CRyokinetics and cryostrech

Question 1

Who invented cryokinetics and when?

Answer 1

Grant and Hayden at Brooke Amy Hospital in the 1970’s

Question 2

What is cryotherapy?

Answer 2

Ice massage or immersion to anesthetize injured area then active exercise

Question 3

What are negative effects of cold?

Answer 3

decreased circulation
decreased metabolism
decreased inflammation
increased tissue stiffness
increased pain and muscle spam with exercise

Question 4

What are positive effects of cold?

Answer 4

decreased pain and muscle spasm
increased lymph flow, circulation, metabolism, and decreased tissue stiffness, atrophy, adhesions, and neural inhibitions with exercise

Question 5

What injuries are cryokinetics most effective for?

Answer 5

acute sprains and strains

Question 6

What can cause an immediate stop to any further cryotherapy techniques?

Answer 6

any pain during exercise

Question 7

How long is the cold induced numbness (how long do you keep the ice on)?

Answer 7

12-20 minutes

Question 8

How long does the lasting numbness last for (how long do you do exercises after icing)?

Answer 8

2-3 minutes

Question 9

How long do you repeat the numbing sequence?

Answer 9

4 times

Question 10

How long does it take to re-numb and area?

Answer 10

3-5 minutes

Question 11

How many cryokinetics treatments can be done in a day?

Answer 11

2-3

Question 12

What is the progression of cryokinetics?

Answer 12

1. NWB AROM
2. full AROM in 2-3 exercise bouts
3. WB/weight shifting activities
4. WB AROM
5. Walking
6. Strengthening
7. Jogging
8. Team drills

Question 13

What is the advantage of cryokinetics?

Answer 13

It allows for exercise rehabilitation within the first 24 hours of injury

Question 14

What is cryostretching good for?

Answer 14

muscle strains, contusions, inflammatory conditions, and muscular trigger points

Question 15

What will the reduction of muscle spasm lead to?

Answer 15

increased flexibilty

Question 16

What does cryostretching involve?

Answer 16

cryotherapy, static stretching, and propioceptive neuromuscular facilitation

Question 17

What is the sequence of cryostretching?

Answer 17

1. Numb area (15-30 min)
2. Static muscle stretch (20 sec) then isometric contraction (5-10 sec) for 2-3 sets
3. Build to submax contraction (use PNF techniques)
4. Re-numb and repeat (3-5 times)

Question 18

What is cryostretch good for?

Answer 18

decrease pain and muscle spasm, overcomes stretch reflex, and there’s more relaxation after the muscle is near max contraction

Question 19

What are precautions of cryostretching?

Answer 19

acute inflammation, quick jerking movements

Question 20

What is a contraindication for cryotherapy?

Answer 20

pain