FSPE Applied Bioenergetics Lab, University of Novi Sad, Novi Sad, 21000, Serbia.
Faculty of Health Sciences, University of Pecs, Pecs, H-7621, Hungary.
F1000Res. 2020 Apr 8;9:245. doi: 10.12688/f1000research.22850.1. eCollection 2020.
The traditional treatment of soft tissue injuries consists of the RICE protocol - rest, ice, compression, and elevation, followed for up to 72 hours after a trauma. Although designed as an immediate therapy to reduce inflammation that occurs after an acute injury, the RICE protcol might not be the best way to promote healing due to limiting blood flow. Molecular hydrogen (H ) has recently been put forward as a possible adjuvant treatment in musculoskeletal medicine, yet limited data are available concerning its effectiveness as a first-aid intervention. We report here a case of an elite professional athlete who suffered a grade II ankle sprain, and who subsequently received six sessions of ankle and foot hydrotherapy (e.g. 30-min at every four hours) with super-saturated hydrogen-rich water during the first 24 hours post-injury. The pain VAS self-completed by the patient dropped from 50 points (moderate pain) at baseline (immediately after injury) to 20 points (mild pain) at 24-h follow-up. Ankle swelling dropped by 2.8% and dorsiflexion range of movement improved by 27.9% from baseline to follow-up, respectively. Our case has indicated that an acute multi-session hydrotherapy with hydrogen-rich water might be a helpful treatment in terms of pain, swelling reduction and regaining range of motion after an ankle sprain.
传统的软组织损伤治疗包括 RICE 方案——休息、冰敷、加压包扎和抬高，在创伤后最多持续 72 小时。尽管 RICE 方案旨在作为一种急性损伤后减少炎症的即时治疗方法，但由于限制了血液流动，它可能不是促进愈合的最佳方法。分子氢（H ）最近被提出作为肌肉骨骼医学的一种可能的辅助治疗方法，但关于其作为急救干预措施的有效性的数据有限。我们在这里报告了一名精英职业运动员的病例，他患有二级踝关节扭伤，随后在受伤后 24 小时内接受了六次踝关节和足部水疗（例如每四小时 30 分钟），使用超饱和富氢水。患者自行完成的疼痛视觉模拟评分（VAS）从基线（受伤后立即）的 50 分（中度疼痛）降至 24 小时随访时的 20 分（轻度疼痛）。踝关节肿胀从基线到随访分别下降了 2.8%，背屈活动范围增加了 27.9%。我们的病例表明，急性多次富氢水水疗可能有助于减轻疼痛、肿胀并在踝关节扭伤后恢复活动范围。
