Strategic Application of Post-exercise Cold-Water Immersion to Enhance Performance Recovery and Adaptation: An Umbrella Review of 15 Published Systematic Reviews with Meta-analysis
Berjisian E, Miraftabi H, Ihsan M, Homer KA, Kendall K, Roberts L, Abbiss C
Sports medicine - open · 0 citas
Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Universidad u hospital
- Edith Cowan University
Según 1 financiador declarado y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2026-09-30 · Sports Med Open · vol. 12 · número 1
- Editorial
- Springer Nature
- Citado
- 0 citas · más que el 71% de estudios similares · 0.0× el promedio de su campo
- Referencias
- 82 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY-NC-ND
- Áreas de investigación
- Sports Performance and Training · Exercise and Physiological Responses · Thermoregulation and physiological responses
- Palabras clave
- cold water immersion, post-exercise recovery, performance recovery, exercise adaptation, recovery strategies, athletic performance
7 autores
- Erfan Berjisian🇦🇺 · autor de correspondenciaEdith Cowan University
- Hossein Miraftabi
- Mohammed Ihsan🇦🇪United Arab Emirates University
- Kai Alexander Homer🇦🇺Edith Cowan University
- Kristina L. Kendall🇦🇺Edith Cowan University
- Llion Arwyn Roberts🇦🇺Griffith University
- Chris R. Abbiss🇦🇺Edith Cowan University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Athletes commonly implement post-exercise cold-water immersion (CWI), with several meta-analyses having assessed its effectiveness.
Objectives
To thoroughly review, appraise, and summarise existing systematic reviews with meta-analyses (SRMA) examining the effects of post-exercise CWI on the recovery of exercise performance and adaptation.
Methods
An umbrella review was conducted in accordance with the Joanna Briggs Institute guidelines. Methodological quality was assessed using AMSTAR 2, and certainty of evidence using GRADE. PROSPERO registration: (CRD420251103267). Eight databases were searched, including Web of Science, Scopus, SPORTDiscus, CINAHL, Cochrane Library, Embase, MEDLINE, and PubMed. Systematic reviews with meta-analyses of peer-reviewed randomised controlled trials examining post-exercise CWI vs passive rest or other recovery modalities on performance, training adaptation, or physiological, biochemical, and perceptual outcomes in healthy humans were included, with restriction to the English language.
Results
Fifteen SRMAs published between 2011 and 2025, comprising 161 unique studies, were included. Overall methodological quality was low to critically low, and certainty of evidence was low to very low, mainly due to inconsistency and imprecision. Protocols of 10-15 min at 10-15 or 5-10 °C appear to be most effective for improving performance and recovery. Post-exercise CWI resulted in significant improvements in muscular power at 24 h post-high-intensity exercise and at 24-48 h post-eccentric exercise, and in jump performance at 24-48 h, despite impaired jump performance in the initial hours after post-exercise CWI. Endurance performance improved immediately after CWI, but CWI produced no later benefits or positive effects on adaptations. CWI did not improve muscular strength performance, and impaired strength and hypertrophic gains. CWI improved heart rate variability immediately after exercise, reduced muscle soreness up to 96 h, and lowered creatine kinase (CK) concentrations between 24 and 72 h, with no significant effects on C-reactive protein or interleukin-6 up to 72 h. No immediate impact on blood lactate or lactate dehydrogenase was found, although some reductions appear 24-72 h post-exercise.
Conclusions
Post-exercise CWI confers outcome-specific recovery benefits but may impair resistance training adaptations with chronic use. These findings support a periodised, context-driven approach to CWI implementation rather than routine application after all exercise sessions.
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