Comparison Of Electrical Stimulation Versus Cold Water Immersion On Treatment Of Muscle Soreness Following Resistance Exercise

Context:Resistance training is a common form of exercise for competitive and recreational athletes. Enhancing recovery from resistance training may improve the muscle-remodeling processes, stimulating a faster return to peak performance.Objective:To examine the effects of 2 different recovery modalities, neuromuscular electrical stimulation (NMES) and cold-water immersion (CWI), on performance and biochemical and ultrasonographic measures.Participants:Thirty resistance-trained men (23.1 ± 2.9 y, 175.2 ± 7.1 cm, 82.1 ± 8.4 kg) were randomly assigned to NMES, CWI, or control (CON).Design and Setting:All participants completed a high-volume lower-body resistance-training workout on d 1 and returned to the human performance laboratory 24 (24H) and 48 h (48H) postexercise for follow-up testing.Measures:Blood samples were obtained preexercise (PRE) and immediately (IP), 30 min (30P), 24 h (24H), and 48 h (48H) post. Subjects were examined for performance changes in the squat exercise (total repetitions and average power per repetition), biomarkers of inflammation, and changes in cross-sectional area and echo intensity (EI) of the rectus femoris (RF) and vastus lateralis muscles.Results:No differences between groups were observed in the number of repetitions (P = .250; power: P = .663). Inferential-based analysis indicated that increases in C-reactive protein concentrations were likely increased by a greater magnitude after CWI compared with CON, while NMES possibly decreased more than CON from IP to 24H. Increases in interleukin-10 concentrations between IP and 30P were likely greater in CWI than NMES but not different from CON. Inferential-based analysis of RF EI indicated a likely decrease for CWI between IP and 48H. No other differences between groups were noted in any other muscle-architecture measures.Conclusions:Results indicated that CWI induced greater increases in pro- and anti-inflammatory markers, while decreasing RF EI, suggesting that CWI may be effective in enhancing short-term muscle recovery after high-volume bouts of resistance exercise.

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Effects of cold water immersion and active recovery on hemodynamics and recovery of muscle strength following resistance exercise

AJP Regulatory Integrative and Comparative Physiology ◽

10.1152/ajpregu.00151.2015 ◽

2015 ◽

Vol 309 (4) ◽

pp. R389-R398 ◽

Cited By ~ 18

Author(s):

Llion A. Roberts ◽

Makii Muthalib ◽

Jamie Stanley ◽

Glen Lichtwark ◽

Kazunori Nosaka ◽

...

Keyword(s):

Resistance Exercise ◽

Cold Water ◽

Water Immersion ◽

Cold Water Immersion ◽

Isometric Strength ◽

Muscle Temperature ◽

Active Recovery ◽

Recovery Strategies ◽

Postexercise Recovery ◽

Voluntary Contractions

Cold water immersion (CWI) and active recovery (ACT) are frequently used as postexercise recovery strategies. However, the physiological effects of CWI and ACT after resistance exercise are not well characterized. We examined the effects of CWI and ACT on cardiac output (Q̇), muscle oxygenation (SmO2), blood volume (tHb), muscle temperature (Tmuscle), and isometric strength after resistance exercise. On separate days, 10 men performed resistance exercise, followed by 10 min CWI at 10°C or 10 min ACT (low-intensity cycling). Q̇ (7.9 ± 2.7 l) and Tmuscle (2.2 ± 0.8°C) increased, whereas SmO2 (−21.5 ± 8.8%) and tHb (−10.1 ± 7.7 μM) decreased after exercise ( P < 0.05). During CWI, Q̇ (−1.1 ± 0.7 l) and Tmuscle (−6.6 ± 5.3°C) decreased, while tHb (121 ± 77 μM) increased ( P < 0.05). In the hour after CWI, Q̇ and Tmuscle remained low, while tHb also decreased ( P < 0.05). By contrast, during ACT, Q̇ (3.9 ± 2.3 l), Tmuscle (2.2 ± 0.5°C), SmO2 (17.1 ± 5.7%), and tHb (91 ± 66 μM) all increased ( P < 0.05). In the hour after ACT, Tmuscle, and tHb remained high ( P < 0.05). Peak isometric strength during 10-s maximum voluntary contractions (MVCs) did not change significantly after CWI, whereas it decreased after ACT (−30 to −45 Nm; P < 0.05). Muscle deoxygenation time during MVCs increased after ACT ( P < 0.05), but not after CWI. Muscle reoxygenation time after MVCs tended to increase after CWI ( P = 0.052). These findings suggest first that hemodynamics and muscle temperature after resistance exercise are dependent on ambient temperature and metabolic demands with skeletal muscle, and second, that recovery of strength after resistance exercise is independent of changes in hemodynamics and muscle temperature.

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Effects of Water Immersion on Posttraining Recovery in Australian Footballers

International Journal of Sports Physiology and Performance ◽

10.1123/ijspp.7.4.357 ◽

2012 ◽

Vol 7 (4) ◽

pp. 357-366 ◽

Cited By ~ 18

Author(s):

George P. Elias ◽

Matthew C. Varley ◽

Victoria L. Wyckelsma ◽

Michael J. McKenna ◽

Clare L. Minahan ◽

...

