Cryotherapy impairs knee joint position sense and balance

Sürenkök, Özgür; Aytar, Aydan; Tüzün, Emine Handan; Akman, Mahmut Nafız

doi:10.3233/ies-2008-0298

Cited by 42 publications

(74 citation statements)

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“…Cryotherapy had a negative effect on JPS in 3 studies [8,28,38] , whereas it had no effect on JPS in 5 studies [32–35] . Our results are in accordance with those who found no change in JPS after a cold therapy session [32–35] .…”

Section: Discussionmentioning

confidence: 99%

The Effect of Cryotherapy on the Normal Ankle Joint Position Sense

2011

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Purpose: To determine whether a fifteen-minute water immersion treatment affects the normal ankle joint position sense (JPS) at the middle range of dorsiflexion and plantar flexion actively and passively.Methods: Thirty healthy female volunteers aged between 18 and 30 years were treated by a 15-minute cryotherapy (6 ± 1°C). The subject's skin temperature over antromedial aspect of dominant ankle was measured by the Mayomed device before, immediate and 15 minutes after water immersion. Ankle JPS was tested trough the pedal goniometer at 3 stages similar to the skin temperature. ANOVA (α = 0.05) was performed on each of variables using SPSS 19.0 software. Results:Skin temperature was seen to decrease after water immersion but subjects did not return to pre-test skin temperature after 15 minutes (P<0.001). The research found no significant difference in JPS at middle range of dorsiflexion and plantar flexion actively and passively before and after cryotherapy. Conclusions:These findings suggest that 15-minute water immersion at 6°C dose not significantly alter the middle range of plantar flexion/ dorsiflexion JPS at the ankle and is not deleterious to JPS.

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Section: Discussionmentioning

confidence: 99%

The Effect of Cryotherapy on the Normal Ankle Joint Position Sense

2011

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“…Some authors [17, 55, 58] demonstrated several procedural limitations, and the results should be interpreted with caution.…”

Section: The Effects Of Cryotherapy On Joint Position Sense In Heamentioning

confidence: 99%

“…In the remaining five investigations, cryotherapy had a negative (harmful) effect on proprioception [50, 52, 53, 55, 56]. …”

Section: General Conclusion From the Reviewed Studiesmentioning

confidence: 99%

The Effects of Cryotherapy on Proprioception System

Furmanek

Słomka

Juras

2014

BioMed Research International

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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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“…A decrease in proprioception acuity and/or diminished knee joint proprioception has previously been linked to rendering the knee less sensitive to potentially damaging forces and possibly at an increased risk for ligament injury (Baker et al, 2002). Despite a number of authors suggesting no detriment in joint position sense (JPS) following cryotherapy (LaRiviere & Osternig, 1994; Thieme et al, 1996; Uchio et al, 2003; Dover & Powers, 2004; Wassinger et al, 2007), it is possible that the application of cold may decrease proprioception and predispose an individual to injury due to decreases in nerve conduction velocity, muscle force production, proprioceptive afferent information or a combination of these factors (Hopper et al, 1997; Surenkok et al, 2008; Oliveira et al, 2010). The importance, for clinicians and sportspeople alike, of increasing the awareness of the potential effects of cryotherapy on proprioception acuity in healthy individuals has been highlighted previously (Oliveira et al, 2010).…”

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confidence: 99%

Effects of whole‐body cryotherapy (−110 °C) on proprioception and indices of muscle damage

Costello

Algar

Donnelly

2011

Scandinavian Med Sci Sports

170

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The purpose of this study was to investigate the effects of whole-body cryotherapy (WBC) on proprioceptive function, muscle force recovery following eccentric muscle contractions and tympanic temperature (T(TY) ). Thirty-six subjects were randomly assigned to a group receiving two 3-min treatments of -110 ± 3 °C or 15 ± 3 °C. Knee joint position sense (JPS), maximal voluntary isometric contraction (MVIC) of the knee extensors, force proprioception and T(TY) were recorded before, immediately after the exposure and again 15 min later. A convenience sample of 18 subjects also underwent an eccentric exercise protocol on their contralateral left leg 24 h before exposure. MVIC (left knee), peak power output (PPO) during a repeated sprint on a cycle ergometer and muscles soreness were measured pre-, 24, 48 and 72h post-treatment. WBC reduced T(TY) , by 0.3 °C, when compared with the control group (P<0.001). However, JPS, MVIC or force proprioception was not affected. Similarly, WBC did not effect MVIC, PPO or muscle soreness following eccentric exercise. WBC, administered 24 h after eccentric exercise, is ineffective in alleviating muscle soreness or enhancing muscle force recovery. The results of this study also indicate no increased risk of proprioceptive-related injury following WBC.

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Cryotherapy impairs knee joint position sense and balance

Cited by 42 publications

References 0 publications

The Effect of Cryotherapy on the Normal Ankle Joint Position Sense

The Effect of Cryotherapy on the Normal Ankle Joint Position Sense

The Effects of Cryotherapy on Proprioception System

Effects of whole‐body cryotherapy (−110 °C) on proprioception and indices of muscle damage

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