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Delayed Onset Muscle Soreness

Overview of attention for article published in Sports Medicine, January 2003
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (93rd percentile)

Mentioned by

8 news outlets
7 blogs
54 tweeters
3 patents
17 Facebook pages
3 Wikipedia pages
2 Google+ users
1 Q&A thread
14 video uploaders


626 Dimensions

Readers on

687 Mendeley
Delayed Onset Muscle Soreness
Published in
Sports Medicine, January 2003
DOI 10.2165/00007256-200333020-00005
Pubmed ID

Karoline Cheung, Patria A Hume, Linda Maxwell


Delayed onset muscle soreness (DOMS) is a familiar experience for the elite or novice athlete. Symptoms can range from muscle tenderness to severe debilitating pain. The mechanisms, treatment strategies, and impact on athletic performance remain uncertain, despite the high incidence of DOMS. DOMS is most prevalent at the beginning of the sporting season when athletes are returning to training following a period of reduced activity. DOMS is also common when athletes are first introduced to certain types of activities regardless of the time of year. Eccentric activities induce micro-injury at a greater frequency and severity than other types of muscle actions. The intensity and duration of exercise are also important factors in DOMS onset. Up to six hypothesised theories have been proposed for the mechanism of DOMS, namely: lactic acid, muscle spasm, connective tissue damage, muscle damage, inflammation and the enzyme efflux theories. However, an integration of two or more theories is likely to explain muscle soreness. DOMS can affect athletic performance by causing a reduction in joint range of motion, shock attenuation and peak torque. Alterations in muscle sequencing and recruitment patterns may also occur, causing unaccustomed stress to be placed on muscle ligaments and tendons. These compensatory mechanisms may increase the risk of further injury if a premature return to sport is attempted.A number of treatment strategies have been introduced to help alleviate the severity of DOMS and to restore the maximal function of the muscles as rapidly as possible. Nonsteroidal anti-inflammatory drugs have demonstrated dosage-dependent effects that may also be influenced by the time of administration. Similarly, massage has shown varying results that may be attributed to the time of massage application and the type of massage technique used. Cryotherapy, stretching, homeopathy, ultrasound and electrical current modalities have demonstrated no effect on the alleviation of muscle soreness or other DOMS symptoms. Exercise is the most effective means of alleviating pain during DOMS, however the analgesic effect is also temporary. Athletes who must train on a daily basis should be encouraged to reduce the intensity and duration of exercise for 1-2 days following intense DOMS-inducing exercise. Alternatively, exercises targeting less affected body parts should be encouraged in order to allow the most affected muscle groups to recover. Eccentric exercises or novel activities should be introduced progressively over a period of 1 or 2 weeks at the beginning of, or during, the sporting season in order to reduce the level of physical impairment and/or training disruption. There are still many unanswered questions relating to DOMS, and many potential areas for future research.

Twitter Demographics

The data shown below were collected from the profiles of 54 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 687 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 6 <1%
United Kingdom 6 <1%
Brazil 4 <1%
Germany 3 <1%
Italy 3 <1%
Spain 3 <1%
France 2 <1%
Portugal 2 <1%
Netherlands 1 <1%
Other 5 <1%
Unknown 652 95%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 204 30%
Student > Master 135 20%
Student > Ph. D. Student 74 11%
Student > Postgraduate 39 6%
Researcher 39 6%
Other 115 17%
Unknown 81 12%
Readers by discipline Count As %
Sports and Recreations 259 38%
Medicine and Dentistry 150 22%
Nursing and Health Professions 62 9%
Agricultural and Biological Sciences 34 5%
Biochemistry, Genetics and Molecular Biology 17 2%
Other 61 9%
Unknown 104 15%

Attention Score in Context

This research output has an Altmetric Attention Score of 187. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 May 2020.
All research outputs
of 15,356,158 outputs
Outputs from Sports Medicine
of 2,279 outputs
Outputs of similar age
of 113,893 outputs
Outputs of similar age from Sports Medicine
of 15 outputs
Altmetric has tracked 15,356,158 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,279 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 35.8. This one has done particularly well, scoring higher than 96% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 113,893 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 15 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.