Effect of Immersion in Cold Water on Creatine Kinase and Myoglobin Levels in Soccer Players

  • Fernanda Bortolo Pesenti-Tofalini State University of Londrina, Postgraduate Program in Rehabilitation Sciences. State University of Londrina, Laboratory of Teaching, Research and Extension in Sports Physiotherapy. PR, Brasi
  • Eduardo Rossi Spartalis State University of Londrina, Laboratory of Teaching, Research and Extension in Sports Physiotherapy
  • Alessandra Miyuki Okino State University of Londrina, Department of Physical Education and Sport. PR, Brazil.
  • Danielle Venturini State University of Londrina, Department of Physical Education and Sport. PR, Brazil.
  • Ariobaldo Frisseli State University of Londrina, Department of Physical Education and Sport. PR, Brazil.
  • Christiane de Souza Guerino Macedo Programa de Pós-Graduação em Ciências da Reabilitação – UEL/Unopar Laboratório de Ensino, Pesquisa e Extensão em Fisioterapia Esportiva – LAFESP/UEL

Resumo

The objective of this study was to analyze the effect of body immersion in cold water on creatine kinase and myoglobin levels in soccer athletes. For this, 10 soccer players aged between 16 and 18 years old, submitted to 5 blood samples, were analyzed: fasting, post-match, after 24, 48 and 72 hours. At the end of the match they were randomized into intervention group (GI) and control (CG). GI immersion in cold water, water plate at the level of the iliac crests, 10 ° C, for 10 minutes and the GC immersed in water at room temperature at the same height and for the same period of time. The levels of creatine kinase did not change in the analyzed groups and moments. Myoglobin levels increased significantly after the match and returned to baseline after 24 and 72 hours, with a peak in 48 hours. There was no difference between the intervention groups at all the evaluated moments. It was concluded that immersion in cold water did not alter the creatine kinase and myoglobin levels in relation to the control group in soccer athletes, indicating that for this population immersion in cold water was not able to reduce muscle damage after exercise.

Keywords: Athletic Injuries. Myalgia. Fatigue. Cryotherapy.

Resumo

O objetivo deste estudo foi analisar o efeito da imersão corporal em água fria nos níveis de creatinoquinase e mioglobina em atletas de futebol. Para isto, foram analisados 10 atletas de futebol com idade entre 16 e 18 anos, submetidos à 5 coletas sanguíneas: em jejum, após jogo, após 24, 48 e 72 horas. Ao término do jogo foram aleatorizados em grupo intervenção (GI) e controle (GC). O GI realizou imersão em água fria, lâmina da água à altura das cristas ilíacas, 10ºC, por 10 minutos e o GC realizou imersão em água à temperatura ambiente à mesma altura e durante o mesmo período de tempo. Os níveis de creatinoquinase não apresentaram alteração nos grupos e momentos analisados. Já os níveis de mioglobina aumentaram significativamente

após o jogo e retornaram aos valores basais após 24 e 72 horas, com pico em 48 horas. Não houve diferença entre os grupos de intervenção em todos os momentos avaliados. Conclui-se então que a imersão em água fria não alterou os níveis de creatinoquinase e mioglobina em relação ao grupo controle em atletas de futebol, indicando que para esta população a imersão em água fria não foi capaz de reduzir o dano muscular após exercício.

Palavras-chave: Traumatismos em Atletas. Mialgia. Fadiga. Crioterapia.

Referências

Hoff, J. (2005). Training and testing physical capacities for elite soccer players. Journal of sports sciences, 23(6), 573-582. Doi: https://doi.org/10.1080/02640410400021252

Brown, S. J., Child, R. B., Day, S. H., & Donnelly, A. E. (1997). Exercise-induced skeletal muscle damage and adaptation following repeated bouts of eccentric muscle contractions. Journal of sports sciences, 15(2), 215-222. Doi: https://doi.org/10.1080/026404197367498

Kristjansson, R. P., Oddsson, A., Helgason, H., Sveinbjornsson, G., Arnadottir, G. A., Jensson, B. O., ... & Oskarsdottir, A. (2016). Common and rare variants associating with serum levels of creatine kinase and lactate dehydrogenase. Nature communications, 7. Doi: https://doi.org/10.1038/ncomms10572

Schlater, A. E., De Miranda, M. A., Frye, M. A., Trumble, S. J., & Kanatous, S. B. (2014). Changing the paradigm for myoglobin: a novel link between lipids and myoglobin. Journal of Applied Physiology, 117(3), 307-315. Doi: https://doi.org/10.1152/japplphysiol.00973.2013