Keyword(s):

Muscle Soreness ◽

Cold Water ◽

Water Immersion ◽

Cold Water Immersion ◽

Psychometric Measures ◽

Australian Football ◽

Repeat Sprint Ability ◽

Contrast Water Therapy ◽

Squat Jumps ◽

Repeat Sprint

Purpose:The authors investigated the efficacy of a single exposure to 14 min of cold-water immersion (COLD) and contrast water therapy (CWT) on posttraining recovery in Australian football (AF).Method:Fourteen AF players participated in 3 wk of standardized training. After week 1 training, all players completed a passive recovery (PAS). During week 2, COLD or CWT was randomly assigned. Players undertook the opposing intervention in week 3. Repeat-sprint ability (6 × 20 m), countermovement and squat jumps, perceived muscle soreness, and fatigue were measured pretraining and over 48 h posttraining.Results:Immediately posttraining, groups exhibited similar performance and psychometric declines. At 24 h, repeat-sprint time had deteriorated by 4.1% for PAS and 1.0% for CWT but was fully restored by COLD (0.0%). At 24 and 48 h, both COLD and CWT attenuated changes in mean muscle soreness, with COLD (0.6 ± 0.6 and 0.0 ± 0.4) more effective than CWT (1.9 ± 0.7 and 1.0 ± 0.7) and PAS having minimal effect (5.5 ± 0.6 and 4.0 ± 0.5). Similarly, after 24 and 48 h, COLD and CWT both effectively reduced changes in perceived fatigue, with COLD (0.6 ± 0.6 and 0.0 ± 0.6) being more successful than CWT (0.8 ± 0.6 and 0.7 ± 0.6) and PAS having the smallest effect (2.2 ± 0.8 and 2.4 ± 0.6).Conclusions:AF training can result in prolonged physical and psychometric deficits persisting for up to 48 h. For restoring physical-performance and psychometric measures, COLD was more effective than CWT, with PAS being the least effective. Based on these results the authors recommend that 14 min of COLD be used after AF training.

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Use of Cold-Water Immersion to Reduce Muscle Damage and Delayed-Onset Muscle Soreness and Preserve Muscle Power in Jiu-Jitsu Athletes

Journal of Athletic Training ◽

10.4085/1062-6050-51.9.01 ◽

2016 ◽

Vol 51 (7) ◽

pp. 540-549 ◽

Cited By ~ 14

Author(s):

Líllian Beatriz Fonseca ◽

Ciro J. Brito ◽

Roberto Jerônimo S. Silva ◽

Marzo Edir Silva-Grigoletto ◽

Walderi Monteiro da Silva ◽

...

Keyword(s):

Muscle Damage ◽

Muscle Soreness ◽

Muscle Power ◽

Cold Water ◽

Water Immersion ◽

Serum Levels ◽

Cold Water Immersion ◽

Lower Limbs ◽

Recovery Method ◽

Power Recovery

Context: Cold-water immersion (CWI) has been applied widely as a recovery method, but little evidence is available to support its effectiveness. Objective: To investigate the effects of CWI on muscle damage, perceived muscle soreness, and muscle power recovery of the upper and lower limbs after jiu-jitsu training. Design: Crossover study. Setting: Laboratory and field. Patients or Other Participants: A total of 8 highly trained male athletes (age = 24.0 ± 3.6 years, mass = 78.4 ± 2.4 kg, percentage of body fat = 13.1% ± 3.6%) completed all study phases. Intervention(s): We randomly selected half of the sample for recovery using CWI (6.0°C ± 0.5°C) for 19 minutes; the other participants were allocated to the control condition (passive recovery). Treatments were reversed in the second session (after 1 week). Main Outcome Measure(s): We measured serum levels of creatine phosphokinase, lactate dehydrogenase (LDH), aspartate aminotransferase, and alanine aminotransferase enzymes; perceived muscle soreness; and recovery through visual analogue scales and muscle power of the upper and lower limbs at pretraining, postrecovery, 24 hours, and 48 hours. Results: Athletes who underwent CWI showed better posttraining recovery measures because circulating LDH levels were lower at 24 hours postrecovery in the CWI condition (441.9 ± 81.4 IU/L) than in the control condition (493.6 ± 97.4 IU/L; P = .03). Estimated muscle power was higher in the CWI than in the control condition for both upper limbs (757.9 ± 125.1 W versus 695.9 ± 56.1 W) and lower limbs (53.7 ± 3.7 cm versus 35.5 ± 8.2 cm; both P values = .001). In addition, we observed less perceived muscle soreness (1.5 ± 1.1 arbitrary units [au] versus 3.1 ± 1.0 au; P = .004) and higher perceived recovery (8.8 ± 1.9 au versus 6.9 ± 1.7 au; P = .005) in the CWI than in the control condition at 24 hours postrecovery. Conclusions: Use of CWI can be beneficial to jiu-jitsu athletes because it reduces circulating LDH levels, results in less perceived muscle soreness, and helps muscle power recovery at 24 hours postrecovery.

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