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Motor and sensory nerve conduction are affected differently by ice pack, ice massage, and cold water immersion

Herrera E, Sandoval MC, Camargo DM, Salvini TF

Physical therapy · 107 citas

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2010-02-25 · Phys Ther · vol. 90 · número 4 · págs. 581–591
Editorial
Oxford University Press
Citado
230 citas · más que el 98% de estudios similares · 8.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
62 trabajos
Acceso
De pago
Áreas de investigación
Peripheral Nerve Disorders · Thermoregulation and physiological responses · Infrared Thermography in Medicine
Palabras clave
ice packs, ice massage, cold water immersion, nerve conduction velocity, sensory nerve conduction, motor nerve conduction, sural nerve, tibial nerve, skin temperature, tissue cooling, hypoalgesia, cryotherapy
MeSH
motor neurons, tibial nerve, humans, massage, immersion, ice, skin temperature, action potentials, neural conduction, adult, female, male, cold temperature, sensory receptor cells

4 autores

  • Esperanza Herrera🇨🇴🇧🇷 · autor de correspondenciaUniversidad Industrial de Santander; Universidade Federal de São Carlos
  • María Cristina Parra Sandoval🇨🇴Universidad Industrial de Santander
  • Diana M. Camargo🇨🇴Universidad Industrial de Santander
  • Tânia F. Salvini🇧🇷Universidade Federal de São Carlos

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

It is well known that reducing tissue temperature changes sensory and motor nerve conduction. However, few studies have compared the effect of different cold modalities on nerve conduction parameters.

Objective

The purpose of this study was to compare the effects of ice pack, ice massage, and cold water immersion on the conduction parameters of the sural (sensorial) and tibial motor nerves.

Design

An experimental study was conducted in which the participants were randomly assigned to 1 of 3 intervention groups (n=12 per group). Independent variables were cold modality and pre- and post-cooling measurement time. Dependent variables were skin temperature and nerve conduction parameters.

Methods

Thirty-six people who were healthy, with a mean (SD) age of 20.5 (1.9) years, participated in the study. Each group received 1 of the 3 cold modalities, applied to the right calf region for 15 minutes. Skin temperature and nerve conduction parameters were measured before and immediately after cooling.

Results

All 3 modalities reduced skin temperature (mean=18.2 degrees C). There also was a reduction in amplitude and an increase in latency and duration of the compound action potential. Ice massage, ice pack, and cold water immersion reduced sensory nerve conduction velocity (NCV) by 20.4, 16.7, and 22.6 m/s and motor NCV by 2.5, 2.1, and 8.3 m/s, respectively. Cold water immersion was the most effective modality in changing nerve conduction parameters.

Limitations

The cooling area of the ice massage and ice pack was smaller than that of the cold water immersion. The examiner was not blinded to the treatment group. The population included only participants who were healthy and young.

Conclusions

All 3 modalities were effective in reducing skin temperature and changing sensory conduction at a physiological level that is sufficient to induce a hypoalgesic effect. The results suggest that cold water immersion, as applied in this study, is the most indicated modality for inducing therapeutic effects associated with the reduction of motor nerve conduction.

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