The Synergistic Impact of Combined Massage and Stretching During Halftime on Accelerated Recovery in Football: A Quasi-Experimental Study on Lactic Acid Clearance, Pain Reduction, and Flexibility Improvement
DOI:
https://doi.org/10.17309/tmfv.2025.4.02Keywords:
football, massage, stretching, recoveryAbstract
Background. Soccer players frequently encounter performance declines early in the second half due to diminished muscle temperature and the accumulation of fatigue indicators, such as lactic acid.
Objectives. This study aimed to examine the efficacy of massage, stretching, and their combination in facilitating physical recovery during a halftime break in a match. It focused on how quickly lactic acid leaves the body, how much it reduces discomfort from exercise, and how it improves flexibility.
Materials and methods. This study employed a quasi-experimental design, involving 36 male soccer players from UNESA FC. These players were divided into four groups: sports massage (SM), muscle stretching (MS), combination (CMS), and control (CON). The participants engaged in maximum treadmill running (90–95% HRmax) followed by designated recovery procedures: SM, MS, CMS, and CON. Before, during, and after the intervention, lactic acid levels (measured with a lactate meter), range of motion (measured with a goniometer), and pain levels (measured with a visual analogue scale) were all checked. Subsequently, these measures underwent statistical analysis comprising paired t-tests, Wilcoxon tests, MANOVA, and Kruskal-Wallis tests.
Results. This study revealed that the CMS group had the most substantial decrease in lactic acid (12.68 ± 2.37 to 5.16 ± 1.04 mmol/L, p = 0.000), outperforming the SM, MS, and CON groups (p < 0.005). Furthermore, pain reduction scores were also found significant in the CMS (3.44 ± 2.35 to 1.67 ± 1.58) and MS (4.67 ± 1.11 to 1.33 ± 1.00) groups (p < 0.05). Similarly, flexibility improvement was superior in CMS (right ROM: p = 0.007; left ROM: p = 0.003), while CON showed no marked changes. The MANOVA test revealed significant intergroup differences in post-intervention outcomes (p < 0.05).
Conclusions. The findings of this study indicate that the combination of stretching and massage during halftime of a football match helps maximise healing by lowering lactic acid, relieving discomfort, and improving flexibility or range of motion. This approach lowers second-half performance drops and injury risks.
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Christaras, M., Michailidis, Y., Mandroukas, A., Vardakis, L., Christoulas, K., & Metaxas, T. (2023). Effects of a Short Half-Time Re-Warm-Up Program on Matches Running Performance and Fitness Test Performance of Male Elite Youth Soccer Players. Applied Sciences, 13(4), 2602. https://doi.org/10.3390/APP13042602 DOI: https://doi.org/10.3390/app13042602
Russell, M., Sparkes, W., Northeast, J., Cook, C. J., Love, T. D., Bracken, R. M., & Kilduff, L. P. (2016). Changes in acceleration and deceleration capacity throughout professional soccer match-play. Journal of Strength and Conditioning Research, 30(10), 2839-2844. https://doi.org/10.1519/JSC.0000000000000805 DOI: https://doi.org/10.1519/JSC.0000000000000805
Alkhawaldeh, I. I. M. (2023). The Effect of Mental Fatigue on the Accuracy of the Direct Free Kick in Terms of Some Kinematic Variables for Football Players. Asian Journal of Sports Medicine, 14(2). https://doi.org/10.5812/asjsm-134232 DOI: https://doi.org/10.5812/asjsm-134232
Ferraz, R., van den Tillaar, R., Ferraz, S., Santos, A., Mendes, R., Marinho, D. A., Cretu, M., & Marques, M. C. (2011). A pilot study on the influence of fatigue on kicking velocity in the soccer players. Journal of Physical Education and Sport, 11(2), 68-71.
