Trial Outcomes & Findings for Cold and Warm Water for Performance Recovery (NCT NCT04902924)

NCT ID: NCT04902924

Last Updated: 2025-10-07

Results Overview

maximun voluntary isometric contraction of the knee extensor muscle will be assessed.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

baseline to 72 hours

Results posted on

2025-10-07

Participant Flow

Participant milestones

Participant milestones
Measure
Repeated Cold-water Immersion
In this arm, the participants undergo repeated cold water immersion at 10°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crest repeated cold water therapy: This information can be found the description of the experimental arm.
Repeated Warm-water Immersion
In this arm, the participants undergo repeated warm water immersion at 40°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crestParticipants will be immersed up to the iliac crest. repeated warm water therapy: This information can be found the description of the experimental arm.
Control
In this arm, the participants undergo the control intervention which comprises to remain seated for 12.5 min. The participants, that will perform the muscle damaging protocol under hypoxia will also be treated with the control condition. control: This information can be found the description of the experimental arm.
Overall Study
STARTED
10
10
10
Overall Study
COMPLETED
10
10
10
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Repeated Cold-water Immersion
n=10 Participants
In this arm, the participants undergo repeated cold water immersion at 10°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crest repeated cold water therapy: This information can be found the description of the experimental arm.
Repeated Warm-water Immersion
n=10 Participants
In this arm, the participants undergo repeated warm water immersion at 40°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crestParticipants will be immersed up to the iliac crest. repeated warm water therapy: This information can be found the description of the experimental arm.
Control
n=10 Participants
In this arm, the participants undergo the control intervention which comprises to remain seated for 12.5 min. The participants, that will perform the muscle damaging protocol under hypoxia will also be treated with the control condition. control: This information can be found the description of the experimental arm.
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=10 Participants
10 Participants
n=10 Participants
10 Participants
n=10 Participants
30 Participants
n=30 Participants
Age, Categorical
>=65 years
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Age, Continuous
23.8 years
STANDARD_DEVIATION 3.3 • n=10 Participants
23.1 years
STANDARD_DEVIATION 3.6 • n=10 Participants
23.1 years
STANDARD_DEVIATION 1.6 • n=10 Participants
23.3 years
STANDARD_DEVIATION 2.9 • n=30 Participants
Sex: Female, Male
Female
10 Participants
n=10 Participants
10 Participants
n=10 Participants
10 Participants
n=10 Participants
30 Participants
n=30 Participants
Sex: Female, Male
Male
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=30 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Switzerland
10 participants
n=10 Participants
10 participants
n=10 Participants
10 participants
n=10 Participants
30 participants
n=30 Participants

PRIMARY outcome

Timeframe: baseline to 72 hours

maximun voluntary isometric contraction of the knee extensor muscle will be assessed.

Outcome measures

Outcome measures
Measure
Repeated Cold-water Immersion
n=10 Participants
In this arm, the participants undergo repeated cold water immersion at 10°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crest repeated cold water therapy: This information can be found the description of the experimental arm.
Repeated Warm-water Immersion
n=10 Participants
In this arm, the participants undergo repeated warm water immersion at 40°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crestParticipants will be immersed up to the iliac crest. repeated warm water therapy: This information can be found the description of the experimental arm.
Control
n=10 Participants
In this arm, the participants undergo the control intervention which comprises to remain seated for 12.5 min. The participants, that will perform the muscle damaging protocol under hypoxia will also be treated with the control condition. control: This information can be found the description of the experimental arm.
Maximum Voluntary Isometric Contraction (N)
BL
54.8 Newton
Standard Deviation 14.9
65.8 Newton
Standard Deviation 11.6
52.2 Newton
Standard Deviation 14.1
Maximum Voluntary Isometric Contraction (N)
24h
33.8 Newton
Standard Deviation 13.9
41.1 Newton
Standard Deviation 11.4
29.3 Newton
Standard Deviation 8.7
Maximum Voluntary Isometric Contraction (N)
48h
41.8 Newton
Standard Deviation 16.4
47.9 Newton
Standard Deviation 10.3
34.7 Newton
Standard Deviation 12.3
Maximum Voluntary Isometric Contraction (N)
72h
45.0 Newton
Standard Deviation 17.0
54.5 Newton
Standard Deviation 11.8
40.4 Newton
Standard Deviation 13.2

