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Effectiveness of cryotherapy after anterior cruciate ligament reconstruction
Dambros C, Martimbianco ALC, Polachini LO, Lahoz GL, Chamlian TR, Cohen M
Acta Ortopedica Brasileira 2012 Sep;20(5):285-290
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; 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*

OBJECTIVE: The purpose of this study was to evaluate cryotherapy effectiveness in the immediate postoperative period of ACL reconstruction to improve pain and range of motion (ROM) of the knee. METHODS: This is a pilot study of a prospective and randomized clinical trial. Patients (n = 25) were divided into two groups: intervention (A) group (n = 10): patients were submitted to an inpatient physical therapy protocol and received ice compress for 20 minutes, twice a day; control (B) group (n = 9): patients had the same protocol, twice a day. The pain intensity was evaluated with the visual analogic scale (VAS) and range of motion was measured with a goniometer. RESULTS: The intervention (A) group had important absolute and percentual improvement when compared with the control (B) group regarding measures of pain and knee flexion/extension ROM. CONCLUSION: Cryotherapy in the immediate postoperative period of ACL reconstruction was effective to improve pain and range of motion of the knee. LEVEL OF EVIDENCE: I, randomized clinical trial.

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