Effects Of Yoga Before vs After Eccentric Exercise On Delayed Onset Muscle Soreness
Condition: Healthy
MeSH terms: Myalgia
Study type: Interventional

Summary: 
      The goal of this clinical trial is to compare the effects of pre and post-exercise yoga after
      eccentric exercise on delayed onset muscle soreness in healthy adults. The main question it
      aims to answer is whether there will be a difference in the effects of pre and post-exercise
      yoga in reducing delayed muscle soreness. The participants will be divided into two groups;
      group A and group B. Group A will perform single bout of yoga before the eccentric exercise
      and Group B will perform single bout of yoga after eccentric exercise.
    

Detailed description: 
      Delayed onset muscle soreness is a multifactorial well-known phenomenon associated with
      swelling, tenderness, altered joint kinematics, muscle fiber disruption, acute tissue damage,
      decreased strength and power, and stiffness. Delayed onset muscle soreness are experienced by
      both elite and novice athletes after exposure to unaccustomed or strenuous exercise that
      particularly involves eccentric contractions. The symptoms can range from mild muscle
      tenderness to severe agonizing pain. According to the "Munich Consensus Statement", Delayed
      onset muscle soreness is an overexertion-functional muscle disorder that involves type Ib
      fibers. The intensity of discomfort and soreness associated with delayed onset muscle
      soreness depends on the level of fitness, type, and repetitions of exercise performed with
      eccentric exercises resulting in micro injury at a greater frequency and severity in
      comparison to other exercises. The intensity of delayed onset muscle soreness increases
      within the first 24 hours and peaks between 24-72 hours. The symptoms of delayed onset muscle
      soreness subside within 5-7 days after the exercise and thus differ from normal muscle
      soreness that occurs immediately after the exercise. Although delayed onset muscle soreness
      is considered a mild type of muscle injury, however; it can affect athletic performance to a
      great level by causing a reduction in joint range of motion, shock attenuation, and peak
      torque. Numerous treatment strategies have been used lately to reduce the incidence of
      delayed onset muscle soreness including hyperbaric oxygen, anti-inflammatory medication,
      massage, cryotherapy, homeopathy, stretching, electrotherapeutic modalities, ultrasound,
      rest, light exercise, and yoga. Yoga is a process of physical and mental reconditioning that
      involves simple meditation, the adoption of certain postures, and breath control. The various
      health benefits associated with yoga include improved flexibility and balance, muscle
      strength, skeletal muscle oxygen uptake, lung function, pain relief, and lower stress levels.
      Depending upon the type, intensity, and the number of repetitions of exercise various yoga
      poses can be performed before and after eccentric exercises as a warmup or a cool-down
      procedure to prevent delayed onset muscle soreness.

      The current study is aimed to fill the literature gap by finding the difference in the
      effects of pre and post-exercise yoga poses in reducing delayed onset muscle soreness. This
      study will provide a guide to elite and novice athletes to effectively incorporate yoga poses
      in their exercise protocol to prevent delayed onset muscle soreness that results in decreased
      performance.
    

Intervention name(s): Single bout of yoga before eccentric exercise; Single bout of yoga after eccentric exercise
Intervention type(s): Other; Other
Intervention description(s): The participants will perform a single bout of the following 5 yoga poses; Child's pose, Thread the needle pose, Eagle arms, Cow face pose, Hands overhead in wide-legged forward bend before the eccentric exercise designed to induce delayed onset muscle soreness for a total time duration of 20-30 minutes. The participants will be asked to breathe and hold each yoga pose for 6-8 breaths. For induction of delayed onset muscle soreness, one repetition maximum of each participant will be calculated first, and on the basis of one repetition maximum the participants will perform 6 sets of 10 repetitions of the eccentric drills of elbow and knee flexors and extensors with 3 minutes rest period between each set.; The participants will perform a single bout of the following 5 yoga poses; Child's pose, Thread the needle pose, Eagle arms, Cow face pose, Hands overhead in wide-legged forward bend after the eccentric exercise designed to induce delayed onset muscle soreness for a total time duration of 20-30 minutes. The participants will be asked to breathe and hold each yoga pose for 6-8 breaths. For induction of delayed onset muscle soreness, one repetition of each participant will be calculated first and on the basis of one repetition maximum the participants will perform 6 sets of 10 repetitions of the eccentric drills of elbow and knee flexors and extensors with 3 minutes rest period between each set.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Visual Analog Scale; Exercise; Delayed Onset Muscle Soreness; Yoga; Eccentric exercise; Range Of motion