The physical demands and combative nature of rugby lead to notable levels of muscle damage. In professional rugby, athletes only have a limited timeframe to recover following training sessions and competition. Through the implementation of recovery strategies, sport scientists, practitioners and coaches have sought to reduce the effect of fatigue and allow athletes to recover faster. Although some studies demonstrate that recovery strategies are extensively used by rugby athletes, the research remains equivocal concerning the efficacy of recovery strategies in rugby. Moreover, given the role of inflammation arising from muscle damage in the mediation of protein synthesis mechanisms, some considerations have been raised on the long-term effect of using certain recovery modalities that diminish inflammation. While some studies aimed to understand the effects of recovery modalities during the acute recovery phase (<48 h post-match), others investigated the effect of recovery modalities during a more prolonged timeframe (i.e. during a training week). Regarding the acute effectiveness of different recovery modalities, cold water immersion and contrast baths seem to provide a beneficial effect on creatine kinase clearance, neuromuscular performance and delayed onset of muscle soreness. There is support in the literature concerning the effect of compression garments on enhancing recovery from delayed onset of muscle soreness; however, conflicting findings were observed for the restoration of neuromuscular function with the use of this strategy. Using a short-duration active recovery protocol seems to yield little benefit to recovery from rugby training or competition. Given that cold modalities may potentially affect muscle size adaptations from training, their inclusion should be treated with caution and perhaps restricted to certain periods where athlete readiness is more important than increases in muscle size.
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Gabbett TJ. Science of rugby league football: a review. J Sports Sci. 2005;23(9):961–76.
Duthie G, Pyne D, Hooper S. Applied physiology and game analysis of rugby union. Sports Med. 2003;33(13):973–91.
Austin D, Gabbett T, Jenkins D. The physical demands of Super 14 rugby union. J Sci Med Sport. 2011;14(3):259–63.
Gabbett T, Abernethy B, Jenkins D. Influence of field size on the physiological and skill demands of small-sided games in junior and senior rugby league players. J Strength Cond Res. 2012;26(2):487–91.
Cunniffe B, Proctor W, Baker JS, et al. An evaluation of the physiological demands of elite rugby union using global positioning system tracking software. J Strength Cond Res. 2009;23(4):1195–203.
Johnston RD, Gabbett TJ, Jenkins DG. Applied sport science of rugby league. Sports Med. 2014;44(8):1087–100.
Quarrie KL, Raftery M, Blackie J, et al. Managing player load in professional rugby union: a review of current knowledge and practices. Br J Sports Med. 2016;. doi:10.1136/bjsports-2016-096191 [Epub ahead of print].
McLellan CP, Lovell DI, Gass GC. Biochemical and endocrine responses to impact and collision during elite Rugby League match play. J Strength Cond Res. 2011;25(5):1553–62.
McLellan CP, Lovell DI, Gass GC. Markers of postmatch fatigue in professional Rugby League players. J Strength Cond Res. 2011;25(4):1030–9.
Pointon M, Duffield R. Cold water immersion recovery after simulated collision sport exercise. Med Sci Sport Exerc. 2012;44(2):206–16.
Webb N, Harris N, Cronin J, et al. The relative efficacy of three recovery modalities following professional rugby league matches. J Strength Cond Res. 2013;27(9):2449–55.
McLean B, Coutts A, Kelly V, et al. Neuromuscular, endocrine, and perceptual fatigue responses during different length between-match microcycles in professional rugby league players. Int J Sport Physiol Perform. 2010;5:367–83.
Baker D. The effects of an in-season of concurrent training on the maintenance of maximal strength and power in professional and college-aged rugby league football players. J Strength Cond Res. 2001;15(2):172–7.
Johnston RD, Gabbett TJ, Jenkins DG. Influence of an intensified competition on fatigue and match performance in junior rugby league players. J Sci Med Sport. 2013;16(5):460–5.
