Cryotherapy

Question 1

Hypothermal primary fx

Answer 1

Local; decreased edema, anesthesia

Question 2

Hypothermal secondary fx

Answer 2

Increased blood viscosity, decreased cell metabolism and increased joint stiffness

Question 3

Indications

Answer 3

Migraine headaches, urticaria, spasticity/TrP MFS, sprain/strain, angiomas, warts and herpes

Question 4

Contraindications

Answer 4

Elderly/infants, cold hypersensitivity, Raynaud’s, HBP, chilblains/frostbite, tension headaches, spasm FM

Question 5

Penetration

Answer 5

Superficial

Question 6

Dosage

Answer 6

Every 20 mins?

Question 7

Ice packs

Answer 7

Moist towel layer; 20 mins; conduction

Question 8

Blue ice

Answer 8

Dry towel layer; 20 mins; conduction

Question 9

Vapocoolant spray

Fluori-methane or ethyl chloride

Answer 9

5 mins; spray at angle from 18-24”

Question 10

Ice massage (with passive ROM)

Answer 10

Keep moving; 0-20 mins; conduction

Question 11

Ice immersion

Answer 11

0-20 mins; convection

Question 12

Cryokinetics

Answer 12

Ice then activity; 0-20 mins, conduction

Question 13

< 20 min sensory reaction

Answer 13

CBAN (cold, burning, aching, numb)

Question 14

> 20 min sensory reaction

Answer 14

Hunting-lewis pumping (vasodilation and constriction)