Assessment of ipsilateral and contralateral perfusion after contrast compression therapy of upper limb muscles in MMA athletes - a cross-over study

ObjectiveThe primary aim of this study was to compare the immediate effect of contrast compression therapy with the use of Game Ready (GRT) on hyperaemic reactions in the upper limb on the application and contralateral sides, specifically in the context of mixed martial arts (MMA) athletes.DesignIn...

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Main Authors: Robert Trybulski, Arkadiusz Stanula, Jarosław Muracki, Wacław Kuczmik, Ahmet Kurtoğlu, Jakub Taradaj
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Physiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2024.1498590/full
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author Robert Trybulski
Robert Trybulski
Arkadiusz Stanula
Jarosław Muracki
Wacław Kuczmik
Ahmet Kurtoğlu
Jakub Taradaj
author_facet Robert Trybulski
Robert Trybulski
Arkadiusz Stanula
Jarosław Muracki
Wacław Kuczmik
Ahmet Kurtoğlu
Jakub Taradaj
author_sort Robert Trybulski
collection DOAJ
description ObjectiveThe primary aim of this study was to compare the immediate effect of contrast compression therapy with the use of Game Ready (GRT) on hyperaemic reactions in the upper limb on the application and contralateral sides, specifically in the context of mixed martial arts (MMA) athletes.DesignIn this experimental, single-blind, randomized crossover study, we recruited 30 male volunteers training in MMA (mean age: 28.33 ± 3.79 years, BMI: 25.25 ± 3.06, training experience: 9.93 ± 3.83). They were randomly assigned to the experimental (n = 15) or control (sham) group (n = 15). The experimental group underwent a 10-minute Game Ready Therapy (GRT) session, while the control group GRS underwent a sham therapy session. After a 2-week break, a cross-over change of therapy in the groups was performed, ensuring a comprehensive evaluation of the contrast compression therapy’s perfusion effects in 30 participants. Main outcome measures: Hyperemic reaction was measured: rest flow (RF - [non-referent unit]); therapeutic flow (TF- [min]), i.e., the average flow recorded during GR or sham therapy: time of recovery (TR - [min]), i.e., the time for perfusion to return to the resting value after the intervention. Measurements were performed on the ipsilateral and contralateral sides.ResultsThe mean perfusion during therapy was significantly higher in GRT compared to GRS (24.70 ± 1.45 vs. 12.60 ± 1.37; p < 0.001; ES = 5.7 [large]; △ = 12.10 > MDC). The time from cessation of contrast therapy to the return of blood flow to resting values showed significantly higher values in GRT compared to GRS (3.07 ± 0.45 vs. 16.80 ± 0.91; p < 0.001; ES = 16.27 [large]). No statistically significant difference was noted between the mean resting perfusion value (RF) and the mean perfusion value during therapy (TF) in the contralateral limb (7.74 ± 0.89 vs. 7.66 ± 0.89; p = 0.284; ES = 0.20 [negligible]; △ = 0.09 < MDC.ConclusionThis study suggests that compression contrast therapy on the ipsilateral side positively affects the intensification of the hyperaemic reaction. However, no statistically significant hyperaemic responses were observed on the contralateral side.
