Post-Exercise Recovery Interventions in Competitive Athletes: A Systematic Review of Physiological and Performance Outcomes
Keywords:
Athlete recovery, Evidence synthesis, Post-exercise recovery, Recovery strategies, Sports performance, Systematic reviewAbstract
Background: Congested competitive calendars compress recovery between high-intensity efforts, making resolution of muscle damage, inflammation, and neuromuscular fatigue a determinant of performance and injury risk. Existing syntheses appraise modality families in isolation. Objective: To review post-exercise recovery interventions in competitive athletes across four domains (cryotherapy, manual therapy and compression, combined protocols, and nutritional strategies) for muscle damage markers, perceptual fatigue, and performance restoration. Methods: Following PRISMA 2020, Scopus was searched on 12 July 2026 (updated 10 September) for English-language studies published 2022-2026. Of 702 records, 687 were screened after deduplication, 47 were assessed in full text, and 25 were included. Quality was appraised with MMAT 2018 and AMSTAR 2. Heterogeneity precluded meta-analysis; thematic synthesis was used. Results: Cryotherapy, mostly cold-water immersion, was associated with reduced creatine kinase and soreness and improved neuromuscular and perceived recovery, moderated by exposure dose; network meta-analytic evidence favored 10-15°C for 10-15 min. Foam rolling and massage reduced perceived soreness; compression evidence was limited. Combined protocols outperformed single-modality comparators in all six direct comparisons, marginally in one. Nutrition was examined only within combined protocols or surveys (5 of 25 studies), and no study isolated hydration. Evidence came mainly from male team-sport athletes. Conclusions: Multimodal strategies appear more favorable than single-modality approaches, but without pooled estimates, these comparisons remain provisional. Priorities are sex-stratified trials, a standardized core outcome set, season-long designs, and validation of sensor-guided prescription.
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References
1. Braun-Trocchio R, Graybeal AJ, Kreutzer A, Warfield E, Renteria J, Harrison K, et al. Recovery strategies in endurance athletes. J Funct Morphol Kinesiol. 2022;7(1):22. doi: 10.3390/jfmk7010022.
2. George P, Vasiliki M, Ioannis I, Christina K, Christos K. Athletic recovery in modern football: from physiology to applied practice. Int J Hum Mov Sports Sci. 2025;13(4):784-792. doi: 10.13189/saj.2025.130414.
3. Liu X, Liu J. Research progress on exercise fatigue from the perspective of fatigue biomarkers. PeerJ. 2026;14:e20424. doi: 10.7717/peerj.20424.
4. Mohr M, Vigh-Larsen JF, Krustrup P. Muscle glycogen in elite soccer - a perspective on the implication for performance, fatigue, and recovery. Front Sports Act Living. 2022;4:876534. doi: 10.3389/fspor.2022.876534.
5. Soler-López A, Gómez-Carmona CD, Moreno-Villanueva A, Gutiérrez AM, Pino-Ortega J. Effects of congested matches and training schedules on salivary markers in elite futsal players. Appl Sci. 2024;14(12):4968. doi: 10.3390/app14124968.
6. Mihailescu L, Chiriac PB, Mihailescu LE, Manolachi V, Potop V. Determining the capacity for effort and recovery of the elite soccer players specialized in different playing positions. PeerJ. 2023;11:e15477. doi: 10.7717/peerj.15477.
7. Pernigoni M, Conte D, Calleja-González J, Boccia G, Romagnoli M, Ferioli D. The application of recovery strategies in basketball: A worldwide survey. Front Physiol. 2022;13:887507. doi: 10.3389/fphys.2022.887507.
8. Vachon A, Berryman N, Mujika I, Paquet JB, Sauvet F, Bosquet L. Impact of tapering and proactive recovery on young elite rugby union players' repeated high intensity effort ability. Biol Sport. 2022;39(3):735-743. doi: 10.5114/BIOLSPORT.2022.109453.
