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Cryoultrasound

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  1. Cryoultrasound Lindsey McGuire

  2. What is Cryoultrasound? • A recently new modality using the combination of cryotherapy and ultrasound therapy. • Began in Europe • commonly used in Italy • Various titles: • Cryosound • Cryo-ultrasound • Cryoultrasound

  3. C U T r l h y t e o r r a a s p o y u n d THE PAIN

  4. What is it used for? • As a modality used in the treatment of various injuries and diseases • Alternative “Liposculpture” • TecnoLaser Cryosound (Medisport-slovenija, 2006)

  5. Cryoultrasound: Indications • Muscular • Contusions • 1st & 2nd degree injuries • Ossifying myosytis • Tendinous • Peritendinitis • Tendinosis • Tenosynovitis (De Quervain disease) • Insertional tendonopathy (epicondilytis, ischial-cruralis syndrome, rectus adductor syndrome) • Fascia (plantar fasciitis) • Bursitis (baker’s cysts, sub-acromial bursitis) • Ligamentous (sprains with capsular-ligamentous injuries) • Neural (Morton’s Metetarsalgia, carpal tunnel, anterior and posterior tarsal tunnel, dupuytren’s disease, Guyon’s Tunnel syndrome) • Articulatory (gonarthrosis, lumbalarthrosis, coxarthrosis, rizoarthrosis) (Medisport-slovenija, 2006)

  6. Cryoultrasound Effects • Three types of effects of Cryoultrasound: • Mechanical • Thermal • Biological

  7. Thermal Effects • Superficial or “dermal” effect • Redding is visible after the “cold-ultrasound” treatment • Because the skin and muscles usually have a common artery, the increase in dermal circulation from the “cold-ultrasound” causes a circulatory decrease in the muscles. • Can be used immediately after trauma: • The tip placed on the injury causes an immediate vasoconstriction, followed by superficial vasodialation and deep musculature vasoconstriction (Medisport-slovenija, 2006)

  8. Mechanical Effects • The cells of the muscle and connective tissue are stressed by mechanical means • produce more collagen and proteoglycans Biological Effects • The different temperatures of the skin and muscles create a better circulatory effect and an increase in metabolism. (Medisport-slovenija, 2006)

  9. Cryoultrasound features • Input: 220 volts – 50 Hz • Power: 650 Watts • Maximum power of Ultrasound: 3 watts/cm2 • Ultrasound frequency: 1 MHz +/- 5% • Output: continuous or impulse (50 Hz or 100 Hz) • Time: 0-30 minutes • Transducer head: pizoelectric ceramic • Cryotherapy: regulated to -5 degrees Celsius (Medisport-slovenija, 2006)

  10. “Why Cryoultrasound?” • Combines the effects of cryotherapy and ultrasound, while eliminating the contraindications for ultrasound with acute injuries. • Aids in the healing process • Breaks up pain-spasm-inactivity cycle = speeds recovery • Pain relief • Research! • Cryoultrasound therapy and tendonitis in athletes • “It can be asserted that cryoultrasound is a useful instrument for the physician working in the sports field.” • Costantino C, Pogliacomi F, Vaienti E. Cryoultrasound therapy and tendonitis in athletes: a comparative evaluation versus laser CO2 and t.e.ca.r. therapy. Acta Biomed Ateneo Parmense. 2005;76.1:37-41. (Medisport, 2006)

  11. Cryoultrasound & Sports Medicine~Around the World~ • http://www.medisport.it/ • http://www.fisioterapiamoderna.it/fisioterapiamoderna.swf

  12. References • Costantino C, Pogliacomi F, Vaienti E. Cryoultrasound therapy and tendonitis in athletes: a comparative evaluation versus laser CO2 and t.e.ca.r. therapy. Acta Biomed Ateneo Parmense. 2005;76.1:37-41. • Medisport. Cryoultrasound. Accessed November 21, 2006. http://www.medisport.it/elettromed_dettaglio.asp?ID=1 • Medisport-slovenija. Cryoultrasound download. Accessed November 21, 2006. http://www.medisport-slo.com/download/cyro_eng.pdf • TecnoLaser. Cryosound. Accessed November 21, 2006. http://www.epil-flash.com/productengamma.html

  13. Questions?