Efficacy of Cold Water Immersion Prior to Endurance Cycling or Running to Increase Performance: A Critically Appraised Topic

2018 ◽  
Vol 23 (1) ◽  
pp. 3-9
Author(s):  
Connor A. Burton ◽  
Christine A. Lauber
Keyword(s):  
Perceived Exertion ◽  
Cold Water ◽  
Water Immersion ◽  
Endurance Performance ◽  
Cold Water Immersion ◽  
Rating Of Perceived Exertion ◽  
Control Group ◽  
Time To Exhaustion ◽  
Bottom Line ◽  
Endurance Cycling

Clinical Question: Is there evidence to support precooling with cold water immersion prior to endurance cycling and running in hot, humid environments to enhance performance? Clinical Bottom Line: There is moderate evidence suggesting cold water immersion (CWI) as a precooling intervention improves endurance performance in cyclists and runners in a hot, humid environment. All five included studies reported significant improvements in endurance performance regarding time to exhaustion or distance traveled. In all included studies, core temperature was significantly decreased in the CWI group versus the control group during the fifth and twentieth minutes of exercise. No significant differences were reported for the rating of perceived exertion (RPE) between the CWI and control groups.

scholarly journals Post-Match Recovery in Soccer with Far-Infrared Emitting Ceramic Material or Cold-Water Immersion

2021 ◽  
pp. 732-742
Author(s):  
Tiago M. Coelho ◽  
enan F. H. Nunes ◽  
Fabio Y. Nakamura ◽  
Rob Duffield ◽  
Marília C. Serpa ◽  
...  
Keyword(s):  
Perceived Exertion ◽  
Cold Water ◽  
Water Immersion ◽  
Thiobarbituric Acid ◽  
Far Infrared ◽  
Ceramic Materials ◽  
Cold Water Immersion ◽  
Rating Of Perceived Exertion ◽  
Impaired Performance ◽  
Satellite Systems

We investigated the effects of two common recovery methods; far-infrared emitting ceramic materials (Bioceramic) or cold-water immersion on muscular function and damage after a soccer match. Twenty-five university-level soccer players were randomized into Bioceramic (BIO; n = 8), Cold-water immersion (CWI; n = 9), or Control (CON; n = 8) groups. Heart rate [HR], rating of perceived exertion [RPE], and activity profile through Global Positioning Satellite Systems were measured during the match. Biochemical (thiobarbituric acid reactive species [TBARS], superoxide dismutase [SOD], creatine kinase [CK], lactate dehydrogenase [LDH]), neuromuscular (countermovement [CMJ] and squat jump [SJ], sprints [20-m]), and perceptual markers (delayed-onset muscle soreness [DOMS], and the perceived recovery scale [PRS]) were assessed at pre, post, 24 h, and 48 h post-match. One-way ANOVA was used to compare anthropometric and match performance data. A two-way ANOVA with post-hoc tests compared the timeline of recovery measures. No significant differences existed between groups for anthropometric or match load measures (P > 0.05). Significant post-match increases were observed in SOD, and decreases in TBARS in all groups (p < 0.05), without differences between conditions (p > 0.05). Significant increases in CK, LDH, quadriceps and hamstring DOMS (p < 0.05), as well as decreases in 20-m, SJ, CMJ, and PRS were observed post-match in all groups (p < 0.05), without significant differences between conditions (p > 0.05). Despite the expected post-match muscle damage and impaired performance, neither Bioceramic nor CWI interventions improved post-match recovery.

scholarly journals Recovery following Rugby Union matches: effects of cold water immersion on markers of fatigue and damage

2019 ◽  
Vol 44 (5) ◽  
pp. 546-556
Author(s):  
Renan Felipe Hartmann Nunes ◽  
Rob Duffield ◽  
Fábio Yuzo Nakamura ◽  
Ewertton de Souza Bezerra ◽  
Raphael Luiz Sakugawa ◽  
...  
Keyword(s):  
Perceived Exertion ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Rating Of Perceived Exertion ◽  
Peak Power Output ◽  
Necrosis Factor Alpha ◽  
Markers Of Inflammation ◽  
Tnf Α ◽  
Rugby Players

