repeatedly shown that elevated CK levels provide support that muscle fibers have been injured (Clarkson and Newham 1995; Clarkson et al. 1992).”
BackgroundHoffman, J. R., Ratamess, N. A., Tranchina, C. P., Rashti, S. L., Kang, J., & Faigenbaum, A. D. (2009) · Amino Acids · doi:10.1007/s00726-009-0283-2 · Cited by 67
“Creatine kinase is often used to indirectly assess the degree of muscle damage as a result of exercise ( Clarkson et al. 1992; Roti et al. 1981).”
BackgroundMethodBetween-Match Variability of Peak Power Output and Creatine Kinase Responses to Soccer Match-Play
Russell, M. A., Northeast, J., Atkinson, G., Shearer, D. A., Sparkes, W., Cook, C. J., & Kilduff, L. P. (2015) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000000852 · Cited by 64
“Given the established muscle-damaging effects of high-intensity eccentric exercise (6,11,37), it is not surprising that selected indices of postexercise performance are influenced by soccer match-play (21,25,34).”
Adverse effects of energy restriction on myogenic enzymes in judoists
Umeda, T., Nakaji, S., Shimoyama, T., Yamamoto, Y., Totsuka, M., & Sugawara, K. (2004) · Journal of Sports Sciences · doi:10.1080/0264041031000140446 · Cited by 64
“Among these serum enzymes, creatine kinase rises more dramatically in untrained individuals than in athletes after performing the same amount of exercise (Evans et al., 1986; Clarkson et al., 1992; Nosaka and Clarkson, 1995).”
BackgroundKanda, K., Sugama, K., Sakuma, J., Kawakami, Y., & Suzuki, K. (2026) · PubMed · doi:10.22029/eir.2014.1687 · Cited by 64
Indicators for high physical strain and overload in elite football players
Meister, S., Faude, O., Ammann, T., et al. (2011) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.2011.01354.x · Cited by 63
“It is well known that CK leaks into the plasma after a high training or competition exposure with repeated intense contractions (Clarkson et al., 1992; Noakes, 1987; Mougios, 2007).”
BackgroundMarqueste, T., Giannesini, B., Fur, Y. L., Cozzone, P. J., & Bendahan, D. (2008) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00738.2007 · Cited by 63
Contralateral Repeated Bout Effect of Eccentric Exercise of the Elbow Flexors
Chen, T. C., Chen, H.-L., Lin, M.-J., et al. (2016) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000991 · Cited by 63
“The main reason for both CK and Mb were included in this study was that a large variability among participants for the magnitude of changes in serum/plasma CK activity after eccentric exercise has been reported (8,26).”
BackgroundMethodSelf-citationGüzel, N. A., Hazar, S., & Erbaş, D. (2007) · Europe PMC (PubMed Central) · Cited by 63
McLellan, T. M., Pasiakos, S. M., & Lieberman, H. R. (2014) · Sports Medicine · doi:10.1007/s40279-013-0133-y · Cited by 62
“Since the study was also designed to assess the impact of protein supplementation on muscle soreness, a second experiment used a group design with runners matched on their season’s performance and then randomly allocated to receive one of the three beverages, thereby avoiding the known repeated bout effect on muscle s…”
MethodMike, J., Cole, N. H., Herrera, C., VanDusseldorp, T. A., Kravitz, L. R., & Kerksick, C. M. (2016) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001675 · Cited by 62
Effect of curcumin supplementation on exercise-induced muscle damage: a narrative review
Nanavati, K., Rutherfurd-Markwick, K., Lee, S., Bishop, N., & Ali, A. (2022) · European Journal of Nutrition · doi:10.1007/s00394-022-02943-7 · Cited by 58
“Eccentric muscle contractions exceeding the muscle’s resistance result in perforations in the sarcolemma and damage to the sarcomeres, leading to increased membrane permeability [30, 62, 63], and release of CK into the interstitial fluid that then enters circulation via the lymphatic system [32].”
BackgroundHody, S., Rogister, B., Leprince, P., et al. (2011) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.2011.01413.x · Cited by 62
“While the variation between subjects could be important, the response of one muscle group to eccentric exercises in a defined subject may be stable as all subjects demonstrate very similar CK responses when repeating the same exercise one year later (Clarkson et al., 1992; Chen, 2006).”
