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Baliey Et Al (2007) Ice Treatment
Baliey Et Al (2007) Ice Treatment
Human Muscle Metabolism Research Group, English Institute of Sport, Loughborough University, Loughborough and
Medical and Exercise Science Department, The Football Association, Lilleshall National Sports Centre, Lilleshall, UK
Abstract
The aim of this study was to assess the effects of cold-water immersion (cryotherapy) on indices of muscle damage following
a bout of prolonged intermittent exercise. Twenty males (mean age 22.3 years, s 3.3; height 1.80 m, s 0.05; body mass
83.7 kg, s 11.9) completed a 90-min intermittent shuttle run previously shown to result in marked muscle damage and
soreness. After exercise, participants were randomly assigned to either 10 min cold-water immersion (mean 108C, s 0.5) or
a non-immersion control group. Ratings of perceived soreness, changes in muscular function and efflux of intracellular
proteins were monitored before exercise, during treatment, and at regular intervals up to 7 days post-exercise. Exercise
resulted in severe muscle soreness, temporary muscular dysfunction, and elevated serum markers of muscle damage, all
peaking within 48 h after exercise. Cryotherapy administered immediately after exercise reduced muscle soreness at 1, 24,
and 48 h (P 5 0.05). Decrements in isometric maximal voluntary contraction of the knee flexors were reduced after
cryotherapy treatment at 24 (mean 12%, sx 4) and 48 h (mean 3%, sx 3) compared with the control group (mean 21%,
sx 5 and mean 14%, sx 5 respectively; P 5 0.05). Exercise-induced increases in serum myoglobin concentration and
creatine kinase activity peaked at 1 and 24 h, respectively (P 5 0.05). Cryotherapy had no effect on the creatine kinase
response, but reduced myoglobin 1 h after exercise (P 5 0.05). The results suggest that cold-water immersion immediately
after prolonged intermittent shuttle running reduces some indices of exercise-induced muscle damage.
Introduction
The deleterious effects associated with muscle
damage following a bout of unaccustomed or
eccentric-based exercise are well documented
(Armstrong, 1984; Clarkson & Sayers, 1999; Proske
& Allen, 2005). The time course and severity of
muscle soreness, muscular dysfunction, and appearance of markers of muscle damage in the systemic
circulation can vary considerably depending on the
duration, intensity, and type of exercise performed
(Clarkson, Byrnes, McCormick, Turcotte, & White,
1986; Eston, Critchley, & Baltzopoulos, 1994;
Thompson, Nicholas, & Williams, 1999). These
factors may partially explain why the precise
aetiology of exercise-induced muscle damage remains elusive. Nevertheless, delayed-onset muscle
soreness (DOMS) and associated decrements in
muscular function are one of the most commonly
Correspondence: D. M. Bailey, English Institute of Sport, Loughborough University, Loughborough LE11 3TU, UK. E-mail: david.bailey@eis2win.co.uk
ISSN 0264-0414 print/ISSN 1466-447X online 2007 Taylor & Francis
DOI: 10.1080/02640410600982659
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D. M. Bailey et al.
Methods
Participants
Twenty healthy men (mean age 22.3 years, s 3.3;
height 1.80 m, s 0.05; body mass 83.7 kg, s 11.9)
volunteered to take part in the study, which had
received approval from the university ethics committee. Participants completed a mandatory health
questionnaire and provided written informed consent. All participants were habitually active in a
variety of sports, but were unfamiliar with the
exercise to be performed. Participants were required
to abstain from therapeutic treatments including
Age (years)
Height (m)
Body mass (kg)
Body mass index
(kg m72)
Sum of 4 skinfolds (mm)a
V_ O2max
(ml kg71 min71)
Weekly exercise
sessions (n)
Cryotherapy
(n 10)
Control
(n 10)
P-value
23.6 + 4.1
1.80 + 0.06
85.9 + 12.8
26.3 + 2.8
21.7 + 2.0
1.81 + 0.05
81.5 + 11.2
24.9 + 2.7
0.123
0.665
0.517
0.487
35.3 + 12.8
55.2 + 4.8
31.3 + 6.3
56.2 + 5.3
0.583
0.676
5+2
4+1
0.265
1165
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D. M. Bailey et al.
(sx 0.13) during the treatment period and continued to fall 15 min post-treatment (37.48C, sx 0.11)
(P 5 0.05) but was not different between groups.
Perception of coldness was elevated during cryotherapy (mean 6, sx 1) compared with the control
group (mean 1, sx 1) and remained elevated during
recovery (P 5 0.05).
Results
Response to intermittent exercise
Figure 1. Perceived muscle soreness following exercise for cryotherapy (solid bars) and control (open bars) groups. Values are mean and
standard errors. *Different from pre-exercise for both groups (P 5 0.05); {Different between groups (P 5 0.05).
1167
Figure 2. Isometric maximal voluntary contraction of the knee flexors (A) and extensors (B) following exercise for cryotherapy (solid line)
and control (broken line) groups. Values are mean and standard errors. *Different from pre-exercise for both groups (P 5 0.05); {Different
between groups (P 5 0.05).
D. M. Bailey et al.
1168
Figure 3. Serum creatine kinase activity (A) and myoglobin concentration (B) following exercise for cryotherapy (solid line) and control
(broken line) groups. Values are mean and standard errors. *Different from pre-exercise for both groups (P 5 0.05); {Different between
groups (P 5 0.05).
1169
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