Sports Medicine Cryotherapy

Discussion Scenario An athlete comes to the training room with shin splints. She asks for ice, and wants to know which method is best for her condition: ice massage, ice pack or cold whirlpool. Which method would you recommend? Why? Be ready to share your answer with the class.

Objectives Review the physiological effects of cold Explain the indications and contraindications of using cold Discuss the advantages and disadvantages of cold modalities

Terminology _____________________: using a source of cold for treatment

Physiological Effects of Cold Decreased ______________________ Decreased metabolism Decreased tissue extensibility Increased joint stiffness

Indications for Cryotherapy _______________________

Contraindications for Cryotherapy ___________________________________ Open wounds Cardiovascular problems Respiratory problems Diabetes or peripheral vascular disease Infection

Cold Whirlpool What it is: Container filled with ice & water at _____ to _______ Cooling occurs with water movement Where it’s used: Treating an injured extremity Advantages: Effective cooling in ____________________ Can treat _________ areas Disadvantages: Can’t be transported Requires prep time Constant supervision

Ice Massage What it is: Water frozen in a cup; the top of the cup is peeled away and the exposed ice is rubbed over the area Where it’s used: Over _______________ treatment areas (tendon, bursa, muscle belly, etc.) Advantages: Short treatment time (_____________ minutes) Cheap (cup + water) Athlete can _____________________ Disadvantages: Only effective on small areas Can be messy

Ice Bag What it is: Crushed ice tied in a plastic bag Where it’s used: Any body part, especially after acute injuries Advantages: Molds to the body part/treat large areas Cheap (plastic bag) after investment of ice machine Transportable Disadvantages: Requires longer treatment times (__________ minutes)