Sidhu Amrik, Lentell Gary, Pettitt Robert W
Physical Therapy Department; California State University, Fresno; Fresno, CA, USA.
Kinesiology Department; California State University, Fresno; Fresno, CA, USA.
Int J Exerc Sci. 2008 Jan 15;1(1):14-21. doi: 10.70252/CZXS9776. eCollection 2008.
While ice massage (IM) is a rapid cooling technique used to facilitate therapeutic movements in the rehabilitation process, evidence of its efficacy over alternative therapeutic protocols is scarce. We determined whether dabbing the skin surface dry during a standard IM treatment would lead to greater rate of skin temperature reduction in comparison to without dabbing; and whether dabbing the skin would lead to an acute change in flexibility. Sixteen healthy volunteers received a "dabbing" and "non-dabbing" 7-minute IM treatment over the surface of each triceps surae muscle. Minute-by-minute temperature change in skin surface was evaluated using an infrared thermometer. Active (AROM) and passive (PROM) range of motion were evaluated via hand-held goniometer and passive stretch force was evaluated with an algometer. Dependent variables (reported as Mean ± SD) were tested with two-way analysis of variance with repeated measures. Skin temperature (°C) was reduced to with dabbing (5.8 ± 1.1) in comparison to without dabbing (6.8 ± 1.4), evoking significantly greater cooling at 1-min of ice massage (group X time interaction, p<0.01). However, after two minutes of IM, each method of application evoked similar surface temperatures. There was no significant difference in AROM, with dabbing (-0.63 ± 2.55°) in comparison to without dabbing (1.18 ± 2.90°), and no significant difference in passive-length tension relations (p>0.05) for either IM group. The dabbing protocol resulted in more rapid rate of temperature drop at 1-minute, however, both IM techniques are sufficient in cooling surface temperature after 2-minutes of IM. Further study is warranted to determine the clinical significance of the dabbing procedure.
虽然冰敷按摩（IM）是一种用于康复过程中促进治疗性活动的快速冷却技术，但与其他治疗方案相比，其疗效证据稀缺。我们确定在标准冰敷按摩治疗期间擦干皮肤表面是否会比不擦干导致更高的皮肤温度降低速率；以及擦干皮肤是否会导致灵活性的急性变化。16名健康志愿者在每侧小腿三头肌表面接受了“擦干”和“不擦干”的7分钟冰敷按摩治疗。使用红外温度计评估皮肤表面每分钟的温度变化。通过手持角度计评估主动活动范围（AROM）和被动活动范围（PROM），并用痛觉计评估被动拉伸力。对因变量（报告为均值±标准差）进行重复测量的双向方差分析。与不擦干相比，擦干时皮肤温度（℃）降至（5.8±1.1），在冰敷按摩1分钟时产生显著更大的冷却效果（组×时间交互作用，p<0.01）。然而，在冰敷按摩两分钟后，每种应用方法引起的表面温度相似。主动活动范围方面，擦干组（-0.63±2.55°）与不擦干组（1.18±2.90°）之间无显著差异，且两组在被动长度-张力关系方面也无显著差异（p>0.05）。擦干方案在1分钟时导致温度下降速率更快，然而，两种冰敷按摩技术在冰敷按摩2分钟后都足以降低表面温度。有必要进一步研究以确定擦干操作的临床意义。
