Cryotherapy

Question 1

Predictable stages/sensations of cryotherapy

Answer 1

1. Intense cold
2. IT BURNS
3. Aching
4. Analgesia (pain relief)
5. Numbness

Question 2

Ice massage

Answer 2

use of ice cups to apply massage, allows for more precise cooling, able to target specific anatomical structures, aggressive cooling.

Question 3

controlled cold compression unit

Answer 3

used directly after surgery or in outpatient clinics, allows for easy application

Question 4

Vapocoolant sprays

Answer 4

used to treat trigger myofascial pain syndromes, trigger points, restricted motion and minor sports injuries

Question 5

Cold whirlpool

Answer 5

temperature range for cold sensation, 32-79, for acute inflammation

temperature range for tepid sensation, 79-92, used medium for exercise, acute inflammation if colder temperature not tolerated

Question 6

Acute soft tissue injury

Answer 6

Cold pack/ice pack 15-20 min every 1 hr
(some sources say 2 hrs) for the first 48-72 hrs OR as inflammatory signs indicate!

Question 7

subacute inury

Answer 7

Cold pack prior to active exercise, can potentially increase strength during therex

Question 8

Rheumatoid arthritis flare

Answer 8

ice pack/cold pack for 20 minutes every 2
hrs until improvement in disease activity or pain improves. Decrease activity level to match intensity of flair up

Question 9

Cryotherapy contraindications

Answer 9

Allergy, Raynaud’s disease or phenomenon(Results in extreme vasoconstriction resulting in ischemic pain in the extremities), hypersensitive/cold tolerance (cryoglobuliemia, cold develops excess proteins in blood), paroxysmal cold hemoglobinuria(violent attack of blood proteins in the urine), anatomical, impaired sensation

Question 10

Cryotherapy Precautions

Answer 10

over the superficial main branch of a nerve (peroneal, ulnar, radial), cold hypersensitivity, hypertension, poor mentation, very young and very old patients

Question 11

Indications for cryotherapy

Answer 11

pain, acute swelling or contusion, myofascial trigger points, muscle guarding and spasm, acute muscle or ligament strain, bursitis or tendonitis, delayed onset muscle soreness, reducing temperature

Question 12

Pain-Spasm-Pain Cycle

Answer 12

Nociceptor produces afferent stimulus via a spinal cord reflex, synapse with T-cell (interneuron) which is connected to efferent anterior horn cells, produces a muscle contraction