Guide · Ice bathing
Ice Bath Before or After Exercise? What the Studies Show About Recovery, Training and Muscle Growth
After running, cycling or intervals, a short, cold whole-body immersion is well established: less muscle soreness, a better feeling of recovery, a little more explosive power the next day. After a team-sport match, jump and sprint performance are better the next day and fatigue is lower – but cold had no demonstrable effect on muscle soreness there. After strength training it is a different story – if you want to build muscle or maximal strength, don't get into cold water straight afterwards, because regular cold blunts exactly that adaptation. Before exercise, cold only helps in the heat; if you take a cold bath after exercise, a meta-analysis found sprint performance worse in the hour afterwards, and for other maximal efforts the mechanism argues against it too. The effects are small in trained athletes, but real in competition. Used correctly – after endurance work or a match, short and cold – the ice bath is a well-studied recovery tool: one meta-analysis comparing cold-water immersion with passive recovery alone includes 52 studies. Here is what the studies show, with sources you can look up.

Contents (11 sections)
- 01Before or after exercise?
- 02After running, cycling, intervals
- 03After strength training: the muscle-growth trade-off
- 04Tournaments, match days, multiple bouts
- 05Muscle soreness: what the meta-analyses say
- 06How cold, how long?
- 07Contrast baths, active recovery, massage
- 08Three protocols for practice
- 09Safety for athletes
- 10Frequently asked questions
- 11Sources

Most people who buy an ice tub from us are not professionals – even though professional clubs are among our customers – but runners, cyclists, amateur-league footballers, people from the gym – and almost all of them ask the same question: before or after training, and what about muscle growth? The honest answer depends on what you train and what you want to achieve. Until September 2026 this article existed in a version that cited professional athletes as evidence and recommended an ice bath after every session across the board. We have removed both. What is here now has a source – or it says that there is none.
Before or after exercise?
Evidence: well established after exertion; before exertion only established in the heat, and rather disadvantageous before maximal efforts.
The short version: ice bathing is a tool for recovery, not for preparation.
| Situation | Sensible? | What the studies show |
|---|---|---|
| After endurance or intervals | Yes, short and cold | Less muscle soreness and a better feeling of recovery 24 hours later, explosive power slightly better the next day1, 10 |
| After a match (team sport) | Yes, short and cold | Jump and sprint performance better 24 hours later, less fatigue; muscle soreness not demonstrably lower12, 21 |
| After strength training aimed at muscle growth | Not straight afterwards | Regular cold after the session blunts strength gains9 and muscle growth4, 8, 28 |
| Before exercise in the heat (above 30 °C) | Yes, as precooling | Performance in the heat around 6 percent better, core temperature lower20, 24 |
| Shortly before a sprint or other maximal effort | No | Bath taken after exercise: sprint performance worse one hour, jump performance six hours afterwards27, 23; for a bath before the first effort and for other maximal efforts derived from the mechanism16 |
The mechanism explains why: cold water lowers tissue temperature and blood flow, slows the circulation and activates the resting part of the nervous system. After a long or hot effort that is exactly what you want, because the body gets out of overheating and stress mode faster. Shortly before an explosive effort it is the opposite of what you need16. In one study, 17 athletes did two 30-second maximal sprints on the bike with an hour's break; those who sat in 13–14 °C water for 15 minutes during the break reached a clearly lower peak power and total work in the second sprint than without the bath23. A meta-analysis of 20 studies also found jump power reduced immediately after the bath6. And a meta-analysis of 68 studies on cold water after preceding exercise shows the time profile: one hour after the bath, sprint performance had recovered worse than without a bath, six hours later jump performance; after 24 hours, by contrast, jump and strength had recovered better27. For sprint and jump efforts that follow shortly after the bath, cold is therefore more of a tool for the next day – endurance, on the other hand, can recover better within an hour after exercise in the heat (more on this in the next section). That a bath before the first effort of the day acts similarly is a derivation from these findings, not a measurement of its own.

