Study2019

Cold water immersion settings for reducing muscle tissue temperature: a linear dose-response relationship

Vromans BA, Thorpe RT, Viroux PJ, Tiemessen IJ

The Journal of sports medicine and physical fitness · 10 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Meta-analysis (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2019-12-01 · J Sports Med Phys Fitness · vol. 59 · issue 11 · pp. 1861–1869
Publisher
Edizioni Minerva Medica
Cited
15 citations · more than 76% of similar papers · 0.9× the field average
References
32 works
Access
Paywalled
Research areas
Exercise and Physiological Responses · Thermoregulation and physiological responses · Thermal Regulation in Medicine
Keywords
Immersion (mathematics), Linear relationship, Confounding, Medicine, Mathematics, Internal medicine, Statistics
MeSH
muscle, skeletal, humans, water, body temperature, immersion, recovery of function, sports

4 authors

From NL, GB

  • Bart A VromansVrije Universiteit Amsterdam
  • Robin T. ThorpeManchester City Football Club; Liverpool John Moores University
  • Patrick J. F. Viroux
  • Ivo Tiemessen

Abstract

Background

Although cold water immersion (CWI) is widely accepted and integrated as a recovery modality in sports practice, questions regarding its proposed working mechanisms remain. This study systematically reviews the existing literature on one the proposed mechanisms of CWI, its effect on muscle tissue temperature, and subsequently tries to identify a dose-response relationship in order to describe an optimal dose.

Evidence acquisition

A systematic literature search (PubMed and Sport Discus) was conducted in October 2017. Dose-response relationships were analyzed using linear regression while controlling for possible confounders (muscle measurement depth and immersion position).

Evidence synthesis

A total of 10 studies, with a total of 104 participants, were included utilizing 26 different CWI protocols. Muscle tissue temperatures were reduced significantly by 24 CWI protocols. A significant, relationship with a medium effect size (r=0.51) was identified between muscle tissue temperature and CWI. The most optimal dose-response relationship, with a large effect size, (r=0.87) was described for CWI protocols using full-body immersion at a measurement depth of 30 mm (y = 4.051 x + 0.535).

Conclusions

CWI can decrease muscle tissue temperature significantly if a minimum CWI dose of 1.1 is applied, corresponding with an immersion of 11 minutes with a water temperature of 10 °C.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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