Polyclinic Therapy Department                           Flávia Teixeira da Cunha                                          ...
PHYSIOTHERAPY Physiotherapy is a healthcare support service, which assists the medical service in dealing with different ...
Physiotherapist Physiotherapist helps people of all ages who have  physical problems caused by illness, accident or  agei...
Orthopaedic Physiotherapy Orthopaedic Physiotherapy is the oldest branch of physiotherapy and is oriented towards the tre...
Role   Impaired posture, Impaired Muscle functions Impaired Joint Mobility, Motor function, Muscle    performance, and ra...
Physiotherapy & Rehabilitation Center uses a variety of differenttreatment methods to help speed up the healing process an...
Cryotherapy is the local or general use of low temperatures inmedical therapy. Cryotherapy is used to treat a variety of b...
What does Cold Do? Pain and muscle spasms are common responses to injury. Tendons and  ligaments are tissues that connect...
Types of cryotherapyIce bags                                 Ice massage This technique uses simple bags         Ice mas...
Advantages                          Disadvantages Easily available materials         The ice easily falls off the joint....
 These benefits start with theBenefits                            reduction of inflammation, pain                        ...
Indications                               Contraindications Reduce of general resistance all         General grave condi...
Donjoy ArcticFlow Knee Wrapwith Cooler   What is the Donjoy ArcticFlow Knee Wrap with Cooler?   The Donjoy ArcticFlow Kn...
Donjoy ArcticFlow Shoulder Wrapwith Cooler   What is the Donjoy ArcticFlow Shoulder Wrap with Cooler?   The Donjoy Arcti...
Aircast Ankle Cryo/Cuff withCooler   What is the Aircast Ankle Cryo/Cuff with Cooler?   The ultimate ankle ice therapy/c...
Aircast Elbow Cryo/Cuff withCooler   What is the Aircast Elbow Cryo/Cuff with Cooler?   The ultimate elbow ice therapy/c...
Aircast Hand & Wrist Cryo/Cuffwith Cooler   What is the Aircast Hand & wrist Cryo/Cuff with Cooler?   The ultimate hand ...
Aircast Thigh Cryo/Cuff withCooler   What is the Aircast Thigh Cryo/Cuff with Cooler?   The ultimate thigh ice therapy/c...
Precautions a. Hypertension i. Careful monitoring is needed because of transient increases that can occur in systolic and ...
Testemonial Ive used icing as a way to reduce swelling and  speed up recovery since I started running  marathons ten year...
Testemonial Coming into the Run It Forward program I had a  left Achilles issue and a right calf issue. By the  fourth da...
Conclusion Cryotherapy is a safe and easy to use treatment to  destroy many benign and malignant lesions. The cryotherap...
Perspectives Thus, this cryotherapy treatment suits for the treatment of  almost all known diseases. Exceptionally wide r...
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Physiotherapy in orthopedic practice cryotherapy

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Physiotherapy in orthopedic practice cryotherapy

  1. 1. Polyclinic Therapy Department Flávia Teixeira da Cunha Group 7 Kursk - 2012
  2. 2. PHYSIOTHERAPY Physiotherapy is a healthcare support service, which assists the medical service in dealing with different aspects of treatment, rehabilitation and prevention of disorders utilizing exercise and electrotherapy procedures. It begins with an assessment of the patients condition including medical history and physical examination.
  3. 3. Physiotherapist Physiotherapist helps people of all ages who have physical problems caused by illness, accident or ageing. They relieve pain, rehabilitate muscles alignment and increase mobility in order to promote health and well- being. They educate the patients in proper body alignment as postures and work habits. The patients education is a key to success of the physiotherapists. The physiotherapist is trained to treat symptoms of injury and disease by physical means, heat and pressure.
  4. 4. Orthopaedic Physiotherapy Orthopaedic Physiotherapy is the oldest branch of physiotherapy and is oriented towards the treatment of Musculo – Skeletal ailments. It involves regaining appropriate health and function of structures surrounding the Joint regions and normalizing the Biomechanics following any injury or Orthopaedic disease. The rehabilitation of Orthopaedically disabled individuals is also a major area of function.
