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Palucci Vieira LH, Carling C, Kalva-Filho CA, Santinelli FB, Velluto LAG, da Silva JP, Clemente FM, Kellis E, Barbieri FA. Recovery of kicking kinematics and performance following repeated high-intensity running bouts in the heat: Can a rapid local cooling intervention help young soccer players? J Sports Sci 2023:1-11. [PMID: 37279300 DOI: 10.1080/02640414.2023.2220194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 05/24/2023] [Indexed: 06/08/2023]
Abstract
The effects of a cooling strategy following repeated high-intensity running (RHIR) on soccer kicking performance in a hot environment (>30ºC) were investigated in youth soccer players. Fifteen academy under-17 players participated. In Experiment 1, players completed an all-out RHIR protocol (10×30 m, with 30s intervals). In Experiment 2 (cross-over design), participants performed this running protocol under two conditions: (1) following RHIR 5 minutes of cooling where ice packs were applied to the quadriceps/hamstrings, (2) a control condition involving passive resting. Perceptual measures [ratings of perceived exertion (RPE), pain and recovery], thigh temperature and kick-derived video three-dimensional kinematics (lower limb) and performance (ball speed and two-dimensional placement indices) were collected at baseline, post-exercise and intervention. In Experiment 1, RHIR led to small-to-large impairments (p < 0.03;d = -0.42--1.83) across perceptual, kinematic and performance measures. In experiment 2, RPE (p < 0.01; Kendall's W = 0.30) and mean radial error (p = 0.057; η2 = 0.234) increased only post-control. Significant small declines in ball speed were also observed post-control (p < 0.05; d = 0.35). Post-intervention foot centre-of-mass velocity was moderately faster in the cooling compared to control condition (p = 0.04; d = 0.60). In youth soccer players, a short cooling period was beneficial in counteracting declines in kicking performance, in particular ball placement, following intense running activity in the heat.
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Affiliation(s)
- Luiz H Palucci Vieira
- Human Movement Research Laboratory (MOVI-LAB), Faculty of Sciences, Graduate Program in Movement Sciences, Physical Education Dept, São Paulo State University (Unesp), Bauru, Brazil
| | - Christopher Carling
- FFF Research Centre, French Football Federation, Clairefontaine National Football Centre, Clairefontaine-En-Yvelines, France
- Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport (INSEP), Paris, France
| | - Carlos A Kalva-Filho
- Human Movement Research Laboratory (MOVI-LAB), Faculty of Sciences, Graduate Program in Movement Sciences, Physical Education Dept, São Paulo State University (Unesp), Bauru, Brazil
| | - Felipe B Santinelli
- Human Movement Research Laboratory (MOVI-LAB), Faculty of Sciences, Graduate Program in Movement Sciences, Physical Education Dept, São Paulo State University (Unesp), Bauru, Brazil
- REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium
| | - Lorenzo A G Velluto
- Human Movement Research Laboratory (MOVI-LAB), Faculty of Sciences, Graduate Program in Movement Sciences, Physical Education Dept, São Paulo State University (Unesp), Bauru, Brazil
| | - João Pedro da Silva
- Human Movement Research Laboratory (MOVI-LAB), Faculty of Sciences, Graduate Program in Movement Sciences, Physical Education Dept, São Paulo State University (Unesp), Bauru, Brazil
| | - Filipe M Clemente
- Escola Superior Desporto E Lazer, Instituto Politécnico de Viana Do Castelo, Rua Escola Industrial E Comercial de Nun'álvares, Viana Do Castelo, Portugal
| | - Eleftherios Kellis
- Laboratory of Neuromechanics, Department of Physical Education and Sports Sciences of Serres, Aristotle University of Thessaloniki, Serres, Greece
| | - Fabio A Barbieri
- Human Movement Research Laboratory (MOVI-LAB), Faculty of Sciences, Graduate Program in Movement Sciences, Physical Education Dept, São Paulo State University (Unesp), Bauru, Brazil
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Efficacy of Different Cold-Water Immersion Temperatures on Neuromotor Performance in Young Athletes. Life (Basel) 2022; 12:life12050683. [PMID: 35629351 PMCID: PMC9147268 DOI: 10.3390/life12050683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 03/02/2022] [Accepted: 03/13/2022] [Indexed: 11/17/2022] Open
Abstract
Cold-Water-Immersion (CWI) has been frequently used to accelerate muscle recovery and to improve performance after fatigue onset. In the present study, the aim was to investigate the effects of different CWI temperatures on neuromuscular activity on quadriceps after acute fatigue protocol. Thirty-six young athletes (16.9 ± 1.4 years-old; 72.1 ± 13.8 kg; 178.4 ± 7.2 cm) were divided into three groups: passive recovery group (PRG); CWI at 5 °C group (5G); and CWI at 10 °C group (10G). All participants performed a fatigue exercise protocol; afterwards, PRG performed a passive recovery (rest), while 5G and 10G were submitted to CWI by means of 5 °C and 10 °C temperatures during 10 min, respectively. Fatigue protocol was performed by knee extension at 40% of isometric peak force from maximal isometric voluntary contraction. Electromyography was used to evaluate neuromuscular performance. The passive recovery and CWI at 5 °C were associated with normalized isometric force and quadriceps activation amplitude from 15 until 120 min after exercise-induced fatigue (F = 7.169, p < 0.001). CWI at 5 °C and 10 °C showed higher muscle activation (F = 6.850, p < 0.001) and lower median frequency (MF) than passive recovery after 15 and 30 min of fatigue (F = 5.386, p < 0.001). For neuromuscular efficiency (NME) recovery, while PRG normalized NME values after 15 min, 5G and 10G exhibited these responses after 60 and 30 min (F = 4.330, p < 0.01), respectively. Passive recovery and CWI at 5 °C and 10 °C revealed similar effects in terms of recovery of muscle strength and NME, but ice interventions resulted in higher quadriceps activation recovery.
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Choi J, Song K, Kim H, Lee SY, Park J. Effects of Unilateral Lower-extremity Joint Cooling on Movement Biomechanics during Two-legged Jumping and Landing. THE ASIAN JOURNAL OF KINESIOLOGY 2022. [DOI: 10.15758/ajk.2022.24.2.38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES This study examined the immediate effect of unilateral ankle or knee joint cooling on the low-erextremity kinematics and kinetics during two-legged jumping and landing.METHODS Twenty healthy adults randomly completed three data collection sessions for ankle or knee joint cooling, or control. For each session, participants performed two-legged countermovement jumps and lands. For joint cooling, two ice bags were directly placed to the right side and secured with a compression bandage. A three-dimensional motion analysis system (200 Hz) with two floor-embedded force platforms (2000 Hz) was employed to capture the jumping and landing. The cooling effects on kinematical (flight time, and sagittal plane joint angles) and kinetical (peak vertical ground reaction force (vGRF), impulse, and sagittal plane joint moments) variables were examined. A mixed-model analysis of variance was performed for each dependent variable (<i>p</i>≤0.0001 for all tests).RESULTS We did not observe any interactions (flight time: F<sub>2,95</sub>=0.67, <i>p</i>=0.52; joint angles: F<sub>2,209</sub>≤2.26, <i>p</i>≥0.10; peak vGRF: F<sub>2,209</sub>≤1.76, <i>p</i>≥0.20; impulse: F<sub>2,209</sub>≤2.54, <i>p</i>≥0.10; joint moments: F<sub>2,209</sub>≤4.80, <i>p</i>≥0.01 for all interactions). Regardless of condition and time (side effect), subjects showed a dominant-leg predominant movement strategy. Specifically, the right side showed a greater peak vGRF (2%), and greater ankle (7%), knee (6%), and hip (11%) joint moments, as compared with the left side during jumping. The same movement pattern was observed during landing that there was greater peak vGRF (11%) and impulse (8%), and greater ankle and knee joint moments (15%). Regardless of time and side (condition effect), subjects with ankle joint cooling showed 5% lesser ankle joint moment during jumping, compared with those who received knee joint cooling (<i>p</i>=0.0001).CONCLUSIONS A 20-min of unilateral ankle or knee joint cooling seems to neither alter vertical jump height nor change movement biomechanics during two-legged jumping and landing.
