Effects Of Cold Water Immersion Research Articles

Cold water immersion attenuates anabolic signaling and skeletal muscle fiber hypertrophy, but not strength gain, following whole-body resistance training.

We determined the effects of cold water immersion (CWI) on long-term adaptations and post-exercise molecular responses in skeletal muscle before and after resistance training. Sixteen men (22.9 ± 4.6 y; 85.1 ± 17.9 kg; mean ± SD) performed resistance training (3 day/wk) for 7 wk, with each session followed by either CWI [15 min at 10°C, CWI (COLD) group, n = 8] or passive recovery (15 min at 23°C, control group, n = 8). Exercise performance [one-repetition maximum (1-RM) leg press and bench press, countermovement jump, squat jump, and ballistic push-up], body composition (dual X-ray absorptiometry), and post-exercise (i.e., +1 and +48 h) molecular responses were assessed before and after training. Improvements in 1-RM leg press were similar between groups [130 ± 69 kg, pooled effect size (ES): 1.53 ± 90% confidence interval (CI) 0.49], whereas increases in type II muscle fiber cross-sectional area were attenuated with CWI (-1,959 ± 1,675 µM2 ; ES: -1.37 ± 0.99). Post-exercise mechanistic target of rapamycin complex 1 signaling (rps6 phosphorylation) was blunted for COLD at post-training (POST) +1 h (-0.4-fold, ES: -0.69 ± 0.86) and POST +48 h (-0.2-fold, ES: -1.33 ± 0.82), whereas basal protein degradation markers (FOX-O1 protein content) were increased (1.3-fold, ES: 2.17 ± 2.22). Training-induced increases in heat shock protein (HSP) 27 protein content were attenuated for COLD (-0.8-fold, ES: -0.94 ± 0.82), which also reduced total HSP72 protein content (-0.7-fold, ES: -0.79 ± 0.57). CWI blunted resistance training-induced muscle fiber hypertrophy, but not maximal strength, potentially via reduced skeletal muscle protein anabolism and increased catabolism. Post-exercise CWI should therefore be avoided if muscle hypertrophy is desired.NEW & NOTEWORTHY This study adds to existing evidence that post-exercise cold water immersion attenuates muscle fiber growth with resistance training, which is potentially mediated by attenuated post-exercise increases in markers of skeletal muscle anabolism coupled with increased catabolism and suggests that blunted muscle fiber growth with cold water immersion does not necessarily translate to impaired strength development.

Effects of Pre- and Post-Exercise Cold-Water Immersion Therapy on Passive Muscle Stiffness.

Cold-water immersion (CWI) has become a popular preventive, regenerative and performance-enhancing intervention in various sports. However, its effects on soft tissue, including changes of intramuscular stiffness, are poorly understood. The purpose of this study was to investigate the effect of CWI on muscle stiffness. Thirty healthy participants were included and divided into the three following groups (n = 10): 1) post-ESU group: exercise and CWI (post-exercise set-up); 2) control group: exercise without CWI (control condition); 3) pre-ESU group: CWI alone (pre-exercise set-up). Acoustic radiation force impulse (ARFI) elastography was conducted to assess tissue stiffness (shear wave velocity, SWV). Values obtained at resting conditions (baseline, t0) were compared to values post-exercise (t1, for post-ESU group and control group), post-CWI (t2, for post-ESU group and pre-ESU group; rest for control group) and to 60-min follow-up time (t3, for all groups). Data were assessed in superficial and deep muscle tissue (rectus femoris muscle, RF; vastus intermedius muscle, VI). For the post-ESU group (CWI post-exercise), there was no significant difference between the time points of measurements: exercise (t1: RF: 1.63 m/s; VI: 1.54 m/s), CWI (t2: RF: 1.63 m/s; VI: 1.53 m/s) and at 60-min follow-up (t3:RF: 1.72 m/s; VI: 1.61 m/s). In the control group, a significant decrease of SWV was found between baseline conditions at t0 and post-exercise (t1) at VI (VI: 1.37 m/s; p = 0.004; RF: 1.59 m/s; p = 0.084). For t2 and t3, no further significant changes were detected. Regarding the pre-exercise set-up (pre-ESU group), a significant decrease in SWV from baseline to t2 in VI (1.60 m/s to 1.49 m/s; VI: p = 0.027) was found. This study shows varying influences of CWI on muscle stiffness. Overall, we did not detect any significant effects of CWI on muscle stiffness post-exercise. Muscle stiffness-related effects of CWI differ in the context of a pre- or post-exercise condition and have to be considered in the implementation of CWI to ensure its potential preventive and regenerative benefits.

