Agreement with Microcurrent Conductance, Serum Myoglobin, and Diagnostic Ultrasound When Evaluating Delayed Onset Muscle Soreness

Timothy  Hui; Jerrold  Petrofsky; Michael  Laymon

doi:10.4236/ijcm.2014.59073

Timothy Hui^*, Jerrold Petrofsky, Michael Laymon

Abstract: Purpose/Hypothesis: To determine if agreement exists between microcurrent conductance through the skin over an injury, myoglobin levels in the serum, and diagnostic ultrasound measurements of swelling. Number of Subjects: 140. Materials/Methods: Subject underwent microcurrent conductance, serum myoglobin, diagnostic ultrasound, and strength testing before and after delayed onset muscle soreness (DOMS) was induced. Non-control subjects were also given a therapy wrap, dry heat, moist heat, or cold, either applied immediately or delayed 24 hours. Results: After induction of DOMS, there was agreement between significant 37% decreases in microcurrent conductance, significant 37% serum myoglobin increases, and significant 20% increases in quadriceps size, measured by diagnostic ultrasound. When either dry heat or cold was applied immediately, changes in these measurements were insignificant and less than 10%. Agreement was weaker when treatment was delayed 24 hours. Also, cold packs showed less than a 5% decrease in microcurrent conductance for covered areas compared to a 22% decrease for uncovered areas around the knee with 24 hour delay. Moist heat packs showed an insignificant change overall, but a significant 11% decrease for the covered center of the quadriceps with immediate treatment. Strength decreased 25% after DOMS, and all immediate treatments, along with 24 hour delayed cold and moist heat showed significantly smaller decreases. Conclusions: Changes in microcurrent conductance through the skin over injured tissue appear to be indicative of initial injury and recovery, and also for detecting the specific area of the injury. Clinical Relevance: Microcurrent through the skin over injured tissue appears to be a promising objective measurement of tissue injury as well as recovery from injury.

Keywords: Soft Tissue Injuries, Electric Resistance, Outcome Assessment, Ultrasonography

Cite this paper: Hui, T. , Petrofsky, J. and Laymon, M. (2014) Agreement with Microcurrent Conductance, Serum Myoglobin, and Diagnostic Ultrasound When Evaluating Delayed Onset Muscle Soreness. International Journal of Clinical Medicine, 5, 531-539. doi: 10.4236/ijcm.2014.59073.

References

[1] Nadler, S.F., Steiner, D.J., Erasala, G.N., Hengehold, D.A., Abeln, S.B. and Weingand, K.W. (2003) Continuous Low-Level Heatwrap Therapy for Treating Acute Nonspecific Low Back Pain. Archives of Physical Medicine and Rehabilitation, 84, 329-334. http://dx.doi.org/10.1053/apmr.2003.50102

[2] Nadler, S.F., Steiner, D.J., Petty, S.R., Erasala, G.N., Hengehold, D.A. and Weingand, K.W. (2003) Overnight Use of Continuous Low-Level Heatwrap Therapy for Relief of Low Back Pain. Archives of Physical Medicine and Rehabilitationl, 84, 335-342. http://dx.doi.org/10.1053/apmr.2003.50103

[3] Bleakley, C., McDonough, S., Gardner, E., Baxter, G.D., Hopkins, J.T. and Davison, G.W. (2012) Cold-Water Immersion (Cryotherapy) for Preventing and Treating Muscle Soreness after Exercise. Cochrane Database of Systematic Reviews, 2, Article ID: CD008262.
http://dx.doi.org/10.1002/14651858.CD008262.pub2

[4] Warren, G.L., Lowe, D.A. and Armstrong, R.B. (1999) Measurement Tools Used in the Study of Eccentric Contraction-Induced Injury. Sports Medicine, 27, 43-59.
http://dx.doi.org/10.2165/00007256-199927010-00004

[5] Clarkson, P.M. and Ebbeling, C. (1988) Investigation of Serum Creatine Kinase Variability after Muscle-Damaging Exercise. Clinical Science, 75, 257-261.

[6] Hui, T. and Petrofsky, J. (2013) Injury and Inflammation Detection by the Application of Microcurrent through the Skin. Physical Therapy Rehabilitation Science, 2, 31-38.

