Wednesday 6th September, 2023

Warm-ups: your practical guide to reducing injuries, increasing performance and reducing post exercise soreness

Person doing sports warmup
In this article we share with you the best scientifically proven warm-up strategies

If you play sport or workout a good warm-up will help prepare your muscles: increasing your performance, decreasing your risk of injury, and maybe reducing your post exercise soreness. We reviewed 27 clinical trials and other scientific papers, and found that while some routines are useful other common ones are of little benefit and can even hurt you.

In this article we look science says about each of your different warm-up options, then show you how to put together the most appropriate routine for your needs.

CONTENTS

The benefits of a warm-up

  • Injury prevention
  • Increasing performance
  • Reducing post exercise soreness and helping recovery

Your warmup options

  • Conventional massages
  • Vibration massage
  • Foam rollers
  • Conventional stretching
  • Dynamic warm-ups (exercises)
  • Massage guns

Putting together an effective routine
References

The benefits of a warm-up

Injury prevention

Tight muscle can easily tear, so you can help prevent injuries by stretching or relaxing muscles to their full operational length. However, if you stretch too far it can allow joint to move more than normal and be injured (1,2)⁠. This should not be a problem with any of the massages, or dynamic warm-up exercises that use normal movements though.

Increasing performance and reducing post exercise soreness

You will read claims that because massages and warm-ups do things like increasing blood flow they increase performance (3–6). However, there have been a lot of clinical trials that tell us whether they actually do or not. We will share these results in the next section.

Your warm-up options

  1. Conventional massages
  2. Vibration massage
  3. Foam rollers
  4. Conventional stretching
  5. Dynamic warm-ups (exercises)
  6. Massage guns

Conventional massage

Conventional massage is where a therapist uses manual techniques such as rubbing, pressure and kneading. This will vary depending on the skills of the therapist and the needs of the client.

What the science says about conventional massage

Injury prevention

Conventional massage can help flexibility, but should not allow excessive joint movement. Therefore, it should help reduce the risk of muscle strains and tears.

Improving performance

Convention massage may help flexibility, but according to the most recent review of clinical trials there is no evidence that massage has any effect on strength, endurance or fatigue (7)⁠⁠.

Reducing post exercise soreness and speeding recovery

Several trials show that massage after exercise helps recovery (8–12)⁠ but we could not find any testing massage as part of a warm up.

Vibration massage being used
A vibration massager being used

Vibration massage (not massage guns)

Vibration massage is where the vibrating pad of a vibration massager is placed on the muscles and the vibrations allowed to penetrate. This is very similar to the way ultrasound works. Ultrasound is just vibrations at a higher frequency. Therapeutic vibration massage has several huge benefits.

What science says about vibration massage

Injury prevention

Vibration massage can increase flexibility (13)⁠⁠ but should not allow excessive joint movement. Therefore, it should help reduce the risk of muscle strains and tears.

Increasing performance

According to the results of many clinical trials the application of vibration massage of 30-60 Hz before exercise will enhance strength (14,15)⁠, and increase the time taken for muscles to fatigue (16)⁠⁠.

Reducing post exercise soreness and speeding recovery

Vibration massage before exercise will decrease post exercise soreness (8,17)⁠.

More information

The sports and exercise guide to vibration massage

Foam rollers

Foam rollers are devices that enable users to self apply pressure that imitates the techniques that professional therapists use. They are heavily advertised, and promote self massage.

What science says about foam rollers

Injury prevention

Foam rolling initially increase flexibility, but this increase only lasts less than 10 minutes (18–20)⁠⁠. Therefore, any benefits will likely be gone before you compete.

Increasing performance

Clinical trials have shown that foam rollers give no improvement in performance (18,21–24)⁠⁠.

Reducing post exercise soreness and speeding recovery

Clinical trials show that foam rolling after exercise has only negligible benefits. We could not find any trials that tested using them before exercise.

