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. 2000 Oct-Dec;35(4):412–416.

Exercise After Cryotherapy Greatly Enhances Intramuscular Rewarming

J William Myrer 1, Gary J Measom 1, Gilbert W Fellingham 1
PMCID: PMC1323366  PMID: 16558654

Abstract

Objective:

To determine the effect of moderate-intensity walking on rewarming of the triceps surae muscle group after a 20-minute application of a crushed-ice pack.

Design and Setting:

Subjects were randomly assigned to either the ice-rest or the ice-exercise group. All subjects were treated on the left calf for 20 minutes with a 1.8-kg ice pack. The ice-exercise group walked on a treadmill at 5.63 km/h for 10 minutes and then assumed a prone position on an examining table for 20 minutes. The ice-rest group assumed a prone position on an examining table for 30 minutes after the cryotherapy treatment.

Subjects:

Twenty-eight (19 men and 9 women) college-student volunteers.

Measurements:

Intramuscular temperature was recorded at 10-second intervals for 50 minutes at 1 cm below the subcutaneous fat with a thermocouple implanted via a 21-gauge sterile hypodermic needle. Differences were analyzed within and between groups at pretreatment (T0), the end of the ice treatment (T20), 11 minutes after the end of ice treatment (T31), and 30 minutes posttreatment (T50).

Results:

We found no differences at T0 and T20 but significant differences at T31 and T50. At T31, the ice-exercise group was only 0.61°C colder than at pretreatment levels, while the ice-rest group was 8.05°C colder. By T50, the temperatures were 0.93°C and 6.95°C colder, respectively, than at pretreatment levels.

Conclusion:

Moderate walking significantly enhanced rewarming of the triceps surae.

Keywords: cryokinetics, rehabilitation, treatment

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cross K. M., Wilson R. W., Perrin D. H. Functional performance following an ice immersion to the lower extremity. J Athl Train. 1996 Apr;31(2):113–116. [PMC free article] [PubMed] [Google Scholar]
  2. Evans T. A., Ingersoll C., Knight K. L., Worrell T. Agility following the application of cold therapy. J Athl Train. 1995 Sep;30(3):231–234. [PMC free article] [PubMed] [Google Scholar]
  3. GRANT A. E. MASSAGE WITH ICE (CRYOKINETICS) IN THE TREATMENT OF PAINFUL CONDITIONS OF THE MUSCULOSKELETAL SYSTEM. Arch Phys Med Rehabil. 1964 May;45:233–238. [PubMed] [Google Scholar]
  4. Greenberg R. S. The effects of hot packs and exercise on local blood flow. Phys Ther. 1972 Mar;52(3):273–278. doi: 10.1093/ptj/52.3.273. [DOI] [PubMed] [Google Scholar]
  5. HAYDEN C. A. CRYOKINETICS IN AN EARLY TREATMENT PROGRAM. Phys Ther. 1964 Nov;44:990–993. doi: 10.1093/ptj/44.11.990. [DOI] [PubMed] [Google Scholar]
  6. Ho S. S., Coel M. N., Kagawa R., Richardson A. B. The effects of ice on blood flow and bone metabolism in knees. Am J Sports Med. 1994 Jul-Aug;22(4):537–540. doi: 10.1177/036354659402200417. [DOI] [PubMed] [Google Scholar]
  7. Ho S. S., Illgen R. L., Meyer R. W., Torok P. J., Cooper M. D., Reider B. Comparison of various icing times in decreasing bone metabolism and blood flow in the knee. Am J Sports Med. 1995 Jan-Feb;23(1):74–76. doi: 10.1177/036354659502300112. [DOI] [PubMed] [Google Scholar]
  8. Johnson D. J., Moore S., Moore J., Oliver R. A. Effect of cold submersion on intramuscular temperature of the gastrocnemius muscle. Phys Ther. 1979 Oct;59(10):1238–1242. doi: 10.1093/ptj/59.10.1238. [DOI] [PubMed] [Google Scholar]
  9. Knight K. L., Londeree B. R. Comparison of blood flow in the ankle of uninjured subjects during therapeutic applications of heat, cold, and exercise. Med Sci Sports Exerc. 1980 Spring;12(1):76–80. doi: 10.1249/00005768-198021000-00015. [DOI] [PubMed] [Google Scholar]
  10. Meeusen R., Lievens P. The use of cryotherapy in sports injuries. Sports Med. 1986 Nov-Dec;3(6):398–414. doi: 10.2165/00007256-198603060-00002. [DOI] [PubMed] [Google Scholar]
  11. Merrick M. A., Knight K. L., Ingersoll C. D., Potteiger J. A. The effects of ice and compression wraps on intramuscular temperatures at various depths. J Athl Train. 1993 Fall;28(3):236–245. [PMC free article] [PubMed] [Google Scholar]
  12. Myrer J. W., Measom G., Fellingham G. W. Temperature changes in the human leg during and after two methods of cryotherapy. J Athl Train. 1998 Jan;33(1):25–29. [PMC free article] [PubMed] [Google Scholar]
  13. Palmer J. E., Knight K. L. Ankle and thigh skin surface temperature changes with repeated ice pack application. J Athl Train. 1996 Oct;31(4):319–323. [PMC free article] [PubMed] [Google Scholar]
  14. Swenson C., Swärd L., Karlsson J. Cryotherapy in sports medicine. Scand J Med Sci Sports. 1996 Aug;6(4):193–200. doi: 10.1111/j.1600-0838.1996.tb00090.x. [DOI] [PubMed] [Google Scholar]
  15. Wirth V. J., Van Lunen B. L., Mistry D., Saliba E., McCue F. C. Temperature changes in deep muscles of humans during upper and lower extremity exercise. J Athl Train. 1998 Jul;33(3):211–215. [PMC free article] [PubMed] [Google Scholar]

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