BackgroundMethodResultInfluentialDOMS-Associated Changes in Ankle and Knee Joint Dynamics during Running
Dutto, D. J., & Braun, W. A. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000121957.83226.cc · Cited by 62
Eccentric muscle actions: Implications for injury prevention and rehabilitation
Roig, M., & Ranson, C. (2007) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2006.11.005 · Cited by 62
Saka, T., Akova, B., Yazıcı, Z., Şekir, U., Gür, H., & Özarda, Y. (2009) · Europe PMC (PubMed Central) · Cited by 61
Exercise‐Induced Muscle Damage and Running Economy in Humans
Assumpção, C. D. O., de Lima, L. C. R., de Oliveira, F. B. D., Greco, C. C., & Denadai, B. S. (2013) · The Scientific World JOURNAL · doi:10.1155/2013/189149 · Cited by 59
“However, some studies [80, 81] have reported that the RBE induced by 24 maximal eccentric actions of the elbow flexors may last up to 6 months.”
BackgroundMickleborough, T. D., Sinex, J. A., Platt, D., Chapman, R. F., & Hirt, M. B. (2015) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-015-0073-z · Cited by 61
Exercise in Neuromuscular Diseases
Abresch, R. T., Carter, G. T., Han, J. J., & McDonald, C. M. (2012) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/j.pmr.2012.06.001 · Cited by 65
“Maximal eccentric contractions appear to damage the cytoskeletal framework with myofibrillar disruption, which clinically is associated with transient muscle weakness, elevation of serum creatine kinase, and delayed-onset muscle soreness.(35,36) In NMDs that affect the integrity of the muscle-cell membrane, it is poss…”
BackgroundMilias, G. A., Nomikos, T., Fragopoulou, E., Athanasopoulos, S., & Antonopoulou, S. (2005) · European Journal of Applied Physiology · doi:10.1007/s00421-005-0031-6 · Cited by 60
“... muscle damage have been observed (Pizza et al. 1995), including disruption of contractile tissue (Friden and Lieber 1992), cellular accumulation of calcium (Armstrong 1990), delayed onset muscle soreness (DOMS) (Clarkson et al. 1992), a prolonged reduction in muscular strength and range of motion, and an increase…”
BackgroundResultInfluentialRowlands, A. V., Eston, R. G., & Tilzey, C. (2001) · Journal of Sports Sciences · doi:10.1080/02640410152006108 · Cited by 60
“…(Friden et al., 1983; Newham et al., 1983; Jones et al., 1986), Z-line streaming (Friden and Lieber, 1992), sarcoplasmic reticulum fragmentation (Clarkson et al., 1992) and swollen mitochondria * Author to whom all correspondence should be addressed. e-mail: a.rowlands@bangor.ac.uk (Hikida et…”
BackgroundInfluentialYu, J., Liu, J., Carlsson, L. M. S., Thornell, L., & Stål, P. (2013) · PLoS ONE · doi:10.1371/journal.pone.0062056 · Cited by 59
“This might explain the poor correlation between serum CK level and changes in muscle histology [49].”
BackgroundResultEffects of Eccentric Exercise on NF-κB Activation in Blood Mononuclear Cells
López, D. G., Cuevas, M. J., Almar, M., Lima‐Cabello, E., Fernández, J. A. D. P., & González‐Gallego, J. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31802f04f6 · Cited by 59
RetractedChanges in Perceived Recovery Status Scale Following High-Volume Muscle Damaging Resistance Exercise
Sikorski, E. M., Wilson, J. M., Lowery, R. P., Joy, J. M., Laurent, C. M., Wilson, S. M.-C., Hesson, D., Naimo, M. A., Averbuch, B., & Gilchrist, P. (2013) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e31827e8e78 · Cited by 59
Lavender, A. P., & Nosaka, K. (2007) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2006.11.004 · Cited by 59
Self-citationPaddon-Jones, D. J., Muthalib, M., & Jenkins, D. (2000) · Journal of science and medicine in sport · doi:10.1016/s1440-2440(00)80046-8 · Cited by 59
Lauver, J. D., Cayot, T. E., Rotarius, T. R., et al. (2017) · European Journal of Applied Physiology · doi:10.1007/s00421-017-3589-x · Cited by 59
Lavender, A. P., & Nosaka, K. (2006) · European Journal of Applied Physiology · doi:10.1007/s00421-006-0224-7 · Cited by 58
“This adaptation is often referred to as the repeated bout eVect, and is characterized by a faster recovery of muscle strength and range of motion (ROM), reduced increases in muscle proteins in the blood, and less signiWcant development of swelling and muscle soreness (SOR) (Clarkson et al. 1992; Nosaka et al. 2001b).”
