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Revision sistematica sobre el efecto analgesico de la crioterapia en el manejo del dolor de origen musculo esqueletico (Systematic review of the analgesic effect of cryotherapy in the management of musculoskeletal pain) [Spanish]
Gutierrez Espinoza HJ, Lavado Bustamante IP, Mendez Perez SJ
Revista de la Sociedad Espanola del Dolor 2010;17(5):242-252
systematic review

INTRODUCTION: Cryotherapy is an alternative to Superficial Thermotherapy based on the application of cold as a therapeutic agent, although it is quite clear it is widely used for pain relief. However, only relies on indirect mechanisms of action and without a scientific basis to support its clinical application. Based on this an analysis will be made of the evidence regarding the effectiveness of cryotherapy by means of a systematic review of randomized controlled trials. OBJECTIVE: To determine if there is scientific evidence to endorse the analgesic effect of cryotherapy for the management of musculoskeletal pain. STRATEGY OF SEARCH: The words/phrases included in the search were: randomized controlled trials (RCTs), systematic reviews (SR) and metaanalysis (MT), the databases used were: Medline/PubMed, PubMed Central, ScienceDirect, Biomed Central, Cochrane Library Plus and DARE. RESULTS: We selected a total of eight studies, including randomized controlled trials and systematic reviews. CONCLUSIONS: There is moderate evidence supporting that the use of cryotherapy reduces pain and improves recovery times in ankle sprain and soft tissue injuries associated with sport, but there is limited evidence for its use in knee osteoarthritis, rheumatoid arthritis and low back pain syndrome.

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