Precooling, Hyperthermia, and Postexercise Cooling Rates in Humans Wearing American Football Uniforms.

Exertional heatstroke is one of the leading causes of death in American football players. Precooling (PC) with whole-body cold-water immersion (CWI) may prevent severe hyperthermia and, possibly, exertional heatstroke. However, it is unknown how much PC delays severe hyperthermia when participants wear American football uniforms during exercise in the heat. Does PC alter the effectiveness of CWI once participants become hyperthermic or affect perceptual variables during exercise? We asked 3 questions: (1) Does PC affect how quickly participants become hyperthermic during exercise in the heat? (2) Does PC before exercise affect rectal temperature (Trec) cooling rates once participants become hyperthermic? (3) Does PC affect perceptual variables such as rating of perceived exertion (RPE), thermal sensation, and environmental symptoms questionnaire (ESQ) responses? Crossover study. Laboratory. Twelve physically active males (age = 24 ± 4 years, height = 181.8 ± 8.4 cm, mass = 79.9 ± 10.3 kg). On PC days, participants completed 15 minutes of CWI (9.98°C ± 0.04°C). They donned American football uniforms and exercised in the heat (temperature = 39.1°C ± 0.3°C, relative humidity = 36% ± 2%) until Trec was 39.5°C. While wearing equipment, they then underwent CWI until Trec was 38°C. Control-day procedures were the same except for the PC intervention. Rectal temperature, heart rate, thermal sensation, RPE, and ESQ responses were measured throughout testing. The duration of cold-water immersion was used in conjunction with Trec to calculate cooling rates. Precooling allowed participants to exercise 17.6 ± 3.6 minutes longer before reaching 39.5°C (t11 = 17.0, P < .001). Precooling did not affect postexercise CWI Trec cooling rates (PC = 0.18°C/min ± 0.06°C/min, control = 0.20°C/min ± 0.09°C/min; t11 = 0.9, P = .17); ESQ responses (F2,24 = 1.3, P = .3); or RPE (F2,22 = 2.9, P = .07). Precooling temporarily lowered thermal sensation (F3,26 = 21.7, P < .001) and heart rate (F3,29 = 21.0, P < .001) during exercise. Because PC delayed hyperthermia without negatively affecting perceptual variables or CWI effectiveness, clinicians may consider implementing PC along with other proven strategies for preventing heat illness (eg, acclimatization).

Cold water immersion recovery strategy increases blood pressure levels after high-intensity intermittent exercise.

This study aimed to investigate the effects of cold water immersion (CWI) recovery strategies on the blood pressure levels and related physiological parameters after high-intensity intermittent exercise (HIIE). This randomized crossover study included 20 men (21.5±1.6 years). Each participant performed a maximum-exertion exercise performance test on a bicycle, and heart rate was measured. Subsequently, six cycles of HIIE (1 minute at 120% heart rate reserve [HRR] and 4 minutes at 40% HRR) were performed in a random sequence, and the recovery period involved either CWI or static rest (SR). Systolic and diastolic blood pressure levels at the 6th and 20th minute of CWI recovery were significantly higher than those during SR and significantly higher than those during a quiet state at the 6th minute. The heart rates at the 20th minute and 35th minute of CWI recovery were significantly lower than that during SR, and the ratings of perceived exertion (RPE) at the 6th and 20th minute of CWI recovery were significantly lower than that during SR. No significant difference in lactate production was evident between the two recovery strategies. Ear temperature was not significantly different when it was quiet, at the end of exercise, and at the 6th and 35th minute of recovery; however, at the 20th minute of recovery, ear temperature during CWI was significantly higher than that during SR. CWI after HIIE reduced the extent to which blood pressure decreased. For the fatigue-related heart rate and RPE indicators, CWI was superior to SR.

