The relationship between intramuscular temperature, skin temperature, and adipose thickness during cryotherapy and rewarming. Jutte LS, Merrick MA, Ingersoll CD, Edwards JE.The cooling, analgesic, and rewarming effects of ice massage on localized skin. The use of contrast therapy in soft tissue injury management and post-exercise recovery: a scoping review. Greenhalgh O, Alexander J, Richards J, Selfe J, McCarthy C.Cryotherapy for acute ankle sprains: a randomised controlled study of two different icing protocols. Bleakley CM, McDonough SM, MacAuley DC.The development of optimal therapeutic protocols using the Swellaway knee unit, on healthy male subjects. Greenhalgh O, Selfe J, Alexander J, McCarthy C, Richards J.Exploratory evaluation of muscle strength and skin surface temperature responses to contemporary cryotherapy modalities in sport.
Alexander J, Selfe J, Greenhalgh O, Rhodes D.An exploratory study into the effects of a 20 minute crushed ice application on knee joint position sense during a small knee bend. Alexander J, Selfe J, Oliver B, et al.Delayed effects of a 20-min crushed ice application on knee joint position sense assessed by a functional task during a re-warming period. Alexander J, Richards J, Attah O, Cheema S, Snook J, Wisdell C.The International Journal of Sports Physical Therapy. THE EFFECT OF KNEE JOINT COOLING ON ISOKINETIC TORQUE PRODUCTION OF THE KNEE EXTENSORS: CONSIDERATIONS FOR APPLICATION. The Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSM) 2011. Guidelines on the management of acute soft tissue injury using protection rest ice compression and elevation. Bleakley CM, Glasgow PD, Phillips N, et al.5 This would allow individuals to apply a targeted cryotherapy intervention, using the ProMOTION EV1, and then return to weight bearing activity earlier, at a lower risk of injury. 1 Emerging research suggests a targeted cryotherapy approach may help to minimise the reduction to muscle strength previously reported with ice interventions, which cooled a relatively larger surface area. The guidelines for injury management have introduced ‘optimal loading’ as a solution to encourage early activity to optimise recovery. 2-4 Therefore, authors have warned clinicians to consider the potential increased risk of injury following a cryotherapy treatment, before returning to weight bearing activity. 1 However, short-term adverse effects to dynamic stability and muscle strength (up to a 16% reduction) have also been reported following ice interventions. High-quality evidence supports the use of cryotherapy as a short-term pain relief for acute soft-tissue injury management. Targeted Therapy Benefits of Targeted Cryotherapy
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