ObjectiveThe purpose of this study was to evaluate cryotherapy effectiveness in the immediate postoperative period of ACL reconstruction to improve pain and range of motion (ROM) of the knee.MethodsThis is a pilot study of a prospective and randomized clinical trial. Patients (n=25) were divided into two groups: Intervention (A) group (n=10): patients were submitted to an inpatient physical therapy protocol and received ice compress for 20 minutes, twice a day; Control (B) group (n=9): patients had the same protocol, twice a day. The pain intensity was evaluated with the visual analogic scale (VAS) and range of motion was measured with a goniometer.ResultsThe Intervention (A) group had important absolute and percentual improvement when compared with the Control (B) group regarding measures of pain and knee flexion/extension ROM.ConclusionCryotherapy in the immediate postoperative period of ACL reconstruction was effective to improve pain and range of motion of the knee. Level of Evidence I, Randomized Clinical Trial.
SUMMARYThis study was aimed at providing a review of the last ten years in literature addressing the effect of the physical therapeutic treatments carried out in hip fractures and the review of the description and influence of specific proprioceptive drills in rehabilitation processes. These fractures are very common, particularly among the aged population, causing various consequences to the individual, such as proprioceptive sensations changes, which can predispose patients to important joint instability. Therefore, the rehabilitation of these injuries is of great importance in order to restore hip function and to prevent recurrences. According to the literature review, studies describe physical therapeutic treatment protocols in cases of hip fractures, but most authors do not present a specific isolated proprioceptive training; they usually correlate muscular strength gain, balance and gait and functional training to an indirect improvement of joint proprioception. The shortage of theories addressing the subject is clear, and further studies are warranted for providing better clinically and statistically significant data concerning the subject in reference.
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