Ice Packs, Ice Massage, Cryo

Question 1

Cold Ice bath temperature

Answer 1

55-65F

Question 2

Ice pack machine temperature

Answer 2

10-15F

Question 3

Insulation of Ice Packs

Answer 3

wet towels wrapped around ice cool more quickly. dry towels are better tolerated by pts who need to have an area cooled for an extended period of time.

Question 4

What are Cryokinetics?

Answer 4

Intermittent cold applications and stretching of active exercise

Question 5

Treatment time for ice packs, ice massage, and cryo

Answer 5

3-60’
3-15’ for ice to numb
limit to 60’ to prevent frostbite

Question 6

What is cryotherapy?

Answer 6

therapeutic application of any substance to the body which results in withdrawal of heat from the body, thereby lowering tissue temperature

Question 7

What are the Indications of Cryotherapy?

Answer 7

Decreased Muscle Spasm
Decrease pain
decrease spasticity
Relieve swelling and edema (primary use)
prevent excessive damage follow injury

Question 8

What are the Contraindications of cryotherapy?

Answer 8

Severe coronary artery disease
severe hypertension
some rheumatoid arthritis conditions (scleroderma, systemic lupus, erythamatosa)
patients with cold hypersensitivity (cold uticaria (hives, itching, and sweating with cold)) (cold hemoglobinuria (hemoglobin in the urine))
vasospastic disorders

Question 9

Cryotherapy Precautions

Answer 9

Paralyzed pts
Coma pts
any cold on skin > 1hr
ice over superficial nerves.

Question 10

What is Cryostretch?

Answer 10

Intermittent cold applications and stretching of soft tissue

Question 11

What is the process of cryostretch?

Answer 11

1. Ice until numb (15-20min)
2. Exercise -
   First Stretch bout - 65 sec total
   static stretch - 20sec
   isometric contraction - 5sec
   static stretch - 10sec
   isometric contraction - 5sec
   Static Stretch - 10sec
   isometric contraction - 5sec
   static stretch - 10sec
3. Re-numb with ice application for about 3-5min
4. Exercise - two bouts and rest as in example above
5. R-numb and repeat again.