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==== Neuromuscular effects ==== Massage has been shown to reduce neuromuscular excitability by measuring changes in the [[Hoffman's reflex]] (H-reflex) amplitude.<ref>{{Cite journal |vauthors=Young JD, Spence AJ, Behm DG |date=April 2018 |title=Roller massage decreases spinal excitability to the soleus |url=http://research.library.mun.ca/12893/1/thesis.pdf |archive-url=https://web.archive.org/web/20180721072448/http://research.library.mun.ca/12893/1/thesis.pdf |archive-date=2018-07-21 |url-status=live |journal=Journal of Applied Physiology |volume=124 |issue=4 |pages=950β959 |doi=10.1152/japplphysiol.00732.2017 |pmid=29357488|doi-access=free }}</ref> A decrease in peak-to-peak H-reflex amplitude suggests a decrease in motoneuron excitability.<ref name="goldberg">{{Cite journal |vauthors=Goldberg J, Sullivan SJ, Seaborne DE |date=June 1992 |title=The effect of two intensities of massage on H-reflex amplitude |journal=Physical Therapy |volume=72 |issue=6 |pages=449β57 |doi=10.1093/ptj/72.6.449 |pmid=1589464 |doi-access=free}}</ref> Others explain, "H-reflex is considered to be the electrical analogue of the stretch reflex... and the reduction" is due to a decrease in spinal reflex excitability.<ref name="weerapong">{{Cite journal|last1=Weerapong|first1=Pornratshanee|last2=Hume|first2=Patria A.|author-link2=Patria Hume|last3=Kolt|first3=Gregory S.|year=2005|title=The Mechanisms of Massage and Effects on Performance, Muscle Recovery and Injury Prevention|journal=Sports Medicine|volume=35|issue=3|pages=235β256|doi=10.2165/00007256-200535030-00004|pmid=15730338|s2cid=44736682}}</ref> Field (2007) confirms that the inhibitory effects are due to deep tissue receptors and not superficial cutaneous receptors, as there was no decrease in H-reflex when looking at light fingertip pressure massage.<ref name="field">{{Cite journal |last1=Field |first1=Tiffany |last2=Diego |first2=Miguel |last3=Hernandez-Reif |first3=Maria |year=2007 |title=Massage therapy research |journal=Developmental Review |volume=27 |pages=75β89 |doi=10.1016/j.dr.2005.12.002}}</ref> It has been noted that "the receptors activated during massage are specific to the muscle being massaged," as other muscles did not produce a decrease in H-reflex amplitude.<ref name="goldberg" />
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