Muscle SorenessNCT07387276
"Recovery Techniques on Pain, Force and Muscle Oxygenation in Athletes: A Crossover Trial"
A study testing Extracorporeal Shockwave Therapy (ESWT), Massage Gun and TECAR Therapy in people with Muscle Soreness and Delayed Onset Muscle Soreness, run by Sierra Varona SL.
Trial summary
The goal of this clinical trial is to evaluate the impact of various passive post-exercise recovery techniques on professional athletes. The main questions it aims to answer are: Do passive recovery modalities significantly improve muscle oxygenation and tissue temperature immediately following high-intensity effort?… Read more about this study
- Who is it for?
- Ages 18 to 35 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Muscle Soreness, Delayed Onset Muscle Soreness, Athletic Injuries
- What is being tested?
- Extracorporeal Shockwave Therapy (ESWT), Massage Gun and TECAR Therapy
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- No sites listed yet
- Study dates
- 1 Jun 2026to 16 Aug 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 35 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Professional or Semi-professional athletes (specifically basketball players or endurance athletes) with a minimum of 2 years of competitive experience.
- Aged between 18 and 35 years.
- Healthy individuals with no current musculoskeletal injuries in the lower limbs.
- Regular training frequency of at least 4-5 sessions per week.
- Signed informed consent to participate in the study and follow the 6-week crossover protocol.
- Commitment to maintain similar nutritional and sleep habits throughout the duration of the study.
Who cannot join
- Presence of any acute or chronic injury in the gastrocnemius or Achilles tendon in the last 6 months.
- Contraindications for specific therapies:
- For Shockwave Therapy: Blood clotting disorders or use of anticoagulants.
- For TECAR/Diathermy: Metal implants in the lower limbs or pacemakers.
- For Cupping: Acute skin infections or dermatological hypersensitivity.
- Consumption of performance-enhancing drugs, anti-inflammatory medication (NSAIDs), or stimulants that could affect muscle oxygenation (SmO2) or pain perception.
- Recent surgery in the lower extremities (within the last year).
- Inability to complete the standardized fatigue protocol or attend all 6 intervention sessions.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: "Effects of Multiple Muscle Recovery Techniques on Pain, Force, Temperature, and Muscle Oxygenation in Professional Athletes: A Randomized Crossover Trial"
The goal of this clinical trial is to evaluate the impact of various passive post-exercise recovery techniques on professional athletes. The main questions it aims to answer are:
Do passive recovery modalities significantly improve muscle oxygenation and tissue temperature immediately following high-intensity effort?
Read more
Which specific technique is most effective in reducing perceived pain, measured by the pressure pain threshold, and restoring muscle strength?
Researchers will compare six different therapeutic interventions-Transfer of Energy Capacitive and Resistive therapy, manual massage, intermittent negative pressure therapy, extracorporeal shockwave therapy, percussion therapy, and pneumatic pressotherapy-to determine which provides a superior immediate physiological and functional recovery effect.
Participants will:
Perform a high-intensity physical effort designed to induce peripheral fatigue.
Be randomly assigned to receive one of the six recovery protocols.
Undergo objective measurements immediately after the intervention, including near-infrared spectroscopy to assess muscle oxygen saturation, tissue thermography, algometry, and dynamometry.
Read the detailed description
This project is designed as a randomized, double-blind (outcome assessor and statistician), crossover clinical trial. The study aims to address the critical need for evidence-based recovery strategies in high-demand sports such as basketball, where muscle overload is a primary risk factor for injury.The investigation will focus on the immediate physiological and functional effects of six widely utilized physiotherapy modalities:Capacitive and Resistive Energy Transfer (TECAR) Therapy: Utilized to improve tissue perfusion and modulate inflammatory responses through deep endogenous thermotherapy.Percussive Massage Therapy: Applied via mechanical vibration to reduce muscular stiffness and enhance explosive force restoration.Extracorporeal Shockwave Therapy (ESWT): Evaluated for its capacity to enhance muscular microcirculation and accelerate immediate tissue metabolic activity.Intermittent Pneumatic Compression (Pressotherapy): Targeted at reducing perceived pain and the sensation of limb heaviness through mechanical fluid drainage.Intermittent Negative Pressure Therapy (Vacuum Therapy): Investigated for its role in localized blood flow enhancement and pain modulation.Manual Sports Massage: Defined as the traditional manual intervention for reducing perceived muscle soreness and improving soft tissue flexibility.Physiological monitoring will be conducted using Near-Infrared Spectroscopy (NIRS) to measure muscle oxygen saturation ($SmO_2$) and total hemoglobin, providing direct data on muscle oxidative metabolism. Functional outcomes will be assessed through pressure pain thresholds (PPT) via algometry and maximal isometric strength via dynamometry to determine the effectiveness of each technique in restoring neuromuscular homeostasis.The study will be conducted at the Sierra Varona Physiotherapy Clinic (Toledo, Spain) between February and March 2026..
