目的：探討下坡跑運動時及下坡跑運動後穿著壓縮腿套對運動後誘發肌肉損傷及動脈硬化指標-踝臂脈波傳導速率 (baPWV) 的影響。方法：以24名無規律運動習慣之男性，並隨機分配至實驗一：運動中穿著壓縮腿套實驗，與實驗二：運動後穿著壓縮腿套24小時實驗，並以穿著壓縮腿套腳為試驗腳，另一腳為控制腳。所有受試者於前測後，依實驗處理進行70 %保留心跳率 (70 %HRR) 強度之30分鐘下坡跑運動 (-10度)，並於下坡跑運動後24小時進行後測，檢測項目包含：肌酸激酶 (CK)、酸痛指數、主動關節活動度 (AROM)、肌肉腫脹圍 (MSC)、最大自主等長收縮力量 (MVIC)、50%最大自主等長收縮力量-酸痛指數 (50%MVIC-酸痛指數)、股直肌厚度及baPWV。結果：實驗一：1.下坡跑運動後24小時之CK值顯著高於前測 (p < .05)，且試驗腳與控制腳的50%MVIC-酸痛指數無顯著差異 (p > .05)；2.酸痛指數、AROM、MSC、MVIC、股直肌厚度及baPWV等之交互作用未達顯著，主要效果部分僅時間因子達顯著差異 (p < .05)；實驗二：1.下坡跑運動後24小時之CK值顯著高於前測 (p < .05)，且試驗腳與控制腳的50%MVIC-酸痛指數無顯著差異 (p > .05)；2.酸痛指數、AROM、MSC、MVIC及股直肌厚度在運動前、運動後24小時 (穿著量測，不含MSC、MVIC及股直肌厚度) 及運動後24.5小時 (未穿著量測) 之交互作用未達顯著，主要效果部分也僅時間因子達顯著差異 (p < .05)；3.baPWV的交互作用達顯著，運動後24小時試驗腳穿著壓縮腿套進行量測時之baPWV顯著低於控制腳 (p < .05)。結論：運動中或運動後穿著壓縮腿套並無法減緩下坡跑運動所引起的肌肉損傷及隨後的延遲性肌肉酸痛症狀，但可減輕運動後所引起的短暫動脈硬化之現象。

Objective: To explore the effects of wearing lower-body compression garments on post-exercise induced muscle damage and the arterial stiffness index/brachial-ankle pulse wave velocity (baPWV) during and after downhill running. Methods: Twenty-four male participants without a regular habit of exercising were enrolled in this study and were randomly allocated to either Experiment One: wearing compression garments during exercise or Experiment Two: wearing compression garments for 24 hours (24 h) after exercise. After administering pre-tests to all participants, they were required to carry out 30 minutes of downhill running (−10 degrees) at an intensity of 70% heart rate reserve (70% HRR), followed by post-tests at 24 h after exercise. The test items included: creatine kinase (CK), muscle soreness index, active range of motion (AROM), muscle swelling circumference, maximum voluntary isometric contraction (MVIC), 50% maximum voluntary isometric contraction-soreness index (50% MVIC-soreness index), thickness of the rectus femoris muscle, and baPWV. Results: Experiment 1: 1. Twenty-four hours after downhill running exercise, the CK values were significantly higher than those before exercise (p < 0.05) and there were no significant differences (p > 0.05) in 50% MVIC-soreness index between the experimental and control legs. 2. The interaction between soreness index, AROM, MSC, MVIC, rectus muscle thickness, and baPWV did not reach statistical significance and out of the main results, only the time factor reached statistical significance (p < 0.05). Experiment 2: 1. Twenty-four hours after downhill running exercise, the CK values were significantly higher than those before exercise (p < 0.05) and there were no significant differences (p > 0.05) in 50% MVIC-soreness index between the experimental and control legs. 2. The interaction between soreness index, AROM, MSC, MVIC, and rectus muscle thickness before exercise, 24 hours after exercise (compression garments were wear but this did not include muscle swelling circumference, MVIC, and rectus muscle thickness), and 24.5 hours after exercise (compression garments not wear) did not reach statistical significance. Among the main effects, only the time factor reached statistical significance (p < 0.05). 3. baPWV interactions reached statistical significance. baPWV at 24 hours after exercise with compression garments on the experimental legs was significantly lower than that in control legs (p < 0 .05). Conclusion: Wearing lower-body compression garments during or after exercise could not alleviate the muscle damage induced by downhill running or the subsequent occurrence of delayed onset muscle soreness, but could reduce the risk of transient arterial stiffness.

