Maia Filipe, Nakamura Fábio Yuzo, Sarmento Hugo, Marcelino Rui, Ribeiro João
Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Maia, Portugal.
University of Maia, Maia, Portugal.
Biol Sport. 2024 Oct;41(4):263-275. doi: 10.5114/biolsport.2024.133665. Epub 2024 Jun 17.
Intermittent pneumatic compression (IPC) applied to lower limbs is becoming a popular postexercise recovery technique; however, it still lacks strong scientific support. The purpose of this systematic review and meta-analysis was to analyse the effects of lower-limb IPC on sports recovery, as well as to identify the most used protocols to optimize it. A systematic search was conducted across athletic and healthy populations, following the PRISMA guidelines, covering the databases: PubMed, Web of Science, SportDiscus, Academic Search Complete, and Science Direct; using the search terms: ("Pneumatic compression" OR "Intermittent pneumatic compression" OR "Recov* boot*") AND (Recover*). Data was extracted, and standardized mean differences were calculated with 95% confidence and prediction interval. The pooled data analysis was conducted using a random-effects model, with heterogeneity assessed using I. A total of 17 studies (319 participants) were included. The studies' methodological quality was assessed using the PEDro scale, ranging from fair to good. Results indicate a trivial to small benefit towards lower-limb IPC in enhancing muscular function, as well as a trivial to moderate effect for pain and soreness measurements, and a highly variable effect on muscle damage markers. Moreover, protocols of about 20 to 30 minutes and pressures of about 80 mmHg appear to be the most used option to optimize recovery. In summary, lower-limb IPC might be a method with potential effects for recovery in sports, mainly reducing perceived soreness.
对下肢进行间歇性气动压迫（IPC）正成为一种流行的运动后恢复技术；然而，它仍缺乏有力的科学支持。本系统评价和荟萃分析的目的是分析下肢IPC对运动恢复的影响，并确定最常用的优化方案。按照PRISMA指南，对运动员和健康人群进行了系统检索，涵盖以下数据库：PubMed、科学网、SportDiscus、学术搜索完整版和科学直达；使用的检索词为：（“气动压迫”或“间歇性气动压迫”或“恢复靴”）AND（恢复*）。提取数据，并计算标准化平均差及95%置信区间和预测区间。采用随机效应模型进行汇总数据分析，使用I统计量评估异质性。共纳入17项研究（319名参与者）。使用PEDro量表评估研究的方法学质量，范围从中等到良好。结果表明，下肢IPC在增强肌肉功能方面有微小到中等的益处，在疼痛和酸痛测量方面有微小到中等的效果，对肌肉损伤标志物的影响高度可变。此外，约20至30分钟的方案和约80 mmHg的压力似乎是优化恢复的最常用选择。总之，下肢IPC可能是一种对运动恢复有潜在作用的方法，主要是减轻感知到的酸痛。