The exception is heat. For exertion above 30 °C, cooling before the start improved performance by an average of 5.7 percent in a meta-analysis of 28 studies, cooling during exertion by 9.9 percent; a combination of several precooling techniques was most effective20. In nine trained runners, a 5 km run at 33 °C was faster after a cold-water bath at 24.5 minutes than without (25.2 minutes), with core temperature 0.5 °C lower24. For training at normal temperatures there is no such finding – and the meta-analysis pooled ice vests, cold drinks and water baths, not just the ice bath.
After running, cycling, intervals
Evidence: well established – short-term recovery better, endurance adaptation not blunted.
This is the area where the ice bath has the most going for it, and for two reasons.
First, recovery. A meta-analysis of 52 studies with physically active participants compared cold water with passive recovery after a single hard session. After high-intensity exercise, 24 hours later muscle soreness was lower (SMD −0.89), the feeling of recovery better (SMD 0.66), explosive power slightly higher (SMD 0.22) and creatine kinase in the blood – a marker of muscle damage – lower (SMD −0.85). The bath had no influence on the recovery of maximal strength10. The main mechanism here is not so much the famous "clearance of lactate" – there is only limited evidence for that – but the lowering of core temperature and cardiovascular strain, which shortens central fatigue. Cold therefore works better after whole-body efforts such as running, cycling or team sport than after isolated eccentric exercises16. A meta-analysis of 68 studies found endurance performance better recovered as early as one hour after the bath – significantly, however, only after exercise in warm conditions, not at temperate ones27.
What do SMD, g and d mean?
These are effect sizes: they express the difference between the ice bath and the comparison group on a standardised scale rather than in the original measurement units (such as pain points or kilograms). What a value means in practice still depends on what was measured. A common rule of thumb treats about 0.2 as a small, 0.5 as a medium and 0.8 as a large effect. The sign only shows the direction: for muscle soreness, −0.89 means less pain with the ice bath; for strength gains, −0.60 means smaller gains. cSMD is the same measure for the direct comparison of two training groups, the confidence interval is the range of uncertainty around the value. Percentages such as "2.4 percent", by contrast, describe the difference in performance directly.
Second, adaptation. The worry that cold could wipe out the training effect is unfounded for endurance: in the meta-analysis on regular cold-water use (8 controlled studies, water at 15 °C or below, bath after every session), cold had no effect on the improvement of time-trial performance or maximal aerobic power (SMD −0.07 and 0.00)9. A review reaches the same conclusion: cold water speeds up short-term recovery without negatively affecting endurance adaptations5.
How large the effects are was calculated by a meta-analysis specifically for trained athletes (21 randomised studies): on average, performance recovered 2.4 percent better with cooling than without (g = 0.28). The effect was largest for sprint performance (2.6 percent, g = 0.69), larger after endurance exercise (g = 0.35) than after strength exercise (g = 0.11) – and a whole-body bath, at 5.1 percent (g = 0.62), worked clearly better than immersing only the legs or arms (1.1 percent, g = 0.10)17. Two to five percent sounds like little. For someone who has to train or compete again the next day, it is the difference between a good and a bad session.
After strength training: the muscle-growth trade-off
Evidence: well established – regular cold straight after strength training blunts strength and muscle gains.
This is the most important single statement in this article, and the old version had it the wrong way round.
Muscle grows because training sets stimuli that push the cells to remodel. Cold straight afterwards dampens these signals. In an Australian study, 21 men did strength training for twelve weeks and after every session either sat in cold water for ten minutes or cycled easily. Strength and muscle mass increased clearly less in the cold-water group; the cross-section of the fast muscle fibres grew by 17 percent only in the comparison group, and the number of nuclei per fibre by 26 percent only there4. In 16 men who trained three times a week for seven weeks and then sat in 10 °C water for 15 minutes or rested passively, the fast muscle fibres likewise grew only without cold – although the gain in maximal strength on the leg press was similar in both groups8. And in twelve young men, cooling the legs after training over two weeks measurably lowered the rate at which the muscle builds protein and the uptake of dietary protein into the muscle7.