Ali, A., Caine, M. P., & Snow, B. G. (2007). Graduated compression stockings: physiological and perceptual responses during and after exercise. Journal of Sports Sciences, 25(4), 413-419.
Ali, A., Creasy, R. H., & Edge, J. A. (2010). Physiological effects of wearing graduated compression stockings during running. European Journal of Applied Physiology, 109(6), 1017-1025.
Ali, A., Creasy, R. H., & Edge, J. A. (2011). The effect of graduated compression stockings on running performance. The Journal of Strength and Conditioning Research, 25(5), 1385-1392.
Barnes, J. N., Trombold, J. R., Dhindsa, M., Lin, H. F., & Tanaka, H. (2010). Arterial stiffening following eccentric exercise-induced muscle damage. Journal of Applied Physiology, 109(4), 1102-1108.
Barnes, P. M., & Schoenborn, C. A. (2012). Trends in adults receiving a recommendation for exercise or other physical activity from a physician or other health professional. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.
Beliard, S., Chauveau, M., Moscatiello, T., Cros, F., Ecarnot, F., & Becker, F. (2015). Compression garments and exercise: no influence of pressure applied. Journal of Sports Science and Medicine, 14(1), 75-83.
Blacher, J., Asmar, R., Djane, S., London, G. M., & Safar, M. E. (1999). Aortic pulse wave velocity as a marker of cardiovascular risk in hypertensive patients. Hypertension, 33(5), 1111-1117.
Brennan, M. J., & Miller, L. T. (1998). Overview of treatment options and review of the current role and use of compression garments, intermittent pumps, and exercise in the management of lymphedema. Cancer, 83(12), 2821-2827.
Bringard, A., Perrey, S., & Belluye, N. (2006). Aerobic energy cost and sensation responses during submaximal running exercise–positive effects of wearing compression tights. International Journal of Sports Medicine, 27(5), 373-378.
Chatard, J. C., Atlaoui, D., Farjanel, J., Louisy, F., Rastel, D., & Guezennec, C. Y. (2004). Elastic stockings, performance and leg pain recovery in 63-year-old sportsmen. European Journal of Applied Physiology, 93(3), 347-352.
Chae, Y. M., & Park, J. K. (2009). The relationship between brachial ankle pulse wave velocity and complement 1 inhibitor. Journal of Korean Medical Science, 24(5), 831-836.
Cheung, K., Hume, P. A., & Maxwell, L. (2003). Delayed onset muscle soreness. Sports Medicine, 33(2), 145-164.
Choi, Y., Maeda, S., Otsuki, T., Miyaki, A., Shimojo, N., Yoshizawa, M., ... & Ajisaka, R. (2010). Oxidative stress and arterial stiffness in strength-and endurance-trained athletes. Artery Research, 4(2), 52-58.
Choo, J., Shin, C., Barinas-Mitchell, E., Masaki, K., Willcox, B. J., Seto, T. B., ... & Mackey, R. H. (2014). Regional pulse wave velocities and their cardiovascular risk factors among healthy middle-aged men: a cross-sectional population-based study. BMC Cardiovascular Disorders, 14(1), 1-8.
