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CRYOTHERAPY

DR.FARAH MIR BUGTI(PT)


3/3/2021
Lecture 1
Physics of Cryotherapy
The removal of heat by •
Abstraction means of conduction or
evaporation

Transfer of heat from •


Conduction warmer object to cooler
object

Heat of vaporization •
Evaporation
Body Temperature
Normal
Temperature
Degree 37•

Hyperthermia Degree 39•

Hypothermia Degree 35•


Physiological Effects
Metabolic
rate

Venous rate Decreased Pulse rate

Respiratory
rate
Physiological Effects
Blood
flow

Arterial
Increased Cardiac
blood
output
pressure

Stroke
volume
Mechanism of action
Sympathetic activity produces •
Blood flow vasoconstriction of arteries, arterioles &
venules

Capillary Decrease fluid into interstitial tissue •

permeability
Decrease rate of cellular oxidation •
Metabolism

Decrease firing of afferents of muscle •


Muscle spasm spindle,redduces motor neuron activity
thus decrease tonic activity

Decrease muscle spindle discharge •


Spasticity ,decrease motor neuron activity
Mechanism of action
Decreased extensibility of tissue & •
Joint stiffness increased tissue viscosity

Interruption of pain spasm cycle ,decreased •


Pain sensory and motor conduction, synaptic
transmission blocked

Increase Decrease blood flow in small vessels •


facilitates RBC
blood viscosity
Muscle Facilitation of alpha motor neuron •

strength
Reduce
pain

Reduce Reduce
spasticity Goals swelling

Reduce
muscle
spasm
Hypertension

Superficial Impaired
nerves temperature

Precautions

Cognitive
Open wound
changes
Cold
hypersensitivity

Psychological
Arteriosclerosis
factors

Contraindication

Peripheral
vascular Vasospasm
disease
Cold packs

Ice
Immersion
massage
Method of
Application

Vapocolant
Cold packs
spray
References
Claytons 10th edition

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