European Journal of Applied Physiology

, Volume 93, Issue 1–2, pp 30–38 | Cite as

MRI evaluation of topical heat and static stretching as therapeutic modalities for the treatment of eccentric exercise-induced muscle damage

  • R. C. JayaramanEmail author
  • R. W. Reid
  • J. M. Foley
  • B. M. Prior
  • G. A. Dudley
  • K. W. Weingand
  • R. A. Meyer
Original Article


The aim of this study was to monitor the effects of topical heat and/or static stretch treatments on the recovery of muscle damage by eccentric exercise. For this purpose, 32 untrained male subjects performed intense eccentric knee extension exercise, followed by 2 weeks of treatment (heat, stretch, heat plus stretch) or no treatment (control, n=8/group). Isometric strength testing, pain ratings, and multi-echo magnetic resonance imaging of the thigh were performed before and at 2, 3, 4, 8, and 15 days following the exercise. Increased T2 relaxation time, muscle swelling, pain ratings, and strength loss confirmed significant muscle damage during the post-exercise period. Pain ratings and muscle volume recovered to baseline by 15 days, although muscle strength remained lower [77 (4) vs. 95 (3) kg pre-exercise, mean (SE)] and T2 values higher [32.2 (0.8) vs. 28.6 (0.2) ms pre-exercise]. Our results indicate that heat and/or static stretching does not consistently reduce soreness, swelling or muscle damage. The practical implication of our findings is that clinicians should be aware that prescribing heat and/or static stretching following intense eccentric or unaccustomed exercise will not enhance the recovery of damaged muscles.


Delayed muscle soreness Eccentric exercise Magnetic resonance imaging Static stretching Topical heat 


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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • R. C. Jayaraman
    • 1
    Email author
  • R. W. Reid
    • 2
  • J. M. Foley
    • 3
  • B. M. Prior
    • 4
  • G. A. Dudley
    • 5
  • K. W. Weingand
    • 6
    • 7
  • R. A. Meyer
    • 8
  1. 1.Department of Physical EducationAlbion CollegeAlbionUSA
  2. 2.Department of PhysiologyMichigan State UniversityEast LansingUSA
  3. 3.Department of KinesiologyMichigan State UniversityEast LansingUSA
  4. 4.Department of Biomedical Sciences, College of Veterinary MedicineUniversity of Missouri-ColumbiaColumbiaUSA
  5. 5.Department of Exercise ScienceUniversity of GeorgiaAthensUSA
  6. 6.P&G Health Sciences InstituteCincinnatiUSA
  7. 7.Michigan State UniversityEast LansingUSA
  8. 8.Molecular Imaging Research Center, Department of PhysiologyMichigan State UniversityEast LansingUSA

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