Connolly, D. A., Sayers, S. E., & McHugh, M. P. (2003). Treatment and prevention of delayed onset muscle soreness. The Journal of Strength and Conditioning Research, 17(1), 197-208.
de Glanville, K. M., & Hamlin, M. J. (2012). Positive effect of lower body compression garments on subsequent 40-km cycling time trial performance. The Journal of Strength and Conditioning Research, 26(2), 480-486.
Driller, M. W., & Halson, S. L. (2013). The effects of wearing lower body compression garments during a cycling performance test. The International Journal of Sports Physiology and Performance, 8(3), 300-306.
Duffield, R., Cannon, J., & King, M. (2010). The effects of compression garments on recovery of muscle performance following high-intensity sprint and plyometric exercise. Journal of Science and Medicine in Sport, 13(1), 136-140.
Ferreira, I., Henry, R. M., Twisk, J. W., van Mechelen, W., Kemper, H. C., & Stehouwer, C. D. (2005). The metabolic syndrome, cardiopulmonary fitness, and subcutaneous trunk fat as independent determinants of arterial stiffness: the Amsterdam Growth and Health Longitudinal Study. Archives of Internal Medicine, 165(8), 875-882.
Frimpong, E., Antwi, D. A., Asare, G., Antwi-Boasiako, C., & Dzudzor, B. (2013). Effects of acute eccentric exercise stimulus on muscle injury and adaptation. Journal Exercise Physiology Online. 16(6), 18-30.
Giele, H. P., Liddiard, K., Currie, K., & Wood, F. M. (1997). Direct measurement of cutaneous pressures generated by pressure garments. Burns, 23(2), 137-141.
Goh, S. S., Laursen, P. B., Dascombe, B., & Nosaka, K. (2011). Effect of lower body compression garments on submaximal and maximal running performance in cold (10 C) and hot (32 C) environments. European Journal of Applied Physiology, 111(5), 819-826.
Hamlin, M. J., Mitchell, C. J., Ward, F. D., Draper, N., Shearman, J. P., & Kimber, N. E. (2012). Effect of compression garments on short-term recovery of repeated sprint and 3-km running performance in rugby union players. The Journal of Strength and Conditioning Research, 26(11), 2975-2982.
Hayashi, K., Sugawara, J., Komine, H., Maeda, S., & Yokoi, T. (2005). Effects of aerobic exercise training on the stiffness of central and peripheral arteries in middle-aged sedentary men. The Japanese Journal of Physiology, 55(4), 235-239.
Heffernan, K. S., Jae, S. Y., Echols, G. H., Lepine, N. R., & Fernhall, B. (2007). Arterial stiffness and wave reflection following exercise in resistance-trained men. Medicine and Science in Sports and Exercise, 39(5), 842-848.
Herzog, J. A. (1993). Deep vein thrombosis in the rehabilitation client: diagnostic tools, prevention, and treatment modalities. Rehabilitation Nursing, 18(1), 8-11.
Hill, D. W., & Richardson, J. D. (1989). Effectiveness of 10% Trolamine Salicylate Cream on Muscular Soreness Induced by a Reproducible Program of Weight Training. Journal of Orthopaedic and Sports Physical Therapy, 11(1), 19-23.
Hill, J. A., Howatson, G., Van Someren, K. A., Walshe, I., & Pedlar, C. R. (2014). Influence of compression garments on recovery after marathon running. The Journal of Strength and Conditioning Research, 28(8), 2228-2235.
Hill, J., Howatson, G., Van Someren, K., Leeder, J., & Pedlar, C. (2014). Compression garments and recovery from exercise-induced muscle damage: a meta-analysis. British Journal of Sports Medicine, 48(18), 1340-1346.
Howatson, G., Van Someren, K., & Hortobagyi, T. (2007). Repeated bout effect after maximal eccentric exercise. International Journal of Sports Medicine, 28(7), 557-563.
Howatson, G., & Van Someren, K. A. (2008). The prevention and treatment of exercise-induced muscle damage. Sports Medicine, 38(6), 483-503.
