Effects of lower-limb intermittent pneumatic compression on sports recovery: A systematic review and meta-analysis

Intermittent pneumatic compression (IPC) applied to lower limbs is becoming a popular postexercise recovery technique; however, it still lacks strong scientific support. The purpose of this systematic review and meta-analysis was to analyse the effects of lower-limb IPC on sports recovery, as well as to identify the most used protocols to optimize it. A systematic search was conducted across athletic and healthy populations, following the PRISMA guidelines, covering the databases: PubMed, Web of Science, SportDiscus, Academic Search Complete, and Science Direct; using the search terms: ("Pneumatic compression" OR "Intermittent pneumatic compression" OR "Recov* boot*") AND (Recover*). Data was extracted, and standardized mean differences were calculated with 95% confidence and prediction interval. The pooled data analysis was conducted using a random-effects model, with heterogeneity assessed using I². A total of 17 studies (319 participants) were included. The studies' methodological quality was assessed using the PEDro scale, ranging from fair to good. Results indicate a trivial to small benefit towards lower-limb IPC in enhancing muscular function, as well as a trivial to moderate effect for pain and soreness measurements, and a highly variable effect on muscle damage markers. Moreover, protocols of about 20 to 30 minutes and pressures of about 80 mmHg appear to be the most used option to optimize recovery. In summary, lower-limb IPC might be a method with potential effects for recovery in sports, mainly reducing perceived soreness.