- Being tested
- Extracorporeal Shockwave Therapy (ESWT), Massage Gun, TECAR Therapy, Manual Massage, cupping
- Keywords
- muscle recovery, SmO2, tecartherapy, shockwave therapy, massage
- Medical subject headings
- Myalgia, Athletic Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Extracorporeal Shockwave Therapy (ESWT)Device
Application of acoustic pulses to the gastrocnemius muscle to modulate tissue mechanotransduction and improve local microcirculation.
Massage GunDevice
Mechanical vibration applied to the calf muscles to promote myofascial release and neuromuscular recovery through high-frequency percussion.
TECAR TherapyDevice
Application of high-frequency electromagnetic energy (diathermy) to the lower limb to induce deep endogenous heat and accelerate metabolic waste removal.
Manual MassageOther
Systematic manipulation of soft tissues using manual techniques (effleurage and petrissage) focused on reducing muscle tension and perceived soreness.
cuppingDevice
Controlled suction therapy applied to the gastrocnemius to create space between fascial layers and stimulate lymphatic and venous drainage.
PressotherapyDevice
External pneumatic compression through a sequential inflation system to facilitate venous return and reduce lower limb edema post-effort.
| Study group | Role | What they receive |
|---|---|---|
| Extracorporeal Shockwave Therapy (ESWT) | Experimental | Application of radial shockwave therapy using the Longest LGT-2500S device. A total of 2,000 pulses will be delivered to the gastrocnemius muscle (medial and lateral heads) at a pressure of 2.5 bar and a frequency of 10-15 Hz. The intervention aims to improve local microcirculation and reduce myofascial stiffness. Receives: Device: Extracorporeal Shockwave Therapy (ESWT) |
| Percussive Therapy - Massage Gun | Experimental | Application of percussive massage using the Hyperice Hypervolt 2 Pro device. The intervention will last 5-10 minutes and will be applied to the gastrocnemius muscle at a frequency of 50 Hz (Level 3), focusing on the muscle-tendon junction to enhance neuromuscular recovery. Receives: Device: Massage Gun |
| TECAR Therapy - | Experimental | Application of diathermy using the Fisiowarm 300 system (Golden Star, Italy). The treatment will be administered for 15 minutes using a combination of capacitive and resistive modes at a frequency of 500 kHz. Intensity will be set at a thermal level (Type III) to promote deep vasodilation and metabolic clearance in the calf muscles. Receives: Device: TECAR Therapy |
| Expert Manual Sports Massage | Experimental | A standardized sports massage session lasting 15-20 minutes will be performed by a senior physiotherapist with more than 20 years of experience in elite sports. The protocol will include deep effleurage, petrissage, and transverse friction techniques to alleviate muscle tension and improve blood flow in the gastrocnemius muscle. Receives: Other: Manual Massage |
| Intermittent Negative Pressure | Experimental | Application of intermittent negative pressure using the Physium System (multimodal vacuum therapy). The protocol consists of a 10-minute session applied to the gastrocnemius area to decompress tissue layers, enhance lymphatic drainage, and modulate mechanoreceptors to reduce pain. Receives: Device: cupping |
| Pressotherapy | Experimental | Application of pressotherapy using the Hermes Professional system. The treatment will last 20 minutes with a sequential six-chamber inflation cycle at a pressure of 70-80 mmHg, aiming to accelerate venous return and reduce post-exercise edema. Receives: Device: Pressotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Muscle Oxygen Saturation (SmO2)
Measured using Moxy Monitor (Near-Infrared Spectroscopy - NIRS). It evaluates the percentage of hemoglobin/myoglobin oxygenated in the gastrocnemius muscle.
