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Abstract
Whole-body cryotherapy (WBC) involves short exposures to air temperatures below -100°C and is purported to enhance recovery after exercise and accelerate rehabilitation after injury. It is generally considered a procedure with few side effects, but there are no large studies that have established its safety profile. We present the case of a 56-year-old patient who developed an abdominal aortic dissection after receiving 15 sessions of WBC. The patient had no other strong risk factors for aortic dissection. Exposure to cold temperatures, including WBC, has multiple hemodynamic effects, including increases in blood pressure, heart rate, and an adrenergic response. We suggest that these changes could act as a trigger for the onset of aortic dissections. This could be the first reported cardiovascular complication associated with WBC.
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Wujek-Krajewska E, Cudnoch-Jędrzejewska A, Puchalska L, Chybowska B, Janiszewski M, Klimczak D, Kuch M. The influence of systemic cryotherapy on selected hemodynamic parameters and the assessment of the safety of its use in patients with successfully treated hypertension. Cryobiology 2017; 78:22-26. [PMID: 28743515 DOI: 10.1016/j.cryobiol.2017.07.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2017] [Accepted: 07/20/2017] [Indexed: 11/26/2022]
Affiliation(s)
- Ewa Wujek-Krajewska
- Department of Heart Failure and Cardiac Rehabilitation, Second Faculty of Medicine, Medical University of Warsaw, Poland.
| | | | - Liana Puchalska
- Department of Experimental and Clinical Physiology, Warsaw Medical University, Poland
| | - Barbara Chybowska
- Chair and Department of Cardiology, Hypertension and Internal Diseases, Second Faculty of Medicine, Medical University of Warsaw, Poland
| | - Maciej Janiszewski
- Department of Heart Failure and Cardiac Rehabilitation, Second Faculty of Medicine, Medical University of Warsaw, Poland
| | - Dominika Klimczak
- Department of Heart Failure and Cardiac Rehabilitation, Second Faculty of Medicine, Medical University of Warsaw, Poland
| | - Marek Kuch
- Chair and Department of Cardiology, Hypertension and Internal Diseases, Second Faculty of Medicine, Medical University of Warsaw, Poland
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García-Espinoza Ó, Salas-Fraire Ó, Flores-Garza P, Salas-Longoria K, Valadez-Lira J. Analgesic effect of whole body cryotherapy in patients with trapezius myofascial pain syndrome: A longitudinal, non-blinded, experimental study. MEDICINA UNIVERSITARIA 2017. [DOI: 10.1016/j.rmu.2017.07.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Lombardi G, Ziemann E, Banfi G. Whole-Body Cryotherapy in Athletes: From Therapy to Stimulation. An Updated Review of the Literature. Front Physiol 2017; 8:258. [PMID: 28512432 PMCID: PMC5411446 DOI: 10.3389/fphys.2017.00258] [Citation(s) in RCA: 79] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Accepted: 04/10/2017] [Indexed: 01/12/2023] Open
Abstract
Nowadays, whole-body cryotherapy is a medical physical treatment widely used in sports medicine. Recovery from injuries (e.g., trauma, overuse) and after-season recovery are the main purposes for application. However, the most recent studies confirmed the anti-inflammatory, anti-analgesic, and anti-oxidant effects of this therapy by highlighting the underlying physiological responses. In addition to its therapeutic effects, whole-body cryotherapy has been demonstrated to be a preventive strategy against the deleterious effects of exercise-induced inflammation and soreness. Novel findings have stressed the importance of fat mass on cooling effectiveness and of the starting fitness level on the final result. Exposure to the cryotherapy somehow mimics exercise, since it affects myokines expression in an exercise-like fashion, thus opening another possible window on the therapeutic strategies for metabolic diseases such as obesity and type 2 diabetes. From a biochemical point of view, whole-body cryotherapy not always induces appreciable modifications, but the final clinical output (in terms of pain, soreness, stress, and post-exercise recovery) is very often improved compared to either the starting condition or the untreated matched group. Also, the number and the frequency of sessions that should be applied in order to obtain the best therapeutic results have been deeply investigated in the last years. In this article, we reviewed the most recent literature, from 2010 until present, in order to give the most updated insight into this therapeutic strategy, whose rapidly increasing use is not always based on scientific assumptions and safety standards.
