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

Bleakley, Chris; McDonough, SM; MacAuley, D

doi:10.1016/j.acpain.2006.09.023

Cited by 44 publications

(71 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is also an abundance of literature investigating injury epidemiology in field based sports (98 of the studies included in our analysis were field-based focused). The high risk of ankle sprain has promoted an appropriate research response, as a large number of methodologically rigorous randomised control trials now exist investigating the effect of different interventions in injury rehabilitation (54,(228)(229)(230)(231) and prevention (232)(233)(234).…”

Section: Discussionmentioning

confidence: 99%

The Incidence and Prevalence of Ankle Sprain Injury: A Systematic Review and Meta-Analysis of Prospective Epidemiological Studies

et al. 2013

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

The Incidence and Prevalence of Ankle Sprain Injury: A Systematic Review and Meta-Analysis of Prospective Epidemiological Studies

et al. 2013

View full text Add to dashboard Cite

“…[22][23][24] Evidence Category: C 15. Compression should be applied to acute ankle sprains to minimize swelling.…”

mentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes

Kaminski

Hertel

Amendola

et al. 2013

Journal of Athletic Training

197

236

View full text Add to dashboard Cite

Objective: To present recommendations for athletic trainers and other allied health care professionals in the conservative management and prevention of ankle sprains in athletes.Background: Because ankle sprains are a common and often disabling injury in athletes, athletic trainers and other sports health care professionals must be able to implement the most current and evidence-supported treatment strategies to ensure safe and rapid return to play. Equally important is initiating preventive measures to mitigate both first-time sprains and the chance of reinjury. Therefore, considerations for appropriate preventive measures (including taping and bracing), initial assessment, both short-and long-term management strategies, return-to-play guidelines, and recommendations for syndesmotic ankle sprains and chronic ankle instability are presented.Recommendations: The recommendations included in this position statement are intended to provide athletic trainers and other sports health care professionals with guidelines and criteria to deliver the best health care possible for the prevention and management of ankle sprains. An endorsement as to best practice is made whenever evidence supporting the recommendation is available.

show abstract

“…11 Intermittent cryotherapy with 10 min intervals has been found to be clinically superior to a single 20 min interval in ankle sprains. 7 By contrast, we found immediate changes of the Achilles tendon capillary blood flow within 20 s of cryotherapy using real-time laser-Doppler technology at two distinct tissue levels.…”

Section: Discussionmentioning

confidence: 59%

“…Our previous study 6 found the main effects occurred within the first 10 min of cryotherapy, a protocol that has recently been tested clinically in a randomised controlled trial on ankle sprains. 7 Nevertheless, we do not have any data beyond the intermittent 3610 min time frame. Furthermore, we studied the tendon microcirculation in healthy subjects without swelling or tendinopathy.…”

Section: Limitationsmentioning

confidence: 99%

“…6 A recent randomised trial has supported this, showing that 10 min of intermittent ice application is superior to a single 20 min cryotherapy treatment with regard to ankle pain on exercise. 7 Intermittent ischaemia and reperfusion have been reported to be protective for tissue vitality sustaining an ischaemic event as part of the ischaemia/reperfusion cascade.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Intermittent KoldBlue cryotherapy of 3×10 min changes mid-portion Achilles tendon microcirculation

Knobloch

Grasemann²,

Spies³

et al. 2006

Br J Sports Med

View full text Add to dashboard Cite

Background: Neovascularisation and microcirculatory changes have been reported in Achilles tendinopathy. Cryotherapy and compression, as part of a rest, ice, compression and elevation regimen, are shown to decrease pain and improve function. However, the microcirculatory changes following a given dosage of cryotherapy on mid-portion Achilles tendon remain unclear. Study design: Prospective clinical cohort study, level of evidence 2. Methods: 30 people (12 males, 33 (SD 12) years, body mass index 25.6 (5.3) kg/m 2 ) were included in the cohort. 3610 min KoldBlue ankle-cooling bandages were applied and microcirculation of Achilles tendon mid-portion was real-time and continuously assessed using a laser-Doppler-spectrophotometry system (O2C, Germany). Results: Superficial capillary blood flow was reduced from 42 to 6, 5 and 3 relative units (rU) in the first, second and third cryotherapy periods, respectively (265%, p = 0.001), with no significant capillary hyperaemia. Deep capillary tendon blood flow was reduced from 180 to 82, 53 and 52 rU (271%, p = 0.001) within 6-9 min of application without hyperaemia. Superficial tendon oxygen saturation dropped significantly from 43% to 26%, 18% and 11% (p = 0.001) after repetitive cryotherapy, with persisting increase of tendon oxygenation during rewarming (51%, 49% and 54%, p = 0.077) up to 27% of the baseline level. At 8 mm tendon depth, cryotherapy preserved local oxygenation. Relative postcapillary venous tendon filling pressures were favourably reduced from 41 (11) to 31, 28 and 26 rU (236%, p = 0.001) superficially and from 56 (11) to 45, 46 and 48 rU (218%, p = 0.001) in deep capillary blood flow during cryotherapy, facilitating capillary venous clearance. Conclusion: Intermittent cryotherapy of 3610 min significantly decreases local Achilles tendon mid-portion capillary blood flow by 71%. Within 2 min of rewarming, tendon oxygen saturation is re-established following cryotherapy. Postcapillary venous filling pressures are reduced during cryotherapy, favouring capillary venous outflow of the healthy Achilles tendon.

show abstract

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

Cited by 44 publications

References 6 publications

The Incidence and Prevalence of Ankle Sprain Injury: A Systematic Review and Meta-Analysis of Prospective Epidemiological Studies

The Incidence and Prevalence of Ankle Sprain Injury: A Systematic Review and Meta-Analysis of Prospective Epidemiological Studies

National Athletic Trainers' Association Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes

Intermittent KoldBlue cryotherapy of 3×10 min changes mid-portion Achilles tendon microcirculation

Contact Info

Product

Resources

About