Cryotherapy With Dynamic Intermittent Compression Improves Recovery From Revision Total Knee Arthroplasty

Murgier, Jérôme; Cailliez, Julien; Wargny, Matthieu; Chiron, Philippe; Cavaignac, Étienne; Laffosse, Jean-Michel

doi:10.1016/j.arth.2017.03.052

Cited by 13 publications

(9 citation statements)

References 24 publications

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“…The best results associated with CWI application can be explained by the greater cooling area of contact [7], the hydrostatic pressure that redirected the skin blood flow to the central circulation [27], and the local vasoconstriction that reduces the fluid flux into the interstitial space. The intervention with CGRC provided satisfactory results that may be related to cooling associated with compression [12]. The results achieved for the effects of cryotherapy on agility performance, evaluated by SHT, confirmed the findings of previous studies, such as those reported by Macedo, et al [22] and Furmanek, Słomka, & Juras [28] who showed worse functional performance immediately after CWI application.…”

Section: Discussionsupporting

confidence: 84%

“…Among the cryotherapy techniques the ice pack is a low-cost device which is easily accessible, causing a reduction in tissue temperature and physiological changes to at least one centimeter [5,6], the cold water immersion (CWI) allows a greater body area to be exposed to cold [7], maintaining tissue cooling for longer and providing increased analgesia [8] and cryotherapy with intermittent compression can deliver similar results [9,10]. The literature shows that cryotherapy with intermittent compression is widely used for recovery of ligament injuries [11], total knee arthroplasty [12] and reduction in post-operative pain [10].…”

Section: Introductionmentioning

confidence: 99%

“…al. Murgier, et al [11] reported that pneumatic compression and cryotherapy may reduce pain and postoperative blood loss, and lead to higher functional scores [12]. On the other hand, cryotherapy and intermittent compression equipment are more expensive and less accessible for health professionals.…”

Section: Introductionmentioning

confidence: 99%

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"Effects of Different Cryotherapy Techniques on Skin Surface Temperature, Agility and Balance - Comparison Between Cold Water Immersion, Game Ready®, And Ice Pack: A Randomised Clinical Trial"

Macedo

2021

BJSTR

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Cryotherapy is widely used for the treatment of acute soft tissue lesion, however, its results are directly associated with the technique used.Approach: To establish differences between the application of cryotherapy techniques on the ankle joint.Purpose: This is a randomized clinical trial. Twenty young and physically active participants (10 men and 10 women) participated in the study. The analysis of superficial skin temperature (SST) of the anterior, lateral, and posterior regions of the ankle, agility performance, and dynamic balance after the application of cold water immersion (CWI), cryotherapy+Game Ready® compression (CGRC), or ice pack (IP) was performed. Rewarming and agility and balance performance were analyzed up to 30 minutes after interventions. Results:The CWI demonstrated lower SST (p<0.01) for all regions of the ankle; followed by the CGRC and IP. The CWI and CGRC provided better cooling up to 30 minutes (p<0.01) in the anterior region of the ankle. The CWI and CGRC groups showed greater cooling of the posterior region of the ankle up to 10 minutes (p=0.02). The CWI group performed worst in agility. No changes were observed in dynamic balance. Conclusions:The CWI and CGRC groups performed better in decreasing SST in all regions of the ankle. The CWI group demonstrated reduced agility performance. Dynamic balance was not altered. These results may contribute to the choice of the best cryotherapy technique, to be used in clinical practice as recovery after exercise or for treatment of acute injuries.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

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"Effects of Different Cryotherapy Techniques on Skin Surface Temperature, Agility and Balance - Comparison Between Cold Water Immersion, Game Ready®, And Ice Pack: A Randomised Clinical Trial"

Macedo

2021

BJSTR

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“…became popular after receiving patents in the 1990s and early 2000s. Initially implemented for recovery following surgical procedures, such as knee arthroplasty (Su et al 2012 ; Murgier et al 2017 ; Schinsky et al 2016 ), knee arthroscopy (Waterman et al 2012 ; Murgier and Cassard 2014 ), hip arthroplasty (Leegwater et al 2012 ), hip arthroscopy (Klaber et al 2019 ), and spine surgery (Nabıyev et al 2018 ; Bellon et al 2019 ), these devices deliver continuous or intermittent compression whilst simultaneously supplying low temperature “exchange fluid” to the injured area. Importantly, they can be applied for as long a time period as desired without substantial change in the temperature of the material contacting the affected area.…”

