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Treatment Rationale

Learn about the importance of selecting the appropriate ice or heat treatment for sports injuries. Discover the physiological effects of ice and heat application, as well as various modalities such as cryotherapy, hot packs, whirlpool, contrast bath, and additional therapies like ultrasound and massage. Understand the difference between acute and chronic injuries and the best approaches for each.

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Treatment Rationale

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  1. Treatment Rationale Sports Medicine I

  2. Selection of ice or heat application is critical Ice should be used for first 48-72 hrs If pain and swelling are still present, continue to us ice Treatment Rationale: Ice vs Heat

  3. Application of ICE • Physiological Changes • Reduced swelling and inflammation • Reduced blood flow to the injury site • Reduced pain at the injury site

  4. Cold Packs 10-15 min Keeping ice on too long can cause burning of the skin Cryotherapy (cold therapy)

  5. Ice Massage Rubbing ice over injured area 5-10 min Avoid bony areas Move ice in a continuous circular motion Cryotherapy

  6. Cold Whirlpool/Immersion 50-65 degrees 5-15 minutes Thermal barriers can be used Disadvantage: injured part is in a non-elevated position Offers a massaging effect Cryotherapy

  7. Cold Spray (ethyl chloride) Apply no longer than 10 seconds Not as effective as cold treatments Only cools skin surface Cryotherapy

  8. Physiological Effects Increased blood flow to the injured site Reduced muscle stiffness Muscular relaxation Application of Heat

  9. Apply moist heat Towels protect from burning Heat penetration is limited Hot Packs

  10. Temp 95-104 Massaging effects Later stages of healing Hot Whirlpool

  11. Combines hot and cold Increased amount of swelling responds to the alternation Provides pumping action to remove swelling Contrast Bath

  12. Overlooked as treatment Increases circulation at deeper level Increases strength Regain ROM Exercise

  13. Additional Modalities • Ultrasound • Electrical Stimulating Currents • Shortwave • Diathermy • Ultraviolet Therapy • Laser • Massage • Joint Mobilizations

  14. Acute Quick, onset, short duration Basic initial treatment is PRICES Protection Rest Ice Compression Elevation Support Chronic Recurring injuries that respond little to treatment Characterized by continuous use of PRICES Injuries can be challenging Mix of exercise, heat, and contrast bath Return to play w/o chronic pain and disability is important Acute vs Chronic

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