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Contrast water therapy and exercise induced muscle damage: a systematic review and meta-analysis.

PMID 23626806 (2013): stretch, stretching — Injury risk (study note for endurance athletes).

Last updated/Feb 23, 2026, 10:34 PM

Study note • PMID 23626806

Contrast water therapy and exercise induced muscle damage: a systematic review and meta-analysis.

PloS one2013 • DOI 10.1371/journal.pone.0062356
Evidence B79/100
Action 1: Default

Low risk + high feasibility for most athletes.

ELI5

In plain language

The aim of this systematic review was to examine the effect of Contrast Water Therapy (CWT) on recovery following exercise induced muscle damage. (systematic review / meta-analysis; elite participants).

In this systematic review / meta-analysis, the abstract is mixed or unclear for Injury risk. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: The aim of this systematic review was to examine the effect of Contrast Water Therapy (CWT) on recovery following exercise induced muscle damage.
  • In this systematic review / meta-analysis, the abstract is mixed or unclear for Injury risk.
  • Population: elite participants.
  • Protocol cues (title/abstract): 96 hours.

Protocol

Protocol (as reported)

  • Intervention/exposure: stretch, stretching.
  • Dose/time/duration cues in abstract/title: 96 hours.
  • Outcomes: Injury risk.
  • Replication note: abstracts often omit adherence and timing; confirm details before changing training or supplementation.

Fit

Who it helps, and who should skip it

Who it helps

  • Athletes similar to the study population (elite participants) working on mobility.
  • Athletes who can measure Injury risk with a repeatable workout or time-trial effort.

Who should skip

  • If you have symptoms or conditions that make the intervention risky, get professional guidance.
  • If you’re near race day and can’t safely test, defer the experiment.

Methods

What the study actually did

  • Design: systematic review / meta-analysis.
  • Population: elite participants.
  • Outcomes measured: Injury risk.
  • Protocol cues mentioned: 96 hours.
  • Source: PubMed PMID 23626806 (2013) — PloS one.

Results excerpt

What the abstract reports

Eighteen trials met the inclusion criteria; all had a high risk of bias.

Note: excerpts are short; for full context, read the paper.

Limits

Limitations & bias

  • Abstract-only summaries can miss critical details (population, protocol, adherence, and context).
  • Reviews and consensus statements mix protocols and populations; recommendations may not match your exact constraints.
  • If your context differs (elite vs recreational; cycling vs running), adjust expectations and be conservative.
  • This is performance information, not medical advice.

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Sources