Zeitschrift für Physiotherapie und körperliche Rehabilitation

Physical Therapies for Delayed Onset Muscle Soreness (DOMS): Umbrella Review Protocol

Abstract

Payarina Toiccharekibe*

Delayed Onset Muscle Soreness (DOMS) is a common condition characterized by muscle pain, stiffness and tenderness that typically occurs 24 to 72 hours after intense or unaccustomed exercise. While DOMS is self-limiting and resolves within a few days, it can significantly impair physical performance and quality of life. Physical therapies, including various modalities such as massage, stretching, cryotherapy and electrotherapy, are commonly used to alleviate DOMS symptoms and facilitate recovery. However, the evidence base supporting the effectiveness of these interventions remains heterogeneous and inconclusive. This umbrella review protocol outlines the methodology for systematically synthesizing and evaluating existing systematic reviews and meta-analyses on physical therapies for DOMS. The review aims to provide a comprehensive overview of the current evidence, identify gaps and inconsistencies in the literature and generate recommendations for clinical practice and future research. By synthesizing high-quality evidence from multiple systematic reviews, this umbrella review protocol seeks to inform healthcare professionals, researchers and policymakers about the effectiveness and safety of physical therapies for managing DOMS.