1. CRYOTHERAPY Ben, Trina, Jake, Levi

2. OBJECTIVES History Characteristics Methods of Cryotherapy Evidence Based Research Review Questions References

3. HISTORY

5. CHARACTERISTICS What is occurring to the tissue Therapeutic affects

6. Types of Cryotherapy Whirlpool Ice massage Cryocuff Ice packs

7. Whirlpool Methods of application Indications Contraindications Precautions Recommendations for use Proper use of agent

8. Methods of Application

9. INDICATIONS

10. CONTRAINDICATIONS

11. PRECAUTIONS

12. RECOMMENDATIONS FOR USE

13. PROPER USE OF AGENT

14. ICE MASSAGE Methods of application Indications Contraindications Precautions Recommendations for use Proper use of agent

15. METHODS OF APPLICATION

16. INDICATIONS

17. CONTRAINDICATIONS

18. PRECAUTIONS

19. RECOMMENDATIONS FOR USE

20. PROPER USE OF AGENT

21. CRYOCUFF Methods of application Indications Contraindications Precautions Recommendations for use Proper use of agent

22. METHODS OF APPLICATION

23. INDICATIONS

24. CONTRAINDICATIONS

25. PRECAUTIONS

26. RECOMMENDATIONS FOR USE

27. PROPER USE OF AGENT

28. ICE Packs Methods of application Indications Contraindications Precautions Recommendations for use Proper use of agent

29. METHODS OF APPLICATION Apply to affected area 15 to 20 at a time several times a day Prolonged ice application beyond 1 to 2 days has been shown to impair healing

30. INDICATIONS

31. CONTRAINDICATIONS Severe reactions to cold are rare and are related to hypersensitivity reactions. Cold is contraindicated forpatients 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.

32. 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

33. RECOMMENDATIONS FOR USE Decreases swelling Decreases muscle spasm Decreases pain Decreases vasoconstriction

34. PROPER USE OF AGENT When applying ice, never do so directly onto the skin 15-20min intervals several times a day During 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.

35. EXAMINATION OF EVIDENCE BASED RESEARCH

36. REVIEW QUESTIONS

37. REFERENCES