This study aims to evaluate the efficacy of combining Tissue Flossing Band with Muscle Energy Techniques (METs) on Delayed Onset Muscle Soreness (DOMS), and to establish an optimized intervention protocol for clinical and athletic application. Twenty-four eligible subjects were recruited and randomly assigned to an intervention group (n=12) and a control group (n=12) using a random number table. DOMS was induced in the biceps brachii through eccentric contractions. Subsequently, the intervention group received the combined intervention of a Tissue Flossing Band and METs immediately after exercise, at 24h post-exercise, and at 48h post-exercise. Changes in upper arm circumference, subjective pain perception, and elbow joint range of motion (ROM) were observed before and after the experiment in both groups. Compared with immediately after exercise, the intervention group exhibited highly significant decreases in pain perception at all post-exercise observation time points (p<0.01); elbow ROM significantly increased at 24h and 72h post-exercise (p<0.05), but no significant change was observed at 48h (p>0.05); and upper arm circumference significantly decreased at 24h and 72h post-exercise (p<0.05). Compared with the control group, the intervention group demonstrated highly significant improvements in elbow ROM at all post-exercise observation time points (p<0.01). No significant difference in upper arm circumference was found between the groups (p>0.05), whereas subjective pain perception in the intervention group was significantly lower at 48h and 72h post-exercise (p<0.05). The Tissue Flossing Band combined with METs can effectively alleviate the symptoms of DOMS and shorten its duration, representing an effective method for DOMS management.

Mingyao Zhang, Jiade Lin. Effects of Tissue Flossing Band Combined with Muscle Energy Techniques on Delayed Onset Muscle Soreness in College Students after Exercise. Frontiers in Sport Research (2026), Vol. 8, Issue 4: 63-70. https://doi.org/10.25236/FSR.2026.080410.

[1] Liu Y, Lei J, You H. Delayed-onset muscle soreness: Mechanism of Neurotrophic Factors and Research Progress [J]. Acta Physiologica Sinica, 2024, 76(02): 301-308.

[2] Chen J, Hu Q, Liu S, et al. Differences in the Effectiveness of Different Physical Therapy Modalities in the Treatment of Delayed-Onset Muscle Soreness: A Systematic Review and Bayesian Network Meta-Analysis [J]. Journal of Pain Research, 2025, 18: 2993-3008.

[3] Cao Y, Qiao H, Yang X, et al. Research Progress on the Mechanism of Acupuncture in Preventing and Treating Delayed Muscle Soreness after Exercise [J]. China Medicine and Pharmacy, 2025, 15(14): 32-35. DOI:10.20116/j.issn2095-0616.2025.14.06.

[4] Ma B, Zhang X, Hou S. Research on the Effect of Fascia Compression Bands Combined with Active Movement on Delayed-onset Muscle Soreness [C]// Chinese Society of Sports Science. Abstracts of the 13th National Congress of Sports Science - Poster Exchange (Sports Medicine Branch). Beijing Sport University, 2023: 158-160.

[5] Jiang W, Yuan X, Cao Z. Research Progress of Muscle Energy Technology in the field of rehabilitation medicine [J]. China Medicine and Pharmacy, 2021, 11(17): 38-41.

[6] Lau W Y, Blazevich A J, Newton M J, et al. Changes in electrical pain threshold of fascia and muscle after initial and secondary bouts of elbow flexor eccentric exercise [J]. Europe J Appl Physiology, 2015, 115(5): 959-968.

[7] National Physical Fitness Association of the United States, Haff G G, Triprit N T, et al., Ed. NSCA-CSCS Guidelines for the Certification of Physical Trainers by the National Physical Fitness Association [M]. Translated by Wang X, Yan Q, Zhou A, et al. Beijing: Posts & Telecom Press, 2021.

[8] Zhang H, Huang L. Rehabilitation Assessment [M]. Beijing: Higher Education Press,2018.

[9] Liang W, Huang W, Tan Z, et al. Clinical Observation on the Treatment of chronic Cervical spondylosis pain with small needle knife combined with fluoxetine Hydrochloride [J]. Journal of Minimally Invasive Medicine, 2010, 5(06):592-593.

