Shall we use cryotherapy in the treatment in surgical procedures, in acute pain or injury, or in long term pain or dysfunction? - A systematic review

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Hultenheim Klintberg, Ingrid,1959Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology (författare)

Shall we use cryotherapy in the treatment in surgical procedures, in acute pain or injury, or in long term pain or dysfunction? - A systematic review

Artikel/kapitelEngelska2021

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Elsevier BV,2021

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LIBRIS-ID:oai:gup.ub.gu.se/307500
https://gup.ub.gu.se/publication/307500URI
https://doi.org/10.1016/j.jbmt.2021.03.002DOI

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Språk:engelska

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Purpose: This review aimed to evaluate the certainty of evidence for the use of cryotherapy in patients with musculoskeletal disorders. Methods: PubMed, Embase, Cochrane Library and AMED were searched from January 2000 to January 2018 (update June 2019) for systematic reviews (SRs) and randomized controlled trials (RCTs) reporting outcomes on pain, swelling, range of motion (ROM), function, blood loss, analgesic use, patient satisfaction and adverse advents. The papers were categorised into: surgical procedures, acute pain or injury and long-term pain or dysfunction. Methodological quality and risk of bias were assessed using the AMSTAR and the Swedish Health Technology Assessment instruments. Level of certainty of evidence was synthesized using GRADE. Study selection: Eight SRs and 50 RCTs from a total of 6027 ( thorn 839) were included. In total 34 studies evaluated cryotherapy in surgical procedures, twelve evaluated cryotherapy use in acute pain or injury and twelve studies evaluated cryotherapy in long-term pain and dysfunction. Results: The certainty of evidence is moderate (GRADE III) after surgical procedures to reduce pain, improve ROM, for patient satisfaction and few adverse events are reported. Cryotherapy in acute pain and injury or long-term pain and dysfunction show positive effects but have a higher number of outcomes with low certainty of evidence (GRADE II). Conclusion: Cryotherapy may safely be used in musculoskeletal injuries and dysfunctions. It is well tolerated by patients. More advanced forms of cryotherapy may accentuate the effect. Future research is needed where timing, temperature for cooling, dose (time) and frequency are evaluated. (C) 2021 Elsevier Ltd. All rights reserved.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
total knee arthroplasty
randomized controlled-trial
cold therapy
postoperative rehabilitation
compression therapy
ankle sprains
3d
evaluation
reduce pain
ice
fractures
Rehabilitation

Biuppslag (personer, institutioner, konferenser, titlar ...)

Larsson, Maria E H,1969Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation(Swepub:gu)xlmarx (författare)
Göteborgs universitetInstitutionen för neurovetenskap och fysiologi (creator_code:org_t)

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Ingår i:Journal of Bodywork and Movement Therapies: Elsevier BV27, s. 368-3871360-8592

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Av författaren/redakt...: Hultenheim Klint ...; Larsson, Maria E ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Neurologi

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Av lärosätet: Göteborgs universitet

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