Lecture #10

Question 1

Negative effects of cold

Answer 1

1. decreased circulation
2. decreased metabolism
3. decreased inflammation
4. increased tissue stiffness
5. ability to exercise due to increased pain and muscle spasm

Question 2

Positive effects of cold

Answer 2

1. decreased pain
2. decreased muscle spasm
3. ability to exercise due to increased lumph flow, decreased tissue stiffness, increased circulation, increased metabolism, decreased atrophy, decreased adhesions and decreased neural inhibition

Question 3

WHat is crypkientics?

Answer 3

Application of cryotherapy techniques to numb the injured body part followed by graded, progressive, active exercises progressing towards full functional ability

Question 4

Cryotherapy’s primary purpose?

Answer 4

To dimish pain from the initial injury through numbness

Question 5

Explain the cryokinetics sequence?

Answer 5

1. cold-induced numbness (12-20 mins)
2. exercise bout 2-3 minutes of lasting numbness (1-2 reps)
3. Repeat 4 times, re-numbing akes 3-5 mins. and give up to 2-3 tx a day

Question 6

Cryokinetics exercise progression

Answer 6

NWB, Full AROM w/ biofeedback, WB as tolerated, FWB AROM, basic functional activity, jogging/difficult functional activities, preform til no need for numbness and no pain, return to play.

Question 7

Advantages of Cryokinetics?

Answer 7

Allows exercise and rehabilitation much sooner than expected for healing and increased blood flow
Within 24 hours common for minor injuries
More severe injuries need more time as to not cause further injury
Retards muscular atrophy and neural inhibitions
Reduces swelling due to active muscular “pumping” or “milking action”
Increased lymph flow with exercise
Is inexpensive and the patient or athlete is able to perform the activity at home using ice and a home exercise program
Don’t need any equipment besides a vessel to put ice in

Question 8

Disadvantages of Cryokinetics?

Answer 8

Ice can be very painful during the initial immersion or contact as the body goes through the stages of sensation
Try to distract the individual from the sensation
Melting ice or water on the floor may create a slipping hazard
Have adequate toweling available to dry off
May have to add ice as ice melts out of vessel
Takes time to perform a full session

Question 9

Precautions of Cryokinetics?

Answer 9

Follow same contraindications to cryotherapy (use caps or neoprene sleeves to protect toes/fingers)
Don’t use with someone who is hypersensitive to cold
Pain must be used as a guideline and active exercises which cause pain should be avoided
The patient or athlete should not try to willfully overcome the pain
The patient or athlete may experience increased pain in the injured body part 4-8 hours after treatment

Question 10

What does cryostretching involve?

Answer 10

3 techniques: cryotherapy, static stretching and PNF

Question 11

Indications for cryostretch?

Answer 11

muscle strains, contusions, myofascitis, and muscular trigger points and spasms

Question 12

Cryostretch sequencing?

Answer 12

1. Apply cryotherapy until numb (15-30 mins)
2. Perform static exercises (20 secs), followed by isometric contraction (5-10 secs) for 3 sets (2-3 mins)
3. Gradually build muscle contraction to submax. contraction
4. Re-numb and repeat 3-4x

Question 13

Cryostretch effects?

Answer 13

Diminish pain and muscle spasm

Overcome the stretch reflex and decreased muscle spasm (CREEP)

Question 14

Cryostretch contraindications and precautions

Answer 14

Careful with acute inflammation as aggressive cryostretch can increase hemorrhaging and damage
Pain must be used as a guideline to avoid further damage
Avoid quick, jerking movements
Stretching should be applied and released slowly
Patient must contract and relax slowly and controlled