Johnston RD, Gibson NV, Twist C, et al. Physiological responses to an intensified period of rugby league competition. J Strength Cond Res. 2013;27(3):643–54.
Coutts AJ, Reaburn P, Piva TJ, et al. Monitoring for overreaching in rugby league players. Eur J Appl Physiol. 2007;99(3):313–24.
Higgins T, Climstein M, Cameron M. Evaluation of hydrotherapy, using passive tests and power tests, for recovery across a cyclic week of competitive rugby union. J Strength Cond Res. 2013;27(4):954–65.
Higgins T, Heazlewood T. Evaluation of contrast baths and ice baths for recovery in U/20 rugby union. Br J Sports Med. 2009;12S:S1–83.
Higgins TR, Heazlewood IT, Climstein M. A random control trial of contrast baths and ice baths for recovery during competition in U/20 rugby union. J Strength Cond Res. 2011;25(4):1046–51.
Lindsay A, Lewis J, Gill N, et al. Effect of varied recovery interventions on markers of psychophysiological stress in professional rugby union. Eur J Sport Sci. 2015;15(6):1–7.
Beaven C, Cook C, Gray D, et al. Electrostimulation’s enhancement of recovery during a rugby preseason. Int J Sports Physiol Perform. 2013;8(1):92–8.
Gill ND, Beaven C, Cook C. Effectiveness of post-match recovery strategies in rugby players. Br J Sports Med. 2006;40(3):260–3.
Twist C, Sykes D. Evidence of exercise-induced muscle damage following a simulated rugby league match. Eur J Sport Sci. 2011;11(6):401–9.
Twist C, Waldron M, Highton J, et al. Neuromuscular, biochemical and perceptual post-match fatigue in professional rugby league forwards and backs. J Sports Sci. 2012;30(4):359–67.
Hamlin MJ, Mitchell CJ, Ward FD, et al. Effect of compression garments on short-term recovery of repeated sprint and 3-km running performance in rugby union players. J Strength Cond Res. 2012;26(11):2975–82.
Bishop PA, Jones E, Woods AK. Recovery from training: a brief review. J Strength Cond Res. 2008;22(3):1015–24.
Polman R, Houlahan K. A cumulative stress and training continuum model: a multidisciplinary approach to unexplained underperformance syndrome. Res Sport Med. 2004;12(4):301–16.
Edward RH. Biochemical basis of fatigue in exercise performance. In: Knuttgen HG, Vogel J, Poortmans J, editors. Biochemistry of exercise. Champaign, IL: Human Kinetics; 1983. p. 3–28.
Halson SL. Sleep in elite athletes and nutritional interventions to enhance sleep. Sports Med. 2014;44(Suppl. 1):13–23.
Barnett A. Using recovery modalities between training sessions in elite athletes: does it help? Sports Med. 2006;36(9):781–96.
Venter RE. Perceptions of team athletes on the importance of recovery modalities. Eur J Sport Sci. 2015;2012(14):1–8.
Nédélec M, McCall A, Carling C, et al. Recovery in soccer: part II-recovery strategies. Sports Med. 2013;43(1):9–22.
Bahnert A, Norton K, Lock P. Association between post-game recovery protocols, physical and perceived recovery, and performance in elite Australian Football League players. J Sci Med Sport. 2013;16(2):151–6.
Taylor K-L, Chapman DW, Cronin JB, et al. Fatigue monitoring in high performance sport: a survey of current trends. J Aust Strength Cond. 2012;20(1):12–23.
Van Wyk D. Recovery strategies implemented by sport support staff of elite rugby players in South Africa. S Afr J Physiother. 2009;65(1):1–15.
Baker D. Applying the in-season periodization of strength and power training to football. Strength Cond J. 1998;20(2):18–24.
Argus CK, Gill N, Keogh J, et al. Effects of a short-term pre-season training programme on the body composition and anaerobic performance of professional rugby union players. J Sports Sci. 2010;28(6):679–86.