9. Pereira GS, Paulino GE, De Almeida THMF, Siqueira CMR, Torres Da Silva JR, Da Silva ML, et al. Effectiveness of cold-water immersion vs. massage in reducing delayed-onset muscle soreness and enhancing recovery following CrossFit® Murph Workout: Randomized trial. PLoS One. 2025;20(8):e0329892. doi: 10.1371/journal.pone.0329892.
10. Liu J, Li Q, Han Y. Efficacy of post-exercise recovery strategies for elite soccer players: a network meta-analysis. Front Physiol. 2026;17:1760392. doi: 10.3389/fphys.2026.1760392.
11. Maculewicz E, Mastalerz A, Garbacz A, Mróz A, Stastny P, Petr M, et al. The interactions between monocarboxylate transporter genes MCT1, MCT2, and MCT4 and the kinetics of blood lactate production and removal after high-intensity efforts in elite males. BMC Genomics. 2025;26(1):133. doi: 10.1186/s12864-025-11307-4.
12. Fenni Y, Ikiouane M, Kettab K, Remini H, Zaabar S. Post-match changes in biomarkers and fatigue-related physical performance parameters in adult amateur soccer players. BMC Sports Sci Med Rehabil. 2026;18(1):226. doi: 10.1186/s13102-026-01642-8.
13. Slimani M, Ghouili H, Dhahbi W, Farhani Z, Ben Aissa M, Souaifi M, et al. Position-specific biomarker responses to match vs. VAMEVAL test modalities in elite female soccer players. Cogent Soc Sci. 2025;11(1):2447399. doi: 10.1080/23311886.2024.2447399.
14. Kreher JB, Stepanek J, Amrine R, Reddy S. Overtraining syndrome (OTS) in three endurance athletes and roads to recovery. BMJ Case Rep. 2025;18(7):e265066. doi: 10.1136/bcr-2025-265066.
15. Belinchón-deMiguel P, Ramos-Campo DJ, Clemente-Suárez VJ. Physiological, biomechanical, and thermographic responses in male athletes during an ultra-endurance race. Appl Sci. 2024;14(15):6511. doi: 10.3390/app14156511.
16. Bouchiba M, Bragazzi NL, Zarzissi S, Turki M, Zghal F, Grati MA, et al. Cold water immersion improves the recovery of both central and peripheral fatigue following simulated soccer match-play. Front Physiol. 2022;13:860709. doi: 10.3389/fphys.2022.860709.
17. Zhang W, Ren S, Zheng X. Effect of 3 min whole-body and lower limb cold water immersion on subsequent performance of agility, sprint, and intermittent endurance exercise. Front Physiol. 2022;13:981773. doi: 10.3389/fphys.2022.981773.
18. Batista NP, de Carvalho FA, Machado AF, Micheletti JK, Pastre CM. What parameters influence the effect of cold-water immersion on muscle soreness? An updated systematic review and meta-analysis. Clin J Sport Med. 2023;33(1):13-25. doi: 10.1097/JSM.0000000000001081.
19. Ningsih YF, Kristiyandaru A, Nurhayati F, Nurpratiwi R, Aimkosa R, Winarno ME, et al. Sport massage vs cupping: which one is more effective in improving blood oxygen level and reducing lactic acid? Polish J Physiother. 2025;2025(1):48-56. doi: 10.56984/8ZG007DAVFB.
20. Rusdiawan A, Widodo A, Lani A, Özman C, Putra AY, Susanto N, et al. The impact of ice compression and massage techniques on lactate removal and interleukin-6 concentrations during halftime recovery in intermittent sports. Physical Educ Theory Methodol. 2025;25(5):1033-1041. doi: 10.17309/tmfv.2025.5.01.
21. Mahendra WD. The effect of sports massage therapy on fitness recovery of female soccer athletes. Rehabil Recreat. 2025;19(1):139-146. doi: 10.32782/2522-1795.2025.19.1.13.
