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Vasoconstriction followed by vasodilation if cold is applied longer then 15-20 min(hemodynamic effect). Decrease in nerve conduction velocity starting 5 min of cooling (neuromuscular effect). Decrease Metabolic Rate
What is the Hunting Response to application of Cold
repeated vasoconstriction + vasodilation after 15 min of cooling.
4 Uses of Cryotherapy
1.Inflammation Control 2.Edema Control 3.Pain Control 4.Modification of Spacticity 5.Symptom Management of MS 6.Facilitation 7.Cryokinetics 8.Cryostretch
COntraindications to Cryotherapy
Cold Hypersensitivity, Cold intolerence, cryoglobulinemia, paroxysmal cold hemoglobinuria, raynaurds disease, over regenerating peripheral nerves, over an area with circulatory compromise or PVD
Cold has greatest effect on which nerve type
greatest effect on conduction of small myelinated fibers, with least effect on unmylineated large fibers.