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Lei TH, Wang F. Looking ahead of 2021 Tokyo Summer Olympic Games: How Does Humid Heat Affect Endurance Performance? Insight into physiological mechanism and heat-related illness prevention strategies. J Therm Biol 2021; 99:102975. [PMID: 34420619 DOI: 10.1016/j.jtherbio.2021.102975] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 04/15/2021] [Accepted: 04/16/2021] [Indexed: 12/25/2022]
Abstract
The combination of high humidity and ambient temperature of the 2021 Tokyo Summer Olympic Game will undoubtfully result in greater physiological strains and thereby downregulates the endurance performance of athletes. Although many research studies have highlighted that the thermoregulatory strain is greater when the environment is hot and humid, no review articles have addressed the thermoregulatory and performance differences between dry and humid heat and such lack of consensuses in this area will lead to increase the risk of heat-related injuries as well as suboptimal preparation. Furthermore, specific strategies to counteract this stressful environment has not been outlined in the current literature. Therefore, the purposes of this review are: 1) to provide a clear evidence that humid heat is more stressful than dry heat for both male and female athletes and therefore the preparation for the Tokyo Summer Olympic should be environmental specific instead of a one size fits all approach; 2) to highlight why female athletes may be facing a disadvantage when performing a prolonged endurance event under high humidity environment and 3) to highlight the potential interventional strategies to reduce thermal strain in hot-humid environment. The summaries of this review are: both male and female should be aware of the environmental condition in Tokyo as humid heat is more stressful than dry heat; Short-term heat acclimation may not elicit proper thermoregulatory adaptations in hot-humid environment; cold water immersion with proper hydration and some potential per-cooling modalities may be beneficial for both male and female athletes in hot-humid environment.
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Affiliation(s)
- Tze-Huan Lei
- College of Physical Education, Hubei Normal University, Huangshi, China
| | - Faming Wang
- School of Architecture and Art, Central South University, Changsha, China.
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Lu Y, He Y, Ying S, Wang Q, Li J. Effect of Cryotherapy Temperature on the Extension Performance of Healthy Adults' Legs. BIOLOGY 2021; 10:biology10070591. [PMID: 34206982 PMCID: PMC8301076 DOI: 10.3390/biology10070591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 06/21/2021] [Accepted: 06/22/2021] [Indexed: 11/24/2022]
Abstract
Simple Summary The aim of this study was to investigate the effect of different temperature cryotherapy on leg extension performance. A short period of cold treatment at 0 °C may increase the leg extension ability; however, further lower cold treatment temperatures may cause a decrease in the stretching speed. This may indicate that 0 °C cold therapy for a short period of time is more suitable than −5 °C cold therapy for athletes to recover during the interval within a competition. Abstract Cryotherapy as a measurement of sports recovery and treatment has been utilized by more and more athletes and coaches. The aim of this study was to investigate the effect of different temperature cryotherapies on leg extension performance. Thirty-one male participants from a University volunteered to join two different temperature cryotherapies. The peak power and peak force of right leg extension performance of each participant was measured by Keiser, before and after cryotherapy, respectively. The results of this study show that there was a significant difference in peak power (t = −3.203, p value = 0.003) and peak force (t = −4.662, p value = 0) before and after 0 °C cryotherapy. In addition, there was a significant difference in peak force (t = −4.36, p value = 0) before and after −5 °C cryotherapy. Besides, the changing rates of peak power (3.03%) and peak force (11.51%) in the 0 °C group were higher than those of peak power (2.80%), as well as peak force (7.45%), in the −5 °C group. The PF in the 0 °C and −5 °C groups both significantly increased after cryotherapy. Peak power significantly increased after 0 °C cryotherapy, but did not significantly increase after −5 °C cryotherapy. The changing rates of peak power and peak force in the 0 °C group were both higher than the −5 °C group. A short period of cold treatment at 0 °C may increase the leg extension ability. A 0 °C cold therapy for a short period of time is more suitable than a −5 °C one for athletes to recover during the interval within a competition. Athlete and coach could choose an appropriate temperature to help increase performance of physical level and recovery.
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Affiliation(s)
- Yichen Lu
- Zhejiang Pharmaceutical College, Ningbo 315100, China;
- Research Academy of Grand Health, Ningbo University, Ningbo 315211, China; (Y.H.); (J.L.)
| | - Yuqi He
- Research Academy of Grand Health, Ningbo University, Ningbo 315211, China; (Y.H.); (J.L.)
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China;
- Faculty of Engineering, University of Pannonia, 8200 Veszprém, Hungary
| | - Shanshan Ying
- Research Academy of Grand Health, Ningbo University, Ningbo 315211, China; (Y.H.); (J.L.)
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China;
- Correspondence:
| | - Qiaojun Wang
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China;
| | - Jianshe Li
- Research Academy of Grand Health, Ningbo University, Ningbo 315211, China; (Y.H.); (J.L.)
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China;
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Acute Effects of Warm-Up, Exercise and Recovery-Related Strategies on Assessments of Soccer Kicking Performance: A Critical and Systematic Review. Sports Med 2021; 51:661-705. [PMID: 33332012 DOI: 10.1007/s40279-020-01391-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
BACKGROUND A number of reviews have collated information on the impact of warming-up, physical exertion and recovery strategies on physical, subjective and physiological markers in soccer players yet none have solely analyzed their potential effects on components of kicking performance. OBJECTIVE To systematically analyse the influence of warm-up, exercise and/or recovery-related strategies on kicking performance in male soccer players and provide a critical appraisal on research paradigm related to kicking testing constraints and data acquisition methods. METHODS A systematic literature search was performed (until July 2020) in PubMed, Web of Science, SPORTDiscus, Scopus and ProQuest. Studies in male soccer populations, which included the effects of warm-up routines, physical exercise and/or recovery-related interventions, reported on comparisons pre-post or between experimental conditions and that computed at least one measure of kicking kinematics and/or performance were considered. Methodological quality and risk of bias were determined for the included studies. Constraints related to kicking testing and data acquisition methods were also summarized and discussed. RESULTS Altogether, 52 studies were included. Of these, 10 examined the respective effects of a warm-up, 34 physical exercise, and 21 recovery-related strategies. The results of eight studies showed that lower limb kinematics, kicking accuracy or ball velocity were improved following warm-ups involving dynamic but not static stretching. Declines in ball velocity occurred notably following intermittent endurance or graded until exhaustion exercise (three studies in both cases) without inclusion of any ball skills. In contrast, conflicting evidence in five studies was observed regarding ball velocity following intermittent endurance exercise interspersed with execution of ball skills. Kicking accuracy was less frequently affected by physical exercise (remained stable across 14 of 19 studies). One investigation indicated that consumption of a carbohydrate beverage pre- and mid-exercise demonstrated benefits in counteracting the potentially deleterious consequences of exercise on ball velocity, while four studies reported conflicting results regarding kicking accuracy. Most evidence synthesized for the interventions demonstrated moderate level (77%) and unclear-to-high risk of bias in at least one item evaluated (98%). The main limitations identified across studies were kicks generally performed over short distances (50%), in the absence of opposition (96%), and following experimental instructions which did not concomitantly consider velocity and accuracy (62%). Also, notational-based metrics were predominantly used to obtain accuracy outcomes (54%). CONCLUSIONS The results from this review can help inform future research and practical interventions in an attempt to measure and optimise soccer kicking performance. However, given the risk of bias and a relative lack of strong evidence, caution is required when applying some of the current findings in practice. PROSPERO ID CRD42018096942.
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Effects of Focal Knee Joint Cooling on Static and Dynamic Strength of the Quadriceps: Innovative Approach to Muscle Conditioning. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094890. [PMID: 34064426 PMCID: PMC8125321 DOI: 10.3390/ijerph18094890] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/03/2021] [Revised: 04/30/2021] [Accepted: 05/02/2021] [Indexed: 12/26/2022]
Abstract
Recent evidence suggests an innovative approach to muscle conditioning: focal knee joint cooling (FKJC) appears to improve quadriceps function, including static (isometric) strength. However, there is limited evidence on the effects of FKJC on dynamic (concentric and eccentric) strength. Thus, the purpose of the study was to examine dynamic quadriceps strength following FKJC as well as static strength. Twenty-one college-aged participants volunteered. They randomly underwent 20 min of FKJC and control condition at least 72 h apart. FKJC involves two ice bags, placed on the anterior and posterior surfaces of the knee, whereas the control condition received a plastic ice bag filled with candy corn. We assessed isometric and isokinetic (concentric and eccentric) quadriceps strength at two different velocities (60°/s and 180°/s). Participants performed three maximal voluntary contractions for each mode of muscle contraction, before and after each treatment (immediately, 20, and 40 min after). The outcome variable was maximum knee extension peak torque. FKJC did not change peak torque during any mode of muscle contraction (p > 0.05). The current findings suggest that 20 min of FKJC does not change static (isometric) or dynamic (isokinetic) strength of the quadriceps. FKJC was neither beneficial nor harmful to static or dynamic muscular strength.
