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the results of empirical testing of FR as a recovery modality and intervention–a randomized controlled pilot trial. BMC Comple-
performance-enhancement intervention would be particularly ment Altern Med. 2014;14:417–424.
relevant to the Special Operations community. 13. Ferrari R. Writing narrative style literature reviews. Eur Med
Writers Assoc. 2015;24(4):230–235.
14. Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement
Acknowledgments for reporting systematic reviews and meta-analyses of studies that
The view(s) expressed herein are those of the author(s) and do evaluate health care interventions: explanation and elaboration.
not reflect the official policy or position of William Beaumont PLoS Med. 2009;6(7):1–28.
Army Medical Center, Brooke Army Medical Center, the US 15. Shamseer L, Moher D, Clarke M, et al. Preferred reporting items
Army Medical Department, the US.Army Office of the Sur- for systematic review and meta-analysis protocols (PRISMA-P)
2015: elaboration and explanation. BMJ. 2015;349:1–25.
geon General, the Department of the Army, the Department 16. O’Hara R, Henry A, Serres J, Russell D, Locke R. Operational
of the Air Force, or the Department of Defense or the US stressors on physical performance in Special Operators and
Government. countermeasures to improve performance: a review of the litera-
ture. J Spec Oper Med. 2014;14(1):67–78.
17. Frueh BC, Madan A, Fowler JC. “Operator syndrome”: a unique
Disclosure constellation of medical and behavioral health-care needs of mil-
The authors have no financial relationships relevant to this itary special operation forces. Int J Psychiatry Med. 2020;55(4):
article to disclose. 281–295.
18. Dupuy O, Douzi W, Theurot D, Bosquet L, Dugué B. An
Funding evidence-based approach for choosing post-exercise recovery
The authors received no funding to transcribe this review. techniques to reduce markers of muscle damage, soreness, fatigue,
and inflammation: a systematic review with meta-analysis. Front
Physiol. 2018;9:403–409.
Author Contributions 19. Peake JM. Recovery after exercise: what is the current state of
RO conceived the concept of writing this review, conducted play? Curr Opin Physiol. 2019; 10: 17–26.
the initial search, and developed the original outline for the 20. Barnett A. Using recovery modalities between training sessions in
elite athletes. Sports Med. 2006;36(10):781–796.
review. LS aided in developing the sections for this review, pro- 21. Morgan PM, Salacinski AJ, Stults-Kolehmainen MA. The acute
vided critical revisions, and performed an independent search effects of flotation restricted environmental stimulation technique
of the literature. RS, BK, and JT provided critical reviews on on recovery from maximal eccentric exercise. J Strength Cond
the results and discussion sections of this review. Res. 2013;27(12):3467–3474.
22. Kjellgren A, Sundequist U, Norlander T, Archer T. Effects of
flotation-REST on muscle tension pain. Pain Res Manage. 2001;6
References (4):181–189.
1. Jonsson K, Kjellgren A. Characterizing the experiences of flota- 23. Linderman JK, O’Hara R, Ordway J. Effects of special operations
tion-REST (Restricted Environmental Stimulation Technique) training on testosterone, lean body mass, and strength and the
treatment for generalized anxiety disorder (GAD): a phenomeno- potential for therapeutic testosterone replacement: a review of the
logical study. Eur J Integr Med. 2017;12:53–59. literature. J Spec Oper Med. 2020;20(1):94–100.
2. van Dierendonck D, te Nijenhuis J. Flotation restricted environ- 24. Buckley TM, Schatzberg AF. On the interactions of the hypotha-
mental stimulation therapy (REST) as a stress-management tool: lamic-pituitary-adrenal (HPA) axis and sleep: normal HPA axis
a meta-analysis. Psychol Health. 2005;20(3):405–412. activity and circadian rhythm, exemplary sleep disorders. J Clin
3. Turner JW Jr, Fine TH. Effects of relaxation associated with brief Endocrinol Metab. 2005;90(5):3106–3114.
restricted environmental stimulation therapy (REST) on plasma 25. Guilliams TG, Edwards L. Chronic stress and the HPA axis: clini-
cortisol, ACTH, and LH. Self Regul. 1983;8(1):115–126. cal assessment and therapeutic considerations: a review of natural
4. Driller MW, Argus CK. Flotation restricted environmental stim- & nutraceutical therapies for clinical practice. Rev Nat Neutra-
ulation therapy and napping on mood state and muscle soreness ceut Therap Clin Pract. 2010;9(2):1–12.
in elite athletes: a novel recovery strategy? Performance Enhance- 26. Norlander T, Kjellgren A, Bood SÅ. Rehabilitation through flo-
ment and Health. 2016;5(2):60–65. tation-REST (Restricted Environmental Stimulation Technique).
