Comparing the Effectiveness of Various Recovery Method Combinations on Improving Leg Muscle Power and Blood Lactic Acid Level

Authors

DOI:

https://doi.org/10.17309/tmfv.2025.5.04

Keywords:

lactate, power, recovery, sport massage, students, water immersion

Abstract

Objectives. This study aimed to investigate the impact of various recovery methods on improving lower extremity muscle power and decreasing lactic acid levels among student-athletes.

Materials and Methods. This study employed a randomized control group with a pretest and posttest design. The participants of this study were selected using simple random sampling, consisted of forty students who were divided into four groups: the sports massage and hot water group (MHW), sports massage and cold water (MCW), hot water immersion (HWI), cold water immersion(CWI). Data were collected using a force plate to measure lower extremity muscle power (watt), while a lactate meter was used to determine lactic acid level (mmol/l). Data were analyzed using the Wilcoxon signed-rank test to examine the difference of measured variables before and after treatment. Subsequently, the Kruskall-Wallis test was performed to investigate between-groups differences, followed by post-hoc testing using the Mann-Whitney test.

Results. The results indicated that all groups (MHW, MCW, HWI, and CWI) experienced an increase in lower extremity muscle power, and reduced lactic acid levels. MHW was most effective in increasing lower extremity muscle power by 11.63 watt, while HWI had the most positive influence on reducing lactic acid levels by 7.16 mmol/l.

Conclusions. These findings demonstrate the value of combining sports massage with hot and cold-water therapies as a rehabilitation strategy. The researchers emphasize the significance of these therapies in improving lower extremity muscle power and reducing lactic acid accumulation, which contributes to optimal physical conditioning and performance during sports competitions.

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Author Biographies

Joesoef Roepajadi, Universitas Negeri Surabaya

Department of Sports Massage, Faculty of Sports and Health Sciences
 Jalan Kampus Unesa Lidah Wetan, Surabaya 60213, Indonesia
joesoefroepajadi@unesa.ac.id

Anindya Maratus Sholikhah, Universitas Negeri Surabaya

Department of Nutrition, Faculty of Sports and Health Sciences,  
Jalan Kampus Unesa Lidah Wetan, Surabaya 60213, Indonesia
anindyasholikhah@unesa.ac.id

Himawan Wismanadi, Universitas Negeri Surabaya

Department of Health Education and Recreation, Faculty of Sports and Health Sciences
Jalan Kampus Unesa Lidah Wetan, Surabaya 60213, Indonesia
himawanwismanadi@unesa.ac.id

A Burhanuddin Kusuma Nugraha, Universitas Negeri Surabaya

Department of Sports Massage, Faculty of Sports and Health Sciences
Jalan Kampus Unesa Lidah Wetan, Surabaya 60213, Indonesia
anugraha@unesa.ac.id

Awang Firmansyah, Universitas Negeri Surabaya

Department of Health Education and Recreation, Faculty of Sports and Health Sciences
Jalan Kampus Unesa Lidah Wetan, Surabaya 60213, Indonesia
awangfirmansyah@unesa.ac.id

References

Pageaux, B., & Lepers, R. (2016). Fatigue Induced by Physical and Mental Exertion Increases Perception of Effort and Impairs Subsequent Endurance Performance. Frontiers in Physiology, 7, 587. https://doi.org/10.3389/fphys.2016.00587 DOI: https://doi.org/10.3389/fphys.2016.00587

Lucertini, F., Gervasi, M., D’Amen, G., Sisti, D., Rocchi, M. B. L., Stocchi, V., & Benelli, P. (2017). Effect of water-based recovery on blood lactate removal after high-intensity exercise. PLoS ONE, 12(9), e0184240. https://doi.org/10.1371/journal.pone.0184240 DOI: https://doi.org/10.1371/journal.pone.0184240

Finsterer, J. (2012). Biomarkers of peripheral muscle fatigue during exercise. BMC Musculoskeletal Disorders, 13(1), 218. https://doi.org/10.1186/1471-2474-13-218 DOI: https://doi.org/10.1186/1471-2474-13-218

Robergs, R. A., Ghiasvand, F., & Parker, D. (2004). Biochemistry of exercise-induced metabolic acidosis. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 287(3), R502-516. https://doi.org/10.1152/ajpregu.00114.2004 DOI: https://doi.org/10.1152/ajpregu.00114.2004

