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Effect of tissue flossing on eccentric exercise-induced muscle damage: A randomized controlled trial

Jianxin Chen, Fang Cheng, Jin-Qi Yang, Jin-Feng Yang, Jianxin Ran, Yuan-Peng Liao

Biology of Sport, 2025

12 participants · 4 citations

Abstract

Tissue flossing (TF) is a novel technique designed to improve muscle and joint function and performance. This study investigated the effects of TF on exercise-induced muscle damage (EIMD) in 24 males randomized into TF (n = 12) or control (CON, n = 12) groups. Participants performed dominant thigh quadriceps isokinetic eccentric exercises to induce EIMD, 10 sets × 12 repetitions. The TF group performed TF interventions (active movement during floss band wrapping, three times a session) immediately after and 24–48 h postexercise. Creatine kinase (CK), knee extensor eccentric strength, pressure pain threshold (PPT), and deep fascia sliding (DFS) of quadriceps were measured at baseline and 24, 48, and 72 h postexercise. CK levels significantly increased over time postexercise, with CON showing a greater increase than TF (all p 0.05). Furthermore, the PPT and DFS of the vastus medialis and lateralis were significantly greater in TF than in CON over time postexercise (all p < 0.05). Overall, TF is an effective strategy for alleviating EIMD after high-intensity exercise.

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 12 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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