  5. 5. Role Impaired posture, Impaired Muscle functions Impaired Joint Mobility, Motor function, Muscle performance, and range of motion associated with Connective tissue dysfunctions Localized inflammation as in  Muscle pain, strain.  Muscle tear.  Muscle imbalances.  Muscle spasm. Primary prevention /Risk reduction for skeletal demineralization  Joint stiffness.  Fractures.  Ligament sprain, tear.  Inflammation of tendons and bursa.  Joint pain.  Poor posture. Joint inflammation in case of osteoarthritis or rheumatoid arthritis Back and neck pain. Contractures. Joint dislocations. Body mechanics assessment. Other biomechanical faults. Rehabilitation following occupational injury, surgery, sporting injuries, fractures.
  6. 6. Physiotherapy & Rehabilitation Center uses a variety of differenttreatment methods to help speed up the healing process andreduce the likelihood of the same thing happening again.Some of the techniques include: Manual techniques (massage, joint mobilization , manipulation, stretches). Electrotherapy (ultrasound, interferential currents, TENS, shortwave diathermy, microwave diathermy, laser). Heat therapy (IRR , Hot packs , Wax therapy). Cryotherapy. Graded Therapeutic exercises. Correction of posture, lifting techniques, sporting techniques which contribute to the problem . Taping, Bandaging, Splinting. Hydrotherapy. Contrast bath. Suspension therapy. Traction techniques.
  7. 7. Cryotherapy is the local or general use of low temperatures inmedical therapy. Cryotherapy is used to treat a variety of benign andmalignant lesions.The term "cryotherapy" comes from the Greek cryo (κρυο)meaning cold, and therapy (θεραπεια) meaning cure. Cryotherapy hasbeen used as early as the seventeenth century.
  8. 8. What does Cold Do? Pain and muscle spasms are common responses to injury. Tendons and ligaments are tissues that connect muscles and bones to each other and to other tissues. The basic building material of muscles, tendons, and ligaments is a protein called collagen. Under normal conditions, collagen acts like a rubber band: It stretches when tension is applied (as when we pull a rubber band) and returns to its normal length when the tension is released. However, when the collagen is stretched too far, it tears. In this tearing process, blood vessels are torn and blood cells and fluid escape into the spaces among the muscle fibers. This is sometimes visible on the surface of the skin as a swollen, bruised area. Cold applied to the area decreases the flow of this fluid into the tissues and slows the release of chemicals that cause pain and inflammation. Cold decreases feeling in an area by reducing the ability of the nerve endings to conduct impulses. It may also reduce pain by "countering" the injury. For example, you might counter the pain of a sore tooth by pinching yourself hard in the leg. Cold also decreases the activity of cells to reduce swelling and internal bleeding at the site of acute injury. Cooling the deep tissue also reduces muscle spasm by reducing the muscles ability to maintain a contraction (contractility).
  9. 9. Types of cryotherapyIce bags Ice massage This technique uses simple bags  Ice massage is another such as a plastic bag, a hot water cyrotherapy technique. Place bottle, chemical cold packs or clean tap water into a foam cup frozen vegetables. Technique- Dry and place in your freezer until it the area first. Apply a dry terry is completely frozen. Peel back a cloth towel over the area to small amount of the top of the prevent direct contact of the ice to cup and massage this onto area the skin. Apply your choice of of pain using constant circular cold to the area for no more than motion. DO NOT hold the ice in 20 minutes. The skin will pass one area for more than 3 through four stages of sensation minutes since this may cause in 10-15 minutes. These sensations frostbite. ** Cold therapy in order are: 1.) Cold 2.) Burning should be stopped once the 3.) Aching 4.) Numbness ** Cold skin feels numb. therapy should be stopped once the skin feels numb.
  10. 10. Advantages Disadvantages Easily available materials  The ice easily falls off the joint. found in most homes. It is difficult to keep the ice in place Usually inexpensive.  The ice quickly melts and can Quick application with little create a mess especially if in preparation. bed. Good for minor injuries that  Ice is applied to limited surfaces only require cold therapy for a of the joint. day or two.  No compression is applied.  Can only be applied for short periods of time (10-20 minutes).  Very frustrating to use for more major injuries or after surgery for the above reasons.
