The Effectiveness of Whole Body Cryotherapy Compared to Cold Water Immersion: Implications for Sport and Exercise Recovery

Michael Holmes, Darryn S. Willoughby

Abstract


Background: Cryotherapy is the process of cooling the body, is typically used therapeutically, and is often used as a method of recovery relative to sport and exercise performance.  The purpose of this review is to compare the current literature on WBC to that of CWI and determine whether WBC provides any additional enhancements for sport and exercise recovery. These include tissue temperature reduction, markers of muscle damage, markers of inflammation, and parasympathetic reactivation. Method: Common methods of cryotherapy include cold water immersion (CWI), ice packs, ice massages, and gel or cooling creams. CWI is the most common method among athletes; however, a new form of cryotherapy, known as whole-body cryotherapy (WBC), has recently emerged.  Since its introduction, WBC has grown in popularity among practitioners and athletes. WBC involves short exposures (generally between 2-4 minutes) to very cold air (-100o C to -140o C) in a controlled room and setting. Furthermore, many of the studies on WBC were observational and did not contain a control group. Conclusion: Despite its growing popularity, the alleged benefits of WBC are largely based on anecdotal evidence as randomized, clinically-controlled studies regarding its efficacy are limited. 

Keywords: cryotherapy, cold water immersion, exercise, recovery, muscle damage, inflammation


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Al Haddad, H., Laursen, P., Chollet, D., et al. (2010). Effect of cold or thermoneutral water immersion on post-exercise heart rate recovery and heart rate variability indices. Autonomic Neuroscience, 156(1-2), 111-116.

Bailey, D.M., Erith, S.J., Griffin, P.J., et al. (2007). Influence of cold-water immersion on indices of muscle damage following prolonged intermittent shuttle running. Journal of Sports Science, 25(11), 1163-1170.

Banfi, G., Lombardi, G., Colombini, A., et al. (2010). Whole-body cryotherapy in athletes. Sports Medicine, 6, 509-517.

Banfi, G., Melegati, G., Barassi, A., et al. (2009). Effects of whole-body cryotherapy on serum mediators of inflammation and serum muscle enzymes in athletes. Journal of Thermal Biology, 34, 55-59.

Bleakley, C.M., Bieuzen, F., Davison, G.W., Costello, J.T. (2014). Whole-body cryotherapy: empirical evidence and theoretical perspectives. Journal of Sports Medicine, 5, 25-36.

Bleakley, C.M., Davison, G.W. (2010). What is the biochemical and physiological rationale for using cold-water immersion in sports recovery? A systematic review. British Journal of Sports Medicine, 44, 179-187.

Bleakley, C., McDonough, S., Gardner, E., et al. (2012). Cold-water immersion (cryotherapy) for preventing andtreating muscle soreness after exercise. Cochrane Database Systemic Reviews, 2, 1-136.

Buchheit, M., Peiffer, J.J., Abbiss, C.R., et al. Effect of cold water immersion on post-exercise parasympathetic reactivation. American Journal of Heart and Circulation Physiology, 296, H421-H427

Coote, J., Bothams, V. (2001). Cardiac vagal control before, during, and after exercise. Experimental Physiology, 86(6), 811-815.

Costello, J.T., Algar, L.A., Donnelly, A.E. Effects of whole-body cryotherapy (-110°C) on proprioception and indices of muscle damage. Scandinavian Journal of Medicine and Science in Sports, 22, 190-198.

Costello, JT., Culligan, K., Selfe, J., et al. (2012). Muscle, skin and core temperature after -110oC cold air and 8oC water treatment. PlosOne, 7(11), e48190.

Costello, J.T., Donnelly, A.E., Karki, A., et al. (2013). Effects of whole body cryotherapy and cold water immersion on knee and skin temperature. International Journal of Sports Medicine, 35(1), 35-40.

Dabbs, N., Brown, L., Garner, J. (2014). Effects of whole body vibration on vertical jump performance following exercise induced muscle damage. International Journal of Kinesiology and Sport Science, 2(1), 1-8.

El-Brawany, M.A., Nassiri, D.K., Terhaar, G., et al. (2009). Measurement of thermal and ultrasonic properties of some biological tissues. Journal of Medical Engineering and Technology, 33(3), 249-256.

Fonda, B., Sarabon, N. Effects of whole-body cryotherapy on recovery after hamstring damaging exercise: A crossover study. Scandinavian Journal of Medicine and Science in Sports, 23, 270-278.

Fourtney, S.M., Vroman, N.B. (1985). Exercise, performance and temperature control-temperature regulation during exercise and implications for sports performance and training. Sports Medicine, 2(1), 8-20.

Fröhlich, M., Ludwig, O., Zeller, P., Felder, H. (2015). Changes in skin surface temperature after a 10-minute warm-up on a bike ergometer. International Journal of Kinesiology and Sport Science, 3(3), 1-5,

Fröhlich, M., Ludwig, O., Kraus, S., Felder, H. (2014). Changes in skin surface temperature during muscular endurance indicated strain – an explorative study. International Journal of Kinesiology and Sport Science, 2(3), 1-5.

Glasgow, P.D., Ferris, R., Bleakley, C.M. (2014). Cold water immersion in the management of delayed-onset muscle soreness: Is foes important? A randomized controlled trial. Physical Therapy in Sport, 15, 228-233.

Goodall, S., Howatson, G. (2008). The effects of multiple cold water immersions on indices of muscle damage. Journal of Sport Science and Medicine, 7, 235-241.

Gregson, W., Black, M.A., Jones, H., et al. (2011). Influence of cold water immersion on limb and cutaneous blood flow at rest. American Journal of Sports Medicine, 39(6), 1316-1323.

