Department of Physical Education, Undergraduate College, University of Science and Technology of China, Hefei, Anhui, 230026, China.
School of Sports Medicine and Physical Therapy, Beijing Sport University, Beijing, China.
BMC Musculoskelet Disord. 2024 Sep 18;25(1):749. doi: 10.1186/s12891-024-07315-2.
This systematic review and network meta-analysis assessed via direct and indirect comparisons the recovery effects of hydrotherapy and cold therapy at different temperatures on exercise induced muscle damage.
Five databases were searched in English and Chinese. The included studies included exercise interventions such as resistance training, high-intensity interval training, and ball games, which the authors were able to define as activities that induce the appearance of EIMD. The included RCTs were analyzed using the Cochrane Risk of Bias tool. Eligible studies were included and and two independent review authors extracted data. Frequentist network meta-analytical approaches were calculated based on standardized mean difference (SMD) using random effects models. The effectiveness of each intervention was ranked and the optimal intervention was determined using the surface under the cumulative ranking curve (SUCRA) indicator.
57 studies with 1220 healthy participants were included, and four interventions were examined: Cold Water Immersion (CWI), Contrast Water Therapy (CWT), Thermoneutral or Hot Water Immersion (TWI/HWI), and Cryotherapy(CRYO). According to network meta-analysis, Contrast Water Immersion (SUCRA: 79.9% )is most effective in recovering the biochemical marker Creatine Kinase. Cryotherapy (SUCRA: 88.3%) works best to relieve Delayed Onset Muscle Soreness. In the recovery of Jump Ability, cryotherapy (SUCRA: 83.7%) still ranks the highest.
We found that CWT was the best for recovering biochemical markers CK, and CRYO was best for muscle soreness and neuromuscular recovery. In clinical practice, we recommend the use of CWI and CRYO for reducing EIMD.
[PROSPERO], identifier [CRD42023396067].
本系统评价和网络荟萃分析通过直接和间接比较，评估了不同温度的水疗和冷疗对运动引起的肌肉损伤的恢复效果。
以英文和中文在五个数据库中进行检索。纳入的研究包括抗阻训练、高强度间歇训练和球类运动等运动干预措施，作者将其定义为可引起 EIMD 出现的活动。纳入的 RCT 使用 Cochrane 偏倚风险工具进行分析。对合格研究进行纳入，并由两位独立的综述作者提取数据。使用随机效应模型，基于标准化均数差（SMD）进行频繁主义网络荟萃分析方法。使用累积排序曲线下面积（SUCRA）指标对每种干预措施的效果进行排名，并确定最佳干预措施。
纳入了 57 项研究，共 1220 名健康参与者，共检查了 4 种干预措施：冷水浸泡（CWI）、对比水疗（CWT）、温热或热水浸泡（TWI/HWI）和冷冻疗法（CRYO）。根据网络荟萃分析，对比水浸（SUCRA：79.9%）在恢复生化标志物肌酸激酶方面最有效。冷冻疗法（SUCRA：88.3%）在缓解迟发性肌肉酸痛方面效果最佳。在跳跃能力的恢复方面，冷冻疗法（SUCRA：83.7%）仍然排名最高。
我们发现 CWT 是恢复生化标志物 CK 的最佳方法，而 CRYO 对肌肉酸痛和神经肌肉恢复最有效。在临床实践中，我们建议使用 CWI 和 CRYO 来减少 EIMD。
[PROSPERO]，标识符 [CRD42023396067]。
