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| Einfluss von kaltuft und kaltepackungen auf die schmerzschewelle und mobilitat bei der krankengymnastischen kontrakturbehandlung des kniegelenks (Effect of cold air stream, cold pack and physiotherapy on the pain threshold and joint mobility of contracted knee joints) [German] |
| Kober L, Kroling P, Gruninger M |
| Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 1995 Aug;5(4):125-130 |
| clinical trial |
| 4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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Cryotherapy of contracted knee joints aims at reducing the pain in order to enhance the therapeutic effect of physiotherapeutic procedures. The present study compares the effect of cold air stream and coldpack in combination with the physiotherapeutic treatment of patients with posttraumatic or postoperative contracted knee joints. Parameters are the change of range of movement (ROM) and pressure pain threshold (PPT) by pretreatment with coldpack (15 min) or cold air stream (2 min) in combination with physiotherapeutic treatment. Immediate effects of cryotherapy (n = 24): Coldpack induces a +27% increase of PPT, cold air stream +20%. PPT remains significantly increased after physiotherapeutic treatment and is increased by +13% in the control group. ROM increases significantly in all treatment groups (cold air stream +12 degrees, cold pack +11 degrees, control +9 degrees). Results at the 8th day of treatment (n = 21): coldpack increases PPT by +31% and cold air stream by +17%. The control group shows an increase of PPT by +23%. ROM is increased in the cold pack group by +16 degrees, cold air stream +13 degrees and control group +11 degrees. CONCLUSION: Cryotherapy in combination with physiotherapy appears to have a positive effect on the treatment of contracted knee joints: certain types of cryotherapy improve the pain threshold and ROM significantly. No adverse effects of cryotherapy have been observed.
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