REF-1606 · Ortiz et al., 2019 · Journal of Strength and Conditioning Research · Paper · PubMed

A systematic review of 26 studies in 471 professional, collegiate and competitive adult athletes found the findings too varied for firm conclusions: active recovery lasting 6-10 min had consistently positive effects on performance, the best intensity was unclear, blood lactate clearance looked unreliable as a marker of recovery, and the evidence for active recovery after exercise, particularly for performance, was weak. From the abstract

Main caveat: Written from the abstract; the databases, the included studies and any quality appraisal are not described there.
limited evidenceMeasured on trained to elite athletesRead from the abstract only

Ortiz and colleagues reviewed whether active recovery after exertion improves athletic performance in professional, collegiate and competitive adult athletes.

They searched four databases for English-language studies published between 1998 and 2014; after removing overlap and screening abstracts 150 studies remained, and after full review 26 studies with 471 participants were kept, the main reason for exclusion being no active recovery of interest or no performance measure.

The approaches and outcome measures varied so much that specific conclusions were hard to draw. Active recovery lasting 6-10 min showed consistently positive effects on performance; the right intensity was inconclusive; blood lactate clearance rate seemed unreliable as a recovery marker.

The authors also report positive psychological outcomes, call for study of whether active recovery should be individualised, describe the evidence for post-exercise active recovery, especially for performance, as weak, and call for better markers of fatigue, recovery and performance.

Participants

26 studies, 471 professional, collegiate and competitive adult athletes; sports and sexes not given in the abstract.

Protocol

Search: four online databases (not named in the abstract), English-language studies published 1998-2014.
Selection: 150 potentially eligible after overlap and abstract review; 26 after full analysis; the main reason for exclusion was the absence of active recovery of interest or of a performance measure.
Synthesis: narrative; no meta-analysis; no quality appraisal reported in the abstract.

Key Results

Findings varied widely, reflecting vague active-recovery approaches and outcome measures.
Active recovery lasting 6-10 min showed consistently positive effects on performance.
The appropriate intensity of active recovery was inconclusive.
Blood lactate clearance rate appeared unreliable as a recovery marker.
Positive psychological outcomes from active recovery were reported.
Overall, the evidence for the efficacy of post-exercise active recovery, especially for performance, was weak.

Practical Application

Blood lactate is a poor guide to whether you have recovered: this review of 26 studies in competitive to professional athletes found lactate clearance unreliable as a recovery marker; it reports consistently positive effects of 6-10 min of active recovery on performance, yet calls the overall evidence for post-exercise active recovery, particularly for performance, weak.
Work capacity comes back long before blood lactate does: W′ recovered with a half-time of about 234 s against about 1366 s for blood lactate (REF-809).
Not from this paper; the base's own practice: after an SFT, 3-5 min easy and then the decision (SYNTH-66); between hard sessions, an optional 5-15 min cool-down (SYNTH-70).
The benefit may be partly psychological, as the authors suggest and as REF-1321 also reads this review.

Limitations

Written from the abstract; the databases, the included studies and any quality appraisal are not described there.
Studies from 1998-2014 in English only.
Rated low quality on AMSTAR 2 by REF-1321, which also found ten included studies without a control group.
The abstract holds both "consistently positive effects" for 6-10 min and "weak evidence" for efficacy, without reconciling them.
Mixed sports, recovery types and outcome measures.
How this entry was checked and changed
Why this level

capped at B+ because the risk of bias was not read (abstract only, rule 1), and one step lower: the umbrella review in REF-1321 rated it low quality on AMSTAR 2 and found ten of its studies without a control group, and its own abstract calls the evidence weak and the findings hard to draw conclusions from