| x . i DVT 2 ) 7 CRYOTHCRAPY j — Otheraise Known as cold therapy. | ~ Tn tehabildation, mild cooling 15 Used - fe control inf lammeadion, pein card eclemea sforduce SPastici ky 5 fo control symptoms sclerosis + Gerd 40 -faciltate cmd #8 Wis used 11 bhe— of acate drauma cud Sub - of malliple mevemend {reedmend acute Tinfurg - The demperatuse af the body -lissue is- Yecuced and the heak (5 transferrect — fiom dhe body tissue 40 the cole Preeleum, the magnitude ef Cookng depends upon the — Grea ef the hody issde expesecl, tempera — fue ef the Cooling agent and the curation of “Exposute | OO __ ra Definition. “The ccpplication ef cold -[or venous— fhempeasic purposes is celle cl Cryotherapy” 146 therapeutic e/feeds hy navomuscaley and — ~ Cryctherapy exerts | vaflucnein) hemedynamic , | metabolic processes | | ~when cold therapy is applied fo the drssues, he feat is absorbed ‘from the issues by une cooling agent: Tce Changes If$ ~ sade from Solid to Aigquid by abSorfin heal. * J A specific ameund of energy is tequited to Change the Solid efor of Ice into ucater uthich 8 culkad Ladend heat PP ai, Fy i elon= -- uction quad bye Li Cryotherapy 05s ConA inser nee method of heat tee f aaa Hethods [ecbnaques of Appbeetior 4. \Dee\paels 07 colet packs 2. Tce tourels Been nites e in cold OF cole - He Tarmet sion cchirtpool 5. Cecidatory colel Cquick ice) 6. vapocoolandt sprays oY evapora — bive cooling 4. Controlled cold Com pyessiort - cw § OY, d+ Tce packs AB coll peck Ll peutks co 7eiell Ce aca a peodks ce {Mee luith ea speciel— el composed of Silica oy a muxtere of Satene cond gelatine crcl ce - covered urith ving. -—~ These cre avetleble pr Verviows 91265— auc shapes, — these Packs eve Stoted inece Speciet- tefyiqevation OF freezey fora _ J 4 Last 20 minutes to 4 hour before use Heme made bee pdtks Can be mracde — from plastic bas -filled Ureth Hef yatio mixtive ot urager come yebbrng _ fliohol Cecled tn a home frdezer. ae corbe cpplird foam Clevated Advantages Arve Re-useble cw Hes, condour 0% mould themsebvey attevding 40 the part — treated. 1 Net A 4 tme Longue Le - Gesy do use; Inexpensus, Cs ed | | soeecl- afkSb- Tee packs Cue made of cushed= ite placed in @ Plastre bag. - Toe packs ave—madt Of Cres he provid more agyies sive eae Shows Ide a cole packs C clue te hig hen spe cifte he ad) Applicabion techniques ae ee Ceipecks - colel packs in ca veariedy— - plestie bags Of sizes aud shapes < Ede chips — ficerer ov Cooling Hut ~ Deechip machne i aa - Teewels 07 pillow Ge8&? i" Freese Stoic ence) ~ Tousls oy pillow — Remove all jewellery and clothing fron the cvea to be freated and Inspect thee ite - —wliap the Cold pack or Tee pack in a — fowl: — position the Patient comfortably, elevate sbhe Quea do be treated if edema present. 7 15 —7 ~ Place the Utrapped pack on the cvea to he- -freaded aud Secure ih urell .CSeccured wrth, elastic bandages Oy towels Loensdye good condacd ) : 7 -Acave the pack in place for nunules ¢ fo tots | centiol Pein, inflammabion 04 Occkenra + Be lo min / Stay pain and sureller 7 Fonmin — 8 pasticidy i. provide the p Atient utth « bell wy iy. Ad4o call for assistance . — tathen Lieabmend 1S completed, yemove . pack and inspect the dieatment cea fo Sighs of adverse Effects Cyash) lee pack perp application can every | to ahr to control pan — othe Mreans omy - Cold 