Jakeman, J. R., Byrne, C., & Eston, R. G. (2010). Efficacy of lower limb compression and combined treatment of manual massage and lower limb compression on symptoms of exercise-induced muscle damage in women. The Journal of Strength and Conditioning Research, 24(11), 3157-3165.
Kraemer, W. J., Flanagan, S. D., Comstock, B. A., Fragala, M. S., Earp, J. E., Dunn-Lewis, C., ... & Powell, M. D. (2010). Effects of a whole body compression garment on markers of recovery after a heavy resistance workout in men and women. The Journal of Strength & Conditioning Research, 24(3), 804-814.
Laurent, P., Marenco, P., Castagna, O., Smulyan, H., Blacher, J., & Safar, M. E. (2011). Differences in central systolic blood pressure and aortic stiffness between aerobically trained and sedentary individuals. Journal of the American Society of Hypertension, 5(2), 85-93.
Lee, Y. S., Bae, S. H., Hwang, J. A., & Kim, K. Y. (2015). The effects of kinesio taping on architecture, strength and pain of muscles in delayed onset muscle soreness of biceps brachii. Journal of Physical Therapy Science, 27(2), 457-459.
Lemos, M. M., Jancikic, A. D., Sanches, F. M., Christofalo, D. M., Ajzen, S. A., Miname, M. H., ... & Canziani, M. E. F. (2007). Pulse wave velocity—a useful tool for cardiovascular surveillance in pre-dialysis patients. Nephrology Dialysis Transplantation, 22(12), 3527-3532.
MacRae, M. B. A., Cotter, J. D., & Laing, R. M. (2011). Compression garments and exercise. Sports Medicine, 41(10), 815-843.
Maridakis, V., O’Connor, P. J., Dudley, G. A., & McCully, K. K. (2007). Caffeine attenuates delayed-onset muscle pain and force loss following eccentric exercise. The Journal of Pain, 8(3), 237-243.
Moreau, K. L., Donato, A. J., Seals, D. R., DeSouza, C. A., & Tanaka, H. (2003). Regular exercise, hormone replacement therapy and the age-related decline in carotid arterial compliance in healthy women. Cardiovascular Research, 57(3), 861-868.
Nagasaki, T., Yamada, S., Wakita, Y., Imanishi, Y., Nagata, Y., Okamoto, K., ... & Inaba, M. (2011). Clinical utility of heart-carotid pulse wave velocity in healthy Japanese subjects. Biomedicine & Aging Pathology, 1(2), 107-111.
Nikolaidis, M. G., Jamurtas, A. Z., Paschalis, V., Fatouros, I. G., Koutedakis, Y., & Kouretas, D. (2008). The effect of muscle-damaging exercise on blood and skeletal muscle oxidative stress. Sports Medicine, 38(7), 579-606.
Nogueira, W., Gentil, P., Mello, S. N. M., Oliveira, R. J., Bezerra, A. J. C., & Bottaro, M. (2009). Effects of power training on muscle thickness of older men. International Journal of Sports Medicine, 30(3), 200-204.
Otsuki, T., Maeda, S., Iemitsu, M., Saito, Y., Tanimura, Y., Ajisaka, R., ... & Miyauchi, T. (2006). Effects of athletic strength and endurance exercise training in young humans on plasma endothelin-1 concentration and arterial distensibility. Experimental Biology and Medicine, 231(6), 789-793.
Otsuki, T., Maeda, S., Iemitsu, M., Saito, Y., Tanimura, Y., Ajisaka, R., & Miyauchi, T. (2007). Vascular endothelium-derived factors and arterial stiffness in strength-and endurance-trained men. American Journal of Physiology-Heart and Circulatory Physiology, 292(2), H786-H791.
Pruscino, C. L., Halson, S., & Hargreaves, M. (2013). Effects of compression garments on recovery following intermittent exercise. European Journal of Applied Physiology, 113(6), 1585-1596.
