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Cryotherapy for acute ankle sprains: a randomised controlled study of two different icing protocols.

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

Bleakley, C M, McDonough, S M, MacAuley, D C and Bjordal, J (2006) Cryotherapy for acute ankle sprains: a randomised controlled study of two different icing protocols. British journal of sports medicine, 40 (8). 700-705; discussion 705. [Journal article]

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Abstract

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.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Faculty of Life and Health Sciences > Ulster Sports Academy
Research Institutes and Groups:Institute of Nursing and Health Research
Sport and Exercise Sciences Research Institute
Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
Sport and Exercise Sciences Research Institute > Centre for Sports Science and Sports Medicine
ID Code:7596
Deposited By:Dr Chris Bleakley
Deposited On:09 Aug 2010 13:39
Last Modified:09 Nov 2012 12:32

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