5. Witte L, Santo C, Archambault ME, et al. Flotation therapy for Float Summit 2012, Göteborg, Sweden, April 21–22. http://www.
specific health concerns. Nat Med J. 2021;13(4):1–6. floating-verband.de/pdf/Kjellgren_Rehabilitation_2012.pdf
6. Bood SÅ, Sundequist U, Kjellgren A, et al. Eliciting the relaxation 27. Lee AB, Hewitt J. Using visual imagery in a flotation tank to im-
response with the help of flotation-rest (restricted environmental prove gymnastic performance and reduce physical symptoms. Int
stimulation technique) in patients with stress related ailments. Int J Sport Psychol.1987;18(2):223–230.
J Stress Manage. 2006;13(2):154–175. 28. McAleney PJ, Barabasz A, Barabasz M. Effects of flotation re-
7. Broderick V, Uiga L, Driller M. Flotation-restricted environmen- stricted environmental stimulation on intercollegiate tennis per-
tal stimulation therapy improves sleep and performance recovery formance. Percept Mot Skills.1990;71(3):1023–1028.
in athletes. Performance Enhancement and Health. 2019;7(1-2): 29. Suedfeld P, Collier DE, Hartnett BDG. Enhancing perceptual-
100–149. motor accuracy through flotation REST. Sport Psychol. 1993;7(2):
8. Klockare E, Gustafsson H, C Lundqvist. Track and field athletes’ 151–159.
experiences and perceived effects of flotation-REST: an interpre- 30. Samuels C. Sleep, recovery, and performance: the new frontier in
tive phenomenological analysis. Int J Sport Psychol. 2015;46: high performance athletes. Phys Med Rehabil Clin N Am. 2009;
409–428. 20(1):149–159.
9. Turner JW Jr, Fine T, EwyG, Sershon P,Freundlich T. The pres- 31. Boekstein MS. Healing waters: balneological classification of
ence or absence of light during flotation restricted environmental thermal springs in South Africa. Afr J Phys Health Educ Recreat
stimulation: effects on plasma cortisol, blood pressure, and mood. Dance (AJPHERD). 2014;20(21):557–568.
Biofeedback Self Regul. 1989;14(4):291–300. 32. Becker B, Hildebrand K, Whitcomb RK, Sanders JP. Biophysio-
10. Al Zoubi O, Misaka M, Bodurka J, et al. Taking the body off logic effects of warm water immersion. Int J Aquatic Res Educ.
the mind: decreased functional connectivity between somatomo- 2009;3(1):1–14.
tor and default-mode networks following Floatation-REST. Hum 33. Turner JW Jr, Fine TH. Hormonal changes associated with re-
Brain Mapp. 2021;42(10):3216–3227. stricted environmental stimulation therapy. In: Suedfeld P, Turner
11. Feinstein JS, Khalsa SS, Yeh H, et al. The elicitation of relaxation
and interoceptive awareness using floatation therapy in individu- JW, Fine TH, eds. Restricted Environmental Stimulation. Recent
Research in Psychology. New York, NY: Springer; 1990:17–39.
als with high anxiety sensitivity. Biol Psych Cogn Neurosci Neu-
roimaging. 2018;3(6):555–562. 34. Jonsson K, Kjellgren A. Curing the sick and creating supermen–
12. Kjellgren A, Westman J. Beneficial effects of treatment with how relaxation in flotation tanks is advertised on the internet.
sensory isolation in flotation-tank as a preventative healthcare Eur J Integr Med. 2014;6(5):601–609.
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