Ice

Question 1

Uses

Answer 1

First aid
Flushing
Rehabilitation

Question 2

CI’s

Answer 2

• Hypersensitivity to cold (eg. Raynaud’s Disease)
• Lack of or diminished sensation to area being treated
• Arteriosclerosis due to vascular impairment
• Frostbite at any time in area to be treated
• Precaution over bony prominences and superficial nerves (ulnar and common
peroneal)
• Cold allergy

Question 3

First application

Answer 3

10-15 minutes on, 10 minutes off (allows tissues to recover to neutral) may repeat 2-3 times

Question 4

Second application

Answer 4

5 minutes on, 10 minutes off, (allows tissues to recover to neutral, may repeat 2-3 times

Question 5

Third application

Answer 5

5 minutes on, then off

Question 6

Depending on severity of injury, the icing procedure can be repeated right away.

Answer 6

True

Question 7

Blood vessels and capillaries hold tone for about

Answer 7

20 minutes

Question 8

Types of tissue response to prolonged ice

Answer 8

Initial vasoconstriction
Deep tissue vasodilation
Reduction in muscle spasm
Limited anesthesia

Question 9

Hunting response

Answer 9

Deep tissue vasodilation

When tissue temperature reductions are maintained for a long time, or when temperature is reduced below 10° C (50°F), a cold-induced vasodilation can follow the initial period of vasoconstriction. This circulatory rush, cyclic periods of vasodilation and vasoconstriction, is seen as a thermoregulatory defense against tissue insult

Question 10

Four Distinct Sensations or Stages a patient will experience with local Ice Massage

Answer 10

Stage 1: Intense Cold
Stage 2: Burning
Stage 3: Aching
Stage 4: Numbness (analgesia)
C-BAN

Question 11

Cryotherapy

Answer 11

The use of cold to treat injuries

Question 12

Methods of application

Answer 12

Ice massage
Ice packs
Ice immersion
Cold towels
Cold gel packs

Question 13

Ice massage

Answer 13

Ice cubes or blocks, water frozen in paper cups. Ice is gently massaged over injured area using overlapping strokes so entire area is covered. Ice massage stimulates mechanoreceptors and provides a superficial cooling effect that decreases surface tissue temperature and produces local anesthesia

Question 14

Ice massage CI’s

Answer 14

• Hypersensitivity to cold
• Cold allergy
• Lack of or diminished sensation to area being treated (ie) Diabetic Neuropathy
• Frostbitten at any time in area to be treated
• Caution over bony prominences and superficial nerves

Question 15

Ice massage lasts no longer than

Answer 15

5-15 minutes

Question 16

Ice massage treatment procedure

Answer 16

1. Explain the procedure to patient
   a. the ice will be applied directly onto the skin
   b. describe sensations patient can expect to feel:
   1st Coolness, 2nd Burning, after about 3 minutes then an Aching type of pain and then followed by a feeling of Numbness (C-BAN)
   c. when area is numb, move to next area
2. Use either overlapping circles or a back and forth movement to cover treatment area
3. Treat areas no more than 6 inches in diameter at one time
4. Speed of movement is about 4 inches per second
5. Pressure should be firm but not heavy – weight of hand and ice
6. Massage each area separately until all 4 effects have been attained
   (C-BAN)
7. Avoid bony prominences and areas of superficial nerves (i.e. medial epicondyle of elbow or head of fibula)
8. Catch the drips of water with a cloth