ArticleJournal of athletic training2015
Assessment of Muscle Pain Induced by Elbow-Flexor Eccentric Exercise.
Article in Journal of athletic training, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Exercise Selection and Common Injuries in Fitness Centers: A Systematic Integrative Review and Practical Recommendations.International journal of environmental research and public health · 2022Pooled it
- Acute muscle damage responses in elbow flexors following eccentric quasi-isometric exercise.Scientific reports · 2026Trial
- Effects of a Manual Treatment on Lumbar Microcirculation and Tissue Stiffness Following Submaximal Eccentric Trunk Extensor Exercise: A Randomized Controlled Trial.Journal of sports science & medicine · 2024Trial
- Effect ofNutrients · 2024Trial
- Psychophysical predictors of experimental muscle pain intensity following fatiguing calf exercise.PloS one · 2021Trial
- Physiological Response Differences between Run and Cycle High Intensity Interval Training Program in Recreational Middle Age Female Runners.Journal of sports science & medicine · 2020Trial
- Effectiveness of using wearable vibration therapy to alleviate muscle soreness.European journal of applied physiology · 2017Trial
- Photobiomodulation therapy (PBMT) and/or cryotherapy in skeletal muscle restitution, what is better? A randomized, double-blinded, placebo-controlled clinical trial.Lasers in medical science · 2016Trial
- Similar Muscle Recovery but Greater Soreness in Active Vegans on Low-Protein Diets Compared to High-Protein Omnivores Following Exercise-Induced Damage.Nutrition bulletin · 2026Article
- Recovery kinetics following matches in congested vs. non-congested schedules: effects on pressure pain sensitivity, delayed onset muscle soreness, and muscular performance in soccer players.BMC sports science, medicine & rehabilitation · 2026Article
- TENS versus foam rolling for recovery after eccentric exercise-induced muscle damage in elite female volleyball players: an exploratory randomized controlled trial.BMC sports science, medicine & rehabilitation · 2026Article
- Investigating the Sensitivity of Phase Angle to Eccentric Exercise of the Biceps Brachii: A Brief Report.International journal of exercise science · 2026Article
- Effect of Nitrate Supplementation on Delayed Onset Muscle Soreness Indices: A Double-Blind, Randomized, Cross-Over Clinical Trial.Medical journal of the Islamic Republic of Iran · 2026Article
- Neuromuscular electrical stimulation producing low evoked force elicits the repeated bout effect on muscle damage markers of the elbow flexors.Sports medicine and health science · 2025Article
- A novel short-course, low-intensity blood-flow-restricted exercise (BFRE) regimen to study satellite cell function in critical illness survivors with sustained muscle atrophy following intensive care unit-acquired weakness (ICUAW).Frontiers in physiology · 2025Article
- Cell-free DNA kinetics in response to muscle-damaging exercise: A drop jump study.Experimental physiology · 2024Article
- Obesity blunts insulin sensitivity improvements and attenuates strength gains following resistance training in nondiabetic men.European journal of applied physiology · 2024Article
- Pain quality patterns in delayed onset muscle soreness of the lower back suggest sensitization of fascia rather than muscle afferents: a secondary analysis study.Pflugers Archiv : European journal of physiology · 2024Article
- Neurochemical mechanism of muscular pain: Insight from the study on delayed onset muscle soreness.The journal of physiological sciences : JPS · 2024Review
- Effects of 8 days intake of hydrogen-rich water on muscular endurance performance and fatigue recovery during resistance training.Frontiers in physiology · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextDelayed-onset muscle soreness (DOMS) is a common muscle pain that many people experience and is often used as a model of acute muscle pain. Researchers have reported the effects of various interventions on DOMS, but different DOMS assessment protocols used in these studies make it difficult to compare the effects.
objectiveTo investigate DOMS characteristics after elbow-flexor eccentric exercise to establish a standardized DOMS assessment protocol.
designDescriptive laboratory study.
settingResearch laboratory. PATIENTS OR OTHER
participantsTen healthy, untrained men (21-39 years). INTERVENTION(S): Participants performed 10 sets of 6 maximal isokinetic eccentric contractions of the elbow flexors. MAIN OUTCOME MEASURE(S): Indirect muscle-damage markers were maximal voluntary isometric contraction torque, range of motion, and serum creatine kinase activity. Muscle pain was assessed before exercise, immediately postexercise, and 1 to 5 days postexercise using (1) a visual analog scale (VAS), (2) a category ratio-10 scale (CR-10) when applying static pressure and palpation at different sites (3, 9, and 15 cm above the elbow crease), and (3) pressure-pain thresholds (PPTs) at 50 sites (pain mapping).
resultsMaximal voluntary isometric contraction and range of motion decreased and creatine kinase activity increased postexercise, indicating muscle damage. Palpation induced greater pain than static pressure, and longitudinal and transverse palpations induced greater pain than circular palpation (P < .05). The PPT was lower in the medial region before exercise, but the pain-sensitive regions shifted to the central and distal regions of the biceps brachii at 1 to 3 days postexercise (P < .05). The VAS was correlated with the CR-10 scale (r = 0.91, P < .05) but not with the PPT (r = -0.28, P = .45).
conclusionsThe way in which muscles are assessed affects the pain level score. This finding suggests that pain level and pain threshold cannot be used interchangeably and that the central and distal regions of the biceps brachii should be included in DOMS assessment using the VAS, CR-10 scale, and PPT after elbow-flexor eccentric exercise.
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