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Alexander J, Jeffery J, Rhodes D. Recovery profiles of eccentric hamstring strength in response to cooling and compression. J Bodyw Mov Ther 2021; 27:9-15. [PMID: 34391318 DOI: 10.1016/j.jbmt.2021.03.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Revised: 12/23/2020] [Accepted: 03/13/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION The effectiveness of different forms of cryotherapy and combined compression (cryo-compression) commonly used in sport to enhance recovery following exercise are not fully understood. Therefore, the exploration of protocols that use contemporary cryo-compression is warranted. The purpose of the study was to investigate the effectiveness of using a cryo-compression device to recover hamstrings eccentric strength following a fatiguing exercise. METHODS Eighteen healthy male adult footballers were randomly allocated to receive cryo-compression or rest following a lower limb fatiguing protocol. Cryo-compression was applied for 15-min, target temperature of 10 °C, and high intermittent pressure (5-75 mm Hg) using the Game Ready® device. Rest consisted of 15-min in a prone position on a plinth. To induce hamstring fatigue, participants performed the Yo-Yo intermittent fatigue test (IFT). Skin surface temperature (Tsk) and hamstring eccentric strength measures were taken at three time points; pre-IFT, immediately post-fatigue test (IPFT), and immediately post-intervention (IPI) (rest or Game Ready®). Participants returned one week later and performed the Yo-Yo IFT again and were exposed to the opposite intervention and data collection. RESULTS Significant decreases in Tsk over the posterior thigh were reported for all timepoints compared to pre cryo-compression temperatures (p=<0.05). Overall data displayed no significant main effects for timepoint or condition for PT or AvT (p=<0.05). There was no timepoint × condition interaction for PT or AvT (p=<0.05). Collapse of the data by condition (CC/R) demonstrated no significant effect for time for PT or AvT (p=>0.05). CONCLUSIONS No significant changes in HES occurred after exposure to cryo-compression or rest applied immediately following the Yo-Yo IFT. Further investigations to maximise beneficial application of contemporary cryo-compression applications in sport are required. Multiple measures of performance over rewarming periods, within competitive training schedules after sport-specific training are required to develop optimal cooling protocols for recovery.
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Affiliation(s)
- J Alexander
- Sport, Nutrition and Clinical Sciences, School of Sport & Health Sciences, University of Central Lancashire, Preston, UK.
| | - J Jeffery
- Everton Football Club, Finch Farm, Merseyside, UK
| | - D Rhodes
- Institute of Coaching and Performance (ICaP), School of Sport & Health Sciences, University of Central Lancashire, Preston, UK
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Morris NB, Jay O, Flouris AD, Casanueva A, Gao C, Foster J, Havenith G, Nybo L. Sustainable solutions to mitigate occupational heat strain - an umbrella review of physiological effects and global health perspectives. Environ Health 2020; 19:95. [PMID: 32887627 PMCID: PMC7487490 DOI: 10.1186/s12940-020-00641-7] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 08/12/2020] [Indexed: 05/19/2023]
Abstract
BACKGROUND Climate change is set to exacerbate occupational heat strain, the combined effect of environmental and internal heat stress on the body, threatening human health and wellbeing. Therefore, identifying effective, affordable, feasible and sustainable solutions to mitigate the negative effects on worker health and productivity, is an increasingly urgent need. OBJECTIVES To systematically identify and evaluate methods that mitigate occupational heat strain in order to provide scientific-based guidance for practitioners. METHODS An umbrella review was conducted in biomedical databases employing the following eligibility criteria: 1) ambient temperatures > 28 °C or hypohydrated participants, 2) healthy adults, 3) reported psychophysiological (thermal comfort, heart rate or core temperature) and/or performance (physical or cognitive) outcomes, 4) written in English, and 5) published before November 6, 2019. A second search for original research articles was performed to identify interventions of relevance but lacking systematic reviews. All identified interventions were independently evaluated by all co-authors on four point scales for effectiveness, cost, feasibility and environmental impact. RESULTS Following screening, 36 systematic reviews fulfilled the inclusion criteria. The most effective solutions at mitigating occupational heat strain were wearing specialized cooling garments, (physiological) heat acclimation, improving aerobic fitness, cold water immersion, and applying ventilation. Although air-conditioning and cooling garments in ideal settings provide best scores for effectiveness, the limited applicability in certain industrial settings, high economic cost and high environmental impact are drawbacks for these solutions. However, (physiological) acclimatization, planned breaks, shading and optimized clothing properties are attractive alternative solutions when economic and ecological sustainability aspects are included in the overall evaluation. DISCUSSION Choosing the most effective solution or combinations of methods to mitigate occupational heat strain will be scenario-specific. However, this paper provides a framework for integrating effectiveness, cost, feasibility (indoors and outdoor) and ecologic sustainability to provide occupational health and safety professionals with evidence-based guidelines.
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Affiliation(s)
- Nathan B. Morris
- Department of Nutrition, Exercise and Sports, Section for Integrative Physiology, University of Copenhagen, Copenhagen N, Denmark
| | - Ollie Jay
- Thermal Ergonomics Laboratory, Faculty of Medicine and Health, University of Sydney, Sydney, Australia
| | - Andreas D. Flouris
- FAME Laboratory, School of Exercise Science, University of Thessaly, Thessaly, Greece
| | - Ana Casanueva
- Federal Office of Meteorology and Climatology, MeteoSwiss, Zurich Airport, Zurich, Switzerland
- Meteorology Group, Department of Applied Mathematics and Computer Sciences, University of Cantabria, Santander, Spain
| | - Chuansi Gao
- Thermal Environment Laboratory, Division of Ergonomics and Aerosol Technology, Department of Design Sciences, Faculty of Engineering, Lund University, Lund, Sweden
| | - Josh Foster
- Environmental Ergonomics Research Centre, Loughborough Design School, Loughborough University, Loughborough, UK
| | - George Havenith
- Environmental Ergonomics Research Centre, Loughborough Design School, Loughborough University, Loughborough, UK
| | - Lars Nybo
- Department of Nutrition, Exercise and Sports, Section for Integrative Physiology, University of Copenhagen, Copenhagen N, Denmark
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The Effect of Cryotherapy Application to the Knee Joint on Dynamic Postural Stability. J Sport Rehabil 2020; 29:454-462. [PMID: 31034322 DOI: 10.1123/jsr.2016-0218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Revised: 01/07/2019] [Accepted: 02/22/2019] [Indexed: 11/18/2022]
Abstract
CONTEXT Decreased postural balance is a primary risk factor for lower-limb injuries. Cryotherapy is commonly utilized by clinicians to provide local analgesia for minor acute knee joint musculoskeletal injuries during breaks in play or at halftime. Its effect on dynamic postural balance remains unclear. OBJECTIVE To investigate the acute effects of a 15-minute knee joint cryotherapy application on dynamic postural balance, as assessed primarily via a clinically oriented outcome measure. DESIGN Experimental study. SETTING University biomechanics laboratory. PATIENTS OR PARTICIPANTS A total of 28 elite-level college male field-sport athletes. INTERVENTION Participants were tested on the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test both before and after a 15-minute knee joint cryotherapy application. MAIN OUTCOME MEASURE(S) Normalized reach distances, 3-dimensional knee joint kinematics, sagittal plane hip and ankle joint kinematics, as well as fractal dimension of the center-of-pressure path during the performance of the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test. RESULTS There was a statistically significant decrease in reach distance scores achieved on anterior, posteromedial, and posterolateral directions of the Star Excursion Balance Test from precryotherapy to postcryotherapy (P < .05). None of the decreases in reach distance scores exceeded the reported smallest detectable difference values. No significant differences were observed in hip, knee, or ankle joint kinematics (P > .05). No significant change in fractal dimension was observed for any reach direction following cryotherapy application (P > .05). CONCLUSIONS The results of the present study indicate that dynamic postural balance is unlikely to be adversely affected immediately following cryotherapy application to the knee joint.
