Intra-articular knee temperature changes: ice versus cryotherapy device
| Autor: | Kurt P. Spindler, Todd A. Warren, Eric C. McCarty, Todd Michener, Airron L Richardson |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale medicine.medical_treatment Pain Physical Therapy Sports Therapy and Rehabilitation Cryotherapy Knee Injuries 03 medical and health sciences 0302 clinical medicine Intra articular Medicine Humans Orthopedics and Sports Medicine Knee Prospective Studies Suprapatellar pouch 030222 orthopedics business.industry Ice Skin temperature 030229 sport sciences Surgery Correlation analysis Female Knee injuries business Nuclear medicine Skin Temperature |
| Zdroj: | The American journal of sports medicine. 32(2) |
| ISSN: | 0363-5465 |
| Popis: | Background Cryotherapy is commonly applied without research documenting the intra-articular (IA) temperature changes or subject discomfort between ice and a cryotherapy device. Hypothesis The null hypothesis is that no difference would be observed in IA temperature decline or subject tolerance between ice and the cryotherapy device in normal knees. Study Design Prospective, within-subject controlled clinical trial. Methods Twelve subjects had IA temperature in suprapatellar pouch and skin recorded bilaterally after application of cryotherapy versus ice. Subject tolerance was recorded by 10-cm visual analog scale (VAS). Statistical evaluation was by Spearman's correlation analysis and paired, nonparametric Wilcoxon's signed rank test. Results Both significantly lowered (P < 0.001) skin and IA temperature with median decreases (ice/cryotherapy) at 30 (3.3 °C/2.2 °C), 60 (12.8 °C/7.1 °C), and 90 (15.2 °C/9.7 °C) minutes. However, ice lowered the IA temperature significantly more than the cryotherapy device (P < 0.001) and was more painful by VAS at 30 and 60 minutes (P < 0.01). Conclusions Both methods produced large declines in skin and IA temperatures. However, ice was more effective yet resulted in higher pain scores. The authors hypothesize that IA temperatures below a threshold are associated with increased perceived pain. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|