cryotherapy

Question 1

what are examples of conduction for cryotherapy?

Answer 1

ice massage, cold packs, ice bath, cold water circulation cuffs

Question 2

what is an example of convection?

Answer 2

cold whirlpool

Question 3

what is an example of evaporation?

Answer 3

vapocoolant spray

Question 4

what is cryokinetics

Answer 4

combination of cold and exercise

Question 5

What does CIVD stand for?

Answer 5

Cold Induced VasoDilation

Question 6

what is the aka for CIVD?

Answer 6

hunting response- hunting lewis response

Question 7

what is CIVD?

Answer 7

increase in tissue temp during cold therapy

approx 15 min into tx and then alternating

Question 8

what are the goals for cryotherapy?

Answer 8

relieve or decrease pain
decrease blood flow and metabolism
protect injured tissue
decrease muscle spasm

Question 9

what are the contraindications for cryotherapy?

Answer 9

impaired cold sensation 
cold-induced utricaria (cold allergy)
Raynaud's disease
cryoglobulinemia 
paroxysmal cold hemoglobinuria 
open wounds 
peripheral vascular disease 
confused and unreliable patients

Question 10

what is an allergic reaction to cold exposure which can produce hives, itching or difficulty breathing and loss of consciousness

Answer 10

cold urticaria

Question 11

what is an abnormal clumping of plasma proteins stimulated by cold application which leads to skin discoloration and dyspnea?

Answer 11

cryoglobinemia

Question 12

what is cryoglobinemia associated with?

Answer 12

multiple myeloma, macroglobulinemia, chronic liver disease, infections, SLE, sjogrens

Question 13

when cold temperature activates antibody to RBCs causing lysis, the excess hemoglobin is excreted in urine, this is called?

Answer 13

cold induced hemoglobulinuria or paroxysmal cold hemoglobulinuria

Question 14

what are certain risks that need to be considered with cryotherapy?

Answer 14

impaired circulation
thoracic area in patients with CAD
HTN 
cardiovascular and cardiorespiratory disorders 
superficial peripheral nerves 
hemiplegic
very young and very old 
obesity

Question 15

What is the acronym for stages of cold sensation?

Answer 15

CBAN 
Cold
Burning
Aching
Numbness

Question 16

chemical cold packs are only used for?

Answer 16

emergencies

Question 17

what are tests to do before application? (3)

Answer 17

cold/warm sensation
ice cube test
nail bed test

Question 18

how full do you fill the bag with ice and where do you tie the knot?

Answer 18

1/2 full

tie at the top once air is removed so you can spread it out

Question 19

treatment time for ice bags?

Answer 19

15-20min

Question 20

treatment time for gel packs?

Answer 20

10-20 min not as effective, need a towel to improve conduction and prevent frostbite

Question 21

what is the temperature for a cold whirlpool?

Answer 21

50-50 degrees F

Question 22

what are the disadvantages of a cold whirlpool?

Answer 22

part can’t be elevated

not as ideal for acute situations

Question 23

what is the term for a warm layer around the body part in a cold whirlpool and how do you correct it?

Answer 23

thermopane

moving the water around

Question 24

treatment time for ice bath?

Answer 24

8-20 min

Question 25

treatment time for ice massage?

Answer 25

5-10 min 10 min max

Question 26

indications for vapocoolant spray

Answer 26

trigger points muscle spasms decreased ROM

Question 27

precautions for vapocoolant spray

Answer 27

can cause frostbite | ethyl chloride is extremely flammable and shouldn't be inhaled

Question 28

contraindications for vapocoolant spray

Answer 28

``` allergy open wounds post surgical eyes all other cold contraindications ```

Question 29

cool and rewarming technique indications

Answer 29

``` HA/ migraines sprain/strain contusions tendinitis MS pain spasm acute injury chronic and inflammatory arthritis ```

Question 30

how does cold therapy affect pain?

Answer 30

decrease nerve conduction velocity | bombard CNS with cold signals-counterirritation

Question 31

how does cold therapy affect spasms?

Answer 31

affects muscle spindles and golgi tendon organs decreased efferent signals interrupts pain/spasm cycle

Question 32

how does cold therapy affect metabolic rate?

Answer 32

decreases metabolism decreased blood demand longer survival of hypoxic tissue less 2ndary injury

Question 33

what is the term for active exercise during or immediately following cryotherapy?

Answer 33

cryokinetics

Question 34

what are the steps needed for cryokinetic therapy?

Answer 34

``` apply cold until numb (15-20 min) ROM and stretching for 3-5 min re-numb tissue 3-5 min continue exercise repeat up to 5x stop if painful ```