APPLICATION OF CRYOKINETICS FOR MUSCKULOSKELETAL CONDITIONS

 CRYOKINETICS


Cryokinetics, that is cold and exercise, is an integral part of the initial phase of the athlete’s rehabilitation.


The key to success in this early stage of recovery is the use of cold for pain inhibition to allow greater effort with grade exercises.


Ice is used in cryokinetics to numb the affected area, 10-15 minutes of application is usually necessary to achieve the required analgesia.


Cryokinetics is easily performed under proper instruction and supervision. 

Initially cold is used to numb the injured part by applying ice massage, ice packs, or immersion bath.


If the therapist chooses to use an immersion bath, a technique sometimes employed for injuries of the distal joints, the duration of treatment should not exceed 15 minutes, and the clinician should ensure that the patient has intact peripheral circulation.

Prolonged local exposure to cold has been reported to result in nerve palsies.


Cold can be a valuable tool in the early management of rehabilitation of the injured athlete.

Therefore, it is important that the therapist knows the specific effects of cold on the body, when to use this agent, where to apply it and how it can assist in rehabilitation.


EFFECT OF CRYOKINETICS.

There occurs numbing of the part by cold application. Then the part is put through it’s range of movement actively in controlled fashion.

These controlled exercises enhance the healing process by stimulating the circulation. At the same time, inhibitory neural responses are prevented and early activity of surrounding tissues and muscles are allowed.

METHOD OF APPLICATION 

This can be explained with the following example: in case of a mild second degree of lateral ankle sprain, the treatment is given as:

1st Day:

Ice is applied along with compression.

Gentle range of motion exercises are given if there is no pain or uncomfortable feeling.


2nd Day onwards:

For 10 to 20 minutes. Ice is applied.

Then heel toe(normal gait) walking is done by patient. If this is achieved without limp, then it is continued until the pain begins. It is repeated 5 times.


The other exercises include ankle inversion exercises, toe raising and hopping exercises.


The exercises sessions should always be concluded by ice.


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