Document Detail

Cryotherapy for acute ankle sprains: a randomised controlled study of two different icing protocols.
MedLine Citation:
PMID:  16611722     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The use of cryotherapy in the management of acute soft tissue injury is largely based on anecdotal evidence. Preliminary evidence suggests that intermittent cryotherapy applications are most effective at reducing tissue temperature to optimal therapeutic levels. However, its efficacy in treating injured human subjects is not yet known.
OBJECTIVE: To compare the efficacy of an intermittent cryotherapy treatment protocol with a standard cryotherapy treatment protocol in the management of acute ankle sprains.
SUBJECTS: Sportsmen (n = 44) and members of the general public (n = 45) with mild/moderate acute ankle sprains.
METHODS: Subjects were randomly allocated, under strictly controlled double blind conditions, to one of two treatment groups: standard ice application (n = 46) or intermittent ice application (n = 43). The mode of cryotherapy was standardised across groups and consisted of melting iced water (0 degrees C) in a standardised pack. Function, pain, and swelling were recorded at baseline and one, two, three, four, and six weeks after injury.
RESULTS: Subjects treated with the intermittent protocol had significantly (p<0.05) less ankle pain on activity than those using a standard 20 minute protocol; however, one week after ankle injury, there were no significant differences between groups in terms of function, swelling, or pain at rest.
CONCLUSION: Intermittent applications may enhance the therapeutic effect of ice in pain relief after acute soft tissue injury.
C M Bleakley; S M McDonough; D C MacAuley; J Bjordal
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2006-04-12
Journal Detail:
Title:  British journal of sports medicine     Volume:  40     ISSN:  1473-0480     ISO Abbreviation:  Br J Sports Med     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-25     Completed Date:  2006-08-28     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  0432520     Medline TA:  Br J Sports Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  700-5; discussion 705     Citation Subset:  IM    
Health and Rehabilitation Sciences Research Institute, University of Ulster, Jordanstown BT37 0QB, County Antrim, Northern Ireland, UK.
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MeSH Terms
Acute Disease
Ankle Injuries / therapy*
Athletic Injuries / therapy*
Cryotherapy / methods*
Double-Blind Method
Follow-Up Studies
Pain / etiology
Soft Tissue Injuries / therapy*
Sprains and Strains / therapy*
Treatment Outcome
Comment In:
Clin J Sport Med. 2007 Jul;17(4):335   [PMID:  17620801 ]

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