22. Benincasa MT, Coiro F, Coppola S, Serra E, Celentano E, Costa C, et al. Effects of compression garments on muscle oxygen saturation recovery in the upper limbs using near-infrared spectroscopy. J Funct Morphol Kinesiol. 2025;10(3):317. doi: 10.3390/jfmk10030317.
23. Li Q, Che K, Yu W, Song W, Zhou Y. Effects of compression pants with different pressure levels on anaerobic performance and post-exercise physiological recovery. Sensors (Basel). 2025;25(15):4875. doi: 10.3390/s25154875.
24. Leabeater A, Clarke A, James L, Huynh M, Driller M. Evaluating the acute effect of compression socks for recovery between exercise bouts. J Hum Sport Exerc. 2023;18(4):820-832. doi: 10.14198/jhse.2023.184.07.
25. Salem A, Ammar A, Kerkeni M, Boujelbane MA, Uyar AM, Köbel LM, et al. Short-term beetroot juice supplementation enhances strength, reduces fatigue, and promotes recovery in physically active individuals. Nutrients. 2025;17(10):1720. doi: 10.3390/nu17101720.
26. Ferrara L, D’Angelo S. Post-exercise fatigue, lactate, and natural nutritional strategy. J Phys Educ Sport. 2023;23(9):2274-2283. doi: 10.7752/jpes.2023.09261.
27. Dhiman C, Kapri BC. Optimizing athletic performance and post-exercise recovery: The significance of carbohydrates and nutrition. Monten J Sports Sci Med. 2023;19(2):49-56. doi: 10.26773/mjssm.230907.
28. Ramírez-Munera M, Arcusa R, López-Román FJ, Ávila-Gandía V, Pérez-Piñero S, Muñoz-Carrillo JC, et al. Impact of chronic nitrate and citrulline malate supplementation on performance and recovery in Spanish professional female soccer players. Nutrients. 2025;17(14):2381. doi: 10.3390/nu17142381.
29. Kim YS, Kwak JJ, Park HG, Lee WL, Lee KJ. Vibration-based recovery interventions improve perceived fatigue, blood lactate clearance, and isokinetic muscle function following exercise-induced fatigue in amateur swimmers. Appl Sci. 2026;16(9):4245. doi: 10.3390/app16094245.
30. Nogueira Martins PHG, Tomazoni SS, Monteiro Machado CDS, Pereira AL, Pinto HD, Aguiar Lino MM, et al. A randomised crossover trial comparing photobiomodulation therapy with other recovery strategies in CrossFit athletes. PLoS One. 2026;21(5):e0349880. doi: 10.1371/journal.pone.0349880.
31. Trybulski R, Kużdżał A, Bichowska-Pawęska M, Vovkanych A, Kawczyński A, Biolik G, et al. Immediate effect of cryo-compression therapy on biomechanical properties and perfusion of forearm muscles in mixed martial arts fighters. J Clin Med. 2024;13(4):1177. doi: 10.3390/jcm13041177.
32. Leduc C, Weaving D, Owen C, Ramirez-Lopez C, Chantler S, Aloulou A, et al. The effect of acute sleep extension vs active recovery on post exercise recovery kinetics in rugby union players. PLoS One. 2022;17(8):e0273026. doi: 10.1371/journal.pone.0273026.
33. Douzi W, Bon D, Dupuy O, Bieuzen F, Dugué B. 1H NMR urinary metabolomic analysis in recreational athletes: Impact of physical exercise, high intensity interval training and whole body cryostimulation. Comput Struct Biotechnol J. 2025;27:1913-1926. doi: 10.1016/j.csbj.2025.05.007.
34. dos Santos SN, Ananias GEO, da Rocha ER Jr, Carmo AC, Bento EDS, de Aquino TM, et al. NMR-based metabolomics reveals position-specific signatures associated with physical demands in professional soccer players. Biomedicines. 2025;13(11):2583. doi: 10.3390/biomedicines13112583.
