Sharon Misasi is Program Coordinator of Athletic Training and Assistant Professor at Department of Physical Education, Southern Connecticut State University, New Haven, CT 06515.
J Athl Train. 1995 Mar;30(1):49-52.
Cold water immersion is an integral part of acute injury care. Despite tremendous success, the treatment causes discomfort, which may result in noncompliance. Two variables, including use of a neoprene toe cap and prior knowledge of the perceived sensations of pain gained through a therapeutic modalities class, were examined for their effects on the perception of cold. Thirty four subjects were recruited and underwent two 21-minute cold water immersion treatments (14 degrees C). During this time, each subject completed a McGill Pain Questionnaire every 3 minutes. The results from the questionnaire were analyzed using a Stepwise Discriminant Analysis Function with factored categories undergoing multivariate analysis. Factors distinguishing between the perceptions of cold for both variables were identified. The toe cap does reduce pain sensation during cold immersion. Taking a therapeutic modalities class resulted in a higher perception of the sensory component of pain. Those who had not taken such a class tended to score higher in responses to the affective pain component and the categories that represented a combination of pain components. By providing athletes with a greater understanding of perceived pain associated with cold treatments, compliance with treatments should be greater.
冷水浸泡是急性损伤治疗的一个组成部分。尽管取得了巨大的成功，但这种治疗会引起不适，可能导致不遵守治疗方案。本研究考察了两种变量，即使用氯丁橡胶脚趾套和通过治疗方法课程获得的对疼痛感觉的预先了解，它们对冷感的影响。招募了 34 名受试者，并进行了两次 21 分钟的冷水浸泡治疗（14°C）。在此期间，每位受试者每 3 分钟完成一份麦吉尔疼痛问卷。使用逐步判别分析功能对问卷结果进行分析，对多元分析的因子类别进行因子分析。确定了这两个变量对冷感的感知的区分因素。脚趾套在冷水浸泡时确实可以减轻疼痛感觉。参加治疗方法课程会导致对疼痛感觉成分的更高感知。没有参加此类课程的人在对情感疼痛成分和代表疼痛成分组合的类别中的反应得分更高。通过让运动员更好地了解与冷疗相关的疼痛感知，治疗的依从性应该会更高。