  11. 11.  These benefits start with theBenefits reduction of inflammation, pain relief, and improved mobility. Faster muscle recovery  decreases cellular metabolism, increases cellular survival, decreases Promotes healthier skin inflammation, decreases pain and complexion spasm, and promotes Invigorates the mind vasoconstriction and vasodilatation which leads to increased levels of Improves sleep pattern oxygenated blood delivered to Assists with cellulite damaged tissue. reduction  In the cold temperatures, the blood vessels quickly constrict forming a Effective with chronic pain protective layer while the core body management temperature is maintained. Faster surgical recovery  The process naturally stimulates blood circulation as the bodys Reduces stress & anxiety hormone, immune, and nervous systems are activated.
  12. 12. Indications Contraindications Reduce of general resistance all  General grave condition of organisms; patient;  Decompensation chronically Prevention for acute respiratory cardiovascular disease; disease;  Acute myocardial infarction and Prevention for cardiovascular subsequent discharge ; and bronchopulmonary  Cerebral impulse; diseases;  Essential hypertension at 2 extant; Prevention for peripheral vessels  Cardiac decompensation at 2 disease; extant; Polyarticular rheumatoid  Prognostic negative disturbances of cardiac rate and conductivity; arthritis with prior join affection in active (3 extent ) and not  Fever; active phase;  Active pulmonary tuberculosis;  Cancerous growth; Ankylosing [rheumatoid]  Hysteric neuroses; spondylitis;  Individual intolerance of coldness; Skin diseases (eczema, psoriasis,  Hemorrhagic diathesis. neurodermatitis).
  13. 13. Donjoy ArcticFlow Knee Wrapwith Cooler What is the Donjoy ArcticFlow Knee Wrap with Cooler? The Donjoy ArcticFlow Knee Wrap with Cooler is a fantastic value for money continuous ice therapy and compression device. When can I use it? Ice therapy and compression are the treatment of choice for knee swelling and pain that is common with all knee ligament injuries, torn cartilage, knee arthritis and following all types of knee surgery. Size One size fits all. How does it work? Its incredibly simple to use at home. Just fill the Donjoy ArcticFlow Cooler with ice and water. It holds 3.5 litres of water and ice - enough for three hours of ice therapy - a much longer therapeutic period than an ice pack. The Cooler is attached to the latex free elastic Donjoy ArcticFlow Knee Wrap which snugly fits the knee joint. Simply elevate the Cooler above knee height to fill the Wrap with ice cold water to provide ice therapy and compression.
  14. 14. Donjoy ArcticFlow Shoulder Wrapwith Cooler What is the Donjoy ArcticFlow Shoulder Wrap with Cooler? The Donjoy ArcticFlow Shoulder Wrap with Cooler is a fantastic value for money continuous ice therapy and compression device. When can I use it? Ice therapy and compression are the treatment of choice for Shoulder swelling and pain that is common with a shoulder sprain, shoulder bursitis, rotator cuff injury, dislocated shoulder, shoulder separation, broken Collar bone, shoulder tendonitis and following Shoulder surgery. Size One size fits all. How does it work? Its incredibly simple to use at home. Just fill the Donjoy ArcticFlow Cooler with ice and water. It holds 3.5 litres of water and ice - enough for three hours of ice therapy - a much longer therapeutic period than an ice pack. The Cooler is attached to the latex free elastic Donjoy ArcticFlow Shoulder Wrap which snugly fits the shoulder joint. Simply elevate the Cooler above shoulder height to fill the Wrap with ice cold water to provide ice therapy and compression.