Wan, J., Qin, Z., Wang, P., Sun, Y., & Liu, X. (2017). Muscle fatigue: General understanding and treatment. Experimental & Molecular Medicine, 49(10), e384. https://doi.org/10.1038/emm.2017.194 DOI: https://doi.org/10.1038/emm.2017.194

Kreher, J. B., & Schwartz, J. B. (2012). Overtraining Syndrome. Sports Health, 4(2), 128-138. https://doi.org/10.1177/1941738111434406 DOI: https://doi.org/10.1177/1941738111434406

Rusdiawan, A., Sholikhah, A. M., & Prihatiningsih, S. (2020). The Changes in pH Levels, Blood Lactic Acid and Fatigue Index to Anaerobic Exercise on Athlete After NaHCO3 Administration. Malaysian Journal of Medicine and Health Sciences, 16(Supp 16), 50-56.

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

Kellmann, M., Bertollo, M., Bosquet, L., Brink, M., Coutts, A. J., Duffield, R., Erlacher, D., Halson, S. L., Hecksteden, A., Heidari, J., Kallus, K. W., Meeusen, R., Mujika, I., Robazza, C., Skorski, S., Venter, R., & Beckmann, J. (2018). Recovery and Performance in Sport: Consensus Statement. International Journal of Sports Physiology and Performance, 13(2), 240-245. https://doi.org/10.1123/ijspp.2017-0759 DOI: https://doi.org/10.1123/ijspp.2017-0759

Fares, R., Vicente-Rodríguez, G., & Olmedillas, H. (2022). Effect of Active Recovery Protocols on the Management of Symptoms Related to Exercise-Induced Muscle Damage: A Systematic Review. Strength & Conditioning Journal, 44(1), 57. https://doi.org/10.1519/SSC.0000000000000654 DOI: https://doi.org/10.1519/SSC.0000000000000654

Li, S., Kempe, M., Brink, M., & Lemmink, K. (2024). Effectiveness of Recovery Strategies After Training and Competition in Endurance Athletes: An Umbrella Review. Sports Medicine - Open, 10(1), 55. https://doi.org/10.1186/s40798-024-00724-6 DOI: https://doi.org/10.1186/s40798-024-00724-6

Hermoko, A. I., & Sulastri, S. (2023). Effects of Effleurage Massage in Reducing Pain in Intranatal Patients. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(4), Article 4. https://doi.org/10.30829/contagion.v5i4.18394 DOI: https://doi.org/10.30829/contagion.v5i4.18394

Poppendieck, W., Wegmann, M., Ferrauti, A., Kellmann, M., Pfeiffer, M., & Meyer, T. (2016). Massage and Performance Recovery: A Meta-Analytical Review. Sports Medicine, 46(2), 183-204. https://doi.org/10.1007/s40279-015-0420-x DOI: https://doi.org/10.1007/s40279-015-0420-x

Yuniana, R., Tomoliyus, Kushartanti, B. W., Arovah, N. I., & Nasrulloh, A. (2022). Effectiveness of massage therapy continued exercise therapy against pain healing, ROM, and pelvic function in people with chronic pelvic injuries. Journal of Physical Education and Sport, 23(12), 1433-1441.

Wiltshire, E., Belcourt, V., Pak, M., Hong, T., Rayner, J., & Tschakovsky, M. (2009). Massage Impairs Post Exercise Muscle Blood Flow and ‘Lactic Acid’ Removal. Medicine and Science in Sports and Exercise, 42, 1062–1071. https://doi.org/10.1249/MSS.0b013e3181c9214f DOI: https://doi.org/10.1249/MSS.0b013e3181c9214f

Prasetya, F. I., Hartono, S., Wahyuni, E. S., Muhammad, H. N., Tyas, E. S., & Sasmito, P. (2023). The Effect of Sports Massage and Acupressure on Lactic Acid Levels, Physical and Psychological Fatigue, and the Effect on Nurse Performance. International Journal of Public Health Excellence (IJPHE), 3(1), Article 1. https://doi.org/10.55299/ijphe.v3i1.732 DOI: https://doi.org/10.55299/ijphe.v3i1.732

Weerapong, P., Hume, P. A., & Kolt, G. S. (2005). 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

Thorpe, R. T. (2021). Post-exercise Recovery: Cooling and Heating, a Periodized Approach. Frontiers in Sports and Active Living, 3, 707503. https://doi.org/10.3389/fspor.2021.707503 DOI: https://doi.org/10.3389/fspor.2021.707503