Measured: immediately post-effort (fatigue), and immediately post-intervention (recovery).
Pressure Pain Threshold (PPT)
Measured using a digital pressure algometer. It quantifies the minimum pressure (in kg/cm²) at which a participant perceives the stimulus as painful in the gastrocnemius.
Measured: immediately post-effort (fatigue), and immediately post-intervention (recovery).
Maximum Isometric Muscle Strength
Measured using a handheld dynamometer. It evaluates the peak force (in Newtons) during a maximum voluntary isometric contraction of the calf muscles.
Measured: immediately post-effort (fatigue), and immediately post-intervention (recovery).
Secondary outcomes (2)
Muscle Surface Temperature
Measured using a digital infrared thermography camera. It assesses the changes in skin surface temperature over the gastrocnemius muscle area, reflecting changes in local blood flow.
Measured: immediately post-effort (fatigue), and immediately post-intervention (recovery).
Participant Satisfaction and Perceived Recovery
Measured using a Visual Analog Scale (VAS) and a customized survey (Likert scale 1-5). Participants rate which recovery modality felt better and their perceived level of muscle readiness for a new effort.
Measured: 5 minutes after each recovery intervention.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Feb 2026
- Study start1 Jun 2026 (estimated)
- Primary completion15 Jun 2026 (estimated)
- Study completion16 Aug 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Muscle SorenessStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- This is a randomized, 6-period, 6-sequence crossover clinical trial. Each participant will undergo six different recovery interventions-extracorporeal shockwave therapy, percussive massage therapy, manual sports massage, capacitive and resistive energy transfer therapy, intermittent negative pressure therapy, and pneumatic pressotherapy-in a randomized sequence. To prevent carry-over effects, a minimum wash-out period of one week will be established between intervention sessions. Prior to each recovery modality, all participants will perform a standardized high-intensity exercise protocol designed to induce peripheral muscle fatigue. Physiological and functional measurements, including near-infrared spectroscopy, infrared thermography, pressure algometry, and isokinetic dynamometry, will be recorded at baseline and immediately following the intervention in each period to assess acute recovery effects.
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sierra Varona SL
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07387276
- Sponsor's protocol ID
- 22
- Status last verified
- Apr 2026
- First submitted
- 27 Jan 2026
- Last updated
- 24 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: "De-identified individual participant data (including muscle oxygenation variables, pressure pain thresholds, and isometric strength values) will be made available upon reasonable request to the principal investigator. Data will be shared to facilitate meta-analyses or to verify the findings of this study, provided that the requesting researcher provides a methodologically sound proposal and signs a data use agreement to ensure athlete confidentiality."
Study at a glance
From the registry record, last updated by the sponsor on 24 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- "Effects of Multiple Muscle Recovery Techniques on Pain, Force, Temperature, and Muscle Oxygenation in Professional Athletes: A Randomized Crossover Trial"
- ClinicalTrials.gov ID
- NCT07387276
- Acronym / sponsor ID
- 22
- Keywords
- muscle recovery, SmO2, tecartherapy, shockwave therapy, massage
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- Sierra Varona SLUniversity, hospital or other
- Study start
- 1 Jun 2026 (estimated)
- Primary completion
- 15 Jun 2026 (estimated)
- Study completion
- 16 Aug 2026 (estimated)
- First posted
- 4 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to evaluate the impact of various passive post-exercise recovery techniques on professional athletes. The main questions it aims to answer are:
Do passive recovery modalities significantly improve muscle oxygenation and tissue temperature immediately following high-intensity effort?
Which specific technique is most effective in reducing perceived pain, measured by the pressure pain threshold, and restoring muscle strength?
Researchers will compare six different therapeutic interventions-Transfer of Energy Capacitive and Resistive therapy, manual massage, intermittent negative pressure therapy, extracorporeal shockwave therapy, percussion therapy, and pneumatic pressotherapy-to determine which provides a superior immediate physiological and functional recovery effect.
Participants will:
Perform a high-intensity physical effort designed to induce peripheral fatigue.
Be randomly assigned to receive one of the six recovery protocols.
Undergo objective measurements immediately after the intervention, including near-infrared spectroscopy to assess muscle oxygen saturation, tissue thermography, algometry, and dynamometry.