35. Yang J, Xiong Y, Piao J, Leung M, Liu G, Zhu M, et al. Wearable fluidic fabric with excellent heat transfer performance for sports recovery. Adv Sci (Weinh). 2025;12(8):2411691. doi: 10.1002/advs.202411691.
36. Wrześniewski K, Pałka T, Blecharz J. The influence of vibratory massage after physical exertion on selected psychological processes. Front Psychol. 2024;15:1380282. doi: 10.3389/fpsyg.2024.1380282.
37. Liu S, Ma Y. Effects of cold water immersion vs body cryotherapy on delayed onset muscle soreness and jump performance: A systematic review and meta-analysis. Medicine (Baltimore). 2026;105(4):e46781. doi: 10.1097/MD.0000000000046781.
38. Yu T, Liu Y, Ding C, Wang S, Wan Y, Fei X, et al. Cold water immersion protocol optimization across exercise modalities: a systematic review and network meta-analysis. BMC Sports Sci Med Rehabil. 2026;18(1):216. doi: 10.1186/s13102-026-01653-5.
39. Silva AF, Trybulski R, Trybek G, Moska W, Aidar FJ, González-Fernández FT. Impact of the menstrual cycle on physical recovery after small-sided games: A crossover study in women's soccer players. J Sports Sci Med. 2025;24(3):532-542. doi: 10.52082/jssm.2025.532.
40. Benito PJ, Alfaro-Magallanes VM, Rael B, Castro EA, Romero-Parra N, Rojo-Tirado MA, et al. Effect of menstrual cycle phase on the recovery process of high-intensity interval exercise. Int J Environ Res Public Health. 2023;20(4):3266. doi: 10.3390/ijerph20043266.
41. Marín-Galindo A, Perez-Bey A, Escudier-Vázquez JM, Velázquez-Díaz D, Calleja-González J, Vaz-Pardal C, et al. Acute effects of nutritional and physical recovery strategies on exercise performance, muscle damage, and fatigue in elite basketball players. Life (Basel). 2026;16(2):275. doi: 10.3390/life16020275.
42. Brini S, Yagin FH, Gonzalez JC, Badicu G, Teles SDG, Gonzalez JR, et al. The effects of a combined recovery strategy during a match-congested period crossing Ramadan among professional male basketball players. J Mens Health. 2025;21(3):11-23. doi: 10.22514/jomh.2025.032.
43. Li S, Kempe M, Lemmink KAPM. Recovery strategies in endurance sports: A survey in coaches and athletes. Int J Sports Physiol Perform. 2025;20(1):120-130. doi: 10.1123/ijspp.2024-0032.
44. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71.
45. Hong QN, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, et al. The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Educ Inf. 2018;34(4):285-291. doi: 10.3233/EFI-180221.
46. Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358:j4008. doi: 10.1136/bmj.j4008.
47. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8:45. doi: 10.1186/1471-2288-8-45.
48. Baseri MK, Reisi J, Bagheri R, Clemente FM. Effects of active and cold-water immersion recovery strategies on perceived well-being and physical readiness after small-sided soccer games. Hum Mov. 2022;23(3):120-129. doi: 10.5114/hm.2022.107979.
49. Skein M, Hunter J, Carney A. Cold-water recovery between bouts of simulated rugby sevens matches in the heat. J Therm Biol. 2025;134:104333. doi: 10.1016/j.jtherbio.2025.104333.
50. Malone JJ, Hodges D, Roberts C, Sinclair JK, Page RM, Allan R. Effect of alterations in whole-body cryotherapy (WBC) exposure on post-match recovery markers in elite Premier League soccer players. Biol Sport. 2022;39(1):31-36. doi: 10.5114/BIOLSPORT.2021.102931.
