© 2003 BMJ Publishing Group Ltd. & British Association of Sport and Exercise Medicine
LEADER
Inflammatory response
The inflammatory response: friend or enemy for muscle injury?
Departments of Orthopedics and Rehabilitation and Family Medicine, University of Wisconsin, Madison, WI, USA
Correspondence to:
Correspondence to:
Dr Toumi, 501 North Henry Street (appart 812), Madison, WI 53703, USA;
htoumi@wisc.edu
Limiting certain aspects of inflammation may be a useful new treatment for sport related muscle injury
Keywords: inflammatory response; muscle; injury; neutrophils; ischaemia
| The first 150 words of the full text of this article appear below. |
Muscle injury can occur through diverse mechanisms such as mechanical injury, muscular dystrophies, infectious diseases, and biochemical toxicities. Several types of skeletal muscle injury fall into the broad category of sport and exercise induced muscle injury. When exercise involves eccentric muscular contractions, it is associated with overloading of the contractile elements and connective tissuesthat is, the force requirement of the muscle exceeds the habitual requirementsand can result in injury to skeletal muscle. It has traditionally been felt that the events following the initial injury, including inflammation, are necessary for optimal repair. The inflammatory response to eccentric exercise as well as stretch injury consist of neutrophilia, neutrophil activation, and the accumulation of neutrophils within the injured muscle as early as one to two hours. In this early inflammatory stage, cellular debris is removed by the infiltrating neutrophils and is followed by a regenerative response during which satellite cells proliferate
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