Kraemer W, Looney D. Underlying mechanisms and physiology of muscular power. Strength Cond J. 2012;34(6):13–9.
Cormie P, McGuigan M, Newton R. Developing maximal neuromuscular power. Sports Med. 2011;41(2):125–46.
Higgins T, Cameron M, Climstein M. Evaluation of passive recovery, cold water immersion, and contrast baths for recovery, as measured by game performances markers, between two simulated games of rugby union. J Strength Cond Res. 2012. doi:10.1519/JSC.0b013e31825c32b9.
Kinugasa T, Kilding AEA. A comparison of post-match recovery strategies in youth soccer players. J Strength Cond Res. 2009;23(5):1402–7.
Kovacs MS, Baker LB. Recovery interventions and strategies for improved tennis performance. Br J Sports Med. 2014;48(Suppl. 1):i18–21.
Montgomery PG, Pyne DB, Hopkins WG, et al. The effect of recovery strategies on physical performance and cumulative fatigue in competitive basketball. J Sports Sci. 2008;26(11):1135–45.
Reilly T, Ekblom B. The use of recovery methods post-exercise. J Sports Sci. 2005;23(6):619–27.
Twist C, Highton J. Monitoring fatigue and recovery in rugby players. In: Twist C, Worsfold P, editors. The science of rugby. New York: Routledge; 2015. p. 68–82.
Twist C, Highton J. Monitoring fatigue and recovery in rugby league players. Int J Sports Physiol Perform. 2013;8(5):467–74.
Tee JC, Bosch AN, Lambert MI. Metabolic consequences of exercise-induced muscle damage. Sports Med. 2007;37(10):827–36.
Takarada Y. Evaluation of muscle damage after a rugby match with special reference to tackle plays. Br J Sports Med. 2003;37(5):416–9.
Smart DJ, Gill ND, Beaven CM, et al. The relationship between changes in interstitial creatine kinase and game-related impacts in rugby union. Br J Sports Med. 2008;42(3):198–201.
McLellan CP, Lovell DI. Neuromuscular responses to impact and collision during elite rugby league match play. J Strength Cond Res. 2012;26(5):1431–40.
Farthing JP, Chilibeck PD. The effects of eccentric and concentric training at different velocities on muscle hypertrophy. Eur J Appl Physiol. 2003;89(6):578–86.
Fridén J, Lieber RL. Eccentric exercise-induced injuries to contractile and cytoskeletal muscle fibre components. Acta Physiol Scand. 2001;171(3):321–6.
Fridén J. Changes in human skeletal muscle induced by long-term eccentric exercise. Cell Tissue Res. 1984;236(2):365–72.
Ascensão A, Rebelo A, Oliveira E, et al. Biochemical impact of a soccer match: analysis of oxidative stress and muscle damage markers throughout recovery. Clin Biochem. 2008;41:841–51.
Montgomery PG, Pyne DB, Cox AJ, et al. Muscle damage, inflammation, and recovery interventions during a 3-day basketball tournament. Eur J Sport Sci. 2008;8(5):241–50.
Lindsay A, Lewis J, Scarrott C, et al. Changes in acute biochemical markers of inflammatory and structural stress in rugby union. J Sports Sci. 2015;33(9):882–91.
Elloumi M, Maso F, Michaux O, et al. Behaviour of saliva cortisol [C], testosterone [T] and the T/C ratio during a rugby math and during the post-competition recovery days. Eur J Appl Physiol. 2003;90:23–8.
Chen W, Ruell P, Ghoddusi M, et al. Ultrastructural changes and sarcoplasmic reticulum Ca2 + regulation in red vastus muscle following eccentric exercise in the rat. Exp Physiol. 2007;92(2):437–47.
Chen Y-W, Hubal MJ, Hoffman EP, et al. Molecular responses of human muscle to eccentric exercise. J Appl Physiol. 2003;95(6):2485–94.