Section: The Changing Face Of Cryotherapymentioning

confidence: 99%

Cold for centuries: a brief history of cryotherapies to improve health, injury and post-exercise recovery

et al. 2022

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For centuries, cold temperatures have been used by humans for therapeutic, health and sporting recovery purposes. This application of cold for therapeutic purposes is regularly referred to as cryotherapy. Cryotherapies including ice, cold-water and cold air have been popularised by an ability to remove heat, reduce core and tissue temperatures, and alter blood flow in humans. The resulting downstream effects upon human physiologies providing benefits that include a reduced perception of pain, or analgesia, and an improved sensation of well-being. Ultimately, such benefits have been translated into therapies that may assist in improving post-exercise recovery, with further investigations assessing the role that cryotherapies can play in attenuating the ensuing post-exercise inflammatory response. Whilst considerable progress has been made in our understanding of the mechanistic changes associated with adopting cryotherapies, research focus tends to look towards the future rather than to the past. It has been suggested that this might be due to the notion of progress being defined as change over time from lower to higher states of knowledge. However, a historical perspective, studying a subject in light of its earliest phase and subsequent evolution, could help sharpen one’s vision of the present; helping to generate new research questions as well as look at old questions in new ways. Therefore, the aim of this brief historical perspective is to highlight the origins of the many arms of this popular recovery and treatment technique, whilst further assessing the changing face of cryotherapy. We conclude by discussing what lies ahead in the future for cold-application techniques.

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“…DC therapy is a combination of continuous flow cryo-therapy and intermittent compression. It is an up-to-date analgesic regimen in extremity surgery and its efficiency has been demonstrated after anterior cruciate ligament reconstructions and revision surgeries of total knee arthroplasties [6,13].…”

Section: Discussionmentioning

confidence: 99%

Cryo-Compression Therapy After Elective Spinal Surgery for Pain Management: A Cross-Sectional Study With Historical Control

et al. 2018

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ObjectivePostoperative dynamic cryo-compression (DC) therapy has been proposed as a method of reducing pain and the inflammatory response in the early postoperative period after orthopedic joint reconstruction surgery. Our aim was to analyze the analgesic efficacy of DC therapy after adult lumbar spinal surgery.MethodsDC was applied for 30 minutes every 6 hours after surgery. Pain was measured by a visual analogue scale (VAS) in the preoperative period, immediately after surgery, and every 6 hours postoperatively for the first 72 hours of the hospital stay. Patients’ pain medication requirements were monitored using the patient-controlled analgesia system and patient charts. Twenty patients who received DC therapy were compared to 20 historical controls who were matched for demographic and surgical variables. ResultsIn the postanesthesia care unit, the mean VAS back pain score was 5.87 ± 0.9 in the DC group and 6.95±1.0 (p=0.001) in the control group. The corresponding mean VAS scores for the DC vs. control groups were 3.8±1.1 vs. 5.4±0.7 (p < 0.001) at 6 hours postoperatively, and 2.7±0.7 vs. 6.25±0.9 (p<0.001) at discharge, respectively. The cumulative mean analgesic consumption of paracetamol, tenoxicam, and tramadol in the DC group vs. control group was 3,733.3±562.7 mg vs. 4,633.3±693.5 mg (p<0.005), 53.3±19.5 mg vs. 85.3±33.4 mg (p<0.005), and 63.3±83.4 mg vs. 393.3±79.9 mg (p<0.0001), respectively. ConclusionThe results of this study demonstrated a positive association between the use of DC therapy and accelerated improvement in patients during early rehabilitation after adult spine surgery compared to patients who were treated with painkillers only.

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Cryotherapy With Dynamic Intermittent Compression Improves Recovery From Revision Total Knee Arthroplasty

Abstract: This is the first report dealing with the use of CDIC after rTKA. According to our results, it improves the recovery of patients who underwent rTKA; thus, it should be integrated into our daily practice.

Cited by 13 publications

References 24 publications

"Effects of Different Cryotherapy Techniques on Skin Surface Temperature, Agility and Balance - Comparison Between Cold Water Immersion, Game Ready®, And Ice Pack: A Randomised Clinical Trial"

"Effects of Different Cryotherapy Techniques on Skin Surface Temperature, Agility and Balance - Comparison Between Cold Water Immersion, Game Ready®, And Ice Pack: A Randomised Clinical Trial"

Cold for centuries: a brief history of cryotherapies to improve health, injury and post-exercise recovery

Cryo-Compression Therapy After Elective Spinal Surgery for Pain Management: A Cross-Sectional Study With Historical Control

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