[运动生理] 按摩对运动后肌肉的恢复无益？

Massage impairs postexercise muscle blood flow and "lactic acid" removal.

Wiltshire EV, Poitras V, Pak M, Hong T, Rayner J, Tschakovsky ME.

School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada.
Med Sci Sports Exerc.[/url] 2010 Jun;42(6):1062-71.）
Abstract
PURPOSE: This study tested the hypothesis that one of the ways sports massage aids muscle recovery from exercise is by increasing muscle blood flow to improve "lactic acid" removal.

METHODS: Twelve subjects performed 2 min of strenuous isometric handgrip (IHG) exercise at 40% maximum voluntary contraction to elevate forearm muscle lactic acid. Forearm blood flow (FBF; Doppler and Echo ultrasound of the brachial artery) and deep venous forearm blood lactate and H+ concentration ([La-], [H+]) were measured every minute for 10 min post-IHG under three conditi*****: passive (passive rest), active (rhythmic exercise at 10% maximum voluntary contraction), and massage (effleurage and pétrissage). Arterialized [La-] and [H+] from a superficial heated hand vein was measured at baseline.

RESULTS: Data are presented as mean +/- SE. Venoarterial [La-] difference ([La-]v-a) at 30 s of post-IHG was the same across conditi***** (passive = 6.1 +/- 0.6 mmol x L(-1), active = 5.7 +/- 0.6 mmol x L(-1), massage = 5.5 +/- 0.6 mmol x L(-1), NS), whereas FBF was greater in passive (766 +/- 101 mL x min(-1)) versus active (614 +/- 62 mL x min(-1), P = 0.003) versus massage (540 +/- 60 mL x min(-1), P < 0.0001). Total FBF area under the curve (AUC) for 10 min after handgrip was significantly higher in passive versus massage (4203 +/- 531 vs 3178 +/- 304 mL, P = 0.024) but not versus active (3584 +/- 284 mL, P = 0.217). La(-)- efflux (FBF x [La-]v-a) AUC mirrored FBF AUC (passive = 20.5 +/- 2.8 mmol vs massage = 14.7 +/- 1.6 mmol, P = 0.03, vs active = 15.4 +/- 1.9 mmol, P = 0.064). H+ efflux (FBF x [H+]v-a) was greater in passive versus massage at 30 s (2.2 +/- 0.4e(-5) vs 1.3 +/- 0.2e(-5) mmol, P < 0.001) and 1.5 min (1.0 +/- 0.2e(-5) vs 0.6 +/- 0.09e(-5) mmol, P = 0.003) after IHG.

CONCLUSI*****: Massage impairs La(-) and H+ removal from muscle after strenuous exercise by mechanically impeding blood flow.


以上是近期发表在MSSE上的一研究摘要，很有意思，也很有启发。

非常好的一个研究。其实关于按摩对运动后肌肉恢复或者循环机能的改善近来一直有争议。

Massage After Exercise Myth Busted
http://www.sciencedaily.com/releases/2009/05/090507164405.htm

Massaging Muscles Facilitates Recovery After Exercise
http://www.sciencedaily.com/releases/2008/08/080812213937.htm

有意思的研究，打破了传统理念

国外很多PT对于massage其实基本上都不赞同的

manual therapy里面massage还是比较有争议的

相对于joint mobilization/manipulation等其它manual therapy疗法、physical therapy（madalities），massage还是要冷门很多的

我感觉有很大的作用，不仅仅是放松的作用，还有救市血液循环加快，是代谢产物快速的分解。在整个过程中海药看按摩师的手法和技术等等。

        对不起！本人看不懂英语，不知说什么，但有一点按摩对运动后的肌肉的恢复一定有用，这是绝对的，恢复的快慢与否，确实是按摩师的手法、经验等有很大的关系。

运动后肌肉处于血乳酸堆积的状态，通过物理疗法（按摩）等方法刺激肌组织必然会起到良性作用，诸如加快血液循环、消除肌肉的僵硬、改善肌肉的生化特性等等，中医按摩至今已经几千年的历史了，没有效果是不可能延续到今的。此文观点我不赞同。

按摩是不是也相当于运动？对肌肤的挤压，是外在的阻力练习？
除此之外，心理作用更大一些。

   对不起！看不懂英语，但有一点按摩对运动后的肌肉的恢复有一定作用，除此之外，还有一点心理作用。

作者Wiltshire 的观点早期在 2009 ACSM 年会上有过报道（http://journals.lww.com/acsm-msse/Fulltext/2009/05001/Massage_Impairs_Rather_Than_Enhances_Lactic_Acid.3087.aspx），看看国外的论坛对此观点是如何评价的：

massage decreases blood flow and lactic acid removal post-workout?
http://forums.rxmuscle.com/archive/index.php/t-9643.html

感觉很有意思，不能凭主观感觉就说有用与否！看科学的实验数据就知道了

感觉靠的住，人都会上树，呵呵，开个玩笑。我们多一点试验和数据会更好。

两次针对同一块肌肉、相同的强度，一次按摩，一次不按摩，接下来肌肉的感觉会告诉你是否有用，

没做过实验。但知道心理作用起很大作用。

心理作用，也是作用。