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Tsuboshima K, Urakawa S, Takamoto K, Taguchi T, Matsuda T, Sakai S, Mizumura K, Ono T, Nishijo H. Distinct effects of thermal treatments after lengthening contraction on mechanical hyperalgesia and exercise-induced physiological changes in rat muscle. J Appl Physiol (1985) 2020; 128:296-306. [PMID: 31999528 DOI: 10.1152/japplphysiol.00355.2019] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Delayed-onset muscle soreness (DOMS) is a common but displeasing event induced by excessive muscle use or unaccustomed exercise and characterized by tenderness and movement-related pain in the exercised muscle. Thermal therapies, either icing or heating applied to muscles immediately after exercise, have been used as therapeutic interventions for DOMS. However, the mechanisms of their analgesic effects, and physiological and metabolic changes in the muscle during thermal therapy, remain unclear. In the present study, we investigated the effects of both thermal treatments on mechanical hyperalgesia of DOMS and physiological and muscle metabolite changes using the rat DOMS model induced by lengthening contraction (LC) to the gastrocnemius muscle. Heating treatment just after LC induced analgesic effects, while rats with icing treatment showed mechanical hyperalgesia similar to that of the LC group. Furthermore, increased physiological responses (e.g., muscle temperature and blood flow) following the LC were significantly kept high only in the rats with heating treatment. In addition, heating treatment increased metabolites involved in the improvement of blood flow and oxidative metabolisms in the exercised muscle. The results indicated that heating treatment just after LC has analgesic effects on DOMS, which might be mediated partly through the improvement of muscle oxidative metabolisms by changes in metabolites and elevated physiological responses.NEW & NOTEWORTHY Physiological effects of thermal therapy in the muscle and its mechanisms of analgesic effects remain unclear. The results indicated that heating, but not icing, treatment just after lengthening contractions induced analgesic effects in the rat muscle. Increases in hemodynamics, muscle temperature, and metabolites such as nicotinamide were more prominent in heating treatment, consistent with improvement of muscle oxidative metabolisms, which might reduce chemical factors to induce mechanical hyperalgesia.
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Affiliation(s)
- Katsuyuki Tsuboshima
- Department of System Emotional Science, Faculty of Medicine, University of Toyama, Toyama, Japan
| | - Susumu Urakawa
- Department of System Emotional Science, Faculty of Medicine, University of Toyama, Toyama, Japan.,Department of Musculoskeletal Functional Research and Regeneration, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Kouichi Takamoto
- Department of System Emotional Science, Faculty of Medicine, University of Toyama, Toyama, Japan
| | - Toru Taguchi
- Department of System Emotional Science, Faculty of Medicine, University of Toyama, Toyama, Japan.,Department of Physical Therapy, Faculty of Rehabilitation, Niigata University of Health and Welfare, Niigata, Japan
| | - Teru Matsuda
- Department of Physical Therapy, College of Life and Health Sciences, Chubu University, Kasugai, Japan
| | - Shigekazu Sakai
- Department of System Emotional Science, Faculty of Medicine, University of Toyama, Toyama, Japan
| | - Kazue Mizumura
- Department of Physical Therapy, College of Life and Health Sciences, Chubu University, Kasugai, Japan
| | - Taketoshi Ono
- Department of System Emotional Science, Faculty of Medicine, University of Toyama, Toyama, Japan
| | - Hisao Nishijo
- Department of System Emotional Science, Faculty of Medicine, University of Toyama, Toyama, Japan
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Temporal Patterns of Knee-Extensor Isokinetic Torque Strength in Male and Female Athletes Following Comparison of Anterior Thigh and Knee Cooling Over a Rewarming Period. J Sport Rehabil 2019; 29:723-729. [PMID: 31141427 DOI: 10.1123/jsr.2018-0499] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Revised: 04/10/2019] [Accepted: 05/12/2019] [Indexed: 11/18/2022]
Abstract
CONTEXT The effect of local cooling on muscle strength presents conflicting debates, with literature undecided as to the potential implications for injury, when returning to play following cryotherapy application. OBJECTIVE To investigate concentric muscle strength following local cooling over the anterior thigh compared with the knee joint in males and females and the temporal pattern over a 30-minute rewarming period. DESIGN Repeated-measures crossover design. METHOD Twelve healthy participants randomly assigned to receive cooling intervention on one location, directly over either the anterior thigh or the knee, returning 1 week later to receive the cooling intervention on opposite location. Muscle strength measured via an isokinetic dynamometer at multiple time points (immediately post, 10-, 20-, and 30-min post) coincided with measurement of skin surface temperature (Tsk) using a noninvasive infrared camera. RESULTS Significant main effects for time (P ≤ .001, η2 = .126) with preice application higher than all other time points (P ≤ .05) were demonstrated for both peak torque and average torque. There were also significant main effects for isokinetic testing speed, sex of the participant, and position of the ice application for both peak torque and average torque (P ≤ .05). Statistically significant decreases in Tsk were reported in both gender groups across all time points compared with preintervention Tsk for the anterior thigh and knee (P < .05). CONCLUSIONS Reductions reported for concentric peak torque and average torque knee-extensor strength in males and females did not fully recover to baseline measures at 30-minute postcryotherapy interventions. Sports medicine practitioners should consider strength deficits of the quadriceps after wetted ice applications, regardless of cooling location (joint/muscle) or gender.
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Jinnah AH, Luo TD, Mendias C, Freehill M. Cryotherapy duration is critical in short-term recovery of athletes: a systematic review. J ISAKOS 2019. [DOI: 10.1136/jisakos-2018-000259] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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14
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Hohenauer E, Deliens T, Clarys P, Clijsen R. Perfusion of the skin's microcirculation after cold-water immersion (10°C) and partial-body cryotherapy (-135°C). Skin Res Technol 2019; 25:677-682. [PMID: 31038232 PMCID: PMC6849860 DOI: 10.1111/srt.12703] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Accepted: 04/14/2019] [Indexed: 12/21/2022]
Abstract
Background Investigations of the perfusion of the skin's microcirculation with laser speckle contrast imaging (LSCI) after cold treatments are rare. Therefore, the aim of this study was to compare the effects between cold‐water immersion (CWI) conduction and partial‐body cryotherapy (PBC) convection on perfusion of the microcirculation and skin temperature on the thigh. Materials and Methods Twenty healthy males were randomly allocated to CWI (10°C for 10 minutes) or PBC (−60°C for 30 seconds, −135°C for 2 minutes). Perfusion and skin temperature measurements were conducted on the anterior thigh region up to 60 minutes post‐treatment. Results Cold‐water immersion decreased perfusion of the microcirculation significantly compared to baseline values between 10 minutes (P = 0.003) and 30 minutes (P = 0.01) post‐treatment. PBC increased perfusion of the microcirculation and decreased skin temperature only at the first measurement interval (0 minute, both P = 0.01) post‐treatment. Additionally, local skin temperature was significantly decreased compared to baseline values only after CWI up to 30 minutes (P = 0.04) post‐treatment. Conclusion Cold‐water immersion reduced local skin microcirculation and skin temperature while PBC only slightly increased the perfusion of the microcirculation immediately after the treatment. For cooling purposes, the conduction method seems superior compared to the convection method, assessed with a LSCI device.
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Affiliation(s)
- Erich Hohenauer
- Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Landquart, Switzerland.,International University of Applied Sciences THIM, Landquart, Switzerland.,Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
| | - Tom Deliens
- Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
| | - Peter Clarys
- Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
| | - Ron Clijsen
- Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Landquart, Switzerland.,International University of Applied Sciences THIM, Landquart, Switzerland.,Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
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15
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Alexander J, Richards J, Attah O, Cheema S, Snook J, Wisdell C, May K, Selfe J. Delayed effects of a 20-min crushed ice application on knee joint position sense assessed by a functional task during a re-warming period. Gait Posture 2018; 62:173-178. [PMID: 29554515 DOI: 10.1016/j.gaitpost.2018.03.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Revised: 02/08/2018] [Accepted: 03/06/2018] [Indexed: 02/02/2023]
Abstract
UNLABELLED Delayed effects of a 20-min crushed ice application on knee joint position sense assessed by a functional task during a re-warming period. INTRODUCTION The effect of cryotherapy on joint positioning presents conflicting debates as to whether individuals are at an increased risk of injury when returning to play following cryotherapy application at the lower limb. OBJECTIVES The aim of this study was to investigate whether a 20 min application of crushed ice at the knee affects knee joint kinematics immediately post and up to 20 mins post ice removal, during a small knee bend. METHOD 17 healthy male participants took part in the study performing a functional task. Using three-dimensional motion analysis (Qualisys Medical AB Gothenburg, Sweden), kinematics of the knee were measured during a weight bearing functional task pre and immediately post, 5, 10, 15 and 20 min post cryotherapy intervention. Skin surface temperature (Tsk) cooling was measured via infrared non-contact thermal imaging (Flir Systems, Danderyd, Sweden) over the anterior and medial aspect of the knee. RESULTS Results demonstrated significant reductions in the ability to accurately replicate knee joint positioning. A significant increase (P ≧ 0.05) in rotational movement in the transverse plane occurred, 20 min post ice removal. DISCUSSION A 20-min application of crushed ice to the anterior aspect of the non-dominant knee has an adverse effect on knee joint repositioning and dynamic stability, 20 min after ice is removed. In consideration of returning a land-based athlete to dynamic functional activities, post cryotherapeutic intervention at the knee, clinicians should consider these findings due to the potential increase risk of injury.
