Ben, Trina, Jake, Levi

OBJECTIVESHistoryCharacteristicsMethods of CryotherapyEvidence Based ResearchReview QuestionsReferences

HISTORYThe Egyptians used cold to treat injuries and inflammation as

early as 2500 BC. Ancient Greeks and Romans used cold applications of snow

and natural ice to treat a variety of medical problems. Many books and articles were written about

cryotherapy in the early 19th century. By 1835 the application of cold compresses to inflammed wounds was a common treatment option. The first commercially viable ice machine was patent- -ed in 1850 by a Florida physicianBetween 1845 and 1851, Dr. James Arnott of Brighton, England described the benefits of local cold application in

the treatment of numerous conditions, including headaches and neuralgia.

HISTORYBy 1881, cold compresses were a recognized addition to

treatment after surgery. But in the 1930s, the common treatment for acute injuries

was hot compresses combined with soap suds or epsom salts. Medicine books began advocating cold treatments again for

acute injuries by the 1940s. In the early 1960s, athletic trainers were arguing the benefits

of heat vs. cold applications for initial treatments of athletic injuries.

Cold was almost used universally by sports medicine practitioners for immediate care by the 1970s.

Beginning in the 1980s through the 21st century, great efforts have been made to expand the theoretical basis for the use of cold applications in acute injury management.

CHARACTERISTICSWhat is occurring to

the tissueTherapeutic affects

Types of CryotherapyWhirlpoolIce massageCold Compression Therapy UnitIce packs

WhirlpoolMethods of applicationIndicationsContraindicationsPrecautionsRecommendations for useProper use of agent

Methods of Application

INDICATIONS

CONTRAINDICATIONS

PRECAUTIONS

RECOMMENDATIONS FOR USE

PROPER USE OF AGENT

ICE MASSAGEMethods of applicationIndicationsContraindicationsPrecautionsRecommendations for useProper use of agent

METHODS OF APPLICATION

INDICATIONS

CONTRAINDICATIONS

PRECAUTIONS

RECOMMENDATIONS FOR USE

PROPER USE OF AGENT

Cold Compression TherapyMethods of applicationIndicationsContraindicationsPrecautionsRecommendations for useProper use of agent

METHODS OF APPLICATIONApplied 24 to 72 hours after acute injury of

surgery.Cuffs come for specific areas of the body, i.e.

shoulder, ankle, and kneeProvides a cooling effect with compression

and elevation for post surgery patients.

INDICATIONSAcute Injury or InflammationPostsurgical pain and edema

CONTRAINDICATIONSCardiac or Respiratory ProblemsUncovered Open WoundsCirculatory InsufficiencyCold Allergy or HypersensitivityAnesthetized Skin

PRECAUTIONSAvoid applying too much pressureAvoid applying over large superficial nerves,

could cause cold induced neuropathy

RECOMMENDATIONS FOR USERecommended for postsurgical patients for

home use.Can be used for 24 to 72 hours post surgery.

PROPER USE OF AGENT

ICE PacksMethods of applicationIndicationsContraindicationsPrecautionsRecommendations for useProper use of agent

METHODS OF APPLICATION• Apply to affected area

• 15 to 20 minutes at a time several times a day

• Prolonged ice application beyond 1 to 2 days has been shown to impair healing.

INDICATIONSUse of an ice pack is in the acute phase of a

soft tissue injury.Cooling will help prevent swelling.Ice packs are also useful to minimize or

prevent increased inflammation or pain.The depth of anesthesia with an ice pack is

generally considerably less than with an ice massage.

CONTRAINDICATIONSSevere reactions to cold are rare and are related

to hypersensitivity reactions.Cold is contraindicated for patients who have

developed hypertension during cold treatment or have a cold allergy (hives, joint pain) or cryoglobulinemia.

Cold should not be applied to areas of reduced skin sensitivity, or in patients who have Raynaud’s syndrome or sickle cell anemia.

Cold can further impair local blood flow in people who have peripheral vascular disease.

PRECAUTIONS• Prolonged exposure will lead to freezing of tissue.

• A number of cases of peripheral nerve injury from cryotherapy have been reported.

• Injury sites have included the peroneal, lateral femoral cutaneous, and supraclavicular nerves

RECOMMENDATIONS FOR USEDecreases or reduces swellingDecreases inflamationDecreases muscle spasmDecreases painDecreases vasoconstrictionDecreases secondary tissue damage

PROPER USE OF AGENTWhen applying an ice pack, never do so

directly onto the skin unless you are using crushed ice.

15-20min intervals several times a dayDuring the first 24 to 72 hours after an injury

be sure to avoid any form of heat at the injury site, avoid movement and do not massage the injured area as these will increase the bleeding, swelling, and pain.

EXAMINATION OF EVIDENCE BASED RESEARCH

REVIEW QUESTIONS

REFERENCES