Detailed description
This project is designed as a randomized, double-blind (outcome assessor and statistician), crossover clinical trial. The study aims to address the critical need for evidence-based recovery strategies in high-demand sports such as basketball, where muscle overload is a primary risk factor for injury.The investigation will focus on the immediate physiological and functional effects of six widely utilized physiotherapy modalities:Capacitive and Resistive Energy Transfer (TECAR) Therapy: Utilized to improve tissue perfusion and modulate inflammatory responses through deep endogenous thermotherapy.Percussive Massage Therapy: Applied via mechanical vibration to reduce muscular stiffness and enhance explosive force restoration.Extracorporeal Shockwave Therapy (ESWT): Evaluated for its capacity to enhance muscular microcirculation and accelerate immediate tissue metabolic activity.Intermittent Pneumatic Compression (Pressotherapy): Targeted at reducing perceived pain and the sensation of limb heaviness through mechanical fluid drainage.Intermittent Negative Pressure Therapy (Vacuum Therapy): Investigated for its role in localized blood flow enhancement and pain modulation.Manual Sports Massage: Defined as the traditional manual intervention for reducing perceived muscle soreness and improving soft tissue flexibility.Physiological monitoring will be conducted using Near-Infrared Spectroscopy (NIRS) to measure muscle oxygen saturation ($SmO_2$) and total hemoglobin, providing direct data on muscle oxidative metabolism. Functional outcomes will be assessed through pressure pain thresholds (PPT) via algometry and maximal isometric strength via dynamometry to determine the effectiveness of each technique in restoring neuromuscular homeostasis.The study will be conducted at the Sierra Varona Physiotherapy Clinic (Toledo, Spain) between February and March 2026..
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 6
- Model description
- This is a randomized, 6-period, 6-sequence crossover clinical trial. Each participant will undergo six different recovery interventions-extracorporeal shockwave therapy, percussive massage therapy, manual sports massage, capacitive and resistive energy transfer therapy, intermittent negative pressure therapy, and pneumatic pressotherapy-in a randomized sequence. To prevent carry-over effects, a minimum wash-out period of one week will be established between intervention sessions. Prior to each recovery modality, all participants will perform a standardized high-intensity exercise protocol designed to induce peripheral muscle fatigue. Physiological and functional measurements, including near-infrared spectroscopy, infrared thermography, pressure algometry, and isokinetic dynamometry, will be recorded at baseline and immediately following the intervention in each period to assess acute recovery effects.
| Arm | Type | Receives |
|---|---|---|
| Extracorporeal Shockwave Therapy (ESWT) | Experimental | Device: Extracorporeal Shockwave Therapy (ESWT)Application of radial shockwave therapy using the Longest LGT-2500S device. A total of 2,000 pulses will be delivered to the gastrocnemius muscle (medial and lateral heads) at a pressure of 2.5 bar and a frequency of 10-15 Hz. The intervention aims to improve local microcirculation and reduce myofascial stiffness. |
| Percussive Therapy - Massage Gun | Experimental | Device: Massage GunApplication of percussive massage using the Hyperice Hypervolt 2 Pro device. The intervention will last 5-10 minutes and will be applied to the gastrocnemius muscle at a frequency of 50 Hz (Level 3), focusing on the muscle-tendon junction to enhance neuromuscular recovery. |
| TECAR Therapy - | Experimental | Device: TECAR TherapyApplication of diathermy using the Fisiowarm 300 system (Golden Star, Italy). The treatment will be administered for 15 minutes using a combination of capacitive and resistive modes at a frequency of 500 kHz. Intensity will be set at a thermal level (Type III) to promote deep vasodilation and metabolic clearance in the calf muscles. |
| Expert Manual Sports Massage | Experimental | Other: Manual MassageA standardized sports massage session lasting 15-20 minutes will be performed by a senior physiotherapist with more than 20 years of experience in elite sports. The protocol will include deep effleurage, petrissage, and transverse friction techniques to alleviate muscle tension and improve blood flow in the gastrocnemius muscle. |
| Intermittent Negative Pressure | Experimental | Device: cuppingApplication of intermittent negative pressure using the Physium System (multimodal vacuum therapy). The protocol consists of a 10-minute session applied to the gastrocnemius area to decompress tissue layers, enhance lymphatic drainage, and modulate mechanoreceptors to reduce pain. |
| Pressotherapy | Experimental | Device: PressotherapyApplication of pressotherapy using the Hermes Professional system. The treatment will last 20 minutes with a sequential six-chamber inflation cycle at a pressure of 70-80 mmHg, aiming to accelerate venous return and reduce post-exercise edema. |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Professional or Semi-professional athletes (specifically basketball players or endurance athletes) with a minimum of 2 years of competitive experience.