Cullen, T., Steward, C. J., Menzies, C., Pugh, C. J. A., & Douglas Thake, C. (2024). The effect of underwater massage during hot water immersion on acute cardiovascular and mood responses. Journal of Thermal Biology, 121, 103858. https://doi.org/10.1016/j.jtherbio.2024.103858 DOI: https://doi.org/10.1016/j.jtherbio.2024.103858

Ghadicolaei, H. T., Gorji, M. A. H., Bagheri, B., Charati, J. Y., & Hadinejad, Z. (2019). The Effect of Warm Footbath on the Quality of Sleep on Patients with Acute Coronary Syndrome in Cardiac Care Unit. Journal of Caring Sciences, 8(3), 137-142. https://doi.org/10.15171/jcs.2019.020 DOI: https://doi.org/10.15171/jcs.2019.020

An, J., Lee, I., & Yi, Y. (2019). The Thermal Effects of Water Immersion on Health Outcomes: An Integrative Review. International Journal of Environmental Research and Public Health, 16(7), 1280. https://doi.org/10.3390/ijerph16071280 DOI: https://doi.org/10.3390/ijerph16071280

Leeder, J., Gissane, C., van Someren, K., Gregson, W., & Howatson, G. (2011). Cold water immersion and recovery from strenuous exercise: A meta-analysis. British Journal of Sports Medicine, 46, 233–240. https://doi.org/10.1136/bjsports-2011-090061 DOI: https://doi.org/10.1136/bjsports-2011-090061

Cochrane, D. J. (2004). Alternating hot and cold water immersion for athlete recovery: A review. Physical Therapy in Sport, 5(1), 26-32. https://doi.org/10.1016/j.ptsp.2003.10.002 DOI: https://doi.org/10.1016/j.ptsp.2003.10.002

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), 110. https://doi.org/10.3390/sports11060110 DOI: https://doi.org/10.3390/sports11060110

Karadavut, Ö., & Acar, G. (2024). Effects of Sports Massage on Post-Workout Fatigue. Uluslararası Türk Spor ve Egzersiz Psikolojisi Dergisi, 4(1), 15–29. https://doi.org/10.55376/ijtsep.1486062 DOI: https://doi.org/10.55376/ijtsep.1486062

Nédélec, M., McCall, A., Carling, C., Legall, F., Berthoin, S., & Dupont, G. (2013). Recovery in Soccer: Part II—Recovery Strategies. Sports Medicine, 43(1), 9-22. https://doi.org/10.1007/s40279-012-0002-0 DOI: https://doi.org/10.1007/s40279-012-0002-0

Duñabeitia, I., Arrieta, H., Rodriguez-Larrad, A., Gil, J., Esain, I., Gil, S. M., Irazusta, J., & Bidaurrazaga-Letona, I. (2022). Effects of Massage and Cold Water Immersion After an Exhaustive Run on Running Economy and Biomechanics: A Randomized Controlled Trial. Journal of Strength and Conditioning Research, 36(1), 149-155. https://doi.org/10.1519/JSC.0000000000003395 DOI: https://doi.org/10.1519/JSC.0000000000003395

Romadhona, N. F., Sari, G. M., & Utomo, D. N. (2019). Comparison of sport massage and combination of cold water immersion with sport massage on decrease of blood lactic acid level. Journal of Physics: Conference Series, 1146, 012012. https://doi.org/10.1088/1742-6596/1146/1/012012 DOI: https://doi.org/10.1088/1742-6596/1146/1/012012

Stella, A. B., Dragonetti, A. M., Fontanot, S., Sabot, R., Martini, M., Galmonte, A., Canton, G., Deodato, M., & Murena, L. (2024). The Acute Effects of Cold Water Immersion and Percussive Massage Therapy on Neuromuscular Properties and Muscle Soreness after Exercise in Young Male Soccer Players. Sports, 12(6), 167. https://doi.org/10.3390/sports12060167 DOI: https://doi.org/10.3390/sports12060167

Matsui, T., & Onodera, S. (2013). Cardiovascular responses in rest, exercise, and recovery phases in water immersion. Journal of Physical Fitness and Sports Medicine, 2(4), 475–480. https://doi.org/10.7600/jpfsm.2.475 DOI: https://doi.org/10.7600/jpfsm.2.475

