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14 Cards in this Set
- Front
- Back
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Indications |
To reduce inflammation, pain & edema; facilitates movement & reduces spasticity. REDUCES edema, does not remove it. |
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Contraindications |
-hypersensitivity -intolerance -Raynaud's Syndrome -regenerating peripheral nerve -cryoglobulinemia (serum protein in distal circulation impairs flow) -PVD |
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Physiological Effects - Hemodynamics |
-Vasoconstriction - reduce blood flow -prevents more blood from being cooled -Decreased blood flow - decreased temp results in increased viscosity -Vasodilation - Hunting response (tissue becomes cold, body responds with cold-induced vasodilation -Tissue temp change - decrease in temp to 10C or more may cause frostbite
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Neuromuscular Effects |
-Change in viscoelastic properties of tissue - tissue is cooled may not respond favorable to length change -Decreased nerve conduction velocity - 20-30 min to -Increased pain threshold -Altered muscle strength following cold (perform MMT first) |
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Metabolic Effects |
-chemical reactions slowed, slows inflammatory response -can reduce collagen destruction in inflammatory joint disease (RA) |
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Depth of cooling |
1-4 cm |
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Cold/Ice pack |
Conduction 10-15 minutes advantage - different sizes and shapes, reusable, safe while unattened |
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Ice Massage |
Conduction -directly on skin apply to small area time - until numb CBAAN - cold, burning, aching, analgesia, numb advantage - quick effect for friction message |
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Cold compression/Cryocuff |
Conduction 20 minutes indications - pain, edema, acute inflammation adverse effects - frostbite, tissue death, nerve damage, unwanted vasodialation cold and compression together = less pain and greater ROM |
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Cold whirlpool/cold bath |
Convection advantage - effective for distal extremities, total contact of area, home use disadvantage - extremity must be in a gravity dependent position 55-64 degrees 15-20 minutes |
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Contrast Bath |
-distal extremity -alternate cold/hot -edema reduction (start hot, end cold) -pain control (start and end hot) -indications: athletic injuries, leg ulcer, ortho problems, arthritis -contraindications: cardiovascular problems, PVD, sensation, tend to hemorrhage, pregnacy -Hot: 4-5 minutes (100-110 F) -Cold: 1 minute (55-65 F) |
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Normal Response |
-decreased edema, temp, metabolic rate, tone, nerve conduction velocity -increased pain threshold |
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Abnormal Response |
rash, severe pain, numbness, blood in urine |
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Common Conditions |
Acute injury or trauma, orthopedic surgery, after exercise for DOMS, joint or soft tissue mobs, osteoarthritis and rheumatoid arthritis (chronic inflammation), pain-spasm-pain cycle, spasticity due to UMN dysfunction, flaccidity (quick icing - but unreliable) from UMN, reduce sensation of pain prior to athletic strengthening & stretching |
