NCT07892118

Brief Summary

This study investigated the effects of sports massage and modified traditional Thai massage on delayed-onset muscle soreness (DOMS) and recovery following strenuous exercise in healthy, physically inactive young men. The study used a randomized, three-condition, three-period crossover design. Participants completed an exercise protocol designed to induce muscle soreness and subsequently received one of three recovery interventions: sports massage, modified traditional Thai massage, or passive recovery. Each participant underwent all three conditions in a randomized sequence, with a washout period between experimental sessions. The recovery interventions were administered approximately six hours after exercise. Muscle soreness, pressure pain threshold, flexibility, vertical jump performance, and perceived physical performance were assessed at baseline and at 24 and 48 hours after exercise. The study aimed to compare the effects of the two massage approaches with passive recovery on perceived muscle soreness, mechanical pain sensitivity, and functional recovery following exercise-induced muscle damage.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
35

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Dec 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 11, 2023

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 31, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 31, 2024

Completed
2.7 years until next milestone

First Submitted

Initial submission to the registry

October 17, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 23, 2026

Completed
Last Updated

October 23, 2026

Status Verified

October 1, 2026

Enrollment Period

2 months

First QC Date

October 17, 2026

Last Update Submit

October 17, 2026

Conditions

Keywords

Delayed Onset Muscle SorenessSports MassageThai MassagePlyometric ExerciseRecovery

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Muscle Soreness at 24 and 48 Hours

    Muscle soreness at rest was assessed using an 11-point Numerical Rating Scale (NRS-11), ranging from 0 (no pain) to 10 (worst imaginable pain). Measurements were obtained before the plyometric exercise protocol and at 24 and 48 hours after exercise in each of the three experimental periods. Changes from baseline were compared among sports massage, traditional Thai massage, and passive recovery conditions. Higher scores indicate greater perceived muscle soreness.

    Baseline (before exercise), 24 hours, and 48 hours after exercise in each experimental period

Secondary Outcomes (10)

  • Change From Baseline in Sit-and-Reach Flexibility at 24 and 48 Hours

    Baseline (before exercise), 24 hours, and 48 hours after exercise in each experimental period

  • Change From Baseline in Hands-Free Vertical Jump Height at 24 and 48 Hours

    Baseline (before exercise), 24 hours, and 48 hours after exercise in each experimental period

  • Change From Baseline in Hands-on-Hips Vertical Jump Height at 24 and 48 Hours

    Baseline (before exercise), 24 hours, and 48 hours after exercise in each experimental period

  • Change From Baseline in Perceived Physical Performance at 24 and 48 Hours

    Baseline (before exercise), 24 hours, and 48 hours after exercise in each experimental period

  • Change From Baseline in Pressure Pain Threshold of the Right Quadriceps at 24 and 48 Hours

    Baseline (before exercise), 24 hours, and 48 hours after exercise in each experimental period.

  • +5 more secondary outcomes

Study Arms (6)

Sequence ABC: Sports Massage → Thai Massage → Passive Recovery

EXPERIMENTAL

Participants assigned to Sequence ABC received sports massage in Period 1, traditional Thai massage in Period 2, and passive recovery in Period 3. Each intervention lasted 20 minutes and was administered approximately six hours after the standardized plyometric exercise protocol. Experimental periods were separated by an approximately one-week washout interval.

Procedure: Sports MassageProcedure: Traditional Thai MassageOther: Passive Recovery

Sequence ACB: Sports Massage → Passive Recovery → Thai Massage

EXPERIMENTAL

Participants assigned to Sequence ACB received sports massage in Period 1, passive recovery in Period 2, and traditional Thai massage in Period 3. Each intervention lasted 20 minutes and was administered approximately six hours after the standardized plyometric exercise protocol. Experimental periods were separated by an approximately one-week washout interval.

Procedure: Sports MassageProcedure: Traditional Thai MassageOther: Passive Recovery

Sequence BAC: Thai Massage → Sports Massage → Passive Recovery

EXPERIMENTAL

Participants assigned to Sequence BAC received traditional Thai massage in Period 1, sports massage in Period 2, and passive recovery in Period 3. Each intervention lasted 20 minutes and was administered approximately six hours after the standardized plyometric exercise protocol. Experimental periods were separated by an approximately one-week washout interval.

Procedure: Sports MassageProcedure: Traditional Thai MassageOther: Passive Recovery

Sequence BCA: Thai Massage → Passive Recovery → Sports Massage

EXPERIMENTAL

Participants assigned to Sequence BCA received traditional Thai massage in Period 1, passive recovery in Period 2, and sports massage in Period 3. Each intervention lasted 20 minutes and was administered approximately six hours after the standardized plyometric exercise protocol. Experimental periods were separated by an approximately one-week washout interval.

