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Percussion Massage Therapy Reduced EMG Activity During Standing Heel Raise
Mikulas Hank1, Lukas Michal2, Dai Sugimoto3,4
1Sport Research Centre, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic.
Journal of Musculoskeletal & Neuronal Interactions
|September 1, 2025
Summary
Percussion massage therapy (PMT) reduces calf muscle activation in individuals with and without chronic ankle instability (CAI). This effect may be counterproductive for rehabilitation goals requiring increased muscle activation.
Area of Science:
- Biomechanics
- Sports Medicine
- Rehabilitation Science
Background:
- Chronic ankle instability (CAI) is linked to altered neuromuscular control.
- Understanding the impact of therapeutic interventions on muscle activation is crucial for effective rehabilitation.
Purpose of the Study:
- To investigate the acute effects of percussion massage therapy (PMT) on calf muscle activation during heel raises.
- To compare these effects in individuals with and without CAI.
Main Methods:
- Thirty-nine university students (20 with CAI, 19 controls) participated.
- Participants were randomized to 30 seconds of PMT or no intervention.
- Surface electromyography (EMG) measured medial gastrocnemius activity during heel raises before and after intervention.
Main Results:
- Individuals with CAI exhibited significantly lower baseline calf muscle activation compared to controls.
- PMT significantly reduced peak EMG activity in both CAI and control groups.
- The no-intervention group showed no significant changes in muscle activation.
Conclusions:
- CAI is associated with diminished calf muscle activation.
- PMT acutely decreases calf muscle activation, which may not be beneficial when increased activation is desired.
- Further research is warranted on PMT's role in rehabilitation and athletic performance, considering its impact on muscle activation.

