Hydrogen Water Matches Ice Therapy for Ankle Sprains in Athletes
- Authors
- Dejan Javorac, Valdemar Stajer, Laszlo Ratgeber, Andras Olah, Jozsef Betlehem, Pongras Acs, Boris Vukomanovic, Sergej M. Ostojic
- Journal
- Research in Sports Medicine
- Year
- 2020
- DOI
- 10.1080/15438627.2020.1868468
- Study Type
- Human
- Outcome
- Positive
- Peer Reviewed
- Yes
- Country
- Serbia
- Health Condition
- Acute Ankle Sprain
- Body System
- Musculoskeletal
TL;DR
Soaking an injured ankle in hydrogen-rich water is just as effective as the traditional RICE method for reducing swelling and improving balance after a sprain.
Key Finding
Hydrogen-rich water hydrotherapy reduced ankle swelling and improved function comparably to the standard RICE protocol in professional athletes with acute ankle sprains.
Summary
Researchers compared two treatments for acute ankle sprains in professional athletes: hydrogen-rich water baths versus the standard RICE protocol (rest, ice, compression, elevation). Both groups received their assigned treatment over 24 hours after injury. The hydrogen-rich water treatment worked about as well as RICE for reducing swelling, improving ankle movement, and restoring balance, suggesting it could be a viable alternative treatment option.
Practical Takeaway
This small pilot study (18 athletes total) suggests hydrogen-rich water may be as effective as RICE for acute ankle sprain recovery, but the findings are preliminary. Larger studies are needed before drawing firm conclusions about whether hydrogen water offers practical advantages over established treatments.
Abstract
We analysed the effects of an experimental novel protocol of intensive hydrotherapy with hydrogen-rich water (HRW) on injury recovery in athletic men who suffered an acute ankle sprain (AAS) and compared it with a RICE protocol (rest, ice, compression, elevation). Professional athletes (age 23.7 ± 4.0 years; weight 78.6 ± 5.7 kg, height 182.5 ± 4.3 cm; professional experience 5.9 ± 3.9 years) who incurred AAS during a sport-related activity were randomly assigned immediately after the injury to either hydrogen group (n = 9) or a conventional RICE treatment group (n = 9). Hydrogen group received six 30-min ankle baths with HRW throughout the first 24 h post-injury, with hydrotherapy administered every 4 hours during the intervention period. RICE group stood off the injured leg, with ice packs administered for 20 min every 3 hours, with the injured ankle compressed with an elastic bandage for 24 hours and elevated at all possible times above the level of the heart. HRW was equivalent to RICE protocol to reduce ankle swelling (2.1 ± 0.9% vs. 1.6 ± 0.8%; P = 0.26), range of motion (2.4 ± 1.3 cm vs. 2.7 ± 0.8 cm; P = 0.60), and single-leg balance with eyes opened (18.4 ± 8.2 sec vs. 10.7 ± 8.0 sec; P = 0.06) and closed (5.6 ± 8.4 sec vs. 3.9 ± 4.2 sec; P = 0.59). This non-inferiority pilot trial supports the use of HRW as an effective choice in AAS management. However, more studies are needed to corroborate these findings in other soft tissue injuries.