Record 35529 View: Standard | Glossary HistCite Guide |
Author(s): Mac Auley DC
Title: Ice therapy: How good is the evidence?
Source: INTERNATIONAL JOURNAL OF SPORTS MEDICINE 22 (5): 379-384
Date: 2001 JUL
Document Type: Journal : Article
DOI:
Language: English
Comment:
Address: Univ Ulster, Inst Postgrad Med & Hlth Sci, Belfast BT37 0QB, Antrim, North Ireland.
Reprint: Mac Auley, DC, Univ Ulster, Inst Postgrad Med & Hlth Sci, Belfast BT37
0QB, Antrim, North Ireland. E-mail:
Author Keywords: cryotherapy; soft tissue injury; systematic review
KeyWords Plus: INTRAMUSCULAR TEMPERATURE; CONTRAST THERAPY; HUMAN LEG; CRYOTHERAPY;
INJURIES; COLD; ULTRASOUND; IMMERSION; ANKLE; PACK
Abstract: Ice, compression and elevation are the basic principles of acute soft tissue injury. Few clinicians, however, can give specific evidence based guidance on the appropriate duration of each individual treatment session, the frequency of application, or the length of the treatment program. The purpose of this systematic review is to identify the original literature on cryotherapy in acute soft tissue injury and produce evidence based guidance on treatment. A systematic literature search was performed using Medline, Embase, SportDiscus and the database of the National Sports Medicine Institute (UK) using the key words ice, injury, sport, exercise. Temperature change within the muscle depends on the method of application, duration of application, initial temperature, and depth of subcutaneous fat. The evidence from this systematic review suggests that melting iced water applied through a wet towel for repeated periods of 10 minutes is most effective. The target temperature is reduction of 10-15 degreesC. Using repeated, rather than continuous, ice applications helps sustain reduced muscle temperature without compromising the skin and allows the superficial skin temperature to return to normal while deeper muscle temperature remains low. Reflex activity and motor function are impaired following ice treatment so patients may be more susceptible to injury for up to 30 minutes following treatment. It is concluded that ice is effective, but should be applied in repeated application of 10 minutes to be most effective, avoid side effects, and prevent possible further injury.
Cited References: BAKER RJ, 1991, J ORTHOP SPORT PHYS, V13, P23 BARCROFT H, 1943, J PHYSL, P102 BARNES L, 1979, PHYSICIAN SPORTSMED, V7, P130 BASUR RL, 1976, PRACTITIONER, V216, P708 BEVAN R, 1956, ATHLETIC TRAINERS HD, P63 BILIK SE, 1946, TRAINERS BIBLE, P257 BUGAJ R, 1975, PHYS THER, V55, P11 CLARKE RSJ, 1958, CLIN SCI, V17, P165 COLLINS K, 1986, PHYSICIAN SPORTSMED, V14, P105 CROSS KM, 1996, J ATHL TRAINING, V31, P113 CURL WW, 1997, J SPORT MED PHYS FIT, V37, P279 DRAPER DO, 1995, J ORTHOP SPORT PHYS, V21, P153 DREZ D, 1981, AM J SPORTS MED, V9, P256 EBRALL PS, 1989, CHIROPRACTIC SPORTS, V3, P111 EBRALL PS, 1992, J MANUAL MED, V6, P161 FARRY PJ, 1980, NZ MED J, V91, P12 GRANT AE, 1964, ARCH PHYS MED, V45, P233 HARTVIKSEN K, 1962, ACTA NEUROL SCAND S3, V38, P79 HAYDEN CA, 1964, J AM PHYS THER ASSOC, V44, P990 HO SSW, 1994, AM J SPORT MED, V22, P537 HOBBS KT, 1983, SPORT HLTH, V1, P15 HOCUTT JE, 1982, AM J SPORTS MED, V10, P316 HOLCOMB WR, 1996, J ATHL TRAINING, V31, P126 HOPPER D, 1997, PHYSIOTHER RES INT, V2, P223 JOB S, 1988, PHYSIOTHERAPY SPORT, V11, P4 JOHNSON DJ, 1979, PHYS THER, V59, P1238 KELLETT J, 1986, MED SCI SPORT EXER, V18, P489 KIMURA IF, 1997, J ATHL TRAINING, V32, P124 KNIGHT KL, 1980, MED SCI SPORTS EXERC, V12, P76 KNIGHT KL, 1985, CRYOTHERAPY THEORY T KOWAL MA, 1983, J ORTHOP SPORT PHYS, V5, P66 LAING DR, 1973, NZ MED J, V78, P155 LARIVIERE J, 1994, J SPORT REHABIL, V3, P58 LAVELLE BE, 1985, J ADV NURS, V10, P55 LEE JM, 1978, PHYSIOTHERAPY, V64, P2 LEHMANN JF, 1974, CLIN ORTHOP RELAT R, P207 LIEVENS P, 1984, INT J SPORTS MED, V5, P37 LOWDEN BJ, 1977, AUST J SPORTS MED, V9, P8 MALONE TR, 1992, J ATHL TRAINING, V27, P235 MATSEN FA, 1975, CLIN ORTHOP RELAT R, P201 MCMASTER WC, 1977, AM J SPORTS MED, V5, P124 MCMASTER WC, 1978, AM J SPORTS MED, V6, P291 MCMASTER WC, 1980, CLIN ORTHOP RELAT R, V150, P283 MEEUSEN R, 1986, SPORTS MED, V3, P398 MERRICK MA, 1993, J ATHL TRAIN DALLAS, V28, P238 MERRICK MA, 1993, J ATHL TRAIN DALLAS, V28, P241 MERRICK MA, 1993, J ATHL TRAINING, V28, P236 MYRER JW, 1994, J ATHL TRAINING, V29, P318 MYRER JW, 1997, J ATHL TRAINING, V32, P238 OLIVER RA, 1979, ARCH PHYS MED REHAB, V60, P126 PALMER JE, 1996, J ATHL TRAINING, V31, P319 PAPPENHEIMER JR, 1948, AM J PHYSIOL, V155, P458 QUILLEN WS, 1982, J ORTHOP SPORT PHYS, V4, P39 RIMINGTON SJ, 1994, J ATHL TRAINING, V29, P325 RIVENBURGH DW, 1992, CLIN SPORT MED, V11, P645 SAPEGA AA, 1988, J BONE JOINT SURG AM, V70, P1500 SHELBOURNE KD, 1996, SPORTS EXERC INJURY, V2, P176 WALTON M, 1986, J ORTHOP SPORT PHYS, V8, P294 WAYLONIS GW, 1967, ARCH PHYS MED REHAB, V48, P37 ZEMKE JE, 1998, J ORTHOP SPORT PHYS, V27, P301 |