Comparison of massage and foam rolling
Don't be surprised that foam rollers perform poorly in clinical trials
Why are the clinical trials results of foam rolling so poor.

For the reasons shown in this pic foam rolling will not give you the same results as a massage by a professional therapist. It is also important to note that In the real world people use them without professional supervision of a clinical trial. Therefore, results are often much worse.

Stretching exercises
Clinical trials raise questions about using stretches as part of a warm-up

Conventional stretching

Conventional stretching is where muscles are placed under gentle tension causing them to lengthen.

What science says about conventional stretching

Injury prevention

Stretching exercises have not been shown to reduce the rate of injuries (1,2)⁠. Scientists believe that while lengthening muscles will reduce the risk of strains and tears, allowing the joints to move more than normal can increase the risk of joint injury. If you do stretches as part of a warm up limit the stretches to normal movements of your joints.

Increasing performance

Trials show that conventional static stretching will give a prolonged increase in flexibility, but actually decrease performance (2,25)⁠.

Reducing post exercise soreness and speeding recovery

We could find no trials that tested this.

Dynamic warm-ups

A dynamic warm-up means doing movement or activities such as exercising. Scientists advise that the best dynamic warm ups incorporate or mimic the movements or activities of the sport or exercise. The basic principle is to put the joints and muscles through the activities they will be performing with gradually increasing intensity, without causing fatigue.

What science says about dynamic warm-ups

Injury prevention

Dynamic warm-ups have been shown to increase flexibility (26)⁠⁠, but should not force joints beyond their normal movements. They should help reduce the risk of injury.

Improving performance

Dynamic warm ups have been shown to increase strength, and in one trial found that compared with no warm-up dynamic warm-ups actually increased the height an athlete could jump by 2” (5cm) (26,27)⁠.

Reducing post exercise soreness and speeding recovery

We could find no trials that tested this.

Vibration vs percussion vs conventional

Massage guns (percussion massagers)

Percussion massagers are a hybrid machines that try to combine vibration and conventional massage. In this diagram the device on the left is a vibration massager while the tool on the right is a t-bar which therapists use to save their thumbs and apply deep (painful) pressure. As you can see massager gun makers have basically converted the a t-bar into a “jackhammer” designed to drive it’s head into the muscle.

The idea of combining vibration and conventional massage is an excellent marketing gimmick, but the reality is that they deliver far less therapeutic vibrations than a genuine vibration massager, while driving the head into the muscle has no proven benefit and is potentially very harmful. Colleagues tell me that they have seen lots of damage caused by massage guns, and there is even a report in a scientific journal of a person who nearly died from injuries received trying to help her muscles recover after cycling (2)⁠. For more information please see our article  Are massage guns effective- beyond the hype .

Journal: damper attachment used
From journal article: scientists used special damper attachment to stop the head penetrating and increase vibration (1)

What science says about massage guns

Marketers use the results of clinical trials of vibration to support the use of their machines, but as you have seen they deliver far less therapeutic vibration than a genuine vibration massager. There have been trials of “percussion” massagers but what the scientists do is use special damper heads that spread out the contact to increase the vibration transfer, and stop the head punching into the muscles like a jackhammer. What they effectively did is modify their machines so they were more like vibration massagers so they would get better results in the trials and not hurt people, but for marketing purposes the title of the report says “percussion”. For more information please see or article on the lack of science of massage guns.

Putting together an effective warm-up routine

For your easy reference we have summarised the benefits of each warm-up activity in a table below. We see articles and videos with titles such as “The five best warmup exercises”, but clearly to get the most benefits you need a routine that combines the benefits of different activities and that is tailored to the sport and exercise you are about to do. Here are some general guidelines.

Standard disclaimer: this is not specific advice, just general information to be discussed with your own health care professional.

Dynamic warm up

Dynamic warm ups have very positive benefits. It is important to chose the exercises that incorporate or mimic the activity you will be doing. The basic principle is to start slowly and increase intensity. You should aim to put your joints and muscles as realistically as possible though what they will be doing, without wasting undue energy or causing fatigue.