We investigated the effect of postmatch cold-water immersion (CWI) on markers of muscle damage, neuromuscular fatigue, and perceptual responses within 72 h after a rugby match. Twenty-two professional male rugby players were randomized into CWI (10 °C/10 min; n = 11) or control (CON: 30 min seated; n = 11) groups. Activity profile from Global Positioning Satellite systems and postmatch rating of perceived exertion were measured to determined match load. Biochemical (tumor necrosis factor alpha (TNF-α), interleukin-6), neuromuscular performance (squat (SJ) and countermovement jumps (CMJ), peak power output (PPO), rate of force development (RFD), stiffness, 10- and 30-m sprint time, and perceptual markers (soreness, perceived recovery) were obtained before and immediately after the match, and then at 30 min, 24 h, 48 h, and 72 h after the match. Magnitude-based inference and Cohen’s effect size (ES) were used to analyze change over time and between groups. Thus, the higher/beneficial, similar/trivial, or lower/harmful differences were evaluated as follows: <1%, almost certainly not; 1% to 5%, very unlikely; 5% to 25%, unlikely; 25% to 75%, possible; 75% to 95%, likely; 95% to 99%, very likely; >99%, almost certainly. Changes were unclear for the match loads, sprint times, and perceptual markers between groups. Higher %ΔSJ at 24 h (very likely (ES = 0.75)) and in %ΔPPO_SJ at 48 h (likely (ES = 0.51)) were observed in CWI than in CON. Values in %ΔRDF_CMJ were higher immediately after (likely (ES = 0.83)), 30 min after (very likely (ES = 0.97)), and 24 h after the match (likely (ES = 0.93)) in CWI than in CON. Furthermore, %Δlog TNF-α were lower in the CWI group than in the CON group immediately after (almost certainly (ES = −0.76)), 24 h after (very likely (ES = −1.09)), and 72 h after the match (likely (ES = −0.51)), and in Δstiffness_SJ at 30 min after (likely (ES = −0.67)) and 48 h after the match (very likely (ES = −0.97)). Also, different within-groups effects throughout postmatch were reported. Implementing postmatch CWI-based strategies improved the recovery of markers of inflammation and fatigue in rugby players, despite no change in markers of speed or perceptual recovery.

scholarly journals Adaptations to Post-exercise Cold Water Immersion: Friend, Foe, or Futile?

2021 ◽  
Vol 3 ◽  
Author(s):  
Mohammed Ihsan ◽  
Chris R. Abbiss ◽  
Robert Allan
Keyword(s):  
Exercise Performance ◽  
Cold Water ◽  
Water Immersion ◽  
Endurance Performance ◽  
Cold Water Immersion ◽  
Peroxisome Proliferator ◽  
Peroxisome Proliferator Activated Receptor ◽  
Post Exercise ◽  
Exercise Induced ◽  
Post Exercise Recovery

In the last decade, cold water immersion (CWI) has emerged as one of the most popular post-exercise recovery strategies utilized amongst athletes during training and competition. Following earlier research on the effects of CWI on the recovery of exercise performance and associated mechanisms, the recent focus has been on how CWI might influence adaptations to exercise. This line of enquiry stems from classical work demonstrating improved endurance and mitochondrial development in rodents exposed to repeated cold exposures. Moreover, there was strong rationale that CWI might enhance adaptations to exercise, given the discovery, and central role of peroxisome proliferator-activated receptor gamma coactivator-1α (PGC-1α) in both cold- and exercise-induced oxidative adaptations. Research on adaptations to post-exercise CWI have generally indicated a mode-dependant effect, where resistance training adaptations were diminished, whilst aerobic exercise performance seems unaffected but demonstrates premise for enhancement. However, the general suitability of CWI as a recovery modality has been the focus of considerable debate, primarily given the dampening effect on hypertrophy gains. In this mini-review, we highlight the key mechanisms surrounding CWI and endurance exercise adaptations, reiterating the potential for CWI to enhance endurance performance, with support from classical and contemporary works. This review also discusses the implications and insights (with regards to endurance and strength adaptations) gathered from recent studies examining the longer-term effects of CWI on training performance and recovery. Lastly, a periodized approach to recovery is proposed, where the use of CWI may be incorporated during competition or intensified training, whilst strategically avoiding periods following training focused on improving muscle strength or hypertrophy.