Cold Water Immersion as a Strategy for Muscle Recovery in Professional Basketball Players During the Competitive Season.

Despite prior studies that have addressed the recovery effects of cold-water immersion (CWI) in different sports, there is a lack of knowledge about longitudinal studies across a full season of competition assessing these effects. To analyze the CWI effects, as a muscle recovery strategy, in professional basketball players throughout a competitive season. A prospective cohort design. Elite basketball teams. A total of 28 professional male basketball players divided into 2 groups: CWI (n = 12) and control (n = 16) groups. Muscle metabolism serum markers were measured during the season in September-T1, November-T2, March-T3, and April-T4. Isokinetic peak torque strength and ratings of perceived exertion were measured at the beginning and at the end of the season. CWI was applied immediately after every match and after every training session before matches. All serum muscular markers, except myoglobin, were higher in the CWI group than the control group (P < .05). The time course of changes in muscle markers over the season also differed between the groups (P < .05). In the CWI group, ratings of perceived exertion decreased significantly from the beginning (T1-T2) to the end (T3-T4). Isokinetic torque differed between groups at the end of the season (60°/s peak torque: P < .001 and ηp2=.884; and 180°/s peak torque: P < .001 and ηp2=.898) and had changed significantly over the season in the CWI group (P < .05). CWI may improve recovery from muscle damage in professional basketball players during a regular season.

Effects of cold water immersion and compression garment use after eccentric exercise on recovery.

[Purpose]The combined effect of different types of post-exercise treatment has not been fully explored. We investigated the effect of combined cold water immersion (CWI) and compression garment (CG) use after maximal eccentric exercise on maximal muscle strength, indirect muscle damage markers in the blood, muscle thickness, and muscle soreness score 24 h after exercise.[Methods]Ten men performed two trials (CWI + CG and CON) in random order. In the CWI + CG trial, the subjects performed 15 min of CWI (15°C), followed by wearing of a lower-body CG for 24 h after exercise. In the CON trial, there was no post-exercise treatment. The exercise consisted of 6 × 10 maximal isokinetic (60°·s-1) eccentric knee extensions using one lower limb. The maximal voluntary contraction (MVC) and maximal isokinetic (60°·s-1) strength during knee extension, as well as the indirect muscle damage markers, were evaluated before exercise and 24 h after exercise.[Results]The maximal muscle strength decreased in both trials (p < 0.001), with no difference between them. The exercise-induced elevation in the myoglobin concentration tended to be lower in the CWI + CG trial than in the CON trial (p = 0.060). The difference in the MVC, maximal isokinetic strength, muscle thickness, and muscle soreness score between the trials was not significant.[Conclusion]CWI followed by wearing of a CG after maximal eccentric exercise tended to attenuate the exercise-induced elevation of indirect muscle damage markers in the blood.

Effect of Cold Water Immersion Performed on Successive Days on Physical Performance, Muscle Damage, and Inflammatory, Hormonal, and Oxidative Stress Markers in Volleyball Players.

