How to Avoid DOMS (Delayed Onset Muscle Soreness)

Having trouble getting out of bed? Having to walk backwards down the stairs because your legs feel as though they are on fire? You are probably suffering from DOMS. Don't worry. It's not as bad as it feels and if you follow the recommendations of DJ Szyman-ski at Auburn University you may be able to avoid the associated pain altogether ('Recommendations for the avoidance of Delayed Onset Muscular Soreness,' Strength and Conditioning Journal, Vol 23 (4) 7-13).

Every athlete, regardless of his or her fitness level, has experienced sore and stiff muscles after moderate to strenuous exercise at the start of a new training programme. These symptoms usually occur after eccentric (downhill running, plyometrics, etc.) or unaccustomed exercise. During these activities your muscles become more susceptible to structural damage, resulting in muscle soreness, loss of strength, decreased range of motion and neuromuscular function. All of these symptoms together are generally referred to as DOMS (delayed onset muscle soreness).

Delayed onset muscle soreness (DOMS) is not a new phenomenon; research investigating the cause of delayed onset muscle soreness (DOMS) dates back to the early 1900s and several theories have been put forward to explain the underlying cause. Probably one of the most popular explanations is the accumulation of lactic acid in the muscles. Popular yes, correct, no. Blood and muscle lactate levels typically return to normal values after 30-60 minutes of recovery. Eccentric exercise produces the most severe muscle soreness but requires relatively low energy expenditure (even less than needed for concentric exercise). Therefore if lactic acid were to cause delayed onset muscle soreness (DOMS), then muscle soreness would be expected to be greater after exercise with a higher metabolic cost (concentric activity). In addition, we know from bitter experience that the pain associated with delayed onset muscle soreness (DOMS) peaks after 24-72 hours. When we consider that lactate concentrations return to pre-exercise levels within 60 minutes it seem ludicrous to suggest that the two are somehow related.

Subsequent research has suggested that damage to the muscle ultra structure and connective tissue may be responsible for delayed onset muscle soreness (DOMS). It is suggested that a sequence of events starting with exercise causes muscle damage and then muscle protein breakdown, resulting in cell inflammation and increased local muscle temperature. As a result pain receptors are activated, causing the sensation of delayed onset muscle soreness (DOMS). Further research suggests that muscle damage alone may not be the best explanation for the cause of delayed onset muscle soreness (DOMS). Inflammation and swelling should also be considered as they also activate and sensitise pain sensors around the muscle fibres.

So what does Szymanski recommend?With a better understanding of the underlying causes of delayed onset muscle soreness (DOMS) it is possible to implement preventative strategies. Szymanski offers the following guidelines to follow when attempting to reduce delayed onset muscle soreness (DOMS).
1.Don't bother to reach for the medicine cabinet prior to a match or workout. No research supports the use if anti-inflammatory drugs, antioxidant supplements, ointments or creams in the prevention of delayed onset muscle soreness (DOMS).
2. Conflicting evidence surrounds the use if post-exercise massage, post-exercise stretching and cold application.
3. Warm up: research indicates that concentric activity may better prepare the body for the stress caused by eccentric, damage- inducing exercise. Increased muscle temperature results in a reduction in muscle or connective tissue viscosity, a higher resistance of muscle tissue to tearing and increased muscle elasticity.
4. In addition to a warm up,repeated bouts of eccentric exercise performed within one to six weeks after the initial bout of exercise have been shown to reduce delayed onset muscle soreness (DOMS) and muscle damage allowing for faster recovery of strength and ROM.What action to takeTherefore to avoid delayed onset muscle soreness (DOMS), try the following:(a) Perform a general warm up(5 mins, cycling, jogging etc).(b) Perform specific dynamic mobility exercises for 15-20 minutes.(c) When starting an exercise programme, avoid movements that entail strenuous eccentric muscle action (downhill running, plyometrics, etc).(d) Gradually increase the intensity and duration of exercise.(e) Complete additional bouts of the exercise that originally caused delayed onset muscle soreness (DOMS) - for instance, if DOMS was sustained during downhill running, additional downhill running within one to six weeks will help alleviate the problem).

