{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:10:20Z","timestamp":1786122620132,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:00:00Z","timestamp":1780704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:00:00Z","timestamp":1780704000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>The massage gun is widely used to alleviate delayed\u2010onset muscle soreness (DOMS); however, empirical evidence regarding its physiological effects remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to evaluate the acute effects of percussive massage on the quadriceps muscle's cross\u2010sectional area (CSA), strength performance, and pain perception following a fatigue protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A randomized clinical trial was conducted including 37 physically active men. Participants performed a fatigue protocol on a 45\u00b0 leg press, at 70% of their one\u2010repetition maximum (1RM). The volunteers were allocated to an intervention group (G0\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a019, mean\u00a0\u00b1\u00a0SD; 25.7\u00a0\u00b1\u00a04.5\u00a0years, 83.7\u00a0\u00b1\u00a010.6\u00a0kg, 176.8\u00a0\u00b1\u00a06.3\u00a0cm) and control group (G1\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a018, mean\u00a0\u00b1\u00a0SD; 27.6\u00a0\u00b1\u00a05.0\u00a0years, 76.8\u00a0\u00b1\u00a015.7\u00a0kg, 174\u00a0\u00b1\u00a07.3\u00a0cm). Assessments were performed at baseline, 24 and 48\u00a0h, using ultrasound imaging, isometric dynamometer and VAS questionnaire (visual analog pain scale).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Regarding the muscle area, significant increases were observed in the control group\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00,05 for the rectus femoris at both measurement points compared with the baseline, which suggests that percussive massage may mitigate exercise\u2010induced edema. While no statistically significant differences were observed between groups or across time points for muscle strength, G0 demonstrated a large effect size (\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0&gt;\u00a02.0) in strength maintenance at 24 and 48\u00a0h compared to G1. Both groups showed reduction in pain over time, while G0 demonstrated a significant decrease at 48\u00a0h compared to 24\u00a0h (53%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Within\u2010group assessments revealed significant reductions in pain perception over time for the intervention group. Regarding muscle strength, despite a large exploratory effect size observed during recovery, no statistically significant between\u2010group superiority over passive rest was established. The findings suggest potential preliminary benefits for symptom relief without acute performance deficits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70246","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:49:39Z","timestamp":1780735779000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Effect of Percussive Massage on Cross\u2010Section Area, Muscle Strength, and Late Muscle Pain of the Quadriceps Muscle Following a Fatigue Protocol in Physically Active Men: Randomized Clinical Trial"],"prefix":"10.1002","volume":"31","author":[{"given":"Aline","family":"da Rosa Castilho","sequence":"first","affiliation":[{"name":"Graduate Program in Rehabilitation Sciences Pythagoras Unopar University  Londrina Paran\u00e1 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Pereira","family":"Quirino","sequence":"additional","affiliation":[{"name":"Graduate Program in Human Movement and Rehabilitation Evangelical University of Goi\u00e1s (UniEVANGELICA)  An\u00e1polis Goi\u00e1s Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo Franco","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Graduate Program in Human Movement and Rehabilitation Evangelical University of Goi\u00e1s (UniEVANGELICA)  An\u00e1polis Goi\u00e1s Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3849-0872","authenticated-orcid":false,"given":"Rodrigo Antonio Carvalho","family":"Andraus","sequence":"additional","affiliation":[{"name":"Graduate Program in Rehabilitation Sciences Pythagoras Unopar University  Londrina Paran\u00e1 Brazil"},{"name":"Faculty of Sports Sciences and Physical Education (FCDEF) University of Coimbra CIPER  Coimbra 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