Format

Send to

Choose Destination
See comment in PubMed Commons below
Phys Ther Sport. 2014 Nov;15(4):261-8. doi: 10.1016/j.ptsp.2014.02.008. Epub 2014 Mar 13.

Effectiveness and safety of cryotherapy after arthroscopic anterior cruciate ligament reconstruction. A systematic review of the literature.

Author information

1
Department of Internal Medicine, Federal University of Sao Paulo, Rua Botucatu, 740, 04023-900 São Paulo, SP, Brazil. Electronic address: analuizacabrera@hotmail.com.
2
Department of Internal Medicine, Federal University of Sao Paulo, Rua Botucatu, 740, 04023-900 São Paulo, SP, Brazil.

Abstract

Cryotherapy is widely used in rehabilitation; however, its effectiveness after anterior cruciate ligament (ACL) reconstruction remains uncertain. To investigate the effectiveness and safety of cryotherapy following ACL reconstruction through a systematic review, randomized and quasi-randomized clinical trials were searched in the databases: MEDLINE, EMBASE, CENTRAL, PEDro, SportDiscus, CINAHL, LILACS (June 2013). The primary outcomes measures were pain, edema and adverse events; the secondary outcomes were knee function, analgesic medication use, range of motion, blood loss, hospital stay, quality of life and patient satisfaction. The methodological quality of studies was evaluated using the Cochrane Collaboration risk-of-bias tool. Ten trials (a total of 573 patients) were included. Results of meta-analysis showed that the use of cold compression devices produced a significant reduction in pain scores 48 h after surgery (p < 0.00001), compared to no cryotherapy. The risk for adverse events did not differ between patients receiving cryotherapy versus no treatment (p = 1.00). The limited evidence currently available is insufficient to draw definitive conclusions on the effectiveness of cryotherapy for other outcomes. There is a need for well designed, good quality randomized trials to answer other questions related to this intervention and increase the precision of future systematic reviews.

KEYWORDS:

Anterior cruciate ligament; Anterior cruciate ligament reconstruction; Cold therapy; Cryotherapy

PMID:
24713365
DOI:
10.1016/j.ptsp.2014.02.008
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center