n International SportMed Journal - How to prevent delayed onset muscle soreness (DOMS) after eccentric exercise : review article

Volume 5, Issue 2
  • ISSN : 1528-3356



The primary objective of this review article is to explore strategies to prevent delayed onset muscle soreness (DOMS) after strenuous exercise.

MEDLINE and PubMed databases were searched using combinations of the terms delayed onset muscle soreness, muscle pain, eccentric , lengthening, downhill, muscle damage, repeated bout, force, torque, velocity, performance, activation, function, proprioception, kinesthetic. In addition, the reference sections of selected articles were searched.
115 studies were selected based on quality, relevance and importance to the primary objective of the review.
Results from studies utilised in this review were critically interpreted and summarised by the authors (Note : No meta-analytic procedures were used).
DOMS is a result of muscle damage that occurs after strenuous exercise. Mechanical damage to muscle leads to discomfort, reductions in muscle force and range of motion, swelling, and elevated muscle protein levels in the blood. In addition, DOMS may affect athletic performance due to its impact on strength and range of motion, proprioception, and gait biomechanics.
There is a paucity of data on the effects of DOMS on athletic performance and strategies of prevention. Prevention of DOMS may be achieved by adapting the muscle to eccentric stress prior to competitive performance. Future research to establish eccentric exercise prescription for athletes and strategies to maximise its beneficial effects are warranted. This knowledge may enhance athletic performance by incorporating proper mode and timing of resistance training to prevent the potential performance-inhibiting effects of DOMS.

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