PRIMARY outcome

Timeframe: baseline to 72 hours

delayed onset of muscle soreness will be measured using a 0-10 scale, where 0 indicated no soreness and 10 indicates maximum soreness of the knee extensor muscles

Outcome measures

Outcome measures
Measure
Repeated Cold-water Immersion
n=10 Participants
In this arm, the participants undergo repeated cold water immersion at 10°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crest repeated cold water therapy: This information can be found the description of the experimental arm.
Repeated Warm-water Immersion
n=10 Participants
In this arm, the participants undergo repeated warm water immersion at 40°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crestParticipants will be immersed up to the iliac crest. repeated warm water therapy: This information can be found the description of the experimental arm.
Control
n=10 Participants
In this arm, the participants undergo the control intervention which comprises to remain seated for 12.5 min. The participants, that will perform the muscle damaging protocol under hypoxia will also be treated with the control condition. control: This information can be found the description of the experimental arm.
Delayed Onset of Muscle Soreness (DOMS)
BL
0.1 units on a scale
Standard Deviation 0.1
0.1 units on a scale
Standard Deviation 0.1
0.1 units on a scale
Standard Deviation 0.1
Delayed Onset of Muscle Soreness (DOMS)
24h
6.3 units on a scale
Standard Deviation 2.6
6.1 units on a scale
Standard Deviation 2.5
6.3 units on a scale
Standard Deviation 2.7
Delayed Onset of Muscle Soreness (DOMS)
48h
5.0 units on a scale
Standard Deviation 2.8
5.9 units on a scale
Standard Deviation 3.0
6.1 units on a scale
Standard Deviation 3.1
Delayed Onset of Muscle Soreness (DOMS)
72h
2.9 units on a scale
Standard Deviation 2.6
4.6 units on a scale
Standard Deviation 3.1
3.3 units on a scale
Standard Deviation 2.3

PRIMARY outcome

Timeframe: baseline to 72 hours

swelling of the knee extensor muscle will be performed using a ultrasound device.

Outcome measures

Outcome measures
Measure
Repeated Cold-water Immersion
n=10 Participants
In this arm, the participants undergo repeated cold water immersion at 10°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crest repeated cold water therapy: This information can be found the description of the experimental arm.
Repeated Warm-water Immersion
n=10 Participants
In this arm, the participants undergo repeated warm water immersion at 40°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crestParticipants will be immersed up to the iliac crest. repeated warm water therapy: This information can be found the description of the experimental arm.
Control
n=10 Participants
In this arm, the participants undergo the control intervention which comprises to remain seated for 12.5 min. The participants, that will perform the muscle damaging protocol under hypoxia will also be treated with the control condition. control: This information can be found the description of the experimental arm.
Muscle Swelling
BL
4.3 cm
Standard Deviation 0.5
4.8 cm
Standard Deviation 0.6
4.6 cm
Standard Deviation 0.5
Muscle Swelling
24h
4.6 cm
Standard Deviation 0.5
5.2 cm
Standard Deviation 0.6
4.8 cm
Standard Deviation 0.6
Muscle Swelling
48h
4.5 cm
Standard Deviation 0.5
5.1 cm
Standard Deviation 0.5
4.7 cm
Standard Deviation 0.6
Muscle Swelling
72h
4.4 cm
Standard Deviation 0.5
5.0 cm
Standard Deviation 0.6
4.6 cm
Standard Deviation 0.6

