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Background <p>Percussive therapy (PT) is widely used by both the general public and professional athletes. However, research on its application parameters and effects remains variable and fragmented.</p> Aims <p>This rapid scoping review (ScR) aimed to summarize how PT has been applied in the literature, synthesize its reported effects on key outcomes, and identify evidence gaps, particularly regarding longer-term effects and safety.</p> Methods <p>A search was conducted using PubMed, CENTRAL, CINAHL, and PEDro databases, up to April 2025, in accordance with the JBI guidance.</p> Results <p>PT was most consistently associated with short-term improvements in range of motion (ROM), flexibility, and pain. Only four studies examined outcomes beyond the immediate post-treatment period. Findings for muscle strength were inconsistent; maximal voluntary contraction (MVC) generally remained unchanged, although two studies reported context-dependent improvements. Outcomes related to performance, fatigue, and recovery were heterogeneous and appeared to be influenced by variability in treatment timing and parameter selection. Intervention protocols also varied; however, many studies used 5-min sessions at 53&#xa0;Hz with a 16&#xa0;mm amplitude and a ball-shaped head. Adverse events were rare but clinically relevant, typically arising from excessive or unsupervised use or application in anatomically vulnerable regions.</p> Conclusions <p>PT may be associated with short-term improvements in ROM, flexibility, and pain, but its long-term effectiveness remains unclear. Future research should prioritize protocol standardization and investigation of longer-term outcomes. In the interim, as precautionary practical considerations, conservative, spaced application, avoidance of vulnerable regions, and limiting prolonged continuous use may be prudent.</p>

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Usage characteristics of percussive therapy: a rapid scoping review

  • 期刊论文

  • 发表日期：

    2026年3月8日

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  • Yuichi Isaji,
  • Hideaki Muraoka,
  • Kohei Okuyama,
  • Taizan Fukaya,
  • Masatoshi Nakamura

摘要

Background

Percussive therapy (PT) is widely used by both the general public and professional athletes. However, research on its application parameters and effects remains variable and fragmented.

Aims

This rapid scoping review (ScR) aimed to summarize how PT has been applied in the literature, synthesize its reported effects on key outcomes, and identify evidence gaps, particularly regarding longer-term effects and safety.

Methods

A search was conducted using PubMed, CENTRAL, CINAHL, and PEDro databases, up to April 2025, in accordance with the JBI guidance.

Results

PT was most consistently associated with short-term improvements in range of motion (ROM), flexibility, and pain. Only four studies examined outcomes beyond the immediate post-treatment period. Findings for muscle strength were inconsistent; maximal voluntary contraction (MVC) generally remained unchanged, although two studies reported context-dependent improvements. Outcomes related to performance, fatigue, and recovery were heterogeneous and appeared to be influenced by variability in treatment timing and parameter selection. Intervention protocols also varied; however, many studies used 5-min sessions at 53 Hz with a 16 mm amplitude and a ball-shaped head. Adverse events were rare but clinically relevant, typically arising from excessive or unsupervised use or application in anatomically vulnerable regions.

Conclusions

PT may be associated with short-term improvements in ROM, flexibility, and pain, but its long-term effectiveness remains unclear. Future research should prioritize protocol standardization and investigation of longer-term outcomes. In the interim, as precautionary practical considerations, conservative, spaced application, avoidance of vulnerable regions, and limiting prolonged continuous use may be prudent.