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Affiliation(s)
- Giovanni Lombardi
- Laboratory of Experimental Biochemistry and Molecular Biology, I.R.C.C.S. Istituto Ortopedico GaleazziMilan, Italy
| | - Ewa Ziemann
- Department of Physiology and Pharmacology, Gdansk University of Physical Education and SportGdansk, Poland
| | - Giuseppe Banfi
- Laboratory of Experimental Biochemistry and Molecular Biology, I.R.C.C.S. Istituto Ortopedico GaleazziMilan, Italy.,Vita-Salute San Raffaele UniversityMilan, Italy
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55
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Local cryotherapy is ineffective in accelerating recovery from exercise-induced muscle damage on biceps brachii. SPORT SCIENCES FOR HEALTH 2017. [DOI: 10.1007/s11332-017-0355-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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56
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Russell M, Birch J, Love T, Cook CJ, Bracken RM, Taylor T, Swift E, Cockburn E, Finn C, Cunningham D, Wilson L, Kilduff LP. The Effects of a Single Whole-Body Cryotherapy Exposure on Physiological, Performance, and Perceptual Responses of Professional Academy Soccer Players After Repeated Sprint Exercise. J Strength Cond Res 2017; 31:415-421. [DOI: 10.1519/jsc.0000000000001505] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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57
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Subjective evaluation of the effectiveness of whole-body cryotherapy in patients with osteoarthritis. Reumatologia 2017; 54:291-295. [PMID: 28115779 PMCID: PMC5241365 DOI: 10.5114/reum.2016.64904] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2016] [Accepted: 11/12/2016] [Indexed: 12/02/2022] Open
Abstract
Objectives One of the treatments for osteoarthritis (OA) is whole-body cryotherapy (WBC). The aim of this study is to assess the effect of whole-body cryotherapy on the clinical status of patients with osteoarthritis (OA), according to their subjective feelings before and after the application of a 10-day cold treatment cycle. The aim is also to assess the reduction of intensity and frequency of pain, the reduction of the painkiller medication used, and to assess the possible impact on physical activity. Material and methods The study involved 50 people, including 30 women (60%) and 20 men (40%). Thirty-one patients had spondyloarthritis (62% of respondents), 10 had knee osteoarthritis (20%), and 9 hip osteoarthritis (18%). The overall average age was 50.1 ±10.9 years; the youngest patient was 29 years old and the oldest 73 years old. The average age of the women was 6 years higher. The study used a questionnaire completed by patients, and consisted of three basic parts. The modified Laitinen pain questionnaire contained questions concerning the intensity and frequency of pain, frequency of painkiller use and the degree of limited mobility. The visual analogue scale (VAS) was used in order to subjectively evaluate the therapy after applying the ten-day treatment cycle. Results According to the subjective assessment of respondents, after the whole-body cryotherapy treatments, a significant improvement occurred in 39 patients (78%), an improvement in 9 patients (18%), and no improvement was only declared by 2 patients (4%). Conclusions Whole-body cryotherapy resulted in a reduction in the frequency and degree of pain perception in patients with osteoarthritis. WBC reduced the number of analgesic medications in these patients. It improved the range of physical activity and had a positive effect on the well-being of patients.
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Bongers CCWG, Hopman MTE, Eijsvogels TMH. Cooling interventions for athletes: An overview of effectiveness, physiological mechanisms, and practical considerations. Temperature (Austin) 2017; 4:60-78. [PMID: 28349095 PMCID: PMC5356217 DOI: 10.1080/23328940.2016.1277003] [Citation(s) in RCA: 115] [Impact Index Per Article: 16.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Revised: 12/22/2016] [Accepted: 12/22/2016] [Indexed: 02/08/2023] Open
Abstract
Exercise-induced increases in core body temperature could negative impact performance and may lead to development of heat-related illnesses. The use of cooling techniques prior (pre-cooling), during (per-cooling) or directly after (post-cooling) exercise may limit the increase in core body temperature and therefore improve exercise performance. The aim of the present review is to provide a comprehensive overview of current scientific knowledge in the field of pre-cooling, per-cooling and post-cooling. Based on existing studies, we will discuss 1) the effectiveness of cooling interventions, 2) the underlying physiological mechanisms and 3) practical considerations regarding the use of different cooling techniques. Furthermore, we tried to identify the optimal cooling technique and compared whether cooling-induced performance benefits are different between cool, moderate and hot ambient conditions. This article provides researchers, physicians, athletes and coaches with important information regarding the implementation of cooling techniques to maintain exercise performance and to successfully compete in thermally stressful conditions.