BackgroundInfluentialSelf-citationAvenanthramide supplementation attenuates exercise-induced inflammation in postmenopausal women
Koenig, R. T., Dickman, J. R., Kang, C., Zhang, T., Chu, Y.-F., & Ji, L. L. (2014) · Nutrition Journal · doi:10.1186/1475-2891-13-21 · Cited by 58
“Previous studies have shown that a single bout of unaccustomed eccentric exercise can lead to a protective effect whereupon a second bout of eccentric exercise may result in less muscle damage [32-34].”
BackgroundTanabe, Y., Chino, K., Sagayama, H., et al. (2019) · Journal of Nutritional Science and Vitaminology · doi:10.3177/jnsv.65.82 · Cited by 58
Hyatt, J.-P. K., & Clarkson, P. M. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199807000-00006 · Cited by 58
Self-citationKarabulut, M., Sherk, V. D., Bemben, D. A., & Bemben, M. G. (2013) · Clinical Physiology and Functional Imaging · doi:10.1111/cpf.12044 · Cited by 63
“However, Izquierdo et al. (2001) reported significant increases in strength and power in the arm and leg muscles, but no significant changes were detected for serum testosterone and free testosterone concentration in middle-aged men.”
BackgroundVila-Chã, C. J. F., Hassanlouei, H., Farina, D., & Falla, D. (2011) · Experimental Brain Research · doi:10.1007/s00221-011-2942-2 · Cited by 57
“extracellular matrix can contribute to the prolonged impaired force-generating capacity of the muscle (Clarkson et al. 1992; Proske and Allen 2005; Crameri et al. 2007).”
BackgroundInfluentialCREATINE SUPPLEMENTATION DOES NOT REDUCE MUSCLE DAMAGE OR ENHANCE RECOVERY FROM RESISTANCE EXERCISE
Rawson, E. S., Conti, M. P., & Miles, M. P. (2007) · The Journal of Strength and Conditioning Research · doi:10.1519/r-21076.1 · Cited by 74
Nosaka, K., Chapman, D. W., Newton, M. J., & Sacco, P. (2006) · Applied Physiology Nutrition and Metabolism · doi:10.1139/h06-005 · Cited by 57
“It is known that eccentric muscle actions, during which active muscles are lengthened while producing force, induce greater damage to muscular tissue than other types of muscle actions, especially when they are performed for the first time (Clarkson et al. 1992).”
BackgroundMethodResultInfluentialSelf-citation17β-estradiol attenuates exercise-induced neutrophil infiltration in men
MacNeil, L., Baker, S. K., Stevic, I., & Tarnopolsky, M. A. (2011) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00689.2009 · Cited by 56
Muscle damage induced by stretch-shortening cycle exercise
INEN, H. K. L., Takala, T., & Komi, P. V. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199803000-00012 · Cited by 56
Perceived exertion responses to novel elbow flexor eccentric action in women and men
CONNOR, P. J. O., Poudevigne, M. S., & Pasley, J. D. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200205000-00021 · Cited by 56
“For example, among a sample unaccustomed to performing resistance exercise, individuals (N 31) exhibiting low blood creatine kinase responses to 70 maximal eccentric actions of the forearm flexors reported significantly lower muscle pain intensity (~ 40% less) 1–5 d after exercise compared with individuals who perform…”
BackgroundInfluentialOral contraceptive use and exercise-induced muscle damage and recovery
Savage, K. J., & Clarkson, P. M. (2002) · Contraception · doi:10.1016/s0010-7824(02)00320-7 · Cited by 56
Self-citationLamb, K. L., Ranchordas, M. K., Johnson, E., Denning, J., Downing, F., & Lynn, A. (2019) · Nutrients · doi:10.3390/nu11071593 · Cited by 56
“A hyper-response was defined as a CK measurement above 2000 U·L−1 at any time-point following the EIMD protocol [36,40].”
