Does electrical stimulation enhance post-exercise performance recovery?

  • Nicolas BabaultEmail author
  • Carole Cometti
  • Nicola A. Maffiuletti
  • Gaëlle Deley
Mini Review


Elite sport requires high-volume and high-intensity training that inevitably induces neuromuscular fatigue detrimental for physical performance. Improving recovery processes is, therefore, fundamental and to this, a wide variety of recovery modalities could be proposed. Among them, neuromuscular electrical stimulation is largely adopted particularly by endurance-type and team sport athletes. This type of solicitation, when used with low stimulation frequencies, induces contractions of short duration and low intensity comparable to active recovery. This might be of interest to favour muscle blood flow and therefore metabolites washout to accelerate recovery kinetics during and after fatiguing exercises, training sessions or competition. However, although electrical stimulation is often used for recovery, limited evidence exists regarding its effects for an improvement of most physiological variables or reduced subjective rating of muscle soreness. Therefore, the main aim of this brief review is to present recent results from the literature to clarify the effectiveness of electrical stimulation as a recovery modality.


Sport Performance Muscle soreness Strength 


  1. Allen JD, Mattacola CG, Perrin DH (1999) Effect of microcurrent stimulation on delayed-onset muscle soreness: a double-blind comparison. J Athl Train 34:334–337PubMedGoogle Scholar
  2. Allen DG, Lamb GD, Westerblad H (2008) Skeletal muscle fatigue: cellular mechanisms. Physiol Rev 88:287–332PubMedCrossRefGoogle Scholar
  3. Ament W, Verkerke GJ (2009) Exercise and fatigue. Sports Med 39:389–422PubMedCrossRefGoogle Scholar
  4. Banfi G, Lombardi G, Colombini A, Melegati G (2010) Whole-body cryotherapy in athletes. Sports Med 40:509–517PubMedCrossRefGoogle Scholar
  5. Barnett A (2006) Using recovery modalities between training sessions in elite athletes. Does it help? Sports Med 36:781–196Google Scholar
  6. Bishop PA, Jones E, Woods AK (2008) Recovery from training: a brief review. J Strength Cond Res 22:1015–1024PubMedCrossRefGoogle Scholar
  7. Butterfield DL, Draper DO, Ricard MD, Myrer JW, Durrant E, Schulthies SS (1997) The effects of high-volt pulsed current electrical stimulation on delayed-onset muscle soreness. J Athl Train 32:15–20PubMedGoogle Scholar
  8. Cheng R, Pomeranz B (1980) Electroacupuncture analgesia could be mediated by at least two pain-relieving mechanisms: endorphin and non-endorphin systems. Life Sci 25:1957–1962CrossRefGoogle Scholar
  9. Cheung K, Hume PA, Maxwell L (2003) Delayed onset muscle soreness. Treatment strategies and performance factors. Sports Med 33:145–164PubMedCrossRefGoogle Scholar
  10. Cortis C, Tessitore A, D’Artibale E, Meeusen R, Capranica L (2010) Effects of post-exercise recovery interventions on physiological, psychological, and performance parameters. Int J Sports Med 31:327–335PubMedCrossRefGoogle Scholar
  11. Compex website. Accessed 3 March 2011
  12. Cox PD, Kramer JF, Hartsell H (1993) Effect of different TENS stimulus parameters on ulnar motor nerve conduction velocity. Am J Phys Med Rehab 72:294–300CrossRefGoogle Scholar
  13. Craig JA, Cunningham MB, Walsh DM, Baxter GD, Allen JM (1996) Lack of effect of transcutaneous electrical nerve stimulation upon experimentally induced delayed onset muscle soreness in humans. Pain 67:285–289PubMedCrossRefGoogle Scholar
  14. Cramp AFL, Gilsenan C, Lowe AS, Walsh DM (2000) The effect of high- and low-frequency transcutaneous electrical nerve stimulation upon blood flow and skin temperature in healthy subjects. Clin Physiol 20:150–157PubMedCrossRefGoogle Scholar
  15. Cramp AFL, McCullough GR, Lowe AS, Walsh DM (2002) Transcutaneous electric nerve stimulation: the effect of intensity on local and distal cutaneous blood flow and skin temperature in healthy subjects. Arch Phys Med Rehabil 83:5–9PubMedCrossRefGoogle Scholar
  16. Denegar CR, Huff CB (1988) High and low frequency TENS in the treatment of induced musculoskeletal pain: a comparison study. Athletic Train 23:235–237Google Scholar
  17. Denegar CR, Perrin DH (1992) Effect of transcutaneous electrical nerve stimulation, cold, and a combination treatment on pain, decreased range of motion, and strength loss associated with delayed onset muscle soreness. J Athl Train 27:200–206PubMedGoogle Scholar
  18. Denegar CR, Yoho AP, Borowicz AJ, Bifulco N (1992) The effects of low-volt microamperage stimulation on delayed onset muscle soreness. J Sport Rehab 1:95–102Google Scholar
  19. DeSantana JM, Walsh DM, Vance C, Rakel BA, Sluka KA (2008) Effectiveness of transcutaneous electrical nerve stimulation for treatment of hyperalgesia and pain. Curr Rheumatol Rep 10:492–499PubMedCrossRefGoogle Scholar
