SynthesisSports medicine (Auckland, N.Z.)2023
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.
Synthesis in Sports medicine (Auckland, N.Z.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06565468 (The Effect of Cold Water Immersion on Recovery and Performance in NCAA Division I Athletes), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled 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.
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.
The Effect of Cold Water Immersion on Recovery and Performance in NCAA Division I Athletes
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- 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.Sports medicine - open · 2026Pooled it
- Effects of post-exercise hot and cold-water immersion on performance recovery and physiological markers in athletes: a systematic review.Frontiers in sports and active living · 2026Pooled it
- Acute Impact of Cold Compression Therapy Across Diverse Age Groups and Physical Conditioning Status: A Randomized Crossover Study.Journal of sports science & medicine · 2026Trial
- Time-dependent microvascular and analgesic responses to cold compression in healthy adults: identifying the optimal cooling duration for recovery.European journal of applied physiology · 2026Trial
- Effectiveness of a soccer injury prevention program based on creatine supplementation and internal load monitoring: a randomized controlled pilot study.Journal of the International Society of Sports Nutrition · 2025Trial
- Trial
- Trial
- The effectiveness of cryostimulation exposure on sleep and recovery in male athletes: Timing considerations.European journal of sport science · 2024Trial
- Acute effects of cold, heat and contrast pressure therapy on forearm muscles regeneration in combat sports athletes: a randomized clinical trial.Scientific reports · 2024Trial
- Cold Water Immersion or Foam Rolling? A Randomized Crossover Trial Comparing Recovery Effects on High-Intensity Performance and Markers of Muscle Damage and Inflammation in Soccer Players.Sports (Basel, Switzerland) · 2026Article
- Ipsilateral and contralateral microvascular kinetics during unilateral forearm cold-water immersion: a within-subject laser Doppler flowmetry and heart rate variability study.European journal of applied physiology · 2026Article
- Effects of Repeated Contrast Therapy on Forearm Microcirculatory and Neuromechanical Recovery After Climbing-Specific Fatigue in Amateur Climbers: A Randomized Controlled Trial.Journal of clinical medicine · 2026Article
- Cold water immersion protocol optimization across exercise modalities: a systematic review and network meta-analysis of resistance training, endurance exercise, and team sport applications.BMC sports science, medicine & rehabilitation · 2026Article
- Intermittent pneumatic compression does not improve post-match neuromuscular, biochemical or perceptual recovery in international-level youth soccer players: a randomized placebo-controlled trial.BMC sports science, medicine & rehabilitation · 2026Article
- Recovery for Professional and Elite Amateur Golfers: A Scoping Review of Evidence-Based Methods.Sports medicine (Auckland, N.Z.) · 2025Article
- Isolated and Combined Effects of Cold, Heat and Hypoxia Therapies on Muscle Recovery Following Exercise-Induced Muscle Damage.Sports medicine (Auckland, N.Z.) · 2025Review
- Sleep and Athletic Performance: A Multidimensional Review of Physiological and Molecular Mechanisms.Journal of clinical medicine · 2025Review
- Effects of time-of-day on the noradrenaline, adrenaline, cortisol and blood lipidome response to an ice bath.Scientific reports · 2025Article
- International Ski and Snowboard Federation consensus statement on warm-up and cool-down in competitive alpine and freestyle skiers and snowboarders.BMJ open sport & exercise medicine · 2025Article
- Influence of contrast compression therapy and water immersion contrast therapy on biomechanical parameters of the forearm muscles in martial arts athletes.Frontiers in physiology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies investigating the effects of common recovery modalities following acute strenuous exercise have reported mixed results.
objectivesThis 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
designSystematic review, meta-analysis, and meta-regression.
methodsThe 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.
resultsTwenty-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.
conclusionCWI 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.
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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.