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Affiliation(s)
- Jill Alexander
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire, PR1 2HE, United Kingdom.
| | - Jim Richards
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire, PR1 2HE, United Kingdom
| | - Obed Attah
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire, PR1 2HE, United Kingdom
| | - Sam Cheema
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire, PR1 2HE, United Kingdom
| | - Joanna Snook
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire, PR1 2HE, United Kingdom
| | - Chloe Wisdell
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire, PR1 2HE, United Kingdom
| | - Karen May
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire, PR1 2HE, United Kingdom
| | - James Selfe
- Manchester Metropolitan University, Department of Health Professions, Manchester, Brooks Building, M15 6GX, United Kingdom
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Point M, Guilhem G, Hug F, Nordez A, Frey A, Lacourpaille L. Cryotherapy induces an increase in muscle stiffness. Scand J Med Sci Sports 2017; 28:260-266. [DOI: 10.1111/sms.12872] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2017] [Indexed: 01/15/2023]
Affiliation(s)
- M. Point
- Laboratory “Sport; Expertise and Performance” (EA 7370); Research Department; French Institute of Sport (INSEP); Paris France
| | - G. Guilhem
- Laboratory “Sport; Expertise and Performance” (EA 7370); Research Department; French Institute of Sport (INSEP); Paris France
| | - F. Hug
- NHMRC Centre of Clinical Research Excellence in Spinal Pain; Injury and Health; School of Health and Rehabilitation Sciences; The University of Queensland; Brisbane Australia
- Laboratory “Movement; Interactions; Performance” (EA 4334); Faculty of Sport Sciences; University of Nantes; Nantes France
| | - A. Nordez
- Laboratory “Movement; Interactions; Performance” (EA 4334); Faculty of Sport Sciences; University of Nantes; Nantes France
| | - A. Frey
- Medical Department; French National Institute of Sport (INSEP); Paris France
| | - L. Lacourpaille
- Laboratory “Sport; Expertise and Performance” (EA 7370); Research Department; French Institute of Sport (INSEP); Paris France
- Laboratory “Movement; Interactions; Performance” (EA 4334); Faculty of Sport Sciences; University of Nantes; Nantes France
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Haslerud S, Lopes-Martins RAB, Frigo L, Bjordal JM, Marcos RL, Naterstad IF, Magnussen LH, Joensen J. Low-Level Laser Therapy and Cryotherapy as Mono- and Adjunctive Therapies for Achilles Tendinopathy in Rats. Photomed Laser Surg 2017; 35:32-42. [DOI: 10.1089/pho.2016.4150] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Affiliation(s)
- Sturla Haslerud
- NorPhyPain Research Group, Faculty of Health and Social Sciences, Centre for Evidence Based Practice, Bergen University College, Bergen, Norway
- Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | | | - Lúcio Frigo
- Centro de Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Jan Magnus Bjordal
- NorPhyPain Research Group, Faculty of Health and Social Sciences, Centre for Evidence Based Practice, Bergen University College, Bergen, Norway
- Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Rodrigo Labat Marcos
- Programa de Pós-Graduação em Biofotônica Aplicada as Ciências da Saúde, Universidade Nove de Julho, São Paulo, Brazil
| | - Ingvill Fjell Naterstad
- Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Liv Heide Magnussen
- Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
- Department of Occupational Therapy, Physiotherapy and Radiography, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway
| | - Jon Joensen
- Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
- Department of Occupational Therapy, Physiotherapy and Radiography, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway
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The use of thermal imaging to assess the effectiveness of ice massage and cold-water immersion as methods for supporting post-exercise recovery. J Therm Biol 2016; 60:20-5. [DOI: 10.1016/j.jtherbio.2016.05.006] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2016] [Accepted: 05/23/2016] [Indexed: 11/17/2022]
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Alexander J, Selfe J, Oliver B, Mee D, Carter A, Scott M, Richards J, May K. An exploratory study into the effects of a 20 minute crushed ice application on knee joint position sense during a small knee bend. Phys Ther Sport 2016; 18:21-26. [PMID: 26822165 DOI: 10.1016/j.ptsp.2015.06.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2014] [Revised: 05/19/2015] [Accepted: 06/09/2015] [Indexed: 12/26/2022]
Abstract
OBJECTIVES The effect of cryotherapy on joint positioning presents conflicting debates as to whether individuals are at an increased risk of injury when returning to play or activity immediately following cryotherapy application at the knee. The aim of this study was to investigate whether a 20 min application of crushed ice at the knee immediately affects knee joint position sense during a small knee bend. DESIGN Pre- and post-intervention. SETTING University movement analysis laboratory. PARTICIPANTS Eleven healthy male participants. MAIN OUTCOME MEASURES Kinematics of the knee were measured during a weight bearing functional task pre and post cryotherapy intervention using three-dimensional motion analysis (Qualisys Medical AB Gothenburg, Sweden). Tissue cooling was measured via a digital thermometer at the knee. RESULTS Results demonstrated significant reductions in the ability to accurately replicate knee joint positioning in both sagittal (P = .035) and coronal (P = .011) planes during the descent phase of a small knee bend following cryotherapy. CONCLUSION In conclusion a 20 min application of crushed ice to the knee has an adverse effect on knee joint repositioning. Team doctors, clinicians, therapists and athletes should consider these findings when deciding to return an athlete to functional weight bearing tasks immediately following ice application at the knee, due to the potential increase risk of injury.
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Affiliation(s)
- Jill Alexander
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire PR1 2HE, United Kingdom.
| | - James Selfe
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire PR1 2HE, United Kingdom
| | - Ben Oliver
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire PR1 2HE, United Kingdom
| | - Daniel Mee
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire PR1 2HE, United Kingdom
| | - Alexandra Carter
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire PR1 2HE, United Kingdom
| | - Michelle Scott
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire PR1 2HE, United Kingdom
| | - Jim Richards
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire PR1 2HE, United Kingdom
| | - Karen May
- University of Central Lancashire, Allied Health Professions Research Unit, Brook Building, Preston, Lancashire PR1 2HE, United Kingdom
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Kuyucu E, Bülbül M, Kara A, Koçyiğit F, Erdil M. Is cold therapy really efficient after knee arthroplasty? Ann Med Surg (Lond) 2015; 4:475-8. [PMID: 26779338 PMCID: PMC4685204 DOI: 10.1016/j.amsu.2015.10.019] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2015] [Revised: 09/15/2015] [Accepted: 10/31/2015] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Knee arthroplasty is a frequently used surgery. The purpose of this study is to evaluate the effects of cold therapy after knee arthroplasty. METHODS 60 patients who were operated in our clinic between the years 2013 and 2014 were evaluated prospectively, and the patients were randomized into two groups. The cold therapy by Cryo/Cuff application was started 2 h before the surgery in Group-2 patients; it was repeated in a postoperative 6th hour and continued for postoperative four days. We analyzed the visual analog scales (VAS) for pain, Knee Society Scores (KSS), hemoglobin, and bleeding parameters. RESULTS The data of the group that did not receive the Cryo/Cuff application (Group-1) are as follows; the number of the patients was 33; the mean age value was 68,4 (53-78). Group-2 data was as follows; the number of the patients was 27; the mean age value was 67.2 years (range 57-78). The mean KSS scores of the patients increased from 79.6 (75-83) and to 90.5 (88-92) postoperatively (p < 0.05). DISCUSSION In our study, the pain and functional knee scores of the patients who received Cryo/Cuff application were significantly different and as expected, the use of analgesics was much lower. Cryotherapy did not affect the amount of bleeding during the surgery (p > 0.05), which was not reported previously in the literature. CONCLUSION After knee arthroplasty, the preoperative and postoperative use of cryotherapy is effective in terms of the pain control and functional knee scores without a significant change in surgical blood loss.