Bekris, E., Mylonis, L., Gioldasis, A., Gissis, I., & Kombodieta, N. (2016). Aerobic and anaerobic capacity of professional soccer players in annual macrocycle. Journal of Physical Education and Sport, 16(2), 527-533. https://doi.org/10.7752/jpes.2016.02083 DOI: https://doi.org/10.7752/jpes.2016.02083
Turna, B., Yildirim, S., Bayazit, B., Akyüz, Ö., & Köse, M. (2023). The Aerobic and Anaorobic Performance of Elite Soccer Players: Pre-Season Assessment. Journal of Pharmaceutical Negative Results, 13(November 2022), 2022. https://doi.org/10.47750/pnr.2022.13.S08.277
Kafrawi, F. R., Nurhasan, Wahjuni, E. S., Rusdiawan, A., Bekti, A. P., & Ayubi, N. (2024a). Sports massage has the potential to reduce ischemic muscle pain and increase range of motion after exercise. Fizjoterapia Polska, 2024(1), 60-65. https://doi.org/10.56984/8ZG2EF85A3 DOI: https://doi.org/10.56984/8ZG2EF85A3
Almeida, M., Bottino, A., Ramos, P., & Araujo, C. G. (2019). Measuring Heart Rate During Exercise: From Artery Palpation to Monitors and Apps. International Journal of Cardiovascular Sciences, 32(4), 396-407. https://doi.org/10.5935/2359-4802.20190061 DOI: https://doi.org/10.5935/2359-4802.20190061
Awang Daud, D. M., Ahmedy, F., Baharuddin, D. M. P., & Zakaria, Z. A. (2022). Oxidative Stress and Antioxidant Enzymes Activity after Cycling at Different Intensity and Duration. Applied Sciences (Switzerland), 12(18). https://doi.org/10.3390/app12189161 DOI: https://doi.org/10.3390/app12189161
Pesenti, F. B., Souza, G. M., Hsiao, J. C. C., do Santos, A. L. L., de Santana, J. G., & de Souza Guerino Macedo, C. (2021). Strategies to control delayed onset muscle soreness and fatigue in paracanoe athletes. Revista Brasileira de Ciencias Do Esporte, 43(August). https://doi.org/10.1590/rbce.43.e002321
Rusdiawan, A., & Habibi, A. I. (2020a). Efek pemberian jus semangka kuning terhadap tekanan darah, kadar asam laktat, dan daya tahan anaerobik setelah aktivitas anaerobic. Jurnal SPORTIF: Jurnal Penelitian Pembelajaran. https://doi.org/10.29407/JS_UNPGRI.VI.13712 DOI: https://doi.org/10.29407/js_unpgri.vi.13712
Peake, J. M., Neubauer, O., Gatta, P. A. D., & Nosaka, K. (2017). Muscle damage and inflammation during recovery from exercise. Journal of Applied Physiology, 122(3), 559-570. https://doi.org/10.1152/japplphysiol.00971.2016 DOI: https://doi.org/10.1152/japplphysiol.00971.2016
Sari, R., Harahap, N., Siregar, N., & Rispandi, M. (2019). The Effect of Massage to Decrease Lactic Acid Levels after Anaerobic Physical Activity. The 9th Annual International Seminar On Trends In Science And Science Education (AISTSSE). https://doi.org/10.4108/eai.18-10-2018.2287364 DOI: https://doi.org/10.4108/eai.18-10-2018.2287364
Hartono, S., Widodo, A., Wismanadi, H., & Hikmatyar, G. (2019). The effects of roller massage, massage, and ice bath on lactate removal and delayed onset muscle soreness. Sport Mont, 17(2), 111-114. https://doi.org/10.26773/smj.190620 DOI: https://doi.org/10.26773/smj.190620
Rampinini, E., Bosio, A., Ferraresi, I., Petruolo, A., Morelli, A., & Sassi, A. (2011). Match-related fatigue in soccer players. Medicine and Science in Sports and Exercise, 43(11), 2161-2170. https://doi.org/10.1249/MSS.0B013E31821E9C5C DOI: https://doi.org/10.1249/MSS.0b013e31821e9c5c
Robineau, J., Jouaux, T., Lacroix, M., & Babault, N. (2012). Neuromuscular fatigue induced by a 90-minute soccer game modeling. Journal of Strength and Conditioning Research, 26(2), 555-562. https://doi.org/10.1519/JSC.0B013E318220DDA0 DOI: https://doi.org/10.1519/JSC.0b013e318220dda0
Fahmi, H., & Ashadi, K. (2019). The Comparation of Sport Massage and Hydrotherapy Cold Water to Physiological Recovery. JUARA: Jurnal Olahraga, 4(2), 196-209. https://doi.org/10.33222/juara.v4i2.566 DOI: https://doi.org/10.33222/juara.v4i2.566
