Effects of Pneumatic Compression and Manual Massage on Recovery and Performance in Elite Brazilian Under-20 Soccer Players: A Crossover Trial.

Introduction: Acute neuromuscular fatigue impairs athletic performance and increases the risk of musculoskeletal injury. Recovery strategies such as manual massage (MM) and intermittent pneumatic compression (IPC) have been proposed to mitigate these effects, although their efficacy in elite youth soccer remains under debate. Objective: To compare the acute effects of MM and IPC on muscle damage recovery, lower limb strength, and power in Brazilian Under-20 soccer athletes. Methods: A randomized crossover study was conducted with twenty male youth athletes (18.65 ± 0.67 years) from the under-20 category of Paysandu Sport Club-Brazil. Each athlete underwent both MM and IPC interventions, separated by a seven-day washout. Variables assessed included serum creatine kinase (CK), quadricep and hamstring isometric voluntary contraction (IVC), and vertical jump (VJ). Results: MM resulted in a CK reduction of Δ = -77.1 U/L (p = 0.042; d = 0.37), indicating a moderate effect size, while IPC induced a larger reduction of Δ = -138.0 U/L (p = 0.160; d = 1.41), with a very large effect size despite the lack of statistical significance. Neither intervention produced significant changes in quadricep or hamstring IVC, nor in VJ height (p > 0.05). Conclusions: Both MM (statistical difference) and IPC (clinical difference) were viable recovery strategies for attenuating acute serum CK without impairing neuromuscular performance in elite under-20 soccer players.