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

Rowsell 2009.

Methods Randomised controlled design (pair‐matched according to playing position)
Participants N = 20 male soccer players, mean age: 15.9 (SD: 0.6)
Interventions CWI (n = 6): Immersion to mesosternale level in 10°C water, 1 minute x 5, manual water agitation throughout. Between immersions participants rested for 60 seconds
WWI (n = 7): Immersion to mesosternale level in 34°C water, 5 x 1 minute, manual water agitation throughout. Between immersions participants rested for 60 seconds
Both groups: Standardardised warm up and cool down, carbohydrate, protein and fluid ingestion
Outcomes Subjective recovery 
 Rating of fatigue (visual analogue scale, 1 to 10) 
 Rating or recovery (visual analogue scale, 1 to 10 ): physical / mental 
 Do you believe that the treatment enhanced recovery from the previous match and improved subsequent physical performance (Yes/No)
Pain 
 Leg soreness (visual analogue scale, 1 to 10)
Power 
 Countermovement jump (jump height ‐ standing reach height, cm)
Functional assessment 
 Time to complete exercise test (repeated sprint (12 x 20 m), seconds)
Biochemical 
 Inflammatory: IL‐1b (pg/ml); IL‐6 (pg/ml); IL‐10 (pg/ml) 
 Muscle damage: myoglobin (ng/ml), LDH (U/L), CK (U/L)
(Follow‐up for all outcomes: ˜ 22 hours after tournament)
Exercise type / intensity Soccer tournament, 4 matches in 4 days, similar tactical strategies adopted in each match. Ambient temperature during matches ranged from 25 to 36°C, relative humidity 25 to 58%.
Time between completing exercise and initiating intervention 20 minutes after each match
Participants' fitness level High performance male junior soccer players
Notes Data on muscle soreness and subjective recovery (fatigue) extracted from graph. Other data on subjective recovery were not available (rating of physical and mental recovery)
N = 7 players sustained injuries throughout the tournament and were not included in the final analysis
Our analysis only included outcomes recorded at the end of the tournament. Outcomes undertaken before each of the games were not extracted or included in our analysis.
An additional report of the trial (Rowsell 2011) was located in November 2011 ‐ this will be assessed in the update of this review.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk 'randomly allocated' (Methods, participants, pg. 566), "players matched for playing position" (pg. 566)
Allocation concealment (selection bias) Unclear risk "randomly allocated" (Methods, participants, pg. 566), no further details in manuscript
Blinding (performance bias and detection bias) 
 Participants High risk No blinding.
Blinding (performance bias and detection bias) 
 Personnel High risk No blinding.
Blinding (performance bias and detection bias) 
 Outcome assessors Unclear risk No details in manuscript
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk The number of participants randomised to each group is not clear
n = 7 were excluded from the analysis with reasons (all 7 sustained a soft tissue injury and were unable to complete the study)
Selective reporting (reporting bias) Low risk No published protocol available
Outcomes and follow‐ups stated in methods
Means and SD presented by intervention group for all outcomes, at all follow‐ups (except physical and mental recovery which stated no between group difference)
Other bias Low risk Players in each group aged matched according to playing position so likely to undertake similar exercise intensity; no measure of cumulative game time during the tournament
Standardised carbohydrate ingestion and stretching between games