Comparing the Antiswelling and Analgesic Effects of Three Different Ice Pack Therapy Durations

Kuo, Chia‐Chi; Lin, Chiu‐Chu; Lee, Wei-Jing; Huang, Wei-Ta

doi:10.1097/jnr.0b013e3182a0af12

Cited by 20 publications

(12 citation statements)

References 11 publications

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“…Kullenberg et al's [ 17 ] study showed water ice packs were more effective than epidural analgesia in reducing pain degree after TKA. Kuo et al [ 18 ] also confirmed the effect of an ice pack on antiswelling and analgesic. Analysis from Thacoor and Sandiford [ 19 ] showed that cryotherapy had certain efficacy in reducing swelling and pain degrees after TKA.…”

Section: Discussionmentioning

confidence: 88%

Mirabilite with Ice Pack after Total Knee Arthroplasty: A Randomized Controlled Trial Study

Zhong

Zheng

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Background. Total knee arthroplasty (TKA) is a well-established procedure for end-stage arthritis of the knee with complications such as swelling and pain. The aim of this study is to estimate the effect of mirabilite with ice pack versus ice pack in relieving pain, swelling, range of motion (ROM), and serum CRP level on patients after TKA. Methods. Eighty patients undergoing primary unilateral TKA were randomly assigned to two groups (MIP group and WIP group). We used VAS to measure knee pain at 24 h, 48 h, and 72 h after the surgery, respectively. Knee swelling degree was evaluated by measuring the girth of the leg at the center of the patella and 10 cm above and below it at the same frequency. The active ROM of the knee was measured by using a universal goniometer of plastic material at 72 h postoperatively. The serum CRP level was also measured at 72 h postoperatively. Results. The MIP group showed statistically significant lower knee girth at 48 h ( p < 0.05 ) and 72 h ( p < 0.05 ) postoperatively and VAS score at 72 h ( p = 0.018 ) postoperatively after TKA than the WIP group. The ROM of the MIP group was significantly wider than the WIP group ( p = 0.024 ). The CRP level ( p = 0.036 ) and length of stay (LOS) ( p = 0.037 ) of the MIP group were significantly lower than the WIP group. Conclusion. Mirabilite with ice pack after TKA showed superiority in relieving pain, reducing swelling, and improving ROM than ice pack only.

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Section: Discussionmentioning

confidence: 88%

Mirabilite with Ice Pack after Total Knee Arthroplasty: A Randomized Controlled Trial Study

Zhong

Zheng

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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“…Similarly, in our study, periorbital skin temperature decreased by 9.20 ºC after cold application. Also, another study showed that the average limb temperature of patients with soft tissue injury decreased by 9.77 °C after ice pack therapy for 20 minutes 16 .…”

Section: Change Of Skin Temperature After Cold Applicationmentioning

confidence: 98%

“…Cold application reduces blood leakage by causing vasoconstriction, slows down the metabolism of the damaged area and surrounding tissues, and reduces the inflammatory response in the damaged tissue 15,16 . These physiological effects of cold application are utilized to prevent and reduce swelling, edema and ecchymosis associated with soft tissue trauma 7,16 .…”

Section: Effect Of Cold Applicationmentioning

confidence: 99%

Effect of Cold Application and Heparinoid on Periorbital Edema and Ecchymosis After Craniotomy: A Randomized Controlled Clinical Trial

Akyolcu¹

2020

jamp

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This study was performed to determine the effect of cold application and heparinoid cream on periorbital edema and ecchymosis after craniotomy. The sample of this prospective parallel-arm, randomized controlled trial included 90 neurosurgical patients who underwent anterior craniotomy in two medical faculty hospitals of a university in Turkey. The patients were randomly assigned (1:1:1) to the cold application, heparinoid or control groups. Those patients in the cold application group received cold application with gel pack on their periorbital areas for 20 minutes per hour for three days beginning from the 3 rd hour following craniotomy. On the other hand, the patients in the heparinoid group received heparinoid cream on their periorbital areas once at the 3 rd and 9 th hours after craniotomy and then four times/day at 6-hour intervals for three postoperative days. Periorbital edema and ecchymosis were evaluated for three days after craniotomy using Kara & Gökalan's scale by blinded observers. In all the measurements after craniotomy, except for those at the 3 rd hour, the periorbital edema score of the cold application group was significantly lower than those of both the heparinoid and control groups (p<0.001). The upper and lower eyelid ecchymosis scores of the cold application group were significantly lower than those of both the heparinoid and control groups on the 1 st , 2 nd and 3 rd days after craniotomy (p<0.001). In the cold application group, periorbital edema score decreased significantly as the skin temperature decreased only on the 3 rd day after craniotomy (p=0.01). The study revealed that cold application and heparinoid cream administered for three days beginning from the 3 rd hour after craniotomy did not prevent postoperative periorbital edema and ecchymosis, but cold application significantly reduced periorbital edema and ecchymosis.

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“…Some authors have reported limited benefit of cryotherapy on alleviating pain 14 or reducing blood loss 15 and inconsistent findings on decreasing swelling and improving mobility 16 post-TKA. The following discussion addresses these issues.…”

Section: Physiology Of Actionmentioning

confidence: 99%

Cryotherapy following total knee arthroplasty: What is the evidence?

Thacoor

Sandiford

2019

J Orthop Surg (Hong Kong)

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Background: Total knee arthroplasty (TKA) is an important option in the management of severe osteoarthritis. Despite excellent long-term results following TKA, the immediate postoperative period is often associated with pain, bleeding, edema, and reduced range of movement. Cryotherapy has been shown to provide some benefit in addressing these factors but results are largely controversial. This study aims at reviewing the current existing literature on the effects of cryotherapy following TKA. Methods: A comprehensive review of the current literature on the use of cryotherapy in knee arthroplasty was performed. The literature search was performed using PubMed, Cochrane Library, Google Scholar, and cross references using the search words "cryotherapy" AND "knee arthroplasty" for articles published between January 1990 and November 2016. Results: A total of 51 articles were analyzed and 24 of them were selected based on clinical relevance. Conclusion: Immediate and early postoperative management following TKA remains challenging. Cryotherapy has been shown to have some benefits but the severe lack of level 1 studies supporting its use make it difficult to reach a suitable conclusion. Further multicenter randomized controlled trials with representative populations and fair comparison of devices are needed.

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Comparing the Antiswelling and Analgesic Effects of Three Different Ice Pack Therapy Durations

Cited by 20 publications

References 11 publications

Mirabilite with Ice Pack after Total Knee Arthroplasty: A Randomized Controlled Trial Study

Mirabilite with Ice Pack after Total Knee Arthroplasty: A Randomized Controlled Trial Study

Effect of Cold Application and Heparinoid on Periorbital Edema and Ecchymosis After Craniotomy: A Randomized Controlled Clinical Trial

Cryotherapy following total knee arthroplasty: What is the evidence?

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