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Affiliation(s)
- Coen C W G Bongers
- Radboud Institute of Health Sciences, Radboud university medical center, Department of Physiology , Nijmegen, The Netherlands
| | - Maria T E Hopman
- Radboud Institute of Health Sciences, Radboud university medical center, Department of Physiology , Nijmegen, The Netherlands
| | - Thijs M H Eijsvogels
- Radboud Institute of Health Sciences, Radboud university medical center, Department of Physiology, Nijmegen, The Netherlands; Research Institute for Sports and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
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Périard JD, Racinais S, Timpka T, Dahlström Ö, Spreco A, Jacobsson J, Bargoria V, Halje K, Alonso JM. Strategies and factors associated with preparing for competing in the heat: a cohort study at the 2015 IAAF World Athletics Championships. Br J Sports Med 2016; 51:264-270. [PMID: 27815238 PMCID: PMC5318647 DOI: 10.1136/bjsports-2016-096579] [Citation(s) in RCA: 76] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/17/2016] [Indexed: 01/22/2023]
Abstract
PURPOSE Assess exertional heat illness (EHI) history and preparedness in athletes competing in a World Athletics Championships under hot/humid conditions and identify the factors associated with preparedness strategies. METHODS Of the 207 registered national teams invited to participate in the study, 50 (24%) accepted. The 957 athletes (49% of all 1965 registered) in these teams were invited to complete a precompetition questionnaire evaluating EHI history, heat stress prevention (heat acclimatisation, precooling and hydration) and recovery. Responses from 307 (32%) athletes were separated in field events, sprints, middle-distance and long-distance running, and decathlon/heptathlon for analysis. RESULTS 48% of athletes had previously experienced EHI symptoms and 8.5% had been diagnosed with EHI. 15% heat acclimatised (∼20 days) before the championships. 52% had a precooling strategy, ice slurry ingestion (24%) being the most prevalent and women using it more frequently than men (p=0.005). 96% of athletes had a fluid consumption strategy, which differed between event categories (p<0.001). The most common volumes planned on being consumed were 0.5-1 L (27.2%) and ≥2 L (21.8%), water being the most frequent. 89% of athletes planned on using at least one recovery strategy. Female sex (p=0.024) and a previous EHI diagnosis increased the likelihood of using all 3 prevention strategies (p<0.001). CONCLUSIONS At a World Championships with expected hot/humid conditions, less than one-fifth of athletes heat acclimatised, half had a precooling strategy and almost all a hydration plan. Women, and especially athletes with an EHI history, were more predisposed to use a complete heat stress prevention strategy. More information regarding heat acclimatisation should be provided to protect athlete health and optimise performance at major athletics competitions in the heat.