- Aged between 18 and 35 years.
- Healthy individuals with no current musculoskeletal injuries in the lower limbs.
- Regular training frequency of at least 4-5 sessions per week.
- Signed informed consent to participate in the study and follow the 6-week crossover protocol.
Key exclusion criteria (8 listed)
- Presence of any acute or chronic injury in the gastrocnemius or Achilles tendon in the last 6 months.
- For Shockwave Therapy: Blood clotting disorders or use of anticoagulants.
- For TECAR/Diathermy: Metal implants in the lower limbs or pacemakers.
- For Cupping: Acute skin infections or dermatological hypersensitivity.
- Consumption of performance-enhancing drugs, anti-inflammatory medication (NSAIDs), or stimulants that could affect muscle oxygenation (SmO2) or pain perception.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Extracorporeal Shockwave Therapy (ESWT)Application of acoustic pulses to the gastrocnemius muscle to modulate tissue mechanotransduction and improve local microcirculation. | Device | Extracorporeal Shockwave Therapy (ESWT) |
| Massage GunMechanical vibration applied to the calf muscles to promote myofascial release and neuromuscular recovery through high-frequency percussion. | Device | Percussive Therapy - Massage Gun |
| TECAR TherapyApplication of high-frequency electromagnetic energy (diathermy) to the lower limb to induce deep endogenous heat and accelerate metabolic waste removal. | Device | TECAR Therapy - |
| Manual MassageSystematic manipulation of soft tissues using manual techniques (effleurage and petrissage) focused on reducing muscle tension and perceived soreness. | Other | Expert Manual Sports Massage |
| cuppingControlled suction therapy applied to the gastrocnemius to create space between fascial layers and stimulate lymphatic and venous drainage. | Device | Intermittent Negative Pressure |
| PressotherapyExternal pneumatic compression through a sequential inflation system to facilitate venous return and reduce lower limb edema post-effort. | Device | Pressotherapy |
Primary outcome
Muscle Oxygen Saturation (SmO2)
Time frame: immediately post-effort (fatigue), and immediately post-intervention (recovery).
Measured using Moxy Monitor (Near-Infrared Spectroscopy - NIRS). It evaluates the percentage of hemoglobin/myoglobin oxygenated in the gastrocnemius muscle.
Pressure Pain Threshold (PPT)
Time frame: immediately post-effort (fatigue), and immediately post-intervention (recovery).
Measured using a digital pressure algometer. It quantifies the minimum pressure (in kg/cm²) at which a participant perceives the stimulus as painful in the gastrocnemius.
Maximum Isometric Muscle Strength
Time frame: immediately post-effort (fatigue), and immediately post-intervention (recovery).
Measured using a handheld dynamometer. It evaluates the peak force (in Newtons) during a maximum voluntary isometric contraction of the calf muscles.
2 secondary outcomes
Muscle Surface Temperature
Time frame: immediately post-effort (fatigue), and immediately post-intervention (recovery).
Participant Satisfaction and Perceived Recovery
Time frame: 5 minutes after each recovery intervention.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Apr 2026.
- Individual participant dataSharing planned: Yes. "De-identified individual participant data (including muscle oxygenation variables, pressure pain thresholds, and isometric strength values) will be made available upon reasonable request to the principal investigator. Data will be shared to facilitate meta-analyses or to verify the findings of this study, provided that the requesting researcher provides a methodologically sound proposal and signs a data use agreement to ensure athlete confidentiality."
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
A study testing Extracorporeal Shockwave Therapy (ESWT), Massage Gun and TECAR Therapy in people with Muscle Soreness and Delayed Onset Muscle Soreness, run by Sierra Varona SL.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 24 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact ALBERTO SANCHEZ SIERRA (608801238, alberto.sanchez@uclm.es), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Muscle Oxygen Saturation (SmO2) (time frame: immediately post-effort (fatigue), and immediately post-intervention (recovery).). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Apr 2026.