Delayed-onset muscle soreness (DOMS) is a commonly occurring myogenic condition, which develops following strenuous eccentric exercise, but the effectiveness of physiotherapy treatment has not been systematically assessed. This systematic review aimed to determine the effectiveness and quality of the evidence for management of DOMS. Relevant databases (Cochrane 1993 to 2003; Medline 1966 to 2003, Embase 1966 to 2003; CINAHL 1982 to 2003; and PEDro 1952 to 2003) were searched. The methodological quality of randomised controlled trials was systematically assessed using the PEDro scale. Thirty trials (electrophysical interventions, n = 11; conventional agents, n = 19) were included. There was limited evidence (of high methodological quality) that athletic massage and light concentric exercise are more effective than no treatment, while the evidence for compression therapy, and whirlpool therapy was minimal. The evidence did not support the use of static stretching, cryotherapy, acupuncture, pulsed ultrasound, transcutaneous electrical nerve stimulation (TENS), interferential therapy, and microcurrent electrical stimulation.

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