Distal limb pathologic conditions in horses treated with sleeve-style digital cryotherapy (285 cases)

Proctor‐Brown, Lauren; Hicks, Rebecca B.; Colmer, Sarah; Guilfoyle, Danielle; Dallap‐Schaer, Barbara; Johnson, Amy L.; Tomlinson, Joy E.

doi:10.1016/j.rvsc.2018.09.008

Cited by 8 publications

(10 citation statements)

References 21 publications

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“…This is a significant improvement over other forms of topical heat or cold therapies which often produce wide fluctuations in tissue temperatures depending on the type and application 11 . The ability to measure in real time the temperature of the fluid media being delivered to the tissues is critical from a therapeutic perspective and has important safety implications that are not possible with any other forms of cryotherapy or heating modalities 3,6 . Dry‐interface pads also limit skin exposure to water and the need to manage ice melt.…”

Section: Discussionmentioning

confidence: 99%

“…Dry‐interface pads also limit skin exposure to water and the need to manage ice melt. Desmitis, cellulitis, tissue necrosis and distal limb oedema have been reported with ice‐water contact, which can be mitigated with the application of dry‐interface sleeves 6 …”

Section: Discussionmentioning

confidence: 99%

“…Cryotherapy or tissue cooling is most often used to reduce inflammation and pain following an acute injury or post‐operatively 4 . Cryotherapy of the equine distal limb has been used with varying degrees of efficacy using cold packs, sleeves with circulating cold media and ice‐water immersion 5,6 . Comparison of wet interface (immersion, ice boots) versus dry interface (pneumatic sleeve, cold packs) showed that cold water immersion and ice boot application achieve superior cooling of tissues in the foot, while a pneumatic device was the only dry‐interface technique to achieve tissue temperatures within the therapeutic range (4‐7°C) 3,5 .…”

Section: Introductionmentioning

confidence: 99%

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Contrast therapy: Tissue heating and cooling properties within the equine distal limb

Haussler

Wilde

Davis

et al. 2020

Equine Veterinary Journal

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Background: Rehabilitation of tendon injuries in horses often involves cryotherapy to reduce inflammation and occasionally tissue heating to increase collagen extensibility. The application of alternating cold and hot (ie contrast therapy) is widely used in human physical therapy; however, its utility in equine rehabilitation is largely unknown. Objectives: The objectives of this study were to (a) assess if the equipment could achieve therapeutic tissue temperatures (<15 and >40°C) at different tissue depths relative to the digital flexor tendons and (b) evaluate the time-temperature profiles during serial heating and cooling cycles using a contrast therapy device. Study design: In vivo experiment. Methods: In 4 adult horses with normal forelimb digital flexor tendons, fine-wire temperature probes were placed superficially on the skin and implanted subcutaneously, deep to the superficial digital flexor tendon (SDFT) and deep to the deep digital flexor tendon (DDFT). Temperatures were recorded over three complete thermal (hot-cold) cycles. Minimum and maximum temperatures were recorded and the rate of temperature changes and the areas underneath the time-temperature curves (ie thermal load) were calculated. Results: Minimum and maximum tissue temperatures (°C) included: superficial skin [12.6 ± 1.0; 42.4 ± 2.4], subcutaneous tissues [14.1 ± 0.8; 42.3 ± 2.2], deep to the SDFT [15.6 ± 0.8; 41.7 ± 2.6] and deep to DDFT [25.1 ± 2.0; 38.0 ± 3.5]. An initial rapid rate of tissue temperature change between 3.2 and 4.3°C/min occurred within tissues to the depth of the DDFT. Tissue thermal loads during heating ranged from 255 to 607°C*second and from 309 to 780°C*second during tissue cooling, with the lower values noted deep to the DDFT. Main limitations: Unknown clinical efficacy in diseased tissues. Conclusions: The applied contrast therapy was consistently able to induce cooling and heating of tissues to the depth of the DDFT.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Contrast therapy: Tissue heating and cooling properties within the equine distal limb

Haussler

Wilde

Davis

et al. 2020

Equine Veterinary Journal

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“…Dry interface application methods (ice packs) have also been investigated as potential methods of CDH; however, a higher median (range) hoof wall surface temperature of 19.8°C (17.6-23°C) was reported in one study that investigated the extent of hoof wall surface temperature cooling using a commercial ice pack [170]. Side effects of prolonged CDH have been reported, particularly when ice is in direct contact with the distal limb [171]. In a retrospective study of 285 equine cases treated with a sleevestyle digital hypothermia method (where ice is in direct contact with the skin), it was reported that 7% of these cases developed tissue injury of the distal limb consistent with frost bite including: dermatitis, cellulitis, alopecia, coronitis, tissue necrosis and distal limb oedema [171].…”

Section: Continuous Digital Hypothermiamentioning

confidence: 99%

“…Side effects of prolonged CDH have been reported, particularly when ice is in direct contact with the distal limb [171]. In a retrospective study of 285 equine cases treated with a sleevestyle digital hypothermia method (where ice is in direct contact with the skin), it was reported that 7% of these cases developed tissue injury of the distal limb consistent with frost bite including: dermatitis, cellulitis, alopecia, coronitis, tissue necrosis and distal limb oedema [171].…”

Section: Continuous Digital Hypothermiamentioning

confidence: 99%

Studies on the pathogenesis of insulin-induced laminitis in horses

Stokes¹

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Contributions by others to the thesis No contributions by others. Statement of parts of the thesis submitted to qualify for the award of another degree No works submitted towards another degree have been included in this thesis. Research involving human or animal subjects The project was approved by The University of Queensland Production and Companion Animal Ethics Committee (AEC) that monitors compliance with the Animal Welfare Act (2001) and The Code of Practice for the care and use of animals for scientific purposes (current edition).

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Complications of the Postoperative Colic Patient

Southwood

2021

Complications in Equine Surgery

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Distal limb pathologic conditions in horses treated with sleeve-style digital cryotherapy (285 cases)

Cited by 8 publications

References 21 publications

Contrast therapy: Tissue heating and cooling properties within the equine distal limb

Contrast therapy: Tissue heating and cooling properties within the equine distal limb

Studies on the pathogenesis of insulin-induced laminitis in horses

Complications of the Postoperative Colic Patient

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