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

White, G. E., & Wells, G. D. (2013). Cold-water immersion and other forms of cryotherapy: Physiological changes potentially affecting recovery from high-intensity exercise. Extreme Physiology & Medicine, 2(1), 26. https://doi.org/10.1186/2046-7648-2-26 DOI: https://doi.org/10.1186/2046-7648-2-26

Jackman, J. S., Bell, P. G., Van Someren, K., Gondek, M. B., Hills, F. A., Wilson, L. J., & Cockburn, E. (2023). Effect of hot water immersion on acute physiological responses following resistance exercise. Frontiers in Physiology, 14, 1213733. https://doi.org/10.3389/fphys.2023.1213733 DOI: https://doi.org/10.3389/fphys.2023.1213733

Wismanadi, H., Utama, D. K. A., & Wahyudi, H. (2024). Recovery of cold Water immersion as A reduction of Lactic levels In Persebaya U-19 football athletes context review. Altius: Jurnal Ilmu Olahraga Dan Kesehatan, 13(1), Article 1. https://doi.org/10.36706/altius.v13i1.41 DOI: https://doi.org/10.36706/altius.v13i1.41

Mooventhan, A., & Nivethitha, L. (2014). Scientific Evidence-Based Effects of Hydrotherapy on Various Systems of the Body. North American Journal of Medical Sciences, 6(5), 199-209. https://doi.org/10.4103/1947-2714.132935 DOI: https://doi.org/10.4103/1947-2714.132935

Kauffman, B. E., & Kauffman, B. W. (2014). Chapter 73—Aquatic therapy. In T. L. Kauffman, R. Scott, J. O. Barr, & M. L. Moran (Eds.), A Comprehensive Guide to Geriatric Rehabilitation (Third Edition) (pp. 517–519). Churchill Livingstone. https://doi.org/10.1016/B978-0-7020-4588-2.00073-5 DOI: https://doi.org/10.1016/B978-0-7020-4588-2.00073-5

Afandi, N. R., Kushartanti, B. W., Hafidz, A., & Chen, H. (2023). Literature Study: The Effect of Cold-Water Immersion and Sport Massage Techniques on Muscle Pain. Journal of Sport Science and Education, 8(2), 77-84. DOI: https://doi.org/10.26740/jossae.v8n2.p77-84

Angelopoulos, P., Diakoronas, A., Panagiotopoulos, D., Tsekoura, M., Xaplanteri, P., Koumoundourou, D., Saki, F., Billis, E., Tsepis, E., & Fousekis, K. (2022). Cold-Water Immersion and Sports Massage Can Improve Pain Sensation but Not Functionality in Athletes with Delayed Onset Muscle Soreness. Healthcare, 10(12), 2449. https://doi.org/10.3390/healthcare10122449 DOI: https://doi.org/10.3390/healthcare10122449

Baek, J. Y., Lee, E., Gil, B., Jung, H.-W., & Jang, I.-Y. (2022). Clinical effects of using a massage chair on stress measures in adults: A pilot randomized controlled trial. Complementary Therapies in Medicine, 66, 102825. https://doi.org/10.1016/j.ctim.2022.102825 DOI: https://doi.org/10.1016/j.ctim.2022.102825

Lindgren, L., Rundgren, S., Winsö, O., Lehtipalo, S., Wiklund, U., Karlsson, M., Stenlund, H., Jacobsson, C., & Brulin, C. (2010). Physiological responses to touch massage in healthy volunteers. Autonomic Neuroscience, 158(1), 105-110. https://doi.org/10.1016/j.autneu.2010.06.011 DOI: https://doi.org/10.1016/j.autneu.2010.06.011

Setiawan, D., Hartono, S., Wahjuni, E. S., Muhammad, H. N., Ayubi, N., Mukhtarsyaf, F., Hariadi, N., & Rahayu, S. (2023). Effect of Circulated Flow of Hydrotherapy on Reduction of Lactic Acid Levels in the Body after Physical Exercise. International Journal of Human Movement and Sports Sciences, 11(2), 360-367. https://doi.org/10.13189/saj.2023.110213 DOI: https://doi.org/10.13189/saj.2023.110213

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2025-09-30

How to Cite

Roepajadi, J., Sholikhah, A. M., Wismanadi, H., Nugraha, A. B. K., & Firmansyah, A. (2025). Comparing the Effectiveness of Various Recovery Method Combinations on Improving Leg Muscle Power and Blood Lactic Acid Level. Physical Education Theory and Methodology, 25(5), 1055–1061. https://doi.org/10.17309/tmfv.2025.5.04

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