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Physical Agents
Cryotherapy (PTA)
| Question | Answer |
|---|---|
| Indications for Cryotherapy | inflammation, edema, pain, spasticity, MS (symptom management), facilitation, cryokinetics & cryostretch |
| Precautions for Cryotherapy | over a superficial main branch of a nerve, over open wound, hypertension, poor sensation and/or mentation, very young/old patients |
| Contraindications for Cryotherapy | cold hyper-sensitivity/allergy, cold intolerance, cryoglobulinemia, paroxysmal cold cryoglobinuria, Reynaud's Disease or phenomenen, over a regenerating peripheral nerve, over an area with circulatory compromise or PVD |
| Adverse Effects of Cryotherapy | Tissue death, frost bite, nerve damage, unwanted vasodilation |
| CP (cold pack): temperature for storage | 23 F |
| CP: treatment duration | 10-15 min. for pain, inflammation, edema; 30 min. for spasticity |
| Ice massage: treatment duration | 5-10 min. OR until analgesia |
| Ice massage: used for...; 3-5 second "Quick Icing": used for... | control of local pain, inflammation, edema; impaired motor control |
| Vapocoolant Spray: used in conjunction with | passive stretching |
| Vapocoolant Spray: provides | short duration of cooling to localized area |
| Vapocoolant Spray: treatment parameters | 1. identify trigger points 2. 2-5 sweeps in direction of m. fibers |
| Vapocoolant Spray: distance held from skin & angle | 12-18 inches; 30 degree angle |