Macedo, C. S. G., Vicente, R. C., Cesário, M. D., & Guirro, R. R. D. J. (2016). Cold-water immersion alters muscle recruitment and balance of basketball players during vertical jump landing. Journal of sports sciences, 34(4), 348-357. Doi: https://doi.org/10.1080/02640414.2015.1054861

Alonso, C. S., Macedo, C. D. S. G., & de Jesus Guirro, R. R. (2013). Efeito da crioterapia na resposta eletromiográfica dos músculos tibial anterior, fibular longo e gastrocnemio lateral de atletas após o movimento de inversão do tornozelo. Fisioterapia e Pesquisa, 20(4), 316-321. Doi: https://doi.org/10.1590/S1809-29502013000400003

Banfi, G., Lombardi, G., Colombini, A., & Melegati, G. (2010). Whole-body cryotherapy in athletes. Sports medicine, 40(6), 509-517. Doi: https://doi.org/10.2165/11531940-000000000-00000

Machado, A. F., Ferreira, P. H., Micheletti, J. K., de Almeida, A. C., Lemes, Í. R., Vanderlei, F. M., ... & Pastre, C. M. (2016). Can water temperature and immersion time influence the effect of cold water immersion on muscle soreness? A systematic review and meta-analysis. Sports Medicine, 46(4), 503-514. Doi: https://doi.org/10.1007/s40279-015-0431-7

Peake, J., Roberts, L., Raastad, T., Figueiredo, V., Cameron-Smith, D., Coombes, J., & Markworth, J. (2016). The effects of cold water immersion on inflammation, growth and neurotrophic factors in skeletal muscle after resistance exercise. The FASEB Journal, 30(1 Supplement), 1291-4. https://www.fasebj.org/doi/abs/10.1096/fasebj.30.1_supplement.1291.4

Ascensao, A., Leite, M., Rebelo, A. N., 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. Journal of sports sciences, 29(3), 217-225. Doi: https://doi.org/10.1080/02640414.2010.526132

Costa, H. A., & Rabelo, A. S. (2016). O uso da CK como marcador de estresse fisiológico no esporte. RBPFEX-Revista Brasileira de Prescrição e Fisiologia do Exercício, 9(54), 371-374. http://www.rbpfex.com.br/index.php/rbpfex/article/download/1077/713.

Vanderlei, F. M., Machado, A. F., Netto, J. J., & Pastre, C. M. (2017). Post-exercise recovery of biological, clinical and metabolic variables after different temperatures and durations of cold water immersion: a randomized clinical trial. The Journal of sports medicine and physical fitness, 57(10), 1267-1275. Doi: https://10.23736/s0022-4707.17.06841-4

Bailey, D. M., Erith, S. J., Griffin, P. J., Dowson, A., Brewer, D. S., Gant, N., & Williams, C. (2007). Influence of cold-water immersion on indices of muscle damage following prolonged intermittent shuttle running. Journal of sports sciences, 25(11), 1163-1170. Doi: https://doi.org/10.1080/02640410600982659

Sellwood, K. L., Brukner, P., Williams, D., Nicol, A., & Hinman, R. (2007). Ice-water immersion and delayed-onset muscle soreness: a randomised controlled trial. British journal of sports medicine, 41(6), 392-397. Doi: http://dx.doi.org/10.1136/bjsm.2006.033985

Cassar, S., Kidgell, D., & Pearce, A. (2010). The effect of hydrotherapy recovery on central fatigue: A preliminary examination using transcranial magnetic stimulation. Journal of Science and Medicine in Sport, 12, e53. Doi: https://doi.org/10.1016/j.jsams.2009.10.111

Burgess, T. L., & Lambert, M. I. (2010). The efficacy of cryotherapy on recovery following exercise-induced muscle damage: invited review article. International SportMed Journal, 11(2), 258-277. https://journals.co.za/content/ismj/11/2/EJC48394#abstract_content

Eston, R., & Peters, D. (1999). Effects of cold water immersion on the symptoms of exercise-induced muscle damage. Journal of sports sciences, 17(3), 231-238. Doi: https://doi.org/10.1080/026404199366136

Goodall, S., & Howatson, G. (2008). The effects of multiple cold water immersions on indices of muscle damage. Journal of sports science & medicine, 7(2), 235. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3761456/#__ffn_sectitle

Publicado
2020-06-30
Seção
Artigos