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spelling doaj-art-f1fc7f7a2dd34600a417293047dfe1c92024-12-18T06:43:42ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2024-12-011510.3389/fphys.2024.14985901498590Assessment of ipsilateral and contralateral perfusion after contrast compression therapy of upper limb muscles in MMA athletes - a cross-over studyRobert Trybulski0Robert Trybulski1Arkadiusz Stanula2Jarosław Muracki3Wacław Kuczmik4Ahmet Kurtoğlu5Jakub Taradaj6Provita Żory Medical Center, Żory, PolandMedical Department, The Wojciech Korfanty Upper Silesian Academy, Katowice, PolandInstitute of Sport Science, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, PolandInstitute of Physical Culture Sciences, Department of Physical Culture and Health, University of Szczecin, Szczecin, PolandDepartment and Clinic of General Surgery, Vascular Surgery, Angiology and Phlebology, Uppersilesian Medical Center, Medical University of Silesia, Katowice, PolandDepartment of Coaching Education, Faculty of Sport Science, Bandirma Onyedi Eylul University, Balikesir, TürkiyeInstitute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, PolandObjectiveThe primary aim of this study was to compare the immediate effect of contrast compression therapy with the use of Game Ready (GRT) on hyperaemic reactions in the upper limb on the application and contralateral sides, specifically in the context of mixed martial arts (MMA) athletes.DesignIn this experimental, single-blind, randomized crossover study, we recruited 30 male volunteers training in MMA (mean age: 28.33 ± 3.79 years, BMI: 25.25 ± 3.06, training experience: 9.93 ± 3.83). They were randomly assigned to the experimental (n = 15) or control (sham) group (n = 15). The experimental group underwent a 10-minute Game Ready Therapy (GRT) session, while the control group GRS underwent a sham therapy session. After a 2-week break, a cross-over change of therapy in the groups was performed, ensuring a comprehensive evaluation of the contrast compression therapy’s perfusion effects in 30 participants. Main outcome measures: Hyperemic reaction was measured: rest flow (RF - [non-referent unit]); therapeutic flow (TF- [min]), i.e., the average flow recorded during GR or sham therapy: time of recovery (TR - [min]), i.e., the time for perfusion to return to the resting value after the intervention. Measurements were performed on the ipsilateral and contralateral sides.ResultsThe mean perfusion during therapy was significantly higher in GRT compared to GRS (24.70 ± 1.45 vs. 12.60 ± 1.37; p < 0.001; ES = 5.7 [large]; △ = 12.10 > MDC). The time from cessation of contrast therapy to the return of blood flow to resting values showed significantly higher values in GRT compared to GRS (3.07 ± 0.45 vs. 16.80 ± 0.91; p < 0.001; ES = 16.27 [large]). No statistically significant difference was noted between the mean resting perfusion value (RF) and the mean perfusion value during therapy (TF) in the contralateral limb (7.74 ± 0.89 vs. 7.66 ± 0.89; p = 0.284; ES = 0.20 [negligible]; △ = 0.09 < MDC.ConclusionThis study suggests that compression contrast therapy on the ipsilateral side positively affects the intensification of the hyperaemic reaction. However, no statistically significant hyperaemic responses were observed on the contralateral side.https://www.frontiersin.org/articles/10.3389/fphys.2024.1498590/fullmicrocirculationgame-ready therapycross-effectcombat sportrecovery
spellingShingle Robert Trybulski
Robert Trybulski
Arkadiusz Stanula
Jarosław Muracki
Wacław Kuczmik
Ahmet Kurtoğlu
Jakub Taradaj
Assessment of ipsilateral and contralateral perfusion after contrast compression therapy of upper limb muscles in MMA athletes - a cross-over study
Frontiers in Physiology
microcirculation
game-ready therapy
cross-effect
combat sport
recovery
title Assessment of ipsilateral and contralateral perfusion after contrast compression therapy of upper limb muscles in MMA athletes - a cross-over study
title_full Assessment of ipsilateral and contralateral perfusion after contrast compression therapy of upper limb muscles in MMA athletes - a cross-over study
title_fullStr Assessment of ipsilateral and contralateral perfusion after contrast compression therapy of upper limb muscles in MMA athletes - a cross-over study
title_full_unstemmed Assessment of ipsilateral and contralateral perfusion after contrast compression therapy of upper limb muscles in MMA athletes - a cross-over study
title_short Assessment of ipsilateral and contralateral perfusion after contrast compression therapy of upper limb muscles in MMA athletes - a cross-over study
title_sort assessment of ipsilateral and contralateral perfusion after contrast compression therapy of upper limb muscles in mma athletes a cross over study
topic microcirculation
game-ready therapy
cross-effect
combat sport
recovery
url https://www.frontiersin.org/articles/10.3389/fphys.2024.1498590/full
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