The meta-analysis on regular use sums it up: with cold water after strength training, gains in maximal strength and strength endurance were smaller (SMD −0.60; 95 % confidence interval −0.87 to −0.33), as were gains in explosive performance (SMD −0.61)9. For muscle growth itself there has also been a meta-analysis since 2024: across eight studies, muscle mass increased less with cold water after training than without – a small effect (cSMD −0.22), and the authors rate the study quality as fair to poor and conclude cautiously that cold straight after training may blunt the gains28. A review describes the mechanism: dampened anabolic signalling pathways and lower muscle protein synthesis5.
And inflammation? You often read that cold slows muscle growth because it suppresses the inflammation that arises after training from small damage in the muscle and helps trigger growth – or, the other way round, that the bath is useful because it stops exactly this inflammation. This was measured directly in the muscle: nine trained men received either ten minutes of cold water at 10 °C or ten minutes of easy cycling after a leg workout; muscle biopsies after 2, 24 and 48 hours showed no difference between the two methods in inflammatory cells, cytokines and cell-stress proteins14. In this study, then, cold did not dampen the measured inflammation in the muscle more than easy cycling did. That cold slows muscle growth by suppressing inflammation is therefore not established; what the studies above do show is a different route: dampened growth signals and less protein building in the muscle4, 5, 7. Limitation: this is a small study, and the comparison was easy cycling, not doing nothing – whether both affect inflammation in a similar way cannot be told from it.
What does that mean in practice? If your goal is muscle or strength gain: no ice bath straight after the session. Rest days, pure endurance sessions or the morning are cautious alternatives – but not an established clearance: whether a gap of a few hours between strength training and the bath removes the disadvantage has not been studied; all the studies tested the bath straight after training, and there is no safe minimum interval. If you combine strength and endurance in one session, you fall under this rule, not the endurance rule. And there is a sensible exception: in competition phases, when what matters is being able to perform again tomorrow, not being stronger in three months, the bath can still be the right call – exactly the trade-off between short-term recovery and long-term adaptation that the authors of the review describe5. More on the background in the article Is ice bathing healthy? What the studies really show.
Tournaments, match days, multiple bouts
Evidence: indications for tournaments with one bout per day; well established for recovery 24 hours after team sport; no data for multiple bouts on the same day.
"Why do athletes get into the ice barrel?" is one of the most frequent questions that bring people to this page. The answer: because they have to go again tomorrow.
The most vivid data come from junior football. 20 players of a performance squad (15.9 years) played four matches on four days and after every match went either into 10 °C cold or 34 °C neutral water. Jump height and sprint ability did not differ between the groups, nor did creatine kinase and inflammatory markers. But leg soreness and general fatigue stayed lower in the cold-water group throughout the tournament13. In the follow-up study with the same set-up – this time 5 × 1 minute at 10 °C after every match – running performance declined in both groups over the tournament, but less with cold water: total distance covered was better maintained (d = 0.55), leg soreness (d = −0.92) and fatigue (d = −0.91) were lower; for high-intensity running distance there was no difference21.
A meta-analysis of 23 studies with 606 participants from team sports confirms the pattern: 24 hours after exertion, jump and sprint performance were better with cold water, and 72 hours later perceived fatigue was lower. Two things failed, though: for repeated sprinting, cold water did not help, and – unlike after laboratory exercise – neither cold water nor contrast baths reduced perceived muscle soreness after team sport12.
What matters is what these data refer to: one bout per day, around 22 hours until the next. For tournaments with several matches on the same day – indoor tournaments, beach volleyball, athletics with heats and finals – there are no recovery data here. What there is, is the finding that 15 minutes of cold water with an hour's gap lowered sprint performance23, a meta-analysis in which sprint was worse one hour and jump six hours after the bath27, and the note from a review that the interval between the bath and the next effort influences the effect18. For this case we therefore give no recommendation. If a sprint or maximal effort is due in a few hours, the data argue rather against a bath in between.
Muscle soreness: what the meta-analyses say
Evidence: well established – compared with passive recovery.
This is the best-studied effect of the ice bath of all, so here only the key figures; the detailed assessment is in the article Is ice bathing healthy?.