de Freitas, VH, Ramos, SP, Bara-Filho, MG, Freitas, DGS, Coimbra, DR, Cecchini, R, Guarnier, FA, and Nakamura, FY. Effect of cold water immersion performed on successive days on physical performance, muscle damage, and inflammatory, hormonal, and oxidative stress markers in volleyball players. J Strength Cond Res 33(2): 502-513, 2019-The aim of this study was to investigate the effects of daily cold water immersion (CWI) on physical performance, muscle damage, and inflammatory, hormonal, and oxidative stress markers in volleyball. Six players were submitted to CWI and six players to a placebo, during 5 training days. Thigh circumference, squat jump, and agility were measured on the first, third, and sixth days. On the first and sixth days, blood and saliva were collected for analysis of oxidative stress, muscle damage, and inflammatory and hormonal levels. Muscle soreness and countermovement jump were quantified daily. The physical performance comparisons did not present differences and the only between group comparison with a large effect size (ES = -1.39) was in Δ% between day 1 and day 2 for countermovement jump. Delayed onset muscle soreness and creatine kinase increased in both groups and the ESs of between group comparisons of Δ% between moments were not more than moderate. Thigh circumference increased only in the placebo group (p = 0.04) and the ES of the between group comparisons of Δ% between moments was large (1.53). No differences were found in oxidative stress, or inflammatory markers. Cortisol decreased only in the CWI-group (p ≤ 0.05) and the ESs of the between group comparisons of Δ% between moments of the testosterone to cortisol ratio (-1.94) and insulin-like growth-1 (-1.34) were large. Despite the positive effects of daily CWI on muscle edema and hormonal status, the limited effects of CWI on performance, muscle damage, inflammation markers, and reactive oxygen species mediators signal the unimportance of the daily practice of this recovery method in volleyball players.

The effects of cold water immersion on the amount and quality of sleep obtained by elite cyclists during a simulated hill climbing tour

Background The aim of the present study was to examine the effects of cold water immersion on the amount and quality of sleep obtained by elite cyclists during a simulated hill climbing tour. Methods Ten male professional cyclists (age 21.1 ± 1.7 years) from the Australian Institute of Sport were monitored for eight consecutive nights during a simulated hill climbing tour. The experiment employed a randomised cross over design. Cyclists followed a simulated hill climbing tour consisting of two 3-day sessions (140–190 km per day) separated by 2 days where ~ 60 km recovery rides were performed. During the first 3 days of simulated competition, five participants underwent a hydrotherapy recovery session (cold water immersion; 11–12 °C for 10 min), while the remaining five participants completed a placebo (ultrasound turned off; 10 min) recovery session. Recovery sessions were completed within 30 min of the conclusion of each competitive session (hh:mm; 13:00–14:00). After 2 days of recovery, participants reversed conditions. Results Paired samples t tests revealed no differences in the amount and quality of sleep obtained by elite cyclists between conditions. Sleep latency was shorter in the cold water immersion condition compared to the placebo condition (p = 0.03). With the exception of sleep latency, sleep/wake behaviours were similar between the cold water immersion and placebo conditions (p > 0.05). Conclusion Cold water immersion did not affect the sleep of elite athletes within this sample. If coaching staff are using cold water immersion as a post-exercise recovery strategy, they may continue to utilise this form of recovery without any impact on their athlete sleep.

Comparison of sport massage and combination of cold water immersion with sport massage on decrease of blood lactic acid level

Recovery is an attempt to reduce blood lactic acid levels and make the body recover after physical exercise. The effect of cold water immersion (15°C) and sport massage combined with decreasing blood lactic acid level is still unknown. The subjects assigned to 3 groups, K1 group for recovery sport massage, K2 recovery group for combination of cold water immersion (15°C) with sport massage and K3 control group. Both groups performed sub-maximal physical exercise by doing a fast walk on the treadmill to reach (80% HRM) and then maintained for 5 minutes, followed by recovery process. ANOVA test of lactic acid level post treatment which shows there was a significant difference in the decrease of lactic acid level. The paired t-test of each group showed significant results in sports massage group (p = 0,001), combination cold water immersion (15°C) with sport massage group (p = 0,000) and a control group (p = 0,002). Recovery by soaking in contrasting waters, which result in alternating vasoconstriction and vasodilation, is considered to act in a manner similar to muscle pumping (vaso-pumping). Recovery by means of sport massage and combination of cold water immersion (15°C) with sport massage can decrease blood lactic acid levels.