Hausswirth, C., Louis, J., Bieuzen, F., et al. (2011). Effects of whole-body cryotherapy vs. far-infrared vs. passive modalities on the recovery from exercise-induced muscle damage in highly-trained runners. PlosOne, 6(12), e27749.

Hausswirth, C., Schaal, K., Meur, Y.L, et al. (2013). Parasympathetic activity and blood catecholamine repsonses following a single partial-body cryostimulation and a whole-body cryostimulation. PlosOne, 8(8), e72658.

Knight, K.L. (1976). Effects of hypothermia on inflammation and swelling. Journal of Athletic Training, 11, 7-10.

Leeder, J., Gissane, C., Someren, K.V., et al. (2012). Cold water immersion and recovery from strenuous exercise: a meta-analysis. British Journal of Sports Medicine, 46, 233-240.

Leppaluoto, J., Westerlund, T., Huttunen, P., et al. (2008). Effects of long-term whole-body cold exposures on plasma concentration of ACTH, beta-endorphin, cortisol, catecholamines and cytokines in healthy females. Scandinavian Journal of Clinical and Laboratory Investigation, 68(2), 145-153.

Lubkowska, A., Szygula, Z., Chlubek, D., et al. (2011). The effect of prolonged whole-body cryostimulation treatment with different amounts of sessions on chosen pro- and anti-inflammatory cytokine levels in healthy men. Scandinavian Journal of Clinical and Laboratory Investigation, 71, 419-425.

Machado, A.F., Ferreira, P.H., Micheletti, J.K., et al. (2016). Can water temperature and immersion time influence the effect of cold water immersion on muscle soreness? A systematic review and meta-analysis. Sports Medicine, 46, 503-514.

Parouty, J., Al Haddad, H., Quod, M., et al. (2010). Effect of cold water immersion on 100-m sprint performance in well-trained swimmers. European Journal of Applied Physiology, 109, 483-490.

Peiffer, J.J., Abbiss, C.R., Watson, G., et al. Effect of cold water immersion on repeated 1-km cycling performance in the heat. Journal of Science and Medicine in Sport, 13(1), 112-116.

Pournot, H., Bieuzen, F., Duffield, R., et al. (2011). Short term effects of various water immersions on recovery from exhaustive intermittent exercise. European Journal of Applied Physiology, 111, 1287-1295.

Pournot, H., Bieuzen, F., Louis, J., et al. (2011). Time-course of changes in inflammatory response after whole-body cryotherapy multi exposures following severe exercise. PlosOne, 6(7), e22748.

Park, K.S., Choi, J.K., Park, Y.S. (1999). Cardiovascular regulation during water immersion. Applied Human Science, 18, 233-241.

Stanley, J., Buchheit, M., Peake, J. (2012). The effect of post-exercise hydrotherapy on subsequent exercise performance and heart rate variability. European Journal of Applied Physiology, 112, 951-961.

Stanley, J., Peake, J.M., Buchheit, M. (2013). Cardiac parasympathetic reactivation following exercise: Implications for training prescription. Sports Medicine, 43, 1259-1277.

Stanley, J., Peake, J.M., Buchheit, M. (2013). Consecutive days of cold water immersion: effects on cycling performance and heart rate variability. European Journal of Applied Physiology, 113, 371-384.

Schaal, K., Le Meur, Y., Bieuzen, F., et al. (2013). Effect of recovery mode on post-exercise parasympathetic reactivation in elite synchronized swimmers. Applied Physiology Nutrition and Metabolism, 38, 126-133.

Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. (1996). Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation, 93(5), 1043-1065

Warren, G.L., Lowe, D.A., Armstrong, R.B. (1999). Measurements tools used in the study of eccentric contraction-induced injury. Sports Medicine, 27(1), 43-59.

Westerlund, T., Oksa, J., Smolander, J., et al. (2003). Thermal responses during and after whole-body cryotherapy (-110°C). Journal of Thermal Biology, 28, 601-608.

Westerlund, T., Uusitalo, A., Smolander, J., et al. (2006). Heart rate variability in women exposed to very cold air (-110°C) during whole-body cryotherapy. Journal of Thermal Biology, 31, 342-346.

White, G.E., Rhind, S.G., Wells, G.D. (2014). The effect of various cold-water immersion protocols on the exercise-induced inflammatory response and functional recovery from high-intensity sprint exercise. European Journal of Applied Physiology, 114, 2353-2367.

White, G.E., Wells, G.D. (2013). Cold-water immersion and other forms of cryotherapy: physiological changes potentially affecting recovery from high-intensity exercise. Extreme Physiology and Medicine, 2(1), 26.

Wilcock, I.M., Cronin, J.B., Hing, W.A. (2006). Physiological response to water immersion: a method for sport recovery. Sports Medicine, 36(9), 1-18

Wozniak, A., Wozniak, B., Drewa, G., et al. (2007). The effect of whole-body cryostimulation on lysosomal enzyme activity in kayakers during training. European Journal of Applied Physiology, 100, 137-142.

Yanagisawa, O., Homma, T., Okuwaki, T., et al. (2007). Effects of cooling on human skin and skeletal muscle. European Journal of Applied Physiology, 100, 737-745.

Zalewski, P., Klawe, J.J., Pawlak, J., et al. (2013). Thermal and hemodynamic response to whole-body cryostimulation in healthy subjects. Cryobiology, 66, 295-302.

Ziemann, E., Olek, R.A., Grzywacz, T., et al. (2013). Whole-body cryostimulation as an effective method of reducing low-grade inflammation in obese men. Journal of Physical Science, 63, 333-343.

Ziemann, E., Olek, R.A., Kujach, S., et al. (2012). Five-day whole-body cryostimualtion, blood inflammatory markers and performance in high ranking profession tennis players. Journal of Athletic Training, 47(6), 664-672


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