Evidence map›Paper›PMID 40538474›Full record

ReviewJournal of pain research2025

Differences in the Effectiveness of Different Physical Therapy Modalities in the Treatment of Delayed-Onset Muscle Soreness: A Systematic Review and Bayesian Network Meta-Analysis.

Jing Chen, Qing Hu, Jiajie Hu, Songtao Liu, Linyu Yin

Abstract readReview
In one paragraph

Review in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jing Chen *Department of Rehabilitation Medicine, Affiliated Hospital (Clinical College) of Xiangnan University, Xiangnan University, Chenzhou, Hunan, People's Republic of China.
Qing Hu *Department of Rehabilitation Medicine, Affiliated Hospital (Clinical College) of Xiangnan University, Xiangnan University, Chenzhou, Hunan, People's Republic of China.
Jiajie HuDepartment of Rehabilitation Medicine, Affiliated Hospital (Clinical College) of Xiangnan University, Xiangnan University, Chenzhou, Hunan, People's Republic of China.
Songtao LiuDepartment of Rehabilitation Medicine, Affiliated Hospital (Clinical College) of Xiangnan University, Xiangnan University, Chenzhou, Hunan, People's Republic of China.
Linyu YinDepartment of Rehabilitation Medicine, Affiliated Hospital (Clinical College) of Xiangnan University, Xiangnan University, Chenzhou, Hunan, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Delayed-onset muscle soreness (DOMS) is a common clinical condition that frequently affects various populations. Physical therapy offers distinct advantages in managing this condition. However, many recently published studies have produced conflicting results and lack compelling evidence, complicating clinicians' decision making. We employed a Bayesian meta-analysis to assess the efficacy and safety of physical therapy modalities (PTMs) for DOMS, aiming to provide robust, evidence-based medical insights for clinical application. Patients and Methods: We conducted a comprehensive search for randomized controlled trials (RCTs) evaluating PTMs for DOMS across databases, including CNKI, CSCD, CCD, CBM, PubMed, EMbase, Cochrane Library, and Web of Science, until October 22, 2024. The included studies were assessed for risk of bias using the Cochrane Risk of Bias Assessment tool, tailored for RCTs. A network meta-analysis was performed using R v.4.2.2. Results: At 24 hours post-intervention, photobiomodulation therapy(PBMT) demonstrated a significant advantage over placebo (-3.91 [-5.57, -2.17],P<0.05). The effects of other therapies were not significant (Cryotherapy: -0.58 (-1.20, 0.11), Cryotherapy combined with PBMT: 0.48 (-1.09, 2.01), ES: -0.98 (-2.82, 0.89), Irradiated: -0.10 (-1.71, 1.53), STM: -0.89 (-2.63, 0.85), UT: -0.61 (-1.92, 0.84)).At 48 hours post-intervention, both PBMT (-5.24 [-6.95, -3.20],P<0.05) and sauna (-3.29 [-6.21,-0.33],P<0.05) exhibited significant effects compared to placebo.The effects of other therapies were not statistically significant.; However, beyond 48 hours, there was no notable benefit from PTMs when compared with placebo, indicating that PTMs are more effective within the initial 48 hours, with PBMT yielding superior outcomes. Conclusion: The findings from this investigation indicate that PBMT and sauna treatment produce significant effects within the first 48 hours; however, beyond this period, the impact of photobiomodulation diminishes significantly. Overall, physical therapy modalities are the most effective within the 48-h window.

Indexed as

bayesian network meta-analysisdelayed-onset muscle sorenessefficacyphysical therapy modalitiessystematic review

Identifiers

PMID40538474
PMCPMC12178262

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.