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More data on cryotherapy

December 13th, 2011

Another study on whole-body cryotherapy (or “cryosaunas,” or whatever you want to call them), from the same group at the French National Institute of Sport that published a similar study last summer. The full text is freely available online, along with a press release.

The study took nine well-trained runners, and had them perform three “hilly” treadmill runs, each time with a different recovery routine:

  1. Cryotherapy (3 minutes at -110 C), taken immediately, 24 hours, and 48 hours after the run;
  2. Far infrared therapy, also taken at the same three intervals;
  3. Nothing (“passive”).

The basic results, according to the paper: cryotherapy “accelerates recovery from exercise-induced muscle damage to a greater extent than far infrared or passive modalities.” That’s based on better results for perceived pain and maximal voluntary muscle contraction. Here’s the muscle data:

So yeah, one hour after the run, the cryotherapy allowed the runners to clench a little harder, and those results appeared to more or less persist for a couple of days. But these aren’t placebo-proof, since the runners weren’t blinded to the modality. What about a more placebo-proof measure of recovery? Well, not so good. Creatine kinase levels in the blood weren’t improved. In fact, if you look at the data and squint a bit, you might conclude that far infrared is the best choice! Uh oh.

Seriously, this study is a good start, but cryotherapy still has a ways to go. I would have liked to see it compared to conventional ice-bath therapy (which itself seems to produce more ambiguous results than you’d expect when it’s tested). Because surely we’re hoping that this therapy is actually an improvement on the current standard-of-care (which is not far infrared), rather than just a way to save seven minutes after a game or workout.

was the best recovery modality to hasten recovery from EIMD by limiting the torque loss and subjective sensations of pain

  1. December 13th, 2011 at 22:13 | #1

    Cool study- whether it is due to the impact of placebo or not, the cryo group WAS generating more force. This makes me think of a potential practical application for decathletes. After the 100m, they compete in an event hugely dependent on power/MVMC- the long jump. Maybe they’ll jump further with a little post-run cryotherapy(we can figure out WHY later).

    *Note* Obviously more research needed haha

  2. alex
    December 13th, 2011 at 22:17 | #2

    @Sean: Yeah, good point — for the very-short-term recovery, that’s where the biggest difference is. So in competition, who cares whether it’s perceptual (i.e. numbing pain sensations and thus allowing greater torque), placebo, or actually accelerating repair? Only the results matter in that context.

  3. December 15th, 2011 at 14:50 | #3

    Alex, thanks for another great post, and I loved the last comment and response from you and Sean. Recovery is such an interesting area, and when dealing with athletes results and small advantages are hugely important.
    Do you think there is still advantage in alternating heat and cold, or is it seeming that cryotherapy is the more advantages.

  4. Herman
    December 15th, 2011 at 15:50 | #4

    Let the authors start with a comparison between the three interventions at different time points. Now the authors come up with conclusions about differences in interventions after just a within comparison doesn’t seem to be plausible.

    ps. a huge stdev by the way (3 x the mean value)

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