Effect of temperature on muscle endurance in healthy adults

Background: The local application of cold or heat on the muscle is known to affect the muscle endurance which can be measured using the handgrip dynamometer. Aims and Objectives: The present study has been done with the objective of studying the effects of cold water immersion and rewarming on the endurance of the hand and forearm muscles. Materials and Methods: The study included 40 healthy medical students. The dominant hand and forearm were immersed in cold water for 5 min after which muscle endurance was determined using the handgrip spring-type dynamometer and this was followed by immersion of hand and forearm in hot water after which muscle endurance was again determined. Paired t-test was used to analyze the data. Results: On comparing the muscle endurance after cold water immersion and rewarming, the results showed that there was a statistically significant improvement (P < 0.05) in the muscle endurance after rewarming. Conclusion: The results demonstrate an increase in the hand and forearm muscle endurance after rewarming which may be beneficial for people working in meat packaging and cold storage industries. These industrial workers can immerse their hands in rewarming sinks intermittently which might enhance their work performance.

Cold Water Immersion Enhanced Athletes' Wellness and 10-m Short Sprint Performance 24-h After a Simulated Mixed Martial Arts Combat.

Objective: The aim of the present study was to examine the effect of Cold Water Immersion (CWI) on the recovery of physical performance, hematological stress markers and perceived wellness (i.e., Hooper scores) following a simulated Mixed Martial Arts (MMA) competition.Methods: Participants completed two experimental sessions in a counter-balanced order (CWI or passive recovery for control condition: CON), after a simulated MMAs competition (3 × 5-min MMA rounds separated by 1-min of passive rest). During CWI, athletes were required to submerge their bodies, except the trunk, neck and head, in the seated position in a temperature-controlled bath (∼10°C) for 15-min. During CON, athletes were required to be in a seated position for 15-min in same room ambient temperature. Venous blood samples (creatine kinase, cortisol, and testosterone concentrations) were collected at rest (PRE-EX, i.e., before MMAs), immediately following MMAs (POST-EX), immediately following recovery (POST-R) and 24 h post MMAs (POST-24), whilst physical fitness (squat jump, countermovement-jump and 5- and 10-m sprints) and perceptual measures (well-being Hooper index: fatigue, stress, delayed onset muscle soreness (DOMS), and sleep) were collected at PRE-EX, POST-R and POST-24, and at PRE-EX and POST-24, respectively.Results: The main results indicate that POST-R sprint (5- and 10-m) performances were ‘likely to very likely’ (d = 0.64 and 0.65) impaired by prior CWI. However, moderate improvements were in 10-m sprint performance were ‘likely’ evident at POST-24 after CWI compared with CON (d = 0.53). Additionally, the use of CWI ‘almost certainly’ resulted in a large overall improvement in Hooper scores (d = 1.93). Specifically, CWI ‘almost certainly’ resulted in improved sleep quality (d = 1.36), stress (d = 1.56) and perceived fatigue (d = 1.51), and ‘likely’ resulted in a moderate decrease in DOMS (d = 0.60).Conclusion: The use of CWI resulted in an enhanced recovery of 10-m sprint performance, as well as improved perceived wellness 24-h following simulated MMA competition.

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

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.

Faster physical performance recovery with cold water immersion is not related to lower muscle damage level in professional soccer players

The aim of the present study was to assess the effects of cold water immersion (CWI) after an intermittent test on the recovery kinetic of physical performance, muscle damage and perceived muscle soreness in professionals soccer players. In a randomized design, eight soccer players completed the Loughborough Intermittent Shuttle Test followed by 10 min of either CWI (10C°) or thermoneutral water immersion (TWI) (28C°). Physical performance (Squat jump: SJ, countermovement jump: CMJ, maximal voluntary contraction: MVC, and 20 m sprint: SP), muscle damage parameter (creatine kinase: CK) and perceived muscle soreness were assessed at baseline, 0 h, 24 h, 48 h and 72 h after the intermittent test. After the test, a decrease was observed in SJ and in CMJ at 0 h, 24 h, 48 h and 72 h with TWI (p < 0.05) and only at 0 h for SJ with CWI (p < 0.05). SP decreased at 24 h and 48 h after the test with TWI (p < 0.05) and only at 24 h with CWI (p < 0.05). MVC, CK activity and perceived muscle soreness increased in both condition after the test and returned to baseline levels 72 h after the test with TWI (p < 0.05) and at 48 h with CWI (p < 0.05). For the correlation between physical performance and muscle damage parameters in CWI session, the statistical analysis didn’t reveal any significant link between CK and SJ, CMJ, MVC or SP values (p > 0.05). The results suggest that CWI immediately after an intermittent test reduces muscle damage and perceived muscle soreness, and accelerate recovery of physical performance in professional soccer players. However, the faster recovery of physical performance seems not be related to the lower level of muscle damage induced by CWI.