Vibration massage

Vibration massage (not massage guns) also has excellent benefits. Time is important so the best solution would be to a professional standard machine like our Ultimate Quad Head Massager that is capable of massaging a larger area at once. A good routine would be to apply 30-60 seconds to each of the major muscle groups you will be using.

Conventional massage

Conventional massage will be worthwhile, but not be the best use of your time. While it has some benefits it takes longer and they are not as great as those of a dynamic warm up or vibration.

Stretching exercises

Stretching exercises do help lengthen your muscles, but if you overdo it they will reduce performance and increase your risk of joint injuries. If you do stretch limit the stretch to normal movements of your joints.

Foam rollers

Clinical trials show practically no benefits from using foam rollers, while non professionally supervised real world usage is likely to produces even worse. These are not recommended.

Massage guns (percussion massagers)

As discussed above percussion massagers are an attempt to combine vibration massage and conventional massage. The reality is that they deliver far less therapeutic vibration without any redeeming compensation. The massage gun marketing material will tell you how beneficial vibration is, so just get a proper vibration massager. For more info please see How to choose a massager

Summary of scientifically proven benefits of the various warm-up options

NOTE: You may need to scroll the table below left/right for more information

Warm-up option

Increase flexibility

Increase performance

Reduce post exercise soreness

Conventional massage

Yes

No

Maybe

Vibration massage

Yes

Yes

Yes

Foam rollers

Lasts less than 10 minutes

No

Unknown

Conventional stretches

Yes

Decrease

Unknown

Dynamic warm-ups

Yes

Yes

Unknown

Massage guns

Likely minimal *

Likely minimal *

Likely none *

Professional at desk

DrGraeme massagers were originally built by Dr Graeme for use in his clinic, and to prescribe to his patients for additional self use at home. Now these are used by colleagues and other professionals for similar purposes. If you are a professional and wish to know more about this therapy, or possibly get a sample massager to trial please check out our practitioner page.