01 be sepeated cxnrd tnflammetren: Disadvantage Ppebieng may not folerade wtetyht of the pack — pack may not be able qeock contact on Smatl fo moun fen — oy Cottocwied ava 2. Tee tourels [frozen -focuels — There [6 Acktle clonger ef Producing cur- Tee but: - Prepew © the (ce Solusron by te Ling a- puckel ov bowl urrth re Phekect or— cvushed fee jn tahich fare ferry bouels- Clic immersed - — The Surplus urater 15 Wlrun -lrom - foul, Leavy as mach (ce Chingrny bo- jhas possible »Histhen applied 10 the — port being treated. ~ towels are changed ley every 30 Seconay be 2 minules . a ~ Uplo Len tet tourels cam be epplied — Conseq consecutively With 4 yeahment time of [5-20 munete s,2. foe masse C106 Cran cups of frozen. ucaher [e lee ba 4 eee oe many Toe cups OFC made hy eee Mati ) odyro [oer cops OF f a paper of TET axe ade by placing uraser re? Pen que dept ssoy 1" a 978 oe eo duak. 21 curader CaP before freezing Prozen , the ice can be completely. and ‘the olick Used - from the (ar : for applyrry pherte ~ uthen yemoved as & har dle sequitect Cquipmend small paper oF Shy ve foam Cups — [rocre Tongue chepyessors OF popsicle Shicks jourels {fo boorbh avater (rgcedte Komove all feurelry anc chethrny from — he O1eu fo be treated - — place ourels Ground the treatment ay + h ¢, 7 bo absorb any clvipping Luader. ome Uipe-auay wader DA the Skin are Lyeadmen t- a pub the fee Over dhe treatment area usiny Small overlapping crrcde . tondinue for 5 10 Io minuhes” ov until the patiend expenence onal ie 2. i al qesya Site of application. shi she ther treatment 15 Completed, inspecs [he aica for any Signs and sy mpl : ome ~ Re wvea Com Obserwed clurmy ecpplicat~ Incepensive olevatect tim b = Cam be applied to om Short duration of treadment Disadvantage = Feo Hiore—tonseen titty ory —dhewv fee ea N — Requues Geteve pardictpebron by the — clinteran oy Peticnt Throughout the— cepplication in cold ov cold eehiri— H: Tmmersron pool the Part ef the body js immersed - re cold walter ey 4 tahiytpeok fn thik chem perature of uradey 15 Lowered upto o-l0% . — Flaked oy crushed fee fs used Tr & — | Solutron urith Geader — exdyemities of the becdy cam be effeetr— vely dreaded by using this method. = Duration of {reagment around lo = mingles Coingle lo minutes S$ eSSfon oY- Poy a Serres of shorter Immoysfon Unbcl ctttumulafive foal of to minutes. 5. Excitatory cole ~The Ice 19 Stroked Yeurckly three times over bhe Yleymatome and skirts ther ded. — the sensory pheral newe o the pal c Cord through pesserion here - — th yaises the devel of exeetation— LR aE Qiquad the audervor hon cell iy Stimulus pusses wire — nd enters they Seppdle- — The increased exettatron me's Sie mend tthe pills utili gy effort lo the muscle condy ath: a, : “The fechnique of quick pete foe 15 a . Of — Ww arcing volun dary we contyac tion muscle. ad . é. Vapocoolenb SPYeT® [ Evaporative co oes — Thies {ype of treatment LS frequen 4ly cep plred — Lr Sporbs jury and fer sdiekehung of the fight muscles - ; — The Yaptd coon, Provides , bhe counter — Urdant Shimules thad clecteages ee a newton activity ane thereby pee an Stretehurg. ~ The Combination of Sprays folloudal 6 Stretch fs called “ Spray ana Sdreteh"- | technique. ~ Ter this technique Some volatile Sub shana Such as ethyl chlonde ov Tluoyeimethane— One Used. . ~ Hre—pett Precedue, $ ~The patbtenb Ss Prepavecd wn the wSeat — 4 manned but Ww this lechuqyue, Oe cclelebionad requuiement is do protect the S41v0Undeng Skeur , Caheeh 1S Very much vequryved a vps Cthyl chloude "6 Used ,aS US coolng_ 2ffub ts more Compared 62 Ff Lucvimethane, | f fa Decreaseel a b lee cl flee ~ Puce fo the cold —urduerd Vasectlation, Lé lS: yeommenclcl that ur clianeel sttuattons ucther Nase dilation ts net vequived , the cold Appleca Sheald be Limite to (5 minudes OY 18sand — ° | (el pn Nesvous Sysben == neural [1S see% Kecromacseeters ofleck Decveased Newe conductor . . , athe rele conduction of {he nerve lihers Coan sh a ayarciel® reduced by cold. ‘The A Libers are - ~T (1p ooo affected first folleunel bY B and 6! bets a eva seat pom thitsholel > -Applicatton col yolieve Poin “The- Probable ‘mechanism jnvelved fo bhe eee tection of cold yeceptors uthith Send back - fhe impulses, uthech have to pass mnto the Opural toyel via the posterior yoot. hese impulses uthich arnives through the yelatively Lege cliametes neiwes 7 fertively blecks phe pain’ impulses atlempling bo- tim access 40 the cord and hus the - pain Qate iS clesed- The cold stimulus 1s self , 1s a noxious - re can ee poe ee _ tuhuh may yeltuse bela ondovphin or — en kephalsn E body's opiate [Likes ubstanee) turbo the posterie? hom and thus yeclee ce s_ pain. CTnuease pom 4hieshold > E Trugased create bier by colel Ccurvy aeuery chemical Substances urheth aie Shimla ting nociceptors and thas the pain £4 redetect= - pne of the mejor effect pson Lhe muscle. fone. the short, husk application af cold — 16 thoughb +e enhance muscle fone Cie excitatory cold) ;uthele protege _ of cold C immersron of cold ) Teduces the - musele bene to a greater dclent . — Pam —Spasm cycle — Reduce - aldeve muscle Slrength. — pepending — Papen ahe duration of Greatment and the— timmy of measememenl , Cy yothera py is- cessotraled uiith both mnevenses one - hk ee 7devieu se mn muscle stron qb yc muscle sfiength foe aaeedtty afta app Leech 10 oy newe peerdab (uty - teal motiva- - qsomet Qn ease Ys fac liladion of mel SOS Crd com incieased psgcholey fron vo perform) wt Tn contrast yp cf WS foanel 40 leven Se atl ay aud then 4o- vi an four tater pte Efise 5 duce te | ve ty) AS vues td? wo “ enor Cold wreleccl vasecle 2 Melafolic C{ferts “i _ Used metabolic vate ; uncluding those inuolved tn inflammatvoa and healing. -thas th us used 40 control acute raf le | mmadion « ‘ —_ ~The cetivety of corvtilage cleeyracel erally enzun, treludinj collayenase, iedlase, Cre ea tease prhibiked by of\U'srmy jou * hempere-lusre - werdF jount i ~ ‘thes th is Used lox the Prevent re yeductton of cellagen esti dion pe ike urfluemmater yj oe uf me bor y jomd cliseases Such as — Ok and RA: LES * Pectease of spashely = Cryotherapy has brew found to detrvease spasti— aly though for a temporary Periock —> due fo decveasel attivuy of Crete Els: cund Muscle Spind Le. J Grelat tendon =~ Ut ts usually yecommencdecd to apply (ce foy up-le 3e munudes bo cause a clue ase Of spasteeety dastin y for J-te5 hews. genun ov Lenya | [or oy cooling an Strength i OgeeFae tdetren of OB conbachen aL chen applud 0 the muscle wea motor neuron 1% found te faci ledate nt blo" —> Pw fo Ynhenewd _ moter newron to this- — Buef cl rract + Leeter the muscle condy pyetta bulety of alpha brief cooling .