Tyler Beauchamp Definitions Cryotherapy cry meaning cold ROM range of motion MMT manual muscle testing RTP return to play Edema swelling Inversion foot rolls in ID: 515309
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Cryotherapy Techniques Applied to Acute Ankle Sprains
Tyler BeauchampSlide2
Definitions
Cry/o/therapy – “cry” meaning cold
ROM – range of motion
MMT – manual muscle testing
RTP – return to play
Edema – swelling
Inversion – foot rolls in
Eversion – foot rolls out
Dorsiflexion – toes to the nose
Plantarflexion – foot to the floorSlide3
Introduction
Cryotherapy is used for rehabilitation purposes to decrease swelling and increase ROM
Used to block nerve fibers from moving from the injured site to the thalamus
Used in the inflammatory response phase of the healing processSlide4
http://www.aafp.org/afp/2001/0515/p1979.htmlSlide5
http://www.arjohuntleigh.com/Page.asp?PageNumber=3979Slide6
Cryotherapy MethodsSlide7
Cryotherapy for acute ankle sprains: a randomised controlled study of two different icing protocols
Ice pack (compression)
vs
intermittent
Purpose: to compare intermittent cryotherapy to a standard cryotherapy treatment
Participants: 89 subjects with mild or moderate ankle sprains within the past 48 hours (16+ years old)
Method: subjects randomly assigned into two groups; standard ice application or intermittent ice application
Results: no significant difference between the two groups for ankle function or swelling
Intermittent reduced the level of subjective pain during activity compared to the standard applicationSlide8
Comparison of Three Treatment Procedures for Minimizing Ankle Sprain Swelling
Purpose: to compare the effects of cold, heat, and contrast bath on swelling in subjects with acute ankle sprains
Participants: 30 students (18-22 years old) with an acute ankle sprain
Method: randomly assigned to one of three treatment groups; cold whirlpool, warm whirlpool, or contrast bath
Results: cold therapy showed a significant difference in reduction of swelling
Warm whirlpool and contrast bath showed no significant difference in reducing swellingSlide9
Problem
There is no declarative research that has provided information to determine which method is most effective
Each
method of cryotherapy
has been observed in research on its effectiveness but most have not been compared to another method
Studies using cryocuff or biocryo are scarce
Both applications utilize the same methods that both ice packs and cold whirlpools haveSlide10
Purpose
To compare and determine the most effective method for increasing ROM and decreasing edema in male collegiate level basketball players during season
Cryocuff and biocryo applications will be compared in order to determine effectivenessSlide11
Importance
It is important to reach a declarative conclusion and understand how each method works in a specific situation
Having evidence would help collegiate programs select the appropriate treatment method for an athlete to RTP quicker
Decreasing edema allows for further treatment and strengthening to take placeSlide12
Procedures
30 male collegiate basketball players suffering from an acute ankle injury (18 – 24 years)
Subjects randomly divided into two different groups; cryocuff and biocryo treatment groups
Each participant will partake in therapeutic exercise to further strengthen the ankle
Those with +3 recurrent ankle sprains will be excluded
Pre-test / post-test methodSlide13
Goniometer
TherabandSlide14
Expected Results
Hypotheses:
Application
of the biocryo regimen will prove to be more beneficial in decreasing edema rather than the cryocuff treatment
Application of the biocryo regimen will prove to have more of a significant impact on increasing ROM rather than the cryocuff treatmentSlide15
References
Bleckley, C. M., McDonough, S. M., & MacAuley, D. (2006). Cryotherapy for acute ankle sprains: a randomised controlled study of two different icing protocols. British Journal of Sports Medicine, 40(8), p700-706. Retrieved February 17, 2013, from the SPORTDiscus database.
Cote, D. J., Prentice, W. E., Hooker, D. N., & Shields, E. W. (1988). Comparison of Three Treatment Procedures for Minimizing Ankle Sprain Swelling. Journal of the American Physical Therapy Association,68, 1072-1076. Retrieved March 3, 2013, from the PubMed database.
Denegar, C. R., Saliba, E., & Saliba, S. F. (2006). Therapeutic modalities for musculoskeletal injuries (3rd ed.). Champaign, IL: Human Kinetics.
Hislop, H. J., & Montgomery, J. (2007).Daniels and Worthingham's muscle testing: techniques of manual examination. (8th ed.). St. Louis, Mo.: Saunders / Elsevier.
Norkin, C. C., & White, D. J. (2009).Measurement of joint motion: a guide to goniometry (4th ed.). Philadelphia: F.A. Davis.
Shultz, S. J., Houglum, P. A., & Perrin, D. H. (2005). Examination of musculoskeletal injuries (2nd ed.). Champaign, IL: Human Kinetics.
Starkey, C., Brown, S. D., & Ryan, J. L. (2010). Examination of orthopedic and athletic injuries (Ed. 3. ed.). Philadelphia: F.A. Davis Co..