References

  1. Small K, Mc Naughton L, Matthews M. A systematic review into the efficacy of static stretching as part of a warm-up for the prevention of exercise-related injury. Res Sport Med. 2008;16(3):213–31.
  2. Weerapong P, Hume PA, Kolt GS. Stretching: Mechanisms and Benefits for Sport Performance and Injury Prevention. Phys Ther Rev. 2004;9(4):189–206.
  3. Fuller JT, Thomson RL, Howe PRC, Buckley JD. Effect of vibration on muscle perfusion: A systematic review. Clin Physiol Funct Imaging. 2013;33(1):1–10.
  4. Maloney-Hinds C, Petrofsky JS, Zimmerman G. The effect of 30 Hz vs. 50 Hz passive vibration and duration of vibration on skin blood flow in the arm. Med Sci Monit. 2008;14(3):CR112-6.
  5. Nakagami G, Sanada H, Matsui N, Kitagawa A, Yokogawa H, Sekiya N, et al. Effect of vibration on skin blood flow in an in vivo microcirculatory model. Biosci Trends. 2007;1(3):161–6.
  6. Gasibat Q, Suwehli W. Determining the Benefits of Massage Mechanisms: A Review of Literature. Artic J Rehabil Sci. 2017;2(3):58–67.
  7. Davis HL, Alabed S, Chico TJA. Effect of sports massage on performance and recovery: a systematic review and meta-analysis. BMJ Open Sport Exerc Med. 2020;6(1):e000614.
  8. Imtiyaz S, Veqar Z, Shareef MY. To compare the effect of vibration therapy and massage in prevention of delayed onset muscle soreness (DOMS). J Clin Diagnostic Res. 2014;
  9. Naderi A, Aminian-Far A, Gholami F, Mousavi SH, Saghari M, Howatson G. Massage enhances recovery following exercise-induced muscle damage in older adults. Scand J Med Sci Sport. 2021;31(3):623–32.
  10. Dupuy O, Douzi W, Theurot D, Bosquet L, Dugué B. An Evidence-Based Approach for Choosing Post-exercise Recovery Techniques to Reduce Markers of Muscle Damage, Soreness, Fatigue, and Inflammation: A Systematic Review With Meta-Analysis. Front Physiol. 2018;9(APR):1–15.
  11. Bishop PA, Jones E, Woods AK. Recovery from training: A brief review. Journal of Strength and Conditioning Research. 2008.
  12. Ntshangase S, Peters-Futre E. The efficacy of manual versus local vibratory massage in promoting recovery from post-exercise muscle damage – A systematic review. J Sci Med Sport. 2017;20(February):e42.
  13. Kurt C. Alternative to traditional stretching methods for flexibility enhancement in well-trained combat athletes: Local vibration versus whole-body vibration. Biol Sport. 2015;32(3):225–33.
  14. Alghadir AH, Anwer S, Zafar H, Iqbal ZA. Effect of localised vibration on muscle strength in healthy adults: a systematic review. Physiother (United Kingdom). 2018;104(1):18–24.
  15. Pamukoff DN, Ryan ED, Troy Blackburn J. The acute effects of local muscle vibration frequency on peak torque, rate of torque development, and EMG activity. Vol. 24, Journal of Electromyography and Kinesiology. 2014. p. 888–94.
  16. Otadi K et. a. A prophylactic effect of local vibration on quadriceps muscle fatigue in non-athletic males : a randomized controlled trial study. J Phys Ther Sci. 2019;31:223–6.
  17. Aminianfar A et. al. Comparison of the local and whole body vibration on preventation and treatment of delay-onset muscle soreness: A randomized clinical trial. Koomesh. 2019;21(4):650–5.
  18. Beardsley C, Skarabot J. Effects of self-myofascial release : A systematic review. J Bodyw Mov Ther. 2015;
  19. Schroeder AN, Best TM. Is self myofascial release an effective preexercise and recovery strategy? A literature review. Curr Sports Med Rep. 2015;14(3):200–8. Acute effect of foam rolling and dynamic stretching on flexibility and jump height. J Strength Cond Res. 2018;32(8):2209–15.
  20. Mauntel TC, Clark MA, Padua DA. Effectiveness of Myofascial Release Therapies on Physical Performance Measurements: A Systematic Review . Athl Train Sport Heal Care. 2014;6(4):189–96.
  21. Phillips J, Diggin D, King DL, Sforzo GA. Effect of Varying Self-myofascial Release Duration on Subsequent Athletic Performance. J strength Cond Res. 2021;35(3):746–53.
  22. Kalichman, L. and David C. Effect of self-myofascial release on myofascial pain, muscle flexibility, and strength: A narrative review. J Bodyw Mov Ther. 2017;21(2):446–51.
  23. Fama B, Bueti D. The acute effect of self-myofascial release on lower extremity plyometric performance. Masters Thesis . 2011;1–42.
  24. Medeiros DM, Martini TF. Chronic effect of different types of stretching on ankle dorsiflexion range of motion: Systematic review and meta-analysis. Foot.). 2018;34(June 2017):28–35.
  25. Aguilar AJ, DiStefano LJ, Brown CN, Herman DC, Guskiewicz KM, Padua DA. A dynamic warm-up model increases quadriceps strength and hamstring flexibility. J Strength Cond Res. 2012;26(4):1130–41.
  26. Frant TL, Rui MD. Effects of dynamic warm-up on lower body explosiveness among collegiate baseball players. J Strength Cond Res. 2011;25(11):2985–90.

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Dr Graeme

About Dr Graeme

Several years ago Dr Graeme, a Chiropractor practicing in Victoria, Australia was looking for a serious hand held massager his patients could use at home to get the extra quality massage they needed. The ones he found in the shops and on-line for home use looked nice but were not serious, and... read more



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