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Effects of Cold-Water Immersion Compared with Other Recovery Modalities on Athletic Performance Following Acute Strenuous Exercise in Physically Active Participants: A Systematic Review, Meta-Analysis, and Meta-Regression
Sports Medicine ( IF 9.8 ) Pub Date : 2022-12-17 , DOI: 10.1007/s40279-022-01800-1
Emma Moore 1 , Joel T Fuller 2 , Clint R Bellenger 1 , Siena Saunders 1 , Shona L Halson 3 , James R Broatch 4 , Jonathan D Buckley 1
Affiliation  

Background

Studies investigating the effects of common recovery modalities following acute strenuous exercise have reported mixed results.

Objectives

This systematic review with meta-analysis and meta-regression compared the effects of cold-water immersion (CWI) against other common recovery modalities on recovery of athletic performance, perceptual outcomes, and creatine kinase (CK) following acute strenuous exercise in physically active populations.

Study Design

Systematic review, meta-analysis, and meta-regression.

Methods

The MEDLINE, SPORTDiscus, Scopus, Web of Science, Cochrane Library, EmCare, and Embase databases were searched up until September 2022. Studies were included if they were peer reviewed, published in English, included participants who were involved in sport or deemed physically active, compared CWI with other recovery modalities following an acute bout of strenuous exercise, and included measures of performance, perceptual measures of recovery, or CK.

Results

Twenty-eight studies were meta-analysed. CWI was superior to other recovery methods for recovering from muscle soreness, and similar to other methods for recovery of muscular power and flexibility. CWI was more effective than active recovery, contrast water therapy and warm-water immersion for most recovery outcomes. Air cryotherapy was significantly more effective than CWI for the promotion of recovery of muscular strength and the immediate recovery of muscular power (1-h post-exercise). Meta-regression revealed that water temperature and exposure duration were rarely exposure moderators.

Conclusion

CWI is effective for promoting recovery from acute strenuous exercise in physically active populations compared with other common recovery methods.

Protocol Registration

Open Science Framework: https://doi.org/10.17605/OSF.IO/NGP7C



中文翻译:

与其他恢复方式相比,冷水浸泡对体育锻炼参与者剧烈运动后运动表现的影响:系统评价、荟萃分析和荟萃回归

背景

调查急性剧烈运动后常见恢复方式的影响的研究报告了不同的结果。

目标

这项采用荟萃分析和荟萃回归的系统评价比较了冷水浸泡 (CWI) 与其他常见恢复方式对身体活动人群急性剧烈运动后运动表现、知觉结果和肌酸激酶 (CK) 恢复的影响.

学习规划

系统评价、元分析和元回归。

方法

搜索了 MEDLINE、SPORTDiscus、Scopus、Web of Science、Cochrane Library、EmCare 和 Embase 数据库,直至 2022 年 9 月。如果研究经过同行评审、以英文发表、包括参与运动或被认为身体活跃的参与者,则纳入研究, 将 CWI 与剧烈运动后的其他恢复方式进行了比较,包括性能测量、恢复感知测量或 CK。

结果

对 28 项研究进行了荟萃分析。CWI 在肌肉酸痛恢复方面优于其他恢复方法,在恢复肌肉力量和柔韧性方面与其他方法相似。对于大多数恢复结果,CWI 比主动恢复、对比水疗法和温水浸泡更有效。空气冷冻疗法在促进肌肉力量恢复和立即恢复肌肉力量(运动后 1 小时)方面明显比 CWI 更有效。元回归显示水温和暴露时间很少是暴露调节剂。

结论

与其他常见的恢复方法相比,CWI 可有效促进体力活动人群从急性剧烈运动中恢复。

协议注册

开放科学框架:https://doi.org/10.17605/OSF.IO/NGP7C

更新日期:2022-12-18
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