51. Janusiak M, González-Fernández FT, Leão C, Smoter M, Kisilewicz A, Klich S, et al. Effects of cold-water, contrast-water therapy, and active recovery on blood biomarkers and pain in basketball players. Biomed Hum Kinet. 2026;18(1):148-162. doi: 10.2478/bhk-2026-0018.
52. Janusiak M, Silva RM, González Fernández FT, Smoter M, Kisilewicz A, Klich S. Efficacy of recovery strategies on pain pressure thresholds in basketball players. Retos. 2025;65:569-578. doi: 10.47197/retos.v65.110201.
53. Aben HGJ, Hills SP, Higgins D, Cooke CB, Davis D, Jones B, et al. The efficacy of a multimodal recovery strategy implemented after a high-intensity rugby league training session. J Strength Cond Res. 2023;37(8):1634-1642. doi: 10.1519/JSC.0000000000004450.
54. Sedano S, Maroto-Izquierdo S. Effectiveness of different neuromuscular recovery strategies in elite youth female football players. Sports (Basel). 2025;13(2):36. doi: 10.3390/sports13020036.
55. Trybulski R, Roczniok R, Olaniszyn G, Svyshch Y, Vovkanych A, Wilk M. Sports massage and blood flow restriction combined with cold therapy accelerate muscle recovery after fatigue in mixed martial arts athletes. J Funct Morphol Kinesiol. 2025;10(2):194. doi: 10.3390/jfmk10020194.
56. Trybulski R, Klich S, Valera-Calero JA, Kawczyński A, Fernández-de-Las-Peñas C, Kużdzał A. Effect of pneumatic and cold compression on muscle performance and recovery in combat sports athletes. Sci Rep. 2025;15(1):44993. doi: 10.1038/s41598-025-29014-1.
57. Espí-López GV, Ruescas-Nicolau MA, Castellet-García M, Suso-Martí L, Cuenca-Martínez F, Marques-Sule E. Effectiveness of foam rolling vs. manual therapy in postexercise recovery interventions for athletes: A randomized controlled trial. J Strength Cond Res. 2023;37(6):e361-e368. doi: 10.1519/JSC.0000000000004383.
58. Boguszewski D, Krawczyk A, Dębek M, Adamczyk JG. The effects of foam rolling applied to delayed-onset muscle soreness of the quadriceps femoris after Tabata training. Biomed Hum Kinet. 2024;16(1):203-209. doi: 10.2478/bhk-2024-0021.
59. Barrenetxea-Garcia J, Busto N, Calleja-González J, Villarreal ESD, Perazzetti A, Nuell S, et al. The impact of foam rolling recovery tool on oxidative stress biomarkers and performance in water polo players. J Exerc Rehabil. 2025;21(3):140-150. doi: 10.12965/jer.2550170.085.
60. Martínez-Rodríguez A, López-Plaza D, Nadal-Nicolás Y, Sánchez-Sánchez J, Leyva-Vela B, Cuestas-Calero BJ, et al. Impact of recovery strategies on physiological and performance parameters in karate athletes: a randomized crossover study. Sport Sci Health. 2025;21(4):2993-3005. doi: 10.1007/s11332-025-01509-4.
61. Boobani B, Grants J, Saulite S, Jakubovskis G, Zusa A, Bernans E, et al. Two-week recovery strategies to enhance performance readiness in martial arts athletes: A pilot study. Sports (Basel). 2026;14(2):46. doi: 10.3390/sports14020046.
62. Barrenetxea-Garcia J, Perazzetti A, Nuell S, Mielgo-Ayuso J, de Villarreal ES, Calleja-González J. Perceptions and use of recovery strategies in water polo players and coaches: a worldwide survey. J Exerc Rehabil. 2024;20(3):112-123. doi: 10.12965/jer.2448214.107.
