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Updated: Jul 4, 2025

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The Use of Thermal Infra-Red Imaging to Detect Delayed Onset Muscle Soreness
Published on: January 22, 2012
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The Effect of Joint Hypermobility Syndrome on DOMS and Recovery Time
Nicole F Ostuni1, Charles A Marinello1, Taras Luzhnyy1
1Physical Therapy New York Institute of Technology.
International Journal of Sports Physical Therapy
|February 5, 2024
Summary
Individuals with Joint Hypermobility Syndrome (JHS) experience greater Delayed Onset Muscle Soreness (DOMS) after exercise. Hypermobile individuals may need more recovery time, requiring adjusted therapy.
Area of Science:
- Exercise physiology
- Musculoskeletal health
- Pain perception
Background:
- Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome (EDS) are linked to increased muscle injury and pain.
- Limited research compares DOMS recovery in JHS versus non-hypermobile individuals post-exercise.
Purpose of the Study:
- To investigate the impact of JHS on DOMS.
- To analyze DOMS recovery time in hypermobile individuals.
Main Methods:
- Quasi-experimental, observational study comparing hypermobile (Beighton score >4) and non-hypermobile groups.
- Induced DOMS via eccentric bicep curls to failure.
- Measured pain (VAS, McGill), arm angle, girth, and pressure pain threshold over five days.
Main Results:
- Both groups developed DOMS after eccentric exercise.
- Hypermobile group reported significantly greater VAS pain scores.
- Significant differences in pain over time were observed, but other DOMS measures showed no significant group differences.
Conclusions:
- JHS individuals may experience heightened DOMS and prolonged recovery.
- Therapists should recognize increased pain sensitivity in hypermobile patients.
- Treatment parameters may require adjustment for hypermobile individuals undergoing exercise.
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