Evidence map›Paper›PMID 33877402›Full record

ReviewEuropean journal of applied physiology2021

The cold truth: the role of cryotherapy in the treatment of injury and recovery from exercise.

Susan Y Kwiecien, Malachy P McHugh

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in European journal of applied physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07198022 phase4completednot on this mapstarted 2025, after this paper: background citation

Comparative Evaluation of Application of Topical Anesthetic Gel, Solution and Cryotherapy

TypeinterventionalSponsorOndokuz Mayıs UniversityRan2025 to 2026Enrolled100ConditionsHealthy, Topical Anesthesia, Pediatric Dentistry, CryotherapyArmsCryotherapy, topical anesthetic, Topical anesthetic gel
NCT07211412 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Acute Cryotherapy on Musculoskeletal Function and Biomarkers for Inflammation, Oxidative Stress, and Muscle Damage

TypeinterventionalSponsorUniversity of Texas, El PasoRan2025 to 2026Enrolled60ConditionsExercise Induced Muscle Damage, CryotherapyArmsCryotherapy, Eccentric exercise-induced muscle damage
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
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  3. Cryotherapy in Postoperative Shoulder Surgery: A Systematic Review.Therapeutic hypothermia and temperature management · 2024
    Pooled it
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  16. The energy resistance principle.Cell metabolism · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Susan Y KwiecienNicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, NY, USA. susan@nismat.org.ORCID http://orcid.org/0000-0002-6683-8127
Malachy P McHughNicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, NY, USA.ORCID http://orcid.org/0000-0002-8371-8151
Lenox Hill Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryotherapy is utilized as a physical intervention in the treatment of injury and exercise recovery. Traditionally, ice is used in the treatment of musculoskeletal injury while cold water immersion or whole-body cryotherapy is used for recovery from exercise. In humans, the primary benefit of traditional cryotherapy is reduced pain following injury or soreness following exercise. Cryotherapy-induced reductions in metabolism, inflammation, and tissue damage have been demonstrated in animal models of muscle injury; however, comparable evidence in humans is lacking. This absence is likely due to the inadequate duration of application of traditional cryotherapy modalities. Traditional cryotherapy application must be repeated to overcome this limitation. Recently, the novel application of cooling with 15 °C phase change material (PCM), has been administered for 3-6 h with success following exercise. Although evidence suggests that chronic use of cryotherapy during resistance training blunts the anabolic training effect, recovery using PCM does not compromise acute adaptation. Therefore, following exercise, cryotherapy is indicated when rapid recovery is required between exercise bouts, as opposed to after routine training. Ultimately, the effectiveness of cryotherapy as a recovery modality is dependent upon its ability to maintain a reduction in muscle temperature and on the timing of treatment with respect to when the injury occurred, or the exercise ceased. Therefore, to limit the proliferation of secondary tissue damage that occurs in the hours after an injury or a strenuous exercise bout, it is imperative that cryotherapy be applied in abundance within the first few hours of structural damage.

Indexed as

ExerciseCryotherapyHumansMusculoskeletal SystemMyalgiaSprains and StrainsCoolingCryostimulationInflammationMetabolismMuscle damage

Identifiers

PMID33877402
OpenAlexW3155216012

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.