Cryotherapy with dynamic intermittent compression for analgesia after anterior cruciate ligament reconstruction. Preliminary study

Murgier, Jérôme; Cassard, Xavier

doi:10.1016/j.otsr.2013.12.019

Cited by 55 publications

(36 citation statements)

References 19 publications

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“…** indicates p < 0.01 and *** indicates p < 0.001 administered post-surgery by reducing the formation of oedema [5]. In particular, a study by Murgier and Cassier (2014) showed that dynamic compression together with cooling was more effective in reducing postoperative pain than static compression with cooling [19]. The gate control theory of pain explains how non-painful sensory inputs could inhibit pain sensations from being transmitted to the brain [16].…”

Section: Discussionmentioning

confidence: 99%

Safety and tolerability of cryocompression as a method of enhanced limb hypothermia to reduce taxane-induced peripheral neuropathy

Bandla

Tan

Kumarakulasinghe

et al. 2019

Support Care Cancer

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Purpose Severe peripheral neuropathy is a common dose-limiting toxicity of taxane chemotherapy, with no effective treatment. Frozen gloves have shown to reduce the severity of neuropathy in several studies but comes with the incidence of undesired side effects such as cold intolerance and frostbite in extreme cases. A device with thermoregulatory features which can safely deliver tolerable amounts of cooling while ensuring efficacy is required to overcome the deficiencies of frozen gloves. The role of continuous-flow cooling in prevention of neurotoxicity caused by paclitaxel has been previously described. This study hypothesized that cryocompression (addition of dynamic pressure to cooling) may allow for delivery of lower temperatures with similar tolerance and potentially improve efficacy. Method A proof-of-concept study was conducted in cancer patients receiving taxane chemotherapy. Each subject underwent four-limb cryocompression with each chemotherapy infusion (three hours) for a maximum of 12 cycles. Cryocompression was administered at 16°C and cyclic pressure (5-15 mmHg). Skin surface temperature and tolerance scores were recorded. Neuropathy was assessed using clinician-graded peripheral sensory neuropathy scores, total neuropathy score (TNS) and nerve conduction studies (NCS) conducted before (NCS pre), after completion (NCS post) and 3 months post-chemotherapy (NCS 3m). Results were retrospectively compared with patients who underwent paclitaxel chemotherapy along with continuous-flow cooling and controls with no hypothermia. Results In total, 13 patients underwent 142 cycles of cryocompression concomitant with chemotherapy. Limb hypothermia was well tolerated, and only 1 out of 13 patients required an intra-cycle temperature increase, with no early termination of cryocompression in any subject. Mean skin temperature reduction of 3.8 ± 1.7°C was achieved. Cryocompression demonstrated significantly greater skin temperature reductions compared to continuous-flow cooling and control (p < 0.0001). None of the patients experienced severe neuropathy (clinician-assessed neuropathy scores of grade 2 or higher). NCS analysis showed preservation of motor amplitudes at NCS 3m in subjects who underwent cryocompression, compared to the controls who showed Electronic supplementary material The online version of this article (

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Section: Discussionmentioning

confidence: 99%

Safety and tolerability of cryocompression as a method of enhanced limb hypothermia to reduce taxane-induced peripheral neuropathy

Bandla

Tan

Kumarakulasinghe

et al. 2019

Support Care Cancer

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“…CDIC has been used in the sports medicine setting to improve recovery and to treat ligament and bone injuries [8,16]. It has been shown that CDIC improves postoperative recovery by stimulating the tissue repair process [17].…”

Section: Discussionmentioning

confidence: 99%

“…These devices provide a dry cold temperature and maintain a consistent temperature for an extended period of time [4,7]. Although the benefits of these systems were demonstrated in primary TKA [7] and anterior cruciate ligament reconstruction [8], we did not find any published studies evaluating the effect of CDIC in patients undergoing rTKA.…”

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confidence: 89%

Cryotherapy With Dynamic Intermittent Compression Improves Recovery From Revision Total Knee Arthroplasty

Murgier

Cailliez

Wargny

et al. 2017

The Journal of Arthroplasty

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“…Th e general tendency is to prefer the CKCE due to the fact that they are predominantly focused on increasing muscle strengh on the quadriceps, and improving coordination. Th erefor CKCE are considered to be safer because they do not increase the tensile strain on the ACL and so, reduce the risk of tibial displacement, while using open chain kinetic exercises for ACL rehabilitation might increase the anterior shear of the knee 21,22 . Tagesson et al (2008) express signifi cant results for open chain kinetic exercises only in terms of muscle strengh on the quadriceps compared to CKCE, while functional outcome is similar in both cases 23 .…”

Section: Resultsmentioning

confidence: 99%

“…No diff erences were observed between low and high intensity plyometric exercises by some authors, (Chmielewski et al 2016), both type of exercises inducing favorable eff ects on knee function and psychosocial factor 41 . Stationary bike could begin after 4 weeks with gradual rapy combined with dynamic intermitent compression which has been proposed as an alternative to permanent static compression, that could provide better tissue oxygenation, and better facilitate soft tissue exchanges, on the same time decreasing the risk of skin necrosis associated with static cryotherapy 48 . Despite the widespread use of cryotherapy, there are still diff erences of opinion in the literature concerning the eff ectiveness of its various application methods and the quantifi cation of variables such as frequency, duration and best time for use.…”

Section: Introductionmentioning

confidence: 99%

Update on Rehabilitation Protocol Following ACL Reconstruction

Gheorghievici¹,

Nica²,

Mitoiu³

et al. 2018

Rev. Med. Mod.

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Anterior cruciate ligament lessions represent one of the most frequently met injuries of the knee, determining pain and instability and having a decisive impact over the patients functional level and quality of life. Regardless whether or not the decision of surgical intervention is made, patients with ACL tear are at higher risk of developing osteoarthritis, long term disability and an increased risk of additional meniscus tear. Literature data, although it offers a suffi cient amount of information on the subject, still presents debates on the advantages of one rehabilitation program over another. Achieving maximal range of motion as soon as possible is a main objective in ACL injuries, restrictions of mobility leading to prolonged rehabilitation periods. The are also discussions on the benefi ts of using open versus closed kinetic chain exercises, and also to what extend can the rehabititation program be accelerated in order to return the knee to the pre-injury state. The rehabilitation program must contain a multimodal approach composed of not only adapted kinetotherapy programs, but also associated modalities such as cryotherapy, neuromuscular stimulation, use of braces or hydrokinetotherapy in order to reduce pain and effusion and increase range of motion. The purpose of the present material is to analysis the existing data on the subject, and to evaluate the therapeutic benefi t of the rehabilitation modalities used in ACL injuries.

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Cryotherapy with dynamic intermittent compression for analgesia after anterior cruciate ligament reconstruction. Preliminary study

Abstract: Level III, case-control study.

Cited by 55 publications

References 19 publications

Safety and tolerability of cryocompression as a method of enhanced limb hypothermia to reduce taxane-induced peripheral neuropathy

Safety and tolerability of cryocompression as a method of enhanced limb hypothermia to reduce taxane-induced peripheral neuropathy

Cryotherapy With Dynamic Intermittent Compression Improves Recovery From Revision Total Knee Arthroplasty

Update on Rehabilitation Protocol Following ACL Reconstruction

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