  15. 15. Aircast Ankle Cryo/Cuff withCooler What is the Aircast Ankle Cryo/Cuff with Cooler? The ultimate ankle ice therapy/cryotherapy device. Provides compression to minimise bleeding and swelling, and cold to minimise pain following ankle injury. When can I use it? Many elite athletes use this product following ankle injuries and ankle surgery. Anyone with an ankle injury can also benefit from using this product. It can be used at home for the treatment of all ankle injuries, such as sprained ankle; dislocated ankle; ankle arthritis; Talar dome lesions; Osteochondral lesions; Avulsion fractures; and following ankle arthroscopy and ankle surgery. Size The Ankle Cryo/Cuff™ with Cooler is one-size for adults. How does it work? The Aircast Ankle Cryo/Cuff™ with Cooler is an easy to use device that circulates ice cold water to provide cold therapy in the treatment of injuries. This version is specific for the ankle and offers the very best option in ice and compression therapy. The Aircast Ankle Cryo/Cuff™ with Cooler combines the therapeutic benefits of controlled compression to minimise bleeding and swelling in the ankle, and cold to minimise pain. The cuff is anatomically designed to completely fit the ankle providing maximum benefit. The Cooler element is Universal to all Cryo/Cuff™ models. The Cryo/Cuff™ Cooler holds water and ice needed for six to eight hours of cryotherapy - much longer than an ice pack. The durable cooler comes with a tube assembly and insulation disk and is labelled with simple-to-follow directions for use.
  16. 16. Aircast Elbow Cryo/Cuff withCooler What is the Aircast Elbow Cryo/Cuff with Cooler? The ultimate elbow ice therapy/cryotherapy device. Provides compression to minimise bleeding and swelling, and cold to minimise pain following elbow injury. When can I use it? Many elite athletes use this product following elbow injuries and elbow surgery. Anyone with a elbow injury can also benefit from using this product. It can be used at home for the treatment of all elbow injuries, such as sprained elbow; dislocated elbow; elbow arthritis; Golfers Elbow; Tennis Elbow; elbow fractures; and following elbow arthroscopy and elbow surgery. Size The Elbow Cryo/Cuff™ with Cooler is one-size for adults. How does it work? The Aircast Elbow Cryo/Cuff™ with Cooler is an easy to use device that circulates ice cold water to provide cold therapy in the treatment of injuries. This version is specific for the elbow and offers the very best option in ice and compression therapy. The Aircast Elbow Cryo/Cuff™ with Cooler combines the therapeutic benefits of controlled compression to minimise bleeding and swelling in the elbow, and cold to minimise pain. The cuff is anatomically designed to completely fit the elbow providing maximum benefit. The Cooler element is Universal to all Cryo/Cuff™ models. The Cryo/Cuff™ Cooler holds water and ice needed for six to eight hours of cryotherapy - much longer than an ice pack. The durable cooler comes with a tube assembly and insulation disk and is labelled with simple-to-follow directions for use. The Elbow Cryo/Cuff™ with Cooler is one-size for adults.
  17. 17. Aircast Hand & Wrist Cryo/Cuffwith Cooler What is the Aircast Hand & wrist Cryo/Cuff with Cooler? The ultimate hand & wrist ice therapy/cryotherapy device. Provides compression to minimise bleeding and swelling, and cold to minimise pain following hand & wrist injury. When can I use it? Many elite athletes use this product following hand or wrist injuries and hand surgery. Anyone with a hand or wrist injury can also benefit from using this product. It can be used at home for the treatment of all hand & wrist injuries, such as sprained wrist; dislocated wrist; hand & wrist arthritis; broken hand; broken wrist; Carpal Tunnel Syndrome; and following wrist arthroscopy and hand & wrist surgery. Size The Hand & wrist Cryo/Cuff™ with Cooler is one-size for adults. How does it work? The Aircast Hand & wrist Cryo/Cuff™ with Cooler is an easy to use device that circulates ice cold water to provide cold therapy in the treatment of injuries. This version is specific for the hand & wrist and offers the very best option in ice and compression therapy. The Aircast Hand & wrist Cryo/Cuff™ with Cooler combines the therapeutic benefits of controlled compression to minimise bleeding and swelling in the hand & wrist, and cold to minimise pain. The cuff is anatomically designed to completely fit the hand & wrist providing maximum benefit. The Cooler element is Universal to all Cryo/Cuff™ models. The Cryo/Cuff™ Cooler holds water and ice needed for six to eight hours of cryotherapy - much longer than an ice pack. The durable cooler comes with a tube assembly and insulation disk and is labelled with simple-to-follow directions for use.