Lovering RM, De Deyne PG. Contractile function, sarcolemma integrity, and the loss of dystrophin after skeletal muscle eccentric contraction-induced injury. Am J Physiol Cell Physiol. 2004;286(2):C230–8.
Baird MF, Graham SM, Baker JS, et al. Creatine-kinase- and exercise-related muscle damage implications for muscle performance and recovery. J Nutr Metab. 2012;2012:960363. doi:10.1155/2012/960363
Banfi G, Melegati G, Valentini P. Effects of cold-water immersion of legs after training session on serum creatine kinase concentrations in rugby players. Br J Sports Med. 2007;41(5):339.
Banfi G, Melegati G, Barassi A, et al. Effects of whole-body cryotherapy on serum mediators of inflammation and serum muscle enzymes in athletes. J Therm Biol. 2009;34(2):55–9.
Suzuki M, Umeda T, Nakaji S, et al. Effect of incorporating low intensity exercise into the recovery period after a rugby match. Br J Sports Med. 2004;38(4):436–40.
Warren G, Lowe D, Armstrong R. Measurement tools used in the study of eccentric contraction-induced injury. Sports Med. 1999;27(1):43–59.
Halson SL. Monitoring training load to understand fatigue in athletes. Sports Med. 2014;44(Suppl. 2):S139–47.
Duffield R, Edge J, Merrells R, et al. The effects of compression garments on intermittent exercise performance and recovery on consecutive days. Int J Sport Physiol Perform. 2008;3(4):454–68.
Simão R, Spineti J, de Salles B, et al. Comparison between nonlinear and linear periodized resistance training: hypertrophic and strength effects. J Strength Cond Res. 2012;26(5):1389–95.
Duffield R, Cannon J, King M. The effects of compression garments on recovery of muscle performance following high-intensity sprint and plyometric exercise. J Sci Med Sport. 2010;13(1):136–40.
Garcia CA, da Mota GR, Marocolo M. Cold water immersion is acutely detrimental but increases performance post-12 h in rugby players. Int J Sports Med. 2016;37(8):619–24.
Hirose L, Nosaka K, Newton M, et al. Changes in inflammatory mediators following eccentric exercise of the elbow flexors. Exerc Immunol Rev. 2004;10:75–90.
Cochrane DJ. Alternating hot and cold water immersion for athlete recovery: a review. Phys Ther Sport. 2004;5(1):26–32.
Hing WA, White SG, Bouaaphone A, et al. Contrast therapy: a systematic review. Phys Ther Sport. 2008;9(3):148–61.
Wilcock I, Cronin J, Hing W. Physiological response to water immersion. Sports Med. 2006;36(9):747–65.
Leeder J, Gissane C, van Someren K, et al. Cold water immersion and recovery from strenuous exercise: a meta-analysis. Br J Sports Med. 2012;46(4):233–40.
Bleakley CM, Davison GW. What is the biochemical and physiological rationale for using cold water immersion in sports recovery? A systematic review. Br J Sports Med. 2010;44:179–87.
Highton J, Twist C. Recovery strategies for rugby. In: Twist C, Worsfold P, editors. The science of rugby. New York: Routledge; 2015. p. 101–16.
Gabbett T, King T, Jenkins D. Applied physiology of rugby league. Sports Med. 2008;38(2):119–38.
Hetzler RK, Stickley CD, Lundquist KM, et al. Reliability and accuracy of handled stopwatches compared with electronic timing in measuring sprint performance. J Strength Cond Res. 2008;22(6):1969–76.
Vicente-Rodríguez G, Rey-Lopez J, Ruiz J, et al. Interrater reliability of time measurement validity of speed-agilty field tests in adolescents. J Strength Cond Res. 2011;25(7):2059–63.
Roberts LA, Raastad T, Markworth JF, et al. Post-exercise cold water immersion attenuates acute anabolic signalling and long-term adaptations in muscle to strength training. J Physiol. 2015;593(18):4285–301.
