局部振動介入與運動後肌肉硬度變化之探討

The effect of local vibration intervention on post-exercise muscle stiffness changes

10.6223/qcpe.201909_33(3).0002

陳林生(Lin-Sheng Chen)；林信甫(Hsin-Fu Lin)

活動度 ； 肌肉損傷 ； 運動恢復 ； range of motion ； muscle damage ； exercise recovery

中華體育季刊

33卷3期（2019 / 09 / 01）

145 - 153

繁體中文

阻力訓練以及高強度耐力運動後常見肌肉硬度上升，易造成關節活動度下降；而運動前的肌肉硬度越高，也會增加運動後的延遲性肌肉痠痛感以及肌肉損傷，因此實務上會採用許多方法降低肌肉硬度。一般常見許多暖身與緩和的方式，如動態伸展、靜態伸展和滾筒按摩都可以用來降低肌肉硬度。振動介入也是促進運動後恢復與降低肌肉硬度的手段，其中又以局部振動介入降低肌肉硬度的效果較佳，然而目前相關的文獻整理較少。故本文針對目前以局部振動介入對運動後肌肉硬度影響的研究，進行文獻分析。結果顯示，多篇研究中都發現局部振動介入能有效降低肌肉硬度，至於影響振動介入效果的變因，除了已知的頻率、振幅和時間之外，尚有其他因素如關節擺放位置、接觸面大小以及額外施加之壓力等變項未能涵蓋。未來研究應該納入這些面向進行實驗設計，以求更精準有效之局部振動介入方式，降低運動後肌肉硬度。

Muscle stiffness often increases after resistance exercise and high intensity endurance training, resulting in a reduction of joint mobility. In addition, delay onset muscle soreness and muscle damage typically occur with an increase of muscle stiffness. There are many strategies to reduce muscle stiffness, such as dynamic stretching, static stretching, and foam roller massage. Vibration intervention is also the alternative to reduce muscle stiffness, especially local vibration that has been shown to be more effective compared with other types of vibration. In this article, we reviewed the most recent original investigations on local vibration intervention and muscle stiffness changes. Our results, in most of the studies included, showed that local vibration intervention could be an effective means to reduce muscle stiffness. Previous studies indicated that frequency, amplitude, acceleration and vibration time might be variables that determine the effects of local vibration on muscle stiffness. We also suggested that there might be other factors such as the joint position during vibration, contact area of the vibration, and the additional pressure apply on target muscle might also confound the effects of local vibration on muscle stiffness. Future studies investigating the effects of local vibration intervention on muscle stiffness by including these variables are warranted.