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Affiliation(s)
- Julien D Périard
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Sébastien Racinais
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Toomas Timpka
- Athletics Research Center, Linköping University, Linköping, Sweden
| | - Örjan Dahlström
- Athletics Research Center, Linköping University, Linköping, Sweden
| | - Armin Spreco
- Athletics Research Center, Linköping University, Linköping, Sweden
| | - Jenny Jacobsson
- Athletics Research Center, Linköping University, Linköping, Sweden.,Swedish Athletics Association, Stockholm, Sweden
| | - Victor Bargoria
- Athletics Research Center, Linköping University, Linköping, Sweden.,Department of Orthopaedics and Rehabilitation, Moi University, Eldoret, Kenya
| | - Karin Halje
- Athletics Research Center, Linköping University, Linköping, Sweden.,Young Adults Centre, Region Östergötland, Linköping, Sweden
| | - Juan-Manuel Alonso
- Sports Medicine Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
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Bouzigon R, Grappe F, Ravier G, Dugue B. Whole- and partial-body cryostimulation/cryotherapy: Current technologies and practical applications. J Therm Biol 2016; 61:67-81. [DOI: 10.1016/j.jtherbio.2016.08.009] [Citation(s) in RCA: 85] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Revised: 08/25/2016] [Accepted: 08/26/2016] [Indexed: 01/07/2023]
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61
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Buijze GA, Sierevelt IN, van der Heijden BCJM, Dijkgraaf MG, Frings-Dresen MHW. The Effect of Cold Showering on Health and Work: A Randomized Controlled Trial. PLoS One 2016; 11:e0161749. [PMID: 27631616 PMCID: PMC5025014 DOI: 10.1371/journal.pone.0161749] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Accepted: 08/11/2016] [Indexed: 01/05/2023] Open
Abstract
Purpose The aim of this study was to determine the cumulative effect of a routine (hot-to-) cold shower on sickness, quality of life and work productivity. Methods Between January and March 2015, 3018 participants between 18 and 65 years without severe comorbidity and no routine experience of cold showering were randomized (1:1:1:1) to a (hot-to-) cold shower for 30, 60, 90 seconds or a control group during 30 consecutive days followed by 60 days of showering cold at their own discretion for the intervention groups. The primary outcome was illness days and related sickness absence from work. Secondary outcomes were quality of life, work productivity, anxiety, thermal sensation and adverse reactions. Results 79% of participants in the interventions groups completed the 30 consecutive days protocol. A negative binomial regression model showed a 29% reduction in sickness absence for (hot-to-) cold shower regimen compared to the control group (incident rate ratio: 0.71, P = 0.003). For illness days there was no significant group effect. No related serious advents events were reported. Conclusion A routine (hot-to-) cold shower resulted in a statistical reduction of self-reported sickness absence but not illness days in adults without severe comorbidity. Trial Registration Netherlands National Trial Register NTR5183
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Affiliation(s)
- Geert A. Buijze
- Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands
- * E-mail:
| | - Inger N. Sierevelt
- Department of Orthopaedic Surgery, Medical Center Slotervaart, Amsterdam, The Netherlands
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Detection by Infrared Thermography of the Effect of Local Cryotherapy Exposure on Thermal Spreadin Skin. J Imaging 2016. [DOI: 10.3390/jimaging2020020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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63
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Missmann M, Himsl M, Mur E, Ulmer H, Marschang P. Impact of Whole Body Cryotherapy at -110 °C on Subjects with Arterial Hypertension. Arch Immunol Ther Exp (Warsz) 2016; 64:75-82. [PMID: 26408646 DOI: 10.1007/s00005-015-0363-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2014] [Accepted: 05/12/2015] [Indexed: 11/28/2022]
Abstract
Whole body cryotherapy (WBC) in a cryo-chamber as a medical treatment was first established in Japan in the 1980s, later in Central Europe, and is now becoming more popular also in the United States. The exposure to extreme, non-physiological environmental conditions in a cryo-chamber at -110 °C may exceed the normal adaption capacity. The aim of this study was to investigate the effects of WBC on blood pressure (BP) readings in adult subjects with rheumatic disorders and normal or moderately elevated BP. A sample of 23 subjects (8 female, 15 male) which were recruited according to their pathology between the age of 35 and 69 years undergoing 21 WBC applications was divided into three groups: a group of subjects with anti-hypertensive therapy, a group of subjects with mild arterial hypertension without medical treatment, and a normotensive control-group. A total of 483 BP readings were taken immediately before and after each WBC application. The systolic and diastolic BP were recorded, and the mean arterial pressure, and the amplitude of BP were calculated. A statistically significant rise of BP after WBC was found in the whole sample and in the normotensive group. Over the course of time, no significant change of BP behavior was observed, except for normotensive subjects, who showed a wider range in their systolic BP values. Generally accepted exclusion criteria were applied, and in our sample group WBC was safe with respect to unwanted BP alterations for adult subjects under 70 years-regardless of a pre-existing untreated mild or pharmacologically treated arterial hypertension. Greater changes of BP values might infrequently occur, so an individual monitoring of subjects is necessary.
