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Arch Phys Med Rehabil. 2015 Jan;96(1):1-6. doi: 10.1016/j.apmr.2014.08.011. Epub 2014 Sep 4.

Effect of cryotherapy after elbow arthrolysis: a prospective, single-blinded, randomized controlled study.

Author information

1
Department of Orthopaedics, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China.
2
Department of Orthopaedics, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China. Electronic address: fancunyi@smmail.cn.

Abstract

OBJECTIVE:

To investigate the effect of cryotherapy after elbow arthrolysis on elbow pain, blood loss, analgesic consumption, range of motion, and long-term elbow function.

DESIGN:

Prospective, single-blinded, randomized controlled study.

SETTING:

University hospital.

PARTICIPANTS:

Patients (N=59; 27 women, 32 men) who received elbow arthrolysis.

INTERVENTIONS:

Patients were randomly assigned into a cryotherapy group (n=31, cryotherapy plus standard care) or a control group (n=28, standard care).

MAIN OUTCOME MEASURES:

Elbow pain at rest and in motion were measured using a visual analog scale (VAS) on postoperative day (POD) 1 to POD 7 and at 2 weeks and 3 months after surgery. Blood loss and analgesic consumption were recorded postoperatively. Elbow range of motion (ROM) was measured before surgery and on POD 1, POD 7, and 3 months after surgery. The Mayo Elbow Performance Score (MEPS) was evaluated preoperatively and 3 months postoperatively.

RESULTS:

VAS scores were significantly lower in the cryotherapy group during the first 7 PODs, both at rest and in motion (P<.05). There were no significant differences between the 2 groups in VAS scores at 2 weeks and 3 months after surgery. Less sufentanil was consumed by the cryotherapy group than the control group for pain relief (P<.01). No significant differences were found in blood loss, ROM, and MEPS between the 2 groups (P>.05).

CONCLUSIONS:

Cryotherapy is effective in relieving pain and reducing analgesic consumption for patients received elbow arthrolysis. The application of cryotherapy will not affect blood loss, ROM, or elbow function.

KEYWORDS:

Cryotherapy; Elbow; Pain; Rehabilitation

PMID:
25194452
DOI:
10.1016/j.apmr.2014.08.011
[Indexed for MEDLINE]

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