Tolerance of Gaspé fishermen to cold water

1960 ◽  
Vol 15 (6) ◽  
pp. 1031-1034 ◽  
Author(s):  
Jacques LeBlanc ◽  
J. A. Hildes ◽  
O. Héroux
Keyword(s):  
Cold Water ◽  
Pressor Response ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Control Group ◽  
Skin Thickness ◽  
Finger Temperature ◽  
Control Subjects ◽  
Skin Biopsies ◽  
And Control

A group of Gaspé fishermen used to cold water immersion and control subjects from the same vicinity were studied to determine if the fishermen's hands were adapted to cold. With one hand immersed in cold water, the pressor response was greater in the control subjects; the fishermen maintained a higher finger temperature and complained less of pain; heat flow from the fishermen's hands was greater than in the control group; finger numbness as measured by a modification of Mackworth's V-test was variable and not significantly different in the two groups. Skin biopsies showed no difference in skin thickness or cell size but there was a significantly greater number of mast cells in the fishermen's skin. The differences between the fishermen and the control subjects may be related to repeated cold exposure. Submitted on June 7, 1960

Cold Water Immersion Directly and Mediated by Alleviated Pain to Promote Quality of Life in Indonesian with Gout Arthritis: A Community-based Randomized Controlled Trial

2022 ◽  
pp. 109980042110635
Author(s):  
Maria Dyah Kurniasari ◽  
Karen A. Monsen ◽  
Shuen Fu Weng ◽  
Chyn Yng Yang ◽  
Hsiu Ting Tsai
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Control Group ◽  
Joint Mobility ◽  
Community Based ◽  
Anxiety Depression

Background: Gout arthritis is an autoinflammatory arthritis that generates chronic long-term pain. Pain impacts physical activities, joint mobility, stress, anxiety, depression, and quality of life. Cold-water immersion therapy reduces inflammation and pain associated with gout arthritis. However, cold-water immersion therapy has not been conducted among people worldwide with gout arthritis. Objective: To investigate the cold-water immersion intervention on pain, joint mobility, physical activity, stress, anxiety, depression, and quality of life among acute gout patients. Methods: A community-based randomized control trial design with two parallel-intervention groups: a cold-water immersion group (20–30°C 20 minutes/day for 4 weeks) and a control group. In total, 76 eligible participants in Tomohon City, Indonesia, were recruited using a multi-stage sampling method and were randomly assigned using block randomization. A generalized estimating equation model was used to analyze the results (coef. β) and produce 95% confidence intervals (CIs). A path analysis was used to analyze mediating effects. Results: Significant pain alleviation ( β = −2.06; −2.42), improved joint mobility ( β = 1.20, 1.44), physical activity ( β = 2.05, .59), stress ( β = −1.25; −1.35), anxiety ( β = −.62; −1.37), and quality of life ( β = 5.34; 9.93) were detected after cold-water immersion at the second-week, and were maintained to the fourth-week time point, compared to pre-intervention and the control group. Depression ( β = −1.80) had decreased by the fourth week compared to the pre-test and control group. Cold-water immersion directly mediated alleviation of pain ( β = −.46, p ≤ .001) and to promote the quality of life ( β = .16, p = .01). Conclusions: Cold-water immersion decreased pain, stress, anxiety, and depression, and increased joint mobility, physical activity, and quality of life. It mediated alleviation of pain to increase the quality of life.

scholarly journals Postexercise cold-water immersion improves intermittent high-intensity exercise performance in normothermia