[7] Dixon, J.S. and Bird, H.A. (1981) Reproducibility along a 10 cm Vertical Visual Analogue Scale. Annals of the Rheumatic Diseases, 40, 87-89.

[8] Yasuda, Y., Maruyama, T., Nakamura, H., Arita, T., Ueda, N. and Harada, M. (2006) Pathophysiological Basis for Monitoring of Whole Heart Conductance by 2-Lead System. Circulation Journal, 70, 495-501.
http://dx.doi.org/10.1253/circj.70.495

[9] Murdoch, C., Muthana, M. and Lewis, C.E. (2005) Hypoxia Regulates Macrophage Functions in Inflammation. The Journal of Immunology, 175, 6257-6263.
http://dx.doi.org/10.4049/jimmunol.175.10.6257

[10] Hirose, L., Nosaka, K., Newton, M., Laveder, A., Kano, M., Peake, J., et al. (2004) Changes in Inflammatory Mediators Following Eccentric Exercise of the Elbow Flexors. Exercise Immunology Review, 10, 75-90.

[11] Al-Nakhli, H.H., Petrofsky, J.S., Laymon, M.S., Arai, D., Holland, K. and Berk, L.S. (2012) The Use of Thermal Infrared Imaging to Assess the Efficacy of a Therapeutic Exercise Program in Individuals with Diabetes. Diabetes Technology & Therapeutics, 14, 159-167.
http://dx.doi.org/10.1089/dia.2011.0187

[12] Croisier, J.L., Camus, G., Venneman, I., Deby-Dupont, G., Juchmès-Ferir, A., Lamy, M., Crielaard, J.M, Deby, C. and Duchateau, J. (1999) Effects of training on exercise-induced muscle damage and interleukin 6 production. Muscle & Nerve, 22, 208-212. http://dx.doi.org/10.1002/(SICI)1097-4598(199902)22:2<208::AID-MUS8>3.0.CO;2-B

[13] Inklebarger, J., Galanis, N., Kirkos, J. and Kapetanos, G. (2010) Exercise-Induced Rhabdomyolysis from Stationary Biking: A Case Report. Hippokratia, 14, 279-280.

[14] Warren, G.L., Lowe, D.A. and Armstrong, R.B. (1999) Measurement Tools Used in the Study of Eccentric Contraction-Induced Injury. Sports Medicine, 27, 43-59.
http://dx.doi.org/10.2165/00007256-199927010-00004

[15] Clarkson, P.M. and Ebbeling, C. (1988) Investigation of Serum Creatine Kinase Variability after Muscle-Damaging Exercise. Clinical Science, 75, 257-261.

[16] Hassan, E.S. (2011) Thermal Therapy and Delayed Onset Muscle Soreness. The Journal of Sports Medicine and Physical Fitness, 51, 249-254.

[17] Andersen, L.L., Jay, K., Andersen, C.H., Jakobsen, M.D., Sundstrup, E., Topp, R. and Behm, D.G. (2013) Acute Effects of Massage or Active Exercise in Relieving Muscle Soreness: Randomized Controlled Trial. Journal of Strength and Conditioning Research, 27, 3352-3359.
http://dx.doi.org/10.1519/JSC.0b013e3182908610

[18] Warner, B., Kim, K.M., Hart, J.M. and Saliba, S. (2012) Superficial Heat to the Knee Does Not Affect Quadriceps Function in Individuals with Quadriceps Inhibition. Journal of Sport Rehabilitation.

[19] Rabini, A., Piazzini, D.B., Tancredi, G., Foti, C., Milano, G., Ronconi, G., Specchia, A., Ferrara, P.E., Maggi, L., Amabile, E., Galli, M., Bernabei, R., Bertolini, C. and Marzetti, E. (2012) Deep Heating Therapy via Microwave Diathermy Relieves Pain and Improves Physical Function in Patients with Knee Osteoarthritis: A Double-Blind Randomized Clinical Trial. European Journal of Physical and Rehabilitation Medicine, 48, 549-559.

[20] Oakley, E., Pardeiro, R.B., Powell, J.W. and Millar, A.L. (2013) The Effects of Multiple Daily Applications of Ice to the Hamstrings on Biochemical Measures, Signs, and Symptoms Associated With Exercise-Induced Muscle Damage. Journal of Strength and Conditioning Research, 27, 2743-2751. http://dx.doi.org/10.1519/JSC.0b013e31828830df