Marqués-Jiménez, D., Calleja-González, J., Arratibel, I., Delextrat, A., & Terrados, N. (2017). Fatigue and Recovery in Soccer: Evidence and Challenges. The Open Sports Sciences Journal, 10(1), 52-70. https://doi.org/10.2174/1875399X01710010052 DOI: https://doi.org/10.2174/1875399X01710010052
Pinar, S., Kaya, F., Bicer, B., Erzeybek, M. S., & Cotuk, H. B. (2012). Different recovery methods and muscle performance after exhausting exercise: Comparison of the effects of electrical muscle stimulation and massage. Biology of Sport, 29(4), 269-275. https://doi.org/10.5604/20831862.1019664 DOI: https://doi.org/10.5604/20831862.1019664
Sands, W. A., McNeal, J. R., Murray, S. R., Ramsey, M. W., Sato, K., Mizuguchi, S., & Stone, M. H. (2013). Stretching and its effects on recovery: A review. Strength and Conditioning Journal, 35(5), 30-36. https://doi.org/10.1519/SSC.0000000000000004 DOI: https://doi.org/10.1519/SSC.0000000000000004
Afonso, J., Clemente, F. M., Nakamura, F. Y., Morouço, P., Sarmento, H., Inman, R. A., & Ramirez-Campillo, R. (2021). The Effectiveness of Post-exercise Stretching in Short-Term and Delayed Recovery of Strength, Range of Motion and Delayed Onset Muscle Soreness: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Frontiers in Physiology, 12(May). https://doi.org/10.3389/fphys.2021.677581 DOI: https://doi.org/10.3389/fphys.2021.677581
Zulaini, Harahap, N. S., Siregar, N. S., & Zulfahri. (2021). Effect Stretching and Recovery on Delayed Onset Muscle Soreness (DOMS) after Exercise. Journal of Physics: Conference Series. https://doi.org/10.1088/1742-6596/1811/1/012113 DOI: https://doi.org/10.1088/1742-6596/1811/1/012113
Herbert, R. D., de Noronha, M., & Kamper, S. J. (2011). Stretching to prevent or reduce muscle soreness after exercise. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004577.PUB3 DOI: https://doi.org/10.1002/14651858.CD004577.pub3
Kafrawi, F. R., Nurhasan, Wahjuni, E. S., Rusdiawan, A., Bekti, A. P., & Ayubi, N. (2024b). Sports Massage Has The Potential To Reduce Ischemic Muscle Pain And Increase Range Of Motion After Exercise. Polish Journal of Physiotherapy, 24(1), 60-65. https://doi.org/doi.org/10.56984/8ZG2EF85A3 DOI: https://doi.org/10.56984/8ZG2EF85A3
Welis, W., Darni, & Mario, D. T. (2023). Sports Massage: How does it Affect Reducing Lactic Acid Levels in Athletes? International Journal of Human Movement and Sports Sciences, 11(1), 20-26. https://doi.org/10.13189/saj.2023.110103 DOI: https://doi.org/10.13189/saj.2023.110103
Hunt, E. R., Confides, A. L., Abshire, S. M., Dupont-Versteegden, E. E., & Butterfield, T. A. (2019). Massage increases satellite cell number independent of the age-associated alterations in sarcolemma permeability. Physiological Reports, 7(17), e14200. https://doi.org/10.14814/PHY2.14200 DOI: https://doi.org/10.14814/phy2.14200
Piotrowska, A., Pilch, W., Tota, Ł., Maciejczyk, M., Mucha, D., Bigosińska, M., Bujas, P., Wiecha, S., Sadowska-Krępa, E., & Pałka, T. (2021). Local Vibration Reduces Muscle Damage after Prolonged Exercise in Men. Journal of Clinical Medicine, 10(22), 5461. https://doi.org/10.3390/JCM10225461 DOI: https://doi.org/10.3390/jcm10225461
Budak, H. (2023). The Effect of Passive Rest and Sports Massage Recovery Methods on Blood Lactate Clearance After High-Intensity Exercise. Akdeniz Spor Bilimleri Dergisi, 6(2), 406-418. https://doi.org/10.38021/asbid.1230326 DOI: https://doi.org/10.38021/asbid.1230326
Davis, H. L., Alabed, S., & Chico, T. J. A. (2020). Effect of sports massage on performance and recovery: a systematic review and meta-analysis. BMJ Open Sport & Exercise Medicine, 6(1), e000614. https://doi.org/10.1136/bmjsem-2019-000614 DOI: https://doi.org/10.1136/bmjsem-2019-000614
