Study2023

Retrospective analysis of whole-body cryotherapy adverse effects in Division I collegiate athletes

Kelly EA, Forootan NS, Checketts JX, Frank A, Tangen CL

Journal of osteopathic medicine · 0 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
Cross-sectional study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2023-03-16 · J Osteopath Med · vol. 123 · issue 5 · pp. 249–257
Publisher
De Gruyter
Cited
5 citations · more than 64% of similar papers · 0.5× the field average
References
29 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Exercise and Physiological Responses · Sports injuries and prevention · Thermoregulation and physiological responses
Keywords
Athletes, Basketball, Context (archaeology), Medicine, Cryotherapy, Physical therapy, Adverse effect, Field hockey, Football, Family medicine, Psychology, Internal medicine, Surgery
MeSH
humans, exanthema, athletic injuries, cryotherapy, incidence, retrospective studies, adolescent, adult, female, male, athletes

5 authors

From US

  • Emily Kelly · correspondingLake Erie College of Osteopathic Medicine
  • Nazilla Seyed Forootan
  • Jake Xavier CheckettsOklahoma State University Medical Center
  • Austin C. FrankKent State University
  • Christopher L. Tangen

Abstract

Context

Although the physiological effects and the performance of athletes after utilizing whole-body cryotherapy (WBC) have been widely studied, there is a lack of data on its adverse effects. It is important to be aware of the adverse effects of any treatment for its use to be properly recommended.

Objectives

This study aims to provide insight to any adverse effects that collegiate athletes experienced after utilizing WBC to better utilize this therapeutic modality.

Methods

After the Institutional Review Board (IRB) deemed exemption, all 457 Division 1-A varsity athletes were recruited via email to participate in a retrospective survey. Participants consented to the study by continuing to the questions. The inclusion criteria were that they must be 18 years of age or older, had completed WBC at that university, and were a student-athlete. The survey was six questions long, and if any of the inclusion criteria was not met, they were redirected to end the survey. The data were analyzed utilizing odds ratios.

Results

Of the 457 student-athletes, 11.2% (n=51) responded and 6.3% (n=29) met the inclusion criteria. Responses were obtained from women's lacrosse (27.6%; n=8), women's gymnastics (24.1%, n=7), field hockey (17.2%, n=5), wrestling (6.9%, n=2), football (6.9%, n=2), women's cross country (3.5%, n=1), men's basketball (3.5%, n=1), women's volleyball (3.5%, n=1), softball (3.5%, n=1), and baseball (3.5%, n=1). Among the responses, 79.3% (n=23) were females and 29.7% (n=6) were males. Within 1 h of WBC, the most frequently reported adverse effects were skin rash (27.6%, n=8), itching (13.8%, n=4), and fatigue (6.9%, n=2). More than 1 h after WBC, the most frequently reported adverse effects were skin rash (20.7%, n=6), itching (10.3%, n=3), and increased energy (6.9%, n=2). When stratified by female and male athletes, for both within 1 h and more than 1 h after WBC, there were increased odds for females reporting adverse effects; however, neither were statistically significant (OR 4.58, p=0.19, 95% CI 0.46 to 45.61) (OR 3.84, p=0.25, 95% CI 0.39 to 38.36). Within 1 h of WBC, 58.6% (n=17) of subjects reported no adverse effects, and more than 1 h after WBC, 65.5% (n=19) subjects reported no adverse effects. The mean satisfaction level rating was 6.34 (range 0-10, n=29). When asked if they would do WBC again, 65.5% (n=19) responded "yes" and 34.5% (n=10) responded "no."

Conclusions

In this collegiate athlete population, negative adverse effects of WBC commonly included skin burns and itching while potentially proving a beneficial adverse effect of increased energy. Subjects commonly reported no adverse effects after WBC treatment as well.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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