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Randomized Controlled Trial
. 2025 Nov;125(11):3179-3194.
doi: 10.1007/s00421-025-05835-w. Epub 2025 Jun 11.

Cold- and hot-water immersion are not more effective than placebo for the recovery of physical performance and training adaptations in national level soccer players

Affiliations
Randomized Controlled Trial

Cold- and hot-water immersion are not more effective than placebo for the recovery of physical performance and training adaptations in national level soccer players

Jannik Gustafsson et al. Eur J Appl Physiol. 2025 Nov.

Abstract

Purpose: Cold- and hot-water immersion (CWI and HWI, respectively) are popular post-exercise recovery methods in competitive soccer. The aims of this study were to (1) compare the effect of post-exercise CWI, HWI and placebo on the recovery of physical performance in national level soccer players, and (2) investigate whether repeated use of these recovery modalities has an impact on training adaptations over a 15 week period.

Methods: For Part I, 40 male soccer players (15-19 years) were randomized to either CWI (10 °C, 10 min), HWI (42 °C, 20 min), or placebo (6 min, sham laser), applied after a 90 min simulated soccer match (SSM). Physical performance was assessed using submaximal aerobic, 20 m sprint, countermovement jump (CMJ), and knee extension strength tests [i.e., maximum voluntary isometric contraction (MVIC) and time to exhaustion (TTE) at 60% of MVIC] performed at Pre-SSM and 0, 21 and 45 h Post-SSM. For Part II, 19 participants applied their respective recovery modality (~ twice a week) in their usual training. After 15 weeks, physical performance and body composition were assessed and compared to pre-intervention.

Results: All three modalities similarly affected the recovery of physical performance during the 21-45 h Post-SSM period (p < 0.05). Moreover, no significant effects of the recovery modalities on body composition and on development of physical performance were found over the 15 week recovery intervention (p > 0.05).

Conclusion: Compared to a placebo, CWI and HWI do not improve post-match recovery of physical performance and do not impact long-term training adaptations in highly trained soccer players.

Keywords: Athletes; Cooling; Exercise; Fatigue; Football; Heating.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare they have no financial interests. Ethical approval: All participants provided written informed consent after having received a thorough explanation of the study procedures. The study protocol was approved by the Swedish Ethical Review Board (Dnr 2021-03148) and was in agreement with the latest revision of the Declaration of Helsinki and all national and regional regulations.

Figures

Fig. 1
Fig. 1
Experimental design
Fig. 2
Fig. 2
Heart rate (a), rating of perceived exertion (b) and lactate concentration (c) following the submaximal aerobic test (Part I). Data are presented as mean ± SD, *** p < 0.001 vs Pre-SSM. * p < 0.05 vs Pre-SSM. CWI cold-water immersion, HR heart rate, HWI hot-water immersion, RPE rating of perceived exertion, SSM simulated soccer match. A: Placebo, n = 12; CWI, n = 11; HWI, n = 12. B and C: Placebo, n = 13; CWI, n = 13; HWI n = 14
Fig. 3:
Fig. 3:
20 m sprint time (Part I). Data are presented as mean ± SD, * p < 0.05 vs Pre-SSM. CWI cold-water immersion, HWI hot-water immersion. SSM simulated soccer match. Placebo, n = 13; CWI, n = 13; HWI, n = 14
Fig. 4
Fig. 4
Jump height (a), Peak force (b), Peak power (c) and Squat depth (d) during the countermovement jump (Part I). Data are presented as mean ± SD, * p < 0.05 vs Pre-SSM. *** p < 0.001 vs Pre-SSM, CMJ counter movement jump, CWI cold-water immersion, HWI hot-water immersion, SSM simulated soccer match. Placebo, n = 13; CWI, n = 13; HWI, n = 14
Fig. 5
Fig. 5
Strength of the knee extensors: Maximal voluntary isometric contraction (MVIC) peak force (a) and Time to exhaustion (b) (Part I). Data are presented as mean ± SD, *** p < 0.001 vs Pre-SSM. CWI cold-water immersion, HWI hot-water immersion, SSM simulated soccer match. Placebo, n = 13; CWI, n = 13; HWI, n = 14. B: Time to exhaustion (TTE) at 60% MVIC, Placebo, n = 13; CWI, n = 12; HWI n = 14

References

    1. Ahokas EK, Hanstock HG, Kyröläinen H, Ihalainen JK (2025) Effects of repeated use of post-exercise infrared sauna on neuromuscular performance and muscle hypertrophy. Front Sports Act Living 7:1462901. 10.3389/fspor.2025.1462901 - PMC - PubMed
    1. Altarriba-Bartes A, Peña J, Vicens-Bordas J, Casals M, Peirau X, Calleja-González J (2021) The use of recovery strategies by Spanish first division soccer teams: a cross-sectional survey. Phys Sportsmed 49:297–307. 10.1080/00913847.2020.1819150 - PubMed
    1. Ascensão 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 29:217–225. 10.1080/02640414.2010.526132 - PubMed
    1. Beedie CJ, Foad AJ (2009) The placebo effect in sports performance: a brief review. Sports Med Auckl NZ 39:313–329. 10.2165/00007256-200939040-00004 - PubMed
    1. Bendiksen M, Bischoff R, Randers MB, Mohr M, Rollo I, Suetta C, Bangsbo J, Krustrup P (2012) The Copenhagen Soccer Test: physiological response and fatigue development. Med Sci Sports Exerc 44:1595–1603. 10.1249/MSS.0b013e31824cc23b - PubMed

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