63. Millour G, Lepers R, Coste A, Hausswirth C. Effects of combining cold exposure and compression on muscle recovery: a randomized crossover study. Front Physiol. 2025;16:1598075. doi: 10.3389/fphys.2025.1598075.
64. Sarikaya M, Öğe B, Embiyaoğlu NM, Selçuk M, Çınar V, Öner S, et al. The acute effects of simulated hypoxic training at different altitudes on oxidative stress and muscle damage in elite long-distance runners. PeerJ. 2025;13(5):e19338. doi:10.7717/peerj.19338.
65. Isola V, Hulmi JJ, Mbay T, Kyröläinen H, Häkkinen K, Ahola V, et al. Changes in hormonal profiles during competition preparation in physique athletes. Eur J Appl Physiol. 2025;125(2):393-408. doi: 10.1007/s00421-024-05606-z.
66. Horgan BG, West NP, Tee N, Halson SL, Drinkwater EJ, Chapman DW, et al. Effect of repeated post-resistance exercise cold or hot water immersion on in-season inflammatory responses in academy rugby players. Eur J Appl Physiol. 2024;124(9):2615-2628. doi: 10.1007/s00421-024-05424-3.
67. Alexander J, Carling C, Rhodes D. Utilisation of performance markers to establish the effectiveness of cold-water immersion as a recovery modality in elite football. Biol Sport. 2022;39(1):19-29. doi: 10.5114/BIOLSPORT.2021.103570.
68. Haq A, Ribbans WJ, Hohenauer E, Baross AW. The comparative effect of different timings of whole body cryotherapy treatment with cold water immersion for post-exercise recovery. Front Sports Act Living. 2022;4:940516. doi: 10.3389/fspor.2022.940516.
69. Naylor AS, Edwards BJ, Robertson CM. Effects of treatment dosage of whole-body cryotherapy upon post-match recovery of endocrine and biochemical markers in elite rugby league players. Health Sci Rep. 2023;6(4):e1227. doi: 10.1002/hsr2.1227.
70. Zhou Z, Su Y, Wu Y, Qin F, Zheng X. The effects of cold water immersion and partial body cryotherapy on subsequent exercise performance and thermoregulatory responses in hot conditions. J Therm Biol. 2024;123:103926. doi: 10.1016/j.jtherbio.2024.103926.
71. Panyakham A, Pariwat P. Effect of cold water immersion during half time on body recovery in soccer player. J Phys Educ Sport. 2022;22(3):749-756. doi: 10.7752/jpes.2022.03094.
72. Buoite Stella A, Dragonetti AM, Fontanot S, Sabot R, Martini M, Galmonte A, et al. The acute effects of cold water immersion and percussive massage therapy on neuromuscular properties and muscle soreness after exercise in young male soccer players. Sports (Basel). 2024;12(6):167. doi: 10.3390/sports12060167.
73. Feng C, Chen P, Zhang W, Luo B, Du G, Liao T, et al. An evidence-based approach to selecting post-exercise cryostimulation techniques for improving exercise performance and fatigue recovery. Heliyon. 2024;10(11):e32196. doi: 10.1016/j.heliyon.2024.e32196.
74. Wang X, Wu H. A U-shaped dose-response of carbohydrate-protein supplementation on rowing performance. Front Nutr. 2025;12:1651457. doi: 10.3389/fnut.2025.1651457.
75. Viboh V, Kokić IS, Novak D. The use of recovery methods in professional and recreational tennis players. Coll Antropol. 2023;47(1):31-37. doi: 10.5671/ca.47.1.4.
76. Hannon MP, Carter JL, North M, Cole M, Morton JP. Fuel-90: validation of a questionnaire to assess players' knowledge of carbohydrate guidelines for soccer. Sport Sci Health. 2025;21(3):1953-1964. doi: 10.1007/s11332-025-01424-8.
