title: Effect of manual lymph drainage on the course of serum levels of muscle enzymes after treadmill exercise.
abstract: OBJECTIVE
  Improving muscular recovery after exercise is an important topic in sports medicine. The aim of the present study was to evaluate the effect of manual lymph drainage on the course of serum levels of muscle enzymes after an extended treadmill exercise.
  
  
  METHODS
  Fourteen recreational athletes (seven women, seven men) were included in the study. The participants underwent a graded exercise test on a treadmill ergometer to determine the individual anaerobic threshold (IAT). Seven days after the graded exercise test, all subjects performed 30 mins of treadmill exercise at an intensity equivalent to IAT. The subjects were randomized into two groups of seven persons. One group was treated with manual lymph drainage (ML), whereas the control group (CG) received no treatment after the endurance exercise at IAT level.
  
  
  RESULTS
  After an increase immediately after exercise, a fast decrease in lactate dehydrogenase (LDH) and in aspartate aminotransferase (AST) concentration was observed, with significantly lower values for LDH after 48 hrs in the subjects having received lymph drainage treatment. The course of creatine kinase (CK) levels was comparable, but did not reach significance.
  
  
  CONCLUSIONS
  Manual lymph drainage after treadmill exercise was associated with a faster decrease in serum levels of muscle enzymes. This may indicate improved regenerative processes related to structural damage of muscle cell integrity.
authors.affiliation: Centre for Internal Medicine, Department of Preventive and Rehabilitative Sports Medicine and the Centre for Physiotherapy, University of Freiburg, Hugstetterstrasse 55, D-79106 Freiburg, Germany.
authors.forename: Andy
authors.initials: A
authors.lastname: Schillinger
authors.forename: Daniel
authors.initials: D
authors.lastname: Koenig
authors.forename: Christian
authors.initials: C
authors.lastname: Haefele
authors.forename: Stefan
authors.initials: S
authors.lastname: Vogt
authors.forename: Lothar
authors.initials: L
authors.lastname: Heinrich
authors.forename: Andreas
authors.initials: A
authors.lastname: Aust
authors.forename: Heinz
authors.initials: H
authors.lastname: Birnesser
authors.forename: Andreas
authors.initials: A
authors.lastname: Schmid
mesh_terms: D000328:Adult; D015308:Anaerobic Threshold / Q000502:physiology*; D001219:Aspartate Aminotransferases / Q000097:blood*; D003402:Creatine Kinase / Q000097:blood*; D004322:Drainage; D005080:Exercise Test; D005260:Female; D006801:Humans; D007770:L-Lactate Dehydrogenase / Q000097:blood*; D008198:Lymph Nodes; D008297:Male; D018482:Muscle, Skeletal / Q000502:physiology; D020127:Recovery of Function / Q000502:physiology
chemical_list: D007770:L-Lactate Dehydrogenase; D001219:Aspartate Aminotransferases; D003402:Creatine Kinase