1. 陳俊龍,吳柏翰(2012)。振動刺激介入對緩和延遲性肌肉酸痛之影響。運動與健康研究，1(2)，1-12。
   連結：
2. 陳韋翰,楊貴羽 ,孫銘,莊榮仁,劉強(2014)。十二週太極拳無極式輔以低頻振動刺激訓練對感覺神經肌肉功能之影響。體育學報，47(1)，23-34。
   連結：
3. 黃彥霖,張晃源,程文欣,謝易親,高從耀,王順正(2013)。振動式動態恢復對衰竭運動後血乳酸清除的影響。體育學報，46(4)，319-327。
   連結：
4. 蘇韋霖,黃文經,陳易男,陳文銓,黃啟彰,黃啟煌(2015)。以小鼠模式探討全身振動訓練對於生理生化表現以及運動疲勞之影響。體育學報，48(1)，33-44。
   連結：
5. Baumgart, C.,Freiwald, J.,Kühnemann, M.,Hotfiel, T.,Hüttel, M.,Hoppe, M. W.(2019).Foam rolling of the calf and anterior thigh: Biomechanical loads and acute effects on vertical jump height and muscle stiffness.Sports,7(1),27.
6. Brandenburg, J. E.,Eby, S. F.,Song, P.,Zhao, H.,Brault, J. S.,Chen, S.,An, K. N.(2014).Ultrasound elastography: The new frontier in direct measurement of muscle stiffness.Archives of Physical Medicine and Rehabilitation,95(11),2207-2219.
7. Butler, R. J.,Crowell, H. P., III,Davis, I. M.(2003).Lower extremity stiffness: Implications for performance and injury.Clinical Biomechanics,18(6),511-517.
8. Cochrane, D. J.(2011).Vibration exercise: The potential benefits.International Journal of Sports Medicine,32(02),75-99.
9. Cronin, J.,Nash, M.,Whatman, C.(2007).The effect of four different vibratory stimuli on dynamic range of motion of the hamstrings.Physical Therapy in Sport,8(1),30-36.
10. Curran, P. F.,Fiore, R. D.,Crisco, J. J.(2008).A comparison of the pressure exerted on soft tissue by 2 myofascial rollers.Journal of Sport Rehabilitation,17(4),432-442.
11. Edge, J.,Mündel, T.,Weir, K.,Cochrane, D.(2009).The effects of acute whole body vibration as a recovery modality following high-intensity interval training in well-trained, middle-aged runners.European Journal of Applied Physiology,105(3),421-428.
12. Eriksson Crommert, M.,Lacourpaille, L.,Heales, L.,Tucker, K.,Hug, F.(2015).Massage induces an immediate, albeit short-term, reduction in muscle stiffness.Scandinavian Journal of Medicine & Science in Sports,25(5),490-496.
13. Gennisson, J. L.,Cornu, C.,Catheline, S.,Fink, M.,Portero, P.(2005).Human muscle hardness assessment during incremental isometric contraction using transient elastography.Journal of Biomechanics,38(7),1543-1550.
14. Herda, T.,Ryan, E.,Costa, P.,Walter, A.,Hoge, K.,Uribe, B,Cramer, J. T.(2010).Acute effects of passive stretching and vibration on the electromechanical delay and musculotendinous stiffness of the plantar flexors.Electromyography & Clinical Neurophysiology,50(6),277.
15. Howell, J. N.,Chleboun, G.,Conatser, R.(1993).Muscle stiffness, strength loss, swelling and soreness following exercise-induced injury in humans.Journal of Physiology,464(1),183-196.
16. Ikeda, N.,Inami, T.,Kawakami, Y.(2019).Stretching combined with repetitive small length changes of the plantar flexors enhances their passive extensibility while not compromising strength.Journal of Sports Science & Medicine,18(1),58-64.
17. Ingraham, P. (2018). Why Do Muscles Feel Stiff and Tight? Retrieve from https://www.painscience. com/articles/stiffness-and-rom.php
18. Kinser, A. M.,Ramsey, M. W.,O'bryant, H. S,Ayres, C. A.,Sands, W. A.,Stone, M. H.(2008).Vibration and stretching effects on flexibility and explosive strength in young gymnasts.Medicine & Science in Sports & Exercise,40(1),133-140.
19. Kurt, C.(2015).Alternative to traditional stretching methods for flexibility enhancement in well-trained combat athletes: Local vibration versus whole-body vibration.Biology of Sport,32(3),225.
20. Lau, W. Y.,Nosaka, K.(2011).Effect of vibration treatment on symptoms associated with eccentric exercise-induced muscle damage.American Journal of Physical Medicine & Rehabilitation,90(8),648-657.
21. Lee, S. S. M.,Gaebler-Spira, D.,Zhang, L. Q.,Rymer, W. Z.,Steele, K. M.(2016).Use of shear wave ultrasound elastography to quantify muscle properties in cerebral palsy.Clinical Biomechanics,31,20-28.
22. McHugh, M. P.,Connolly, D. A.,Eston, R. G.,Kremenic, I. J.,Nicholas, S. J.,Gleim, G. W.(1999).The role of passive muscle stiffness in symptoms of exercise-induced muscle damage.The American Journal of Sports Medicine,27(5),594-599.
23. Morales-Artacho, A.,Lacourpaille, L.,Guilhem, G.(2017).Effects of warm-up on hamstring muscles stiffness: Cycling vs foam rolling.Scandinavian Journal of Medicine & Science in Sports,27(12),1959-1969.
24. Neumann, D. A.(2013).Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation.Elsevier Health Sciences.
25. Niitsu, M.,Michizaki, A.,Endo, A.,Takei, H.,Yanagisawa, O.(2011).Muscle hardness measurement by using ultrasound elastography: A feasibility study.Acta Radiologica,52(1),99-105.
26. Ntshangase, S.,Peters-Futre, E.(2017).The efficacy of manual versus local vibratory massage in promoting recovery from post-exercise muscle damage: A systematic review.Journal of Science and Medicine in Sport,20,42.
27. Peer, K. S.,Barkley, J. E.,Knapp, D. M.(2009).The acute effects of local vibration therapy on ankle sprain and hamstring strain injuries.The Physician and Sportsmedicine,37(4),31-38.
28. Pournot, H.,Tindel, J.,Testa, R.,Mathevon, L.,Lapole, T.(2016).The acute effect of local vibration as a recovery modality from exercise-induced increased muscle stiffness.Journal of Sports Science & Medicine,15(1),142.
29. Riebe, D.(Ed.),Ehrman, J.(Ed.),Liguori, G.(Ed.),Magal, M.(Ed.)(2016).ACSM's guidelines for exercise testing and prescription.Philadelphia, PA:Wolters Kluwer.
30. Ryan, E. D.,Beck, T. W.,Herda, T. J.,Hull, H. R.,Hartman, M. J.,Costa, P. B.,Cramer, J T.(2008).The time course of musculotendinous stiffness responses following different durations of passive stretching.Journal of Orthopaedic & Sports Physical Therapy,38(10),632-639.
31. Sands, W. A.,McNeal, J. R.,Stone, M. H.,Haff, G. G.,Kinser, A. M.(2008).Effect of vibration on forward split flexibility and pain perception in young male gymnasts.International Journal of Sports Physiology and Performance,3(4),469-481.
32. Sands, W. A.,McNeal, J. R.,Stone, M. H.,Russell, E. M.,Jemni, M.(2006).Flexibility enhancement with vibration: Acute and long-term.Medicine & Science in Sports & Exercise,38(4),720-725.
33. Siegmund, L. A.,Barkley, J. E.,Knapp, D.,Peer, K. S.(2014).Acute effects of local vibration with biomechanical muscle stimulation on low-back flexibility and perceived stiffness.Athletic Training and Sports Health Care,6(1),37-45.
34. Siu, P. M.,Tam, B. T.,Chow, D. H.,Guo, J. Y.,Huang, Y. P.,Zheng, Y. P.,Wong, S. H.(2010).Immediate effects of 2 different whole-body vibration frequencies on muscle peak torque and stiffness.Archives of Physical Medicine and Rehabilitation,91(10),1608-1615.
35. Tripp, B.,Eberman, L.,Dwelly, P.(2009).Handheld vibration effects shoulder motion.International Journal of Sports Medicine,30(12),868-871.
36. Weerapong, P.,Hume, P. A.,Kolt, G. S.(2005).The mechanisms of massage and effects on performance, muscle recovery and injury prevention.Sports Medicine,35(3),235-256.
37. Wilson, G.,Wood, G.,Elliott, B.(1991).The relationship between stiffness of the musculature and static flexibility: An alternative explanation for the occurrence of muscular injury.International Journal of Sports Medicine,12(4),403-407.