Post-exercise cold water immersion (CWI) has recently been developed and applied in professional sports. CWI has become widely accepted for use in sports and is endorsed by various organisations, such as the American College of Sports Medicine (ACSM), the International Amateur Athletic Federation (IAAF), and the National Athletic Trainers’ Association (NATA). Specific considerations on the extensive use of CWI in the field of sports, the effects of performance recovery after CWI intervention are noteworthy to be examined. This article aimed to review and summarize reports studying effects of CWI on post-exercise recovery. A comprehensive examination of literature was conducted and the decided databases were reviewed. Positive effects of post-exercise CWI on athletes’ endurance performance and perceived recovery were found. The possible reasons relate to the reduction of core temperature and blood redistribution. However, CWI effects on power related performance did not receive a consensus understanding in this review. Cryotherapy is normally used for limiting muscle damages, but post-exercise CWI on alternating blood markers for the muscle damages did not show a clear finding in this review. Particularly, Jadad score analysis in this review shows low on average (average Jadad score = 1.80±1.17) of the quality of the studies. It is necessary to reconsider the application on the previous examination. Further investigation is recommended, specifically on power related recovery and neural transmission alternations using randomized controlled trial with masking design.
The paper contributes the first logical analysis on assessing the quality of the studies related to post exercise cold water immersion recovery by the Jadad score analysis, which is assessed by three criteria: A) description of randomization, B) blinding, and C) withdrawals with dropout rates. This study also tried to provide the unbiased and exact findings through systematic reviews.
Armstrong, L.E., D.J. Casa, M. Millard-Stafford, D.S. Moran, S.W. Pyne and W.O. Roberts, 2007. American college of sports medicine position stand: Exertional heat illness during training and competition. Med Sci Sports Exerc, 39(3): 556-572.
Ascensao, A., M. Leite, A. Rebelo, S. Magalhaes and J. Magalhaes, 2011. Effects of cold water immersion on the recovery of physical performance and muscle damage following a one-off soccer match. J Sports Sci, 29(3): 217-225.
Austin, D., T. Gabbett and D. Jenkins, 2011. Repeated high-intensity exercise in professional rugby union. J Sports Sci, 29(10): 1105-1112.
Binkley, H.M., J. Beckett, D.J. Casa, D.M. Kleiner and P.E. Plummer, 2002. National athletic trainers association position statement: Exertional heat illnesses. J Athl Train, 37(3): 329–343.
Bompa, T.O. and M. Carrera, 2005. Periodization training for sports. Champaign, Ill: Human Kinetics.
Bosak, A., P. Bishop, J. Green and G. Hawver, 2009. Impact of cold water immersion on 5km racing performance. Sport Journal, 12(2): 1.
Brophy-Williams, N., G. Landers and K. Wallman, 2011. Effect of immediate and delayed cold water immersion after a high intensity exercise session on subsequent run performance. J Sports Sci Med, 10(4): 665-670.
Cheung, K., P.A. Hume and L. Maxwell, 2003. Delayed onset muscle soreness: Treatment strategies and performance factors. Sports Med, 33(2): 145-164.
Corbett, J., M. Barwood, H. Lunt, M. Tipton and A. Milner, 2012. Water immersion as a recovery aid from intermittent shuttle running exercise. Eur J Sport Sci, 12(6): 509-514.
Crowe, M.J., D.O. Connor and D. Rudd, 2007. Cold-water recovery reduces anaerobic performance. Int J Sports Med, 28(12): 994-998.
Elias, G.P., M.C. Varley, V.L. Wyckelsma, R.J. Aughey, M.J. McKenna and C.L. Minahan, 2012. Effects of water immersion on posttraining recovery in Australian footballers. Int J Sports Physiol Perform, 7(4): 357-366.
Elias, G.P., V.L. Wyckelsma, M.C. Varley, M.J. McKenna and R.J. Aughey, 2013. Effectiveness of water immersion on postmatch recovery in elite professional footballers. Int J Sports Physiol Perform, 8(3): 243-253.
Gabbett, T.J., H. Wiig and M. Spencer, 2013. Repeated high-intensity running and sprinting in elite women’s soccer competition. Int J Sports Physiol Perform, 8(2): 130-138.