MethodChen, T. C., Tseng, W., Huang, G.-L., et al. (2012) · European Journal of Applied Physiology · doi:10.1007/s00421-012-2517-3 · Cited by 55
“attenuated and/or recovered faster to baseline when the same or similar eccentric exercise is repeated within several weeks (Black and McCully 2008; Clarkson et al. 1992; DiPasquale et al. 2011).”
BackgroundSelf-citationIs eccentric exercise-induced torque decrease contraction type dependent?
Michaut, A., Pousson, M., Babault, N., & Hoecke, J. V. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200206000-00016 · Cited by 56
“Eccentric exercise is well known to induce impairment of force-generating capacity (4,9,14,16, 19,22,24), that could persist for several days (4,9,15,16,19).”
BackgroundChronic Eccentric Cycling Improves Quadriceps Muscle Structure and Maximum Cycling Power
Leong, C.-H., McDermott, W. J., Elmer, S. J., et al. (2013) · International Journal of Sports Medicine · doi:10.1055/s-0033-1358471 · Cited by 54
Contraction-induced injury to the extensor digitorum longus muscles of rats: the role of vitamin E
van der Meulen, J. H., McArdle, A., Jackson, M. J., & Faulkner, J. A. (1997) · Journal of Applied Physiology · doi:10.1152/jappl.1997.83.3.817 · Cited by 54
“Unlike the EDL muscles of mice, which display a substantial secondary increase in force deficit at 3 days (10), the plateau in the force deficit for EDL muscles of rats is similar to the pattern observed previously for muscle groups in humans (7, 17).”
ResultShoulder impingement in tennis/racquetball players treated with subscapularis myofascial treatments
Ingber, R. S. (2000) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(00)90053-4 · Cited by 54
Rehabilitation Management of Neuromuscular Disease: The Role of Exercise Training
Abresch, R. T., Han, J. J., & Carter, G. T. (2009) · Journal of Clinical Neuromuscular Disease · doi:10.1097/cnd.0b013e3181a8d36b · Cited by 55
“Maximal eccentric contractions seem to damage the cytoskeletal framework with myofibrillar disruption, which clinically is associated with transient muscle weakness, elevation of serum creatine kinase, and delayed-onset muscle soreness.(27,28) In NMDs that affect the integrity of the muscle cell membrane, it is possib…”
BackgroundIncrease in blood bradykinin concentration after eccentric weight-training exercise in men
Blais, C., Adam, A. A., Massicotte, D., & Péronnet, F. (1999) · Journal of Applied Physiology · doi:10.1152/jappl.1999.87.3.1197 · Cited by 54
“This observation suggests that the inflammatory process due to eccentric exercise-induced muscle damage could be mediated in part by BK. creatine kinase; delayed-onset muscle soreness; kinins; inflamation; des-Arg9-bradykinin EXERCISE, particularly unaccustomed strenuous exercise, eccentric contractions, and contracti…”
BackgroundInfluentialKim, J., & Lee, J. (2015) · Physical Activity and Nutrition · doi:10.5717/jenb.2015.15061910 · Cited by 53
“Since CK activity in the blood is believed to reflect muscle membrane disruption [18], maximal isometric strength and muscle soreness following eccentric muscle contractions might be correlated.”
BackgroundResponses to a 120 min reserve team soccer match: a case study focusing on the demands of extra time
Russell, M. A., Sparkes, W., Northeast, J., & Kilduff, L. P. (2015) · Journal of Sports Sciences · doi:10.1080/02640414.2015.1064153 · Cited by 52
Eccentric Cycle Exercise in Severe COPD: Feasibility of Application
Vieira, D. S. R., Baril, J., Richard, R., Perrault, H., Bourbeau, J., & Taivassalo, T. (2011) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.3109/15412555.2011.579926 · Cited by 53
“Structural damage and delayed onset soreness are inherent characteristics of muscle unaccustomed to ECC contractions (9).”