Guven, G., Hilty, M. P., & Ince, C. (2019). Microcirculation: Physiology, Pathophysiology, and Clinical Application. Blood Purification, 49(1–2), 143. https://doi.org/10.1159/000503775 DOI: https://doi.org/10.1159/000503775
Freire Jorge, P., Wieringa, N., de Felice, E., van der Horst, I. C. C., Oude Lansink, A., & Nijsten, M. W. (2017). The association of early combined lactate and glucose levels with subsequent renal and liver dysfunction and hospital mortality in critically ill patients. Critical Care, 21(1), 1-11. https://doi.org/10.1186/s13054-017-1785-z DOI: https://doi.org/10.1186/s13054-017-1785-z
McDonough, K. (2017). Experimental research methods. The Routledge Handbook of Instructed Second Language Acquisition, May, 562-576. https://doi.org/10.4324/9781315676968 DOI: https://doi.org/10.4324/9781315676968-31
Firmansyah, D., & Dede (2022). Teknik Pengambilan Sampel Umum dalam Metodologi Penelitian: Literature Review. Jurnal Ilmiah Pendidikan Holistik (JIPH), 1(2), 85-114. https://doi.org/10.55927/jiph.v1i2.937 DOI: https://doi.org/10.55927/jiph.v1i2.937
Ramadhani Khija, & Ludovick Uttoh, M. K. T. (2015). Teknik Pengambilan Sampel. Ekp, 13(3), 1576-1580.
Rusdiawan, A., & Habibi, I. (2020b). Efek pemberian jus semangka kuning terhadap tekanan darah , kadar asam laktat , dan daya tahan anaerobik setelah aktivitas anaerobik The impact of yellow watermelon juice intake after performing anaerobic activity on blood pressure , lactic acid levels. Jurnal Sportif: Jurnal Penelitian Pembelajaran, 6(2), 316-331. DOI: https://doi.org/10.29407/js_unpgri.vi.13712
Delgado, D. A., Lambert, B. S., Boutris, N., McCulloch, P. C., Robbins, A. B., Moreno, M. R., & Harris, J. D. (2018). Validation of Digital Visual Analog Scale Pain Scoring With a Traditional Paper-based Visual Analog Scale in Adults. Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews, 2(3). https://doi.org/10.5435/JAAOSGlobal-D-17-00088 DOI: https://doi.org/10.5435/JAAOSGlobal-D-17-00088
Han, G., Cho, M., Nam, G., Moon, T., Kim, J., Kim, S., Hong, S., & Cho, B. (2011). The effects on muscle strength and visual analog scale pain of aquatic therapy for individuals with low back pain. Journal of Physical Therapy Science, 23(1), 57-60. https://doi.org/10.1589/jpts.23.57 DOI: https://doi.org/10.1589/jpts.23.57
Shah, N. (2008). Increasing knee range of motion using a unique sustained method. North American Journal of Sports Physical Therapy: NAJSPT, 3(2), 110-113.
Yoon, N.-Y., Uh, S.-W., Nam, S.-K., & Lee, J.-H. (2024). The Effects of Flexibility Exercise, Cold Compresses, and Massage on Muscle Recovery in Elite Athletes: Focusing on Literature Review. Annals of Applied Sport Science, 12(1), 0–0. https://doi.org/10.61186/aassjournal.1224 DOI: https://doi.org/10.61186/aassjournal.1224
González-Alonso, J. (2012). Human thermoregulation and the cardiovascular system. Experimental Physiology, 97(3), 340-346. https://doi.org/10.1113/expphysiol.2011.058701 DOI: https://doi.org/10.1113/expphysiol.2011.058701
Joyner, M. J., & Casey, D. P. (2015). Regulation of increased blood flow (Hyperemia) to muscles during exercise: A hierarchy of competing physiological needs. Physiological Reviews, 95(2), 549-601. https://doi.org/10.1152/physrev.00035.2013 DOI: https://doi.org/10.1152/physrev.00035.2013
Rowell, L. B. (2004). Ideas about control of skeletal and cardiac muscle blood flow (1876-2003): Cycles of revision and new vision. Journal of Applied Physiology, 97(1), 384-392. https://doi.org/10.1152/japplphysiol.01220.2003 DOI: https://doi.org/10.1152/japplphysiol.01220.2003
Rusdiawan, A., Mar, A., & Prihatiningsih, S. (2020). The Changes in pH Levels , Blood Lactic Acid and Fatigue Index to Anaerobic Exercise on Athlete After. Malaysian Journal of Medicine and Health Sciences, 16(10), 50-56.
