Comparison of a Continuous Temperature-Controlled Cryotherapy Device to a Simple Icing Regimen Following Outpatient Knee Arthroscopy
| Autor: | Shane K. Woolf, William R. Barfield, Keith D. Merrill, Angus M. McBryde |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Knee Joint medicine.medical_treatment Cryotherapy law.invention Arthroscopy Randomized controlled trial Quality of life law Statistical significance medicine Humans Orthopedics and Sports Medicine Functional ability Aged Pain Postoperative Knee arthroscopy business.industry Middle Aged Surgery Regimen medicine.anatomical_structure Ligament Sleep Deprivation Female business |
| Zdroj: | Journal of Knee Surgery. 21:15-19 |
| ISSN: | 1938-2480 1538-8506 |
| DOI: | 10.1055/s-0030-1247786 |
| Popis: | This prospective, randomized study compared postoperative pain control with use of a continuous temperature-controlled cryotherapy system versus a traditional ice therapy regimen following outpatient knee arthroscopy. Patients with unilateral knee pathology scheduled for outpatient arthroscopic surgery were included. Patients with major ligament reconstructions were excluded. A specific cold therapy regimen was begun postoperatively and continued for 2 weeks as adjunctive management of postoperative pain. Preoperative and postoperative pain intensity, pain type, functionality, and sleep quality were assessed. Patients were randomly assigned to either an ice or a continuous cryotherapy group. Follow-up questionnaires were completed on 5 postoperative days. Data were analyzed using a chi-square test with a level of significance at P < 0.05. Fifty-three patients completed the study. Pain intensity was similar between groups throughout the course of the study. Among patients who reported experiencing night pain, 36% of those in the continuous cryotherapy group were able to sleep soundly with minimal awakening through postoperative day 2 versus 5.9% among the ice therapy group (P = 0.04). No significant differences existed between groups regarding functional ability, and no differences were noted on other follow-up days. These findings support use of continuous temperature-controlled cold therapy devices for nighttime pain control and improved quality of life in the early period following routine knee arthroscopy. |
| Databáze: | OpenAIRE |
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