BackgroundBesson, D., Joussain, C., Grémeaux, V., Morisset, C., Laurent, Y., Casillas, J.-M., & Laroche, D. (2013) · Annals of Physical and Rehabilitation Medicine · doi:10.1016/j.rehab.2013.01.003 · Cited by 52
“Néanmoins, il a été rapporté qu’un entraı̂nement ECC préalable d’intensité modérée a un effet préventif sur ces lésions musculaires et leurs conséquences en termes de perte de capacité à produire de la force [9,33].”
BackgroundPaschalis, V., Nikolaidis, M. G., Theodorou, A. A., Giakas, G., Jamurtas, A. Z., & Koutedakis, Y. (2009) · Journal of Sports Sciences · doi:10.1080/02640410903334764 · Cited by 53
“Three studies by other research groups investigated the effect of eccentric exercise on muscle reaction time of the upper limbs after a light stimulus and produced contrasting results (Clarkson et al., 1992; Craske & Crawshaw, 1975; Miles et al., 1997).”
ResultEffects of curcumin supplementation on sport and physical exercise: a systematic review
Suhett, L. G., Santos, R., Silveira, B. K. S., Leal, A. C. G., de Brito, A. D. M., de Novaes, J. F., & Lúcia, C. M. D. (2020) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2020.1749025 · Cited by 53
“However, high intensity, long duration and short-rest time exercises may lead to severe inflammation, muscle damage and consequently muscle pain (Clarkson, Nosaka, and Braun 1992; Powers et al. 2010; Wagner, Reichhold, and Neubauer 2011), as well as influence immunological response (Walsh et al.…”
BackgroundChanges in phosphorus compounds and water content in skeletal muscle due to eccentric exercise
Rodenburg, J., de Boer, R. W., Schiereck, P., et al. (1994) · European Journal of Applied Physiology · doi:10.1007/bf00376768 · Cited by 52
“Vigorous eccentric exercise has been shown to lead to delayed onset muscle soreness (DOMS) and changes in functional parameters like force and range of motion (Clarkson et al. 1992; Rodenburg et al. 1993).”
BackgroundAdaptation to lengthening contraction-induced injury in mouse muscle
Ingalls, C. P., Wenke, J. C., Nofal, T., & Armstrong, R. B. (2004) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01058.2003 · Cited by 51
“, plasma levels of muscle cell proteins (4, 30) and delayed-onset soreness (4).”
Alcantara, J. M. A., Sanchez-Delgado, G., Martinez-Tellez, B., Labayen, I., & Ruiz, J. R. (2019) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-019-0288-5 · Cited by 47
“For example, a bout of unaccustomed exercise, especially that including eccentric muscle contractions such as downhill running, can damage contractile proteins, impair muscle function, and induce muscle soreness [11, 12].”
BackgroundNunan, D., Howatson, G., & van Someren, K. A. (2010) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e3181c4d370 · Cited by 51
“of muscle damage (5,14), has also been shown to be reduced”
BackgroundAkagi, R., Tanaka, J. A., Shikiba, T., & Takahashi, H. (2014) · Acta Radiologica · doi:10.1177/0284185114559765 · Cited by 51
“Damage to muscle fibers causes spontaneous shortening of these fibers (9), thus increasing muscle hardness (6).”
BackgroundSonkodi, B., Kopa, Z., & Nyírády, P. (2021) · Cells · doi:10.3390/cells10081867 · Cited by 51
“The symptoms are delayed onset soreness, muscle stiffness, swelling, loss of force-generating capacity, reduced joint range of motion and decreased proprioceptive function [13].”