Fröhlich M, Faude O, Klein M, et al. Strength training adaptations after cold water immersion. J Strength Cond Res. 2014;28(9):2628–33.
Yamane M, Ohnishi N, Matsumoto T. Does regular post-exercise cold application attenuate trained muscle adaptation? Int J Sports Med. 2015;36(8):647–53.
Vaile J, O’Hagan C, Stefanovic B, et al. Effect of cold water immersion on re- peated cycling performance and limb blood flow. Br J Sports Med. 2011;45(10):825–9.
Timmerman KL, Lee JL, Fujita S, et al. Pharmacological vasodilation insulin-stimulated muscle Protein anabolism but not glucose utilization in older adults. Diabetes. 2010;59(11):2764–71.
Yamane M, Teruya H, Nakano M, et al. Post-exercise leg and forearm flexor muscle cooling in humans attenuates endurance and resistance training effects on muscle performance and on circulatory adaptation. Eur J Appl Physiol. 2006;96(5):572–80.
Gamble P. Physical preparation for elite-level rugby union football. Strength Cond J. 2004;26(4):10–23.
Baker D, Newton R. Adaptations in upper-body maximal strength and power output resulting from long-term resistance training in experienced strength-power athletes. J Strength Cond Res. 2006;20(3):541–6.
Kraemer WJ, French DN, Spiering BA. Compression in the treatment of acute muscle injuries in sport. Int Sport J. 2004;5(3):200–8.
Davies V, Thompson KG, Cooper S-M. The effects of compression garments on recovery. J Strength Cond Res. 2009;23(6):1786–94.
MacRae BA, Cotter JD, Laing RM. Compression garments and exercise: Garment considerations, physiology and performance. Sports Med. 2011;41(10):815–43.
Hill J, Howatson G, van Someren K, et al. Compression garments and recovery from exercise-induced muscle damage: a meta-analysis. Br J Sports Med. 2014;48(18):1340–6.
Born D, Sperlich B, Holmberg H. Bringing light into the dark: effects of compression clothing on performance and recovery. Int J Sports Physiol Perform. 2013;8(1):4–18.
Babault N, Cometti C, Maffiuletti NA, et al. Does electrical stimulation enhance post-exercise performance recovery? Eur J Appl Physiol. 2011;111(10):2501–7.
Man VOW, Lepar GS, Morrissey MC, et al. Effect of neuromuscular electrical stimulation on foot/ankle volume during standing. Med Sci Sports Exerc. 2003;35(4):630–4.
Tucker AT, Maass A, Bain DS, et al. Augmentation of venous, arterial and microvascular blood supply in the leg by isometric neuromuscular stimulation via the peroneal nerve. Int J Angiol. 2010;19(1):31–7.
Haff G, Nimphius S. Training principles for power. Strength Cond J. 2012;34(6):2–12.
Gamble P. Periodization of training for team sports athletes. Strength Cond J. 2006;28(5):56–66.
Duffield R, Murphy A, Snape A, et al. Post-match changes in neuromuscular function and the relationship to match demands in amateur rugby league matches. J Sci Med Sport. 2012;15(3):238–43.
Brophy-Williams N, Landers G, Wallman K. Effect of immediate and delayed cold water immersion after a high intensity exercise session on subsequent run performance. J Sport Sci Med. 2011;10(4):665–70.
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Conflict of interest
Francisco Tavares, Tiaki Brett Smith and Matthew Driller declare that they have no conflicts of interest relevant to the content of this review.
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Tavares, F., Smith, T.B. & Driller, M. Fatigue and Recovery in Rugby: A Review. Sports Med 47, 1515–1530 (2017). https://doi.org/10.1007/s40279-017-0679-1
- Creatine Kinase
- Muscle Damage
- Active Recovery
- Muscle Soreness
- Recovery Strategy