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Affiliation(s)
- Ersin Kuyucu
- Istanbul Medipol University, Department of Orthopaedics & Traumatology, Turkey
| | - Murat Bülbül
- Istanbul Medipol University, Department of Orthopaedics & Traumatology, Turkey
| | - Adnan Kara
- Istanbul Medipol University, Department of Orthopaedics & Traumatology, Turkey
| | - Figen Koçyiğit
- Pamukkale University, School of Physical Therapy and Rehabilitation, Denizli, Turkey
| | - Mehmet Erdil
- Istanbul Medipol University, Department of Orthopaedics & Traumatology, Turkey
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Fullam K, Caulfield B, Coughlan GF, McGroarty M, Delahunt E. Dynamic Postural-Stability Deficits After Cryotherapy to the Ankle Joint. J Athl Train 2015; 50:893-904. [PMID: 26285088 DOI: 10.4085/1062-6050-50.7.07] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
CONTEXT Decreased postural stability is a primary risk factor for lower limb musculoskeletal injuries. During athletic competitions, cryotherapy may be applied during short breaks in play or during half-time; however, its effects on postural stability remain unclear. OBJECTIVE To investigate the acute effects of a 15-minute ankle-joint cryotherapy application on dynamic postural stability. DESIGN Controlled laboratory study. SETTING University biomechanics laboratory. PATIENTS OR OTHER PARTICIPANTS A total of 29 elite-level collegiate male field-sport athletes (age = 20.8 ± 1.12 years, height = 1.80 ± 0.06 m, mass = 81.89 ± 8.59 kg) participated. INTERVENTION(S) Participants were tested on the anterior (ANT), posterolateral (PL), and posteromedial (PM) reach directions of the Star Excursion Balance Test before and after a 15-minute ankle-joint cryotherapy application. MAIN OUTCOME MEASURE(S) Normalized reach distances; sagittal-plane kinematics of the hip, knee, and ankle joints; and associated mean velocity of the center-of-pressure path during performance of the ANT, PL, and PM reach directions of the Star Excursion Balance Test. RESULTS We observed a decrease in reach-distance scores for the ANT, PL, and PM reach directions from precryotherapy to postcryotherapy (P < .05). No differences were observed in hip-, knee-, or ankle-joint sagittal-plane kinematics (P > .05). We noted a decrease in mean velocity of the center-of-pressure path from precryotherapy to postcryotherapy (P < .05) in all reach directions. CONCLUSIONS Dynamic postural stability was adversely affected immediately after cryotherapy to the ankle joint.
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Affiliation(s)
- Karl Fullam
- School of Public Health, Physiotherapy & Population Science.,Institute for Sport & Health
| | - Brian Caulfield
- School of Public Health, Physiotherapy & Population Science.,Institute for Sport & Health.,Insight Centre for Data Analytics, University College Dublin, Ireland
| | | | - Mark McGroarty
- School of Public Health, Physiotherapy & Population Science
| | - Eamonn Delahunt
- School of Public Health, Physiotherapy & Population Science.,Institute for Sport & Health
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Bach AJE, Stewart IB, Minett GM, Costello JT. Does the technique employed for skin temperature assessment alter outcomes? A systematic review. Physiol Meas 2015; 36:R27-51. [DOI: 10.1088/0967-3334/36/9/r27] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Thain PK, Bleakley CM, Mitchell ACS. Muscle Reaction Time During a Simulated Lateral Ankle Sprain After Wet-Ice Application or Cold-Water Immersion. J Athl Train 2015; 50:697-703. [PMID: 26067429 DOI: 10.4085/1062-6050-50.4.05] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Cryotherapy is used widely in sport and exercise medicine to manage acute injuries and facilitate rehabilitation. The analgesic effects of cryotherapy are well established; however, a potential caveat is that cooling tissue negatively affects neuromuscular control through delayed muscle reaction time. This topic is important to investigate because athletes often return to exercise, rehabilitation, or competitive activity immediately or shortly after cryotherapy. OBJECTIVE To compare the effects of wet-ice application, cold-water immersion, and an untreated control condition on peroneus longus and tibialis anterior muscle reaction time during a simulated lateral ankle sprain. DESIGN Randomized controlled clinical trial. SETTING University of Hertfordshire human performance laboratory. PATIENTS OR OTHER PARTICIPANTS A total of 54 physically active individuals (age = 20.1 ± 1.5 years, height = 1.7 ± 0.07 m, mass = 66.7 ± 5.4 kg) who had no injury or history of ankle sprain. INTERVENTION(S) Wet-ice application, cold-water immersion, or an untreated control condition applied to the ankle for 10 minutes. MAIN OUTCOME MEASURE(S) Muscle reaction time and muscle amplitude of the peroneus longus and tibialis anterior in response to a simulated lateral ankle sprain were calculated. The ankle-sprain simulation incorporated a combined inversion and plantar-flexion movement. RESULTS We observed no change in muscle reaction time or muscle amplitude after cryotherapy for either the peroneus longus or tibialis anterior (P > .05). CONCLUSIONS Ten minutes of joint cooling did not adversely affect muscle reaction time or muscle amplitude in response to a simulated lateral ankle sprain. These findings suggested that athletes can safely return to sporting activity immediately after icing. Further evidence showed that ice can be applied before ankle rehabilitation without adversely affecting dynamic neuromuscular control. Investigation in patients with acute ankle sprains is warranted to assess the clinical applicability of these interventions.
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Affiliation(s)
- Peter K Thain
- School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom
| | - Christopher M Bleakley
- Faculty of Life and Health Sciences, University of Ulster, Northern Ireland, United Kingdom
| | - Andrew C S Mitchell
- Department of Sport Science & Physical Activity, University of Bedfordshire, Bedford, United Kingdom. Dr Thain is now at Faculty of Health and Social Sciences, University of Bedfordshire, Luton, Bedfordshire, United Kingdom
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Macedo CDSG, Vicente RC, Cesário MD, Guirro RRDJ. Cold-water immersion alters muscle recruitment and balance of basketball players during vertical jump landing. J Sports Sci 2015; 34:348-57. [PMID: 26058795 DOI: 10.1080/02640414.2015.1054861] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The purpose of this study was to evaluate the effects of cold-water immersion on the electromyographic (EMG) response of the lower limb and balance during unipodal jump landing. The evaluation comprised 40 individuals (20 basketball players and 20 non-athletes). The EMG response in the lateral gastrocnemius, tibialis anterior, fibular longus, rectus femoris, hamstring and gluteus medius; amplitude and mean speed of the centre of pressure, flight time and ground reaction force (GRF) were analysed. All volunteers remained for 20 min with their ankle immersed in cold-water, and were re-evaluated immediately post and after 10, 20 and 30 min of reheating. The Shapiro-Wilk test, Friedman test and Dunn's post test (P < 0.05) were used. The EMG response values decreased for the lateral gastrocnemius, tibialis anterior, fibular longus and rectus femoris of both athletes and non-athletes (P < 0.05). The comparison between the groups showed that the EMG response was lower for the athletes. Lower jump flight time and GRF, greater amplitude and mean speed of centre of pressure were predominant in the athletes. Cold-water immersion decreased the EMG activity of the lower limb, flight time and GRF and increased the amplitude and mean speed of centre of pressure.