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Affiliation(s)
- M Missmann
- AUVA, Austrian Workers' Compensation Board, Innsbruck, Austria
| | - M Himsl
- Department of Orthopedic Surgery, General Hospital Ried, Ried, Austria
| | - E Mur
- Department of Internal Medicine, Medical University of Innsbruck, Innsbruck, Austria
| | - H Ulmer
- Department of Medical Statistics, Informatics and Health Economics, Medical University of Innsbruck, Innsbruck, Austria
| | - P Marschang
- Department of Internal Medicine, Medical University of Innsbruck, Innsbruck, Austria.
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64
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Murray A, Cardinale M. Cold applications for recovery in adolescent athletes: a systematic review and meta analysis. EXTREME PHYSIOLOGY & MEDICINE 2015; 4:17. [PMID: 26464795 PMCID: PMC4603811 DOI: 10.1186/s13728-015-0035-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Accepted: 09/21/2015] [Indexed: 12/18/2022]
Abstract
Recovery and regeneration modalities have been developed empirically over the years to help and support training programmes aimed at maximizing athletic performance. Professional athletes undergo numerous training sessions, characterized by differing modalities of varying volumes and intensities, with the aim of physiological adaptation leading to improved performance. Scientific support to athletes focuses on improving the chances of a training programme producing the largest adaptive response. In competition it is mainly targeted at maximizing the chances of optimal performance and recovery when high performance levels are required repeatedly in quick succession (e.g. heats/finals). In recent years, a lot of emphasis has been put on recovery modalities. In particular, emphasis has been placed on the need to reduce the delayed onset of muscle soreness (DOMS) typically evident following training and competitive activities inducing a certain degree of muscle damage. One of the most used recovery modalities consists of cold-water immersion and/or ice/cold applications to muscles affected by DOMS. While the scientific literature has provided a rationale for such modalities to reduce pain in athletes and recreationally active adults, it is doubtful if this rationale is appropriate to aid training with adolescent athletes. In particular, since these methods have been suggested to potentially impair the muscle remodeling process leading to muscle hypertrophy. While this debate is still active in the literature, many coaches adopt such practices in youth populations, simply transferring what they see in elite sportspeople directly; without questioning the rationale, safety or effectiveness as well as the potential for such activity to reduce the adaptive potential of skeletal muscle remodeling in adolescent athletes. The aim of this review was to assess the current knowledge base on the use of ice/cold applications for recovery purposes in adolescent athletes in order to provide useful guidelines for sports scientists, medical practitioners, physiotherapists and coaches working with such populations as well as developing research questions for further research activities in this area. Based on the current evidence, it seems clear that evidence for acute benefits of such interventions are scarce and more work is needed to ascertain the physiological implications on a pre or peri-pubertal population.