Procedure: Sports MassageProcedure: Traditional Thai MassageOther: Passive Recovery

Sequence CAB: Passive Recovery → Sports Massage → Thai Massage

EXPERIMENTAL

Participants assigned to Sequence CAB received passive recovery in Period 1, sports massage in Period 2, and traditional Thai massage in Period 3. Each intervention lasted 20 minutes and was administered approximately six hours after the standardized plyometric exercise protocol. Experimental periods were separated by an approximately one-week washout interval.

Procedure: Sports MassageProcedure: Traditional Thai MassageOther: Passive Recovery

Sequence CBA: Passive Recovery → Thai Massage → Sports Massage

EXPERIMENTAL

Participants assigned to Sequence CBA received passive recovery in Period 1, traditional Thai massage in Period 2, and sports massage in Period 3. Each intervention lasted 20 minutes and was administered approximately six hours after the standardized plyometric exercise protocol. Experimental periods were separated by an approximately one-week washout interval.

Procedure: Sports MassageProcedure: Traditional Thai MassageOther: Passive Recovery

Interventions

A standardized 20-minute sports massage was administered to the lower extremities approximately six hours after the plyometric exercise protocol. The intervention included manual massage techniques applied to the major lower-extremity muscle groups, following a standardized treatment protocol.

Sequence ABC: Sports Massage → Thai Massage → Passive RecoverySequence ACB: Sports Massage → Passive Recovery → Thai MassageSequence BAC: Thai Massage → Sports Massage → Passive RecoverySequence BCA: Thai Massage → Passive Recovery → Sports MassageSequence CAB: Passive Recovery → Sports Massage → Thai MassageSequence CBA: Passive Recovery → Thai Massage → Sports Massage

A standardized 20-minute modified traditional Thai massage protocol was administered to the lower extremities approximately six hours after the plyometric exercise protocol. The intervention incorporated Thai massage techniques adapted for the study, including manual pressure and assisted stretching techniques targeting the major lower-extremity muscle groups.

Sequence ABC: Sports Massage → Thai Massage → Passive RecoverySequence ACB: Sports Massage → Passive Recovery → Thai MassageSequence BAC: Thai Massage → Sports Massage → Passive RecoverySequence BCA: Thai Massage → Passive Recovery → Sports MassageSequence CAB: Passive Recovery → Sports Massage → Thai MassageSequence CBA: Passive Recovery → Thai Massage → Sports Massage

Participants rested quietly in the supine position for 20 minutes without receiving massage, stretching, or any other recovery intervention. The passive recovery session was conducted approximately six hours after the standardized plyometric exercise protocol.

Sequence ABC: Sports Massage → Thai Massage → Passive RecoverySequence ACB: Sports Massage → Passive Recovery → Thai MassageSequence BAC: Thai Massage → Sports Massage → Passive RecoverySequence BCA: Thai Massage → Passive Recovery → Sports MassageSequence CAB: Passive Recovery → Sports Massage → Thai MassageSequence CBA: Passive Recovery → Thai Massage → Sports Massage

Eligibility Criteria

Age18 Years - 30 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Healthy male volunteers aged 18-30 years.
  • Physically inactive or sedentary individuals who did not regularly participate in structured exercise or sports training.
  • Ability and willingness to complete the exercise protocol, recovery interventions, and follow-up assessments.
  • Provision of written informed consent.

You may not qualify if:

  • Lower-extremity musculoskeletal injury within the preceding six months.
  • Regular participation in structured exercise or sports training.
  • Medical conditions or positive responses on the Physical Activity Readiness Questionnaire (PAR-Q) indicating that participation in the exercise protocol could be unsafe.
  • Contraindications to massage or strenuous physical exercise.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Akdeniz University

Antalya, Antalya, 07070, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Medicine, Thai Traditional

Intervention Hierarchy (Ancestors)

Medicine, TraditionalComplementary TherapiesTherapeutics

Study Officials

  • Nihat Ayçeman, PhD

    Akdeniz University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Model Details: This study employed a randomized, three-condition, three-period crossover design. Participants were allocated to one of six balanced intervention sequences involving sports massage (SM), traditional Thai massage (TM), and passive recovery (PR). Each participant completed all three conditions in a different order, with an approximately one-week washout period between experimental periods. Standardized plyometric exercise was performed in each period, followed by the assigned recovery intervention approximately six hours later.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 17, 2026

First Posted

October 23, 2026

Study Start

December 11, 2023

Primary Completion

January 31, 2024

Study Completion

January 31, 2024

Last Updated

October 23, 2026

Record last verified: 2026-10

Locations