Evidence map›Paper›PMID 41180081›Full record

Trial reportJournal of athletic training2025

Pain Reduction Following Massage After Induced Fatigue Is Not Mediated by Changes in Muscle Stiffness or Intramuscular Fluid Content: A Randomized Controlled Trial With Mediation Analysis.

Guilherme S Nunes, Brenda Dutra Guterres, Ane Priscila Diel, Anna Carolina O Machado, Nathália Kolling da Rosa, Victória Dos Santos Turchetto, Fábio Juner Lanferdini

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of athletic training, 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

7 authors.

Guilherme S NunesDepartment of Physiotherapy and Rehabilitation, Federal University of Santa Maria, Brazil.
Brenda Dutra GuterresDepartment of Physiotherapy and Rehabilitation, Federal University of Santa Maria, Brazil.
Ane Priscila DielDepartment of Physiotherapy and Rehabilitation, Federal University of Santa Maria, Brazil.
Anna Carolina O MachadoDepartment of Physiotherapy and Rehabilitation, Federal University of Santa Maria, Brazil.
Nathália Kolling da RosaDepartment of Physiotherapy and Rehabilitation, Federal University of Santa Maria, Brazil.
Victória Dos Santos TurchettoDepartment of Physiotherapy and Rehabilitation, Federal University of Santa Maria, Brazil.
Fábio Juner LanferdiniDepartment of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria/RS, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Massage therapy is a common intervention for athletic recovery. However, its effects on fatigue, muscle stiffness, and intramuscular fluid content or the mechanism for pain reduction remain uncertain. Objectives: To evaluate the immediate and subacute effects (24-72 hours) of massage on pain, fatigue, muscle stiffness, and intramuscular fluid content in university athletes after an induced fatigue protocol. Additionally, we investigated whether changes in muscle stiffness and intramuscular fluid content mediate the effects of massage on pain and fatigue. Design: Randomized controlled clinical trial. Setting: Laboratory. Patients or Other Participants: Eighty-six university athletes, who completed a quadriceps fatigue protocol involving isokinetic concentric contractions. Interventions: Participants received either 10-minute massage therapy targeting the quadriceps or a sham control intervention. They were applied immediately after the fatigue protocol and repeated 48 hours later. Main Outcome Measures: Pain and fatigue were assessed using numeric rating scales. Muscle stiffness and intramuscular fluid content were evaluated using ultrasound elastography and echo intensity, respectively. Results: Massage therapy reduced pain immediately after the intervention compared with the sham group by -1.4 points (95% confidence interval = -2.8, -0.1). No differences were observed for pain at subsequent time points or for fatigue, muscle stiffness, or intramuscular fluid content at any time. Mediation analysis did not reveal indirect effects of changes in muscle stiffness or intramuscular fluid content on changes in pain or fatigue. Conclusions: Massage therapy provides immediate pain relief after induced fatigue but does not produce lasting effects on pain, fatigue, muscle stiffness, or intramuscular fluid content. The observed pain reduction was not mediated by changes in muscle stiffness or intramuscular fluid content.

Indexed as

MassageMuscle FatiguePain ManagementQuadriceps MuscleAdultAthletesElasticity Imaging TechniquesFemaleHumansMaleMuscle, SkeletalPain MeasurementYoung Adultathletesmusculoskeletal manipulationspostexercise recoveryquadriceps musclesports

Identifiers

PMID41180081
PMCPMC12579278

What OpenQuestion holds

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Registered trials

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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.