2016 ◽  
Vol 41 (11) ◽  
pp. 1163-1170 ◽  
Author(s):  
Avina McCarthy ◽  
James Mulligan ◽  
Mikel Egaña
Keyword(s):  
Heart Rate ◽  
Oxygen Uptake ◽  
Core Temperature ◽  
High Intensity ◽  
Perceived Exertion ◽  
Cold Water ◽  
Intermittent Exercise ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
High Intensity Exercise

A brief cold water immersion between 2 continuous high-intensity exercise bouts improves the performance of the latter compared with passive recovery in the heat. We investigated if this effect is apparent in normothermic conditions (∼19 °C), employing an intermittent high-intensity exercise designed to reflect the work performed at the high-intensity domain in team sports. Fifteen young active men completed 2 exhaustive cycling protocols (Ex1 and Ex2: 12 min at 85% ventilatory threshold (VT) and then an intermittent exercise alternating 30-s at 40% peak power (Ppeak) and 30 s at 90% Ppeak to exhaustion) separated by 15 min of (i) passive rest, (ii) 5-min cold-water immersion at 8 °C, and (iii) 10-min cold-water immersion at 8 °C. Core temperature, heart rate, rates of perceived exertion, and oxygen uptake kinetics were not different during Ex1 among conditions. Time to failure during the intermittent exercise was significantly (P < 0.05) longer during Ex2 following the 5- and 10-min cold-water immersions (7.2 ± 3.5 min and 7.3 ± 3.3 min, respectively) compared with passive rest (5.8 ± 3.1 min). Core temperature, heart rate, and rates of perceived exertion were significantly (P < 0.05) lower during most periods of Ex2 after both cold-water immersions compared with passive rest. The time constant of phase II oxygen uptake response during the 85% VT bout of Ex2 was not different among the 3 conditions. A postexercise, 5- to 10-min cold-water immersion increases subsequent intermittent high-intensity exercise compared with passive rest in normothermia due, at least in part, to reductions in core temperature, circulatory strain, and effort perception.

Should Cooling Vests Be Used to Treat Exertional Heatstroke? A Critically Appraised Topic

2017 ◽  
Vol 26 (3) ◽  
pp. 286-289
Author(s):  
Megan L. Keen ◽  
Kevin C. Miller
Keyword(s):  
Cold Water ◽  
Core Body Temperature ◽  
Water Immersion ◽  
Heat Stroke ◽  
Cold Water Immersion ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Bottom Line ◽  
Cooling Rates ◽  
Central Nervous System Dysfunction

Clinical Scenario:Exercise performed in hot and humid environments increases core body temperature (TC). If TC exceeds 40.5°C for prolonged periods of time, exertional heat stroke (EHS) may occur. EHS is a leading cause of sudden death in athletes. Mortality and morbidity increase the longer the patient’s TC remains above 40.5°C; thus, it is imperative to initiate cooling as quickly as possible. Acceptable cooling rates in EHS situations are 0.08–0.15°C/min, while ideal cooling rates are above 0.16°C/min. Cooling vests are popular alternatives for cooling hyperthermic adults. Most vests cover the anterior and posterior torso and have varying numbers of pouches for phase-change materials (eg, gel packs); some vests only use circulating water to cool. While cooling vests offer several advantages (eg, portability), studies demonstrating their effectiveness at rapidly reducing TC in EHS scenarios are limited.Clinical Question:Are TC cooling rates acceptable (ie, >0.08°C/min) when hyperthermic humans are treated with cooling vests postexercise?Summary of Findings:No significant differences in TC cooling rates occurred between cooling vests and no cooling vests. Cooling rates across all studies were ≤0.053°C/min.Clinical Bottom Line:Cooling vests do not provide acceptable cooling rates of hyperthermic humans postexercise and should not be used to treat EHS. Instead, EHS patients should be treated with cold-water immersion within 30 min of collapse to avoid central nervous system dysfunction and organ failure.Strength of Recommendation:Strong evidence (eg, level 2 studies with PEDro scores ≥5) suggests that cooling vests do not reduce TC quickly and thus should not be used in EHS scenarios.

