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Stephan R. Fisher, Justin H. Rigby, Joni A. Mettler, and Kevin W. McCurdy

omparison ○ Cryotherapy • O utcome ○ Improve recovery time, decrease muscle soreness Search Terms Used Searches included the keyterms “photobiomodulation,” “low-level laser therapy,” “light-emitting diode therapy,” “phototherapy,” “cryotherapy,” “cold-water immersion therapy,” “muscle recovery,” and “muscle

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Alisa Nana, Gary J. Slater, Will G. Hopkins, Shona L. Halson, David T. Martin, Nicholas P. West, and Louise M. Burke


The implications of undertaking DXA scans using best practice protocols (subjects fasted and rested) or a less precise but more practical protocol in assessing chronic changes in body composition following training and a specialized recovery technique were investigated.


Twenty-one male cyclists completed an overload training program, in which they were randomized to four sessions per week of either cold water immersion therapy or control groups. Whole-body DXA scans were undertaken with best practice protocol (Best) or random activity protocol (Random) at baseline, after 3 weeks of overload training, and after a 2-week taper. Magnitudes of changes in total, lean and fat mass from baseline-overload, overload-taper and baseline-taper were assessed by standardization (Δmean/SD).


The standard deviations of change scores for total and fat-free soft tissue mass (FFST) from Random scans (2–3%) were approximately double those observed in the Best (1–2%), owing to extra random errors associated with Random scans at baseline. There was little difference in change scores for fat mass. The effect of cold water immersion therapy on baseline-taper changes in FFST was possibly harmful (-0.7%; 90% confidence limits ±1.2%) with Best scans but unclear with Random scans (0.9%; ±2.0%). Both protocols gave similar possibly harmful effects of cold water immersion therapy on changes in fat mass (6.9%; ±13.5% and 5.5%; ±14.3%, respectively).


An interesting effect of cold water immersion therapy on training-induced changes in body composition might have been missed with a less precise scanning protocol. DXA scans should be undertaken with Best.

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Jeffrey R. Doeringer, Megan Colas, Corey Peacock, and Dustin R. Gatens

.1080/02640414.2012.719241 22935028 10.1080/02640414.2012.719241 8. Jakeman J , Macrae R , Eston R . A single 10-min bout of cold-water immersion therapy after strenous plyometric exercise has no beneficial effect on recovery from the symptoms of exercise-induced muscle damage . Ergonomics . 2009 ; 52 ( 4 ): 456 – 460

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Fábio J. Lanferdini, Rodrigo R. Bini, Bruno M. Baroni, Kelli D. Klein, Felipe P. Carpes, and Marco A. Vaz

peroxição lipídica em atletas após exercício de alta intensidade: um estudo preliminar . Rev Bras Med Esporte . 2011 ; 17 ( 1 ): 8 – 12 . doi:10.1590/S1517-86922011000100001 10.1590/S1517-86922011000100001 24. Leal Junior EC , de Godoi V , Mancalossi JL , et al . Comparison between cold water

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Jesús Seco-Calvo, Juan Mielgo-Ayuso, César Calvo-Lobo, and Alfredo Córdova

effect of contrast water therapy on symptoms of delayed onset muscle soreness . J Strength Cond Res . 2007 ; 21 ( 3 ): 697 . PubMed ID: 17685683 doi:10.1519/R-19355.1 17685683 35. Jakeman JR , Macrae R , Eston R . A single 10-min bout of cold-water immersion therapy after strenuous plyometric