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Affiliation(s)
- Andrew Murray
- />Department of Sports Science, Aspire Academy, Doha, Qatar
- />University of Edinburgh, Edinburgh, UK
| | - Marco Cardinale
- />Department of Sports Science, Aspire Academy, Doha, Qatar
- />Department of Computer Science and Institute of Sport Exercise and Health, University College London, London, UK
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65
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Costello JT, Baker PRA, Minett GM, Bieuzen F, Stewart IB, Bleakley C. Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults. Cochrane Database Syst Rev 2015; 2015:CD010789. [PMID: 26383887 PMCID: PMC9579836 DOI: 10.1002/14651858.cd010789.pub2] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
BACKGROUND Recovery strategies are often used with the intention of preventing or minimising muscle soreness after exercise. Whole-body cryotherapy, which involves a single or repeated exposure(s) to extremely cold dry air (below -100 °C) in a specialised chamber or cabin for two to four minutes per exposure, is currently being advocated as an effective intervention to reduce muscle soreness after exercise. OBJECTIVES To assess the effects (benefits and harms) of whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults. SEARCH METHODS We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, the British Nursing Index and the Physiotherapy Evidence Database. We also searched the reference lists of articles, trial registers and conference proceedings, handsearched journals and contacted experts.The searches were run in August 2015. SELECTION CRITERIA We aimed to include randomised and quasi-randomised trials that compared the use of whole-body cryotherapy (WBC) versus a passive or control intervention (rest, no treatment or placebo treatment) or active interventions including cold or contrast water immersion, active recovery and infrared therapy for preventing or treating muscle soreness after exercise in adults. We also aimed to include randomised trials that compared different durations or dosages of WBC. Our prespecified primary outcomes were muscle soreness, subjective recovery (e.g. tiredness, well-being) and adverse effects. DATA COLLECTION AND ANALYSIS Two review authors independently screened search results, selected studies, assessed risk of bias and extracted and cross-checked data. Where appropriate, we pooled results of comparable trials. The random-effects model was used for pooling where there was substantial heterogeneity. We assessed the quality of the evidence using GRADE. MAIN RESULTS Four laboratory-based randomised controlled trials were included. These reported results for 64 physically active predominantly young adults (mean age 23 years). All but four participants were male. Two trials were parallel group trials (44 participants) and two were cross-over trials (20 participants). The trials were heterogeneous, including the type, temperature, duration and frequency of WBC, and the type of preceding exercise. None of the trials reported active surveillance of predefined adverse events. All four trials had design features that carried a high risk of bias, potentially limiting the reliability of their findings. The evidence for all outcomes was classified as 'very low' quality based on the GRADE criteria.Two comparisons were tested: WBC versus control (rest or no WBC), tested in four studies; and WBC versus far-infrared therapy, also tested in one study. No studies compared WBC with other active interventions, such as cold water immersion, or different types and applications of WBC.All four trials compared WBC with rest or no WBC. There was very low quality evidence for lower self-reported muscle soreness (pain at rest) scores after WBC at 1 hour (standardised mean difference (SMD) -0.77, 95% confidence interval (CI) -1.42 to -0.12; 20 participants, 2 cross-over trials); 24 hours (SMD -0.57, 95% CI -1.48 to 0.33) and 48 hours (SMD -0.58, 95% CI -1.37 to 0.21), both with 38 participants, 2 cross-over studies, 1 parallel group study; and 72 hours (SMD -0.65, 95% CI -2.54 to 1.24; 29 participants, 1 cross-over study, 1 parallel group study). Of note is that the 95% CIs also included either no between-group differences or a benefit in favour of the control group. One small cross-over trial (9 participants) found no difference in tiredness but better well-being after WBC at 24 hours post exercise. There was no report of adverse events.One small cross-over trial involving nine well-trained runners provided very low quality evidence of lower levels of muscle soreness after WBC, when compared with infrared therapy, at 1 hour follow-up, but not at 24 or 48 hours. The same trial found no difference in well-being but less tiredness after WBC at 24 hours post exercise. There was no report of adverse events. AUTHORS' CONCLUSIONS There is insufficient evidence to determine whether whole-body cryotherapy (WBC) reduces self-reported muscle soreness, or improves subjective recovery, after exercise compared with passive rest or no WBC in physically active young adult males. There is no evidence on the use of this intervention in females or elite athletes. The lack of evidence on adverse events is important given that the exposure to extreme temperature presents a potential hazard. Further high-quality, well-reported research in this area is required and must provide detailed reporting of adverse events.
