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Questions and Answers
What is the duration of the initial numbing in the CRYOKINETICS METHOD?
What is the duration of the initial numbing in the CRYOKINETICS METHOD?
What is the primary mechanism of the SPRAY AND STRETCH technique?
What is the primary mechanism of the SPRAY AND STRETCH technique?
What type of fiber carries intense pain messages quickly?
What type of fiber carries intense pain messages quickly?
What is the purpose of the vapocoolant in the SPRAY AND STRETCH technique?
What is the purpose of the vapocoolant in the SPRAY AND STRETCH technique?
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How many cold applications are used in the CRYOSTRETCH METHOD?
How many cold applications are used in the CRYOSTRETCH METHOD?
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What is the total time required for the soap application treatment?
What is the total time required for the soap application treatment?
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How many minutes of graded and progressive exercises are performed in the CRYOKINETICS METHOD?
How many minutes of graded and progressive exercises are performed in the CRYOKINETICS METHOD?
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What type of fiber carries longer-term throbbing and chronic pain?
What type of fiber carries longer-term throbbing and chronic pain?
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What is the optimal timing for cryotherapy in small areas with minimal fat and muscle?
What is the optimal timing for cryotherapy in small areas with minimal fat and muscle?
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What is the purpose of intermittent icing (10 min on: 10 min off) in cryotherapy?
What is the purpose of intermittent icing (10 min on: 10 min off) in cryotherapy?
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What is the most intense cooling method in cryotherapy?
What is the most intense cooling method in cryotherapy?
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What is a precaution to consider when applying cryotherapy?
What is a precaution to consider when applying cryotherapy?
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What is a contraindication of cryotherapy?
What is a contraindication of cryotherapy?
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What is the purpose of cooling to reduce pain in cryotherapy?
What is the purpose of cooling to reduce pain in cryotherapy?
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What is an indication of cryotherapy?
What is an indication of cryotherapy?
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What is a potential effect of cryotherapy on physiological responses?
What is a potential effect of cryotherapy on physiological responses?
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What is the primary function of A β fibers in the body?
What is the primary function of A β fibers in the body?
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What is the recommended angle of application for spray and stretch therapy?
What is the recommended angle of application for spray and stretch therapy?
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What is a contraindication for spray and stretch therapy?
What is a contraindication for spray and stretch therapy?
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What is the temperature range used in cryochambers?
What is the temperature range used in cryochambers?
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What is the effect of cryotherapy on muscle spasm?
What is the effect of cryotherapy on muscle spasm?
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What is the effect of cryotherapy on blood flow?
What is the effect of cryotherapy on blood flow?
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What is the primary benefit of using cryochambers for athletic recovery?
What is the primary benefit of using cryochambers for athletic recovery?
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What is the effect of cryotherapy on edema formation?
What is the effect of cryotherapy on edema formation?
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What is the primary form of paroxysmal digital cyanosis?
What is the primary form of paroxysmal digital cyanosis?
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What is the effect of cold packs on intramuscular temperature?
What is the effect of cold packs on intramuscular temperature?
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What is the benefit of using ice bags/packs in acute injuries?
What is the benefit of using ice bags/packs in acute injuries?
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What is the advantage of using gel cold packs?
What is the advantage of using gel cold packs?
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What is the risk of using instant chemical cold packs?
What is the risk of using instant chemical cold packs?
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What is the purpose of cryomassage?
What is the purpose of cryomassage?
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What is the recommended application technique for ice packs/bags?
What is the recommended application technique for ice packs/bags?
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What is the effect of cryotherapy on nerve damage?
What is the effect of cryotherapy on nerve damage?
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What is the benefit of cryotherapy in muscle recovery?
What is the benefit of cryotherapy in muscle recovery?
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What is the difference between cryokinesis and cryostretch?
What is the difference between cryokinesis and cryostretch?
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Study Notes
Aβ Fibers and Pain Transmission
- Large-diameter Aβ fibers are responsible for nonnociceptive transmission, meaning they do not transmit pain stimuli.
- They inhibit the activity of Aδ and C fibers, which are nociceptive and transmit pain signals.
Spray and Stretch Technique
- Patient is positioned to stretch the muscle while applying spray in parallel sweeps over the affected area.
- Spray should be applied at a 30º angle from 45 cm away.
- One hand performs the spray while the other hand stretches the muscle.
- Contraindications include acute tendinopathy, muscle traumas, hypermobility, and joint instability.
Cryotherapy Methods
- Various methods to apply cold include frozen wet towels, cold baths, cold whirlpools, and cryopressure units.
Cryochambers
- Temperature range: -140º to -180ºC for 3-5 minutes.
- Benefits include shortened recovery times and enhanced sports performance.
- Provides pain relief and strengthens collagen; it is dry and air-still, avoiding metal exposure.
Effects of Cryotherapy and Thermotherapy
- Cryotherapy: reduces pain and muscle spasms, increases nerve velocity, and edema formation.
- Thermotherapy: increases blood flow, metabolic rate, collagen extensibility, and reduces joint stiffness and spasticity.
Optimal Cryotherapy Application
- Timing is crucial: Smaller areas of tissue require less time (3-5 min) compared to large/deep tissues (20 min).
- Intermittent icing (10 minutes on, 10 minutes off) is more effective for acute inflammation than continuous icing.
- Levels of cooling intensity: Ice water immersion is most intense, followed by crushed ice and cold gel packs.
Indications for Cryotherapy
- Effective for acute/subacute traumatic injuries, postsurgical pain, muscle spasms, spasticity disorders, and burns.
Precautions and Contraindications
- Avoid application over major nerves, open wounds, or in patients with hypertension, poor sensation, or certain syndromes.
- Cold urticaria can cause skin reactions, while cold intolerance may lead to severe pain or color changes.
- Other contraindications include Raynaud’s disease and paroxysmal cold hemoglobinuria.
Adverse Effects
- Potential risks include tissue death, frostbite, nerve damage, and unwanted vasodilation.
Cryotherapy Application Techniques
- Ice Bags/Packs: Provide more cooling than cold packs; less insulation is needed, effective for about 20 minutes.
- Gel Cold Packs: Filled with silica or saline mix; should not be applied directly to the skin.
- Instant Chemical Cold Packs: Provide portable cold sources; single-use and can cause burns if leaking.
- Cryomassage: Ice-filled bag applied over skin with soap for lubrication, lasting about 10 minutes.
- Cryokinetics: Combines cold applications (20 min for numbing, followed by active exercises).
- Cryostretch: Similar to cryokinetics but includes passive stretching and isometric contractions.
Gate Control Theory of Pain
- Afferent pain transmission involves Aδ and C fibers for acute and chronic pain respectively.
- Activation of nonnociceptive fibers can inhibit the signals from pain fibers, reducing the perception of pain.
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Description
A treatment method combining cold applications with active exercises to aid in injury recovery. The process involves cold applications for numbing and exercises of graded intensity.