  18. 18. Aircast Thigh Cryo/Cuff withCooler What is the Aircast Thigh Cryo/Cuff with Cooler? The ultimate thigh ice therapy/cryotherapy device. Provides compression to minimise bleeding and swelling, and cold to minimise pain following thigh injury. When can I use it? Many elite athletes use this product following thigh injuries and thigh surgery. Anyone with a thigh injury can also benefit from using this product. It can be used at home for the treatment of all thigh injuries, such as thigh strain; bruised thigh; dead leg; quads strain; hamstring strain; and following thigh surgery. Which size do I need? Measure around the thigh: Regular 43-58cm (17"-23") X-Large 51-69cm (20"-27“) How does it work? The Aircast Thigh Cryo/Cuff™ with Cooler is an easy to use device that circulates ice cold water to provide cold therapy in the treatment of injuries. This version is specific for the thigh and offers the very best option in ice and compression therapy. The Aircast Thigh Cryo/Cuff™ with Cooler combines the therapeutic benefits of controlled compression to minimise bleeding and swelling in the thigh, and cold to minimise pain. The cuff is anatomically designed to completely fit the thigh providing maximum benefit. The Cooler element is Universal to all Cryo/Cuff™ models - you fill this up with ice and cold water. The Cryo/Cuff™ Cooler holds water and ice needed for six to eight hours of cryotherapy - much longer than an ice pack. The durable cooler comes with a tube assembly and insulation disk and is labelled with simple-to-follow directions for use.
  19. 19. Precautions a. Hypertension i. Careful monitoring is needed because of transient increases that can occur in systolic and diastolic blood pressure. ii. Treatment should be discontinued if increase in blood pressure is seen. b. Elderly patients i. Decreased efficiency with vasoconstriction. ii. Therefore, they have decreased ability to conserve heat. c. Length of treatment i. Do not use cold gel packs longer than 15-20 minutes directly on skin, and do not apply any cryotherapy directly to skin for > 1 hour continuously. ii. Extended treatment may lead to neurapraxia or axonotmesis of superficial peripheral nerves.
  20. 20. Testemonial Ive used icing as a way to reduce swelling and speed up recovery since I started running marathons ten years ago. Ice is a great recovery tool, US Cryotherapy’s technology is amazing! The localized machine gets the skin temperature lower than just using ice packs and saves valuable time. Having US Cryotherapy on Run It Forward, running from Chicago to Santa Monica, aided me in being able to get back out and hammer out the miles day after day and still have enough energy to run with the kids as well! -Kate Martini Freeman Ultra Runner, Run It Forward Runner, 3:04 marathoner
  21. 21. Testemonial Coming into the Run It Forward program I had a left Achilles issue and a right calf issue. By the fourth day of running full marathons in a row my body was broken. I was hurting so bad, and my sore Achilles was now making it so it even hurt to walk. I was very concerned as I somehow still needed to be able to run another 15 days straight. Dr. Mike started the US Cryotherapy machine on it, and within a few times it was much better. I was able to run faster and it made my pain almost subside. This machine is miraculous in healing sports injuries. I came home from Run It forward totally injury free, and have been training about 100 miles a week getting ready for my next big 100 mile race. Such a great piece of equipment!! Keira Henniger, Ultrarunner and Race Director
  22. 22. Conclusion Cryotherapy is a safe and easy to use treatment to destroy many benign and malignant lesions. The cryotherapy operator must be aware of the complications associated with this modality; for example, a complication is hypopigmentation (dark- skinned individuals are prone to hypopigmentation). One needs to be aware of the fact that lesions may need to be treated multiple times before resolution.
  23. 23. Perspectives Thus, this cryotherapy treatment suits for the treatment of almost all known diseases. Exceptionally wide range of positive cryotherapy effects is confirmed by many recent published announcements on this topic. For example, Chernyshev in his manual points out the following promising fields of applied medicine: pulmonology, gynaecology, combustiology (burns treatment), general surgery (proctology and traumatology), gastroenterology, neuropathology and vertebrology, cosmetology and sports medicine.

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