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Affiliation(s)
- Joseph T Costello
- University of PortsmouthDepartment of Sport and Exercise ScienceSpinnaker BuildingCambridge RoadPortsmouthUKP01 2ER
| | - Philip RA Baker
- Queensland University of TechnologySchool of Public Health and Social Work, Institute of Health and Biomedical InnovationVictoria Park RoadKelvin GroveQueenslandAustralia4059
| | - Geoffrey M Minett
- Queensland University of TechnologySchool of Exercise and Nutrition Sciences and Institute of Health and Biomedical InnovationVictoria Park RoadKelvin GroveBrisbaneQueenslandAustralia4059
| | - Francois Bieuzen
- French National Institute of Sport (INSEP)Laboratory of Sport, Expertise and Performance ‐ EA 737011 avenue du TremblayParisFrance75012
| | - Ian B Stewart
- Queensland University of TechnologySchool of Exercise and Nutrition Sciences and Institute of Health and Biomedical InnovationVictoria Park RoadKelvin GroveBrisbaneQueenslandAustralia4059
| | - Chris Bleakley
- University of UlsterUlster Sports AcademySchool of Health SciencesShore RoadNewtownabbeyCounty AntrimUKBT37 0QB
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Borne R, Hausswirth C, Costello JT, Bieuzen F. Low-frequency electrical stimulation combined with a cooling vest improves recovery of elite kayakers following a simulated 1000-m race in a hot environment. Scand J Med Sci Sports 2015; 25 Suppl 1:219-28. [PMID: 25943673 DOI: 10.1111/sms.12392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2014] [Indexed: 11/28/2022]
Abstract
This study compared the effects of a low-frequency electrical stimulation (LFES; Veinoplus(®) Sport, Ad Rem Technology, Paris, France), a low-frequency electrical stimulation combined with a cooling vest (LFESCR ) and an active recovery combined with a cooling vest (ACTCR ) as recovery strategies on performance (racing time and pacing strategies), physiologic and perceptual responses between two sprint kayak simulated races, in a hot environment (∼32 wet-bulb-globe temperature). Eight elite male kayakers performed two successive 1000-m kayak time trials (TT1 and TT2), separated by a short-term recovery period, including a 30-min of the respective recovery intervention protocol, in a randomized crossover design. Racing time, power output, and stroke rate were recorded for each time trial. Blood lactate concentration, pH, core, skin and body temperatures were measured before and after both TT1 and TT2 and at mid- and post-recovery intervention. Perceptual ratings of thermal sensation were also collected. LFESCR was associated with a very likely effect in performance restoration compared with ACTCR (99/0/1%) and LFES conditions (98/0/2%). LFESCR induced a significant decrease in body temperature and thermal sensation at post-recovery intervention, which is not observed in ACTCR condition. In conclusion, the combination of LFES and wearing a cooling vest (LFESCR ) improves performance restoration between two 1000-m kayak time trials achieved by elite athletes, in the heat.
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Affiliation(s)
- R Borne
- Research Department, Laboratory of Sport, Expertise and Performance, French National Institute of Sport (INSEP), Paris, France
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Postexercise impact of ice-cold water bath on the oxidant-antioxidant balance in healthy men. BIOMED RESEARCH INTERNATIONAL 2015; 2015:706141. [PMID: 25866803 PMCID: PMC4383303 DOI: 10.1155/2015/706141] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 09/30/2014] [Accepted: 10/25/2014] [Indexed: 11/17/2022]
Abstract
The aim of the study was to determine the effect of a 5 min head-out ice-cold water bath on the oxidant-antioxidant balance in response to exercise. The crossover study included the subjects (n = 24; aged 28.7 ± 7.3 years) who performed two identical stationary cycling bouts for 30 min and recovered for 10 min at room temperature (RT = 20°C; session 1) or in a pool with ice-cold water (ICW = 3°C, 5 min immersion; session 2). The concentration of thiobarbituric acid reactive substances (TBARS) in blood plasma (TBARSpl) and erythrocytes (TBARSer) and the erythrocytic activity of superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx) were measured three times during each of the two study sessions: before the exercise (baseline) and 20 and 40 min after the appropriate recovery session. Lower concentration of TBARSpl 40 min after postexercise recovery in ICW was revealed as compared with that after recovery at RT (P < 0.05). Moreover, a statistically significant postexercise increase in the TBARSpl and TBARSer concentrations was found (P < 0.01 and P < 0.05, resp.). A short-term ice-cold water bath decreases postexercise lipid peroxidation.