Ravier, G., Bouzigon, R., Beliard, S., Tordi, N., & Grappe, F. (2016). Benefits Of Compression Garments Worn During Handball-Specific Circuit On Short-Term Fatigue In Professional Players. Journal of Strength and Conditioning Research, 1-9.
Reed, K. E., White, A. L., Logothetis, S., McManus, C. J., & Sandercock, G. R. (2016). The effects of lower-body compression garments on walking performance and perceived exertion in adults with CVD risk factors. Journal of Science and Medicine in Sport, http://dx.doi.org/10.1016/j.jsams.2016.09.005.
Scanlan, A. T., Dascombe, B. J., Reaburn, P. R., & Osborne, M. (2008). The effects of wearing lower-body compression garments during endurance cycling. International Journal Sports Physiology Performance, 3(4), 424-438.
Sperlich, B., Haegele, M., Krüger, M., Schiffer, T., Holmberg, H. C., & Mester, J. (2011). Cardio-respiratory and metabolic responses to different levels of compression during submaximal exercise. Phlebology, 26(3), 102-106
Sperlich, B., Born, D. P., Swarén, M., Kilian, Y., Geesmann, B., Kohl-Bareis, M., & Holmberg, H. C. (2013a). Is leg compression beneficial for alpine skiers? BMC Sports Science, Medicine and Rehabilitation, 5(1), 1-12.
Sperlich, B., Born, D. P., Kaskinoro, K., Kalliokoski, K. K., & Laaksonen, M. S. (2013b). Squeezing the muscle: compression clothing and muscle metabolism during recovery from high intensity exercise. PloS One, 8(4), e60923.
Tanaka, H., DeSouza, C. A., & Seals, D. R. (1998). Absence of age-related increase in central arterial stiffness in physically active women. Arteriosclerosis, Thrombosis, and Vascular Biology, 18(1), 127-132
Tanaka, H., Munakata, M., Kawano, Y., Ohishi, M., Shoji, T., Sugawara, J., ... & Ozawa, T. (2009). Comparison between carotid-femoral and brachial-ankle pulse wave velocity as measures of arterial stiffness. Journal of Hypertension, 27(10), 2022-2027.
Tiidus, P. M. (2005). Can oestrogen influence skeletal muscle damage, inflammation, and repair?. British Journal of Sports Medicine, 39(5), 251-253.
Tomiyama, H., Yamashina, A., Arai, T., Hirose, K., Koji, Y., Chikamori, T., ... & Hinohara, S. (2003). Influences of age and gender on results of noninvasive brachial–ankle pulse wave velocity measurement—a survey of 12 517 subjects. Atherosclerosis, 166(2), 303-309.
Totsuka, M., Nakaji, S., Suzuki, K., Sugawara, K., & Sato, K. (2002). Break point of serum creatine kinase release after endurance exercise. Journal of Applied Physiology, 93(4), 1280-1286.
Trenell, M. I., Rooney, K. B., Sue, C. M., & Thompson, C. H. (2006). Compression garments and recovery from eccentric exercise: a 31P-MRS Study. Journal of Sports Science and Medicine, 5(1), 106-114.
Valle, X., Til, L., Drobnic, F., Turmo, A., Montoro, J. B., Valero, O., & Artells, R. (2013). Compression garments to prevent delayed onset muscle soreness in soccer players. Muscles, Ligaments and Tendons Journal, 3(4), 295-302.
Williams, F., Knapp, D., & Wallen, M. (1998). Comparison of the characteristics and features of pressure garments used in the management of burn scars. Burns, 24(4), 329-335.
Yamashina, A., Tomiyama, H., Arai, T., Hirose, K. I., Koji, Y., Hirayama, Y., ... & Hori, S. (2003). Brachial-ankle pulse wave velocity as a marker of atherosclerotic vascular damage and cardiovascular risk. Hypertension Research, 26(8), 615-622.