A Cochrane review pooled 17 studies with 366 participants: bathing cold after training reduced muscle soreness 24, 48, 72 and 96 hours later compared with passive recovery (SMD −0.55 to −0.93); the studies were small and of low quality, the direction consistent1. A meta-analysis of 36 papers found a similarly large effect (g ≈ −0.7), with a high risk of bias in the studies3; the third, of nine randomised studies, saw the best results at 10–15 °C and 10–15 minutes2. Another, of 52 studies: after high-intensity exercise, clearly less muscle soreness 24 hours later (SMD −0.89)10. And the most recent, a network meta-analysis of 55 randomised studies with 1,139 participants, confirms less muscle soreness for baths of 10–15 minutes at 5–15 °C25.
Two caveats belong with this. First, part of the effect is expectation: 30 men did four 30-second sprints and then sat for 15 minutes either in 10.3 °C cold water, in 34.7 °C warm water that was explained to them as a recovery bath, or in 34.7 °C warm water as a control. Cold water and the "placebo bath" were equally good for strength, pain, vigour and readiness over 48 hours, and both better than the control15. Second, the ice bath is not the only effective method: in a meta-analysis of 99 studies, active recovery, massage, compression, water immersion, contrast baths and cryotherapy chambers all reduced muscle soreness – in this overview, massage was the most effective method against muscle soreness and fatigue19.
How cold, how long?
Evidence: indications – 10–15 minutes at 5–15 °C is the best-studied range; which combination works best depends on the goal and has not been conclusively settled.
What the papers actually tested:
| Source | Water temperature | Duration | For what |
|---|---|---|---|
| Meta-analysis, 9 RCTs2 | 10–15 °C | 10–15 minutes | Muscle soreness; best results in this range |
| Network meta-analysis, 55 RCTs25 | 5–10 °C and 11–15 °C | 10–15 minutes | Muscle soreness, jump power, creatine kinase: both ranges effective; 11–15 °C best against muscle soreness, 5–10 °C best for jump power and creatine kinase |
| Review with practical recommendation18 | 10–15 °C | 5–15 minutes | Performance recovery; optimal duration depends on temperature |
| Meta-regression, 52 studies10 | colder | shorter | Creatine kinase and endurance performance: shorter duration and lower temperature linked to the largest effects |
| Tournament protocol football21 | 10 °C | 5 × 1 minute | Running performance, leg soreness, fatigue over four match days |
| Meta-analysis, trained athletes17 | – | – | Whole-body bath (g = 0.62) clearly more effective than legs or arms only (g = 0.10) |
Three things follow from this. First: all the way in, not just the legs – the difference is large in the athlete meta-analysis17. Second: longer is not better. A meta-regression of 52 studies links shorter and colder baths with the largest effects on muscle-damage markers and endurance performance10, and the football protocol manages with five minutes in total21. Third: 10–15 °C is not the limit of what has been studied. The muscle-soreness meta-analysis also included studies with 5 °C water2, and the network meta-analysis of 55 studies also found less muscle soreness, better jump power and lower creatine kinase than in the control groups at 5–10 °C for 10–15 minutes; for jump power and creatine kinase this colder range came out best, for muscle soreness 11–15 °C25. The authors themselves point to the limited quality of the included studies. And these are study protocols, not a recommendation for beginners: how long you stay at which temperature is first of all a safety question – how to work your way up is in the beginner's guide; which temperature suits whom is in the article Ice bath temperature.
Contrast baths, active recovery, massage
Evidence: indications, depending on the outcome – against muscle soreness, cold water came out ahead of other methods in the most recent comparative meta-analysis, for strength and explosive power it did not; older analyses found no clear superiority.
The ice bath is not the only method that works – but it is one that is particularly easy to turn into a routine.
The direct comparison. A 2023 meta-analysis specifically compared cold water with other recovery methods across 28 studies: against muscle soreness, cold water was superior to the other methods, similar for explosive power and flexibility, and more effective than active recovery, contrast baths and warm water for most outcomes. For strength recovery – and for explosive-power recovery measured one hour after exercise – however, the cryotherapy chamber with cold air was more effective than the ice bath26. Older analyses came to more cautious results; for each method, what was measured is what counts:
Contrast bath (alternating cold and warm). Compared with passive recovery: less muscle soreness and a smaller loss of strength at all measured time points up to 96 hours – with a high risk of bias in all 18 studies. Compared with cold water, warm water, compression, active recovery and stretching: no superiority of any method demonstrable11. The Cochrane review also found no difference for muscle soreness between cold water and contrast or warm baths1; the more recent comparative meta-analysis, by contrast, saw cold water ahead of the contrast bath for most outcomes26. If a contrast bath, then according to the review like this: equal time cold and warm, individual phases around one minute, up to around 15 minutes in total18. How sauna and ice bath can be combined is in the article Using contrast therapy correctly.