77. Gustafsson J, Montiel-Rojas D, Romare MGA, Johansson E, Folkesson M, Pernigoni M, et al. Cold- and hot-water immersion are not more effective than placebo for the recovery of physical performance and training adaptations in national level soccer players. Eur J Appl Physiol. 2025;125(11):3179-3194. doi: 10.1007/s00421-025-05835-w.
78. Horgan BG, Halson SL, Drinkwater EJ, West NP, Tee N, Alcock RD, et al. No effect of repeated post-resistance exercise cold or hot water immersion on in-season body composition and performance responses in academy rugby players. Eur J Appl Physiol. 2023;123(2):351-359. doi: 10.1007/s00421-022-05075-2.
79. Zhang X, Li X, Wu Z, Li X, Zhang G. Deciphering recovery paradigms: Foam rolling's impact on DOMS and lactate dynamics in elite volleyball athletes. Heliyon. 2024;10(7):e29180. doi: 10.1016/j.heliyon.2024.e29180.
80. Bibić E, Barišić V, Katanić B, Chernozub A, Trajković N. Acute effects of foam rolling and stretching on physical performance and self-perceived fatigue in young football players. J Funct Morphol Kinesiol. 2025;10(1):36. doi: 10.3390/jfmk10010036.
81. Pa WAMW, Nazarudin MN, Nasir MFM. Supporting learning sustainability in university sport: effects of structured sports massage on mental toughness and psychological well-being. Int J Learn Teach Educ Res. 2026;25(3):116-132. doi: 10.26803/ijlter.25.3.6.
82. Avandi RI, Rochmania A, Nirwansyah WT, Mustar YS, Arisanti RRS, Pramono BA, et al. Optimization of athlete recovery strategies: Analysis of massage methods to determine the best approach after high-intensity interval training. Retos. 2024;57:125-130. doi: 10.47197/retos.v57.103963.
83. Dakić M, Ilić V, Toskić L, Duric S, Šimenko J, Marković M, et al. Acute effects of short-term massage procedures on neuromechanical contractile properties of rectus femoris muscle. Medicina (Kaunas). 2024;60(1):125. doi: 10.3390/medicina60010125.
84. Boguszewski D, Kaaroud C, Adamczyk J. Assessment of the effect of classic sports massage on the reduction of delayed onset muscle soreness in the rectus abdominis. Balt J Health Phys Act. 2025;17(1):9. doi: 10.29359/BJHPA.17.1.09.
85. Boguszewski D, Kaminska M. Evaluation of the effect of lymphatic massage on delayed onset muscle soreness reduction of the quadriceps femoris. Rehabilitacja Medyczna. 2025;29(1):17-23. doi: 10.5604/01.3001.0055.1351.
86. Nunes GS, Guterres BD, Diel AP, Machado ACO, Da Rosa NK, dos Santos Turchetto V, et al. Pain reduction following massage after induced fatigue is not mediated by changes in muscle stiffness or intramuscular fluid content. J Athl Train. 2025;60(10):737-745. doi: 10.4085/1062-6050-0074.25.
87. Hong WH, Lo SF, Wu HC, Chiu MC. Effects of compression garment on muscular efficacy, proprioception, and recovery after exercise-induced muscle fatigue onset. PLoS One. 2022;17(2):e0264569. doi: 10.1371/journal.pone.0264569.
88. Megivern S, Gorea A. Addressing hamstring muscle soreness in female NCAA athletes: design and evaluation of a user-centered compression sleeve for recovery. Fash Text. 2026;13(1):21. doi: 10.1186/s40691-026-00471-0.
89. Bahri S, Adnyana IK, Hasan MF, Ray HRD, Paramitha ST. Science mapping for nutrition education in sports recovery research: A bibliometric analysis. Int J Educ Math Sci Technol. 2022;10(4):795-811. doi: 10.46328/ijemst.2620.
