Short-Term Tensiomyography Responses of the Vastus Medialis to Percussive Massage Therapy with Different...

Background: Percussive massage therapy (PMT) with handheld massage guns is widely used to support recovery and flexibility, but the short-term behavior of skeletal muscle contractile properties and the relative contribution of application duration versus frequency remain unclear. This study investigated the 10 min post-intervention time course of tensiomyography (TMG)-derived contractile properties of non-fatigued vastus medialis (VM) after clinically realistic PMT protocols and examined whether longer duration is associated with persistent deviations from baseline than frequency. Methods: In a two-session, within-subject repeated-measure design, 32 participants completed four PMT conditions to the VM (35 Hz-3 min, 35 Hz-6 min, 45 Hz-3 min, and 45 Hz-6 min). TMG parameters (Td, Tc, Ts, Tr, and Dm) were recorded at baseline and repeatedly over 10 min post-intervention. Linear mixed-effect models with frequency and duration as fixed factors and time as continuous and categorical were used to characterize temporal patterns, with emphasis on effect sizes and consistency across parameters. The fixed protocol order (35 Hz in session one, 45 Hz in session two, 3 vs. 6 min assigned to contralateral legs) means that frequency was confounded with session and duration with leg side. Results: Compared with the 3 min protocols, the 6 min protocols were associated with slightly higher Td and Ts, a modest increase in Tr and a slightly greater Dm (e.g., Dm + 0.55 mm), whereas Tc showed no clear duration effect. Across conditions, Td increased immediately after PMT, Tc remained elevated for most of the first 8 min, Ts increased from mid to late post-intervention, Tr changed inconsistently, and Dm was reduced relative to baseline for most of the 10 min period. Differences between 35 and 45 Hz were small and non-significant for all TMG parameters. Conclusions: Clinically realistic PMT protocols at 35-45 Hz in non-fatigued muscle induce small but statistically detectable, duration-sensitive changes in TMG-derived contractile behavior over approximately 10 min. Within the constraints of the fixed, non-randomized design and the small effect sizes observed, these findings support viewing massage gun use as a recovery-oriented adjunct that subtly modulates contractile dynamics, rather than as a strong, standalone performance-enhancing stimulus.