PRIMARY outcome

Timeframe: baseline to 72 hours

using a blood sample (6 ml), creatine-kinase will be assessed

Outcome measures

Outcome measures
Measure
Repeated Cold-water Immersion
n=10 Participants
In this arm, the participants undergo repeated cold water immersion at 10°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crest repeated cold water therapy: This information can be found the description of the experimental arm.
Repeated Warm-water Immersion
n=10 Participants
In this arm, the participants undergo repeated warm water immersion at 40°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crestParticipants will be immersed up to the iliac crest. repeated warm water therapy: This information can be found the description of the experimental arm.
Control
n=10 Participants
In this arm, the participants undergo the control intervention which comprises to remain seated for 12.5 min. The participants, that will perform the muscle damaging protocol under hypoxia will also be treated with the control condition. control: This information can be found the description of the experimental arm.
Creatine-kinase (U/l)
BL
111.0 U/l
Standard Deviation 41.5
214.3 U/l
Standard Deviation 180.9
119.8 U/l
Standard Deviation 50.2
Creatine-kinase (U/l)
24h
573.5 U/l
Standard Deviation 488.9
820.6 U/l
Standard Deviation 517.7
455.0 U/l
Standard Deviation 318.2
Creatine-kinase (U/l)
48h
335.4 U/l
Standard Deviation 256.9
441.2 U/l
Standard Deviation 349.2
288.3 U/l
Standard Deviation 200.9
Creatine-kinase (U/l)
72h
205.9 U/l
Standard Deviation 146.2
314.3 U/l
Standard Deviation 321.8
191.4 U/l
Standard Deviation 118.1

PRIMARY outcome

Timeframe: through recovery intervention up to 30 minutes

Muscle oxygenation saturation (SmO2) of the knee extensor muscle will be measured using near-infrared spectroscopy device. Oxygenated haemoglobin (oxyHb), deoxygenated haemoglobin (deoxyHb) and total haemoglobin (TotHb) were assessed in arbitrary units and SmO2 was calculated as oxyHb/TotHb x 100 value (%)

Outcome measures

Outcome measures
Measure
Repeated Cold-water Immersion
n=10 Participants
In this arm, the participants undergo repeated cold water immersion at 10°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crest repeated cold water therapy: This information can be found the description of the experimental arm.
Repeated Warm-water Immersion
n=10 Participants
In this arm, the participants undergo repeated warm water immersion at 40°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crestParticipants will be immersed up to the iliac crest. repeated warm water therapy: This information can be found the description of the experimental arm.
Control
n=10 Participants
In this arm, the participants undergo the control intervention which comprises to remain seated for 12.5 min. The participants, that will perform the muscle damaging protocol under hypoxia will also be treated with the control condition. control: This information can be found the description of the experimental arm.
Muscle Blood Oxygenation
post exercise
70.4 percentage of muscle oxygen saturation
Standard Deviation 7.7
71.1 percentage of muscle oxygen saturation
Standard Deviation 7.1
73.4 percentage of muscle oxygen saturation
Standard Deviation 5.9
Muscle Blood Oxygenation
post Intervention
76.6 percentage of muscle oxygen saturation
Standard Deviation 5.8
76.6 percentage of muscle oxygen saturation
Standard Deviation 3.4
74.0 percentage of muscle oxygen saturation
Standard Deviation 4.8
Muscle Blood Oxygenation
BL
68.7 percentage of muscle oxygen saturation
Standard Deviation 4.4
68.8 percentage of muscle oxygen saturation
Standard Deviation 3.8
70.0 percentage of muscle oxygen saturation
Standard Deviation 3.7
Muscle Blood Oxygenation
10min
73.6 percentage of muscle oxygen saturation
Standard Deviation 5.3
75.5 percentage of muscle oxygen saturation
Standard Deviation 5.1
75.0 percentage of muscle oxygen saturation
Standard Deviation 5.4
Muscle Blood Oxygenation
20min
67.8 percentage of muscle oxygen saturation
Standard Deviation 2.7
74.7 percentage of muscle oxygen saturation
Standard Deviation 3.2
73.5 percentage of muscle oxygen saturation
Standard Deviation 6.6
Muscle Blood Oxygenation
30min
64.4 percentage of muscle oxygen saturation
Standard Deviation 6.4
74.4 percentage of muscle oxygen saturation
Standard Deviation 3.9
73.0 percentage of muscle oxygen saturation
Standard Deviation 6.1

