Evidence map›Paper›PMID 41185024›Full record

SynthesisJournal of orthopaedic surgery and research2025

Effect of cold water immersion on balance and postural control in young healthy individuals: a systematic review.

Omid Shahani, Nahid Khoshraftar Yazdi, Samineh Mokhtaran

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Omid ShahaniDepartment of Sport Injuries and Corrective Exercise, Faculty of Physical Education and Sports Sciences, University of Guilan, Rasht, 41996-13776, Iran.ORCID http://orcid.org/0009-0009-7376-7361
Nahid Khoshraftar YazdiDepartment of Sport Injuries and Corrective Exercise, Faculty of Sport Sciences, Ferdowsi University of Mashhad, Mashhad, 91779-48974, Iran. Khoshraftar@um.ac.ir.ORCID http://orcid.org/0000-0002-9969-8335
Samineh MokhtaranDepartment of Sport Injury and Corrective Exercise, Faculty of Physical Education and Sport Sciences, Allameh Tabataba`I University, Tehran, Iran.ORCID http://orcid.org/0009-0005-7534-7716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abractst

backgroundProper recovery and a faster return to activity play an important role in injury prevention and can significantly impact performance. Also, maintaining balance and postural control are prerequisites for effective performance that can be strengthened based on proper recovery. This systematic review examined the effect of cold water immersion (CWI) on balance and postural control in healthy young adults.

methodsThe study was searched from inception to early March 2025. Six databases, Web of Science (WOS), Scopus, PubMed, ScienceDirect, PEDro, and Cochrane Library, were searched, and studies published in English were selected. Experimental studies and controlled clinical trials that included at least two groups, a CWI experimental group and a control group, had to use at least traditional or no-intervention retrieval methods. The mean age of participants was 16. The Rob2 and critical appraisal scales were used to assess the risk of bias and quality of studies.

results386 studies were found in the first stage of the search, and eight were included in this review. The effects of CWI on balance in healthy individuals are varied, with some studies suggesting a positive impact and others suggesting no effect. Duration and temperature play important roles, with shorter and more moderate immersions being more effective. Temporary neural responses cause short-term instability, but in the long term, they help improve stability and control. Due to the heterogeneity among studies, conducting a meta-analysis was impossible.

conclusionThe use of CWI can be done under different conditions, depending on the target population and their needs. Overall, its use yields more positive effects, although contradictions persist. It should be used with caution and tailored to the needs of the individual.

Indexed as

Cold TemperatureImmersionPostural BalanceAdolescentFemaleHealthy VolunteersHumansMaleWaterYoung AdultWaterCold water immersionCryotherapyRecoveryStability

Identifiers

PMID41185024
PMCPMC12581590

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.