PO-228 Effects of Different Cryotherapy Models on Timing Sequence Recovery of Exercise Induced Muscle Damage in Middle and Long Distance Runners

Objective Exercise induced muscle damage (EIMD) is one common physiological phenomenon in competitive sports and mass sports. Water immersion recovery and whole body cryotherapy (cryostimulation) (WBC) has become one of the fast recovery methods adopted by high level athletes in the world. The aim of this study was to compare the water immersion recovery and WBC from timing sequential recovery on EIMD, subjective scales, biochemical indicators, exercise performance indicators.&#x0D; Methods Twelve middle and long distance runners from Beijing Sport University were recruited in this study (exercise performance is secondary level in China). All participants performed four models in four weeks which included rest control (CON), cold water immersion(CWI), contrast water therapy (CWT) and whole body cryotherapy (cryostimulation) (WBC) separated by one week. The subjects needed to complete the EIMD exercise program, includes two parts: the treadmill running and the jump step. The individual speed of treadmill running was based on the individual VO2max. running including 5 sets and total time is about 90 min. Every set consist of 6 min flat running, 6 min uphill running and 6 min downhill running. The speed of the treadmill was stable in different stages. The slope of the uphill running is（＋6,＋5,＋4,＋3,＋2）, and the slope of downhill running is (-8, -7, -6, -5, -4). The jump was performed 20 times separated by 30 s via special step ( height is 40 cm) . After the EIMD exercise program, the subjects were treated with different recovery methods immediately after exercise, 24 h, 48 h, 72 h after exercise, while CON group received no intervention. The CWI group was immerged in 15 °C cold water for 12min, and the CWT groups was immerged in 15°C cold water for 1min and 38°C hot water for 1min with 6 cycles. The whole body cryotherapy (cryostimulation) group was immerged in special chamber (-110—-140℃）for 3 min. The three interventions were immerged body to the position of shoulders. The indexes including subjective scales (VAS scale, RPE scale, Borg scale, WHO deep sleep scale, PQSI scale), biochemical indicators (creatine kinase, lactate dehydrogenase, myoglobin, interleukin-6, C reactive protein, SICAM-1), exercise performance indicators ( vertical jump height, grip, running distance). The indexes was collected in different periods (i.e. Before exercise, immediately after exercise,Post1h, Post 24h, Post 48h, Post 72h, Post 96h after exercise etc.).&#x0D; Results (1) Subjective scales. From results of VAS scale, RPE scale, and Borg scale, the WBC had best recovery effects than the other three interventions (P&lt;0.05). The recovery effect of the CWI group was similar with the CON group. From results of WHO deep sleep scale and PQSI scale, the WBC group had better recovery effects than CON group (P&lt;0.05). (2) Biochemical indicators. From results of CK, Mb and SICAM-1, the WBC group had better recovery effect than the other three groups (P&lt;0.05). In the LDH, the WBC group had similar effects with the CWT group (P&gt;0.05). From results of CRP and IL-6, the WBC group had better recovery effects than the other three groups (P&lt;0.05).（3）Exercise performance indicators. From results of vertical jump, WBC had lower decrease than the other three groups (P&lt;0.05). From results of the grip, of the WBC and CWT groups have significant retentive effects than CON group (P&lt;0.05), but there was no significant difference between CON and CWI groups (P&gt;0.05).&#x0D; Conclusions (1)Through combine the treadmill running and the jump step exercise program,Can effectively lead to human body appear the EIMD. (2)WBC has positive effects on the subjective scale, biochemical indicators, exercise performance indicators associated with EIMD.For middle and long distance runners EIMD,compared with CWI CWT,WBC effect is better.(3) CWI and CWT has a positive effect on some subjective scales, biochemical indicators, and exercise performance indicators related to EIMD. However, the positive effect of CWI and CWT is lower than WBC in the extent of action and timing sequence. (4)For the middle and long distance runners EIMD timing sequence recovery effects,WBC have better effects,Followed by CWT , CWI effect is not significant.

