![]() ![]() Furthermore, findings from studies that involved participants in Tiers 1–2 were presented and synthesized using a narrative approach. The reporting quality of the research was assessed using a modified version of the Downs & Black checklist. Four databases were searched (SPORTDiscus, Web of Science, Scopus, and MEDLINE/PubMed) in October of 2022, and studies were included if they were peer-reviewed investigations, written in English, and investigated the effects of horizontal bed rest on changes in physical capacities and qualities in athletes (defined as Tier 3–5 participants). This review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This systematic and narrative review aimed to (1) establish the evidence for the effects of bed rest on physical performance in athletes (2) discuss potential countermeasures to offset these negative consequences and (3) identify the time-course of recovery following bed rest to guide return-to-sport rehabilitation. Therefore, a comprehensive understanding of the effects of bed rest might help guide the medical care of athletes during and following bed rest. ![]() ![]() Existing research in otherwise healthy individuals indicates that those entering bed rest with the greatest physical performance level might experience the greatest performance decrements, which indirectly suggests that athletes might be more susceptible to the detrimental consequences of bed rest than general populations. Athletes can face scenarios in which they are confined to bed rest (e.g., due to injury or illness). ![]()
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