Active recovery (easy jogging, spinning out). The biopsy study after strength training found no difference in inflammatory and cell-stress markers in the muscle between ten minutes of cold water and ten minutes of easy cycling14. That is a statement about markers in the tissue, not about performance recovery – this study measured nothing on that. For recovery itself, cold water came out better than active recovery for most outcomes in the more recent comparative meta-analysis26.
Massage. In the meta-analysis of 99 studies the most effective method against muscle soreness and fatigue19. Whether an ice bath does better or worse than massage cannot be derived from the studies cited here – they provide no direct comparison of the two. For inflammatory values in the blood (CRP, IL-6), massage and cold applications came out ahead in this overview of all methods19 – a meta-analysis of cold water alone, by contrast, found no effect on CRP and IL-6 within 48 hours6, and in the muscle itself inflammation was no lower after cold than after easy cycling14. Whether an ice bath measurably lowers inflammation is therefore not settled.
Bottom line: for muscle soreness, the most recent comparative analysis speaks for the ice bath, for strength and explosive power it does not. On top of that come practicality – five to ten minutes, no massage therapist needed; someone should still be present for safety – and the feeling of recovery, which is consistently better in the meta-analyses10 and comes partly from expectation15. That is no flaw. Those who feel recovered train better the next day.
Three protocols for practice
The following protocols are our derivation from the studies above, not study results. They apply to healthy adults; anyone with pre-existing conditions checks with a doctor first.
1. After endurance, intervals or a match. Whole-body bath up to the neck, 10–15 °C, 5–10 minutes, within an hour of the exertion2, 17, 18. Only if no further maximal effort is due on the same day23. Afterwards, don't take a hot shower but warm up actively – how to do that is in the article After the ice bath: aftercare and warming up.
2. Strength or muscle-building phase. No bath straight after the strength session4, 7, 8, 9. Rest days, pure endurance sessions or the morning are cautious alternatives for the alertness and the feeling of recovery – whether they really leave the adaptation untouched has not been studied, and no safe minimum interval to strength training has been established. Combined strength–endurance sessions count as strength sessions.
3. Tournament with one bout per day. Short and cold after the bout, for example 5 × 1 minute at 10 °C as in the football protocol21. With several bouts on the same day: no blanket recommendation – if a sprint or maximal effort follows shortly afterwards, rather not23, 18.
Our customers include many Bundesliga football clubs, ice-hockey clubs and other professional teams – and they don't buy for the two percent of sprint performance but because the players want the bath after the match: it closes the day, the legs feel lighter, and the next morning they are less stiff – exactly what the tournament studies measure in leg soreness and fatigue.
Safety for athletes
After exercise the heart beats faster, the circulation is under load – and cold water triggers the cold shock in the first seconds: rapid breathing, rising pulse and blood pressure. This combination is the reason why you should settle down for a few minutes after training before you get into the water, and why nobody should bathe alone. A review sums up the risks of cold water: cold shock, cardiac arrhythmias, hypothermia – and rates the evidence for the promised benefits as very mixed, in places merely anecdotal22. No bathing with an infection, fever or known cardiovascular disease without consulting a doctor. The detailed assessment of the risks is in the article Is ice bathing healthy?, the rules for getting started in the beginner's guide.
Ice bathing at home: tubs and chillers
If you want to bathe regularly, you need a tub deep enough to immerse to your chest – with a chiller, you have consistently cold water every morning. Tubs · Chillers
Ice barrels & ice tubsFrequently asked questions
Is ice bathing before exercise sensible?
