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Cold water immersion and recovery from strenuous exercise: a meta-analysis

Early meta-analysis (British Journal of Sports Medicine, 2012) synthesising randomised trials of cold-water immersion after strenuous exercise versus passive or active comparators—commonly cited for recovery and muscle soreness themes; read next to updated DOMS / CK network meta-analyses on this wiki.

Role in this database

Indexes an early (2012) meta-analysis of cold-water immersion (CWI) after strenuous exercise—useful historical context, but effect sizes and trial corpora have since been updated by larger DOMS / CK / jump-performance syntheses (e.g. Bleakley, Wang network meta-analyses linked on cold-plunge).

Methods (high level)

  • Design: meta-analysis of randomised exercise-recovery trials using CWI
  • Comparators: typically passive recovery and sometimes active recovery arms depending on included trials (read primary paper tables)

Interpretation

Pair with immersion-first DOMS meta-analyses rather than shower workplace trials on cold-exposure—modality and timing differ.

Publication

Leeder J, Gissane C, van Someren K, Gregson W, Howatson G. Br J Sports Med. 2012 Mar;46(4):233-40. PMID 21947816.

Outcomes

  • Delayed Onset Muscle Soreness at 24 hours
    Meta-analysis of randomised trials: cold-water immersion after strenuous exercise associated with pooled recovery and muscle soreness signals versus passive recovery (read primary paper for forest-plot SMDs; superseded in part by 2023–2025 DOMS syntheses linked on cold-plunge).
View original paper →