Comparison of cold water immersion protocols in female handball players after match training


  • Braulio Sánchez-Ureña National University, Costa Rica
  • Ismael Martínez-Guardado University of Extremadura, Spain
  • Gabriela Espinoza-Acuña Independent Researcher, Costa Rica
  • Marta Camacho-Cardeñosa University of Extremadura, Spain
  • Alba Camacho-Cardeñosa University of Extremadura, Spain
  • Rafael Timón University of Extremadura, Spain
  • Guillermo Olcina University of Extremadura, Spain



Recovery, Handball, Hydrotherapy, Performance, DOMS


Purpose: Compare the effect of two protocols cold water immersion on indicators of recovery in female handball players. Methods: 12 female handball players (Age: 14 ± 0.7 years, body mass: 58.44 ± 7.8 kg, Height: 161± 7.1 cm, fat %: 21.5± 3) were involved in a “cross-over” experimental design. After three training sessions (Avg heart rate 183 ± 9, 180 ± 8 and 180 ± 8b/pm respectively), participants were placed a continuous cold water immersion  protocol (n=12), (12 min water temperature 14± 0.5C°),  intermittent cold water immersion  protocol (n=11), (4 x 2 min water temperature 14 ± 0.5C° + 1min out of water ) and control group (CG) with passive recovery (n=9). Countermovement jump test (CMJ), Visual Analog Scale (VAS-Pain) and thigh volume were measured. Results: Both cold water immersion protocols were effective in reducing the pain immediately post immersion, 24 and 48 hours after training compared with the CG (F(4,116) = 6.84, p < 0.001. ωp²: 0.32). CMJ (F(4,116) = 1,79, p =.11, ωp²: 0.02) and thigh volume (F(4,116) = 0.77, p =.59, ωp²: -0.007) did not report statistically significant changes at any time of measurement. Conclusions: Both CWI protocols are effective to reduce delayed on set muscle soreness at all times post training in female handball players. CWI should be included after training sessions to enhance players’ recovery for the next training day. CWI protocol could be used according to individual preferences due to both of them have same effect in psychological indicators of recovery.


overnment of Extremadura (Spain) [CTS036- GR15020].


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Ascensao, A., Leite, M., Rebelo, AN., Magalhäes, S., & Magalhäes, J. (2011). Effects of cold water immersion on the recovery of physical performance and muscle damage following a one-off soccer match. J Sports Sci, 29(3), 217–225.

Brown, F., Gissane, C., Howatson, G., van Someren, K., Pedlar, C., & Hill, J. (2017). Compression Garments and Recovery from Exercise: A Meta-Analysis. Sports Med,22, 1-23.

Burgess. T., & Lambert, M. (2010). The efficacy of cryotherapy on recovery following exercise-induced muscle damage. International Sport Medicine Journal, 11(2), 258-277.

Calleja-González, J., Terrados, N., Mielgo-Ayuso, J., Delextrat, A., Jukic. I., Vaquera, A….et al. (2016). Evidence based post-exercise recovery strategies in basketball. Phys Sportsmed, 44(1),74–78.

Crowe, M.J., O'Connor, D., & Rudd, D. (2007). Cold water recovery reduces anaerobic performance. Int Journal of Sports Medicine, 28, 994–8.

Delextrat, A., Calleja-González, J., Hippocrate, A., & Clarke, N.D. (2012). Effects of sports massage and intermittent cold-water immersion on recovery from matches by basketball players. Journal of Sports Sciences, 31(1), 11-19.

Elias, GP., Wyckelsma, VL., Varley, M., McKenna, M., & Aughey, R. (2013). Effectiveness of water immersion on postmatch recovery in elite professional footballers. International Journal of Sports Physiology and Performance, 8, 243-253.

Eston, R., y Peters, D. (1999). Effects of cold water immersion on the symptoms of exercise-induced muscle damage. Journal Sports Science,17(3), 231–238.