COLD WATER IMMERSION AND INFLAMMATORY RESPONSE AFTER RESISTANCE EXERCISES

ABSTRACT Introduction: High-intensity resistance exercises (RE) cause an inflammatory response that reduces functionality. Objective: To evaluate the effects of Cold Water Immersion (CWI) on leukocytosis, oxidative stress parameters, inflammatory markers and delayed onset muscle soreness (DOMS) resulting from a RE session in untrained volunteers. Methods: Thirteen volunteers (aged 26 ± 5 years) who do not engage in RE were randomized and underwent Control RE and RE with CWI sessions. Exercise sessions (leg extension machine, squats and leg presses) consisted of four sets of 10 maximum repetitions (one-week interval between the assessment and the sessions). CWI consisted of immersion in water (15°C) to the umbilicus for 10 minutes immediately after the exercise session. Complete blood count, CRP, creatine kinase (CK) and lipoperoxidation (LPO) were assessed previously (baseline) and immediately, 30 minutes and 2 hours after RE. DOMS was assessed 24 hours after the sessions. Results: RE induced progressive leukocytosis (P&lt;0.001). CRP was elevated 2 hours after exercise (P=0.008) only in the Control RE session. CK increased 30 minutes and 2 hours after exercise (P&lt;0.001) in the Control session, whereas in the CWI session the increase was observed after 2 hours (P&lt;0.001). LPO increased only in the Control session after 2 hours (P=0.025). CWI reduced DOMS by 57% (P&lt;0.001). Conclusion: CWI slows the inflammatory response and reduces DOMS in untrained individuals undergoing RE. Level of Evidence I; Randomized Clinical Trial.

Effects of Chronic Cold-Water Immersion in Elite Rugby Players.

Although the acute effects of cold-water immersion (CWI) have been widely investigated, research analyzing the effects of CWI over a chronic period in highly trained athletes is scarce. The aim of this study was to investigate the effects of CWI during an intense 3-wk preseason phase in elite rugby athletes. A total of 23 elite male rugby union athletes were randomized to either CWI (10min at 10°C, n = 10) or a passive recovery control (CON, n = 13) during 3 wk of high-volume training. Athletes were exposed to either CWI or CON after each training day (12 d in total). Running loads, conditioning, and gym sessions were kept the same between groups. Measures of countermovement jump, perceived muscle soreness, and wellness were obtained twice a week, and saliva samples for determining cortisol and interleukin-6 were collected once per week. Although no significant differences were observed between CWI and CON for any measure, CWI resulted in lower fatigue markers throughout the study as demonstrated by the moderate effects on muscle soreness (d = 0.58-0.91) and interleukin-6 (d = -0.83) and the small effects (d = 0.23-0.38) on countermovement jump in comparison with CON. CWI may provide some beneficial effect by reducing fatigue and soreness during an intense 3-wk training phase in elite rugby athletes.

Cold water immersion effects on doms, muscle recruitment, dynamic postural control and sleep quality in soccer players: A randomized and blinded study

Cold water immersion effects on doms, muscle recruitment, dynamic postural control and sleep quality in soccer players: A randomized and blinded study

The Influence of Post-Exercise Cold-Water Immersion on Adaptive Responses to Exercise: A Review of the Literature.