BackgroundMuscle Damage in Resistance Training
Nosaka, K., Lavender, A. P., Newton, M. J., & Sacco, P. (2003) · International Journal of Sport and Health Science · doi:10.5432/ijshs.1.1 · Cited by 51
Self-citationPosition sense and reaction angle after eccentric exercise: the repeated bout effect
Paschalis, V., Nikolaidis, M. G., Giakas, G., et al. (2008) · European Journal of Applied Physiology · doi:10.1007/s00421-007-0663-9 · Cited by 50
“Some of the eVects of this uncomfortable situation are loss of muscle force and range of movement (ROM), histologic disturbance of muscle and connective tissue, large increases in concentration of muscle proteins in the blood as well as development of delayed-onset muscle soreness (DOMS) and swelling ( Clarkson et al.…”
BackgroundChen, T. C., & Nosaka, K. (2006) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2006.03.012 · Cited by 51
Self-citationDetection of titin fragments in urine in response to exercise-induced muscle damage
Kanda, K., Sakuma, J., Akimoto, T., et al. (2017) · PLoS ONE · doi:10.1371/journal.pone.0181623 · Cited by 49
Variability in Muscle Damage After Eccentric Exercise and the Repeated Bout Effect
Chen, T. C. (2006) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2006.10599370 · Cited by 51
“Previous studies have shown that muscles need several weeks to recover from eccentric damage-inducing exercise, and repeating the subsequent and identical exercise bout is often performed after complete recovery from the initial bout (Clarkson & Hubal, 2002; Clarkson et al., 1992; McHugh et al., 1999; Nosaka et al., 1…”
BackgroundMethodResultInfluentialSiciliano, P. D., LAWRENCE, L. M., Danielsen, K., Powell, D. M., & Thompson, K. N. (1995) · Equine Veterinary Journal · doi:10.1111/j.2042-3306.1995.tb04929.x · Cited by 47
Repeated bout effect: research update and future perspective
Nosaka, K., & Aoki, M. S. (2011) · Edith Cowan University Research Online (Edith Cowan University) · Cited by 47
Self-citationThe Effect of Attentional Coping Strategies on Perceived Exertion in a Cycling Task
Stanley, C. T., Pargman, D., & Tenenbaum, G. (2007) · Journal of Applied Sport Psychology · doi:10.1080/10413200701345403 · Cited by 47
“Indeed, bouts of strenuous exercise do incur damage to muscles, and create soreness that may last for days afterwards ( Clarkson, Nosaka, & Braun, 1992 ; Smith, 1991 ).”
Muscle-Damaging Exercise Increases Heat Strain during Subsequent Exercise Heat Stress
Fortes, M. B., Felice, U. D., DOLCI, A., Junglee, N. A., Crockford, M. J., West, L. R., Hillier-Smith, R., Macdonald, J. H., & Walsh, N. P. (2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318294b0f8 · Cited by 49
Massage Therapy Restores Peripheral Vascular Function After Exertion
Franklin, N. C., Ali, M. M., Robinson, A. T., Norkeviciute, E., & Phillips, S. A. (2014) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2014.02.007 · Cited by 47
“Muscle injury induced by eccentric contractions can lead to morphologic changes in myofibrils and connective tissue(2,26) that ultimately initiate a local inflammatory response and subsequent biochemical changes within the damaged muscle tissue.(27) The local inflammatory response to exertion-induced muscle injury is…”
BackgroundPreliminary Comparison of Bromelain and Ibuprofen for Delayed Onset Muscle Soreness Management
Stone, M. B., Merrick, M. A., Ingersoll, C. D., & Edwards, J. E. (2002) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200211000-00009 · Cited by 46
Itoh, K., & Kawakita, K. (2002) · The Japanese Journal of Physiology · doi:10.2170/jjphysiol.52.173 · Cited by 47
Koh, T. J., Peterson, J. M., Pizza, F. X., & Brooks, S. V. (2003) · The Journals of Gerontology Series A · doi:10.1093/gerona/58.7.b592 · Cited by 47
Miles, M. P., Pearson, S. D., Andring, J. M., Kidd, J. R., & Volpe, S. L. (2007) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.17.6.507 · Cited by 46
Chen, H.-L., Nosaka, K., Pearce, A. J., & Chen, T. C. (2012) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h2012-035 · Cited by 47
“When a subsequent bout of the same or similar eccentric exercise is performed within several weeks, the changes in the muscle damage markers are attenuated and recovered to the baseline faster compared with the initial exercise bout (Clarkson et al. 1992; Black and McCully 2008; Chen et al. 2009).”
BackgroundMethodSelf-citation
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
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