MN 551 Midterm Purdue University
1. What are the goals of cryotherapy?: limit edema
formation decrease pain
facilitate muscle relaxation
limit secondary hypoxic tissue injury
2. What is the physiologic rationale for cryotherapy limiting edema forma-
tion?: vasoconstriction helps to decrease blood flow/bleeding- fluid
filtration into the interstitial tissue may be reduced
reduction in metabolic and vasoactive agents which contribute to
inflammation
3. What is the physiologic rationale for cryotherapy to decrease pain?:
nerve conduction velocity is decreased- threshold for pain perception is
elevated
4. What is the physiologic rationale for cryotherapy facilitating muscle
relax- ation?: decreased activity in motor neurons and muscle spindle
afferents
5. What is the physiologic rationale for cryotherapy limiting secondary
hypox- ic tissue injury?: decreased metabolism and oxygen demand of
living tissues
,6. What are indications for cryotherapy?: acute/chronic
pain acute/subacute inflammation
edema/ecchymosis
myofascial trigger
points muscle spasm
ligament
sprain
muscle strain
bursitis
tendonitis
7. What are contraindications for cryotherapy?: impaired
circulation over an area with peripheral vascular disease
cold allergy (urticaria) or
sensitivity/intolerance Rauynaud's
phenomenon
infection
over an area with a regenerating peripheral nerve
8. What are precautions for cryotherapy?: avoid cooling over superficial
nerve branches
,very old and very young
patients impaired cognition
open wounds
thermoregulatory
disorders hypertension
over areas of impaired sensation
9. What are the expected sensations with cryotherapy?: cold
(uncomfortable level)
, stinging
burning
aching
numbnes
s
10.What is the typical duration for ice massage?: 4x6 in area ~ 5-10mins
*stop when numbness occurs
11.What is the typical duration for cold pack?: ~ 10-15 min
*stop when numbness occurs
12.What should be included in cryotherapy documentation?: type of cold
agent target tissue
site of cold
application pt
position
treatment
duration use of
bell/timer
pt response to treatment
13.What are the goals of moist heat pack modality?: decrease
1. What are the goals of cryotherapy?: limit edema
formation decrease pain
facilitate muscle relaxation
limit secondary hypoxic tissue injury
2. What is the physiologic rationale for cryotherapy limiting edema forma-
tion?: vasoconstriction helps to decrease blood flow/bleeding- fluid
filtration into the interstitial tissue may be reduced
reduction in metabolic and vasoactive agents which contribute to
inflammation
3. What is the physiologic rationale for cryotherapy to decrease pain?:
nerve conduction velocity is decreased- threshold for pain perception is
elevated
4. What is the physiologic rationale for cryotherapy facilitating muscle
relax- ation?: decreased activity in motor neurons and muscle spindle
afferents
5. What is the physiologic rationale for cryotherapy limiting secondary
hypox- ic tissue injury?: decreased metabolism and oxygen demand of
living tissues
,6. What are indications for cryotherapy?: acute/chronic
pain acute/subacute inflammation
edema/ecchymosis
myofascial trigger
points muscle spasm
ligament
sprain
muscle strain
bursitis
tendonitis
7. What are contraindications for cryotherapy?: impaired
circulation over an area with peripheral vascular disease
cold allergy (urticaria) or
sensitivity/intolerance Rauynaud's
phenomenon
infection
over an area with a regenerating peripheral nerve
8. What are precautions for cryotherapy?: avoid cooling over superficial
nerve branches
,very old and very young
patients impaired cognition
open wounds
thermoregulatory
disorders hypertension
over areas of impaired sensation
9. What are the expected sensations with cryotherapy?: cold
(uncomfortable level)
, stinging
burning
aching
numbnes
s
10.What is the typical duration for ice massage?: 4x6 in area ~ 5-10mins
*stop when numbness occurs
11.What is the typical duration for cold pack?: ~ 10-15 min
*stop when numbness occurs
12.What should be included in cryotherapy documentation?: type of cold
agent target tissue
site of cold
application pt
position
treatment
duration use of
bell/timer
pt response to treatment
13.What are the goals of moist heat pack modality?: decrease