de Lima, F. D. R., Brietzke, C., Franco-Alvarenga, P. E., Asano, R. Y., Viana, B. F., Santos, T. M., & Pires, F. O. (2018). Traditional models of fatigue and physical performance. Journal of Physical Education (Maringa), 29(1), 1-12. https://doi.org/10.4025/jphyseduc.v29i1.2915 DOI: https://doi.org/10.4025/jphyseduc.v29i1.2915
Theofilidis, G., Bogdanis, G. C., Koutedakis, Y., & Karatzaferi, C. (2018). Monitoring exercise-induced muscle fatigue and adaptations: Making sense of popular or emerging indices and biomarkers. Sports, 6(4), 1-15. https://doi.org/10.3390/sports6040153 DOI: https://doi.org/10.3390/sports6040153
Goodwin, M. L., Harris, J. E., Hernández, A., & Gladden, L. B. (2007). Blood lactate measurements and analysis during exercise: A guide for clinicians. Journal of Diabetes Science and Technology, 1(4), 558-569. https://doi.org/10.1177/193229680700100414 DOI: https://doi.org/10.1177/193229680700100414
Ferreira, J., Da Silva Carvalho, R., Barroso, T., Szmuchrowski, L., & Śledziewski, D. (2011). Effect of Different Types of Recovery on Blood Lactate Removal After Maximum Exercise. Pjst, 18(2), 105-111. https://doi.org/10.2478/v10197-011-0008-4 DOI: https://doi.org/10.2478/v10197-011-0008-4
Greenwood, J. D., Moses, G. E., Bernardino, F. M., Gaesser, G. A., & Weltman, A. (2008). Intensity of exercise recovery, blood lactate disappearance, and subsequent swimming performance. Journal of Sports Sciences, 26(1), 29-34. https://doi.org/10.1080/02640410701287263 DOI: https://doi.org/10.1080/02640410701287263
Menzies, P., Menzies, C., McIntyre, L., Paterson, P., Wilson, J., & Kemi, O. J. (2010). Blood lactate clearance during active recovery after an intense running bout depends on the intensity of the active recovery. Journal of Sports Sciences, 28(9), 975-982. https://doi.org/10.1080/02640414.2010.481721 DOI: https://doi.org/10.1080/02640414.2010.481721
Warneke, K., Wirth, K., Keiner, M., & Schiemann, S. (2023). Improvements in Flexibility Depend on Stretching Duration. International Journal of Exercise Science, 16(4), 83. https://doi.org/10.70252/LBOU2008 DOI: https://doi.org/10.70252/LBOU2008
Jamurtas, A. Z., Theocharis, V., Tofas, T., Tsiokanos, A., Yfanti, C., Paschalis, V., Koutedakis, Y., & Nosaka, K. (2005). Comparison between leg and arm eccentric exercises of the same relative intensity on indices of muscle damage. European Journal of Applied Physiology, 95(2–3), 179-185. https://doi.org/10.1007/S00421-005-1345-0/TABLES/2 DOI: https://doi.org/10.1007/s00421-005-1345-0
Nosaka, K., Newton, M., & Sacco, P. (2002). Delayed-onset muscle soreness does not reflect the magnitude of eccentric exercise-induced muscle damage. Scandinavian Journal of Medicine & Science in Sports, 12(6), 337-346. https://doi.org/10.1034/J.1600-0838.2002.10178.X DOI: https://doi.org/10.1034/j.1600-0838.2002.10178.x
Leite, C. D. F. C., Zovico, P. V. C., Rica, R. L., Barros, B. M., Machado, A. F., Evangelista, A. L., Leite, R. D., Barauna, V. G., Maia, A. F., & Bocalini, D. S. (2023). Exercise-Induced Muscle Damage after a High-Intensity Interval Exercise Session: Systematic Review. International Journal of Environmental Research and Public Health, 20(22), 7082. https://doi.org/10.3390/IJERPH20227082 DOI: https://doi.org/10.3390/ijerph20227082
Stožer, A., Vodopivc, P., & Bombek, L. K. (2020). Pathophysiology of exercise-induced muscle damage and its structural, functional, metabolic, and clinical consequences. Physiological Research, 69(4), 565-598. https://doi.org/10.33549/physiolres.934371 DOI: https://doi.org/10.33549/physiolres.934371