Glasgow PD, Ferris R, Bleakley, C. (2014). Cold water immersion in the management of delayed-onset muscle soreness: is dose important? A randomised controlled trial. Phys Ther Sport, 15, 228–233.

Graham, A. (2017). The effects of CWI and CWT on performance recovery following high-intensity exercise: A systematic review and meta-analysis. J. Aust. Strength Cond. 2,(2) 59-65.

Higgins, T.R., Greene, D.A., & Baker, M.K. (2016). Effects of Cold Water Immersion and Contrast Water Therapy for Recovery from Team Sport: A Systematic Review and Meta-Analysis. Journal of Strength and Conditioning Research Publish Ahead of Print.

Hohenauer, E., Taeymans, J., Baeyens, J.P., Clarys, P., & Clijsen, R. (2015). The Effect of Post-Exercise Cryotherapy on Recovery Characteristics: A Systematic Review and Meta-Analysis. PLoS ONE.10(9), e0139028.

Ihsan, M., Waston, G., & Abbiss, C.R. (2016). What are the Physiological Mechanisms for Post-Exercise Cold Water Immersion in the Recovery from Prolonged Endurance and Intermittent Exercise? Sports Med, 1-15.

Ingram, J., Dawson, B., Goodman, C., Wallman, K., & Beilby, J., (2009). Effect of water immersion methods on post-exercise recovery from simulated team sport exercise. Journal of Science and Medicine in Sport,12, 417–421.

Jackson AS, Pollock ML. (1990). Exercise in health and disease. (2th ed.) Philadelphia: W. B. Saunders.

Katch, V. L., & Katch, F. I. (1974). A Simple Anthropometric Method for Calculating Segmental Leg Limb Volume. Research Quarterly. American Alliance for Health, Physical Education and Recreation, 45(2), 211–214.

Knowlton, W.M., Palkar, R., Lippoldt, E.K., McCoy, D., Baluch, F., Chen, J …. McKemy, D. (2013). A sensory-labeled line for cold: TRPM8-expressing sensory neurons define the cellular basis for cold, cold pain, and cooling-mediated analgesia. J Neuroscience, 33(7), 2837–48.

Leeder, J., Gissane, C., Van Someren, K., Gregson, W., & Howatson, G. (2012). Cold water immersion and recovery from strenuous exercise: A meta-analysis. British J Sports Medicine, 46, 233–240.

Machado, A.F., Ferreira, P.H., Micheletti, J.K., de Almeida, A.C., Lemes, Í.R., Vanderlei, F.M.,…, Pastre, C.M. (2016). Can Water Temperature and Immersion Time Influence the Effect of Cold Water Immersion on Muscle Soreness? A Systematic Review And Meta-Analysis. Sports Med, 46(4),503-14.

Markovic, G., Dizdar, D., Jukic, I., & Cardinale, M. (2004). Reliability and factorial validity of squat and countermovement jump tests. J Strength Cond Res,18 (3):551-555.

Montgomery, P., Pine, D., Hopkins, W., Dorman, J., Cook, K., & Minaham, C. (2008).The effect of recovery strategies on physical performance and cumulative fatigue in competitive basketball. Journal of Sports Sciences, 26(11), 1135–1145.

Murray, A & Cardinale, M. (2015). Cold applications for recovery in adolescent athletes: a systematic review and meta-analysis. Extrem Physiol Med,4(17), 1-15.

Peiffer, J.J., Abbiss., C.R., Nosaka, K., Peake, J.M., & Laursen, P.B. (2009). Effect of cold water immersion after exercise in the heat on muscle function. body temperatures and vessel diameter. Journal Science Medicine Sport,12(1), 91-96.

Proudfoot, C.J., Garry, E.M., Cottrell, D.F., Rosie, R., Anderson, H., Roberson, D.,...Mitchell, R (2006). Analgesia mediated by the TRPM8 cold receptor in chronic neuropathic pain. Curr Biol, 16(16),1591–605.

