Introduction: Chronic repetitive loads during physical activity have been proven to increase the likelihood of exercise-induced muscle damage. Recovery after high-energy exercise is primarily aimed at alleviating pain and restoring impaired muscle function. Numerous approaches to accelerating this process have emerged in the literature, with intermittent pneumatic compression therapy recently gaining prominence as an effective method. Purpose: The purpose of this literature review is to analyze the effects of intermittent pneumatic compression therapy on muscle performance and fatigue. Methods: A literature review was performed in the PubMed database, from 2012 to 2025 in English, using the keywords: »intermittent pneumatic compression« and »muscle recovery«, and on the international open-access platform SciTechnol. Results: Six randomized controlled trials that met the inclusion and exclusion criteria were included in the analysis. The results of the literature review have indicated that intermittent pneumatic compression therapy may have positive effects on reducing blood lactate concentration after anaerobic exercise. Regarding subjectively perceived pain, the findings are mixed; some authors report a significant reduction in pain, while others did not detect such differences. On the other hand, the method did not affect biochemical markers of muscle damage, muscle strength or muscle performance in the first 24 to 72 hours post-exercise. Positive effects on muscle performance were only observed in tensiomyographic measurements. Discussion and conclusion: The effects of intermittent pneumatic compression therapy on recovery are heterogeneous, which can be explained by differences in participants' training status, sex, and variations in exercise and therapy protocols. The results suggest that intermittent pneumatic compression therapy after exercise may contribute to alleviating subjective ratings of muscle fatigue and pain and accelerate blood lactate clearance, but it does not prevent muscle damage or improve muscle performance. Based on the literature review, it can be concluded that the use of intermittent pneumatic compression therapy after exercise as a supplementary method may have positive effects on the individual. However, further research with standardized protocols and larger samples is needed to obtain more precise guidelines and a better understanding of its effects.
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