SPORTS MEDICINE : JOURNAL ARTICLES : RESEARCH: Should Athletes Return to Sport After Applying Ice?: A Systematic Review of the Effect of Local Cooling on Functional Performance
David P. Dillard
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SPORTS MEDICINE :
JOURNAL ARTICLES :
RESEARCH:
Should Athletes Return to Sport After Applying Ice?:
A Systematic Review of the Effect of Local Cooling
on Functional Performance
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Should Athletes Return to Sport After Applying Ice?:
A Systematic Review of the Effect of Local Cooling
on Functional Performance
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Should Athletes Return to Sport After Applying Ice?:
A Systematic Review of the Effect of Local Cooling
on Functional Performance
Author: Bleakley, CM
Journal: Sports medicine (Auckland)
ISSN: 0112-1642 Date: 2012
Volume: 42 Issue: 1 Page: 69
http://www.ingentaconnect.com/content/adis/
smd/2012/00000042/00000001/art00005
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A shorter URL for the above link:
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Abstract:
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Applying ice or other forms of topical cooling is a popular method of
treating sports injuries. It is commonplace for athletes to return to
competitive activity, shortly or immediately after the application of a
cold treatment.
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In this article, we examine the effect of local tissue cooling on outcomes
relating to functional performance and to discuss their relevance to the
sporting environment. A computerized literature search, citation tracking
and hand search was performed up to April, 2011. Eligible studies were
trials involving healthy human participants, describing the effects of
cooling on outcomes relating to functional performance. Two reviewers
independently assessed the validity of included trials and calculated
effect sizes. Thirty five trials met the inclusion criteria; all had a
high risk of bias. The mean sample size was 19. Meta-analyses were not
undertaken due to clinical heterogeneity. The majority of studies used
cooling durations >20 minutes. Strength (peak torque/force) was reported
by 25 studies with approximately 75% recording a decrease in strength
immediately following cooling. There was evidence from six studies that
cooling adversely affected speed, power and agility-based running tasks;
two studies found this was negated with a short rewarming period. There
was conflicting evidence on the effect of cooling on isolated muscular
endurance. A small number of studies found that cooling decreased upper
limb dexterity and accuracy. The current evidence base suggests that
athletes will probably be at a performance disadvantage if they return to
activity immediately after cooling.
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snip
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The complete abstract may be read at the URL above.
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Sincerely,
David Dillard
Temple University
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