Vibration Training

Move over, wobble board -- the vibration platform is here. In the past 10 years there has been an increasing interest in the somewhat strange concept of vibration training and its potentially positive impact on athletic performance. Can simply standing on a vibrating platform improve a players strength, power and flexibility? Is this a gimmick providing a short-term fix, or can players and coaches expect to see some valuable long-term training adaptations? Is vibration a useful rehab tool?

What is Vibration training?
Early work by the Russian space agency looked at the use of vibration training in combating the effects of zero gravity conditions on the musculoskeletal system. It didn’t take long for scientists working within sport to start using vibration training with a variety of athletes (rowers, track and field, gymnasts and ballet dancers). Although this pioneering research indicated that vibration training had the potential to enhance both strength and flexibility, it was another 10 years or more before the international sports science community dusted off the old research papers and began to take a closer interest in this training intervention.

Among the advocates for vibration training within the sporting world are: American Football (Tampa Bay Buchaneers); Ice Hockey (Anaheim Mighty Ducks); Baseball (Chicago Whitesox); Football (AC Milan); Cycling (Lance Armstrong); Running (Alberto Salazar -Marathon runner and head coach of the Oregon Project); Skiing (Herman Maier) and Rugby (Lead Physiotherapist for the Scottish Rugby Union team, Stephen Mutch)

The concept
When a player stands on a vibrating platform, the repetitive movement presents a strong stimulus to musculoskeletal structures due to the muscle stiffness changing in response to the vibration, which researchers believe produces physiological adaptations to accommodate the vibratory waves.

We do not clearly understand the exact mechanisms for enhanced athletic performance and injury prevention. Potential adaptations include:
increased excitation of peripheral and central structures (pre-activation of musculoskeletal system, resulting in improved readiness for the training stimulus).
increased synchronisation of motor units;
stimulation of GTO (golgi tendon organs), inhibiting activation of antagonist muscles;
increased hormonal secretion;
variation of neurotransmitter concentrations (dopamine, serotonin); and
excitation of sensory receptors such as muscle spindles, leading to improvements in the stretch reflex cycle.

Training effects: Performance Enhancement and Rehabilitation
Enhanced physical preparation is arguably the birthplace of vibration training and is where most of the research has been conducted. It was in the late 1990s that claims started to circulate that 10 minutes of vibration training could produce the same training effect as completing 150 leg presses or half squats with loads of three times body mass twice a week for five weeks; and that 10 days of vibration training was the equivalent to completing 200 drop jumps from a height of 60cm, twice a week for 12 months! Recent research has also shown improvements in strength as well as improvements in flexibility and muscle activation. Professionals working in sports rehabilitation have been quick to set about establishing a role for vibration training within injury treatment and rehab. Initial work has already investigated the effect on bone health and ACL (anterior cruciate ligament) rehabilitation strategies. At the start of 2005 it was reported that the Edinburgh and Scotland flanker Allister Hogg had used vibration training during his rehab from a knee injury sustained during a cup match.

Take Home Messages
1. Vibration training may be an effective intervention for reducing the ageing process in musculoskeletal structures.
2. Vibration training may be an effective rehab tool for people that have not exercised for some time (e.g. injured players).
3. More research is needed to understand the neurophysiological mechanisms involved in muscle activation.
4. Optimal amplitude and frequency need to be identified.
5. Vibration training seems safe when standing on the vibrating platforms for a relatively short time with the knee semi-flexed to limit transmission of vibrations to the head.
6. Prolonged exposure to vibration training can have a negative impact on health and proper care should be taken when exercise programmes are prescribed.

Should we all rush out and buy a vibration platform? Despite the mounting body of evidence in support of this modality, the jury is still out. Vibration training could yet be the next big thing to revolutionise performance enhancement, injury prevention and rehabilitation. But so far, the men in white coats cannot give us a green light, and anyone using this technique will be doing so with their fingers firmly crossed behind their backs.