[10] Weiss K, Kalichman L. Deep fascia as a potential source of pain: a narrative review [J]. J Bodyw Mov Ther, 2021, 28: 82-86.

[11] Yan H, Huo J, Zhou W, et al. The application and mechanism of fascia compression bands in the fields of sports and rehabilitation [J]. Chinese Journal of Tissue Engineering Research, 2024, 28(03): 464-471.

[12] Zheng K, Yang H, Jia C, et al. The influence of muscle energy technology combined with conventional rehabilitation therapy on patients with chronic nonspecific neck pain [J]. Rehabilitation Medicine, 2024, 34(04): 396-401.

[13] Gleeson, Michael, et al. "Haematological and acute-phase responses associated with delayed-onset muscle soreness in humans." European journal of applied physiology and occupational physiology 71.2 (1995): 137.

[14] MacIntyre DL, Reid WD, McKenzie DC. Delayed muscle soreness. The inflammatory response to muscle injury and its clinical implications. Sports Med. 1995 Jul; 20(1):24-40.

[15] AFONSO J, CLEMENTE F M, NAKAMURA F Y, et al. The effectiveness of post-exercise stretching in short-term and delayed recovery of strength, range of motion and delayed onset muscle soreness: a systematic review and meta-analysis of randomized controlled trials [J]. Front Physiology, 2021, 12: 677581.

[16] Sanika V, Prem V, Karvannan H. Comparison of Glutues Maximus Activation to Flexion Bias Exercises Along with MET Technique in Subjects with Anterior Rotated Sacroiliac Joint Dysfunction-a Randomised Controlled Trial. Int J Ther Massage Bodywork. 2021 Mar 1; 14(1):30-38.

[17] Tømmeraas K, Melander C. Kinetics of hyaluronan hydrolysis in acidic solution at various pH values [J]. Biomacromolecules, 2008, 9(6): 1535-1540.

[18] Stecco A, Gesi M, Stecco C, et al. Fascial components of the myofascial pain syndrome [J]. Curr Pain Headache Rep, 2013, 17(8): 352.

[19] Weiss K, Kalichman L. Deep fascia as a potential source of pain: a narrative review [J]. J Bodyw Mov Ther, 2021, 28: 82-86.

[20] Gao J, Thung JS, Chee CS, Tee CC, Kamalden TF, Samsudin S, et al. The potential mechanisms of tissue flossing with Flossband application around the joints or soft tissues: A theoretical framework [J]. Apunts Sports Medicine, 2024, 59(224): 1-8.

[21] Wang R, Sun B. Exercise Physiology [M]. Beijing: People’s Sports Press, 2022.

[22] Schroeter S, Bloch W, Hirschmüller A, et al. Update: Delayed Onset Muscle Soreness (DOMS) – Muscle Biomechanics, Pathophysiology and Therapeutic Approaches [J]. Deutsche Zeitschrift für Sportmedizin, 2024, 75(5): 189-194.

[23] Di Lorenzo A, et al. Advances in Non-Pharmacological Strategies for DOMS: A Scoping and Critical Review of Recent Evidencev[J]. Journal of Functional Morphology and Kinesiology, 2025, 10(4): 452.

[24] Hotfiel, Thilo, et al. Advances in delayed-onset muscle soreness (DOMS): part I: pathogenesis and diagnostics. Sportverletzung• Sportschaden 32.04 (2018): 243-250.

[25] Brian R. Mulligan. Anatomy Train: Myofascial Meridians for Manual and Motor Therapists [M]. Translated by Xu Jianwu and Li Hongtu. 3rd Edition. Shenyang: Liaoning Science and Technology Press, 2020.

[26] Piao Z. Muscle Energy Technology: A Precise and Painless Physical Therapy Plan [M]. Beijing: Science and Technology Literature Press, 2021.

[27] KIELUR D S, POWDEN C J. Changes of ankle dorsiflexion using compression tissue flossing: a systematic review and meta-analysis [J]. J Sport Rehabilitation, 2020, 30(2): 306-314.

[28] Kong W. Research on the Effect of Fascia Compression Bands Combined with Muscle Strength Training on Patients with Patellofemoral Joint Pain [D]. Xi 'an University of Physical Education, 2022.