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Ferreira-Junior JB, Bottaro M, Vieira A, Siqueira AF, Vieira CA, Durigan JLQ, Cadore EL, Coelho LGM, Simões HG, Bemben MG. One session of partial-body cryotherapy (−110 °C) improves muscle damage recovery. Scand J Med Sci Sports 2014; 25:e524-30. [DOI: 10.1111/sms.12353] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2014] [Indexed: 11/29/2022]
Affiliation(s)
- J. B. Ferreira-Junior
- College of Physical Education; University of Brasília; Brasilia DF Brazil
- Federal Institute of Triangulo Mineiro; Paracatu MG Brazil
| | - M. Bottaro
- College of Physical Education; University of Brasília; Brasilia DF Brazil
| | - A. Vieira
- College of Physical Education; University of Brasília; Brasilia DF Brazil
| | - A. F. Siqueira
- College of Physical Education; University of Brasília; Brasilia DF Brazil
| | - C. A. Vieira
- College of Physical Education; University of Brasília; Brasilia DF Brazil
| | - J. L. Q. Durigan
- Physical Therapy Division; University of Brasília; Brasilia DF Brazil
| | - E. L. Cadore
- College of Physical Education; University of Brasília; Brasilia DF Brazil
| | - L. G. M. Coelho
- Federal Center for Technological Education of Minas Gerais; Divinopolis MG Brazil
| | - H. G. Simões
- Graduate Program on Physical Education; Catholic University of Brasilia; Brasilia DF Brazil
| | - M. G. Bemben
- Department of Health and Exercise Science; University of Oklahoma; Norman Oklahoma USA
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Ferreira-Junior JB, Bottaro M, Loenneke JP, Vieira A, Vieira CA, Bemben MG. Could whole-body cryotherapy (below -100°C) improve muscle recovery from muscle damage? Front Physiol 2014; 5:247. [PMID: 25071592 PMCID: PMC4078193 DOI: 10.3389/fphys.2014.00247] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Accepted: 06/13/2014] [Indexed: 01/10/2023] Open
Affiliation(s)
- Joao B Ferreira-Junior
- College of Physical Education, University of Brasília Brasília, Brazil ; Federal Institute of Triângulo Mineiro Paracatu, Brazil
| | - Martim Bottaro
- College of Physical Education, University of Brasília Brasília, Brazil
| | - Jeremy P Loenneke
- Neuromuscular Research Laboratory, Department of Health and Exercise Science, The University of Oklahoma Norman, OK, USA
| | - Amilton Vieira
- College of Physical Education, University of Brasília Brasília, Brazil
| | - Carlos A Vieira
- College of Physical Education, University of Brasília Brasília, Brazil
| | - Michael G Bemben
- Neuromuscular Research Laboratory, Department of Health and Exercise Science, The University of Oklahoma Norman, OK, USA
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70
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Physical exercise combined with whole-body cryotherapy in evaluating the level of lipid peroxidation products and other oxidant stress indicators in kayakers. OXIDATIVE MEDICINE AND CELLULAR LONGEVITY 2014; 2014:402631. [PMID: 24864189 PMCID: PMC4016901 DOI: 10.1155/2014/402631] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/14/2014] [Revised: 04/04/2014] [Accepted: 04/04/2014] [Indexed: 11/28/2022]
Abstract
The influence of exercise combined with whole-body cryotherapy (WBC) on the oxidant/antioxidant balance in healthy men was assessed. The study included 16 kayakers of the Polish National Team, aged 22.7 ± 2.6, subjected to WBC (−120°C–−145°C; 3 min) twice a day for the first 10 days of a 19-day physical training cycle: pre exercise morning stimulation and post exercise afternoon recovery. Blood samples were taken on Day 0 (baseline) and on Days 5, 11 and 19. The serum concentration of malondialdehyde (MDA), conjugated dienes (CD), thiobarbituric acid reactive substances (TBARS), protein carbonyls, vitamin E, urea, cortisol, and testosterone were determined, along with the glutathione peroxidase (GPx) activity, the total antioxidant capacity (TAC), and morphological blood parameters. On 5th day of exercise/WBC, the baseline GPx activity decreased by 15.1% (P < 0.05), while on 19th day, it increased by 19.7% (P < 0.05) versus Day 5. On Day 19 TBARS concentration decreased versus baseline and Day 5 (by 15.9% and 17.4%, resp.; P < 0.01). On 19 Day urea concentration also decreased versus 11 Day; however, on 5th and 11th days the level was higher versus baseline. Combining exercise during longer training cycles with WBC may be advantageous.
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