{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:50:55Z","timestamp":1790797855751,"version":"4.1.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sportverletz Sportschaden"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Delayed-onset muscle soreness (DOMS) describes an entity of ultrastructural muscle damage. The manifestation of DOMS is caused by eccentric muscle contractions or unaccustomed forms of exercise. Clinical signs include impaired muscular force capacities, painful restriction of movement, stiffness, swelling, and altered biomechanics in adjacent joints. Although DOMS is categorised as a mild type of muscle damage, it is one of the most common reasons for compromised sportive performance. In the last decade, many hypotheses have been developed to explain the aetiology of DOMS, and there are a wide range of different interventions aiming to prevent or alleviate the symptoms. Many studies have evaluated various types of cold or heat therapy, compression, massage, physical therapy or nutritional interventions. Treatment considerations focus on the primary prevention of ultrastructural lesions during exercise, the treatment of the inflammatory response that leads to DOMS, and recovery strategies for manifest DOMS.\u200aThis narrative review aims to present an overview of the current treatment and preventive strategies in the field of DOMS.<\/jats:p>","DOI":"10.1055\/a-0810-3516","type":"journal-article","created":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T19:36:52Z","timestamp":1552505812000},"page":"21-29","source":"Crossref","is-referenced-by-count":79,"title":["Advances in Delayed-Onset Muscle Soreness (DOMS) \u2013 Part\u00a0II:\u00a0Treatment and Prevention"],"prefix":"10.1055","volume":"33","author":[{"given":"Rafael","family":"Heiss","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Hospital Erlangen, Germany"},{"name":"Muscle Research Center Erlangen, Interdisciplinary Center for Muscle Research, Friedrich-Alexander-University Erlangen-Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Lutter","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Sportsorthopedics and Sportsmedicine, Klinikum Bamberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Freiwald","sequence":"additional","affiliation":[{"name":"Department of Movement and Training Science, University of Wuppertal, Germany"},{"name":"High Performance Sports Commission, German-Austrian-Swiss Society for Orthopaedic Traumatologic Sports Medicine (GOTS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Hoppe","sequence":"additional","affiliation":[{"name":"Department of Movement and Training Science, University of Wuppertal, Germany"},{"name":"Department of Orthopedic, Trauma and Hand Surgery, Klinikum Osnabr\u00fcck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casper","family":"Grim","sequence":"additional","affiliation":[{"name":"High Performance Sports Commission, German-Austrian-Swiss Society for Orthopaedic Traumatologic Sports Medicine (GOTS)"},{"name":"Department of Orthopedic, Trauma and Hand Surgery, Klinikum Osnabr\u00fcck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Poettgen","sequence":"additional","affiliation":[{"name":"B\u00b7A\u00b7D Group, Darmstadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raimund","family":"Forst","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilhelm","family":"Bloch","sequence":"additional","affiliation":[{"name":"Department of Molecular and Cellular Sports Medicine, Institute of Cardiovascular Research and Sports Medicine, German Sport University Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"H\u00fcttel","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thilo","family":"Hotfiel","sequence":"additional","affiliation":[{"name":"Muscle Research Center Erlangen, Interdisciplinary Center for Muscle Research, Friedrich-Alexander-University Erlangen-Nuremberg, Germany"},{"name":"High Performance Sports Commission, German-Austrian-Swiss Society for Orthopaedic Traumatologic Sports Medicine (GOTS)"},{"name":"Department of Orthopedic, Trauma and Hand Surgery, Klinikum Osnabr\u00fcck, Germany"},{"name":"Department of Orthopedic Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,3,13]]},"container-title":["Sportverletzung \u00b7 Sportschaden"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0810-3516.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T19:37:03Z","timestamp":1552505823000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0810-3516"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2019,3,13]]},"published-print":{"date-parts":[[2019,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0810-3516","relation":{},"ISSN":["0932-0555","1439-1236"],"issn-type":[{"value":"0932-0555","type":"print"},{"value":"1439-1236","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}