PRIMARY outcome

Timeframe: through recovery intervention up to 30 minutes

Skin temperature will be measured using a near infrared thermography camera

Outcome measures

Outcome measures
Measure
Repeated Cold-water Immersion
n=10 Participants
In this arm, the participants undergo repeated cold water immersion at 10°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crest repeated cold water therapy: This information can be found the description of the experimental arm.
Repeated Warm-water Immersion
n=10 Participants
In this arm, the participants undergo repeated warm water immersion at 40°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crestParticipants will be immersed up to the iliac crest. repeated warm water therapy: This information can be found the description of the experimental arm.
Control
n=10 Participants
In this arm, the participants undergo the control intervention which comprises to remain seated for 12.5 min. The participants, that will perform the muscle damaging protocol under hypoxia will also be treated with the control condition. control: This information can be found the description of the experimental arm.
Skin Temperature (°C)
20min
27.9 degree Celsius
Standard Deviation 1.1
34.9 degree Celsius
Standard Deviation 0.5
32.4 degree Celsius
Standard Deviation 0.8
Skin Temperature (°C)
BL
30.6 degree Celsius
Standard Deviation 0.9
31.2 degree Celsius
Standard Deviation 1.1
30.9 degree Celsius
Standard Deviation 0.9
Skin Temperature (°C)
post Exercise
30.0 degree Celsius
Standard Deviation 0.9
29.9 degree Celsius
Standard Deviation 1.0
29.5 degree Celsius
Standard Deviation 1.7
Skin Temperature (°C)
post Intervention
15.2 degree Celsius
Standard Deviation 2.5
35.2 degree Celsius
Standard Deviation 0.7
31.8 degree Celsius
Standard Deviation 1.0
Skin Temperature (°C)
10min
24.8 degree Celsius
Standard Deviation 1.2
35.3 degree Celsius
Standard Deviation 0.5
32.3 degree Celsius
Standard Deviation 0.8
Skin Temperature (°C)
30min
29.2 degree Celsius
Standard Deviation 1.0
34.8 degree Celsius
Standard Deviation 0.7
32.5 degree Celsius
Standard Deviation 0.9

PRIMARY outcome

Timeframe: through recovery intervention up to 30 minutes

core temperature will be measured using temperature pill that will provide real time values from the gastrointestinal region

Outcome measures

Outcome measures
Measure
Repeated Cold-water Immersion
n=10 Participants
In this arm, the participants undergo repeated cold water immersion at 10°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crest repeated cold water therapy: This information can be found the description of the experimental arm.
Repeated Warm-water Immersion
n=10 Participants
In this arm, the participants undergo repeated warm water immersion at 40°C for 2 x 5 min. Between the immersion, a break will be conducted 2.5 min. Participants will be immersed up to the iliac crestParticipants will be immersed up to the iliac crest. repeated warm water therapy: This information can be found the description of the experimental arm.
Control
n=10 Participants
In this arm, the participants undergo the control intervention which comprises to remain seated for 12.5 min. The participants, that will perform the muscle damaging protocol under hypoxia will also be treated with the control condition. control: This information can be found the description of the experimental arm.
Core Temperature (°C)
BL
37.1 degree Celsius
Standard Deviation 0.4
37.1 degree Celsius
Standard Deviation 0.2
36.8 degree Celsius
Standard Deviation 0.4
Core Temperature (°C)
post Exercise
38.5 degree Celsius
Standard Deviation 0.2
38.4 degree Celsius
Standard Deviation 0.3
38.3 degree Celsius
Standard Deviation 0.2
Core Temperature (°C)
post Intervention
37.9 degree Celsius
Standard Deviation 0.2
38.5 degree Celsius
Standard Deviation 0.3
37.9 degree Celsius
Standard Deviation 0.3
Core Temperature (°C)
10 min
37.6 degree Celsius
Standard Deviation 0.2
37.8 degree Celsius
Standard Deviation 0.2
37.5 degree Celsius
Standard Deviation 0.2
Core Temperature (°C)
20 min
37.3 degree Celsius
Standard Deviation 0.2
37.5 degree Celsius
Standard Deviation 0.2
37.3 degree Celsius
Standard Deviation 0.2
Core Temperature (°C)
30 min
37.2 degree Celsius
Standard Deviation 0.2
37.5 degree Celsius
Standard Deviation 0.2
37.2 degree Celsius
Standard Deviation 0.1

Adverse Events

Repeated Cold-water Immersion

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Repeated Warm-water Immersion

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Vanessa Wellauer

Rehabilitation and Exercise Science Laboratory (RESlab), University of Applied Sciences and Arts of Southern Switzerland (SUPSI)

Phone: 0041 81 300 01 78

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place