Only in the heat: for exertion above 30 °C, precooling improved performance by around 6 percent in a meta-analysis20. At normal temperatures there is no evidence for it; shortly before a cycling sprint, 15 minutes of cold water lowered performance23, after a bath taken following exercise, sprint performance had recovered worse one hour later in a meta-analysis of 68 studies27, and before other maximal efforts we advise against it for the same reason – that is a derivation from the mechanism and the sprint/jump findings, not a measurement of its own16, 6.
How long after training should I get into the ice bath?
Is ice bathing good for muscle growth?
No, not straight after strength training: regular cold after the session clearly blunted strength gains in a meta-analysis of 8 studies (SMD −0.60)9; in two training studies the fast muscle fibres grew only without cold4, 8, and a meta-analysis of 8 studies found smaller muscle gains28. Whether a bath on other days or hours later is harmless has not been studied.
Why do athletes get into the ice barrel?
Ice barrel after football – how long?
Ice bath or contrast bath?
Both are established compared with passive recovery. Older meta-analyses found no difference11, 1, the most recent comparative analysis saw cold water ahead of the contrast bath for most outcomes26. Contrast bath according to the review: equal time cold and warm, phases of around one minute, up to around 15 minutes in total18.
Sources
- Bleakley C et al. (2012). Cold-water immersion (cryotherapy) for preventing and treating muscle soreness after exercise. Cochrane Database Syst Rev (2):CD008262. https://doi.org/10.1002/14651858.CD008262.pub2
- Machado AF et al. (2016). Can Water Temperature and Immersion Time Influence the Effect of Cold Water Immersion on Muscle Soreness? Sports Med 46:503–514. https://doi.org/10.1007/s40279-015-0431-7
- Hohenauer E et al. (2015). The Effect of Post-Exercise Cryotherapy on Recovery Characteristics: A Systematic Review and Meta-Analysis. PLoS One 10(9):e0139028. https://doi.org/10.1371/journal.pone.0139028
- Roberts LA et al. (2015). Post-exercise cold water immersion attenuates acute anabolic signalling and long-term adaptations in muscle to strength training. J Physiol 593(18):4285–4301. https://doi.org/10.1113/JP270570
- Petersen AC, Fyfe JJ (2021). Post-exercise Cold Water Immersion Effects on Physiological Adaptations to Resistance Training and the Underlying Mechanisms in Skeletal Muscle: A Narrative Review. Front Sports Act Living 3:660291. https://doi.org/10.3389/fspor.2021.660291
- Xiao F et al. (2023). Effects of cold water immersion after exercise on fatigue recovery and exercise performance – meta analysis. Front Physiol 14:1006512. https://doi.org/10.3389/fphys.2023.1006512
- Fuchs CJ et al. (2020). Postexercise cooling impairs muscle protein synthesis rates in recreational athletes. J Physiol 598(4):755–772. https://doi.org/10.1113/JP278996
- Fyfe JJ et al. (2019). Cold water immersion attenuates anabolic signaling and skeletal muscle fiber hypertrophy, but not strength gain, following whole-body resistance training. J Appl Physiol 127(5):1403–1418. https://doi.org/10.1152/japplphysiol.00127.2019
- Malta ES et al. (2021). The Effects of Regular Cold-Water Immersion Use on Training-Induced Changes in Strength and Endurance Performance: A Systematic Review with Meta-Analysis. Sports Med 51(1):161–174. https://doi.org/10.1007/s40279-020-01362-0
- Moore E et al. (2022). Impact of Cold-Water Immersion Compared with Passive Recovery Following a Single Bout of Strenuous Exercise on Athletic Performance in Physically Active Participants: A Systematic Review with Meta-analysis and Meta-regression. Sports Med 52(7):1667–1688. https://doi.org/10.1007/s40279-022-01644-9
- Bieuzen F, Bleakley CM, Costello JT (2013). Contrast water therapy and exercise induced muscle damage: a systematic review and meta-analysis. PLoS One 8(4):e62356. https://doi.org/10.1371/journal.pone.0062356