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Affiliation(s)
- Christiane de Souza Guerino Macedo
- a Department of Biomechanics, Medicine and Rehabilitation , Ribeirão Preto Medical School, University of São Paulo (USP) , Ribeirão Preto , São Paulo , Brazil
| | - Rafael Chagas Vicente
- a Department of Biomechanics, Medicine and Rehabilitation , Ribeirão Preto Medical School, University of São Paulo (USP) , Ribeirão Preto , São Paulo , Brazil
| | - Mauricio Donini Cesário
- a Department of Biomechanics, Medicine and Rehabilitation , Ribeirão Preto Medical School, University of São Paulo (USP) , Ribeirão Preto , São Paulo , Brazil
| | - Rinaldo Roberto de Jesus Guirro
- a Department of Biomechanics, Medicine and Rehabilitation , Ribeirão Preto Medical School, University of São Paulo (USP) , Ribeirão Preto , São Paulo , Brazil
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Estevam DDO, Oliveira MLD, Silva MLD, Carvalho LC, Lobato DFM. Efeitos do resfriamento e aquecimento articular no desempenho funcional do ombro. REV BRAS MED ESPORTE 2015. [DOI: 10.1590/1517-869220152103144096] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
INTRODUÇÃO: Um dos recursos mais utilizados na reabilitação de lesões musculoesqueléticas é a termoterapia por subtração de calor (crioterapia), enquanto a termoterapia por adição de calor é considerada o procedimento mais antigo de reabilitação física. Entretanto, há poucas evidências que tenham investigado os efeitos desses recursos sobre o desempenho de membros superiores. OBJETIVO: Comparar o efeito do resfriamento e do aquecimento articular sobre o desempenho funcional do membro superior. MÉTODOS: Trinta e quatro voluntários (22,23 ± 2,17 anos; 22,39 ± 2,53 kg/m2), de ambos os sexos, foram divididos aleatoriamente em um dos três grupos: 1) grupo crioterapia GCR (n=10): submetidos ao resfriamento articular por compressas frias; 2) grupo termoterapia - GTE (n=10): submetidos ao aquecimento articular por ondas curtas e 3) grupo controle - GCO (n=14), não submetidos a qualquer intervenção. Os voluntários foram avaliados, pré e pós-intervenção, quanto ao desempenho funcional de membros superiores por meio dos testes de estabilidade da extremidade superior em cadeia cinética fechada (TEESCCF) e das condições de equilíbrio em apoio bimanual sobre o baropodômetro. Ainda, os voluntários foram avaliados quanto ao desempenho funcional virtual por meio do jogo Mario Kart (Nintendo Wii (r) ). RESULTADOS: Houve melhora significativa nos valores pós-intervenção no TEESCCF para o GCR (p<0,001), GTE (p=0,002) e GCO (p=0,01). Não houve alteração significativa na área de deslocamento do centro de pressão na condição de olhos abertos, nos três grupos (p>0,05). Entretanto, na condição de olhos fechados, houve piora de desempenho para GTE (p=0,04) e melhora de desempenho para o GCO (p=0,02). Não houve alteração significativa no desempenho funcional virtual para os três grupos (p>0,05). CONCLUSÃO: Embora não tenha favorecido o desempenho funcional em todos os testes reais e virtuais utilizados, o resfriamento articular foi mais efetivo que o aquecimento articular para manter o desempenho muscular do membro superior, especialmente nas condições de equilíbrio sobre membros superiores na condição de olhos fechados.
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Muniz TB, Moraes R, Guirro RRJ. Lower limb ice application alters ground reaction force during gait initiation. Braz J Phys Ther 2015; 19:114-21. [PMID: 25993625 PMCID: PMC4481831 DOI: 10.1590/bjpt-rbf.2014.0080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2014] [Accepted: 10/27/2014] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND: Cryotherapy is a widely used technique in physical therapy clinics and sports.
However, the effects of cryotherapy on dynamic neuromuscular control are
incompletely explained. OBJECTIVES: To evaluate the effects of cryotherapy applied to the calf, ankle and sole of the
foot in healthy young adults on ground reaction forces during gait initiation.
METHOD: This study evaluated the gait initiation forces, maximum propulsion, braking
forces and impulses of 21 women volunteers through a force platform, which
provided maximum and minimum ground reaction force values. To assess the effects
of cooling, the task - gait initiation - was performed before ice application,
immediately after and 30 minutes after removal of the ice pack. Ice was randomly
applied on separate days to the calf, ankle and sole of the foot of the
participants. RESULTS: It was demonstrated that ice application for 30 minutes to the sole of the foot
and calf resulted in significant changes in the vertical force variables, which
returned to their pre-application values 30 minutes after the removal of the ice
pack. Ice application to the ankle only reduced propulsion impulse. CONCLUSIONS: These results suggest that although caution is necessary when performing
activities that require good gait control, the application of ice to the ankle,
sole of the foot or calf in 30-minute intervals may be safe even preceding such
activities.
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Affiliation(s)
- Thiago B Muniz
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Renato Moraes
- Escola de Educação Física e Esporte de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Rinaldo R J Guirro
- Departamento de Biomecânica, Medicina e Reabilitação do Aparelho Locomotor, FMRP, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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Santos VBDC, Cardoso CDS, Figueiredo CP, Macedo CDSG. Effect of cryotherapy on the ankle temperature in athletes: ice pack and cold water immersion. FISIOTERAPIA EM MOVIMENTO 2015. [DOI: 10.1590/0103-5150.028.001.ao02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction Cryotherapy is often used for rehabilitation of injured athletes. Objective To compare the effectiveness of ice pack (IP) and cold water immersion (CWI) on lowering the ankle skin surface temperature in athletes. Materials and methods Thirteen athletes (seven women and six men), age 19.53 (± 2.9) years. IP and CWI were applied on the anterior talofibular ligament (ATFL) of the dominant leg for 30 minutes. The skin surface temperature was measured with an infrared digital thermometer prior to the application and during cryotherapy (10, 15, 20, 25 and 30 minutes) and up to two hours of rewarming. During rewarming, the athletes remained at rest and the temperature was measured every 1 minute until 10 minutes, every 5 minutes for up to an hour and every 15 minutes until 2 hours. Results The two types of cold application were effective in lowering the skin surface temperature after the 30-minute procedure. Significant differences were observed among the following temperatures: pre-application (IP = 29.8 ± 2.4 °C and CWI = 27.5 ± 3 °C – P < 0.05); after 30 minutes (IP = 5 ± 2.4 °C and CWI = 7.8 ± 3 °C – P < 0.01). For rewarming, after 25 minutes (IP = 20.8 ± 3.3 °C and CWI = 18.2 ± 2.7 °C – P < 0.04); after 45 minutes (IP = 24.5 ± 2.3 °C and IP = 22.1 ± 3.5 °C – P < 0.05); after 75 minutes (IP = 26.4 ± 2.2 °C and CWI = 24 ± 2.7 °C – P < 0.02). Conclusion After the 30-minute application, both IP and CWI produced the appropriate temperature; however the application of CWI produced the lowest temperature during rewarming.
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Malanga GA, Yan N, Stark J. Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury. Postgrad Med 2014; 127:57-65. [PMID: 25526231 DOI: 10.1080/00325481.2015.992719] [Citation(s) in RCA: 101] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Nonpharmacological treatment strategies for acute musculoskeletal injury revolve around pain reduction and promotion of healing in order to facilitate a return to normal function and activity. Heat and cold therapy modalities are often used to facilitate this outcome despite prevalent confusion about which modality (heat vs cold) to use and when to use it. Most recommendations for the use of heat and cold therapy are based on empirical experience, with limited evidence to support the efficacy of specific modalities. This literature review provides information for practitioners on the use of heat and cold therapies based on the mechanisms of action, physiological effects, and the medical evidence to support their clinical use. The physiological effects of cold therapy include reductions in pain, blood flow, edema, inflammation, muscle spasm, and metabolic demand. There is limited evidence from randomized clinical trials (RCTs) supporting the use of cold therapy following acute musculoskeletal injury and delayed-onset muscle soreness (DOMS). The physiological effects of heat therapy include pain relief and increases in blood flow, metabolism, and elasticity of connective tissues. There is limited overall evidence to support the use of topical heat in general; however, RCTs have shown that heat-wrap therapy provides short-term reductions in pain and disability in patients with acute low back pain and provides significantly greater pain relief of DOMS than does cold therapy. There remains an ongoing need for more sufficiently powered high-quality RCTs on the effects of cold and heat therapy on recovery from acute musculoskeletal injury and DOMS.
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The effects of cryotherapy on proprioception system. BIOMED RESEARCH INTERNATIONAL 2014; 2014:696397. [PMID: 25478573 PMCID: PMC4244933 DOI: 10.1155/2014/696397] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/20/2014] [Accepted: 09/08/2014] [Indexed: 02/04/2023]
Abstract
Proprioception plays an important role in the complex mechanism of joint control. Contemporary sport activities impose extremely high physical demands on athletes. Winter sports are played in areas with excessively low temperatures. Moreover, many athletes are subjected to treatments that involve local lowering of the body temperature before, during, and after physical activity. This work reviews the current knowledge regarding the influence of local cryotherapy on the proprioception system. The reviewed literature identified several tests that evaluate different aspects of proprioception. There is no universally agreed protocol, or clear set of criteria for test conditions. The outcomes of different tests and assessments of cryotherapy procedures using different cold modalities are poorly correlated. In general, the published results on the mechanism of cryotherapy effects on proprioception are not uniquely conclusive and are frequently contradictory. Additional high-quality research is required to explicitly answer the following questions: (1) whether local cryotherapy influences all aspects of proprioception; (2) whether the current methods of evaluation are adequate for the exploration of the relationship between cryotherapy and proprioception; and (3) whether the application of local cryotherapy is safe for athletes regarding proprioception. The review clearly showed that there is no comprehensive model relating cryotherapy and proprioception.
