Clinical Application of Cold Flashcards
Types of application
COld pack Ice pack Ice massage Cold bath Cold compression Vapocoolant spray Contrast bath Cyrotherapy chamber
Commercial gel cold pack stored at
-5C (23F) for 2 hours before use
Use wet cloth btw skin and cold pack
Commercial gel cold pack tx for how long
10-15 min
Commercial chemical cold pack
Non reusable
Two chemical substances activated by squeezing larger bag until smaller bag pops
Often doesnt get cold enough to have effect
Can cause chemcial burn
Hoemmade cold pack
2:1 ration of crushed ice and isopropyl alcohol in plastic bag
Stored in freezer
General COld pAck information - when lose effectiveness
Usually within 20 min
For deep effects, at least one change is required
Ice Packs
Ice in plastic bag
Add small amount of H2O to inc SA
Directly on skin of with towel
How long use ice pack
10-15 min for inflammation or pain
Ice Massage
Ice directly massaged onto skin
Treat small area
Treat 5-10 min long
Slush bucket
Basically ice immersion
Lots of ice in some water
Very cold and most people dont tolerate
Cold bath
use whirlpool or basin with ice
Temp at 13-18 C (55-65F)
15-20 min tx
Vapocoolant Spray
Place muscle on passive stretch Use sweeping motion Travel along origin to insertion Used over trigger points and areas of referred pain lowers skin temp Requires rx
Cold COmpression
COld water circulates through compressive sleeve
Water set btw 10-25 C (50-77 F)
Careful of frostbite
Can be tx continuously or intermittently
Contrast baths
Alternating hot and cold
Vascualr exercise concept
Very little data supports the efficiency of this mdoality
Contrast baths
Hot:Cold time ratio
usually 3:1
Cold 10-17 C (55-65F)
Hot 38-44 C (80-104F)
Tx for 20-30 min
