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A randomized controlled trial of manual therapy and pneumatic compression for recovery from prolonged running -- an extended study
Heapy AM, Hoffman MD, Verhagen HH, Thompson SW, Dhamija P, Sandford FJ, Cooper MC
Research in Sports Medicine 2018;26(3):354-364
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Manual therapy (MT) and intermittent pneumatic compression (IPC) are recovery methods used by endurance athletes with little evidence supporting effectiveness. This randomized controlled trial evaluated effectiveness of four daily post-race treatments of a specific MT protocol and IPC compared with supine rest on recovery following an ultramarathon among 56 ultramarathoners. Groups were comparable across all characteristics examined, including post-race plasma creatine kinase concentration. Subject completed timed 400 m runs before the race and on days three, five, seven and 14 post-race, and also provided muscle pain and soreness ratings and fatigue scores immediately before and after treatments, and during the 14 days post-race. Daily subjective measures and 400 m run times were not improved by either treatment, but both treatments reduced (p < 0.05) muscular fatigue scores acutely after treatment following the race and on post-race day 1, and MT improved (p < 0.05) muscle pain and soreness acutely following the race.

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