Halson, S., M. Quod, D. Martin, A. Gardner, T. Ebert and P. Laursen, 2008. Physiological responses to cold water immersion following cycling in the heat. Int J Sports Physiol Perform, 3(3): 331-346.
Hewitt, S., 2012. Take an ice bath -- it feels great. Cross Country Skier, 31(3): 66-67.
Higgins, T.R., I.T. Heazlewood and M. Climstein, 2011. A random control trial of contrast baths and ice baths for recovery during competition in u/20 rugby union. J Strength Cond Res, 25(4): 1046-1051.
Jadad, A.R., R.A. Moore, D. Carroll, C. Jenkinson, D.J.M. Reynolds, G.J. Gavaghan and H.J. McQuay, 1996. Assessing the quality of reports of randomized clinical trials: Is blinding necessary. Control Clinical Trials, 17(1): 1-12.
Lee, E.C., G. Watson, D. Casa, L.E. Armstrong, W. Kraemer, J.L. Vingren, B.A. Spiering and C.M. Maresh, 2012. Interleukin-6 responses to water immersion therapy after acute exercise heat stress: A pilot investigation. J Athl Train, 47(6): 655-663.
Leeder, J., C. Gissane, K.V. Someren, W. Gregson and G. Howatson, 2013. Cold-water immersion and recovery from strenuous exercise: A meta-analysis. Br J Sports Med, 46(4): 233-240.
Mooney, M., B.O. Brien, S. Cormack, A. Coutts, J. Berry and W. Young, 2011. The relationship between physical capacity and match performance in elite Australian football: A mediation approach. J Sci Med Sport, 14(5): 447-452.
Müehlbauer, T., C. Schindler and S. Panzer, 2010. Pacing and sprint performance in speed skating during a competitive season. Int J Sports Physiol Perform, 5(2): 165-176.
Parouty, J., H. Al Haddad, P. Leprêtre, S. Ahmaidi, M. Buchheit and M. Quod, 2010. Effect of cold-water immersion on 100-m sprint performance in well-trained swimmers. Eur J Appl Physiol, 109(3): 483-490.
Peiffer, J., C. Abbiss, G. Watson, K. Nosaka and P. Laursen, 2009. Effect of cold-water immersion duration on body temperature and muscle function. J Sports Sci, 27(10): 987-993.
Peiffer, J., C. Abbiss, G. Watson, K. Nosaka and P. Laursen, 2010. Effect of a 5-min cold-water immersion recovery on exercise performance in the heat. Br J Sports Med, 44(6): 461-465.
Pointon, M., R. Duffield, J. Cannon and F.E. Marino, 2012. Cold-water immersion recovery following intermittent-sprint exercise in the heat. Eur J Appl Physiol, 112(7): 2483-2494.
Rowsell, G., A. Coutts, P. Reaburn and S. Hill-Haas, 2009. Effects of cold-water immersion on physical performance between successive matches in high-performance junior male soccer players. J Sports Sci, 27(6): 565-573.
Rowsell, G., A. Coutts, P. Reaburn and S. Hill-Haas, 2011. Effect of post-match cold-water immersion on subsequent match running performance in junior soccer players during tournament play. J Sports Sci, 29(1): 1-6.
Sellwood, K., P. Brukner, D. Williams, A. Nicol and R. Hinman, 2007. Ice-water immersion and delayed-onset muscle soreness: A randomized controlled trial. Br J Sports Med, 41(6): 392-397.
Vaile, J., C.O. Hagan, B. Stefanovic, M. Walker, N. Gill and C. Askew, 2011. Effect of cold water immersion on repeated cycling performance and limb blood flow. Br J Sports Med, 45(10): 825-829.
Vaile, J., S. Halson, N. Gill and B. Dawson, 2008. Effect of cold water immersion on repeat cycling performance and thermoregulation in the heat. J Sports Sci, 26(5): 431-440.
Wilcock, I.M., J.B. Cronin and W.A. Hing, 2006. Physiological response to water immersion. A method for sport recovery. Sports Med, 36(9): 747-765.