Jean Piaget Institute, Health School of Vila Nova de Gaia, Vila Nova de Gaia, Portugal.
Int J Sports Med. 2010 Mar;31(3):198-201. doi: 10.1055/s-0029-1242812. Epub 2009 Dec 17.
The effects of cryotherapy on joint position sense are not clearly established; however it is paramount to understand its impact on peripheral feedback to ascertain the safety of using ice therapy before resuming exercise on sports or rehabilitation settings. Thus, the aim of the present study was to determine the effects of cryotherapy, when applied over the quadriceps and over the knee joint, on knee position sense. This within-subjects repeated-measures study encompassed fifteen subjects. Knee position sense was measured by open kinetic chain technique and active positioning at baseline and after cryotherapy application. Knee angles were determined by computer analysis of the videotape images. Twenty-minute ice bag application was applied randomly, in two sessions 48 h apart, over the quadriceps and the knee joint. The main effect for cryotherapy application was significant (F (1.14)=7.7, p=0.015) indicating an increase in both absolute and relative angular errors after the application. There was no significant main effect for the location of cryotherapy application, indicating no differences between the application over the quadriceps and the knee joint. In conclusion, cryotherapy impairs knee joint position sense in normal knees. This deleterious effect is similar when cryotherapy is applied over the quadriceps or the knee joint.
冷冻疗法对关节位置感的影响尚不清楚;然而,了解其对周围反馈的影响对于确定在运动或康复环境中恢复运动前使用冰疗的安全性至关重要。因此,本研究旨在确定应用于股四头肌和膝关节的冷冻疗法对膝关节位置感的影响。这是一项在个体内重复测量的研究,共纳入了 15 名受试者。通过开链技术和主动定位在基线和冷冻疗法应用后测量膝关节位置感。计算机分析录像带图像确定膝关节角度。20 分钟的冰袋应用随机应用于股四头肌和膝关节,间隔 48 小时进行两次。冷冻疗法应用的主要效果显著(F(1.14)=7.7,p=0.015),表明应用后绝对和相对角度误差均增加。冷冻疗法应用部位无显著主要效果,表明股四头肌和膝关节的应用之间没有差异。总之,冷冻疗法会损害正常膝关节的关节位置感。当冷冻疗法应用于股四头肌或膝关节时,这种有害影响是相似的。
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