Pruscino, C.L., Halson, S., & Hargreaves, M. (2013). Effects of compression garments on recovery following intermittent exercise. European Journal of Applied Physiology, 113(6):1585-96.

Rowsell, G., Coutts, A., Raeburn, P., & Hill-Haas, S. (2011). Effect of post-match cold water immersion on subsequent match running performance in junior soccer players during tournament play. J Sports Science, 29(1), 1–6.

Rowsell, G., Coutts, A., Reaburn, P., & Hill-Haas, S. (2009). Effects of cold water immersion on physical performance between successive matches in high-performance junior male soccer players. Journal Sports Science,27, 565–573.

Sánchez- Ureña, B., Barrantes-Brais, K., Ureña-Bonilla, P., Calleja-González, J., & Ostojic, S. (2015). Effect of water immersion on recovery from fatigue: a meta-analysis. European Journal of Human Movement,34,1-14.

Sánchez-Ureña. B., Martínez-Guardado, I., Crespo, C., Timon, R.,Calleja-González, J., Ibañez S.J., & Olcina, G (2017). The use of continuous vs. intermittent cold water immersion as a recovery method in basketball players after training: a randomized controlled trial, The Physician and Sportsmedicine.

Sellwood, K., Brukner, P., Williams, D., Nicol, A., & Hinman, R. (2007). Ice-water immersion and delayed-onset muscles soreness: a randomised controlled trial. Br J Sports Medicine, 41(6), 392–7.

Stanley, J., Buchheit, M., & Peake, J. (2012). The effect of post-exercise hydrotherapy on subsequent exercise performance and heart rate variability. European Journal Applied Physiology, 112(3), 951–61.

Stewart, A., Marfell-Jones, M., Olds, T., & Hans De Rideer, J (2011). International standards for anthropometric assessment. Lower Hutt, New Zealand: ISAK.

Takeda, M., Sato, T., Hasegawa, T., Shintaku, H., Kato, H., Yamaguchi, Y., & Radak, Z.(2014).The effects of cold water immersion after rugby training on muscle power and biochemical markers. Journal of Sport Science and Medicine, 13(3), 616-23.

Vaile, J., Gill, N., & Blazevich, A. (2007). The effect of contrast water therapy on symptoms of delayed onset muscle soreness. Journal Strength Cond Research,21, 697–702.

Vaile, J., Halson, S., Gill, N., & Dawson, B. (2008). Effect of hydrotherapy on the signs and symptoms of delayed onset muscle soreness. European Journal Applied Physiology. 102(4), 447–455.

Versey, N., Halson, S., & Dawson, B. (2013).Water Immersion Recovery for Athletes: Effect on Exercise Performance and Practical Recommendations. Journal Sports Medicine, 43, 1101–1130.

Wang, H., & Siemens, J., (2015). TRP ion channels in thermosensation thermoregulation and metabolism. Temperature 2, 178–187.

Washington, L.L., Gibson, S.J., y Helme, R.D. (2000). Age-related differences in the endogenous analgesic response to repeated cold water immersion in human volunteers. Pain, 89, 89-96.

Wilcock, I., Cronin, J., & Hing, W. (2006). Physiological response to water immersion. A method for sport recovery?. Sports Medicine, 36(9), 747-765.

Yanagisawa, O., Homma, T., Okuwaki, T., Shimao, D., & Takahashi, H. (2007). Effects of cooling on human skin and skeletal muscle. European Journal of Applied Physiology, 100(6), 737-45.


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How to Cite

Sánchez-Ureña, B., Martínez-Guardado, I., Espinoza-Acuña, G., Camacho-Cardeñosa, M., Camacho-Cardeñosa, A., Timón, R., & Olcina, G. (2018). Comparison of cold water immersion protocols in female handball players after match training. Journal of Human Sport and Exercise, 13(2), 363–374.



Sport Medicine, Nutrition & Health