Can Water Temperature and Immersion Time Influence the Effect of Cold Water Immersion on Muscle Soreness? A Systematic Review and Meta-Analysis

Author(s)

Machado, Aryane Flauzino ^[1] ; Ferreira, Paulo Henrique ^[2] ; Micheletti, Jessica Kirsch ^[1] ; de Almeida, Aline Castilho ^[3] ; Lemes, Italo Ribeiro ^[1] ; Vanderlei, Franciele Marques ^[1] ; Netto Junior, Jayme ^[1] ; Pastre, Carlos Marcelo ^[1]

Affiliation

^[1] Univ Estadual Paulista, Fac Ciencias & Tecnol, Dept Fisioterapia, 305 Roberto Simonsen, BR-19060900 Presidente Prudente, SP - Brazil

^[2] Univ Sydney, Fac Hlth Sci, Discipline Physiotherapy, Sydney, NSW 2006 - Australia

^[3] Univ Fed Sao Carlos, Ctr Ciencias Biol & Saude, Dept Fisioterapia, BR-13560 Sao Carlos, SP - Brazil

• Document type: Review article
• Source: SPORTS MEDICINE; v. 46, n. 4, p. 503-514, APR 2016.
• Web of Science Citations: 41

Abstract

Background Cold water immersion (CWI) is a technique commonly used in post-exercise recovery. However, the procedures involved in the technique may vary, particularly in terms of water temperature and immersion time, and the most effective approach remains unclear. Objectives The objective of this systematic review was to determine the efficacy of CWI in muscle soreness management compared with passive recovery. We also aimed to identify which water temperature and immersion time provides the best results. Methods The MEDLINE, EMBASE, SPORTDiscus, PEDro {[}Physiotherapy Evidence Database], and CENTRAL (Cochrane Central Register of Controlled Trials) databases were searched up to January 2015. Only randomized controlled trials that compared CWI to passive recovery were included in this review. Data were pooled in a meta-analysis and described as weighted mean differences (MDs) with 95 % confidence intervals (CIs). Results Nine studies were included for review and metaanalysis. The results of the meta-analysis revealed that CWI has a more positive effect than passive recovery in terms of immediate (MD = 0.290, 95 % CI 0.037, 0.543; p = 0.025) and delayed effects (MD = 0.315, 95 % CI 0.048, 0.581; p = 0.021). Water temperature of between 10 and 15 degrees C demonstrated the best results for immediate (MD = 0.273, 95 % CI 0.107, 0.440; p = 0.001) and delayed effects (MD = 0.317, 95 % CI 0.102, 0.532; p = 0.004). In terms of immersion time, immersion of between 10 and 15 min had the best results for immediate (MD = 0.227, 95 % 0.139, 0.314; p < 0.001) and delayed effects (MD = 0.317, 95 % 0.102, 0.532, p = 0.004). Conclusions The available evidence suggests that CWI can be slightly better than passive recovery in the management of muscle soreness. The results also demonstrated the presence of a dose-response relationship, indicating that CWI with a water temperature of between 11 and 15 degrees C and an immersion time of 11-15 min can provide the best results. (AU)

• FAPESP's process: 13/12474-7 - Immediate and delayed effects of cold water immersion post-exercise: a systematic review and a randomized controlled trial
• Grantee: Aryane Flauzino Machado
• Support Opportunities: Scholarships in Brazil - Master