Azevedo Klaus Porto, Bastos Júlia Aguillar Ivo, de Sousa Neto Ivo Vieira, Pastre Carlos Marcelo, Durigan Joao Luiz Quagliotti
Rehabilitation Sciences Program, Physical Therapy Division, University of Brasilia, Brasília 72220-275, Brazil.
Health Technologies Science Program, University of Brasília, Brasília 72220-275, Brazil.
J Clin Med. 2022 Jul 30;11(15):4441. doi: 10.3390/jcm11154441.
There are extensive studies focusing on non-invasive modalities to recover physiological systems after exercise-induced muscle damage (EIMD). Whole-body cryotherapy (WBC) and Partial-body cryotherapy (PBC) have been recommended for recovery after EIMD. However, to date, no systematic reviews have been performed to compare their effects on muscle performance and muscle recovery markers.
This systematic review with metanalysis compared the effects of WBC and PBC on muscle performance, muscle soreness (DOMS), and markers of muscular damage following EIMD. We used Pubmed, Embase, PEDro, and Cochrane Central Register of Controlled Trials as data sources. Two independent reviewers verified the methodological quality of the studies. The studies were selected if they used WBC and PBC modalities as treatment and included muscle performance and muscle soreness (DOMS) as the primary outcomes. Secondary outcomes were creatine kinase and heart rate variability.
Six studies with a pooled sample of 120 patients were included. The methodological quality of the studies was moderate, with an average of 4.3 on a 0-10 scale (PEDro).
Both cryotherapy modalities induce similar effects without difference between them.
WBC and PBC modalities have similar global responses on muscle performance, soreness, and markers of muscle damage.
有大量研究聚焦于运动诱导的肌肉损伤（EIMD）后恢复生理系统的非侵入性方法。全身冷冻疗法（WBC）和局部冷冻疗法（PBC）已被推荐用于EIMD后的恢复。然而，迄今为止，尚未进行系统评价来比较它们对肌肉性能和肌肉恢复标志物的影响。
这项荟萃分析的系统评价比较了WBC和PBC对EIMD后肌肉性能、肌肉酸痛（延迟性肌肉酸痛，DOMS）和肌肉损伤标志物的影响。我们使用PubMed、Embase、PEDro和Cochrane对照试验中央注册库作为数据来源。两名独立的评审员核实了研究的方法学质量。如果研究使用WBC和PBC模式作为治疗方法，并将肌肉性能和肌肉酸痛（DOMS）作为主要结果，则选择这些研究。次要结果是肌酸激酶和心率变异性。
纳入了六项研究，汇总样本为120名患者。研究的方法学质量中等，在0至10分的量表（PEDro）上平均得分为4.3分。
两种冷冻疗法产生相似的效果，它们之间没有差异。
WBC和PBC模式对肌肉性能、酸痛和肌肉损伤标志物具有相似的总体反应。