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Macedo CSG, Alonso CS, Liporaci RF, Vieira F, Guirro RRJ. Cold water immersion of the ankle decreases neuromuscular response of lower limb after inversion movement. Braz J Phys Ther 2014; 18:93-7. [PMID: 24675918 PMCID: PMC4183238 DOI: 10.1590/s1413-35552012005000132] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2013] [Accepted: 08/14/2013] [Indexed: 11/25/2022] Open
Abstract
Background Cryotherapy has been associated with a significant decrease in nerve
conduction velocity and muscle contraction with possible effects on exercise
and physical training. Objectives To quantify the electromyographic response of the lateral gastrocnemius,
tibialis anterior, fibularis longus, rectus femoris and gluteus medius to
ankle inversion following cold water immersion. Method The peak values of the root mean square (RMS) were obtained from 35 healthy
and active university subjects after the use of a tilt platform to force the
ankle into 30º of inversion before, immediately after, and 10, 20,
and 30 minutes after water immersion at 4±2ºC, for 20 minutes.
The Shapiro-Wilk test, repeated measures analysis, Bonferroni's post-hoc,
and linear regression analysis provided the results. Results Peak RMS was significantly lower at all times after cold water immersion,
with residual effect of up to 30 minutes, when compared to pre-immersion for
all muscles, except for immediate post-immersion for the gluteus medius.
Conclusions After cold water immersion of the ankle, special care should be taken in
activities that require greater neuromuscular control.
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Affiliation(s)
- Christiane S G Macedo
- Department of Biomechanics, Medicine and Rehabilitation, Ribeirao Preto Medical School, Universidade de Sao Paulo, Ribeirao Preto, SP, Brazil
| | - Carolina S Alonso
- Department of Biomechanics, Medicine and Rehabilitation, Ribeirao Preto Medical School, Universidade de Sao Paulo, Ribeirao Preto, SP, Brazil
| | - Rogério F Liporaci
- Department of Rehabilitation, Hospital das Clinicas, USP, Ribeirao Preto, SP, Brazil
| | - Fernando Vieira
- Department of Rehabilitation, Hospital das Clinicas, USP, Ribeirao Preto, SP, Brazil
| | - Rinaldo R J Guirro
- Department of Biomechanics, Medicine and Rehabilitation, Ribeirao Preto Medical School, Universidade de Sao Paulo, Ribeirao Preto, SP, Brazil
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Alonso CS, Macedo CDSG, Guirro RRDJ. Efeito da crioterapia na resposta eletromiográfica dos músculos tibial anterior, fibular longo e gastrocnemio lateral de atletas após o movimento de inversão do tornozelo. FISIOTERAPIA E PESQUISA 2013. [DOI: 10.1590/s1809-29502013000400003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
A crioterapia é utilizada para tratamento de traumas no tornozelo/pé em atletas; entretanto, sua ação sobre o controle motor apresenta controvérsias. Este estudo objetivou verificar o efeito da crioterapia na resposta eletromiográfica dos músculos do tornozelo de atletas após inversão. A amostra foi composta por 20 voluntários: 10 universitários atletas de basquetebol e 10 universitários não atletas. Todos foram submetidos à inversão do tornozelo em plataforma para a análise do sinal eletromiográfico dos músculos Gastrocnêmio Lateral (GL), Tibial Anterior (TA) e Fibular Longo (FL), pré e pós-crioterapia por imersão do tornozelo, a 4±2ºC, por 20 minutos. A análise estatística utilizou o teste de Shapiro Wilk, Wilcoxon e Mann-Whitney, com nível de significância em 5%. Considerou-se o pico de RMS, o RMS após 0,2 segundos e após 1,0 segundo da abertura da plataforma de inversão. Todos os dados foram normalizados pelo pico do RMS no momento pré-crioterapia. Evidenciou-se diminuição do pico do RMS e do RMS até 0,2 s para o TA nos atletas e nos músculos GL e FL dos não atletas. Após um segundo da abertura da plataforma houve menor recrutamento dos músculos GL, TA e FL para os não atletas. A comparação entre atletas e não atletas apontou, no RMS até 1 segundo, menor recrutamento para o GL dos atletas pré-crioterapia e TA pré e após o resfriamento. Conclui-se que a crioterapia diminuiu a resposta eletromiográfica do músculo TA de atletas e GL, TA e FL de não atletas.
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Costello JT, Culligan K, Selfe J, Donnelly AE. Muscle, skin and core temperature after -110°c cold air and 8°c water treatment. PLoS One 2012; 7:e48190. [PMID: 23139763 PMCID: PMC3491015 DOI: 10.1371/journal.pone.0048190] [Citation(s) in RCA: 90] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2012] [Accepted: 09/27/2012] [Indexed: 11/18/2022] Open
Abstract
The aim of this investigation was to elucidate the reductions in muscle, skin and core temperature following exposure to −110°C whole body cryotherapy (WBC), and compare these to 8°C cold water immersion (CWI). Twenty active male subjects were randomly assigned to a 4-min exposure of WBC or CWI. A minimum of 7 days later subjects were exposed to the other treatment. Muscle temperature in the right vastus lateralis (n = 10); thigh skin (average, maximum and minimum) and rectal temperature (n = 10) were recorded before and 60 min after treatment. The greatest reduction (P<0.05) in muscle (mean ± SD; 1 cm: WBC, 1.6±1.2°C; CWI, 2.0±1.0°C; 2 cm: WBC, 1.2±0.7°C; CWI, 1.7±0.9°C; 3 cm: WBC, 1.6±0.6°C; CWI, 1.7±0.5°C) and rectal temperature (WBC, 0.3±0.2°C; CWI, 0.4±0.2°C) were observed 60 min after treatment. The largest reductions in average (WBC, 12.1±1.0°C; CWI, 8.4±0.7°C), minimum (WBC, 13.2±1.4°C; CWI, 8.7±0.7°C) and maximum (WBC, 8.8±2.0°C; CWI, 7.2±1.9°C) skin temperature occurred immediately after both CWI and WBC (P<0.05). Skin temperature was significantly lower (P<0.05) immediately after WBC compared to CWI. The present study demonstrates that a single WBC exposure decreases muscle and core temperature to a similar level of those experienced after CWI. Although both treatments significantly reduced skin temperature, WBC elicited a greater decrease compared to CWI. These data may provide information to clinicians and researchers attempting to optimise WBC and CWI protocols in a clinical or sporting setting.
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Affiliation(s)
- Joseph Thomas Costello
- Centre for Physical Activity and Health Research, Department of Physical Education and Sport Sciences, University of Limerick, Castletroy, Limerick, Ireland.
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Bleakley CM, Costello JT. Do thermal agents affect range of movement and mechanical properties in soft tissues? A systematic review. Arch Phys Med Rehabil 2012; 94:149-63. [PMID: 22885279 DOI: 10.1016/j.apmr.2012.07.023] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2012] [Accepted: 07/25/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVES To examine the effect of thermal agents on the range of movement (ROM) and mechanical properties in soft tissue and to discuss their clinical relevance. DATA SOURCES Electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE) were searched from their earliest available record up to May 2011 using Medical Subjects Headings and key words. We also undertook related articles searches and read reference lists of all incoming articles. STUDY SELECTION Studies involving human participants describing the effects of thermal interventions on ROM and/or mechanical properties in soft tissue. Two reviewers independently screened studies against eligibility criteria. DATA EXTRACTION Data were extracted independently by 2 review authors using a customized form. Methodologic quality was also assessed by 2 authors independently, using the Cochrane risk of bias tool. DATA SYNTHESIS Thirty-six studies, comprising a total of 1301 healthy participants, satisfied the inclusion criteria. There was a high risk of bias across all studies. Meta-analyses were not undertaken because of clinical heterogeneity; however, effect sizes were calculated. There were conflicting data on the effect of cold on joint ROM, accessory joint movement, and passive stiffness. There was limited evidence to determine whether acute cold applications enhance the effects of stretching, and further evidence is required. There was evidence that heat increases ROM, and a combination of heat and stretching is more effective than stretching alone. CONCLUSIONS Heat is an effective adjunct to developmental and therapeutic stretching techniques and should be the treatment of choice for enhancing ROM in a clinical or sporting setting. The effects of heat or ice on other important mechanical properties (eg, passive stiffness) remain equivocal and should be the focus of future study.
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Affiliation(s)
- Chris M Bleakley
- Faculty of Life and Health Sciences, Ulster Sports Academy, University of Ulster, Co Antrim, Ireland.
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