Post-exercise cold-water immersion (CWI) is used extensively in exercise training as a means to minimise fatigue and expedite recovery between sessions. However, debate exists around its merit in long-term training regimens. While an improvement in recovery following a single session of exercise may improve subsequent training quality and stimulus, reports have emerged suggesting CWI may attenuate long-term adaptations to exercise training. Recent developments in the understanding of the molecular mechanisms governing the adaptive response to exercise in human skeletal muscle have provided potential mechanistic insight into the effects of CWI on training adaptations. Preliminary evidence suggests that CWI may blunt resistance signalling pathways following a single exercise session, as well as attenuate key long-term resistance training adaptations such as strength and muscle mass. Conversely, CWI may augment endurance signalling pathways and the expression of genes key to mitochondrial biogenesis following a single endurance exercise session, but have little to no effect on the content of proteins key to mitochondrial biogenesis following long-term endurance training. This review explores current evidence regarding the underlying molecular mechanisms by which CWI may alter cellular signalling and the long-term adaptive response to exercise in human skeletal muscle.

Immersion with menthol improves recovery between 2 cycling exercises in hot and humid environment.

Endurance exercise performance is impaired in a hot and humid environment. This study compared the effects of cold water immersion, with (CMWI) and without (CWI) menthol, on the recovery of cycling performance. Eight heat-acclimatized cyclists (age, 24.1 ± 4.4 years; mass, 65.3 ± 5.2 kg) performed 2 randomized sessions, each consisting of a 20-min cycling trial (T1) followed by 10 min of immersion during recovery and then a second 20-min cycling trial (T2). Mean power output and perceived exertion (RPE) were recorded for both trials. Rectal (Trec) and skin temperatures were measured before and immediately after T1, immersion, and T2. Perceived thermal sensation (TS) and comfort were measured immediately after T1 and T2. Power output was significantly improved in T2 compared with T1 in the CMWI condition (+15.6%). Performance did not change in the CWI condition. After immersion, Trec was lower in CWI (-1.17 °C) than in CMWI (-0.6 °C). TS decreased significantly after immersion in both conditions. This decline was significantly more pronounced in CMWI (5.9 ± 1 to 3.6 ± 0.5) than in CWI (5.6 ± 0.9 to 4.4 ± 1.2). In CMWI, RPE was significantly higher in T1 (6.57 ± 0.9) than in T2 (5.14 ± 1.25). However, there was no difference in TC. This study suggests that menthol immersion probably (i) improves the performance of a repeated 20-min cycling bout, (ii) decreases TS, and (iii) impairs thermoregulation processes.

Effect of Cold-Water Immersion on Elbow Flexors Muscle Thickness After Resistance Training.

Matos, F, Neves, EB, Rosa, C, Reis, VM, Saavedra, F, Silva, S, Tavares, F, and Vilaça-Alves, J. Effect of cold-water immersion on elbow flexors muscle thickness after resistance training. J Strength Cond Res 32(3): 756-763, 2018-Cold-water immersion (CWI) is commonly applied to speed up the recovery process after exercise. Muscle damage may induce a performance reduction and consequence of the intramuscular pressure induced by the muscular swelling. The aim of the study was to verify the CWI effects on muscle thickness (MT) behavior of the elbow flexors after a strength training (ST) protocol. Eleven men were submitted to an ST, performed in 2 different weeks. In one of the weeks, subjects experienced a passive recovery. In the other, subjects were submitted to a CWI (20 minutes at 5-10° C). Ultrasound (US) images were taken before, after, as well as 24, 48, and 72 hours after exercise, to evaluate the MT. Muscle thickness in both exercise arm (EA) and control arm (CA) was significantly higher 48 and 72 hours after exercise when subjects were submitted to a passive recovery compared with the CWI (p = 0.029, p = 0.028, p = 0.009, and p = 0.001, 48 hours, 72 hours, EA, and CA, respectively). When each arm was analyzed with or without using CWI individually, significantly higher MT was observed in the EA with CWI: before exercise in relation to 72 hours after exercise (p = 0.042) and after exercise in relation to the other measurements (p = 0.003, p = 0.003, p = 0.038, and p < 0.0001, before exercise and 24, 48, 72 hours after exercise, respectively). The evaluation of MT by US provides evidence that CWI after ST (and 24 hours after exercise) may reduce muscle swelling in the postexercise days when compared with a passive recovery. Seems to be a paradox between the uses of CWI for an acute reduction of muscle swelling.