Dakić, M., Toskić, L., Ilić, V., Đurić, S., Dopsaj, M., & Šimenko, J. (2023). The Effects of Massage Therapy on Sport and Exercise Performance: A Systematic Review. Sports, 11(6). https://doi.org/10.3390/sports11060110 DOI: https://doi.org/10.3390/sports11060110
Weerapong, P., Hume, P. A., & Kolt, G. S. (2005a). The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Medicine, 35(3), 235-256. https://doi.org/10.2165/00007256-200535030-00004 DOI: https://doi.org/10.2165/00007256-200535030-00004
Weerapong, P., Hume, P. A., & Kolt, G. S. (2005b). Effects of Exercise During Pregnancy on Maternal Heart Rate and Heart Rate Variability. Sport Med, 8(7), 611-617. https://doi.org/10.1016/j.pmrj.2015.11.006 DOI: https://doi.org/10.1016/j.pmrj.2015.11.006
Jo, E., Juache, G. A., Saralegui, D. E., Weng, D., & Falatoonzadeh, S. (2018). The acute effects of foam rolling on fatigue-related impairments of muscular performance. Sports, 6(4). https://doi.org/10.3390/sports6040112 DOI: https://doi.org/10.3390/sports6040112
Aboodarda, S., Spence, A., & Button, D. C. (2015). Pain pressure threshold of a muscle tender spot increases following local and non-local rolling massage. BMC Musculoskeletal Disorders, 16(1), 1-10. https://doi.org/10.1186/s12891-015-0729-5 DOI: https://doi.org/10.1186/s12891-015-0729-5
Kent-Braun, J. A., Fitts, R. H., & Christie, A. (2012). Skeletal Muscle Fatigue. Comprehensive Physiology, 2(2), 997-1044. https://doi.org/10.1002/CPHY.C110029 DOI: https://doi.org/10.1002/j.2040-4603.2012.tb00427.x
Barber, S., Pattison, J., Brown, F., & Hill, J. (2020). Efficacy of Repeated Cold Water Immersion on Recovery After a Simulated Rugby Union Protocol. Journal of Strength and Conditioning Research, 34(12), 3523-3529. https://doi.org/10.1519/JSC.0000000000002239 DOI: https://doi.org/10.1519/JSC.0000000000002239
Kalichman, L., & Ben David, C. (2017). Effect of self-myofascial release on myofascial pain, muscle flexibility, and strength: A narrative review. Journal of Bodywork and Movement Therapies, 21(2), 446-451. https://doi.org/10.1016/j.jbmt.2016.11.006 DOI: https://doi.org/10.1016/j.jbmt.2016.11.006
Pointon, M., & Duffield, R. (2012). Cold water immersion recovery after simulated collision sport exercise. Medicine and Science in Sports and Exercise, 44(2), 206-216. https://doi.org/10.1249/MSS.0B013E31822B0977 DOI: https://doi.org/10.1249/MSS.0b013e31822b0977
Okamoto, T., Masuhara, M., & Ikuta, K. (2013). Acute Effects of Self-Myofascial Release Using a Foam Roller on Arterial Function. Journal of Strenght and Conditioning Research, 28(1), 69-73. https://doi.org/10.1519/JSC.0b013e31829480f5 DOI: https://doi.org/10.1519/JSC.0b013e31829480f5
Brummitt, J. (2008). The Role of Massage in Sports Performance and Rehabilitation: Current Evidence and Future Direction. North American Journal of Sports Physical Therapy, 3(1), 7–21. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953308/pdf/najspt-03-007.pdf
Best, T. M., Hunter, R., Wilcox, A., & Haq, F. (2008). Effectiveness of sports massage for recovery of skeletal muscle from strenuous exercise. Clinical Journal of Sport Medicine, 18(5), 446-460. https://doi.org/10.1097/JSM.0B013E31818837A1 DOI: https://doi.org/10.1097/JSM.0b013e31818837a1
Zhang, M., Murphy, B., Cabanilla, A., & Yidi, C. (2021). Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials. Journal of Occupational Health, 63(1), 1-16. https://doi.org/10.1002/1348-9585.12243 DOI: https://doi.org/10.1002/1348-9585.12243
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