  20. Eston R, Peters D (1999) Effects of cold-water immersion on the symptoms of exercise-induced muscle damage. J Sports Sci 17:231–238PubMedCrossRefGoogle Scholar
  21. Gandevia SC (2001) Spinal and supraspinal factors in human muscle fatigue. Physiol Rev 81:1725–1789PubMedGoogle Scholar
  22. Gill ND, Beaven CM, Cook C (2006) Effectiveness of post-match recovery strategies in rugby players. Br J Sports Med 40:260–263PubMedCrossRefGoogle Scholar
  23. Grunovas A, Silinskas V, Poderys J, Trinkunas E (2007) Peripheral and systemic circulation after local dynamic exercise and recovery using passive foot movement and electrostimulation. J Sports Med Phys Fitness 47:335–343PubMedGoogle Scholar
  24. Heyman E, De Geus B, Mertens I, Meeusen R (2009) Effects of four recovery methods on repeated maximal rock climbing performance. Med Sci Sports Exerc 41:1303–1310PubMedCrossRefGoogle Scholar
  25. Lattier G, Millet GY, Martin A, Martin V (2004) Fatigue and recovery after high-intensity exercise. Part II: Recovery interventions. Int J Sports Med 25:509–515PubMedCrossRefGoogle Scholar
  26. Martin V, Millet GY, Lattier G, Perrod L (2004) Effects of recovery modes after knee extensor muscles eccentric contractions. Med Sci Sports Exerc 36:1907–1915PubMedCrossRefGoogle Scholar
  27. McLoughlin TJ, Snyder AR, Brolinson PG, Pizza FX (2004) Sensory level electrical muscle stimulation: effect on markers of muscle injury. Br J Sports Med 38:725–729PubMedCrossRefGoogle Scholar
  28. Neric FB, Beam WC, Brown LE, Wiersma LD (2009) Comparison of swim recovery and muscle stimulation on lactate removal after sprint swimming. J Strength Cond Res 23:2560–2567PubMedCrossRefGoogle Scholar
  29. Pournot H, Bieuzen F, Duffield R, Lepretre PM, Cozzolino C, Hausswirth C (2011) Short term effects of various water immersions on recovery from exhaustive intermittent exercise. Eur J Appl Physiol. doi: 10.1007/s00421-010-1754-6
  30. Rapaski D, Isles S, Kulig K, Boyce D (1991) Microcurrent electrical stimulation: a comparison of two protocols in reducing delayed onset muscle soreness. Phys Ther 71:S116Google Scholar
  31. Rushton DN (2002) Electrical stimulation in the treatment of pain. Disabil Rehabil 24:407–415PubMedCrossRefGoogle Scholar
  32. So RCH, Ng JKF, Ng GYF (2007) Effect of transcutaneous electrical acupoint stimulation on fatigue recovery of the quadriceps. Eur J Appl Physiol 100:693–700PubMedCrossRefGoogle Scholar
  33. Tessitore A, Meeusen R, Cortis C, Capranica L (2007) Effects of different recovery interventions on anaerobic performances following preseason soccer training. J Strength Cond Res 21:745–750PubMedGoogle Scholar
  34. Tessitore A, Meeusen R, Pagano R, Benvenuti C, Tiberi M, Capranica L (2008) Effectiveness of active versus passive recovery strategies after futsal games. J Strength Cond Res 22:1402–1412PubMedCrossRefGoogle Scholar
  35. Toubekis AG, Tsolaki A, Smilios I, Douda HT, Kourtesis T, Tokmakidis SP (2008) Swimming performance after passive and active recovery of various durations. Int J Sports Physiol Perform 3:375–386PubMedGoogle Scholar
  36. Vanderthommen M, Depresseux JC, Bauvir P, Degueldre C, Delfiore G, Peters JM, Sluse F, Crielaard JM (1997) A positron emission tomography study of voluntary and electrically contracted human quadriceps. Muscle Nerve 20:505–507PubMedCrossRefGoogle Scholar
  37. Vanderthommen M, Soltani K, Maquet D, Crielaard JM, Croisier JL (2007) Does neuromuscular electrical stimulation influence muscle recovery after maximal isokinetic exercise? Isokinetics Exerc Sci 15:143–149Google Scholar
  38. Vanderthommen M, Makrof S, Demoulin C (2010) Comparison of active and electrostimulated recovery strategies after fatiguing exercise. J Sports Sci Med 9:164–169Google Scholar
  39. Wall PD (1985) The discovery of transcutaneous electrical nerve stimulation. Physiotherapy 71:348–352Google Scholar
  40. Weber MD, Servedio FJ, Woodall WR (1994) The effects of three modalities on delayed onset muscle soreness. J Orthop Sports Phys Ther 20:236–242PubMedGoogle Scholar
  41. Wolcot C, Dubek D, Kulig K, Weiss M, Clark T (1991) A comparison of the effects of high volt and microcurrent stimulation on delayed onset muscle soreness. Phys Ther 71:S117Google Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Nicolas Babault
    • 1
    • 3
    Email author
  • Carole Cometti
    • 1
  • Nicola A. Maffiuletti
    • 2
  • Gaëlle Deley
    • 1
  1. 1.Centre d’expertise de la PerformanceFaculté des Sciences du Sport, Université de BourgogneDijon CedexFrance
  2. 2.Neuromuscular Research LaboratorySchulthess ClinicZurichSwitzerland
  3. 3.Faculté des Sciences du SportUniversité de BourgogneDijon CedexFrance

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