Cryotherapy

Question 1

Decreased blood flow, decreased metabolic rate, less accumulation of metabolites and chemical irritants. More effective when cold and compression combined.

Answer 1

Edema Reduction

Question 2

Elevate pain threshold, counterirritants may lessen pain sensation by simulation thermal receptors, and decrease in chemical irritant response edema reduced.

Answer 2

Pain Reduction

Question 3

Reflexively affected by decrease in pain. Muscle tightness may be decrease if cold is sufficient to decrease pain.

Answer 3

Muscle Spasm Reduction

Question 4

Cold Uticaria

Answer 4

Cold allergy can cause hives, allergic reaction.

Question 5

Cryoglobinemia

Answer 5

Kidney disorder linked to cold exposure.

Question 6

Paroxysmal cold hemoglobinuria

Answer 6

Cold exposure leads to blood in the urine.

Question 7

Precaution : Applying cold over superficial branch of a main nerve.

Answer 7

Lateral Knee and Posterolateral Elbow.

Question 8

Precaution : Hypertension Present

Answer 8

Monitor BP (Blood Pressure).

Question 9

Precaution : Poor Sensation

Answer 9

Need to watch for abnormal color.

Question 10

Precaution : Young or elderly.

Answer 10

Have poor temperature regulation and limited ability to communicate.

Question 11

Adverse Effect of Nerve Damage?

Answer 11

Don’t exceed 15 minutes. Irreversible nerve blocks will occur if the nerve is brought to 23-32 degrees F. Nerve irritation - tingling.

Question 12

Adverse Effect of Frostbite?

Answer 12

Don’t use compression to attach cold pack.

Question 13

Adverse Effect of Rebound Phenomena?

Answer 13

Do not exceed 30 Minutes

Question 14

Methods of Cold Application

Answer 14

Ice packs and cold packs. Ice massage. Cold water immersion and cold whirlpools. Polar Care/Cryocuff/Game Ready. Vapocoolant Sprays.

Question 15

How long does it take to return to homeostasis after heat?

Answer 15

1/2 hour.

Question 16

How long does it take to return to homeostasis after cold?

Answer 16

1 - 1 1/2 hours.

Question 17

Ice Massage Stages

Answer 17

Intense cold. Burning. Aching. Numbness (Need to get through all stages).

Question 18

Ice Massage Advantages

Answer 18

Small areas. Inexpensive.

Question 19

Ice Massage Disadvantages

Answer 19

Time consuming.

Question 20

How will ROM be after cold treatments?

Answer 20

Decreased.

Question 21

Whirlpool Temperature and Duration.

Answer 21

55 - 64 degrees F. 5 - 10 minutes duration.

Question 22

Contrast Bath Procedure Ratio.

Answer 22

5 minute warm up. 4 minutes Warm : 1 minute Cold. Total of 30 minutes. 4 cycles.

Question 23

Contrast Baths for Pain.

Answer 23

Start in Warm/End in Warm.

Question 24

Contrast Baths for Swelling(Edema).

Answer 24

Always Start in Warm. End in Cold.

Question 25

Contrast Bath Equipment.

Answer 25

2 Containers. 55-67 degrees F & 90-104 degrees F.

Question 26

Decreasing tissue temperature to _____ can cause damage and trigger inflammatory response.

Answer 26

50 degrees F.

Question 27

Contrast Pack Procedure Ratio.

Answer 27

10 minute warm up. 1 minute cold. 4 minutes warm. 4 cycles.

Question 28

Cold Pack. Check patient after ____ minutes and then every ___ minutes.

Answer 28

2 minutes, 5 minutes.