- Higgins TR, Greene DA, Baker MK (2017). Effects of Cold Water Immersion and Contrast Water Therapy for Recovery From Team Sport: A Systematic Review and Meta-analysis. J Strength Cond Res 31(5):1443–1460. https://doi.org/10.1519/JSC.0000000000001559
- Rowsell GJ et al. (2009). Effects of cold-water immersion on physical performance between successive matches in high-performance junior male soccer players. J Sports Sci 27(6):565–573. https://doi.org/10.1080/02640410802603855
- Peake JM et al. (2017). The effects of cold water immersion and active recovery on inflammation and cell stress responses in human skeletal muscle after resistance exercise. J Physiol 595(3):695–711. https://doi.org/10.1113/JP272881
- Broatch JR, Petersen A, Bishop DJ (2014). Postexercise cold water immersion benefits are not greater than the placebo effect. Med Sci Sports Exerc 46(11):2139–2147. https://doi.org/10.1249/MSS.0000000000000348
- Ihsan M, Watson G, Abbiss CR (2016). What are the Physiological Mechanisms for Post-Exercise Cold Water Immersion in the Recovery from Prolonged Endurance and Intermittent Exercise? Sports Med 46(8):1095–1109. https://doi.org/10.1007/s40279-016-0483-3
- Poppendieck W et al. (2013). Cooling and performance recovery of trained athletes: a meta-analytical review. Int J Sports Physiol Perform 8(3):227–242. https://doi.org/10.1123/ijspp.8.3.227
- Versey NG, Halson SL, Dawson BT (2013). Water immersion recovery for athletes: effect on exercise performance and practical recommendations. Sports Med 43(11):1101–1130. https://doi.org/10.1007/s40279-013-0063-8
- Dupuy O et al. (2018). An Evidence-Based Approach for Choosing Post-exercise Recovery Techniques to Reduce Markers of Muscle Damage, Soreness, Fatigue, and Inflammation: A Systematic Review With Meta-Analysis. Front Physiol 9:403. https://doi.org/10.3389/fphys.2018.00403
- Bongers CC et al. (2015). Precooling and percooling (cooling during exercise) both improve performance in the heat: a meta-analytical review. Br J Sports Med 49(6):377–384. https://doi.org/10.1136/bjsports-2013-092928
- Rowsell GJ et al. (2011). Effect of post-match cold-water immersion on subsequent match running performance in junior soccer players during tournament play. J Sports Sci 29(1):1–6. https://doi.org/10.1080/02640414.2010.512640
- Tipton MJ et al. (2017). Cold water immersion: kill or cure? Exp Physiol 102(11):1335–1355. https://doi.org/10.1113/EP086283
- Crowe MJ, O'Connor D, Rudd D (2007). Cold water recovery reduces anaerobic performance. Int J Sports Med 28(12):994–998. https://doi.org/10.1055/s-2007-965118
- Stevens CJ et al. (2017). Running performance in the heat is improved by similar magnitude with pre-exercise cold-water immersion and mid-exercise facial water spray. J Sports Sci 35(8):798–805. https://doi.org/10.1080/02640414.2016.1192294
- Wang H, Wang L, Pan Y (2025). Impact of different doses of cold water immersion (duration and temperature variations) on recovery from acute exercise-induced muscle damage: a network meta-analysis. Front Physiol 16:1525726. https://doi.org/10.3389/fphys.2025.1525726
- Moore E et al. (2023). Effects of Cold-Water Immersion Compared with Other Recovery Modalities on Athletic Performance Following Acute Strenuous Exercise in Physically Active Participants: A Systematic Review, Meta-Analysis, and Meta-Regression. Sports Med 53(3):687–705. https://doi.org/10.1007/s40279-022-01800-1
- Choo HC et al. (2022). The effect of cold water immersion on the recovery of physical performance revisited: A systematic review with meta-analysis. J Sports Sci 40(23):2608–2638. https://doi.org/10.1080/02640414.2023.2178872
- Piñero A et al. (2024). Throwing cold water on muscle growth: A systematic review with meta-analysis of the effects of postexercise cold water immersion on resistance training-induced hypertrophy. Eur J Sport Sci 24(2):177–189. https://doi.org/10.1002/ejsc.12074





