90. Sampson G, Morton JP, Areta JL. Mind the gap: Limited knowledge of carbohydrate guidelines for competition in an international cohort of endurance athletes. J Nutr Sci. 2023;12:e68. doi: 10.1017/jns.2023.49.
91. Zhang J, Chen J, Sui X, Drenowatz C, Wang Q. Association between different types of exercise and intake of nutrients including carbohydrate, fat, protein, and B vitamins in young adults. Nutrients. 2023;15(4):806. doi: 10.3390/nu15040806.
92. Chang B, Yangyang L. Effects of sports training associated with nutritional intervention on athletes' post-competition recovery. Rev Bras Med Esporte. 2023;29:e2022-0739. doi: 10.1590/1517-8692202329012022_0739.
93. Nojoumi M, Kakhki AH, Sardar MA, Jafari A, Esfehani AJ, Rezvani R. Beetroot plus vitamin C for performance and recovery: Protocol of a double-blind, placebo-controlled, randomized crossover trial in semi-professional wrestlers. Health Sci Rep. 2026;9(5):e72218. doi: 10.1002/hsr2.72218.
94. Kerrour NS, Guendouze N, Remini H, Lakhdara N, Zaabar S. Effects of beetroot and pomegranate juice supplementation on creatine kinase and C-reactive protein in amateur soccer players. North Afr J Food Nutr Res. 2025;9(20):271-286. doi: 10.51745/najfnr.9.20.271-286.
95. Morgans R, Lee D, Di Virgilio T, Ryan B, Oliveira R. A comprehensive review of the effects of cherry juice and chocolate milk supplementation on football performance and recovery. J Phys Educ Sport. 2024;24(5):1249-1265. doi: 10.7752/jpes.2024.05143.
96. Rezaei G, Hemmatinafar M, Willems MET, Mastouri D, Imanian B, Rezaei R. Individual responses to pomegranate juice on recovery from exercise-induced muscle damage in collegiate male volleyball players. J Int Soc Sports Nutr. 2026;23(1):2642149. doi: 10.1080/15502783.2026.2642149.
97. García-Giménez A, Pradas F, Lecina M, Ochiana N, Castellar-Otín C. Impact of ad libitum hydration on muscle and liver damage and electrolyte balance in ultra-trail events. Biology (Basel). 2025;14(2):136. doi: 10.3390/biology14020136.
98. Lu TL, He CS, Suzuki K, Lu CC, Wang CY, Fang SH. Concurrent ingestion of alkaline water and L-glutamine enhanced salivary alpha-amylase activity and testosterone concentration in boxing athletes. Nutrients. 2024;16(3):454. doi: 10.3390/nu16030454.
99. Demirkan E, Tosun Mİ, Kaplan A, Ayrancı M, Cosmin DG, Arıcı M, et al. Post-training breakdown: acute effects of different training types on body hydration status and performance. Front Psychol. 2024;15:1528840. doi: 10.3389/fpsyg.2024.1528840.
100. Dobashi S, Kobayashi T, Tanaka Y, Shibayama Y, Koyama K. Effects of carbohydrate-electrolyte dissolved alkaline electrolyzed water on physiological responses during exercise under heat stress. Curr Res Physiol. 2022;5:389-398. doi: 10.1016/j.crphys.2022.09.007.
101. Hassanmirzaei B, Schumacher Y, Tabben M, Bahr R. Developing a data-driven multimodal injury and illness prevention programme in male professional football. BMJ Open Sport Exerc Med. 2024;10(4):e002101. doi: 10.1136/bmjsem-2024-002101.
102. Wenzel C, Kolodziej M, Lippelt L, Laux P, Millard M, Kipper K, et al. High frequency saliva-based targeted MultiOmics as screening tool in professional soccer. Dtsch Z Sportmed. 2026;77(1):7-14. doi: 10.5960/dzsm.2025.650.
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Copyright (c) 2026 Al-Rafidain Journal of Medical Sciences ( ISSN 2789-3219 )
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