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

Skurvydas 2006.

Methods Randomised cross‐over (9 to 10 months between interventions)
Participants N = 20 healthy untrained men, aged 20.4 (SD 1.7)
Interventions CWI (n = 20): Immersion of legs in water at 15°C (SD 1°C) for 15 minutes x 2. 10 minutes between each immersion
Passive (n = 20): Seated rest
Outcomes Pain 
 Muscle soreness (0 to 10 points) (follow‐up: 24, 48, 72 hours post exercise)
Strength 
 Isometric knee extension (90 degree knee angle, force measuring device, % of baseline) (follow‐up: immediate (4 hours), 24, 48, 72 hours post exercise)
Power 
 Counter movement jump (Kistler force plate, height of jump in cm) (follow‐up: immediate (4 hours), 24, 48, 72 hours post exercise)
Biomarker 
 Muscle damage (CK, IU/L) (Follow‐up: 24 hours and 48 hours post exercise)
Exercise type / intensity 100 counter movement jumps from a 0.75 m height
Time between completing exercise and initiating intervention Immediately and at 4, 8, and 24 hours
Participants' fitness level Physically active but did not take part in any formal exercise or sports programme
Notes Data on pain, strength, power and CK were obtained after personal correspondence
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "The choice of their participation in the first and second experiments was made at random" (pg. 142)
Allocation concealment (selection bias) High risk No details in manuscript
"No" (personal correspondence)
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 High risk No details in manuscript
"No" (personal correspondence)
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No details in manuscript
All 20 participants completed each treatment arm and data were available for all 20 participants (personal correspondence)
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
Other bias Unclear risk Exercise protocol well described
No details on co‐interventions