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. 2012 Feb 15;2012(2):CD008262. doi: 10.1002/14651858.CD008262.pub2

Cassar 2010.

Methods Randomised cross‐over study (7 days between conditions)
Participants N = 8 male cyclists, aged 22 to 35
Interventions CWI (n = 8): Immersion to waist in water at 8 to 12°C for 14 minutes
Contrast (n = 8): Immersion to waist in water at 8°C for 1 minute followed by immersion at 40 to 45°C for 1 minute; x 7 sets
Passive (n = 8): Rest
Outcomes Subjective recovery 
 Rating of fatigue, visual analogue scale (0 to 10 cm)
Pain 
 Rating of soreness, visual analogue scale (0 to 10 cm)
Functional assessment 
 Time to fatigue during an exercise test (time maintaining 80 revolutions per minute, cycle ergometer, seconds)
Biomarkers 
 Muscle damage [CK (U/L), LDH (U/L), Myoglobin (mg/L)
Inflammation [CRP (mg/L)]
[Follow‐up for all outcomes: immediate]
Exercise type / intensity 30 minutes cycling (70% VO2 max)
Time between completing exercise and initiating intervention Immediate
Participants' fitness level Trained cyclists
Notes All data provided after personal correspondence
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomly assigned (abstract)
Random numbers table (personal correspondence)
Allocation concealment (selection bias) Unclear risk Randomisation order was single blind (personal correspondence)
Blinding (performance bias and detection bias) 
 Participants High risk No blinding. Personal correspondence
Blinding (performance bias and detection bias) 
 Personnel High risk No blinding. Personal correspondence
Blinding (performance bias and detection bias) 
 Outcome assessors High risk Personal correspondence
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 2 participants dropped out of the study (personal correspondence)
Selective reporting (reporting bias) Unclear risk Published as an abstract only
Other bias Low risk Exercise protocol clearly described
No co‐interventions (personal correspondence)