cryotherapy Flashcards
what is cryotherapy
the therapeutic application of any material or substance that results in WITHDRAWAL of HEAT from the body,
Withdrawal of heat from the body causes
lowering tissue temp locally and, under some specific applications, the whole-body core temp.
modes of heat transfer
conduction
convection
evaporation
What are considerations with application
- type of agent
- method of delivery
- dosimetry
- precautions/ contraindications
What are types of cryotherapy
ice packs, ice cups, gel packs, chemical packs, cyropressure units/cryocuff, vapocoolant sprays, cryohydrotherapy, cooling suits
indications for cryotherapy
abnormal tone, acute or chronic pain, acute or subacute inflammation, bursitis, muscle spasm, musculoskeletal trauma, myofascial trigger points, tendonitis, tenosynovitis
local skin temperature is used to what?
estimate stage of healing and use of cold
If skin temp. elevated equals what
use of cold
normal skin temp equals
cold discontinued to prevent impeding healing process/ impair circulation
If the skin temp is elevated greater then 72 hour what should you suspect
infection… refer to MD
uses of cryotherapy
- inflammtion control
- edema control
- pain control
- modification of spasticity- prolonged icing
- symptom management in MS- cooling vest
- facilitation
- cryokinetics and cryostretch
Applying cold immediately after injury or during acute inflammatory phase of healing to control what?
bleeding
edema
pain
accelerate recovery
Applied after clotting has occurred and therefore has no effect on what ?
hemorrhaging
can limit and reduce edema formation if applied soon after injury (<5 min) occurs by?
slowing of metabolic rate and decrease secondary tissue damage
if provided later than 5 mins post trauma the effect on inflammatory process is
no effect
if provided later than 5 mins post trauma the effect are
counterirritant and antispasmotic agent
how is cryotherapy a counterirritant ?
- increased cold receptor activity
- decrease nerve conduction velocity
- decreased pain
how is cryotherapy a antispasmotic agent
- decreased gamma motoneuron activity
- decreased muscle spindle activity
- decreased spasm/spasticity
what are the causes of warmth and redness
inflammation
causes of coolness & pallor
poor circulation
how to control edema with cryotherapy?
- cold for 15 mins (20 on extremities)
- applications at least an hour away
edema control with acute inflammation includes
RICE
compression with elastic wrap & elevation above heart
decrease in tissue temp by cryotherapy can indirectly/directly do what
decrease sensation of pain
CT directly & rapidly modifies sensation of pain by
gating pain transmission through activity of cutaneous thermal receptors producing analgesic effect
used in conjunction with joint mobs to
reduce possibility of pain and swelling
used in conjunction with deep friction massage before and after to
reduce pain and irritation
used in conjunction with electrical
stimulation
used in conjunction with exercise to
decrease residual swelling
used in conjunction with RICE to
decrease swelling
hemodynamic effects of cold
initial decrease in bold flow
Neuromuscular effects of cold
- decreased nerve conduction velocity
- increased pain threshold
- altered muscle strength
- decreased spasticity
- facilitation of muscle contraction
metabolic effect of cold
decreased metabolism & enzyme activity