Effects of cold water immersion on muscle recovery after resistance exercise – Literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v15i4.50855

Keywords:

Mechanical ventilation, Ventilator weaning, Physiotherapy.

Abstract

Muscle fatigue is characterized by a reduction in the ability to generate force and is associated with neuromuscular and metabolic changes. During high-intensity exercise, the body undergoes several physiological stresses, such as muscle damage, dehydration, and glycogen depletion, which can impair performance when recovery is inadequate. The objective of this study is to analyze, based on the scientific literature, the effects of cold-water immersion on muscle recovery after resistance exercises.This study is characterized as a bibliographic review with a qualitative and descriptive approach, conducted through searches in the PubMed and Cochrane databases. English descriptors were used and combined using the Boolean operator AND, including terms related to cryotherapy, cold-water immersion, and muscle recovery. Studies published between 2020 and 2025 were included, involving human participants and focusing on sports physiotherapy, while duplicate studies or those not directly addressing the topic were excluded.The selection of studies was carried out through the reading of titles, abstracts, and full texts, followed by a descriptive analysis of the data. The results demonstrate that cold-water immersion is effective in reducing delayed onset muscle soreness and improving recovery between 24 and 96 hours after exercise, proving to be superior to passive recovery. The ideal application range is between 11 °C and 15 °C, with a duration of 10 to 15 minutes, while very low temperatures may be harmful. However, continuous use of this technique may negatively interfere with muscular adaptations, such as hypertrophy and strength gain.

References

Allan, R. et al. (2022). Cold for centuries: a brief history of cryotherapies to improve health, injury and post-exercise recovery. European Journal of Applied Physiology. 122, 1153-62.

Bleakley, C. et al. (2012). Cold-water immersion (cryotherapy) for preventing and treating muscle soreness after exercise. Cochrane Database of Systematic Reviews. 2012(2):CD008262. doi: 10.1002/14651858.CD008262.pub2.

Chen, R. et al. (2024). The effects of hydrotherapy and cryotherapy on recovery from acute post-exercise induced muscle damage—a network meta-analysis. BMC Musculoskeletal Disorders. 25(749).

D’Souza, R. F. et al. (2023). Cold water immersion in recovery following a single bout resistance exercise suppresses mechanisms of miRNA nuclear export and maturation. Physiological Reports. 11, e15784.

Gandevia, S. C. (2001). Spinal and supraspinal factors in human muscle fatigue. Physiological Reviews. 81(4):1725-89. doi: 10.1152/physrev.2001.81.4.1725.

Kwiecien, S. Y. et al. (2021). The cold truth: the role of cryotherapy in the treatment of injury and recovery from exercise. European Journal of Applied Physiology. Eur J Appl Physiol. 121(8):2125-42. doi: 10.1007/s00421-021-04683-8.

McGlynn, M. L. et al. (2025). The influence of local cold application and resistance exercise on the mRNA response of skeletal muscle. Journal of Strength and Conditioning Research. 39(11), e1272.

Peiffer, J. J. et al. (2009). Effect of cold-water immersion duration on body temperature and muscle function. Journal of Sports Sciences. 27(10), 987-93.

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria: Editora da UFSM.

Postol, A. W. et al. (2025). Efeitos da crioimersão na recuperação da dor muscular pós-exercício: revisão sistemática com meta-análise. Brazilian Journal of Pain. 8, e20250014.

Risemberg, R. I. C. et al. (2026). A importância da metodologia científica no desenvolvimento de artigos científicos. E-Acadêmica, 7(1), e0171675. https://eacademica.org/eacademica/article/view/675.

Rousse, Y. et al. (2025). Isolated and Combined Effects of Cold, Heat and Hypoxia Therapies on Muscle Recovery Following Exercise-Induced Muscle Damage. Sports Medicine. 55, 2721-51.

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research. 104, 333-9. https://doi.org/10.1016/j.jbusres.2019.07.039.

Spencer, M. et al. (2005). Physical and physiological responses to consecutive days of elite-level field hockey competition. International Journal of Sports Medicine.

Wang, Y. et al. (2022). Effect of cold and heat therapies on pain relief in patients with delayed onset muscle soreness: a network meta-analysis. Journal of Rehabilitation Medicine. 54, jrm00258.

WIlcock, I. M. et al. (2006). Physiological response to water immersion: a method for sport recovery? Sports Medicine. 36(9), 747-65.

Yoshida, R. et al. (2022). The Effect of Single Bout Treatment of Heat or Cold Intervention on Delayed Onset Muscle Soreness Induced by Eccentric Contraction. Healthcare. 10(2556).

Published

2026-04-02

Issue

Section

Review Article

How to Cite

Effects of cold water immersion on muscle recovery after resistance exercise – Literature review. Research, Society and Development, [S. l.], v. 15, n. 4, p. e0515450855, 2026. DOI: 10.33448/rsd-v15i4.50855. Disponível em: https://rsdjournal.org/rsd/article/view/50855. Acesso em: 18 apr. 2026.