scholarly journals The effects of tow protocol cold water immersion on the post match recovery and physical performance in well-trained handball players

2019 ◽  
Vol 23 (6) ◽  
pp. 288-295
Author(s):  
M. Mokhtar ◽  
B. Adel ◽  
B. Wahib ◽  
A. Hocine ◽  
B. Othman ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Control Group ◽  
Countermovement Jump ◽  
Intense Training ◽  
Exercise Induced ◽  
High Level ◽  
Experimental Group

Purpose: The purpose of this study is to compare two cold water immersion (CWI) protocols, continuous and fractionated, to optimize the recovery of Handball players after on recovery from exercise resulting in exercise-induced muscle damage. Material: Ten male Handball players (age: 15 ± 1.4 years, mass index: 67.2 ± 5.1 kg, height: 176.6 ± 7.30) voluntarily participated in the study. After three 90-minute training sessions (average heart rate 160 ± 15.81, 156 ± 5.53 and 156 ± 12.24 bpm) per week, participants were divided into 03 groups. The first experimental group (GE1) in continuous immersion (CWIC) of (12 minutes, 12± 0.4° C), a second experimental group (GE2) in fractional immersion (CWIF) of (4 x 2 min at 12 ± 0.4° C + 1 min out of water) and a control group (GC) in passive recovery. Body mass indices (BMI), countermovement (Countermovement jump) and muscle pain (Intensity of pain in the thighs) were measured. Results : The results concerning the percentage differences in the variation of the CMJ occurred respectively at 24h (Z = 12.62, p = 0.004) and 48h (Z = 16.22, p <0.001) compared to the control group. In addition, the results for muscle volume did not report any significant interaction (F (5.64) = 3.42, p = 0.078). The results of both protocols showed their effectiveness in reducing pain intensity by 24 and 48 hours after intense training (F (3.54) = 2.91, p = 0.016, p2 = 0.24). Conclusion: In conclusion, continuous and fractionated cold water immersion is beneficial for neuromuscular recovery 24 hours after intense exercise. The results also demonstrate a rapid recovery of handball players from their physical potential required in high level competitions.

scholarly journals Effect of cold water immersion on muscle damage indexes after simulated soccer training in young soccer players

2020 ◽  
Vol 12 (1) ◽  
pp. 236-241
Author(s):  
Saman Khakpoor Roonkiani ◽  
Mohsen Ebrahimi ◽  
Ali Shamsi Majelan
Keyword(s):  
Body Mass Index ◽  
Muscle Damage ◽  
Body Mass ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Soccer Players ◽  
Control Group ◽  
Significant Difference ◽  
Soccer Training

Summary Study aim: To investigate the effect of cold water immersion (CWI) on muscle damage indexes after simulated soccer activity in young soccer players. Material and methods: Eighteen professional male soccer players were randomly divided into two groups: CWI (n = 10, age 19.3 ± 0.5, body mass index 22.2 ± 1.3) and control (n = 8, age 19.4 ± 0.8, body mass index 21.7 ± 1.5). Both groups performed a simulated 90-minute soccer-specific aerobic field test (SAFT90). Then, the CWI group subjects immersed themselves for 10 minutes in 8°C water, while the control group subjects sat passively for the same time period. Blood samples were taken before, immediately after, 10 minutes, 24 hours and 48 hours after the training session in a fasted state. Blood lactate, creatine kinase (CK) and lactate dehydrogenase (LDH) enzyme levels were measured. Results: Lactate, CK and LDH levels increased significantly after training (p < 0.001). There were significant interactions between groups and subsequent measurements for CK (p = 0.0012) and LDH (p = 0.0471). There was no significant difference in lactate level between the two groups at any aforementioned time. Conclusion: It seems that CWI after simulated 90-minute soccer training can reduce the values of muscle damage indexes in soccer players.

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